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HomeMy WebLinkAbout020-1376-22-000~p~ ; S ~.(11~.aL.ar Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety) and Buildl!rg Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Stout, Richard Hudson Townshi CST BM Elev: Insp. BM Elev: M Description: TANK INRA~RMATION - TYPE MANUFACTURER CAPACITY Septic ~ A.~.~er CJK. ~ P 2 arrb Dosing Aeration Holding ~NK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD septic ~~ I-~- ~ ~sr 32, Dosing Aeration Holding PUMP/SIPFION INFORMATION Manuf cturer Model Nu r TDH Lift ion Loss System Head Forcemain ength Dia. Dist. to well SOIL BSORPTION SYSTEM ~ ~ BEDlTRENCH Width Length t No. Of DIMENSIONS ~ ~ ~;~, ~w~. I ELEVATION DATA County: $t. CfOiX Sanitary Permit No: 395118 0 State Plan ID No: Parcel Tax No: 020-1376-22-000 STATION BS HI FS ELEV. B cn~ ~- 3Z 6 . ~o ~ l 06• Iq ~ OO . I t Alt. BM 3.9 ez.~W' Bldg. Sewer /~ `~/ s ~ l l~'~ s~ ~ Z 9~. f St/Ht Inlet , 9, t ~~ 2S~ SUHt Outlet $. 3 3 ~~• ~ r Dt Inlet Dt Bottom Header/Man. 4. q0 6 z ~ t Dist. Pipe 4. '~.(o i 96• ~3 Bot. System ~ . 2 •v r Final Grade 43 ~.aa t st Cover , [ . 9 ~ o (, 29 t Of Pits Ilnside Dia. (Liquid Depth JG lana.n J 1 J 1 CIVI I V r'/L ~LUV VVCLL LMr\L/J i r~~nrvi INFORMATION CHAMBER OR -~ . " S i ~.~ ~ Type Of System: ~ t ~ UNIT Model Number. DISTRIBUTION SYSTEM •o.! lam' loner Header/ ifold ~ Length ~ Dia Distribution Pipe(s) Length Dia Spacing x Hole Size x Hole Spacing Vent to Air Intake h Q ~ 1 SOIL COVER x PrPSCUre Svcfems Only xx Mound Or At-Grade SVStems OnIV Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center BedlTrench Edges Topsoil Yes ~ No ~ Yes ~ No d~ COMMENTS; (Include code discrepencies, persons present, etc.) Inspection #1:~/~/_~ Inspection #2: Location: 903 A&B Frazer Lane Hudso~n),W--I 54016 (NE~1/4)SW 1/414 T29N R19W) 1429192283 Sweet Grass Farm Lot 22 1.) Alt BM Description = `~ S` ~"""~'~ LS°' S' 7 r p JJJ 2.) Bldg sewer length = 3c~ - amount of cover = ~g".). 3) ~~.;~,.Q,t~--cam G~', -~~-~/ - -- - lan revision Required? [Yes ~ No ~- ( Z U e her side ~r ad itional information. ~~' ~ S 7.~C ~~-'~/LUFiBu ~~D-_-~-pi ~ ~ C~1 ~pateCC ~ N,,, I(' n_ p~tor's_ Signature ~ Cert. No. ... i .. i i( ~~ _.__~ ~ .__ _.__ ; __._ .rz.~ 3t• ~_~_ ."`"""'".. --""'._"'-_" Safety any 13ul~ings 1,Iiv~si~i~ i, Cou.'s•7 S ~'~-~~ 2fli W. WasI~izlgwa Avc., P.C. Box T162 __ ' 4L ..~_~__...._~ ~~~~~~ j~ Mad9aan~ a'] 537©7 - ;Ib~ ~ '~ 4~' ~ ~ Y ~ /,~. ~ S ~syPtrtulclwua~b~sr • 5itary Permft App~ic 12 t l ~ t 3 ~ s~~ ~ 1st s0oord rr>~ Cssofm 13.13. 'Wis. Adfs. Cods. psrronsl you prov,ids ` ~~, l (~ CbaCk iY Ravisian ' I. 'A ~ Int+leataW+~ • ~ ~ 1-111 Iatbrauetoa ~, i C~\ ` saeo ~ 1.'4. Nftn:bmr vr~~ ~~. - - - -.._..~; ~~' ~ OF irQ LuoodOa , ±/ Pxa 1 G rte! b- lam' City. gram Coda %~ N'timbEU_~ ia?x tvtonbar ' 2 ~ ~~ ` I~[ftaos CSM Idutnb~mr I Typr of Wdttdi~, telbKk ~Jl ehs! atbply} ' C1Cisy _ --~ ,i ~ - Number p! 8sdrecros ~ d'1-ftlye~ _ ` ^ FuWiciGotsftaetrtll- t?ss I G. d ~Q ~ .,,_,,_,,,_,.,_~ ^ Stxts Otvnsd ! Nassu ~ ILt.'1`ypa' of Poe7~sltf (puett of~y one box oa tSise A ~umbe>des~ taham~ !or int vre). 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(ter 171 ~ iRS>{t~~P~ aw~ S<rv~`G<4" ~fr -wA~-u'ti~.cY'4r</5 /cLo~nm.t~-dcG~"r•'o-...s. • r ~"'~y~t+lmtra- eft pMe ~ s s • M1 ~ re,w,w, r+~ ern rra . h! Jf~~ ~ ~~ ~~~ ~' i /°S -`Gf~QYd ~7 /Dw~_ ~O~o~~ 5'~v~eG / ~`T ~ %Or> o~ ~t~/~So / ~racG t v ~ ~/.a-_ Ses~~I ~-=16~ ~~~ /~vyo 9Y. s~ ~~~~ ~ x ~I°¢~ G l0~ aeod ab~ ~ ~ r~'' ~h ~ Q~~ ~ y .,~ v `~ ~~ ~,~ ~~ ~j k ~M ~~ 6y ~4-~-• p l ~ llanv I W~ W O Z ~~ E ICU y ~y, .~ G. 1~., ~. c0 Y! r M~ WM („~j W MI .~ tytl ~ ~ ~~~•~ ~~~~ c~« ~ ~G s~ro ~~ • ~ U ~ N~ U ~~~ N~~~ ~ ~~~ ~~ -~ ~~~' ~~ ocuo--~ ~a~i ~~~~V ~Cn '" '. ~ ~~a~'w t ~ ; ~ ~~ U ~~ ~~~ .Z ...~ Ll, ~ = V7 a s • • a. v ~ h a / ~/ ~ r/ frl, ~ 1 t ,.., R y j~ c`~ •~!'';`` ~ ` ..~i' '`~ `, ~ \> ~'+q ~, ~ iBTq•i~~QVy'~'~c,~~l~ ... ,.~ x ui ~ ~, .~ ax l ~ ~ I r ~lr~ ~~ i ~ ~I~ ~r~ \J ^'- ~~'"" N N U ,~ v N ~~ N ~~ ~~ ,~ ^~ ~ ~~ v N 1 Y N ~~ ...~ $~ i" M~ ~~ ~~ n~ ~~ ~~ 2 ;$ ~~ ~~ a~ A~ ~~ ~~ ~y Yy ~a ~~ ;+ -~ `JVisco ~ Department of Commerce SOIL AND SITE EVALUATION Pa e ~ of Division of Safety and Buildings g Bureau of integrated Services in accordance with Comm 83.09, Wis. Adm. Code Attach complete site plan on paper not less than S 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location ~nddistance to nearest road. Parcel I.D. # ~ f'°~, APPLICANT INFORMATION -Please p~dtall infor~-ation. ~'~'~~, R ed Date Personal information you provide may be used for secortdarypurposeg~7Privecy ~ s. 15.Q4 (1)° m)). '~ Property Owner h -I 5~ ~,"L. ` Props Location ICI LQ ~1 ~-K-~L-'~1 - ) ` ~, ;~(;, Govt. of 5~ 1/4~~1/4,S~c~ T Z ~,N,R ~~ E (or)b Property Owner's Mailing Address ~, . Lot # Block# Subd. Name or CSM# t35 A~~k~e ~~ ~ , ~,_~:.... , ~' Sipe-~ C~rG55 City State Zip Code `Ph~a Number City ^ Village [~ Town Ne~a°re_st Road 1 ~~h I t_f..)1 I S~Ullr 1 ~ ~-~:~l~ ~ ~ f ,! ('~ ~OY~ _ t-~Y ~ ~ ~ [~ New Construction Use: ~ Residential /Number of bedrooms ~ Addition to existing building ^ Replacement ~ /x , ^ Public or commercial -Describe: Code derived daily flower gpd _ Recommended design loading rate bed, gpd/ft2 ~~j trench, gpd/ft2 Absorption area required (2 ~ bed, ft2 t/Z •S trench, ft2 Maximum design loading rate ~_bed, gpd/ft~ <> trench, gpd/ft2 Recommended infiltration surface elevation(s) ~~~ 7 q ft (as referred to site plan benchmark) Additional design/site considerations li~ • ~~ ~~ / Parent material U U ~~(iUa S ~ Flood plain elevation, if applicable /~%'T ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank u = Unsuitable for system [~'s ^ u [mss ^ u EIS ^ u ~s ^ u ^ s [~ u ^ S @~u Cnll r1~Cf_RIPTInN RFPART Boring # i Ground elev °~ ~6 ft. Depth to limiting fact~r -11 _in. Boring # ._ ~,. Z Ground elev. ~ /OU,~_ft. Depth to limiting fa4k~ r // in. Horizon Depth Dominant Color Mottles Structure i B d t R GPD/f12 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. stence Cons oun ary oo s Bed ,Trench I -~ I~, r31Z. ~I ~mabk G ~- Remarks: ©-1 ! l0 r 2 ~' S ~ I 2r-r~bk -fir cs L v ~ ~ • ~ 2 ~ fl-`1Z I r y~`I -- 3; I 2n-rbk ~~~,~ ~ 5 - ~ ~' ~ - `fie -,i ~ ~-- ~ms ~ cs _ . ~ ~ . 8 + ~s~p~ 2. ~~ Remarks: ___ CST Name (Please Print) S' Blurs Telephone No. ~clctm Soh k~- ~ C7r~)zy~-`~ao8 Address Date CST Number 2tt 3 ~~'~' S-(. 5 ~- ~to~' - ~- cx~ ~s3 0 PROPERTY OWNER PARCEL I.D.# Boring # 3 Ground elev. ~~tt. Depth to limiting factor -~L~in. Boring # ~~ Ground lev. ~~ ft. Depth to limiting factor 'min. Boring # S Ground elev. Depth to limiting factor ~~in. Boring # Ground elev. ft. Depth to limiting factor SOIL DESCRIPTION REPORT ~-- i ~ ~ 3 a, 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 I a_i Ip 3~L -~ ~~ c I v~ • 5 ~ . S. 4' , ~~ y .y„ Remarks: ~ o-~z ~p ~ 2 ~ ~ ~ I v~' ~5 ~ g-rzi ~ l~ - ur5 nnr ~ -- ~ ~ ~ $ Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundar Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. y Bed ,Trench .~ ~ ~ ~ S 2 238 ~l -- Vii) 2 ~; ~ - -~ 3 11$ Ib~ Iry ~ 5 0 ~ ~ S - ~ . ~ ~ '~ 9, , y t' s Z' , Remarks: m. Remarks: SBD-8330 (R.9/98) PAGE ~ OF~ NAME ~~-G U -4- LOT#~~ LEGAL DESCRIPTION~E.i~'r'aSw'/e,S -H TZq ,N,RI Y E (or)~ SCALE: 1"= (OCR ~ BM 1 ELEVATION (OU • O ` BM 1 DESCRIPTION ~m®o.~ 1 ~• prc p,•P-~~tqw/ ~(QO~ BM 2 ELEVATION K`(. S BM2DESCRIPTION-foFo-~ 11~~"~ iu~'h,~~r"lu SYSTEM ELEVATION 9 S • 7 ALTERNATE ELEVATION K S . ,/K~~/~ ('(17~TT(li TR RT F V D TT(17~T / V ~~`'1 -~-~ - ~X FROM Schurn,~kcr P1~_imbinq FA}t PJO. 71~38631~1 Sep. '1B 21~E'© L~7:2BAh1 F1 ST C"1Y01.~e +LUUN'TY SL~PTIC TANK Nlk11~"T'$N,4,~tCB A~RBBMBNT A1V~ t~4V~B-R-S3~CP CBR,TIPICATIt~N FC~RNI f ~I'YVY3CaC~UI~d' ~ `G~t a rod ~Gl.~ ! F Y~ Y~~W ~e~~11~,i~y lil N~~i,L~g Ad~dre~ts .1c, ~~ ~ , t~~-t ,. ~_~03 Pra~rty A.tlc~ess -~ ,~~ F~a ~. ~ v Z.,~~ (1~e~aetia~ regtEited 1~ra P~ato~, ~t for f'~+p~ly ~ ,,~..~ ~. ~.. ~* SOC. ~ Ta~ Q~+1~ ~ ~, TCVV~ eat ~;~C~~a.,rJ S+~6divlsio~ S'~v ~,~ ?~ f 5' fat # .~~ ~'por ~ C9 ~ ~~o ~i7t ~ ~~llaQ C1 ttC '~ ('~ tbMt a$ oa ~ hum txa lsve 40 bo~t# of ~' (one} 1c~erLed~e. I (~to} s~ ~a~) ma a~~aQs3 of too r deradLad:bc>r~, fir rya vi ~ ~ daod reoa~d~d is, ~ of I'9~r ~». SIQ~fA'8 OF ABC ~h~ asrwsa~ ~ ~ ~~'~ f ~iL #~ r~4~. t~4' ~ the Tot L~epac~~L ~' a r+r rr ~.axatdt Rr4ri ep,~llent~aa: a end decd lE+aaa tbQ ~ oCC~aedt ~at'~oe e ~ of tb~ +cestffied, ~crvey mep If e~fccttice ~ ~ele ~a tie anurrcary deed L . Private Onsite Wastewater Treatment System Management Pian Septic Tank And Gravity tn-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures forrovanb'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 Soli Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- . T_1_/_ .. ~.,..~...« nnelnn CI'1QCifications l ilYlr. 1. vr,~iaaan araw. ~... --- --- - - Sanitary Permit Number Number of Bedrooms Desi n Flow -Peak d} 9 Estimated Flow - Avera a (gpd) ~ Septic Tank Capacity ( al) Z~ D Soil Absorption Com anent Size (ftz} ~ T pe of Wastewater Domestic .w_a_a_ n. ~_I! AL._w...~il...~ I~AMMAh0~1* . t Irt11t8 of Reliable Operation 1 i1p1II 6. ~7V11 fla.aavaj.rcav^ ^ v...^.1......-..- -------- - - Se tic Tank Component Soil Absorption Component Desi n Flow -Peak ( pd) Maximum !n#tuent Particle Size (in) 118 Maximum BODS (m !L 220 Maximum TSS (m /L) 150 T_I-1_ ~f. ~Awlw~erasaMe-e Qf`_MAC~Il~~ Se tic Tank Outlet Filter Inspect and/or service once eve 3 years Inspect once a year and clean at least once every 3 years Sail Absor tion Component Inspect once eve 3 years Sept{c 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, Privies, or Por#able 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 sha11 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. If the 1Q; 20/2Je~0 14; 16 17154256S6G • Mound Sy:tom Mansgem®nt Plan Page 2 of 7 Pursuant to Comm 83.34, Wts. Adm. Code 1'tre~~nk shall be maintained by an indivldua! cerhl4adWis. Adr>7. Code. Th aR ti ng condition of the ss pnbnk and~$ tgptlc taYnk shalt bs disPva~d Of in sccarosnoe with NR 113, outlet ilitar shall be assessed at least once every ~ Years by inspection. Thr outlet filter shell be dearasd sa necessary ~ eneurq proper operation. 'Cho filter cartridge ehauld not t3a remawd unlaaa provisions era made ~ duel r ~~ le thseMosd itfhat Wray ebagh otr the fker when remcvad from its enclvaunl. If the filter ~ equipped with sn alar-'n, thrl alarm is aotiwted oondnuvustY• Irttermittient flitsr aiarrne may indicate eurpa flo>a or an impendirra congruous alarm. 'the septic tfrnk strap have tts cantsr>ts removed when the valuma of sludge and scum in the tank exceeds 1 f3 the liquid volume of the lank. If the t;ontente pf rho t#rdc an not removed at thf tune of a triennia! aaasament, nra[rltenanca psnonnel ahotl swiss the owner of rvhan tl'1e r~ct aMce nestle to ao Derformsd ro maintain teN th#n rnudrrtlm #etJ~ #nsdy4~ nquin (n the bnk. The addldon of t>b1o0k~! or otlarnlcat additfvei to snhanca septlc tank ~ en~af Comrnarce, Sataty and Hov~ewr, it aucn produCOt an uaad they shag be approved for aoptic tank use by a Deparb'h BuAdinQs Dhrieion. e pump (doatng) tank shat tie inspected N least tines every 3 yaera. Atl awkahss~ aianne, anti pumps:hall bs tasted to wrtfy proper operation. Her effluent filter is installed wlthln the tank rt shad! be inspected and aervlced as neaesssry. p„~,y~j'~itrieutfen sw~ o~~rubs should be planted vn the mound. Plsniings may be made around the mory lidos p~ ea one r-~re r~~c shall be aeaded and matched as necessary t0 proven! erosbn arnd to prtr+ide son+e proteedo A (gtltar then ftar vapattivs rnalntenanoa) en the mound ie not recommended elnr~ soil Cornpacd~~ YCvid weather n of the intfitrattve eurfaca wtihin the mound and snow CornpaCtlon in the winter will promote frost pen lnataiatbns 4c3coobanFa4ruary) dkkate that ire mound be heav6Y mulched tvr frost protaatlon. Inflwnt quality inb the mound system may not a~acaed ZZO mgli. 8005,150 melt. T$$, and 3t7 mplL FOG. Influent lbw may not exoa~d ntsxirnum dealgn flow specified in the permit for this irrstaNatlvn, `r't1+a pteaaure di+~ibulfe0n system to provided with a itwhinq point at the and of each iaterrai, and n is recommended that each letaral be flu#hed of Ircaumulatad adida at least orxe every 18 months. When a Proaeuro tat Sa per~rn'°d it should be compared b the tnitiaai teat when the ay:tart was inabdl#d to determine i(orittee has otcutrad and it orifice cleaning is raqulred !p maintain #tlual distribr~don witl13C1 the dieperi#d ail. and~y ie~vel~~abOV~4 lies o~oritidayrad ~ n Imp ndth4 hydrauNc lapu~irequ~ ngn ard~dtNonal, mors~ qua nitorinpwner, en menus (136~i057Z ~~~}L anQ bctl or at#t• rules plrtakring b syal m maintentana and m ~h Onns~ i~' nPo~tq• ppuump~t~onic abandonment shsdpl~e nrt caocpdance with Go me83.33 AWtaa. >A~dmb ~d~ wi'ren~h eisdnkeaaro no IonOer uwdc as P01AITt3 component. ffiaptlc or pump tank manhole risers, aacsas Assn iUtd covers should be inspected for water tightness and soundness. Access openingv wed rot sarvlvY and aseeeserwnt shall ba sesled watertight upon the compteti iaGlr fan 8~irlchia ~dl~meterii unsaurrd, defatfltve, er aab#ett tD fallen mwt bs r~eplacad. 8a~aosed access openirrps q de secured by an etfeclive Igddnp device ro prayers accldenlal or unauthorized envy into a tank or componstt. ~4ntln enav Plan ti the aeptlC tank or any t1f its comparsen4 become defactlve the tank or component shall be repwiirec ar replacac to keep the syetant in proper opers3krq condition. tf the doelr>q tank pump, pump corarola, alarm ar related wiring bacxsmes defeotlva the dsfactlve component shall tae lrrunadlatsy ropaired or nplsa0 wlil+ a component of the wn,e or equal performance. tf the mound aompanant fa11s tp adapt Wastewater ar tleglna to dlsctwr•pe waetewetr to the ground surface, tt nail be repaired andd dl#peraakl mall#d re d piping, anand nptackrQ old compo t~ p~detm~ ecf~#aiiry to bri~stg d+e system into~pro itperattnQ COndltlOn. .. Quest:iona or the operation ar maf.atenance of~ this epsteora Ccu Chebe directed t:a the County Zoning office at `tl5-3ldb- ~/b8 0, licenstxd plumber who inata].I,ad the system Management Plan for a Septic Tank and Sail Absorption Component Plantings of deep-rooted trees and shrubs dirs+ctly over of within ten feet of the component should be avoided sines root intrusion into the component may obstruct wastewater #low. Contingency Plan In the event of system failure, a new system could be installed in an alternate area, With the lnstaJJation of a diverter valve, the existing system could alga be reused after a period of three to four yrs. It is the property owners responsibility to maintain the altemate aroa tree from any planting of trees, shrubs, stc. In caaa of failure of the original system, Ehe altemate area will be Headed. If any trees, shrubs, etc. have been planted on the alternate area, they will Fwvs to be removed at property owners exPe~. If alternate area fs destroyed, there are other alternative systems that caH be used, Jn whidt, could result in added expanse to the property owner. Any tank abandonment shall be done in accordance with Wisc. Code 83.33, Any questions regarding this cods, please contact your loco) Zoning Office or contact the Installing plumber. ZoN~~c~ b~.ss ice. ~ t5 ~3$ fo `" y (o$ O ~ c.k, v~,.rr, 0.1~+.. ~ J (71 S~ 3 $ to ~ 3 1 ~ ~ n„ t~ l u.,~, b >; N vui 1539PAGE 81 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 Wisconsin (if more space is needed, please attach addendum): AI! of the Plat of Sweet Grass Fat~rt in the Town of Hudson, EXCEPT Lot I 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. 1ra.°1 Recording Area 629124 Y,ATHLEEN H. WRLSH kEGISTEk OF DEEDS ST. CROIX CO., WI RECEIirED FOR RECORD 08-3l-2000 1:30 PM YRRRANTY DEED EXEMPT A 3 CERT COPY FEE: COPY FEE: TRANSFER FEE: RECORDING FEE: 10.00 PAGES: 1 Name and Return Address ~Qt~ti,e4 D~S~T• /3S3 Au~~t-vtv!!i `fieA-tt-- 020-1021-60,0],Q-1021.80,020-1021-90,020-1022-W & 020.1062-20 Parcel Identification Number (PIN) This is not homestead property. tK) (is not) _ - Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. gated this ~ ~ day of August 2000 AUTHENTICATION Signatures} Donalda Speer, alWa Donalda J. Speers, alWa Donald J. Speer and ICernon Bast, wife and husband, authenticated this ~y of August __, 2000 • Krishna Ogland _. T]TLE: MEMBER STATE l3AR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Hudson, WI 54016 ___ __________ (Signatures may be authenticated or acknowledged. Both are not necessary.) of persons signing in any capacity must WARRANTY DEED s ~- • ~S eer, a/Wa Donalda J. Sp rs, a/Wa Donald J. Speer + croon Bast ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. County ) Personally came before me this _ _ day of the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. • Notary Public, State of Wisconsin My Commission is- permanent. (If not, state expiration date: J or printed below their signature. STATE BAR OF W [SCONSIN FORM No. 2 -1999 IMOrmation Prdessanals Company, FoM Du Lac, WI eao-ass~ozi ~~e~~ LOT 64 ~ I ~ ~ ~ ~ LOT 19 .~ ~ ~ z.~ wCREs ,0osa, sa ~,' se i :i • ~ ~ 8,~ s c~ ~ ~ ~ ~ i ~ .~ 11'~ 9r ~ 86g•$6 /~ i ~ /. A~ d- , ~~ LOT 21 5.01 ACRES 151 Z80 80 FT 4.6 MIN SUILDINd ELEV. s 8Y0.0 LOT 23 5.00 wc~Es ,SOeao sQ Fr T 22 .00 „~ so Fr LOT 20 s.oo /4CREs 150080 80 FT A p~ A ,~ °~ ~ / d ~~ aT' / ~ / / ~ z'' / ~ `~ o -~, ,~ z oe ~,~,d o~ ,~6p % ~