HomeMy WebLinkAbout020-1376-58-000 consin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix
.fety and Buiktir,g Division
INSPECTION REPORT Sanitary Permit No:
479402 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:
Runck, Bill I Hudson, Town of 020 - 1376 -58 -000
CST BM Elev - In let BM Descr' ion: Section/Town /Range /Map No:
L h 14.29.19.2319
TANK INFORMATION V ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic / Benchmark O 1/�
—
Dosing Alt. BM&j� Gi 63
C�
Aeration Bldg. Sewer �
Holding St/Ht Inlet / o
6
TANK SETBACK INFORMATION trHt`— d •(� 3
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 0
l3_
l� �'
Septic ` J O / 4J.BcttnQ I � •
Dosing ` / i , \ J Heacler(N1an. ��
Aeration ! � / Dist. Pipe 2-
Holding Bot. System 3 ✓d 7 y S S�
Fin Grade / Gj
PUMP /SIPHON INFORMATION ��1�'.�t BQ_P.Z —
Manufacturer Demand St Cover
GPM
Model Number 3D
TDH Lift Frict�n Loss System *e ad, T J
c 47 J\J
Forcemain 1 11brigth Dia Dist. to We
t
SOIL ABSORPTION SYSTEM
BEDITRENCH Width 1 Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 7
SETBACK SYSTEM TO P/L BLDG WE LAKE /STREA LEACHING � nufacturer e:T�,r
INFORMATION CHAMBER OR Model Number.
PA)U kIBUTION SYSTEM
Header /M nifold f Distribution I x Hole Size x Hole Spacing Vent to Air Intake
1 -) - Pipe(s) — —
Length�_ Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over I xx De pth of xx Seeded /Sodded jxxMu'ChedL_�,1
Bed/Trench Center Bed/Trench Edges Topsoil
(( Yes J No Yes a No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1 / Inspection #2:
L� Location: 921 Florence Lane Hudson WI 54016 (SW 1/4 SW 1/4 14 T29N 19W) S weet Grass Farm Parcel No: 14.29.19.2319 L-
1.) Alt BM Description = 6&�C^ Sy S L
2.) Bldg sewer length = S o l � `ct� ' 13 _ 1 7
- amount of cover
1 Y
Plan revision Required? l Yes ' _I No /-
Use other side for additional information. I' ' ZZ US
SBD -6710 (R.3197) Date � Ins n epctor's Signature
— /�,�
Ar Safety and Buildings Division County ! 1
201 W. Washington Ave., P.O. Box 7162 3A
Madison, WI 53707 — 7162 Sa Permit Number (to be filled in by Co.)
Department of Commerce (fig) � 9 Z
Sanitary Permit A State Ian I.D. Number
i
In accord with Comm 83.21, Wis. Adm. Code perso o i prt r� j i %'
may be used for secondary purposes Privacy Law, s Proj Address (if di rent than mailing address)
1. Application Information — Please Prin Information L� ]]O Rojy G t '
NI N,0FF E r, 8
Property Owner's Name f Parcel # Lo # Block #
& l\ �u N Lt S
Property Owner's Mailin Address Property Location a 20.
k4 3 W '% W ' /., Section /
Cit State Zip Code Phone Number
+ (circle one)
{ _
�D N �� T K REorW
II. Type of Building (check all that apply)
( q—) 3 #-A- h
Subdivision Name CSM Number
9 or 2 Family Dwelling — Number of Bedrooms L'i2Q�
❑ Public/Commercial — Describe Use 4 0
❑ State Owned —Describe Use ity_ ❑Village �fownship of 0 /V
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A, &ew System ❑ Replacement System ❑ Treatment/Holding Tank 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 Expiratfon Plumber Owner
IV. Type of PO System: Check all that apply) 1 T .
MNon — Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑
Constructed Wetland ❑ Pressurized In -Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑
Recirculating Synthetic Media Filter VL g Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (expl
V. Dis ersaVTreatment Area Inf rmation:
Design Flow (gpd) Design Soil Application Rate( sf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass
New Existing
Tanks Tanks a.
Septic or Holding Tank t -a41D
Aerobic Treatment Unit
Dosing Chamber �'v p V � Q �L f
VII. Responsibility Statement 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Nam (Print) PI her's Si ature MP/MPRS Business Phone Number 71-S , l
�i�^ DoLcMe:ei o��d I 7� y�' �I�of
Plumber's Address (Street, City, State, Zip C
VIII ount / cpartmenPUse Onl
Approved El Disapproved Sanitary Permit Fee (includes Groundwater a Date Issued ssuing Agent ignatur o tamps)
Surcharge Fee) � (/�
�
❑ Owner Given Reason for Denial & IX . Conditions of Approval /Reasons for Disapproval """" ,�y
SYSTEM OWNER: � fi lter e� „ � d a��r,syCX
Septic tank, effluent f� �a and 1-61- l%Yt..� `_
S (:� ���
dispersal cell must all be serviced / maintained . 7(d�l���'`""r"
as per management plan provided b_ v plumber
Z All setback requirements must be maintained
as per applicable code; Anre�- '
Attach complete (to the County only) for the stem n paper u� � a th8112 ,,I1 riches in size I J
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82 PRIVATE SEWAGE SYSTEMS - II
PAGE OF
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
VENT CAP
y`C.I. VE'JT PIPE WEATHER PROOF APPROVED LOCKING
JUMCTIOAI BOX MANHOLE COVER
Z. FROM DOOR. 12'MIU.
'.j k;CCw OR FRESH
AIR ;A TAKE
GRADE-- 1 y" MIIJ.
I
I � IB "MIAI.
cououlr ` -- ---- - - - - --
Ie °M
11�
PROVIDE I -- - --
INLET AIRTIGHT SEAL
E APPROVED JOINT M/ /C.I. rIPE
A APPROVED DINTS
l.'C.:. PIPE LARM EXTENDING 3
EXTENDING 3 ONTO SOLID SOIL
0►,ITO SOLID SCIL B
C
ELEV. FT PUMP -� - -
D
CONCRETE BLOCK
RISER EXIT PERMITTED GNLJ IF TANK MANUFACTURER HAS SUCH APPROVAL
SEPTIC E SPEC.IFICATIOUS
DOSE w V I P , 5
BANKS MAr.IUFACT'JRER: hh/\ NUMBER OF DOSES: PER OAy
TANK !ZE : _ V� G NS DOSE VOLUME �� (
T p 1 Kf - INCLUDING BACKFLOW: C ( _GALLONS
ALARM MANUFACTUR !q ?V�Jr
MODEL NUMBER: NA CAPACITIES: A= LJ.INCHES OR riALLCUS
SWITCH TYPE: B = INCHES OR GALLONS
PUMP MANUFACTU R v� „ C= :NCHES OR !,A -LONS
CR:
KODEL NUMBER: v D = �.- INCHES =R GALLONS
5WI7CH TYPE: NOTE: PUMP AND ALARM ARE TO BE
INSTALLED OM SEPARATE CIRCUITS
MINIMUM DISCHARGE RATE E� r�i
VERTICAL DIFFERENCE CETWEEN PUMP OF ND D15TRIBUTION PIPE.. V FEET
/ I + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 2 . 5 FEET
+ 9 F E E T OF FORCE MAIN X a Dl F YoF tFKICTION FACTOR =�L�(- FEET
TOTAL DYNAMIC HLAD - - FEET
INTERNA'w DIMEIJSIONS OF TANK: LENGTH ;WIDTH ;LIQUID DEPTrJl
SIGr,�EC: "" °"' LICEIJSE NUMBER: �� "� DATE:
Wiscor i Department of Commerce SOIL AND SITE EVALUATION
Division otSafety 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 County /
include, but not limited to: vertical and horizontal reference point (BM), direction and T - C i
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. #
OZa C3�6 -� =sow
APPLICANT INFORMATION - Please prin {�#$rinatianw Re ' y Date
`
Personal information you provide may be used for secondary (Pnvjy Law, s. 15.04 (1) (m)). 9 1 6
Property Owner s ( Property Location
Govt. Lot 1/4_5&J 1/4,S T 2 5� ,N,R E (or&
Property Owner's Mailing Address r i Lot # - Block# Subd. Name or CSM#
G ras'
City State Zip Code Phone Numb j% i Nearest Road
❑_ Villa
®- Town
�v.CdSc>n 1 (`I l - �t t !
New Construction Use: ❑ Residential / Number of-Fietireortis Addition t existing building
❑ Replacement / ❑ Public or commercial - Describe q ( t.Q.
Code derived daily flow [ ( o 0 gpd Recommended design loading rate � !be, d trench, gpd/ft20 Absorption area required �7 bed, ft 2 � trench, ft Maximum
design loading rate d/ft trench, gpd/ft
Recommended infiltration surface elevation(s) ft (as referred to sitenchmark)
Additional des/site considerations L -
Parent material OC� L" 3 �1 Flood plain elevation, if applicable 1� ft
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Hol i Tank
U = Unsuitable for system [a s U 2s ❑ U S El [as El U El S 9P U ❑ S
SOIL DESCRIPTION REPORT " b a4, RA. zjD4 40. - 1
Boring Horizon Depth Dominant Color Mottles Structure GPD /ft
. . Cont. g in. Munsell Qu Sz Cont Color Texture Gr. Sz. Sh. Consistence Boundary Roots
L Bed ,Trench
Z 14) 'flq nik my
Ground � t_ kp �5 QS C.S U
C elev.�
V�ft• ,
Depth to
limiting
factor
in.
Remarks:
Boring #
6 -11 ( �-- 53 E
Z
Z 11 - = I ? k M Y- _" - a
3 2z r mS 'ml CIS $
Ground
elev.
Depth to
limiting
factor
min. Remarks:
CST Name (Please Print) ignature Telephone No.
a ��- �i S S Z 7
Address Date CST Number
Z l /
a Sv.,,� —c S' f /fro S �'- `7
PROPERTY OWNER 5 `} SOIL DESCRIPTION REPORT
Page 7 • of 3.,
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Structure 2
Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
3`
0 16 31 �---
5; 11 k fr fir c I v 2-: 3
2 12-2 t 1v' I V-
Ground 3 ql �� ! 5 CS
elev.
Depth to
limiting
factor ,
lin.
Remarks:
Boring #
l c s
Ground \
elev.
�3R, �!5ft• ,
Depth to +
limiting
R f in.
Remarks: Plo4k
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /fie
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring # &13 l b Z 5Z m vs' S
Z
13 - ID 4 n,s m I
Ground
elev.
Depth to
limiting ,
factor
1 in. Remarks:
Boring #
A
r 1111
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
SBD -8330 (R.9/98)
s
r
PAGE 3 OF
NAME '� V� LOT#52 LEGAL DESCRIPTIO W %- /4 S TZ N R E or
SCALE: 1 "=
BM 1 ELEVATION 100' v
BM 1 DESCRIPTION - 16,p 04 P• p,
BM 2 ELEVATION
BM 2 DESCRIPTION .W o j�7yGpj,& (Rte w /,Ct,, !
SYSTEM ELEVATION 9G • b 9
ALTERNATE ELEVATION 7-5 � S
CONTOUR ELEVATION
T'
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SIGNATURE DATE
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Parcel #: 020- 1376 -58 -000 08/18/2005 09:57 AM
PA 1 OF 1
Alt. Parcel #; 14.29.19.2319 020 - TOWN OF HUDSON
Currant X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
WILLIAM B & GINA Y RUNCK O - RUNCK, WILLIAM B & GINA Y
1709 SHASTA DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 921 FLORENCE LN
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 3.450 Plat: 2530 -SWEET GRASS FARM LTS 1/78'00
SEC 14 T29N R1 9W PT NW SW & SW SW SWEET Block/Condo Bldg: LOT 58
GRASS FARM LOT 58 3.450AC EZ- U- 1558/119
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
14- 29N -19W NW SW
Notes: Parcel History:
Date Doc # Vol /Page Type
09/16/2002 690370 1977/176 WD
08/31/2000 629124 1539/081 WD
08/25/2000 628820 8/8 PLAT
2005 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 06/06/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.450 51,600 0 51,600 NO
Totals for 2005:
General Property 3.450 51,600 0 51,600
Woodland 0.000 0 0
Totals for 2004:
General Property 3.450 51,600 0 51,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
i
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner /Buyer "k) i . 6 R V' %C V A -A 6 i � R 01 c.Y.-
Mailing Address 3 (41 Ab 6-,, n;+ Q 166 W
Property Address q� �(p Cc C -e—
(Verificatio required from Planning Department for new construction.)
City /State "")55A t i�J _ Parcel Identification Number
LEGAL DESCRIPTION Lo+ 5-3 P i't iP S
Property Location SW '/a , VV `A , Sec. I q , T 4 26_N RJW, Town H vcl3o'n
Subdivision s
i ee &ass 23 1 q Lot #,,
Certified Survey Map # , Volume , Page #
Warranty Deed # - , Volume , Page #
Spec house _! yes�6o Lot lines identifiable_Vyes I no
SYSTEM MAINTENANCE
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 County Zoning Department a certification form, signed by the owner and
by a master plumber, journeyman plumber, 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.
I /we, 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
Department within 30 days of the three year expiration date.
SIGNATURE OF APPLICANT DATE
OWNER CERTIFICATION
I /we certify 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 reco ded i Register of Deeds Office.
9fw
"SIGNATU OF APPLICANT DATE
* * * * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. * * * * **
Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
Private Onsite Wastewater Treatment System Management Plan
Septic Tank And Gravity In- Ground Soil Absorption Component
Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment
System POWTS a '
shall include information Y ( ) and procedures for maintaining the system within
the arameters of Comm 83 and 84 a r
P and the conditions of approval by the department, agent,
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-
10567 -P (R.6/99).
Table 1: System Design Specifica
Sanitary Permit Number 17 - 7 9 q6 '2---
Number of Bedrooms
Design Flow - Peak ( pd) (0 uU
Estimated Flow - ( d)
Septic Tank Capacity al I a L
Soil Absorption Component Size (ft -- V - 5 1 6
Type of Wastewater Domestic
Table 2: Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Soil Absorption Component
Design Flow - Peak ( pd) j k v
Maximum Influent Particle Size (in) s 1/8
Maximum BOD (m /L) V 220
Maximum TSS (mg /L) 130 150
Table 3: Maintenance Schedule
Septic Tank Inspect and /or service once every 3 years
Outlet Filter Inspect once a year and clean at least once every 3 years
Soil Absorption Component 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, Slats. 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 tank and outlet filter shall be assessed at least
once every 3 years by inspection. The outlet filter shall 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
Management Plan for a'Septic Tank and Soil Absorption Component
filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously.
Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of scum and sludge in the tank
exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not' removed at the
time of an assessment, maintenance personnel shall advise the owner of when the next service
needs to be performed to maintain less than maximum scum and sludge accumulation in the
tank. 9
Manhole risers, access risers and covers should be inspected for water tightness and
soundness. Access openings used for service and assessment shall be sealed watertight upon
the completion of service. Any opening deemed unsound, defective, or subject to failure must
be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by
an effective locking device to prevent accidental or unauthorized entry into the tank.
No one should enter a septic or other treatment or holding tank for
any reason without being in full compliance with OSHA standards for
entering a confined space. The atmosphere within the septic or other
treatment of holding tank may contain lethal gases, and rescue of a
person from the Interior of the tank may be difficult or Impossible.
Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the
tank is no longer used as a POWTS component.
Soil Absorption Component
The soil absorption component serving this structure is designed to accept domestic
wastewater from a residential facility. The limits of operation of this component are shown in
Table 2.
The longevity of a soil absorption component depends greatly on proper and timely
maintenance, and system use within or below the limits of reliable operation. Good water
conservation practices by all occupants and the installation of water conserving plumbing
fixtures are key factors In extending the useful life of this component.
The soil absorption component's operation must be assessed by Inspection at least
once every three years. The inspection shall include recording the levels of ponding, if any, in
the observation pipes, and a visual inspection for any evidence of surface seepage or discharge
from the component. On steeply sloping sites, areas of erosion should be identified and
reported to the owner for repair. The surface discharge of domestic wastewater or sewage
from the system is prohibited and considered a human health hazard.
Traffic around or over the soil absorption component should be avoided particularly
during winter months. The compaction or removal of snow cover over the component may lead
to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or
Impossible to repair until weather conditions improve. In general, soil compaction over this
component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to
more Intense, and earlier, organic clogging of the soil.
2
l
Management Plan for a Septic Tank and Soil Absorption Component
Plantings of deep - rooted trees and shrubs directly over or within ten feel of the .
component should be avoided since root intrusion into the component may obstruct wastewater
flow.
When system fails, we will replace with another system
at owner's expense. Alternate area must be left undisturbed.
St Croix County Zoning Office 386 -4680
Boumeester & Sons Excavating 386 -9020
U 1977P 176
6 9 10 3 7 0
STATE BAR OF WISCONSIN FORM 2 - 1998 KATHLEEN H. WALSH
WARRANTY DEED REGISTER OF DEEDS
Document Number RECEIVED FOR RECORD
This Deed, made between 09 -16 -2602 10 :15 AN
RT( HARD p STOU aad9 J AN PIT' P . $TOU'1'� _ WARRANTY DEED
husband and wife, _ EXDAF7 #
Grantor. REC FEE: 11.00
and WTT.T.TAM B_ — R N K ajtd S INN Y_ RUIVCC[�_ __ TRANS FEE: 1a8.70
huGYtand and _ wif i COPY FEE:
CERT COPY FEE:
— PAGES: 1
— -- — —__ Grantee.
Grantor, for a valuable consideration, conveys and warrants to Grantee the following
described real estate In St. Croix County, State of Wisconsin:
Lot 58, Plat of Sweet Grass Farm, Town of Name and Return Addr
Hudson, St. Croix County, Wisconsin.
020- 1376 -58 -000
Parcel Identification Number (PIN)
This i G no f homestead property
(is) (is not)
Exceptions to warranties: easements, restrictions, rights -of -way and covenants
of record.
Dated this 6th day of September 2002
(SEAL) (SEAL)
* - Richard O. Stout Janet P. Stout
(SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s)
State of Wisconsin, l!
St. Croix County. J
authenticated this day of Personally came before me this 6th day of
September 20112 the above named
Richard p_ Stout and Janet P _
NC)TARY PI IRI IC
TITLE: MEMBER STATE BAR OF WISCONSIN S TATE OF WISCONSIN to
(If not, me known to be tjj(j0__j."cuted the foregoing
authorized by §706.06, Wis_ Stats.) instrument and acknowled samg:
THIS INSTRUMENT WAS DRAFTED BY -..
Janet P. Stout
1353 Awatukee Tr.
Hudson, WI 54016 Notary ublic, State of Wi c nsin
My mr ission is perm ent. (If not, state expiir�ratti�ion.y �date:
(Signatures may be authenticated or acknowledged. Both are not
necessary)
' N.-- of persons signing in any capacity must be typed or printed below their signature.
STATE BAR OF WISCONSIN Wisconsin Legal Blank nc
lak Co_ I
WARRANTY DEED FORM No 2 - 1999 Wwoukee, Wes. -
M1N BUILgINQ . ,
} 2.52 ACRES hJ"- a 6"-0
109760 SO FT
w imp t
0
N89°46'50"E
554.71'
! H.W.L. = 882
FM ; I- LOT 58
w 3.45 ACRES
150474 SO FT
V
MIN BUILDING
ELEV. = 886.0
NW46'50"E 566.54'
LOT 59 ELEBUILDING 88 0 w r �
N � ~
2.69
r ACRES S
2!i I 1169% SO FT co
cn
25' I A
N
O_
N89°46'50 'F 566.54'
566,54'
� 4 '
<J N
LOT 60
2.60 ACRES
113472 SO FT
0
r_ \ NW46'50'E 569.30`
256.39' 312.92'
a
\ \ LOT 61
LOT 62 N
Z \ 2.01 ACRES
\ N � \ ' 87647 SO FT 1
\ � 2.16 ACRES Q
\ \ 93898 SO FT
MIN 1UILDING � 'N
ELEV. = 900.0
Wo 29
cr