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HomeMy WebLinkAbout020-1365-17-000k ' Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety arl'd Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) po~,Ar Infnrmafien you orovice may be used for seoorxlary purposes (Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: ^ City ^ Villa a Town of: ~C Collova, Hud9son Township CST BM Elev.: Insp. BM Elev.: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ,r o U Aeration H Ing ' TANK SETBACK INFORMATION TANK TO P/L WE BLDG. vent to Air Intake ROAD Se tic P 7S0/ ~~ ` ~ ~Pc NA Dosing - -. _ NA Aeration NA Holdin PUMP /SIPHON INFORMATION . an er ~ D and Model Number G M TDH Li Friction tem TDH t Forcemain Length Dia. oist.To e gnu wotA~nTlAwl w~TC11A // / / FI FVATI~N DATA Court SYt. Croix Sanitary Permit No.: 383974 State Plan 10 No.: Parcel Tax No.: D alb' f3bS - ? • ~ Op STATION BS HI FS ELEV. ~n~ark ~z Bldg. Sewer Z . Z S Ht Inlet 3',Z S / Ht outlet 3. ,r Dt Inlet Dt Bottom Header /Man. S Z Dist. Pipe R ~Z Bot. System ~~~ . a ' SEi d~r ~ ~,~'S e~ , 30 aPp~ ~ 6~ i th id De Li BED / RE , No.Of Trenches Width Lengt PIT No.Of Pits qu p a. Inside D IM N ~ ~ .S Z- DI EN Manua re SYSTEM TO P / L BLDG WELL LAKE /STREAM SETBACK CHA ER N INFORMATION Type O ~, ~ ' S~ ~ ~ 65 °°°'°- um er: p ,e s< System: ~~~T~~n~ 1T~A~l L'VfT~\^ Header / Mani old Distribution Pipe s) x Hole Size x Hole Spacing o Air Intake Vent T Length ~ Oia. ~/ // Length -3SDia. ~, Spacing ~r / 7G s/ 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 Edges TopsalnS eCtlOn # yes / ^ N~$ tl7tlf~#2: ^ ~ ~ f0 I~MEN clud~ec ded•s ncies r esR' c) ~ a-4, / ~jr °~!7'l Loca"tlon: ~~ I{~Ir'arcy s dour{ `{-~i~c~son,'1~1 ~~'~~~ lry~ ~~/4 NW 114 15 T29N R19W) - Riverpark Meadows - Lot 17 r n 1.) Alt BM Description = ~ a ~ t~(~~o~ y'~ ~ iue ~~ ( lt/T ,~ 2.) Bldg sewer length = I~ ~ ' S,~ $W(`s wPrc d~ s~,ay~u~ -amount of cover = 7 yz' _SYs~(rr~.~ ~~5 ~ws~,rl/,~ .h ~.~ 5 3.~ b~OS~rVIL~'~ VGwtS IutS~Q~~'~~ -~S1` TO V°ri~y // be~;r., y (o(~r`~t- T•O I' ~ 2 wd es ~a.~l~s ~ ~ w l,~ ~.c~iy,,Q~ ~5 c ~~ Plan revision required? ^ Yes ^ No ~ Use other side for additional information. Date Inspector's Signature Cert No. SBD-6710 (R.3/97) =f'-f- Wll`{iC.G~(S (i l , ./1.2 ~ a 73 ~atety ac z3utetltngs uevtstor `~ Sanitary Permit Application 201 W. Washingtott Ave j$~~n~~ In accord with Comm 83.21, Wis. Adrrt. Code PO Box 730; Madison, WI 53707-73U; Dopsrtmant eK Cammorae Peracxtaf information you pnovitic maybe uaod for secondary purposoa (Submit compietex3 form to cotenty if no (Privacy Law, s. i 5.04(1 xin)) slate owtncd. Attach lane W flees coo oral far the etat less thmt $-112 x 11 itechea is aize. Cuuaty '~ ~ Sea a 't Number D ~ltprk tftviaiata to piea~ious applioptioa , Sate PFart I. D. Nttmber $ Yd ~ ~ ` , I. A flea Iafor~aation • I ke Print:tll Informatio . , I.oca - ~ Property Chvetar Noma _ - ' .. : l,ooatim ' Ste. Nom' _ ^ ' G / ~~;`ld ems _._;f ! Ir Ira s .N,I ; ~t pr~perty t~wrttr'n Maitv-tt Addrees ' ~: - ' ,,' I.ot Number Hlock Number y~ 11.E ~ o ~~ ~ ,~ . '~, , ( City. Sate Yap L`oda ~ - PFrpq~, h'.,:, _ 5ubdmsioa Norte ar CsM Number ~ `G ~, , . .5' 7~ ~vll,~'~~~.°aaos lI Type of Building: (cbexk oat) _as S ~; ~ o city fl v I oe 2 Family Dwelling - No. of Btxi<t>ans: ~ ,. _.. illage ~'t'otwtt of 0 Pttblic/Can»ial (tttacribe: use): 0 Stott;-owtwrJ .v III Type of Ptrnth; (Check only ona box on line A. Check box on line B if etpplicable) Naatnst Road ' QYC S ~~ A) l . New System 2. D Repiacecnent 3. ^ Replacement of 4. D Addition to Parcel Tax Numbers} S teen Tack nul ~ S stem 02©- 3 S - ! ~- ~ oOo 8) D A Saruitan~ Parenit was vious! issued Hermit Ntunber Date Issual S . l 9 t a I? iV. Type o! PQWT System: (Cbe:ck all that apply) G- -16'D G - ,~Non-pr~tatizod in-erau~d 11 Mowed C7 Sated Ptltec C] Constructed Worland D Pt+essettiexd Ingroteted d Holding Taetk D Single Peas D Drip Line D At-grsde LZ~ 3 X ~g , ~S ~-I c.Q` ~ Aerobic Ttcslenesnt Urut O Recirculating C7 Otl>~er: ~ V D' lrI'rtatmeot Area Io~a rmatioa: ~a s, tiJ,',v eY C~ia- ~. ~ rs 1, Lleoign Flow tQpd; 2. [)isptfesatAroa 3. Dispersal Area 4, Soil Applieatiost 5. Pereolati Rata 6. system 13tevatiun 7. Euwi (trade Required Proposed Rare (t3a1s./dsy/sq. R.) (Mirt.ltndt) ~'. S ~ f?Isvaticxr ~~ ~` y~ ~Y~ e ~ ~Q V17'tzak Capacity in Total # of Maetufacxtaer Pe,efab Site Stool Fiber Plastic Information Gatbna Gallons Tanks Con- Con- glass New Existing Crete structod Tat~cs Tatdts S,e ~ ~ ,;~ Dv~ / .~~--- d D CI D Q C3 D D D VII Respoeadbdixy Statewemt dte tendesra~ asaterne 'bilit for installation of the POWTS alto the attached lens. Plumbat's Namr (prime) Pltantrer'a 4igetature (no siaraps): No. Fiusitreas Itkwna Num&T ' ~`//~ ~~~iar.rr+-,cfler ~ '' ~/ d /3 -3t?G -3/~l Plta~ar'u ned<esa ISa~xt, L'ity. strtee, zip Coda) S ~ ~ S~ vnl couatymepartmtnt Use ou~Y L7 Disappetresd Sanitary Permit Fee (Inoludea drourxivvater Date Issued [s Agent Si lute (Nu startrps) ~Approvod C1Owtta Giveae tartial Advtase 9 ga Fee} ~ S Z~ Doteemination IX. Conditions ~ Appe~/oval /Reaaona,1for Diup revel: ~ `` l5 CK~OA~.~/Wl~id~lifW/KXa ~ 1L~ ~~~arw9ff wwl.S'C' i.2.~A:lMQ~T~n ~~ 5 ~ ~ "' ,~,.,\ ° ~ ',vn. iMa~~F~1 J'e-fence-w~~w,~w~s, , 0~-.~. ~~_/~ ., ,~ n - n 1. ~ ~ _ .~,.~ .-~ L ....~4-- ~~.___ ~~ fit, ~1.t.~,cn., yr e w~N^-~-~ t-to,~nv..,~, c~_~ ~ sa-. ~ ---- - - A o~ ///~ n 'AJ _ 4~ ~ ~ ~w A .A 1 ~ M~ --~ A.r 1 55(1. ~ _ ..~ ~ Q w..n ~ w ff _o ~ ?~T.t hC /i1 JA ~D ~w ~ DA~AA4. A p .~. geed ~ e~ ~Z~ 6,~ .~ w,~ AI /~„~~ Svc 9~ ~ l0 cr+n y~~~-~. . 1, ~ ' ' ~56 S, ~~3~ii.z e°v~ ~~~ ~~ ~pi~-. ~~ r .~ ., /Y6~sG ~,'f-~ OEm 1 /J6yd/ S ~1pf ~~r1G T _~ _.. 1 ~(!+C / S~~C 5,..~5 -~. ? ~%~~~~~~~~~ ~g~o y/~7~~~ r Wisconsin 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 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 ~ ~rpj percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. # Page ~ of APPLICANT INFORMATION -Please print all information. Re iewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~' Property Owner Property Locatiop. its" C~ ~ love Govt. Lot ~~/~ 1/4~1/4,S~j T 2 Ct ,N,R ) ~ E (or) 11,1 Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# ~1U5 ,I ~ . ~ 1~1 ~~ve~ ~atk ~1'1eC~.clo~S City State Zip Code Phone Number Nearest Road i ^ City ~ Village ~ Town t--~1 t~:~[l-'1 I ~1 I~1t-I()I~D I ~~1~ )7~G-.~~1-l~f 1-It1,C,~r-~ I P.~,•l%ccl (~,'.~-cr ~urio ® New Construction Use: Residential /Number of bedrooms •~ I Addition to existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow 1 [n }~ gpd Recommended design loading rate - ~ bed, gpd/fit - a trench, gpd/ft2 Absorption area required ~_bed, ft2 7. 1C trench, ft2 Maximum design loading rate • ~ bed, gpd/fiz~trench, gpd/ft2 Recommended infiltration surface elevation(s) vPVP r $~. OC` Gcx~R~ ~ ~ S C) ft (as referred to site plan benchmark) Additional design/site considerations r>~y o ~ r~7• C d ~~ w ~ r ~~ • ~~ Parent material _ Qi 1~ 5(~j Flood plain elevation, if applicable !V A- ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Filf Holding Tank U = Unsuitable for system CC'S ^ U ~ S ^ U [~ S ^ U Q S ^ U ^ s ®U ^ S ® U SOIL DESCRIPTION REPORT 1.~~ . ~ ~ ,..~.f! ~r. ~.. ~ . 26i3U ~l .~Z Boring # Ground elev. Q~Uft. Depth to limiting factor 1 Z-I in. Boring # Z Ground elev. tt. Depth to limiting factor /(fl in. Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/fl2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench ~ o_ic~ !D r 313 - S; I ~ rn C-5 1 v~' • Z ~ • 3 Z /v't ~t 10 `t _ rnS U5r vv~ ( CS - - 7 ; 0.k $~•SO 3tm ~~2 t, , t Remarks: ~ 1 v-(o /d r313 "' S'/ 1 cc~ .~ -Z~'~. ~~ /. _ _ ~~~ , Remarks: SST Name (Please Print) S"gnature Telephone No. m h ker ~ 115- Z 7-`/Dog' Address Date CST Number r S~. ~ `f S o e `fOL l 1- 8- 9 2 5 3 PROPi=RTY OWNER t~~~ ~ O J ~i\ SOIL DESCRIPTION REPORT PARCEL I.D.# Boring # Ground elev. $y, 7y ft. Depth to limiting factor ~ vr~ in. Boring # ~~ Ground elev. ~~ft. Depth to limiting factor min. Boring # ~~ ,~ Ground elev. ~1 iv 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 i v-12 iv ~3I3 'I ima k ~ ~5 ~~~ .2 ~~.3 Z 12-I l~ ~ rrS p rn i G 5 - . ~1 ; ~ ~ 8~-sue ' 26 •`f ro 2. `{ Remarks: ~ -~ 10 3 S i ~ ma tY'r~r L S i` v~ z' 3 Remarks: Horizon Depth Dominant Color Mottles xture T Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color e Gr. Sz. Sh. ry Bed ,Trench ~ a-5 l~ ~ 3~3 - Si 1 c ~r ~-5 l v~' . Z ~~ Z s-uy 1~ yl - 5 ~ ~I ~s .~ ; ~~ . Z q.2 Depth to limiting factor /~in. Boring # Ground elev. ft. Remarks: Depth to limiting factor 'n' Remarks: SBD-8330 (R.9/98) 1 • 1 \ .~ /], SCALE 1"= Od BM ELEV. ~ v I~ DESCRIPTION-~pa~'z~dv~ ~T ~ lufh~~Q.'6bv~ M2 ELEV . . 7C~ DESCRIPTTON-- o r u-Ft-~ UPO<< Guwer ~ SYSTEM ELEV . ' 7, SU upPef Luwer' ALT. ELEV. $~~~ G •~~ CONTOUR EL- EV . 1'1 0 ri U 8~ ~ 6~- ~ • v ~3 • J ~, LEGAL DESCRIPTI r_ 'N PAGE 3. OF ~ ~v • lD L ~aJC(n•e~ y~ Private Gnsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soii Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS} shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, 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 Sail Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6199). Tw~~., ~. c..e~e.., ne~t~., CnacificationS Sanita Permit Number Number of Bedrooms 3 Desi n Flow -Peak (gpd) Estimated Fiow - Avera e (pd) 3 ~ Septic Tank Ca acity al) Soi! Absorption Component Size (ftz} T e of Wastewater _ 3 ~ ` Dom tic ~•_vi_ n. t+~f~ AM..wrw~iww /'-AgnMnMnn~' . i units of Reliable Operation 1 i1tDIC !.: VII rwav~ rtiwn vv... ....,.... ...._.-- - - Septic Tank Component Soi! Abso tion Component Desi n Flow -Peak ( d) t~ 3 ~` a ' °~ shS Maximum Influent Particle Size (in) 1/8 Maximum RODS (m /L} 220 Maximum TSS (m /L} 150 Table 3: Maintenance Schedule Septic Tank Inspect and/or service once eve 3 years Outlet Filter Inspect once a year and clean at least once eve 3 years Soil Absorption Component Inspect once eve 3 ears cAo~..O ~, Se_ to ig 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 Portable Restrooms). The operating condition of the se ti and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet ~lte shall be cleaned as necessary to ensure prooer~, at on. 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 fitter 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. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used far service and assessment shall be sealed watertight upon the comp)®tion 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 /etha/ gases, and rescue of a person from the interior of the tank maybe difFcuit or impossl6le. 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 Absoration Com ne t 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 aver the component may lead to hydraulic faiiure by freezing. This type of faiiure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soli compaction over this component wifl reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep-rooted trees and shrubs directly over of within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Contingency Plan in the event of system failure, a new system could ba installed in an alternate area. With the installation of a diverter valve, the existing system could also be reused after a period of three to four years. ft is the property owners responsibility to maintain the alternate area free from any planting of trees, shrubs, etc. In case of failure of the original system, the alternate area wits be needed. if any tress, shrubs, etc. have been planted on the alternate area, they will have to be removed at property owners expense. If alternate arse is destroyed, there are other alternative systems that can be used, in which, could result in added expense to the property owner, Any tank abandonment shall be done in accordance with Wisc. Code 83.33. Any questions regarding this code, please contact your local Zoning Office or contact the installing plumber. ~.~ik~ ~ - ~ ~o S'1' CItOIX COUNTY SP_I'TiC 'rANIC MAR~I'i'I?NANCi? AGRI?1?M[?N"I' AND OWN~RSIIIP CERTIrICATION t'ORM Owttcr/I3uycr ~, ~ . l ~ ~ ~ o~~ ~~~~nS ~N~ ~~~~ ~ Mailing Adclress `7v~ ~v . ~ c~ . C' /~v'su.v ~-V 'L 5 ~-ca 1 L~, i'ropcrty Adclress __~~~ C: ~ (Vcri[ication required from Planning DcparUrtcnl for new conslntction) City/Slate ~udSi)N' ~~-.t_._ I'arccl Idcntifcalion Number I.I;CrAI, I)I! S(:12II'`rION Property I_ocalion N~ t/,, /1~~ y~~ Sec. ~~ . 'I',~N-R f / W, Town of ~~f~SO~/ Subdivision _ /'~IIOE~ I.ot ff ~~ . Ccrtitit:d Survey M;tp IE Volumc Pa~c IE '~'~~acrauly need i'1 (~ 0 (v .~ t'a'`7 ,Volumc 4~3 Pale 1~ Spec 1louse Q yes~ito T:.ot lines idcntifiabl~cs ^ no ~_S ~ SYSTrM R'IAINTI! NANO Intpropcr tree and tnaiulcuanccof your scptic syslctn could result In ifs premature failure to handle wastes. Proper mainlcnai cousisls of pumping out the scptic taut: every llrrcc years or sooner, if needed by a liccascd pmnpcr. What you put into the syst eau street the function of the septic tank as a treatment stage iu the waste disposal system, `ll-c properly owner al;rccs to subutit to St. Glcoix Zouing Dcpatlura-l a certification form, signed by the owner and b urastcrplunrbcr, jourucyntau plumber. restricted plumber or a licensed pumper vcrifyiug that (L) the ou-site waslcwalerdisposal syst is in proper operating condition anrUor (2) atlcr inspection and pumping (if necessary), Qtc scptic lack is Icss than i/3 full of sludt I/wc, llrc undcrslgucd I[avc read the above rcquircura[ls and agree !o nrainlain the private sewage disposal system with the stands set forllr, herein, as set by the Dcpartntcut of Conuncrce and the Department of Natural Resources, State of Wiscmtsin. Certifjcat slating that your scptic systcw lras bccu ntaintairrcd must be congrlctcd and rchrrncd to the St. Croix County Zoning OfCicc within days e [ car expiration dale. 1 ~1 '~ ~-~.__ ATtIRP. OI' APPLICAtq'I' DA7,1: owlyrlt cr:,liTirrcnTr~iv I (we) certify Ihat all slalcntcnts ou this fora arc true to tl-c best of my (our) l:rtotvlcdgc. the pr described above, by virtue of a warrauly decd tecorrlcd in RcGislcr of Dccds O[Itcc, ~~~ . IGNA7U[tl? Or APPI:ICAN"C I (wc) ant (arc) the ownc[(s ~fZ~ v DAT'G •+~*+~' Any information that is mis-represented may result in the sanilnry pctntit being rcvol:cd by the Zoning Deparlmcnt, +•+' ''• Irrchule tYllh lhls applicalJou: a stamped warranty decd from the Register of Dccds ofticc a copy of the certified sutwcy map if tcfcrcncc is ntadc ht the warranty decd . 1-. 1 ~.., .. .. 1. 1.. , ~... .. J U l U U U V l ~. L._• V V V V I I l l I V JY STATE D.1R of WJSCONSIN FORM11 2 - 1982 \V~A11t4RnAhTY DEED DOCUMENT N0. e11. 1'JJJPiGE 4~2 ~3 Marjorie Nalernee, Frances August and Faul Kstner ns tenants n cumin°n a/k/a Er~ncie ._ Austust convcfa and wunnu 11: ~• Cn_ oVa &t sera, Inc., a . Nist:oasin Corporaticn 61oEa~^167' KATHLEEN N. UALSH kEOISTER 0p DEEA5 ST, CkOIX CG., U[ RECEIVED FOR RECORD 01-06-1994 9:10 AN YARRANTY DEfD E%E1pf tl CERT COPY FEE: COPY FfEa TRANSFER FEfs 13!0.10 ~C~gD]HO FEE: 22.00 tuu l~AL'! nCSCnvaD /Oq gCG~gDU:O DATA the lolloainB descrilxd :ul calnte .r t . ro x county. C'AVIi ' J, ESTRE~tJ Slate JI Wi;eensin; 3041. ~)CIJST . • f. S>; 1/4 S4; 1/4 Sec. l0-T24N-Rt9W excepting checefram Lot I HUDSON, W~ 540'i'~ of t:artified Su:vty MaF recorded in Vol.7 oC Curtified ' Survey Flapc, pogo 2089 as Uoc, No. 447301, also excepting 02U-1010-20 the railrcad right of a'a}•. 0201024-90• 07.0-1025-90 P1B i/!i NW l/4 Sec. 15-'1'29N-R19W excepting tharefrcm 4ot 1Narcctuauurlcili~uvwuese of Certified Survey Dtap recorded in Val. lU of Certified Survey Mapc, page 2701 as Doc. Vo. SC7728. 111! 1/4 NE 1/4 Sac. 15-T29N-R19W !hie is one hancuad property. --lk?-- 1'snou F]c:cptlort to u•arnnlies: j y'/~ Dates thts ______~ day of June ' 19 99 ~- ,y~ ..{{~u....a ;•~~ ~z • _]''run.:es AuRUat ugus~, ,; ~ • ' ••t .r., •..n~'r• Pa„1 i:aener AUTHENTICATION °"r~ NU~NM Siyaanm~s) _.~~ _ _ auduudcaled Ihh day of , :9` fIT1S: )1EPIBER :TATE 0.9R OF WISCJNSIIV (If hut, 1 (:EAU ,1 ACKhN~O\VLEDGM1fENT .) State of \~E's~l~~i~on SDE nTTACNHD~; Cfll1ID LT "A" '~ r t. King Gourxy } Tersoul:y came before ms thb 26th _ day of i June l9 99 _,d'~eahol•cnamnl I Frances August j ' aurhorlnd by 1706.06, 'Nis. StauJ _ ---- to rre Ynowr. to b he person _ who e~ewtul the Yareguteg ins! l ar cl n wlydgc ar c. ~.+is l~srnuruFai t•,as oaa:ien av Hevtirood b Cur_ 3.C, b 1{altcr '.lodynaky 204 LxueC St., P.O, Ben 125 Hldsan, iI 54015 Kln - No:rry Public, g __.__.. __._ Coymy,atlb.- G:A. (Siy,rs;cr<e nwy V: nua•.ertdca:ad or acknow•.edged. H,ilh are not l,ly coauuis.ian It ptnnmenl. ;If net, sum expuulon der.: ' ncceaxiry) Septeuber 1, 200L ~lU~-,) • Ahmn of palun, vgmaa u. nlr opu:hy sLuall 6y q•~d or pnnud bdox meu ,.~raluus. ~ ~ ~ ~ ~ ~ ~ ~ ' aAitgnn7Y OC•EU a7AT°_ E.1t Of WISCCt;SIN wixmfnaetuawnCu.vc form Na. ] - 1981 aWMoc, I•hs, ~uot o ~_ ' ~ ~ ~ U ~ ~~ ~ c~ S° / 5. 09. W - 392.29 ° ~ ~ ._ ~ ~ ~- , ` ~ ~ G C` v L / ~ ~ 1 579 ` - T~ I O ~ ` ~ ' ~ ~' o ~ N i Q ~ ,3 , -• . LOT 19 °' i ; Q\ ~j O ~' ~• ~'- 2.04 ACRES roo' ~ N ~ -. l ~ ~•, 89. 027 Sv^. F r .~, ~ ~ ~' ~ N ~ ' ~ ~ 9O1 33' • 33 ~~ 4J S03° 04' 15" E ~ ~ ~ ~ O o I 14' t 5 N W ~ 52. 94 ' ~ p ~ ?. 94' ~ D ~ O 51 ...... C ~ ~ v , cn ~ \J,' C I S88°26' 25" w...3 t 7. 30' \ ~ , m a ----- ( ------ - - - -~ - - - ~! '~~ f ~ ~ ~- ~~l 'n ~ i W , . ~ - ~ E- ~ ~~ ~ o ' , ~ ~ ~ ~ ' f ~ LOT 18 °o o i I ~` ' 2. 09 ACRES ~ ; ~., f' N N . ` ` ~ 91, !95 SOFT. ~ U D ~ ~ i -- ~ { : O D ~ z W . ~_ . ~ ~ j O b. sS7 ~o ' , O ! J i ~ 2 "' s, ,LOT ! 7 `~ ,~~ 2. ! O ACRES ~ I ~ ~°j 9(,46 SC. FT, v ~iS ' , ~ Q W ~ b o - Q~ ' ~ U ^~ ~ - ' ~ I ; ' ~ ~ o o_ , ' (, I f --- ----- -- -- - - 5!4.99' --- ------- - -- -- ---- - ~ ~ + _- - Pue~ r c ROAD 7 .~. oo~ ? ---M; NI ___ NO P OL L" OI DISTURB Af 3 OF THE NE %i4, SFCT ~CrV r5 --- LINE. BEN_CH_MARKS_= THE D 1 S TUF OF W1 SCONS NOR'H t i4 CORNER, SEC7 ! ON l5 Ei L l'. 809. ! 5' USE OF PU6 N'OR'hERN MOST PROPERTY CORNER GF LOT EL F_ v. = 8 r8. 44' AREA. OF 3