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HomeMy WebLinkAbout020-1359-17-000/* wisoonstn pepartment of Corrxnerce pR1VATE SEWAGE SYSTEM Safety iartd t3r~tlirrgs Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personnel information You provlce may be used for seoortdary purposes [Privacy law, s.15.04 (1 xm]]. .i~~rf~t~$,~tbf~i~f"3re1 city ~fadsgfin ownsl~ip TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Gl,,- ~ M~ ~ ~ l ~ A Ion Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to ROAD Air Intake Septic ~ ~,.i ~ I ~ NA NA Aeration NA ding PUMP /SIPHON INFORMATION .. ELEVATION DATA STATION BS HI FS ELEV. Benchmark d It. BM 2, Z. Bldg. Sewer S ~a 9 , / Ht Inlet ~. ~~ -dS~/ Ht Outlet ~ 9~- y~ Header /Man. ~, . Z ~ .3y 4S tZ Oist. Pipe 3 2. S i /0 ~ ~ 9y s Bot. System ~ , ~ O Final Grade ,S Z _ 5~ over ~ Model Number TDH Friction em TDH nn Ft orcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM /S ~. BED N width i Length No.Of Trenches PIT No. Of Pits Inside Dia. DI N ~ ~ ~ OIMNI N Mau ~ er. f SYSTEM TO P / L BLDG WEII LAKE /STREAM ~ __ - ~ ' SETBACK CRAM a fV m I INFORMATION Type O + , ~- r NIT DISTRIBUTION SYSTEM Size x Hole Spacing l H lnta e t To Ai V Header /Maui old ~ Distribution Pipe(s) ~ o e ~ x ~ I ~ ~ 3 Length T /0 ~ Oia. ~ Length ~~S Dia. ~ Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded ^ Yes ^ No xx Mulched ^ Yes ^ No Bed /Trench Center Bed /Trench Edges Topsoil ~;pection #1: ~ hs/e/ Inspection #2: / COMMENTS: (Include code discrepancies, persons present, Location: 941 Meadowood Lane, Hudson, WI 54016 (SW 1/4 NW 1/4 16 T29N R19W) -1629192113 Parkwood Meadows -Lot 17 y.~ GQr~~ae..~ ;vim ~~„row1~ .~ _ _ e~ G /~.t~-~~r 1.) Alt BM Description =~ o`~ -~~l~n____ / vo ~ ;ws~~(-e( 5~ k ~ /•-c~~ ~~~ 2.) Bldg sewer length = 2 j~ / ' c Sic ~~ -amount of cover = ~3`' ~.) r,.tt we l~ ~- ~~ ~~~ Plan revision required? ^ Yes ~ No i f I r_ ~,~ 1~1~ , } [~{~ on. ormat Use other side for additional in Z S p Cert No Oa t Inspector s ature S80-6710 (R.3/97) `~-. s~ y . 6L+ 1n,r 4,'. 3 c~ ~~ X39 b'.3 Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7162 County-tom , J/ ~ ~ ~~eons~n Madison, WI 53707 - 7162 ire Address Department of Commerce ~ ~ ~ -~.., q~~ Sanitary Permit ~p •pn Sanitary Permit ` j " ~~ Z ' 2 3 p In accord with Comm 83.21, Wis. Adm. Code, pe \r~if'orni~io provide i ^ ~~k i on if RQ evisl ma be used for seco ses Priv , s15. -- I. Application Information -Please Print All Inform ~~ ~ ~ ~ ~, '~~~ f _ State Plan I.D. Number Pr Owner's Name o ` ~~ .~ ~G~ %•--• Parcel Number l/o • 9. G(. ,'Z l I ,~ Property Owner's Mailing Address ~, -!, \~ ~ Pejtry L'°°aup~ cS ~ \ !~ 3k~~: S T N. R E City, State Z Code r Lot N r Block Number Subdivision Name CSM Number (,c~(,.Z O~~o /S- 3 1- SYo ~a-~e.c~ . Type of Building (check all that apply) II ^Ciry ~ ,,rr , ya l or 2 Family Dwelling -Number of Bedrooms ~ ^Village ^ Public/Commercial -Describe Use ,~'ownship ~/ p ^ State owned / _ /D o ~ p~(~>- Z 3 /x 9 3 . ~' -~Ve~.~s f~ / Nearest Road o / q vz/~ f~ /7' ~ t: (Check only one box on line A (numbering scheme for Internal use). Complete line B if applicable) rmi III. Type of Pe A 1 ~ New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use S stem Tank Onl Exis ' S stem Permit Number Date Issued B. ^ Check if Sanitary Permit Previously Issued ](V. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 Non -Pressurized In-Ground 21^ Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Ae bic Treatment Unit 49 ^ ii+culating 30 ^ Other V. D' ersaUTYeatment Area Information: 30 -/ O ~ ~-S Design Flow (gpd) Dispersal Area Dispersal Area Required proposed Soil Application Percolation Rate System Elevation Final Grade Rate(Gals./Days/Sq.Ft.) (Min./Inch) / /. 7~ / Eeevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fibec Plastic Concrete Constructed Glass Gallons Gallons of Tanks New Existing Tanks Tanks Sepfic or Holding Tank ~a $~ -- ra S © / ~'~'`•~ Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsr'bility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' igna RS Number Business Pho~ Number ~~ u~~~~ Sao 3s ~~s ~~ g -~ ~y Plumber's Address (Street, Ciry, State Zip Code) /D N ~~-~- U -.~ s'~~ VIII. Count /De artment Use Onl Sanitary Pernrit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Approved ^ Disapproved Surchar a Fee) ~ l ^ Owner Given Initial Adverse ~~ 13 ~ Determination sons for Disapprov e a IX. Conditions of ApprovaUR ~ } .. l~ ~~ M'u.~x ~~t7•t~l~ . nn Attach rnmplete plans (to the County ody) for the systan on pupa' not less than 81lZ x 11 Inches in size SBD-6398 (R. OS/Ol) l-I~So ~`' ~ ~`-~d `~ S ,,~- 9 ~~ 7a . ~ _ i~~/~ s ~lJV' Gk.~ U ~~ aa~35 9'y, 7a N-6} ~ pM- = ~®~ fi~ ~- ~ `p~ ~- ~~-~v s ~~ /n/;~ddD3s7 wisl~nsirLDepartment of Industry, SOIL AND SITE EVALUATION R E P O R T Labor a Human Relations IiRvisio~efSafPty&~Ruildines •_ _____~...:.~ ~~ ~~r.......~ ...:_ w~.- n_~_ Page 1 of 3 ~~ ~ u.,....~....,.,, ,~~ „ ..,.,..,.,, ...~. , ..........,.,., COUNTY Plan must include but Attach com lan on a er not less than 8 1/2 x 11 i size lete site St. Croix , p p . p p not limited to vertical and horizontal reference point ( 'r c~o~ ri~];,%of slope, scale or PARCEL LD. # dimensioned, north arrow, and location and distan t ~ ~'ro2ii:' `';~ f 020-1029-30 APPLICANT INFORMATION-PLEASE P Tj LL If~ ATION"~~;~ E IEWEDBY DATi I PROPERTY OWNER: •f ~~~ ._.: I?R~ ERTY LOCATION ~ LaCa Homes Inc. ~= f ~ ~-: LOT ~ v4 S4~T 1/4,S 16 T 29 ,N,R 19 ~(or) W PROPERTY OWNER':S MAILING ADDRESS ST O~QI ~aT. , BLOCK # SUBD. NAME OR CSM # 521 McCutcheon Rd. .- ~U X .~7, na Parkwood Meadows CITY, STATE ZIP CODE E ITY ^VILLAGE MOWN NEAREST ROAD Hudson, WI. 54016 ~~81-5~~r- ~ Hudson Meadowood Ln. [ ~ New Construction Use [X ] Residential / Number o F ~ 4 [ )Addition to existing building j ]Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpolft2 .8 trench, gpolft2 Absorption area required g58 bed, ft2 750 trench, ft2 Maximum esign loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 95.30 -''~,~ _,o¢awerred to site plan benchmark) Additional design /site considerations na Parent material outwash Flood plain elevation, if applicable na ft S =Suitable for system U =Unsuitable for s stem CONVENTIONAL ®S ^ U MOUND ®S ^ U IN-GROUND PRESSURE ®S ^ U AT-GRADE ®S ^ U SYSTEM IN FILL ®S ^ U HOLDING TANK ^ S ~U SOIL DESCRIPTION REPORT Boring # 1 Ground elev. 99.6 ft. Depth to limiting factor +90" Boring # 2 Ground elev. 99.6 ft. Depth to limiting factor +96" Depth Dominant Color Mottles re T t Structure Consistence Bour>da Roots GPD/ft Horizon in. Mansell Qu. Sz. Cont. Color ex u Gr. Sz. Sh. ry Bed Trends 1 0-10 10 r 3 ~ ~ 2 10-30 10 r 4 4 none sil 2 3 30-90 7.5 r 4/6 none ms Os ml na na .7 .8 S. 1- Remarks: 1 0-14 10 r 2 2 n n 2 14-28 10 r 4/4 none sil 2msbk mfr if .5 ~.6 3 28-45 10 r 5 4 n ne 4 45-96 7.5 r 4/4 none cos Os ml na na .7 .8 ~" .b Remarks: CST Name:--Please Print G L. Steel Phone: 715-246-6200 Address: 1554 200th. Av . ew Richmond I 54017 Signature: /~M~ ~ , Date: 7_6-99 CST Number: m02298 PROPERTY OWNER I,aCasse Custom H-omes,SOIL DESCRIPTION REPORT PARCEL I.D. # 020-1029-30 Inc . Boring # 3 € Ground elev. 99.0 ft. Depth to limiting f+g0" Boring # 4 € Ground elev. 99.1 ft. Depth to limiting facE tor--~ 84" Boring # 5 Ground elev. 98.7ft. Depth to limiting factor +96" Boring # Ground elev. ft. Depth to limiting factor Page 2~ of ~ i Horizon Depth Dominant Color Mottles Texture Structure Consistence BaxxJary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-13 2 13-35 10 r 4 4 none sil 2msbk mfr gw lm .5 .6 3 35-90 7.5 r 4 6 none ms Os ml na na .7 .8 ut9s. Remarks: ~ s, (, ? "" 5~ k • 5 ~ ~ 1 0-13 10 r 3/3 none 1 2msbk mfr cs lm .5 !.6 2 13-38 10 r 4 4 none sil 2ms mf' .3 4 3 38-84 7.5 r 4/6 none ms Os ml na na .7 .8 Ys~~ , ~ ~k. (o Remarks: 1 -1 2 17-30 10 ~ 4 4 none sil 2msbk mfr if .5 .6 3 r na 3 4 .~ 45-96 7.5 r 4 4 none cos Os ml na na .7 '.8 ~{o,g ,S ~ - ~ ~ a $ ~r Remarks: Remarks: SBD-8330(R.05/92) .- STEEL'S SOIL SERVICE Gary L. Steel LaCasse Custom Homes, Inc. 1554 200th Ave. CSTM2298 Nw4SW4 S16-T29N R19W New Richmond, WI 54017 MPRSW-3254 town of Hudson (715) 246-6200 lot #17-Parkwood Meadows this soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may-not be as shown as permanent lot lines were not established at the time the test was conducted. ~."=40' =top of 1" pvc pipe ~-el. 100.00' tl. BM.= top of 1" pvc pipe C el. 100.10' ~X Gary L. Steel 7-6-99 4-30-1995 12:29PM FROM P-1 ' ..~xvr~ r.perae~eeK o~ ~rwu~y, Lahor aAd Human Relatiora '"yiGieio~+ of SMfaty 8 Buildirws tiVl{. AH1U ,11 t tYAIrUA TIVtN 1'IEPURT ~~~a~ . ............_ ..,...._........., ....... _ _ ...._..., Attach complete site plan on paper not less than 81/2 s7rr-side but plan rt-ust inoiuda n, St. C O X , , , not limited to vertical and twrizontat ref®rarss poi ~ 'rt~etid; slope, scale or PARCEL L0. # dimanaioned, north arrow, and boagon and disc crest r ad,'' -.-~ ~ ~~ Z 1029-30 APPLICANT INFORMATION-PLEASE P A!L ~~ -IO,N.` '~~ 011TE I D Y d_/3 s 1 _ PROPERTY bWI~R; _ ~m ' p'R ERTY LQCATION Mr N T R ~ . r • . -LO , r1W 1!d ~ t/4,eS I T , 19 ~(e-) PROPERTY OWNER':S MAILING ADDRf;55 ST GAQtX ~ ,,... kC3Y BLOCK # SUBD_ NAME OR C5M # 521 McCu Rd. COeAMTY r'~~'T^"~ na Park~ood Maa~oWS CITY, STATE ZIP CO4E ITY QYILLgGE OWN ~ NEAREST ROgO Hudsan, WI. 54016 81-5405 HtidlsOn Meeadvarvod LTt. [ 70 New Consauction Use (X ] Residenflal / Number o 4 ((Addition to eads6ng pudding I 1 ~~ [ ] Punic or onmmerGal det3aibe • Code derived daWy flow 600. gpd Recommended design loading rate . 7 bed, gpd/lt2 - 8 trench, gpolri2 Absarptton area required t35t3 Dad, tip 750 trencA, (t2 Ma~mum design loading rate ~_Ded, ~Oltt`'=~trendt, gf~ Recommended inCtlbaport stufaoe elewation(~s} ~ 95.30 n (as referred to site pin bent~tmarp Ade~tianal design / site considerations 1r>~1_ _ ___ Parent ma~teerrial outtvas~,~ _ _ Flood plain slevatiext, if applicable na R S = Suitable br sysEem ~ = unsuitable lcr s stem ceNVeNrIOw~L ®s r~ u MauND ®s a ~ IN-GROUND PHE83URE ®s t~ u AT-GRAbE SYSTBN IN FllL HOLDING TANK a s Q u ®s ^ u a s au • SOIL DESCRIPTION REPORt Boring 8 I, Ground el~+. 49.6 ft.~ Depth 10 limiting FdC10f {.~n• Boring ~ . 2 Grownd 99 6 ft Depth oD limiting factor +9s ~~ Horizon Depth in. Dominant Color Munsell 11Aottles Qu. Sz. Copt Color Texture Swcture Gr- Sz. Sh. Ctxls~enoE f~n~y ~~ GPp/ Bed 7m>3rdt O- 2 10-30 10 r 4 no ' 3 30-90 7.5 t 6 Hoene Remarks: 1 0-.1 r 2 14~Z8 10 r' 4 none f 1 mfr '3 281 2 4 7.5 r .4 ~! co ~ till rt~a .7 .. t3 /~ aj 7 ~ r 0f~ Remarks: CST Nrua-e:-lPlesse Print Ga L. Steel Phone: 7 # 5-246-6200 Ad :1554 200th. Av ew Ri lhmon I 54017 Signatsn:: ~ Dare; 7-•6-~ CST Number. m02298 F 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 (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 Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: System Desian Specifications Sanitary Permit Number - 3 Z?j2- Number of Bedrooms Design Flow -Peak (gpd) O Estimated Flow -Average (gpd) Septic Tank Capacity (gal) Soil Absorption Component Size (ft2) Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) Maximum Influent Particle Size (in) 1/8 Maximum GODS (mg/L) 220 Maximum TSS (mg/L) 150 Tab le 3: Maintenance Scheauie 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, 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 sept' nd outlet filter shall be assessed at least once every 3 years by inspection. The outlet alter all be cleaned as necessary to ensure proper operation. The filter cartridge shou not be removed unless provisions are made o 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. 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 fank may contain lethal gases, and rescue of a person from the interior of the tank maybe 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 ~~ Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep-rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. ~. s~ n~~" ,aE .~~ ~~ , _ c ~~ ~v~ ~~ q v d_ sr ~-~. N~ c~~s~ a~ ~ - ~ 9y.~ z ~?is) 3g~-y~g~ °-~ 3 ", ~ S'I' CROIX COUNTY ' SEI''1'IC 'TANK MAIN'Tl'3NANCL AGREL~MLNT AND OWNLItSI-IIP CLR'TIrICATION CORM Owner/Iiuyer ~~ ~/I©,e~`~ ~/~~,~~~~ Mailing Address 1~od/ /-~.~~~.~~ ~~ ~A~sLi'~ //d ~~~~~~ r~i • .~ ~/~!/ Property Address (Verification rcyuircd from Planning UcparUncnt for new ca-struc City/State ~-r~r..~~~~J~ _ I'arccl Identification Number Da~O- ~.3J y-/7'~ LEGAL DESCRIPTION Properly Location 1~'/,, ~uJ '/,, Sec. ~ ., , '1'~~N-It~,W, 'I'owa of ~~~d~ Subdivision ~~1~~~~~ ~~-.~/~~1~ _. Lot ~~ L. Cei•lllied Survey Map # Volunrc I'Age # Warranty Deed # ~ o~ J~~S~ ,Volume I ~0~0 .Page # c~~ Spec house D yes ~o Lol lines identifiable dyes ^ no SYSTEM MAINTENANCI!. bnproper use and maintenanccof your septic system could result in its preurature failure to t-andle wastes. Proper maintenance consists of pumping out lire septic tank every three years or sooner, if needed by a licensed pumper. Wlrat you put into We system can affect We function of We septic tank as a treatment stage in the waste disposal system. The properly owner agrees to submit to St. Croix Zonurg Deparlruent a certification form, signed by We owner and by a master plumber, jouraeyrnanplumber, restricted pluruber or a licensed pumper verifying that (1) We orr-site wastewaterdisposal system is in proper operating condition and/or (2) efler inspection and pumpurg (if accessary), the septic tank is less than 1/3 full of sludge. Uwc, We undersigned have read We above requirements and agree to maintain the private sewage disposal system with We standards set forW, herein, as set by fire Department of Carruuercc and lire Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to lire St. Croix County Zoning Office within 30 days of the tluee year expiration date. SIGN OF APPLI T } DATE OWNER CERTIFICATION I (we) certify drat all statemcats on ibis form arc Uue to the best oC my (our) knowledge. I (we) am (are) We owner(s) of We properly described above, by virtue of a wananly decd recorded is Register of Dccds Office. SIGNATURE OF APPLICANT DATE *!**** Any information that is mis-represented may result iu the sanitary permit being revoked by We Zoning Department. ****** «* Include wlllr Wls appllcallon: a stamped warranty deed front the Register oC Dccds office a copy of the certified survey map if reference !s made in tl-e waranty deed . ~, , ~~~~. ~520pA~_522 STATE BAR OF WISCONSfN FORM 2 - 1999 Document Number WARRANTY DEED This Deed, made between LaCasse Custom Homes, Inc., a Wisconsin Corporation Grantor, and Robin Gilderhus, a single person 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): 625152 KATHLEEN N. WALSH kEGISTER OF DEEDS ST. CROIX CD., WI RECEIVED FOR RECORD 06-21-2000 10:00 AM WARRANTY DEED EXEMPT M CERT COPY FEE: COPY FEE: TRANSFER fEE: 147.60 RECORDING FEE: 10.00 PAGES: 1 Recording Area Name an et~tm Address Lot l7, Plat ofParkwood Meadows in the Town of Hudson, St. Croix ~IiLE VALLEY BANK, N.l1. County, Wisconsin. 1301 COUIe@ Rd., Unit 2 Hudson, WI 54016 020-1029-30 _ Parcel Identification Number (PIN) This is not homestead progeny. Q() (is not) Exceptions to warranties: Easements, restictions and rights-ofway of record, if any. Dated this ~~ day of June , 2000 LaCasse Cu om mes, Inc. --~~W dlr~---` ~ ~ Richard W. LaCasse, President AUTHENTICATION Signature(s) ACKNOWLEDGMENT STATE OF WISCONSIN ) _1 j n, )ss. ~`~/~. , l..t Ot u County) (('' authenticated this day of • Personally came before me this ~'f ~ day of ~w`~~t~~ k l.;?~L ~rra~ June , 2000 the above named `~~ P~,,~ , D ~'~,.~ [.aCasse Custom Homes, Inc., a Wisconsin Corporation by i ~ Q` -r A FI ,~ , _ Richard W. LaCasse, President _ -2 c . ~ .-•--~ TITLE: MEMBER STATE BAR OI~~VI$~ONS~ Z _ to me known to be the person(s) who executed the foregoing (lf not, inst men and Pck ed a same. authorized by § 706.06, w i . Stats~(J $ - G~2`~ -r-~ `~ d, THIS INSTRUMENT f~C3F `' vv~~~ ~ Cl.( ~•2.-h-f ~, L-- i Y~ /1--- Attarney Kristine Ogland err/~l ~rtt~~,~~~~~~ Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is ermanent. (If not, state expiration date: ~ tQ ~~~) ) (Signatures may be authenticated or acknowledged. Both are not necessary,) ' ed or rioted below their si nawre. imrnnauo~ prass.io~W. c~w+Y• roro w toc, wn Names olpersons signing in any capacity must be typ p B eoossszoz~ STATE BAR OF WISCONSIN WARRANTY DEED FORMNo.2-1999 ~...A ~ I t' f l ~ / _ ~ .~- I ~~ ~ x ~ ~- o ,! ~~ j l ~c. i ~ -J 0~ •~ ~ rn o 1 r l i I o + ~~ N N ~ I I I 00 3z- o© ~ ~ ~ i N ~ X~ N~ ~ ~ I` ox JOd ' I I .. ~ ~ m~ ~ r N aQ I ~ I > ~ II ' r ~~~ 1~.1 ~ ~~ p I; I I I _ ~ ~ ~-` I ~ II I ~' F I f 1 ~ •-- ,III I~ ' ,_ ~s~ 1 1 x ~, j i j --- ' alo + J ~• ~ I ~ ' I I i ~~ ~ ,x N '~ 3 J I ~ ~ I I - ~ t ~ ~ ~ ' o I 0 6 o I ~ N l l 'L +6 L d ~ ~ ,I I I ~~ ~ '_ . I i t r~ 1 I ! ~~, Q mom, ~ .. I ~ I /~ u a +. ~ ex ~ ~ ~x ~~ II G ~ ~ ~ Ol .~ - I ® p ~I ~ 1 nX fr ~ I I I 1 c~ r ~ ~ s x , -- ~ \ ~ ~ j j 0o I 1 I x ~ I, w / I I . ~~ I ~ I :. _ _ ~ ~ ~ x ~ .~/ I ~- ~, .~ ~~ ~~ III I ~ ~ i I r ~ ~ ~.~ I I I~ I I I r '~ ~ \ ~ ~ ~~• ~l• I ~ I ~ I .~ ~ ~~ I ~~ v ~x _~ ~~.. ..~~ y~., I -, ~- V I I I-;__~_._~- 5'-~ ~s ~ i M .-. 3 N M V 392.77 ~ ~~~ 1 31 2.389 ACRES 104,082 S.F. N 89°53' 29" W Z 32 2.389 ACRES 104,082 S.F. CRES " S.F. '5.30' . 596.21'_ W 595.67' ~~ u°~ 15' I i I° o, Sri N I I^ i I50'I N U., ~ ~L~50'I 16 2.525 ACRES N 109,997 S.F. j : iv ~; N O: r- ~. O: ~ 89°53' 29" W 'd : ~ z ~: 400.00' 3' # :w N: Y M ; N r • M ~ ~._ o ~ ~ CJ~ 7 °~ ° °~ 1 °: o ~I Z 2.525 ACRES : 109,997 S.F. N ~ N ; 5 89°53' 29" E ~ 50' ,•.•_.150:00'• .. ~ i3' 29"• W 400.00' I ~i ! I 200.00' 200.00' . ....200.00....... N 89°53' 29" W ~ 3~ N b9°53' 29" W 392.77' ~ - I la, N N ~ .N M_ 18 Q1 6' ~ o0 0 < ~ 3' 33' Ii4 i o,°~ 2.852 ACRES 3 3 124,223 S.F. ° / ~ 2.507 ACRES / Y ' Z ~ 109,215 S.F. / ~ / v "' /~ l ~ // / - 'J G~ o, 435. )4 9" ~, 190.90' / • / ~ G~ / / / / - ~ I ~ M ~I ~~ ~ pl ~~ w ! ~ ~ QI W ~. `° o p ~ r7 ~ W ao w ~' I °° M Z Q I w J ~°° ~~I o ,~ z ° o ~~ ~w J N c w F i 7S I / ~~ 13.00' ~ ~ SUF '~,/ - 190.28' C 11 I ~ ~ 2.853 ACRES / A 124,271 S.~~ ~I 2 0 °~ '~ :;~ :M ~, ~ 6~~ 2.853 ACRES `sue Sd, ~ .~~j~ ~`~ ,~ 5 124,264 S.F. ~° ~ ~ 610G ~~ 1~ ' Z °" / ~ ~O~' 'OG~ ~o ~~ `~~/G/ 21 "~ /~~QP~~o,., ./ 2.852 ACRES ~ GO, Q ~ 124,236 S.F. R ~ P~~ ~ `js F,, 'S ~, /~S Qp~ ~~`L j. ~~9 ,o~~~yti P ~' v+ 3 7T - 15.00' :N ~ ;M ~, . ~ N /`v ~~ •W~ ~A .;n ~:o ~:~n o~ ~1 I /~~~~~ S~pG/ ~5'QP j~ 5' / ~~~~ ~- o ~ 0 M I M Ir 1 ~ .~ I ~ 0 0l °I° Z i ~ i I ~~zi y'~ ., ~ UNPLATTED LANDS '!' i I N TE ~~ SW 1/ STATE i \ I I D I REC 94.51 ~ ~ ( AT TI- -i ~ p REFEF ZI N 00` 3 Q THENC JI ~ ~~ ., `'' ~ pI THE ~ , ,~ W OF Tf- ° I-; s s~~ i~ ~ ~ QI LINE ' ! ~ 4432 ~1 3 ~, ~~ AND 7 I = z WEST ~ ~ ~ ~I OF RE ..I ° BOUN[ z ~ ~' THE V ~ Q I N Sl