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HomeMy WebLinkAbout020-1367-07-000 r _. / . Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division 5t. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanita�y,P�2r WbNo.: p P�ersonal information n you provice may be used for secondary purposes [Privacy Law .15.04 (1)(m)]. tf33�y44b IYtoran Don81Qe: [I city [] ac SO ° t ownship State Plan ID No.: CST BM Elev.:- Insp. M Elev.: BM Description: r rcel��N9367-07 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic Z Benchmark �' y y il Dosing �� sl} ' g n Bldg. Sewer ing St Ht Inlet TANK SETBACK INFORMATION CS)/ Ht Outlet / 3,5 95 TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet 4 �- a�Z Air Intake or Septic Z � NA Dt Bottom p 3 Q 7, 3 Dosing Z Z t{ '' 7 / NA Header/ Man. 1 w } A Dist, Pipe 49. /OrI -A olding Bot. System It 3�p — 99 PUMP/ SIPHON INFORMATION 3 5 inal Grade Manufacturer l>! Demand Model Number S GPM TDH Lift 3 L oss riction l System TDH T. �J�t Forcemain Length 1211 Dist. To Well SOIL ABSCH SYSTEM BED / NCH Widthy Length No. Of PIT No. Of Pits Inside Dia. Liquid Depth IM N I `7 DIMENSION SYSTEM TO P / L BLDG WELL LAKE / STREAM LE Manufa SETBACK CHAMBER INFORMATION Type O ► � Mod Numbe System: �, �S' T DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s� / x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. �/ Spacing -� " 4' / 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 Topsoil Q Yes Q No " W, , Ye, ; ,,Q No / C OMMENTS: (Include code discrepancies, persons present, etc.) Location: 681 Cottage Lane, Hudson, WI 54016 (NE 1/4 NW 1/4 32 T29N R1 W) - 3229192191 Stageline Ridge -Lot 7 1.) Alt BM Description 2.) Bldg sewer length -amount of cover 7 0)1- V Plan revision required? ❑ Yes No Use other side for additional infor ation. g p/ �TTI / SBD -6710 (R.3/97) Date Inspector's SigiAture Cert No. je � r 0 +S Z t3 ,o 3 L �9.5z 11, v. 4 � 3© � SG V J 4 ( � x S— S• S 1 Z lv f. �L L �i W , - Aag 0 6,8 CpTf' {� C PWE Sanitary Permit Application Safety Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See •reverse side for instructions for completing this application PO Box 7302 `�SCOnSf Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(1)(m)) (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. County State Sanitary Pe rmit Number ❑Check if revision to previous application State Plan I. D. Number I. Application Information - Please Print all Information Location: Property Owner N e Property Location C, f t� riv,ez �Q 1/4 /4, &� T-;' /,N, R/ ?E (or Property Owner's Mailing Address Lot Number Block Number 4�- O D ( U2 Cam` 7 City, State Zip Code Phone Number Subdivision Name or CSM Number �. I/ G f %' y 5 - G tom' G IK Type of Buildi g: (check one) ❑ City ❑ 1 or 2 Family Dwelling - No. of Bedrooms : ❑ Village ❑ §Z-Town of Public /Commercial (describe use):_ (� ❑ State - Owned - � y�.� f,K4O A Nearest Road so)cR �L) x sr. Zs �-,� 'tom �`,e C 1 3 �� Parcel Tax Number(s) s e�-1) III. Type of Permit: (C eck only one box on line A. Check box on line B if applicable) Q a0 — - 00 A) 1. ELNew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only , a q J17, 9, a lql Existing System $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) §don- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At - grade `/ q ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: ��< �" `L V. Dispersal/Treatment Area Inf rmatio -- 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elev tion , 7. Final Grade /r/ / Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) E/�M 9 �' Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel F Plastic Information Gallons Gallons Tanks Con- Con- New Existing crete structed (� jj Tanks Tanks ../ T L l p� �� , 1,,. (s v- �r, ❑ ❑ ❑ ❑ J /OUd c ❑ ❑ ❑ ❑ VIII. Resp nsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's Signature (no stamps): MP/MPRS No. Business Phone Number P umber's Address (Street, City, State, Zi ode) �ZJ IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) l*Approved ❑ Owner Given Initial Adverse Su harge Fee) e Determination Z X. Conditions of Approval /Reasons for Disapproval: n n �E - A-1 '^ "`S� / �ti�.�a.��d �-. rr C.ecr gc OZc� e$ 4, Auc — av &- 5�5 C>i e. o-z Lt. � � 01A� ILA- '►� 0S FA71 s SBD -6398 (R. 07/00) QAt.� � �L(�N� IMO�C ' 15 . • _ r ! t J ,-,! .�_— ..._.__��— �.._,- .� —._. __may -. •. _..__ 1 _ 1 - - T� 7 j - . 1 . I i 1 a , a :q 7. 6 3 Vol t h✓ sCi . 1 1 1 i _ 1 t I - f_ r , l r r i i It ob CP i_i_ 1 F --f. prr_ w lk onsin Department of Industry SOIL AND SITE EVALUATION .� of . 3 Labor,and Human Relations page Division of Safety and Buildings in accordance with s. q f33.09, Wis. Attach complete site plan on paper not less than 8 1/2 x 11 Inches in si gcYfiusIt County s OCR 0i x Include, but not limited to: vertical and horizontal reference point (B Ion a'> / C percent slope, scale or dimensions, north arrow, and location and di to noar }Toad: 737 Parcel I.D. # azo . �o�v • 30 APPLICANT INFORMATION - Please print all infor _ton. "'' Revie ' d by Date Personal inlonneflon you provide maybe used for secondary purposes (Privy CeNq, s. 15.04 fA S Property Owner u p Ion EINh (? i T"t- 1 � OF N E ` r` Govt. Lot C / t /VW 1 /4,S 3L T 2 ,N,R ! E (or ) _ N1 tot Property Owner's Mailing Address ools#-�' Subd. Name or CSM# 142-4 STA&E � t'O E- R �. City State Zip t C / ode Phone Number Nearest Road t{V h.S'oAD �' . sy0lG ( 715 Aw A &&5 ❑ City ❑ Village Town New Construction Use: Residential / Number of bedrooms 3 7 Addition to existing bui ding El Replacement ❑ Public or commercial - Describe: Ael = /(!L7 7` E -, Ae yso -l�o� Code derived daily flow gpd Recommended design loading rate ` bed, gpd /ft trench, gpd/ft °Absorption area require - :— be, ft2 1210 trench, ft Maximum design loading rate bed, gpd /ft ' s trench, gpdAt Recommended infiltration surface elevation(s) .Svc �C1 • ft (as referred to site plan benchmark) Additional design /site considerations 1 /VJ9"Ye 7XZVZGe.X S Parent material 149ET S 0 V IEW X+04 V �YY /"$ Flood plain elevation, if applicable N n S = Suitable for system Conventional , In- GGrrouunnd Pressure ,AST, -G�r de System,iinn,Fi�ll Holding Tank U = Unsuitable for system �S ❑ U o ❑ U K]"S ❑ U L� 5 ❑ U ❑ S L7 U ❑ S SOIL DESCRIPTION REPORT ! �p Boring Horizon Depth Dominant Color Mottles Structure GPD /ft 9 Texture Consistence Boundary Roots In. Munsell ou. Sz. Cont. Color Gr. Sz. Sh. Bed - ,Trench (. 0'/1 100 31 L 7 CS 1-T' . 2- L .r // 2O /o w Y/ 6 SL ! f /tv -,e w /f Ground 7. S�/ �k ' .S ! d-5' 4 • s f s el it. Depth to limiting factor 7 Gam- In. /V Remarks: Boring # I !e / "e ail L /7 dS Z. 6 .37 ADYR Ylee t 1, dk 4f . Z ; -3, 7. ?• s Ye y — sc- ?� d,C - ' . s If Ground elev. Depth to limiting factor CJ &_tn. Remarks: CST Name (Please Print) Signature Telephone No. ROGE ?T 2t�(3(�iG � T�7�,sd 71 S' 38CP- S /8S Address Date CST Number S . 2s' • �..ZCo3� Plivats Sewage Consultants em O'Neil Rd. Hudson, Wis. 54016 Yh`s test 61e septic evskem for a oonVen 4 SOIL DESCRIPTION REPORT Z PROPERTY OWNER N Page ' of , 3 ; PARCEL I.D.0 L j 7 • ' 1 �Q. Boren # Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots Ivy in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 1 o• /a /o YR 3/ L /�sh�c sk- w / f . 5 3 ° $ •`� Ground 3 o �• S �/� L ! f elev. — 103— — / ft . Depth to limiting a� • (o O •�• .C7 factor � in. $� c7 - —sT� L Remarks: Boring # y' _Z .t•t i sip /ash s 17 .Z.. .� /D YK Y/CQ S'L /� �/' d -5 Ground 0 ? J ��� 7� �• • �P , elev. 16 ft. Depth to limiting • factor in. Remarks: Horizon Depth Dominant Color Mottles Structure GPD /ft In. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench .L Boring # ( O /a /O Y1?_ — L- /K s6K /w �/l GJ / f ' . S .�4 Z - p /DYie ` ce SQL /7 �.� - XX cS Ground /o `� l — • .� • \O •� elev. Depth to limiting $ p$ O factor Remarks: Boring # M U S Ground elev. Depth to limiting factor In. Remarks: SBDW -8330 (R. 08/95) IMPORTANT NOTE TO OWNERS & INSTALLER: All the finer textured soils (loams,silts, etc.) can & will be easily smeared Or compacted even by a backhoe bucket during trench construction. When this occurs premature failure will result. As per ILHR 83.13 U( ), the installer MUST be very careful to properly hand rake .t a sidewalls & bottoms to re- expose all of the soils natural structure. Minn. even recommends that scarifying devices be mounted on the sides of the bucket. Only in this way can treatment & absorption be most enhanced for normal longer system life. 3of3 Ulbilcht 6 Associates pjivsu Se`"a9a conaultanta 655 at4oll Rd. 640AS Hudson, Wis. Gl 5 o o f 3 //f /fee -tee P 1s r' l70 ,tlo• Lp% L 1 � Zd _ ................... Pry MoD 5 , 9B J s� ----- D q t3 h w 4 - Boa p LD T � tD LP -' - �- - - '- - I lilt OL rCt { ! r_ �f I I I - 1 5 I , I , ! f III i �- F _ - J �..�� z l Q J y_" Lr) Z w W N N o z ° D 0 O � p � U, �z O J O N 50 Q op (.� L_1 = o = m qk< Z .t F /1 2 \ Cl Q a - N ci V7¢ ¢ (W9- Z N ;9 W >: = to o a. cbi w w c� � : N � Z " C-) q q == m ° a U _ M J� O to w D W U� - no In N� mwN r as ° �; ° Z r Nao N N r �N r N N J t m Lj a NN v Jf0 ^Go?J Oar- 8zm U �OH� .. OOY �OW ¢ QJ W CL Oa0 0 w x* 2N 0 U ZOU Z Nam c�� Lj ¢�c� ¢��. o¢ W o 0 2 w w o J ¢ ? Z J 2 1 7 1 I � „Z4 W J = 2 �V N I I I I f I , $ n W n o I W W O 11 F— 0 I ��tsy N LJ \ N I.- W t F' D „6C „98 .t9 • V) c LJ w HEAD CAPACITY CURVE Lj MODELS 53 -55 57 -59 Made I " 53/55/57/59" 25 Ft. Meters Gal. Ltrs. • 6 20 5 1.52 43 163 10 3.05 34 129 L) 15 15 4.57 19 72 4 Lock Valve: :19.25 ft. (5.9m) n 10 a - 3 15/'6 6 5/.12 2- 5 - - - - - -- = 4 5/8 1 117 - li 1J2 NFT 3 15/16 U.S. GALLONS 10 20 30 40 50 • -� / - LITERS 80 160 0 `�� 4 1/'6 FLOW PER MINUTE OM97 CONSULT FACTORY FOR SPECIAL APPLICATIONS l --------------- • Variable level Float Switches available. • Variable level long cycle systems available. • • Available with special cord lengths of 15', 25', 35' and 50'. i • Alarm systems available. I /ts • Duplex systems available. 1 3 SKM SELECTION GUIDE ------ 3kipl� Sal -- Control Egon 1. Integral Boat operated mechanical switch, no external control required. Model Yoha Ph Mode Amps 8implax Duplex CSA uL 2• Single piggyback variable level lbat switch or double piggyback variable level M53/55d M571'S9 115 i Auto &D 1 or 1 A7 -- Y Y float switch. Refer to FM0477. N53155 &N57l59 ­ ifs - 1 Non 8.D or , _ or4 Y 3. Mechanical attemator'M -P& 10 -0072 or 10 -0075. SN53 115 1 Auto 8.0 F3or48, rN Y 4. See FM0712 for correct model of Electrical Alternator. BN57 115 1 Auto 8.0 Y 5. Variable level control switch 10.0225 used as a control activator, with Electrical BE53r57 230 - 1 Auto 4.0 ' Y Alternator (3) or (4) float system. D53/55 &D57159 230 1 Auto 4.0 1 or 18 7 y 6. Four(4) hole J- Pak, junction box, for watertight connection or wired -in simplex or E53155 8 E57159 23D 1 Non 4.0 ' 2 or 2 9 6 y 2 pump operation, PIN 10-0002. Single piggyback switch included. 7. Two (2) hole J- Pak, junction box for watertight connection or splice, P/N 10 -0003. n wt Forinfo mat bnonaddidonalZoellerproductsreferlocstalogonPiggybeckVeriableLevel Float Switches,FMC477; All installation of controls, protection devices and wiring should be done by a qualified Electrical Allemator, FMD4 86; Mechanical Alternator, FM0496; Sump/Sewage Basins. FMO487: and Single Phase licensed electrician. All electrical and safety codes should be followed includingthe most Simplex Pump Coni l /Alarm Systems, FM0732. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: RO. Box 16347 • O. 3 Cam Manufacrunxs of . . SNIP 10: 3649 49 347 Cane Run Road W Lo Loui ufsvrBe, KY 40211 - 1961 QZWIrY)UMAW SlA /999 /999 (504 778- (700) 728 PUMP sr.com FAX(502) X(502) 774.3624 ® Copyright 1998 Zoeller Co. All rights reserved. �a-�a � c.� �aru � ' • f L a -57A a--t- 1 m 2 P(N# CHAMBER t SS SEC ?ION S a•• C.1. VENT vIPf ---• �Eatwf4:o000F WITH APPROVED VENT JUNCTION 2OX 24" I.O. MANHOLf RISER CAP. •25' PROM 12" Mir+. wirm APPROVED. LOCKMG COVER BUILDING , i CONDUIT � AIRTIGHT SEAL ,1 Q stri ' � Its t PVC FORCE MIA IN -� 1 'ALARM APPROVED JOIlTS WILL BE USED 1 AT ARROWS i Y SuiTC -+ 1 G PUS OFF rr ZZ 2 ,G CONCRETE BLOCK VERTICAL LIFT: 7 705E VCLUME 15 - 0 GAL- + /U GAL DRAINBACK 'FRICTION ' 2.5' GAL /DOSE le p ' TOTAL DYNAMIC HEAD: / DELIVERS 3 61/ 44 L4 f FORCE MAIN I ''/IDO' • { 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) 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- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms Design Flow - Peak (gpd) Estimated Flow - Average (gpd) UD Septic Tank Capacity (gal) Soil Absorption Component Size (ft Type of Wastewater Dorliestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) Z�0 Z — a- Maximum Influent Particle Size (in) V 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 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 ts. The contents of the septic ta nk shall be disposed of in accordance with dis under s. 281.48, Sta p p 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 nd outlet filter shall be assessed at least once every 3 years by inspection. Th outl� filter hall be cleaned as necessary to ensure proper operation. The filter cartridges a removed unless provisions are made to retain solids in 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 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 • , 0 Management Plan for a Septic Tank and Soil Absorption Component 9 P Plantings of deep-rooted trees and shrubs directly over or within ten feet ofthe component should be avoided since root intrusion into the component may obstruct wastewater flow. 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OVMERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address d rR Property Address (v ' 2 1 o Lan (Verification required from Planningtepartment for new eomstnrction)_ City/State I&Aoa Parcel Identification Number /J � d - l - �a - ra LEGAL DESCRIPTION jj � Property Location .�ll� `/4, `!., Sec. _.�L TaN -R-LT-W, Town of �so.. Subdivision < 4 =1 &2 . Lot # 7 Certified Survey Map # , Volume . ,Page # Warranty Deed # Volume Page # .3 Spec house ❑ yes ❑ no Lot lines identifiable 0 yes ❑ no SYSTEM NLA1N?'ENANCE 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 Zoning Department a certification form, signed by the owner and by a mast" plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal 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. Uwe, 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 WisconsO�Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning days the duvc year exp' 'o te- / Oo IGNAIU E OF APPLICANT DATE OWNER CERTIFICATION true to the best of my (our) knowledge. I (we) am (are) the owner(s) of I (we) certify that all s tements on this form are the perty described above, y virtue of a warranty deed recorded in Register of Deeds Office. d J/ /& IGNAT[AtS O LICAW ATE •••a ++ Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. •+ Include with this application: made in the warranty deed a H of the certified survey co ma is PY Y P if reference vox 1514 13 STATE BAR OF WISCONSIN FORM I - 1998 6 �37►1 5 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS Document Number ST. CROIX Co. WI RECEIVED FOR RECORD This Deed, made between EINAR D. HOR NE an RIT M. HORNE 0 5 - 26 - 2000 9:30 AM GRANDCHILDREN TRUST AGREEMENT dated October 14, 1 991 - - -- -- WARRANTY DEED _ - - ` -- EXEMPT M D ONALD E. MORAN — - -- Grantor, CERT COPY FEE: and _ - - -' COPY FEE: -- — — TRANSFER FEE: 157.50 RECORDING FEE: 10.00 — PAGES: I Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix _ County, State of Wisconsin (the ' Property -): Recordlny Area Name and Return Address / Lot 7 Plat of Stageline Ridge in the Town of Hudson, Barry C. Lundeen �+ roix County, iscons n. MUDGE, PORTER, LUNDEEN 6 SEGUIN,S.C. 110 Second Street Post Office Box 469 Hudson, Wisconsin 54016 020- 1090 -30 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except — none, Dated this 24th _ day of May 2000 • c (SEAL) — +"-� — D' Z - SEAL) * EINAR D. HORNE, Trustee of the Einar D. Horne and Rita M. Horne - (SEAL) Grandchildren's Trust Agreement (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, l St. Croix County. JJJ authenticated this _— day of Personally came before me this 24th day of May • 2000 , the above named Einar D. Horne ' TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person w baex�cuted =the Pa egging authorized by §706.06, Wis. Scats.) nstrume nwledge the same d ` THIS INSTRUMENT WAS DRAFTED BY C. ` 8 � N Attorney Barry C. Lundeen �'• 'h MUDGE, PORTER, LUNDEEN 6 SEGUIN, S.0 -- Barry C. Lundeen •. 110 Second Street, Hudson, WI 54016 Notary Public. State of Wisconsin +. My commission i5 permanent. (JgM]ntxlm[OeX'$Xtpc21%pt7c (Signatures may be authenticated or acknowledged. Both are not necessary) ) Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No I - 1998 Wisconsin Legal fr nc ank Co.. i. . MO—kite, Wis. 7Q / b t o 1 ,1 • y E 1 � ty4 • + 't i t. J _ r i ' I ox NN % % Apr ti I 4 �� .� / . . , • , / w � � r � J�• I co SEPTIC o �I w� 1 S I W Z 1 (WEST 200') N88'42`05 "E 1 1 200.33' 0 I o 0 N Z t0 5 ; .^ LA 1.782 ACRES 77,618 SQ FT fi e, s E-4 4 ! E -4 � •— I O 4 p — - - - 00 - o N A w z IRV 1.004 ACRES M w' � , P G I • `• 43,731 SQ FT 2.266 ACRES '� /.�'� 0 98,690 SQ. FT. �. i' }It.� •` I j j � � 1 n •\ n S 87 © E 358.20' � � � C 3 , i 50' 1 33' 133' I� 7 c _._._._._._._.1..�- I 1 1.111 ACRES BENCH MARK 1.107 ACRES �© 0 50 V 48.389 SQ. FT., U.S.G.S. DATUM 192E 48,216 SQ. FT. 1 \ 2 ELEVATION = 963.44 1 . :` TOP OF 1" IRON PIP[ �� N M' 00 125 87, �w ���� SEE DETAIL 1" IRON PIPE FOUN 256.57 O 0 � \�o. - ,. w N 87'27'59" W 382. �,, \ s7o•47 23 w, 0.40 t o o ' COMPU CORNER 44' �� LOT 2 OF C.S.M. --------------------------- - - - - -- cr �" C� 1 0 N88'32'47 "E 04 -a 0" 1 0 ' -F - -� ' � IN V. 13 PG. 371 > _ O-- - - - - -- , S8 8'32 47 "W 417.2 ' ♦ BENCH MARK 1 33 33 U.S.G.S. DATUM 1 (EAST 1249.3') / > , ELEVATION = 33 a, TOP OF 1" IRON 4 I 1 66,/ 1 "T_ TEMPORARY CUL -DE -SAC TO BE REMOVED 1 �Q; ffEIGHTS -------------------- S1/4 CORNER \\ i ESTABLISHED FR MONUMENTS OF SHEET 1 OF 2 SHEETS