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020-1353-05-000
' 1* Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division gt. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitacr, u►3i�No.: Personal information you provice may be used for secondary purposes [Privacy Law, 15.04 (1)(m)]. SioS �� II Ef Keron Name: I ❑ City ❑ l S6 1'8v4inshi State Plan ID No.: CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel N uzu 1 -05 -000 /dc /d - 4 di T pa <,c TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic vVCP, ( � & 6 _ Benchmark .CKift /'O1) M /6U Wising Alt. BM i / p 9 tPi Aeration Bldg. Sewer ?.?C— q/, (a H • • ing 9/ Ht Inlet 9.3 9 9D. “ TANK SETBACK INFORMATION j/ Ht Outlet 7. 9?0.5/ TANK TO P/ L WELL BLDG. Ve 9#-n1et Air Intake ntto ROAD Septic >y-' > /r7a/ -1--4(z' NA . Ile ' • • NA Header / Man. ---- Aeration A Dist. Pipe /6 / 9a, 0Y Holding Bot. System // 3; ,<P-70 0 PUMP / SIPHON INFORMATION Final Grade X ; _ =-yam i0 IS 95 ,s■ .• _a Manufacturer Demand t Cover Model Number •M TDH IJ ` Friction em TDH • _ Loss ea Forcemain ( Length I Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/ �REIN��1 Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSF6'NS 1 ,(3 . 5 / DIMENSIONS SETBACK SYSTEM TO P/ L BLDG WELL LAKE / STREAM L L HING M 5u INFORMATION T peOf ketN umber: System: („b Z0 - x( a04,.i el ,i DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length /1/4 Dia. 4/4- Length ] 3 7 ,S Spacing 4/4 / > S7 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 ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etcJ Inspection #1: 4 / /a. /o/ Inspection #2: / / Location: 851 Wilcoxson Lane, Hudson, WI 54016 (NW 1/4 SE 1/4 36 T29N R19W) - 3629192005 Cottonwood Ridge -Lot 5 ______711\ X61 1 iew6e i> ,decl .4 i n s4 // l • 7 � 1.) Alt BM Description = 4/ /►•daw s,/ / spy vtJ 2.) Bldg sewer length =may r 6aGawse s { ( /'n..`�c� 1// <e ( Coe,,ctii; - amount of cover = >S' 1,j A,: v) p 0 0(4, /✓ 4,114 p� d C / �on 3) 6d 5 f P »p( c /t/t 1 _ Phan rev s�o"n4squitar fa Yes No Use other side for additional information. SBD - 6710 (R.3197) Date Inspector's Signature Cert No IL 0 s t) '( t P 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 V Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)] state owned.) Attach complete plans (to the county copy only) for the qt on paper not less than 8 -1/2 x 11 inches in size. County /� State Sanitary Pe it Number 13 ck yr i n o )revious application State Plan I. D. Number L Application Information - Please Print all Informatio ., y Location: Property r Name �. ( nr pc - a , P, t7 Locati n . - .4.)e„c) ,/ /J-c. 4/4, 41..2 9 R /e(orL `�"-'` i " p NNN Pro erty Owner's Mailing Address r Lot Number B16ck umber g y g .S .- 1 /), /c,),'-CdrAl .1.. , Y Cit S Zip Code \ Pho�,g � !t . i Subdivision Name or CSM Number yy j _ II. ype of Building: (check one) City did 1 or 2 Family Dwelling - No. of Bedrooms : ,_.3 " `` " "` ❑ Village ❑ Public/Commercial (describe use):_ Town of ❑ State - Owned , j - ',evJ ��/� Nearest oaadd ► (_Z) 3 I K. ( 0 • ` ' r - -Q c.-0-0 -C Parcel Tax 8 r(s) 1 3 S3' OS_ 07.0 III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) 3 C. • a q • i q , cR 0 4 5 A) 1. jia New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System B) I Permit Number I Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ,$I Non - pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: ✓_4227 `0 plc ,ej. 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Galsidaylsq. i) (Min. /inch) Elevation 1:3�r 3 --- 377. in - /. —7 .... / g, // VVI1I. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ,. ❑ ❑ ❑ ❑ - iti.49 — .04 if Al --- _ l ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume responsibility for install. ion of the POWTS shown on the attached plans. Plumber's ■ e ,rint) Plumb - s Si:. : (n. mitt!, . / / MP/MPRS No. Business Phone Number / i - ,, 7 z; / Plumber's Address (Street, City, S te, Zip Code) / ,_, 4 ,s IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) A Approved 0 Owner Given Initial Adverse Surch ge Fee) 07 , .� ka � � .// n � Determination 2_ZS. 1 O 1 2oo 1 mi l , X. Conditions of Ap row)) /Reasons for Disapproval: � { � - n `e- S Ste...,., •5 i a-edC a- .- -13t�t»%4 nA,S i OI eNC . t vtc..t eLa_s- . .� -,- I et c ° S S -� A.i 0.tQN S .ti2S�lT..4..4 vN6«- (i0 -stCe S 51 'r^iO� ,, w .a. s c - b e - eeM c t (+1, ' , C cPaILL ■ SBD -6398 (R. 07/00) - ee'l a 6. 0 . 1 ' -/- .../ArCASEW , . .1/2 . 4 0...5 MA ) . M , I , ,Z .- ,_.5 a /Z - ""Ill. " l - / .era ■ .. ,' _ ' _ _ i , 4161Pkit jdee/ eiJ;Vdsi ' \ p / i leaJA �.o e � is e --e f � 8 rs as ' V 4 I 1 61 1 '' /9 f \5 . L_ sr j - / I <5;;,-/ s." Ks�.rrl i 1-s- 99 Ah Sok,0,Ke 3 1 il !s/ / _ ' e ` ,�, �- y /off %/,� ∎1/. - d/iJ,W --Ted 3d 7 ?9A/ 'J 9ti) --- eidoe94), d iii g� Al! T ,...5.el --.41 - t t_ i _, / 8n ell.""acw //me i of 7 Jrld,s-it' /1 Skek / - m C /ce. ft-.. 4✓ o f % / osf ,.r -rr ' i ti a, 41,-.44-4 , Q 9Q8 / 4 • derlRiatv 4iiik l lor hi�e eb - e as t '"s'" 3 X68,7S V 4 1 pp /f S -p '' 'i ' .:1 / 4/ sr' ti 1 �4 \ 1-s 9 9 /11 S4e,,newe 3 iii /. e� - , ./:)- • Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code / County Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must 7� /V include. but not limited to: vertical and horizontal reference point (BM), direction and Parcel ID. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all Information. r iewed by , �, Personal information you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). ^,� t�H�nw,� . 1 0 1 [.tOf Property Property Location "` 111 ___ ;,e /DPI/ .49 - r Govt. Lot e �- J 1/4 1/4 S 4" T 9 N R /9 E (or)6 Propeerrttyy Owner's Mailing Address r Lot # Block Subd. Na m ee or CSM# . City SMe Zip Code Phone Number ❑ City RAllage Town Nearest Road 4/115'...)A) 1 k l I S %/d I (72 ) j 77 5 - _1- /1 ,r/ al New Construction Use: ► Residential / Number of bedrooms Code derived design flow rate / GPD ❑ Replacement ❑ Public or commercial - Describe: - • Parent material 4-AJ.¢i Flood Plain elevation if applicable ./YI ft. General comments . and recommendations:, — s�..s.2`4� �-z 8 / Boring # ❑ Boring • ® Pit Ground surface elev. 94 li ft. Depth to limiting factor > /...5 in. I Soil Application Rate Horizon Depth Dominant Col • Redox Description Texture Structure Consistence Boundary Roots • GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 S 9 ., ..N AIIMIIIMMIMINFAMMIR • INEMIM � 11.11 iii i • I /11 A 4 , sq. f° . 82.31 2 '1. 3 # ❑ Boring , / r> /_ ® P Ground surface elev. ,9i, 7 ft. Depth to limiting facto FS in. _ (Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in.. ,/ Munsell / Qu. Sz. � (. Color Gr. Sz. S / h. /) •Eff#1 •Eff#2 ,,,.7 ._.v./- z.5--A-d/ ,ci _v./id - �s1 .m,,1 , as.) /,-1 , : . 9 hin tedx j 2.--)e2,;,,) ._ S7' V 1 2 1 ■ c • Effluent #1 = BO n 6 > 30 < 220 mgfL and TSS >301 150 mgA- • E i ,. • = BOD_ < mglL and TSS <_ 30 mgIL CST Name (Please / Signature / / , / S CST Number Address • : to Evaluation Conducted Telephone Number �1 , V E (" e:pi 6 1 -- 5 / /) /e, . TY--23 iP/ 7/5" 7,s3"--,..? 1/5— 7 Property Owner Parcel ID # Page 12 Boring # ❑ Boring ❑ Pit Ground surface elev. /, ft. Depth to limiting factor >7.3 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz Color Gr. Sz. Sh. •Eff#1 •Eff#2 / e9 - mob ./O y�3 - ../f/A / �J ' 5 L , s , 9 4,�4 � �- ,.� g k) - ■ 9 i� 411 - , .S' , g Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. • Munsell Qu. Sz Cont Color Gr. Sz. Sh. •Eff#1 'Eff#2 • • • Effluent #1 = BOD > 30 < 220 mg&L and TSS >30 < 150 mglL • Effluent #2 = BOD < 30 and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SEID4330tR.eo0t • '‘' X6 i-L.:50,i A/449,seu) _ l, a/ i T -7L eht,bv e t,/ --- -..__, • Jr .- ------, 9‘ / ii-A/b0S<A), /a/ ./. - /-, 0 - C ) . • • A(f) / 7 74 ,c o f . . , i 4 '----:' / ,esme,'...y's , ,. , I = - 7D / . -scdi , . , . „ , , . •.. i / *97 ,_ / , ; t .0 i 1 n ' I F,• 1 1 1 I 1 / 1-- tir._ • i 1 I/ I I 1 : 3 , 1 , 1 1 1 I 1 I 1 .2 —Is /507 I f 3 1 . .4- --:—/ i : , / • 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 3;3,1( Number of Bedrooms Design Flow - Peak (gpd)'a Estimated Flow - Average (gpd) `iQb Septic Tank Capacity (gal) 1 " 40 Soil Absorption Component Size (ft ?j > T" _ -� e r >` W Type of Wastewater DOtnestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component m Design Flow - Peak (gpd) \ tJc) 31-7-41- - a ?At. s .. t � Maximum Influent Particle Size (in) 3 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 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 septi t nd outlet filter shall be assessed at least once every 3 years by inspection. Th outlet filte 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. 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 • 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 intrusion into the component may component should be avoided since root p y obstruct wastewater flow. 3 09126/2000 10:40 7152473039 BELISLE EXCAVATING I YAtat ett ST CROIX COUNTY • SEPTIC "TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer _ % r�rr�✓ // 9' Mailing Address ' 4 -i[4- 2G� fl -ftt" _ Property Address i r�• A ,rya• (Verification required from Planning Department for new construction) _ City /State /45-4,td <-'/' Parcel Identification Number e) 20 /?`S -Or- c 0 0 LEGAL DE5mPTION Property Location S_`✓ V., A4 tV., Sec, � , T N - 1 W, Town of 45 .5 P Y / Subdivision ©Ta 'Ic.ev4 Z3 , Lot # _ Certified Survey Map # , Volume , Page # Warranty Deed # ‘2frre Volume _ 1- Page # 7 Spec house 0 yes, Lot lines idcntifiabll es GI no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result u 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 ceniftcation 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 anitfor (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 1 /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. Centfication stating that y s a tic system has-been ntatrt4 d must be completed and retumed to the St, Croix County Zoning Office within 30 days of t I. r Kaftan date. joilo 04 / 412/ .bW SION , ' 0 ' APPLICANT DATE OWNER CERTIFICA'T'ION 1 (we) ce y that all statements on ihts form are true to the best of my (our) knowledge, 1 (we) am (are) the owner(s) of the props. • c , 7. Qvc, virtue of a �•arrenty deed recorded in Register of Deeds Office. A op '� ay ow !a/ SIGN, RE OF APPLICANT DATE ••• *•• Any information that is mts- represented may result to the sanitary permit being revoked by the Zoning Department. •• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Wiscoris'n Department of Commerce Division of Safety and Buildings SOIL AND SITE EVALUATION Page of 3 Burear�of Integratad-Servi in accordance{r , 3.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size Plar , rust County include, but not limited to: vertical and horizontal reference point (BM), dirpetion apd,. A S + . 0— rU t' x percent slope, scale or dimensions, north arrow, and locatio .and distanc ,� ', . Parcel I.D. # APPLICANT INFORMATION - Please print alt,infermation. r `°y /44 Re ed by Date Personal information you provide may be used for secondary purpose�g`(Pn s vacy Law, ,4 t�,'(,j) (m)). 1l ��? 0j /7 G CM Property l Y ft .rvr� �r��ty Kip at Pro Owner ` � ' pp 1 iGk _ e,rot s4c L) - , Govt. \ L t\ ( , J 1 /4 /4,S 36 T zq ,N,R j q E (or)e Property Owner's Mailing Address f . ' Ldt # Block# Subd. Name or CSM# 135'3 tA- w c,.-(-v k.e +-r 5 Co N c.,jodd 12 c -e. City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Ro al e a Son Iw( ISY° I -6>3( Nu azo n 1 ® New Construction Use: rii Residential / Number of bedrooms 3-y Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 6;00 gpd Recommended design loading rate _, bed, gpd /ft • Co trench, gpd /ft Absorption area required _/ -00 bed, ft /0o0 trench, ft 2 Maximum design loading rate • ..5 bed, gpd /ft • 6 trench, gpd /ft Recommended infiltration surface elevation(s) /01 • /0 ft (as referred to site plan benchmark) Additional design /site considerations (ort- {-bur e lck) . /00.10 I , Parent material i -la._ rt... ( 0 (J-{ (.vG, s l•-. Flood plain elevation, if applicable ti 14 ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system r i s Il U ),�� s ❑ U Es ®U ❑ s Z U ❑ s r,"1 u ❑ S © U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 1 1 0-16 10yr° 3/z S; ( Altai:, r►1-'r G S /4' •.S a Z r&-zq toy try /6 _ S t ( .9rn.u.bk m4 r c - ,.3 -6 Ground et 3N 10y r S/3 c z.p 7syr 5 - 3 m66k 41 v-Ci c- - rup /tip elev. /off .Oft. Depth to - limiting ' factor . i in. ' Remarks: Boring # I d /y My (.3/z- — 5,' I p1' ma 6k -f^r' (' .5 1 -C •.5 i - 6 iy3‘, Ioy /6 — .5, ( arngbit m-c'r- C-S - rr n 3 3(o -Yo ►a /� . czp 7s /6 SL ,...7.51„< v►'f C` — r . ,,e l o Ground elev. I0O.1 ' Depth to limiting factor 3 to in. Remarks: CST Name (Please Print) Signature Telephone No. !.,I c4... A A . _ e- / � - --1 V / 00 S Address Date CST Number 4 r S?`- . So wt.9..r~ -s * w 1 ,..5 a S 4/-,5 9? .,•/S"3 3 O ct {� SOIL DESCRIPTION REPORT � PROPERTY OWNER � � ' v ( - I f - Page Z of PARCEL I.D.# Boris # Horizon D Dominant Color Mottles Structure G D /ft 2 g Texture Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-1z loyr3 /z -- 51'1 ,mabk tvt C S l-c •S' : • (o /Oy r 4" / sit ;ermk,K 1 r C 5 • .S� Csi Ground 3 .Y IOY(5 /8 CZe75'yr,516 5 3,n,56k oV$ CS - ,Gyi 'vP elev. t• Depth to limiting factor 3(o in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # k. Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) t. 3 '43 . Sc 1 "= 60 1 3,1,\I -Tap z." p p..pc etev. 100.0 13 rY Z- . ele 1" 2 PIP2 Sw I.- uteori.w �� R .RD 5 Ce ✓• 101.10 Ccion.twr ' Q • 100 w J \ E a2 4 � • L__ • • • 63 So r4-K ,p O` V''' ...� PAGE 410 �D ■ I1 STATE BAR OF WISCONSIN FORM 2 - 1998 !I , i • 11 WARRANTY DEED I; KATHLEEN H. WALSH REGISTER OF DEEDS j 'i ST CROIX CO WI Document Number i j 9 ii ii 1) RECEIVED FOR RECORD This Deed, made between RTCHARf 0 _ STOUT )! 08- 15-2000 11:15 All i! JANET P. STOUT, husband and wife, i 11 ti WARRANTY DEED , Grantor EXEMPT # I CERT COPY FEE: I! and . _ r ■ • ■ _ tt 0 ► ■ II e • : — : e r COPY FEE: husband and wife, TRANSFER FEE: 118.80 j i, RECORDING FEE: 10.00 PAGES: 1 , Grantee. `I Grantor, for a valuable consideration, conveys and warrants to Grantee the following II ij described real estate in St. Croix County, State of Wisconsin: I Lot 5, Plat of Cottonwood Ridge, Town of i�et<.. ,} Area it II 11 Name and Return Address 11 Hudson, St. Croix County, Wisconsin. 11 I I t i I I I 40 6°` L)` S'40r47 II 020- 1353 -05 -000 ii Parcel Identification Number (PIN) j1 1 ; This iS riOthomestead property. 11 (is) (is not) I� I' !i !I [j ! i t II iI ; ;) 1 I! li 1 II i • fl If il ff E to warranties: e asements, restrictions, rights -of -way and covenants i of record. I • Dated this 3! day of July 2000 ` I ��1 (SEAL) ,� "" ?,,''" (SEAL) ii '3 Richard O. Stout * Janet P. Stout 1 l i (SEAL) (SEAL) ;i * * AUTHENTICATION ACKNOWLEDGMENT il I Signature(s) II State of Wisconsin, I i: } ss. !• St. Croix County. Il authenticated this day of Personally came before me this 3 ' day of II July 2 0 0 0 the above named ii ` Richard O. St nt and Janet 1; I P. Stout i } * ; 1i TITLE: MEMBER STATE BAR OF WISCONSIN to `I (If not, me known to be the 4 ets bi got-it P�_tecuted the foregoing ) I', authorized by §706.06, Wis. Stats.) instrumen d a K1 lagetFe WISCONSIN KERNON J. BAS if THIS INSTRUMENT WAS DRAFTED BY r — ...0 I . 11 Janet P. Stout ., 1 /PM' /� 1 1353 Awatukee Tr. Hudson, WI 540,1 6 Notary 'ublic, State of 'i onsin My .mmissio s gee anent. (If not, state expir tion te: I I (Signatures may be authenticated or acknowledged Both are not ) I necessary.) I' I. * Names of persons signing in any capacity must be typed or printed below their signature. 1 STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. WARRANTY DEED FORM No. 2 - 1998 Milwaukee, Wis. 1 .' 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