HomeMy WebLinkAbout020-1481-09-230^• PRIVATE SEWAGE SYSTEM St, cri
III as ama.e o..q INSPECTION REPORT stencils . 515343
GENERAL INFORMATION (ATTACH TO PERMIT) seat 4,1 xe
Petri Fri i rmnlPm¢ o•(Ira,)
�ReM�Feryusona .r .w. I. TOWN OFHUUSON •• 020-1481-09-230
po�BriID 1 /.51 e..+ 0 e2915 D67H
TANK INFORMATION EEEVATION DATA / 71 /dl Jac /i
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SRIWSK r Rlpau
SYSTEM PLOT PLAN
Name Fe
Prgect ryumn
`"'°
m
ww.o .=i.. eslw
lintu
^•
mi A liverIl,".auie
T l
Autum
Oak
Lane
A
25 t a`F 9Mound Oonm.r Line
w,65.60'GE011 EI=9850'
Ceti
PVC Torre Main
V P1200900MR 0
SepapDoae Tank
a Beemo n
ProposedMOuse Drainage
Well t Easmem
MWE='
Garage,,
Dnaveway � -=
el
/ 9l 2 =94 5
"'CpPY
2
-.v,
,or —
ONSICN OF INDUSTRY SEMI(FS
nearMIDARST OR STEIN
Lane rivals -
has
For 1 2019
CONDITIONALAPPRO\AI.
Conditionally
PLAN APPROVAL LAPIRES 2021-06.0
Plan Reelect FIATS absy(fIr
APPROVED
IOMFSCNMITT
DEPT. OF SAFETY AND PROFESSIONAL
616 units Ave
SERVICES
same,a of 54025
DIVISION OF INDUSTRY SERVICES
RF
REID FERGLSON
1 Autumn Oak lane
_w/1��-
V
ow
Town arlluCSaint
ou
Sat'oumy
NEI4,
NLL<. S W I J P TNN R19U
SEE CORRESPONDENCE
Total Amount: S250 W
FOR
DewnpYm: Foul &dram GEOMAT Maud Syuunl SIopIN Sim
bailout MoundCriticism eal - I daum1,
Immure Dartmoor... Companem Mmual Vn 20,
MID. I OIDGP IN flu I R I as 1J60"
dean m hmlunµ tact, Fmm m irml gMC New
PG W1 S, Mammnaii< required QJ hl %mI fllme
The wbmmal diarrhea •hall Iw Men mrtweJ Im umtmmn¢o with applicable Wisconsin Administrative CWu
WJWtwamul)ntutes The unnali has hen CONDITIONALLY APPROVED TMssyS¢mSmM
envied and leaned ie .. vi wlb N, endunl appalled plan and with my mmi,mra numil
mhni rti Th. owm v donned m hno, 10101 ( 10) W uewm Suw¢a, IS rtryonwbk Nr rmrylam'
"ah all (We marmo u
No Anal• mat mata6a ma xork v plumbin m the w1e about Ireland 10 de, As h5 This orpvmem For a IAs am
The halawny mr.Nuom ar be mat dunnp aomeucoon, m. dbown and Ever to aaopncy or use
Reminders
• A.mur pemmt man be objected from the county wl¢rc his it, ¢u, hwaN or accordance wnh
the
® ThisPmtcmcnlnof&e) effluesuit.
osej1.
• Lure pON?S rcqunes theochreec titian, leI Alter Shell e leaving nmN m tp Manor chamber Ifo n the septic
maninmft ese tbemher manufmdrOlLe prronuretaleisrequired
pump chamber Penndlc
cleaning of these filters yet manufacturer s sp:eJicuuuns n rtquitaJ
• Inapn Ion at the there sewage systole installation n retained Avwyemc156r twoodren shall be
nude with the designated county IPulmvward-hm With the par, awns of Sao. I45.201]Rd(. Wis.
Sim
6 gone or lf cat mrs and th, I errorton and
pnsetela+pcvoun by unnnud ranm.cewtrvcs otmo Department, which may mcludc loved]
mspprons.
Owner Responsibilities
• Max cute euW and ever equrnwinner.
na.sMll II a call this letter OwnersOwnersshall also
receive a copy of the appropwee apnun eatnd maintenance manwl(s) and IN respmsible lrc
enswung that POUTS Is opented and malnnined In Nwidunca with tax elugn NO The uppmsed
mave4ement plan order s SPS 38.351f11
• To the event this wil ab,cr000n system ally urns iierm l pan, mdNnmmns was to mNea
health hazard, the property owner mount follow the .0unip nO plan as descnEed In the approved
plans
• The oww,isrorymsllle for submitting a rmllmenamevmfuuoo repon mwpuble to the comfy for
mmpmm evening propose, province hall be submurwl at mounds apqupnam fur the
em6) martial In the POUTS
In coming thaororo.al nit p,.no. of mthwn ser.,.ea n,emra die nor to mane charge, or addrboaa Nadal
cari mw mumitfrcm vey our nor"MI" As pee ru A nm reww u101 I:Init In 015 e
Emil rehew the dead nl to rcomerbthry aiµ for al , t, n.,lthnguoocan, or comparison
log.......... mine tbmmme,vedoemfy NNO, la me at in, ' Itormi nnml band helnw nr,l de Whe"
on lh
I he oWw Icd addraxee dnall pmnde, copy of III, letter and do, POUTS raminamem plan w the owner and any
omen who art responsible no an mulleuoo, aiscaum or m mumuwe of the POUTS
Gam( M. Sw:w,
Gerard! M Swan
POUTS Plan Rermwer, Orvemn of Indwoy Servma,
I W 81]89-0893 —voa c \ (h08)]g5-9330—fax
prv-. m.
Capital MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
Owner Info
Conditionally
eeldump III19150n4Led W11POund
APPROVED
ONnerI Name Lead Fergown
DEPT. OF SAFETY Al PROFESSIONAL
Dulls Aadll 60 N¢eoias way
SERVICES
,6own w154Ct6
DIVISION OF INDUSTRY SERVICES
Property Inro/41a�tiL✓e^'�
, _Pen. Aameaa o4: AL. n,.Out _,nu
SEE CORRESPONDENCE
Legs DePmL :..
- 29 N n 5 A
Tows^,g
ity St CIO'
Su Waap„Nal wnaperng Cad; r'^aae3
.m Numcer . P x,
dumps, Lsms
arcMID N.mna ._ r _.._
Pull Pares_ _ ..
Index agar
Page and It
Ppe9 Tank Mesa Seams
Page: Dataenay
Page 'a yet Pap
Page Goodman mound oralul
Page 11 Eadn"Inor SPena
Page Lawal and dose dal
Page tg Pmwre Mar specs
one 5 Dot m
Page 3 Mawenence Agteemenl
Page System maintenance Potential
Page4 Waranty dead
Pape) Managamenl and Monaural pan
Page tS CSM
page PUMP MINE eM wee ngdena
nn SCnmet
4unse Numel 333760
Date O'.y04 15
.,.___., _._ .. .... ,...�
f~
APPROVED.awu
SgnalOre ••% 'L
m•. a.
Deaigne, Stamp
al
..sl n. wnuereranraa
gy Systems
vmotal Eamon I 20I1I IN 7)
iuc
SSAw? Pnnewlon 6 a Deng, dl .wnDn
Karl el, s.9A9 mvee and
Pressure aameWon comp,t lManual ye, 20
said 107DEP IN alit F 10112J
oecMal Mono Saw, 1 i'a' Page' A -5
Moand and PM5UMg DISUI len Component D
Inpuama0bnear
H iaD eeoo- eor
a.W
S=Ns;�i
9 Dev9^ai
g 00
nIn
fe 60 mau.mn Lonlew lin<Ee auoo n
xo on Carol, 12i�.o Fac
103 00 �cancer ,se gl Awn age In
I
Sol Car
xW Usual If Dula I Lual Rate gpl
maUM DJ$MbMM
ces
�ro
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010r
ale geagnl
oen3lnai e.
seem
E.... M, lmremen hair oatl Y
m .EM,ana,,r
01N On,a0alan in
2 IN O,a, sryang ifl)
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1
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w
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svn nroe.,a<uo". —
c6on
maacable
Mercer"
37
ManumcNm,lnroamauen
EMu.MFuller lnbrmtlMn
Wake Tank mWIl
Oelloae Calculator
W,00 Drug�
➢ Val
Tank Voull�
W""CRbNr,Pl I" Man'lal
wl/m verma 1u-.a I Dorianxvowrve.
Mound Component Dimensions
650n � it 100h K BBBN
80200,
X F r4 0� to 30h L 'I+BN
0 a00i h l 41h W 2510N
39000 Jfi Dapexioeu R,ea 1241 BO rRI Omel Area nvaeaaie
1000 �gWh) Linear Loaony Rase I 50u h11108 des niee Placement
Moun rose ectlon Vlew
GeoMat Dispersal Area
h B
Shading Key
IO
O51b"ll Cap
IO
40. a`o3
o ,
o Gee ra,
s.v d,laiil. on Gaga 4 fnr IUMder r,aaand Vaemg 11,a1„all
Pr0lec1 nergLISOn4odynnoornMoUnd Page 3of 15
CanHr Connoc4on laural "l gl Oil
or
^ .a»n
________ _ ___ e
a,,,,.... r Gi
An
3l 0:'mscee�mrn
B11,11, spa, 19 esryn rm RIM �go,
Oa arC Va BWTa^u
RIMSon �' iN a03N
r7s n— n Omurinn
lim, rupee
OaoWl W W WYon Cell Ill UNleat
Distribution Call Cms"e[Iwn SnanOsmams
Comoommirt Legend
0 in er>u. more
<.p Enm.pname Lnenl
G,Al a mmM roh approwtl All Ill n M, I" nee mW.n Noll
o¢VOunon ceu Plan msw carom-Trwaa
l gem .ml mw _ L. m e,m
w�au
Feel go"'
In ..... L,a m _.
C
r AM CU
nererrucen
—� sT
o
0
Toll CAP
to > 1nd(f)
l O ASTM C 33 .,ne (D)
"meL
ti O
Mound system Maintenance and Operation Spaclticatlons
Sol," Elk'All 5 Name nn SUN 516Pat6
POwT6 Peeubloe a Name Sl Dlou Dourly SPA ZumuyOltre l more lal SJ]661660
aDnp,Fb^ Penx B^Jv pas MIFF" um Elmo Su• B n
verge •M eod "5 M•umum eo05 ]0 moo
1i 9.Dnc rx cw•uH vW pi M.. a TSs 50 myL
imro cn com Sm sw Mae am FOG 0 mp5
auTvw`J usaimum Fecal conrolm 1oE, nw o6ml
SNM'+. and PIMP'anx
Fflooll Fall
P,mM old Conlau
Par
P e:wu Sole,
as Fryoupolu
al koV Ingo week, 3 ow,
xrl oaane aeeemaa
Omolar, 0 maerva Mee SY^ney Swale'N GMn PRIME nu cow"M tm Maa am 1 2017 avpw m S 05ttwIll M Symrea 5puma Calum Aland eamagvm
eax`or Media r W%tunp hawk,
A' gaol ale Dne Wanda a"1wml e'waunne^n n SPS W ma Mm CWa
T kole of Me Make afeaM aU01qMMka M n a Moo Mono n CiNk Polk
5 7he moklo Emeope aM(IMr Mmurtw anu all w mooed all nlanfked 10 Pukkko all naaen all Mid now Mul
u'n m aD aml
... •o• of wIold 4aGoal
Iowa 5Wew go Tv,
__ •'4E FS M,e eels soon
D
GEGFMT Z am, m.n, b:.a
m.nimwmr ule.al ul044n ut
1 5 Fen
v slam nBus r, Pua.mmenuna
p 6d 15
Mound System Management Plan
Plural to Sol 363N Wn Adm Code
lame,
ablSne Cup,
e104 mIII n20
Sao wa Cr. no sine v.oil Mom a s m�ilaemo. be lot, nM prumi g to eyerz mnrmmu and mnmemrce
Stupid and ,To den me.rSol dSa emmm,e.nrn sus ve Or We ndm cane,,. in, term, are no ones, ranee
ROW
when4 aoaeneao ones �n aamuer Shall Ad seemed or.umdlM sym�or
deyaskrd dm.nr,,,aoeai at enaeind,IZ� mr v doa Or rumhum
slot A Took
The Seat I My eas on mwa. ne pnw
o Ad' Cod, Too npanne What on 11 me eaom ma and on" Ian ma M
Th. P, I I to r In In As overall a a no offamery to or sure Pr�r veto from To@ Oman M mill 60 IF 4 '.1 a
o�Me ad a let, 111
.r
Sees pro�vnA
a to Made I I a as n wide I the lank war M IS Soodeff OF the oil, r .1, 1 'world res, to an dul If I he flat' A OeffI ISO was an Sony we a rnealarm ,a act woof rnwwd,5y me under o rASTo may todr. spec Coffee or ad iriiwMha
Conlin Cod
The Sept A, to r 1 3 bar I I live dew, me, A removed idly, too GOI OF . of SlOg . I . I cu. n the 'Ilk e.A,� 1 3 fit ',old 10 110 11 in'
tank life@ denced, of fire Ork ads up minfed A rho is., of A ini ...... Tom To It ... off effurri shot andwe !lit Other So A
when a@ wal &do offe head, I, ad playmnined to deramer, Ask Ivan day 1,A, pool I'd I do@ aM�OQilcO 0 Its talk
Tie 11101 baa'Nllll .1 'helium "ohrew to ,IwM wal Murformaphon, berwally Pat if Intel d Inch pill
we PW Chad 1,11 by appriced er Sao,, Penn may by the A ... I, , Grapird,mi of (Pulled M
PI my . Took
nepeaan IF line foreamain Too a w:r'rrhalt it
floor, be All
—xd dnvh,W eve, wrs A Via, d,a , task V..amre.,�, w.., m.v be or.,,nthat 'old "I'd w,n
NO 1 tells at I PI SOFT So AS poldned or 11. Mound i may to made a too Do In round . ded I I do .1. 1 F .no und 11 M
Gg&tol Ot iff, a .... a on rho mound IS w, ands, sit, wm�dFh may hinder Saiden 04 the inAitrat,M SJO� darmin they
stmer
rid
rom Me is
Tf u a , an Play on rho moo no POP Sol ran u el Cu 30
Ay:OGrm try cry 00 nl to hardly enea �Oir�"Ard, 0w may all need m.vmu in design w
'he armed u a it or bI ... end I may tied "I n U I Tell on PC It al an, of Italy I I no I IF PId
Plus I ad of �uMu load Sol do D, It a d onto helium ne If Ai cneellry nee dweruled and tlnAp Nmm
ued rd q IS rtemrN m Wants N UT Shall With In
Car, not I I p we will I rho 0.5 1111 be Sh 21L Off wken 10 r afflyn, porous Pon I N Slot '"it he mi fa
xven Rowe a hirer considered so Ad Morandurk nHuwner raw rewerr no adddrare me nnpnm mowwA 'nedwnn all any
c'mion,I, Pigs
It no Sao al arks our Component; w�Mode�Ctife rho talk opcory-Govent &Me I be Mppimd networks LD�pTe Peter i
III, oplargaing Cod Lend
ll
one at mea^meaenEymparg oirweu yo rwy,h e,u gpnmrer Prohibit n
On IS eurnally, basis life, a lure Dodge wouff
more and Posted
ace E fit,, plan
luddit earyuson n and
dne.ni oewrVon fern>onrts eA page 7 or 15
I YJMr
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1C14 DYNAMIC eELDIROW
CFR "IN, rtE
EI I WEW AND CEA'AIERING
I
Model 151 Models 152 153
i
ZAwe L o/Q
WLP1200/800—MR
TANK SPECIFICATIONS
DIRF BOTTOM
COKn s
iwcm cs F�sL Ld,C,,,C w�
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FOR APPROVAL
bP£—ME AFRAID II
IS ANNEF TO NET T ON FrEFIED ASN C-1227 �R0.m[RERLs _ M1 �.
SVS PLOT PLAN
Protect Name Ferguson
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MIS iI PRESSURE FILTER INSTALLATION B SERVILE INSTRUCTIONS
FILTER
INSTALLATION
VJnen m5 a Ong an STF-1C0 ¢ eve filtermlo Thkall pan of any pump Anal net a 3' Nalawal Finer Thad PUMPS w,ln
addmailer orscnade Pon may pa a laptead min N on rrrcnu,ng an STF-I WAS a tnb,ece Lord male Mal win mane to Ad
ed to the ,met end m are filter lend c Sib of up, to the Ol negnl one a r union we need to 0e arcane to The
cap 6 on the$q of la PLOT, Awi all the Attars an Air where inky Son to
coy se",eden nmg threads 10 sapid close heading- l force main into the 2 on 90
PVC no, 'We recommend hat Lhe ump1, more m together a✓rag g4mg to inwn the' glve m cleaner Oaks fiat rmn Onng
or sea mg sWacs
SERVICE
dery of Aloe Oepenoe ogee very caste rmaue For ISyste
st^9 the SON, all a feast yea, bodement the acamry servru nlenals br the lgeral high voile Sptwn
rtO insC t,u warm Me first 6 Tribunal to tebmmM necesary wr mlervan lq Me Mier On[etneanr
rSenaPbrmmM m seaWb de conenbnl cotes win, Site ITS"FornAa W, m,ped Oa BMr wean for
e,c"n, I eorinno5m, ana rey9ufn«sari lour sTF ITS "Foal ann[nfin peen msm4d.nd asp>IM
talpent' tweal Theramen cards, Ip SO urvu ill Laud ixler'4 aIx, Iran runes u,bdc pumlrngke tan SroK
and K 190 min Too aMnpmea SON cash Male fouler' any one olourMwnernler,Ommsc
n vial' r5C 19g mrvpn and 1e0 m.cronr Pay. you rxi, neaAn aepammenl Iw aepl¢ ryelwn arvcmp recdmmmdeanna
ale c,ogge, hefwe Me paned[ pumpingeUx,OrrL a nqh lean Mal or lgni we Manila the mean
Or RNce If ste IS Uu dwith a pump on fit Mat slays on all Man normal Mrs a all may iMub a neMm
sery ce Yearhy Q lrllw So,", ,sense ap PUT lrl WM p4Moroughly^ Y,W,Qte
wr polecuoc c In wit" cases an wI,Oal fine No", a995xs aulwfvu ales "g Me arty file' MM
ocatprex n, pro +Cp we Mal or piano mW 'Sfllle and, c as easy wMx0onmdvt NeePft OMnawon OMO
rv(tmu wen par Mecep rtrmvup OrICe Me M1IM �5 nAeYMmIms 4erYamsmlexna9lWblempertllve
whatmm,"xq The LosswAf rKKW 8 a Xlb rynofem
n Russ la
w cpeawilnarn, AMatiappMtar,eamal l ee hlterpa rl emiea m<esyurlwa 9eorco"m
SO I The bases a eget dealt drain v
NOTE -heemtir dynamic been Loss of lee system munl[e ncreasea by 05line l of head to ovewme lrlciq, lass through
e 'Per
ISERVICE ALARM SWITCH
The a who Switch
o eaulable m ITee Sheol ranged IT head mpdum head, and high Maa InSbinlwn Is simple on
SnM ECH FIR ERsysterw remove Slug fmm pate of filter chy , and Conrad juice M1turg Next runrhe tube UP Into
the OFF riwr and connect to SON ee alarm So UP The San, Syl IS deemed to led SNe of the "off She this Made Slap
PowRun araem wire to a�n, taps The Servue Harm swum off UP w,rce wants Own ale,, or wan The fig we
ne
101,
aN rno lee and plug and i,mb,ng the lion Oder C Ccewru lnuka5k5 PIMUfe One
e abrvLnatelf mace oT hemp
vial ange, to
Ps aalmm ,,'on box M. laheadiar SPsl One„ opn.ry limb aarv.daer.
ange ra M 15 PSI l w ea halt dame anon usng en dada swam you naro,nafnlea
nehfiina A...Ir n5wrrn m arrveht pea u.m5.e ohm ahmwmt npfuasaa fine sp fee: An pan inn. Sere mP al.fm
awMr. n,wnrag _d dopy
-TRY OUR UOISCREC N REMOVAL s4RENCN Our wPern holds finer ua firmly and hooks screw for easy rempvL and
nLellaupn Made or PVC basic
WARRANT
A product, are bearramed against select[,, mei and w remanshtn Me a Mndd of TWO years from the Sam of purchase
Shall GAG SIM TCCH FILTER INC be Ingle for as conseLfil damay5 ATWL any Amabnal freight Cr
rownsn no eh rcrecrm red to replace correct or reinstallStmyu he mol GUI SWITCH FILTER INCNC a nlimited loheparor
eplacement Of the pan All warranties arevo,d, the pW ucl ha[ Caen impropedifed including applied or e wa !ailed SDAudlecba to
radnse LIOP a55laa a eaatethem are now. eedUrms lmmod
nemhantamtp haa or eelly Ohalness br a specific Purpo.--gthe3zgos
se
ST. CROI%COUNTY
SN'TIC TANK MAW! I NAN(t AGUEMCN I
AND
OWNF.RMHIP(RRTIFN ATION FARM
(,,,,,cr,Dnyer Reid Ferguson
MUImp Addr, ,150 Nicholas Way, Hudson, WI 54016
PInI<II, ,aaI1075 Autumn Oak Lane V"E"X` MIMI AM Y mb'd m 2on:fg tAXA 1.n on:wrunal)
cI(ysln„Hudson, Wl Pmcd ldendncamm Number 020-1481-09-230
LIEGAL DESCRIPTION
Pnnpmy In Moon NE r. SW x.S" 7'1 29NR 19%. Town,,, Hudson
Plnl. Whispering Oaks Phase 3 1"1023
Cerlmed Surrey Man x _._ volune< Pxge x_-_. ._
Warned, Deeds (kiore]dp7)Vollm)a Ingex
1 1111,,dwlnbabdeyno",
SY \ I F:M MAIN 14.NAtl('1: ANTI UNNf.N (FRTIFI(ATIOS'
I ... by Am, nl Prv. "rot Ad I,peed,'¢f, mm.wua wwm" IMAC,
nmPwo INm rw:),nnrI=yom d. nna olIgn I. rnrr rw nn
tht')" anus n: nu, rvm.roR vw•.rWn v.gCrndg» mn.rmu.L.
nemlanmrbue..n,p<LIIIaip ysv. Iu exlnene Ln n.w..- - ...)>mlLn
Tk P,rPn)..,XI agmt,o 111, NA k MIX
u.my Plawrmge zunrng FAmol'AN" s.rnLEunln bury rlxwl by be
MAW µ and by a'Ama' P,... exrrlaNe n4 AA wuelwenMI poem) vmrrmydur(I)Jrn mwle
VALI Ia)n PIVI)upenuw nM'Into And[ vrn eM wyMlnn and PuAwyd(rlme.uryl. IM mwm:Wn
less MCA l 11, 1,4,1AII.
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. lord. name hrt uIn Id, 141mnL^IIndAno Pm nSrvw an rd And Denton IvfNunl Rca
edW snJl+w wg llrn'wa[gIc mew aw.-0 AM, br not aM nrvmN In In, II( MIX
Counry nnAb&7,, KNoru m, Leon In doss o Ad, d.n)nrcy:Inl w, AM,
I'xew 0,lr the al nmm " are uioe m' ow gwwlMR LwmMan be om no')nr CIA
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Number of bed
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SOILSOILTEST
Project Name. Ferguson
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1081666
_Iva 31 oF%heovan imm ll xv l
REGISTER OF DEEDS
LAND CON)RALT
Ed. CROM cc, six
han lady For OTH posereso as TFIVICT old
RECEIVED FOR
as/la/lolaas uses
CONT➢ot Far no heled, NOT xold,nas IC
"
C'Vanam.-.M1 wee 1
REC FEE
and Ra,a e a 1py _
¢e
TRANS] so
PAGES 4
_ ejabodgel ohama snow molly
rso
Vanilla sods and Notes In Penney to Plvnaaal.. upon the Prmnpr Pere na1
verifies, thatdomme lxh.
unlkally
pvn em rodo, c m Iby aleforv. Go rm101119,aal ea ale. tonnes
"Plabir
eco
wllb tiro s, FAIR,, Oda and obb appun Ill
a enumee m CIA mom
St County, sure or Oneonta/
Lot 23 Whispering Oaks - Phase III, Ton, Of
Hudson, croix county, Wisconsin.
- -
N_ VAG
_Lend
Inc.
Title_
2200 W. Cwnty Rd. C, Ste 2205
Roseville, NN 55113
020-1461-09-230
Mo(EN
LAN Is not nwndeledpmpwly
(19)0a no0
The _1= a Can OF ntwley an MIMI
PA(AAd)
nsta¢nguan to pm jayedn, Prepnry antl to lady to V uldoa at 10P
Anthony Oak In LET 23
the .in of19 4 A 05 A in the 6lnival duns
(by At 00 It the "godiwl ul dln("Alma, Poor
(N Hein Ou oft 94. mgnlM1vmvr Mvmfimn die debbereolon lM1elwunu
ending fiom owem ntRe nm or_Into 90 Rt awmio omtl And ml611 as lolloµs
Pleasant Ifown
966w4 0 Weaon
day of dwo until they pill when all outatend,nq p sepal shall Ce
pttMed rile done wumncng balaaa their be land lnlutl N abnLmc own 15, dial ('Memory
Ton, )Pnyi 6Jmll bca.Ip Id Np munemt an the wpam Orion at rle malealfinnIdde, allyel l
OPTIONS IPN OYI19[1f5CNO OMIONA SLAJ2AIP
Q A Any"OLI",oaybepeepamwl0potpmniwnm laapoa Prvrupmaagrtme
❑ B Ally amoaal may ba Blood onthonl pwmm'li 111 lccapon p^^aMlai uiy An a Oft"
❑ C Thcm wry danoprtpaYme ml pmcpalmlM1wl Waited mixranaNendae
St Grow Co,ntI 108 1666 Page 1 of
1p
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