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HomeMy WebLinkAbout026-1133-15-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430504 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Halle Builders Inc. Richmond Township 026- 1133 -15 -000 CST BM Elev: Insp. BM Elev: BM Descri pti / 7 Section/Town /Range /Map No: 106 �P f� l•�.``GS' — 06.30.18.928 TANK INFORMATION ELEVATION DATA ��- TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark /y AVh *7 Z Dosing _ Alt. BM Aeration Bldg. Sewer r® �. v Holding St/H Inlet -7 TANK SETBACK INFORMATION St/Ht—O TANK TO F: WE BLDG. Vent to Air Intake ROAD D Gt7 Septic / Dt Bottom Dosing Header /Man J Aeration Dist. Pipe 7✓ ofr. �i fir . D ?- Holding Bot. Syste .oI— PUMP /SIPHON INFORMATION FinafG^rad Manufacturer Demand St Cover GPM Z 7 1 V elr�ki 7 S /0 Model N ber didLC D . U2. Z3 DH Lift ction Loss System Head TDH Ft D s� �� S _ b Force � Length Dist. to well SOIL ABSORPTION SYSTEM /2 4 / 2 4-- BED/TRENCH Width Length No. Of Trens PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/ BLDG WEL LAKE /STREA CCHAMBEYIR Manufacturer: INFORMATION Typ Of System: n � � /' G X J Model Number: DIS SYSTEM � HeaddeNMayiifol Distribution - /.i t x Hole Size x Hole S Leng g Vent to Air ,Intake �, � PP Pi Pipe(s) �apl� ,e/GQ p�UAb�u th Dia L ength Dia � � S -" SOIL COVER x P ssure Systems my xx Mound Or At - Grade Systems Only j--s- -f Depth Over Depth Over xx Depth of xx Seeded /Sodded Mulched Bed/Trench a ter Bed/Trench Edges Topsoil _ Yes 7�N,7 ; j Yes "1 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: - /a/ h Inspection #2: Location: 915 172nd Avenue New Richmond, WI 54017 (SW 1/4 SW 1/4 6 T30N R18W) Pine V Iley Lot 15 Parcel No: 06.30.18.928 1.) Alt BM Description = �U^ � �"t' ��� ✓�C��/ FU 2.) Bldg sewer length = 2 1 - amount of cover = > 3 1 9* X!�%rf7/� Plan revision Required? [ j Yes No J �� Use other side for additional information. --- -_ —L -O - -- - - -- -. _ ��'! --- - - -_ -- - -� _ -- - - -�. - __- $ ate 2 �� ins ctor' nature �e�t < N o . d SBD -6710 (R.3/97) `/!/ 00/:22/2003 MON 09942 PLY 71.5 485 92 46 4 FOLK COYTNTY WJ O02 _ . w ftfety and BulldlogQ 1'livislop. C.iwi►ty __ ' :1:011 W. washiq$on Ave., P.O.-B& 7082 11VIsi'oonshi �C eti M'aclirlran, WI $370 - 7082' n 8;16rtrne qt.0f comm Cl I� SmifiaiY Permit App FCEIV � " .T' lu aecot+c! with COIDUt 53 -2 F, wis_ Adm Code, persatati ' pruvltle L7.t e may tae used f sr s Fri Law T. Appli' 1(4u Ltfarmattioa .. T'leai a PMint' A eartzrer", suit Plan LF7 Mttmber Ptvpcxt"y +jean Nadae - - — �`CRdIX CCUNTY 'lyiripT Nttutiter i e! 1 ZONING OFFICE " It 33 2$ Prop¢rty owmes MatlingWan 3� `(/ City. Stmt ZIP fade Pltana ..Nufobw =U rift� BIW* Nta dw t Z- TYPE dfBaUdtag (Chwk Wi tbat apply.) CI I or 2 Fsun[[y Ctw ol&* _ N=WY onk4roolm = S f0 U 1?sdalic1trouutwruitt{ - Ae36s e _ - �Vill:tign rl 340 Owned C \ _.. t ! o J A� h� IR. Y'yiw of txvuft: Cheek only one 1 ax tan Bm A. NuiW Ang to f r $tteCl W oats.) fCotupl !Site R, If App cable.) t,w ......,.,`_ 3Li JbPl2rxmetst o<' 6 Q AMdoa m __ _ meat Z d ltCpt oacnt Siyamrn Ira r'uuttty owe Tatttic C?tiLX..,. ..� n 6 stem - __�-- .. ...._._.._..... ....._........�.. --. B• 13Cbeak if Sxn1Wy Nradt Previously issued Potvnit Nambcr ^ _ Date Issued IV. Typo�5yetepot: (heck all 0 at apply Number 3rtlg 1>f 1ur imtxtrukd u w) 44 1 'on 4ressurkad Ttt-IWMMd 2 i [! Mound 4'f ❑ $and filter 5D Q Cm=uwbd Wet[aad R 22 0 lstx ewt7ssedlh- Ground 41 Q Holding Unk 4813 SUWo luxe Si 0 MIP LIM 4513 AtK3rak 46 ©Aerobia'I1e LTiut Oil 30 0 09mr /'lcraai�a AreasitF ormuiian: _ _ - __ Design How (WO lXsparsw Dispersal arras Soil Appileatlon PeucolalouItatn 5pstem 1laysdon lttnl l� Requir«t Pro xtsetl 17ata(C3ala, ays /Sr pt) (Mlu ll2010 131evt son A la _ �_ r-- 9 1 7, G Tsmis YaPu rlty w� Total Numixsr riTnnuE�cwuet T!rcfab Sias Sfee! mw PIABtic C tltclgs Gailot>a of "t'auics cotwtaie Corwtauow blues tVaw llxta[dtig T T .� ooca "7 �.....__�_..�......_ Doti VIL #96p 1V1b1U0 Statement 4 the ttnderel ed, =moo r4upw!y - for ioaAnitetl Uf tlxa PC WES altuwn on no at'turl" pbmg. -- J Fluroba's N me {Pr1n1) p 's 8ibmafive m� _ � i3uslnass Pt�ae Nwnlarx -OP kxt tem Ity. tale, 'Zip Code ) me ax a oe Uwapprovcd Seultary isatwtt Agpro pGa ( es Q3 opxldvrstTer $ Xspra Tst;utx! )rss gout Slgoagtra (1+' r gtanopa) vet! Q Uwner ti[vNU lultiul A,rJv4tse - ` y S- 2$ Pexa _ � � W W IX. Couditioas oFApprow d/R08tartsi for bisapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. `" ' 2. 7 d' Setbad.1 rt;Cit1 aaTy or dee4atupaw, gaper Ixtd lase thaa�x ' ur `" -- M as per applicable conances. $Bb -6398 (R. OV01 ) 7 9w La 7 /5 �/d / �H ry �D• h'1 'r•�►'� to I Lin -F ' Z A ,O 1 � mow_ /37 ? �y t co /G7 ,p x"30 Ae /f -rwl l --y©, 37 77. U � 7 ' 9 l a OG Pfd 6 o /'.in ` &I nl 107 Lino ti I�1 1 3 - 2 2 ti Wisconsiii Department of Commerce SOIL EVALUATI.OIV REPORT Page / of Division of Safe and Buildings tY - in accordance with Comm 85, Wis. Adm. Code unty Attach complete site plan on paper not less than 8 1/2 x 11 inches rr>�t in size. Plan tr o S + , CCOI X include, but not limited to: vertical and horizontal reference poiytt (BM), direct)4 gild. -p el I.D. i� percent slope, scale or dimensions, north arrow, and location and distance to nearr its d. a rt f Yf 9 ��� ` " Please print all information; e y Date . � �' � Personal information you provide maybe used for secondary purposes (Privacy Law, 0 k.T" PI Property Owner 1 ocation 4 l IS ylc Govt. Lot ' 4 S� 1/4 S v T 30 N R IS E (o Property Owner's Mailing Address r Can a �+ L' of iI'r @� Subd. Name or CSM# t' O 166 ac ill a MSo►� City State Zip Code Phone Number ❑ City ❑ Village XTown Nearest Road h; ReotL4e 1 00 ) 1 Pi Aw•CY%� I Ila" a vol New Construction Use: Residential / Number of bedrooms _� Code derived design flow rate 41 1 60 GPD ❑ Replacement ❑ Public or g (',Inmercial - Describe: l Parent material C \\Oe & Flood Plain elevation if applicable ft. General comments + _ .�s - �(�Enc►� .� and recommendations: WAS MGL� ��c� e5'f oZ - °"'�' WSJ r.s For FC -c.L. T, 4 M Boring # E] Boring K, Pit Ground surface elev. ft. Depth to limiting factor I oZS in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efi#i 1 ' EfNt9 a q -ab 7,5� R q/4 S i 3 -s `7,541 yl 54K 44 SC / 1 The soil test report for lot 3 was discovered to be �► A� CRAG C o b inaccurate during the septic inspection on Nov 2, 2001. The soil horizon reported as single grain loamy sand was actually massive loamy sand with ® Boring # ❑ Boring occasional pockets of sandy loam. Therefore the Pit Ground surface elev. IGI , 13 ft. loading rate must be .5/.7 and not .7/1.2. If this error is discovered on any other lot, additional Horizon Depth Dominant Color Redox Description Tex in. Mustu Qu. Sz. Cont. Color borings /soil investigations will need to be performed for the rest of the subdivision. The plumber should 0-10 3 f make note of the potential for error and prepare for 10 -2 ,5 R qIq SC the possibility of increasing the size of the drainfield. 3 ,5y 4 1q L S * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /1 CST Name (Please Print) Signah Address i Property Owner LQ 4es + o i ", Parcel ID # Page of D Boring # E] Boring ' 1 01 Pit Ground surface elev. b3.t1� ft. Depth to limiting factor a� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 0-16 .I R r)fi 9 c,S aF .s .9 Q 5 ay ��Sl. a m 5(� K r1 CW I F r 5 3 3 0-Li d f - 7,5VR Hf LS (3 -s - 3 M vFg cW IV F l qr -►a 5qg 41y SL M p g y d1� C� 6d F4—/] Boring # [] Boring KV Pit Ground surface elev. 7, X7 ft. Depth to limiting factor b O in. L K Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I 'Eff#1 'Eff#2 1 0 -(" )m 31a - L dF6R MFR q S a F , s . 19 a - ref .5 s y SL W arse, Inirg ct4i 1 r . s 3 - ),54 0 k a m -58r, M Ff, c 1v .S .� ag- `7,5 k L , l q LS 0 — S Mvr , 7 f. or 3� o�s�O ttaU<I F-1 Boring # ❑ Pit Boring ❑ Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L 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. SBD -8330 (R.07 /00) F � e + 4 ))s. -T Pay 3 ° ._ S w Yt / Sw ' /y Sec.(,,, - T 3b ". $L I $ 63 n r► r 4 I. 5 -tpix -c k- �► �c.a fey' � VC> �o 1 t 1p r N. s . V � • of _ 0 � 7 v J 3e ►Cx�.Qa t7tr y Q rn-` g 4 n 1 Io5,o8 o � • so 8 3 t 6,,r, v- l,%ocr POUTS OWNER'S MANUAL & MANAGEMENT PLAN Pe 0 US INFORMATION SYSfiEM• SPEaugCATIONS Owner Sepiic Wank Capacity om p g al C1 NA Ps Fin 1 # SO S eptic Tan Manufaaturer p NA {► Effl ti M 13 NA Number of Bedamems � 7 �.? 0 KA Effluent i'llVir Mo A / D'D a NA Number f t�c�b Un it s l io Faeilifiy _ age iVA �I'srtttp Tank Capacity sat A l sttfmated flew I sWeraga? 00 tit /da. Pump Tank Manufacturer ONp Design • low {peak), { stftstsd x 1.51 ga llda P Manufact JR NA Soil Appiicetian Mats _ oaf /day /ft� Pump Model $i NA Standard Influant/Effiirent Quality Monthly aueraW Pretreatment Unit NA Fats, Oil & Grease (FOLD) s:30 mg /L 13 Sandlfiravel'Filter 13 Peat Filter Sloehernical Oxygen Demand (1 006) H2O mg /L. E3 NA Q Mechanical Aeration p Wetland Total Suspended Solids (TO$) 51>;O n /l , _ q Disin fection C{ Other: t'ratreated Effluent; Quality Monthly averasie ©isper'sak collial Q NA Biochemical Oxygen Demand MOD A30 moll. Q In- Ground (gravity) 0 In- Ground !pressurized) Total Suspended Solids ITS13) X30 trig /L. 0 NA 0 At-Grade C3 ]Mound Fspal Colffonn (gaametrI M. qsn) 510" cfull0om Q nriFri ln8 M Other: zcx M Murn Effluent Pardole size Y in die. 0 NA, then DNA Other. - - 9 NA Oi:ha:r' DNA 'Values typical for domestic wastewater and saptir, tank efflimni;. Other. Q NA MA110 AI CE.190HE LE Ssrvios Event Service Frequency inspect condition of tank(a) At least, once every; 3 ears {s {Maximum S yearn} Q NA Pump out oontarrtn of rankia) When *amblmeid sludge and scour( equals one (Ya) of tank volume a NA Inspaaot dispersal cell(s) At least once every: _.�._._ 3 rfacnth ;s) (Maximum 3 years) C3 NA _ Ali years) Clean effluent filter At lust once every. 0 mail th 0 NA _ year (s) Inspect pump, pump ooiw als & slapm - - At least once every* monthW 0 NA C : ear M year Flush laterals and preasure test At least once every. - �) 0 N D ysar{>>s) . Cthar . At least once every^ Q yeeris) 0 NA 13 NA BIfAINTENANCE INSTRUCTIONS Inspootlrans of tanks and dispersal cells shall be .made by an Indivklutil garrying one of the following licenses or oertifloatione; Mentar Plumbe Master Plumber RestrIeted Sewer; FQ111fTS Inspector; P©WTS MoIntainer; Saptoge Servicing Ogeretcsr. lank inspections must Include a visual inspection of the iankis) to identify any missing or broken hardware, Identify any oraaks or leaks. measure the volume of combined sludge and scum and to check for any back up or pending of effluent on the ground surface - The dispxereat ©ekl(s) shall be visually inspected to (aleck the affluent. levels in the observation pipes and tv aheak for MW pandkng of effluent can the ground surface. The psanding of effluent, on the ground surface may Indicate a falling condition end requires the imm Adlate natiffactlan of the local moule my autburhy. When this combined aacumulaxkon of sludge and scum in any tank equals one -third (Y.-I or more of the tank volume, the entire contents of the tank shgii qe removed by a Septage Swvlcing Operator and disposed of in accordance with chapter Na 113, Wisconsin Administrative Code. All other servIous, including but not limited to the servicing of effluent filters, mechanical or pressurized Components, pretreatment units, and any servicing at intervals of X13 months, shall be performed by a oartifled FOiP TS Mairntelner. A service report shall be proy1ded to the l ocal regulatory authority uUlthIn 10 clays of completion of any vervice event. OMw (4/01) START (IF AND OPERATION page __ of — 1'br now asonstrubtloll, odor to use .of the:f'0WT9 ahank trastrnerst taankle) for the presence of painttng produ4s or other, o!)aam;oalrs that antsy Impede the tediltmeht process andlayr darthasge the Wasparaw callfsl. If high tionaentratians are detcaot have jhe a=bntents of the tank(&) removaad by a septaeu aervir ing Operstear polar to used System start up shall riot a uour sail conditions are frastcn at dis lnf'litrfative surface. During power outages pump tanks matey fill above narmal htghweater levels. When paavver is restated the axonse westeWpter will be d[sohargaad to the dispersal call(e) its one large dose, ovaorloading the aelllgt and rney result #n than backup -or of Offlur®nt. TO avatld this situatlon hava the dohtants of the pump tank renlavad by a Septagge Serviding Oparator prior to "staring power to •Cite efflua alt pump or oantaot a Plumber or POWTS Ma Intainer to asdat Its manually operating the primp tltllArbla to restore ntarMal levels within the puatap tank, Do not drive or pane Veh icles over tanks and dispersal Callas. Do not drive or park over, or otherwise disturb at admpaatit the area w1thIn Vi fast; down slope of shy mound or at grade soil aabsorptlon area. Reduaattan or ellmination of the fnll,twlrag from the Wastewater stream aisy Improve the perfermeinca and prolong the life rd the POINTS: antiblotins; baby wipes; algaaretta bunts; condarns; eaiton swabs; degraawaere, dermal floss; ,diapers; dIgInteotants; fat; foundation drain Isurnp pump) water; fruit and vegetable ptaslings; gasoline; grease; herblelda% Meat scraps; medlostjor s; ail; pdont[ng: products; pastloldas; sanitary napkins; tampons; and water aufroner brine. ABANDONMENT When tho POW rS falls and/or Is permanently taken cut of servias the fallowing steps shall fie taken to lni:ure that the eyatem Is properly and safely abandoned in admpiltantas with Chapter Comm 83.35, Wisconsin Administrative Coda: • All piping to tanks and pits ,shall bo disconnected and the abandoned pipe openings sealed. • The nonterzts of all tanks and pits shall be reinoVad and properly disposed *1 by a Septags Servlaing Operator. • After pumping, all tanks and pits shall be eaacavrateael and removed or their covers removed and the void span fitted with a till, graval or another Inert mild rnaterial. CONTINGENCY PLAN If the POWTS talcs and cannot be rapaeirad the following measures have been, or roust be takpaa, to prtrvlda as code compliant replaaerraant t ystem: A SultnWo replacement area has been evaluated and rmy be uti lized for the location of a retsdaacement seall ab aorption system. 'The t0lagemant ares should •bey rotooted ' rn.disturbimpe and c omagation and should,rat..be thttraod'upadra by required sstbaaoks from ajdating and proposed struatura, lot lines rand wells. Ixetlarraa to protect - Me raplsoement area will result in the need for ae• Aaw emll and alto evalustlsan to estabilah ra suitable replacement area. Repltscemvmt systems mast twmply with the moles in offoot at that time. d A Buimble replacement area Is not available dUs to eelbaaek andfor soil linAltaatibns. Boring advenaes in POWTS technology a holding tank may be installed as a last restart to replace the failed POWTS. 13 The site has not barn evaluated to identify a suitable replacement area. Upon faliura of the POWTS a soil and site evaatuation must fie erf p corner] to locate a suitable replautarrlent area, if no rep {aiceraertt area is available rr holding tank ntay be Inatalted as a last resort to replace the failtid POWT& 0 Mound and at grade golf absorption syasterns may be rentaraarruated in plaos f6ilnwing removal of the bliuntit at the Inf[Itraadve surfatio. Neaonartructlons of such systurns must oump[y with the rules in aaffeast at that flmaa. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONtTAfNI LETHAL "5815 AND /OR INSUFaRO MT OXYGEN, , DO NOT ENTL=tlt A SEPTIC, PUMP OR OTH9R TMATfiQENT TANX UNDER ANY CIRCUMSTANCES. DSATH MAY RESULT. RESGUE Of A PERSON FROM THE INTERIOR OF A T ANK MAY BE DI +ICUL`r OR IMPQS&IBLzc. 8RQITl0lYAL C©Mfg, PpWT$ INSTALLER POWTS MAl11i AINEIR Name �/?I7J�.S �� lr� Naame I Phcrraea .. (o Pho SEP'TAQE rAV0141a Q BCRATIR iPLtlfdPER} LOCAL MO2LA T0IRY AUTH 13f'IY hlr,me �iUerrre $7; Croi ` 6 Z ti n 1`h[x r3dcumtarst ialraai drtafaed Us caurtpUanue wltlh alzaapter Comrn $323 {"�lilall91 and $3.U' +tC2 }. f?3 l3a {3t.'Wtcaaasr'raUi AalrrliaiatraaYdvar, Lade. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 4U Zl ' I L L r. s Mailing Address W i S ,I D i-7 Property Address _ �� (Verification required from Planning Department for new construction) City /State Parcel Identification Number erg) LEGAL DESCRIPTION Property Location '/4, 0) i/4, Sec. I 0 , T .3LN -R__L`W, Town of � (1(- t Subdivision P j � e _aijeu Lot # Certified Survey Map # Volume -- -- ---- , .Page # Warranty Deed # � p , Volume 12Z Page # Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE 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 masterplumber, journeyman Plumber, restricted plumber or a li cense d pum 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 Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year pxpiration date. IO / l42 DATE SI A OF APPLICANT / OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the rty described abov by v' a / of a warranty deed recorded in Register of Deeds Office. ATURE OF PLICANT DATE I « « « « «« Any information that is mis- represented may result in 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 rt IJ 19 1 5 1 9 8 4 68 535 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIR CO., NI This Deed, made between Hillvale Development Limited, a RECEIVED FOR RECORD Minnesota Limited Liability Partnership, 06 -25 -2002 8:30 AN WARRWITY DEED EXDPT t) 17 Grantor, and Halle Builders, Inc. s .� REC FEE: 11.00 TRANS FEE: COPY FEE: CERT COPY FEE: Grantee. PAGES: 1 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): Recording Area Name and Return Address Lots 2, 4, 13, 14 an 15, ine Valley Addition, St. Croix County, Wisconsin. SBCBAWt PO Bm 416 New Rie"W' WI 61017 This deed is given in fulfillment of that certain Land Contract between the parties hereto dated July 30, 2001, recorded August 7, 2001, in Vol. 1694, Page 568, as Doe. No. 653155. >n 026-1 020-20-000 Parcel Identification Number (PIN) This is not homestead property. Dj) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this �v day of November 2001 Hillvale Developm Limited � B � a�rdNe'� . R� AUTHENTICATION ACKNOWLEDGME Signature(s) STATE OF WISCONSIN ) P ��gSA J. ) Op y). Cr . sk County authenticated this day of Personally came before in hl�j d f . November 2 9 the a e e Hillvale Development Limited, a Min i s Partnership, by Richard Nelson IsC TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by ¢ 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogland Notary blic, S e of Wisconsin H udson, Wl 54016 My Commission is permanent. (If not. state expiration date: (Signatures may be authenticated or acknowled Both are not necess ary) pe rsons signing in any ca pacity must be typed or p rinted below their s trrtam.tbn P'°re"' ""°a c a^t F« d -6 5-2 vin • Names of Pe g 8 P Y P g eco- sss -zort WARRANTY DEED STATE BAROFWISCONSIN FORM No. 2 -1999 CENITAL RA i' �► •�, . 1 300.00 511.44 .n�, Zc o •�9MDRAINAGE E BUILDING SETBACK LINE -- '�, tOD HWL 889 3 `'� `' O -------- - - - - -� 7 - --� c N ------------------ AS ta�'zsoo / -- � �4 - Z $I ' t4 .- 4 '0 map N � C16 87,854 SgFt± a $� -� �, v �� � 2.02 Acres± \ 87,289 SgFt± 2.00 Acres± Jkl tp /," � � 2 x•38 E � �, i ti� i' 15 95,O97 c 99305 SgFt± 2.18 Acr i" 2.28 Acres± TOP OF 2" IRON /'PIPE= 992.76 137.20 17. co 14 9 87,879 SgFt± �► �cr►, r t^ 2.02 Acres± 0 mom 7 2 5 1 9V O W N UI 33 S8 1'40 N 032. 4 st o k 575 -59 09 50•°003 •.r V I "58 2Z o / b •� O Tc Z� �� 6 e ^ Cp Curve Lot �g Radius Number Number 116,3PSqFt± 5 I h 4 8 -9 667.00' SP 2.67 Acres± N -- 100' -- � 5 9 667.00' SE �• ; I ' S�, R g 8 667.00' N 7 10,14 733.00' SE Ap• 8 10 733.00' SE 03 9 R/W 733.00' NE ,d - 711 nn' NF i