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HomeMy WebLinkAbout026-1133-17-000 7 r d , T ■ 5 ¢ 2 E � � Cl) fu 0 (4 o / ( / G- = Z4 - / $ � \ % § - ' %� � ; ° E go 7 , ƒ �E o CD ; o ° ® § § $ C o J © E m> E 4 S , f § C 0 a m 2 0 S = R k § \ Q CL 0 \ § § n r ■ CD z ¢ M' } 0 0 0 % 7 (A § 3 3 . \ 2 7 � 7 L / 2 r i § $ e . £ ■ ® c z . 0 $ g =X 7 9 i o = -0 0 CD § a ' . 0 � 06 z c 2 z C a A § z g 7 a § $ . 0 _ \ w T Cl) / / E § z 4 k E 2 w 2 $ � C L #bf � \{2 �[z % #mCD . $ /[ $ kE > CL b CL q � FA ■ E ( 10 �§ 2 � � 2 � � ■ ° \ I � � � « i o � GILLE TRUCKING & EXCAVATING, INC. Septic System Installation • Perc Te �y Bl ack it 71 - so Waterways • Gravel Site Pr ep " AS- J ltNfS GIL SC�Q /`= !{O' 372140th Street Telephone /Fax: 715 - 268 -6637 Amery, WI 54001„ MPRS - CSTM 221471 —a Z/ql - 2 - Z Lore 4 160 Z(4 � ( KF c 1 ° f , 71, tea& 1 I Wisconsin Department of Commerce SOIL EVALUATION REPORT Page —/—of - S Division of Safety and Buildings ' in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. e wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). � �9U• zr,, 201 Property Pwnqr Property Location Govt. Lot SL-' 1/4,51,1/4 S 6 T �Q N R� E (or) CV Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# City j State Zip Code Phone Number ❑ City ❑ Village .gJ Town Nearest Road Q.4 C .New Construction Use:,F2r Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Pu i or r er��Q ribe: Parent mater ial .q Flood Plain elevation if applicable ft. General comments and recommendations: FT Boring # ❑ Boring Pit Ground surface elev. 7 /r ft. Depth to limiting factor /-3 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Y /n SL n aS 1 43( , /' S' /` L s � -- --- Fa-1 ❑ Boring Boring # � ® Pit Ground surface elev. , .y ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 S4 ScL * Effluent #1 = BOD, > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD, < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signatur CST Number `S r Z Address Date Evaluation Conducted Telephone Number SBD -8330 (R07 /00) Property Owner Parcel ID # Page Z of _ ,7_ M Boring # I❑ Boring a�1 Pit Ground surface elev. ft. Depth to limiting factor * ; mI in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell . Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I C? fo it) YR3 St 7 aS ,S- 2- D- 6 LIR"11 Z Qi-i-1 If ,3 3 �3Y MG _ s ' 4 ( /fl Boring # ❑ Boring go Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I *Eff#1 *Eff#2 '/d d k3 � /hA ScS -f �7 Z 01 m 0 be ,S 23- q0 1 y/ c, Z 2P-X5'6X In ( q , Y fig - ), j j h'Y/ L M'V6e "2 a + 8t •22 �4•�s SS 2 �Qc. za - 43•F) c h .�r Boring Boring # ❑ �- Ground surface elev. 92 - ft. Depth to limiting factor 71 in. Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 D /oV 31 2- :2 'N q-S , � , 9 * 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) l GILLE TRUCKING & EXCAVATING, INC. Septic System Installation • Perc Tests • Basements • Black Dirt • Driveways • Waterways • Gravel • Site Prep DENNIS GILLS �sc& �'� 4 , ft 'e"o 372 140th Street �� 1"/ Telephone /Fax: 715-268-6637 Amery, WI 54001 MPRS - CSTM 221471 s� sC, NHS 2z1� >l Lo i /7 , -�rt 111 ' Fl-f g_#1 l .-n 2 ` 4 �R ,mil 0 P2 � A A, f / 1 I I L _ _ -it- 9Q,;Xj L- 1. Ctr�lh Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: • 395261 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information ou provide may be used for seconds purposes [Privacy Law, s.15.04 (1)(m)]. � Y P Y rY P rP I Y Permit Holder's Name: City Village X Township Parcel Tax No: Halle Builders Inc. I Richmond Township 026 - 1133 -17 -000 CST BM Elev: Insp. BM Elev: BM Description: a�r...:S i," - s TANK INFORMATION ELEVXTION OAU TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 0.0 , OD-0 Dosing Alt. BM i 92.0 Aeration Bldg. Sewer S- I• � Holding St/Ht Inlet t / to • �{ <?9 •S� St/Ht Outlet , TANK SETBACK INFORMATION o• }t • 24 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System 1340 510.20 Is 94. b PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to well SOIL AB ORPTION SYSTEM 1 C k, EN H idth ( 1 1-ength - No. Of Trenches IT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMEN SETBACK SYSTEM TO P/L JBLDG IWE LL LAKE/STREAM LEACHING Manufacturer. INFORMATION Ty Of System: CHAMBER OR YP UNIT Model Number: V. DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length 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 xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes [] No ❑ Yes ❑ No AA COMMENTS (Include code discrepencies, persons present, etc.) / P�L Inspection #2: - - t - -- -- Location: 923 172nd Avenue New Richmond, WI 54017 (SW 1 SW 1/4 6 T30N 18W) Pine Valley Parcel No: 06.30.18.930 1.) Alt BM Description 6A6 --,, W . 2.) Bldg sewer length = ` amount of cover Plan rev' equire o Use other side for additional information. Date Insepctor's Signature Cart. No. SBD - 6710 (R.3/97) r- � �y B uildings Division Sanitary Permit Application \Vl 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 onsin Personal information you provide may be used for secondary purposes Madison. WI 53707 -7302 Department of Commerce [,Privacy Law, s. 15.04(i)(m)] (Submit completed form to county if not state owned.) Attach corrip le plans to the county co2y only) for the system. on paper not less than 8 -1 /2 x I I inc in size. Coun r Sanitary Permit Number ❑ Check if re vious application State Plan I. D. Nu mber LL 34t 5- Z ( ° • %l re I. Application Information - i inse Print all Information h \\ \,,•• ° ` ^�; Location; Pro rty Owner N e 4 7 Property Lo ration operty Owner's Mailing Address•. rJ Lot Number Block Number P PType — Zip Code �P� e , S bdivision, Nam or CSM umber �._ 4 t f Building: (check one) ems S ❑ City s �� 11 Village 0 1 or 2 Family Dwelling -No. of Bedrooms: , • Public /Commercial (describe .ise): ITown o • State -owned _ 1 III Type of Permit: (Check any one box on line A. Check box on line B if applicable) Nearest Road A 1. ` New System 2. ❑ Replacement 3. Q Replacement of 4. ❑ Addition to Parcel Tax i iumber(s) I _ _ System Tank Only Existing System ` B) Permit Number Date Issued Issued ❑ A Sanitary Permit was previously issued I A& I r Type of POWT System: (Check all that apply) - k A - (00 Non- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Consi ructed Wetland ❑ Pressurized In ground ❑ Holding Tank ❑ Single Pass ❑ Drip l.,ine ❑ At - grade , , ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other V Dispersal/Treatment Areal.nformation: 1. Design Flow (gpd) 1.Dispersul,1krea 3. Dispersal Area 4. Soil kequired Proposed Rate p VI Tank Capai ity in Total # of Information Gallons Gallons Tanks New Existing Tanks Tanks The soil test report for lot 3 was discovered to be -'° inaccurate during the septic inspection on Nov 2, 2001. The soil horizon reported as single grain VII Responsibility Statement loamy sand was actually massive loamy sand with I the undersigned assume responAbility for installati of th e PO occasional pockets of sandy loam. Therefore the umber's Name (print) Pi er's Si nature (n stamps): loading rate must be .5/1 and not .7/1.2. If this LLC --- error is discovered on any other lot, additional Plumber's Address Street, City, state, 2 ih Code) borings /soil investigations will need to be performed for the rest of the subdivision. The plumber should ER ." make note of the potential for error and prepare for VIII County/Department Use Only the possibility of increasing the size of the drainfield. ❑ Disapproved Sanitary Permit Fee (in s IQ Approved ❑ Owner Given Initial Adverse Surc arge Fee) # ft 5 Sa Determination _ 225- � l IX. Conditions of Approval l Reasons for Disapproval: a�Pk" -k O4* , � 'fir SBD -6398 (R. 07 /00) 44. &jAeo aM4 Oar Jj�- 160 67 20V �z h I ' � ra as � f r ' I f Z Sa `1. 2 L L J i li © 'wc O � li ? - -- 2 t I I t Z - Wisconsin Department of Commerce SOIL EYALLIATION REPORT Page of Division of Safety and Buildings in accordance with Cgrrtb &S, Wis. Ad? . Code f � ounty S� �'✓�D 1 X Attach complete site plan on paper not less than 8 1/2 x 11 ihches in size./O, include, but not limited to: vertical and horizontal reference Point (BM), direction ant? --P rcel I.D. percent slope, scale or dimensions, north arrow, and location and disl4ripp tq n � rest road. -- ?,e V) ! V) Please print all information. viewed v'ewed by Date cRrrx Personal information you provide may be used for secondary purposes (Privac avr "N.>Ty(1) /0 1 11 t k 1A Property / OOwner roe I" 1/4SW 1/4 S T,jV N R )4 E (or Property Owner's Mailing Address �+ ock # Subd. Name or CSM# � . � I ®6� �Ric ►.�rd I lan 1� City State Zip Code Phone Number ❑ City ❑Village Town Nearest Rga �' d w� 64 dal 5010 (651 )7y9 -0gt49 ie� •arc / " Qvf New Construction Use: Residential / Number of bedrooms Code derived design flow rate U 5 0 GPD ❑ Replacement ❑ Public or co {� ercial - Describe: Parent material G1�ClKiA1 c�rE- Flood Plain elevation if applicable r - ft. General comments and recommendations: Q o� — (�, 0, . 7 , s r — r (Zje"e.%, S , V%S A n t , 1 j v e, 4 #- 5� 1r1 0.y = ,J �� F-1 I Boring # ❑ Boring Pit Ground surface elev. / p /•SI ft. Depth to limiting factor 02 �J in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 I -3 )O NR 3 1A 5L 2F6-,R MPR aS ar , s ,9 g -a0 - 7,5 y �st- a rns9 rn FR Cvi F 20 -94 7,5 y S( L 2 mss MFR (2w 1V 16'a ►z /ID Boring # ❑ Boring Pit Ground surface elev. 99, ft. Depth to limiting factor �� (] in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 l 0 -`7 M 3a SL 3 F6-R as R ,S ,9 -7,5 IR y y ea sL a sc3 m R 1 5 9 3 15 -2 - 7,54 R 4 Iq sL aF58k m F C IvF ay - *6 15V q L S 6-sq 6-s FR -7 x{2.(2 ��•fL * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signatur CST Number 1� h� -5' S e�lc `? Address U Date Evaluation Conducted Telephone Number a7� a00` Rv lf' fi W 59 12;26 SBD -8330 (R07 /00) Property Owner La kes ' P*t i D I Parcel ID # Page of FT Boring # ❑ Boring Pit Ground surface elev. / 0D.77 ft. Depth to limiting factor oZ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. - Murisell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 1 o-9 io R SL 2EbrR rnFR (A's CIF .s ►°► a 9 - ix �,s � � 0 "" 0) 93 Mr Cw I . .9 3 18 -3 7.5 014 LS Q —sc3� my R Cw Iv F • 1,a '57- 7 !04H m L --- ► - 7 1 , G�' 3 ` t o 0 Co�� s� 3•Z`( ❑ Boring Boring # ft. Depth to limiting factor v Pit Ground surface elev. 9 7 . 87 P g � 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 'Efff#2 o—(p S a F&A a s c 3 F S .9 3 RE -yo - 7, L5 o -sq m vF k cW lur / 3 r d 61 16 1b Co F-1 Boring # ❑ El 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 * 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) S r A, S w 9 4 Sec � - T 36 $ Lo ` a ��77.,...... S 7 Y . a-"' Ohm l P r a V � s G J ! � pia $n� 1 I D a, oa V-A, o i , - -.1 63 7 q ' �V 978 7 t OBV2112001 09:24 7152GBGG37 GILLS TRUCKING PAGE 02 Private O rl R ite Wastewater Treatment System Management Plan \ Septic Tank And Gravity In- Ground Soil ,Absorption Component J Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWT:3) shall include information and procedures for maintaining the system within the parameters c'f Comm 83 and 84, and the conditions of approval by the departm ent, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health di3partment. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption COmponent Manual for Private Onsite Wastewater Treatment Sysb:ms SBD- 10567-P (R.6/99). Table 1: System Design S ecificatlons Sanitary Permit Number Nurnher of Bedrooms Design Flow - Peak (gpd Estimated Flow - Average (gpd) Se tic, Tank Capacity (al) DO 0. Soil Absolution Component Size OP Type of Wastewater Domestic TaNle 2: Soil Absorption Component - Limits of Reliable Operatic n Septic Tank Component Soil Absorption Component Design Flc)w - Peak (gpd) Maximum Influ Particle Size in 1/8 Maximum BOD mg /L) 22C MaximulTI TSS (mg /L) I 15f. Table 3: Maintenance Schedule Se jLc Wank Inspect and /or service once every 3 years Outlai Filter Inspect once a year and clean at least once erery 3 ears 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, l3tats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. A +ern. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, See gage Beds, Seepage Pits, Seepage Trenches, Privies, or Portab e Restrooms). The operr:ting condition of the septic tank and outlet filter shall be assesse J at least once every 3 yeas ra by inspection. The outlet filter shall be cleaned as necessary o ensure proper operation. The filter cartridge should not be removed unless provisions arcs made to retain solids in thi: tarok that may slough off the filter when removed from its enclo; :ure. If the 084121/2001 09:24 7152686637 GILLE TRUCKING PAGE 03 f , ' Moinagement Plan for a Septic Tank and Soil Absorption Component filter is equipped % Ath an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter c0arms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge i i 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 per'iai'med to maintain less than maximum scum and sludge accumuig tion in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Aa,,:ess openings used for service and assessment shall be sealed wf►tertight upon the completion of service. Any opening deemed unsound, defective, or subject to %ilure 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 ono should enter a septic or other treatment or holding tank for any nu ison without being in full compliance with OSHA standards for enterrrig a confined space. The atmosphere within the septic or other tneatrount of holding tank may contain lethal gases, and rescue c►f a person from the interior of the tank may be difflcult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Cade 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 ar i shown in Table 2. The longe /ity of a soil absorption component depends greatly on proper ar d timely maintenance, arui system use within or below the limits of reliable operation. Goo J water conservation prac;tices by all occupants and the installation of water conserving plilmbing 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 compone-nt. On steeply sloping sites, areas of erosion should be identific d and reported to the owner for repair. The surface discharge of domestic wastewater o' sewage from the system h. prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter morths. 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 m ay lead to more intense, and earlier, organic clogging of the soil. 2 ST CROIx COUNTY SEPTfC ':'ANK MA. NTENANCE AGREEMENT AND OWr CE,R'II1 FORM Owner /Buyer - -- Mailing Address 1H (0 fe w y,,,�,.6f W l Sy D a .3 f 74-�jd, _......_ ___.� Property Address (Verification required frou i Planning Dbpartment for new construction) City /State Me parcel Identification Number 1 6 -1 L EGAL DESQRIPTI Property I.,ocabion : E_ '/�, jW '' /., Sic. ( T_ oZY -k_ l W, Town of Subdivision P e4N A JA- Vi Q- L.ot # Certified Survey Map # <_ _ Volume Page # --�_ Warranty Deed # (o�F , Volume l�_ ._, Page # Spec house 19 yes ❑ no Lot lines identifiable 0 yes ❑ no SYSTEM MAIN ENANCE Impropawe and maintenanceof your sel pc ayMm could result in its premature failure to handle wastes Proper maintenance consists of pumping out the septic tank every tbri a years or sooner, if tieadod by a licensed pumper. What you rut into the system can affect the Amcdon of the septic tank as a tmi went stage in the waste digmsal system. The property owner agrm to submit to SL Croix Zoning Depuimeut a certif Wien form, signed by the comer and by a master plumber, Journeyman plumber, resirietedpl; *=ber or a licen it4umper verifying that (1) the on -site wastewater dispos &I systatn is in proper operating condition and/or (2) after in: 'pection aped p umping (if necessary) the septic mo c is less than 1/3 full of aludgt. Ilwe, the tmdersiped have read the above requirti bents and agroo to maintain the private sewage disposal system with the standards set forth. herein, as cet by the Departmeat of Com puce and the Departiuoat of Natural Resourcea, Stato of Wisoous(n. 046fldAtion stating that your septic system has been maintainer I must be completed and ctt t=d to the St. Caraix County Zoning Office within 30 days of the three year expiration 6te. SIGNA'I'M OF APPLICANT DA'Z'E OW NER CERTIFI TA ION I (aye) ce rtify that all statements on this i irm are true to tho bost of my (our) laoowledge. I (we) am (are) the owner(s) of tb! grope deccribed above. by vittije of a Warr-,& ity decd recorded in Rtgktrr of Deeds Office. SIGNATURE OF APPLICANT DATE A,ny information that is ruis- represented rr ay result in the ssnitary permit being revoked by the Zoning Department. ••••'• •' Include with this application- a sta&nped Warr lnty doed from tho Register of Deeds afire a copy of the c, rtified survey intp if reference is &rude in the warranty deed VOL 1.694PAGE` 6 7 653154 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Hillvale Development Limite a RECEIVED FOR RECORD Minnesota Limited Liability Partnership, 08 -07 -2001 9:30 AM YARRANTY DEED EXEMPT II Grantor, and Halle Builde Inc. CERT COPY FEE: " - - COPY FEE: - -- TRANSFER FEE: 252.00 — - - -- -- - - -- -- RECORDING FEE: 10.00 PAGES: t Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in S Cro _ County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Lots 1 7 an 17 the Valle A on, Town of Richmond, St. Croix Name and Return Address County, Wisc si KRISTINA OGI.AND ESTREEN & OGLAND 304 Locust Hiici W1 41 026 - 1022 -20 -000 Parcel Identification Number (PIN) This is not homestead property. 04) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this ? mod day of July 2001 Hillvale Development Limited - -- a B y: Ric S. N AUTHENTICATION ACKNOWLEDGMENT Signature(s) Hillv De velopm ent Limited, a Minnesota STATE OF WISCONSIN ) Limite Liability Partnershi by R ichar d S. Nel son ) ss' -- _ County ) authentij• red hia y of July 2001 Personally came before me this _ day of the above named to T; );.IMEM ,S�14TE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing j� • _. —.. instrument and acknowledged the same. authkii by $ 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogl _ _ —_ Notary Public, State of Wisconsin Hudson, WI 54016 _ My Commission is permanent. (If not, state expiration date: (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. irewmatlon Pwlesswais caaww, rand du Lac vm Baob554021 WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1999 I v_ - 1 314/001 UNPLATTED L ANE NORTH LINE OF THE S 1/2 OF THE SW S89 "W 2596.68' 187.88 134.42' E ; -00-3xq'05*E,1 620,00 297.90 190 - 2563.63 -moo �, - - -- � i 2� �P\ DRAINAGE ��� 5�2•z� 42 W n� g 9 a -' O 'QpA * , 3 `,_\ ------------------ - -- - -- o g--- � ; - 100`fR FIWL -g 9 - C17 �� O NA 17.72' 5 �$S y 96,648 SgFt± �4i S89'20'55 287.72' 2.22 Acres± `� IS \ ? 4 e z 1, ? �•3ac� -- \ N 88,184 SgFt± __175 p F X65 pp � 2.02 Acres± 00 _ 'AllS� �\ 3 4p. f \ m Nis 16 \ 7 \ ac s\ { \ \ 10 l � r ` 0 C z v \ Z ` N gy C 'f' `\ h 0 3 ° ��qs " s bs \ \ 0. f o > o 17 ' '� tic \ ° E` °o• \ \ a ? �5 117,431 SgFt± N.;"2 90 \ 2.70 Acres± �'\ \ \ -1077.98'- '0 "I 765.22' MrV'40 "E 1693.12' UNPLATTED LAND 1212/609 CURVE TABLE it In Chord Chord Arc Delt Tangent Out Curve Lot n Tcn Pnt In Chord Bearing Length Len Bearin Number Number Radius g- g 9 th g Q g Bear' Bearin 59 E N74 ° 54'33.5 "E 356.67' 361.06' 31 ° 00'55" N59°24'06" 18 16 457.00' E N64� rin g' 59 "E N82 "E 192.76' 193.44' 16 ° 37'00" N73 ° 48'01 'E 19 5 428.00' S "E S63 "E '01 "E N66 ° 36'03.5 "E 167.18' 167.62' 14 0 23'55" N5 20 17 9 "E 362.00' S72 ° °21 20 "E 563 43 • 20 "E WE N74 ° 54'33.5 "E 391.96' 396.79' 31 ° 00'55" N59 0 24'06 "E 21 3 -4 279.00' S55 "E S72 "E WE N80 0'02.5"E 260.85' 262.25' 20 N69 ° 55'04 "E 22 4 279.00' S55 "E S68 "E 04 "E N67 ° 20'1 5 "E 66.00' 66.02' 5 N64 ° 45'26 "E 23 3 279.00' S81019'42 "E S85°59 "E 26 "E N62 ° 04'46 "E 68.49' 68.52' 5 N59 ° 24'06 "E 24 17 345.00' S5 "E S72 "E 06 "E N65 ° 59'22 "E 122.30' 122.57' 13 N72 ° 34'38 "E 25 14 283.00' S22 ° 39'45 "E S13 0 22'17 "E 06 "E N65 ° 59'22 "E 107.15' 107.39' 13 N72 0 34'38 "E 26 10 217.00' S22 ° 39'45 "E S13°22'17 "E 38 "E N68 ° 36'39 "E 64.61' 64.66' 7 ° 55'58" N64 0 38'40 "E 27 14 80.00' SC "F 4960.361S411F