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HomeMy WebLinkAbout026-1304-18-000 S T CRO'x cOUNTY PLANNING & ZO NING FAx MEMO DATE: 25/3/ To: ��l /1�`�Az_. Code A6- 4680 FAX NUMBER: trati 715- 386 -4680 Land Information & Planning FROM: ` 715- 386 -4674 FAX NUMBER 715 - 386 -4686 Real No y 715- -4677 PHONE NUMBER: R cling r 386 -4675 NUMBER OF PAGES, INCLUDING COVER SHEET: ST. CROIX COUNTY GOVERNMENT CENTER 1 10 CARMICHAEL ROAD HUDSON, WI 54016 715-386 -4686 FAX PZ @CO. SAINT- CROIX.WI.US WWW.CO.SAINT- CROIX.WI.US I i Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix ' Building Division INSPECTION REPORT Sanitary Permit No: 487987 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: Grand Properties L.P. Richmond, Town of CST SM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: 07.30.18. 7 TANK INFORMATION ELEVATION TA TYPE MANUFACTURER CAPACITY STATI BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. S er Holding St/Ht let TANK SETBACK INFORMATI SU t Outlet TANK TO P/L WELL BL Vent to Air Intake ROAD Inlet Septic Dt H Bottom Dosing eader /Ma . Aeration Dist. Pipe Holding Sot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Dejfian St Cover M Model Number Y N 11� TDH Lift Friction Loss System Head DH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of enches PIT DIMENSION94 f Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM L CHING Manufacturer. INFORMATION CHA ER OR Type Of System: Model Number. DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole S ing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER ressure Systems Only xx Mound Or At - Grade Systems Only Depth Over apt h Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes Q No 0 Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: New Richmond, WI 54017 (SE 1/4 SW 1/4 7 T30N R18W) Hayden's Rolling Acres Lot 18 Parcel No: 07.30.18. 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes g No Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. SifeTly and Buildings Division W 2 W. on A V ep, I ��0,n M , WI 5 767— Sanitary P it Number (to be filled in by Co.) 6 151 Department of Commerce 11 �nnc aI Plan D 'Numbe Sanitary Permit Appli ti . � In accord with Comm 83.21, Wis. Adm. Code, personal info ation provide may be used for secondary purposes Privacy Law, sl I I (I }(m ST. CROIX C ect Ad ess (if different than mailing address) ZONING OF I /603 yam 1. Application Information —Please Print All Information Property Owner's Name Parcel= 1 Lot Block # l 3 0�l m t oa S ao- 2 Property Owner's Mailing Address I Property Location ��'/., ; 5'/., Section 7_ City, State Zip Code Phone Number cucle o e) O� J G� T 3O N; RYE q� II. Type of Building (check all that apply) Qk ( s vbw.:\lr Subdivision Name CSM Number Al I or 2 Family Dw'aling - Number of Bedrooms _ o r)Se_ pew ✓�, ❑ Public/Commercial - Describe Use ❑ State Owned - Describe Use Z Ot Ce145 w 16 f ❑City_ ❑Village IlTownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ® New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Ty2e of POWTS System: Check al that a ppl y) A Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground El Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ItLeaghing ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) t V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (s Dispersal Area Proposed (sf) System Elevati "/ r y, s G VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks ✓ t Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement 1 , the unde i ned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu r' Signature MP/MPRS Number Business Phone Number 0 _Am4jjJAr1 C ;Z;z Z .7 Plumber's Address (Street, City, State, Zip Cod-e) VIII. Count /De artment se Onl )ikA Proved ❑ pp Sanitary Permit Fee (includes Groundwater Date ssu Issuin gent Sign ure ( s ts� r Surcharge Fee) ?nx e ❑ iven Reaso enial c JU� // 9 0 `� IX. Conditions of Approval /Reasons for Disapproval D SYSTEM OWNER; ' ►tn ( I . `Septic tank, effluent filter and / (� ; s ✓b�r r ✓ i S / dispersal cell must all be services / r►alintmned Ci �I 6 e �b n as per management plan provided by plumber. , lr o Z AN saback requirements must be meWdairied n per spoicsW code / ordlrtmes. Attach complete plans (to the County only)(" t s / ystem on paper less than 81/2 x 11 inches in size 4 i� 64 5v 6c�vte.(' /ncclf�-�rlat1Q2 SBD -6398 (R. 01/03) A ir f 3,61 _ f pR( c.t Sep U)"; I F N Nc�s �t , / f f � r k j J U I_ 1374 r Wisconsin Department of Commerce LUATION REPORT Page 1 of 3 Division of Safe s and Buildings S.i .CF�OfXU tj 9 l omm 5, Wis. Adm. Code Tom Schmitt ,.� County Attach complete site plan on paper not than 8%: x 11 inches in size. Plan must St. Croat include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. Revi y e Dat �1 Personal information you provide may he used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). at Property Owner Property Location Grand Properties, LP Govt. Lot SE 19 SW 1 7 T 30 NR 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 18 Hayden's Rolling Acres City State Zip Code Phone Number J City Village d Town Nearest Road Somerset WI 54025 715 - 247 -5900 Richmond I 160Th Ave. J9 New Construction Use: 01 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD I Replacement _ f Public or commercial - Describe: Parent material Outwash Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.7 gpd/sq ft rating. Possible system elevation fo �eal high tren 94.5', low trench 93.5 Slope is 10 %. a Boring # Boring 01 Pit Ground Surface elev. 98.0 ft. Depth to limiting factor 97 + in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= 'Eff#1 `Eff#2 1 0 -7 10yr3/3 none I 2fsbk mfr as 2vf .6 .8 2 7 -13 10yr4/6 none sl 2csbk mfr gw 1vf .6 1.0 3 1349 10yr5/6 none s Osg ml cw — .7 1.6 4 49-68 7.5yr4/4 none sl 2fsbk mfr gw — .6 1.0 5 68 -81 10yr5/4 none Ifs 1csbk ml cs .5 1.0 6 81 -97 10yr5/6 f none s Osg ml — — .7 1.6 Boring # Boring Id Pit Ground Surface elev. 98.0 ft. Depth to limiting factor 100+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF 'Eff#1 'Eff#2 1 0-6 10yr3/3 none sl 2msbk mfr as 2vf .6 1.0 A t 2 6 -12 10yr4/6 none sl 2msbk mfr gw 1vf .6 1.0 3 12 -39 7.5yr5/6 none Ifs 1 csbk mvfr cs .5 1.0 4 39 -77 10yr5/6 none cbcos Osg ml cs — .7 1.6 5 77 -100 10yr6/4 none grs Osg ml — -- .7 1.6 I 7 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 CST Name (Please Print) Signature: CST Number Thomas J. Schmitt c 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, W154017 620/05 715 247 - 2941 4 L Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 • F3]Boring #, _) Boring 6/ Pit Ground Surface elev. 95.30 ft. Depth to limiting factor 98+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -7 10yr3/3 none sl 2fsbk mfr as 2vf .6 1.0 2 7 -14 10yr4/6 none scl 2msbk mfr gw 1vf .4 .6 3 14 -22 7.5yr4/6 none Is 1csbk mvfr gw .7 1.6 4 22-42 7.5yr5/4 none girls Osg mvfr gw .7 1.6 5 42-63 10yr5/4 none grcos Osg ml cs — .7 1.6 6 63 -77 10yr5/6 none ft Osg ml a .5 1.0 7 77 -98 10yr6/4 none s Osg ml -- — . 7 1.6 4] Boring # Boring Pit Ground Surface elev. 99.68 ft. Depth to limiting factor 99+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -9 10yr3/2 none sI 2msbk mvfr as 2vf .6 1.0 2 9 -21 10yr4/4 none Is 1csbk mvfr gw 1vf .7 1.6 1 3 21 -36 7.5yr4/4 none Is 1csbk mvfr gw — .7 1.6 4 36 -99 10yr5/4 none grs Osg ml — — .7 1.6 F-1 Boring # Boring 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 *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 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. Page .3 of 3 Conducted by: Conducted For: Ref. No. 1.)7� Schmitt Soil Testing Inc. Name: (nand Properties, LP. Thomas J. Schmitt, CST 227429 Address: 712 Rivard St. Suite 100 1595 72nd St. City, State, Zip: Somerset, Wl. 54025 New Richmond, Wl. 54017 Phone: 715 -247 -2 41 - Subd.Name: Hayden's Rolling Acres Lot No.. AY S Legal Description: ' 1/4 j r" A S7 T30N RI 8W ® Backhoe Pit Township of Richmond, St. Croix County ® Bench Mark El. 100.00' Top of © Alternate Bench Mark El. f. ' -S` `Top of �2 Slope= j!2:4 Contour Line El. oW Contour Line Length .tA Scale 1" = 40' i l � t l 00�1 LIV i a� Paws- ` ICY/ v 3Y , Iq � lwv A bw� This soil report was done to fulfill a zoning requirement. The road and permanent tot markers were not in at the time the test was conducted. The area in which the test was done may or may not be suitable for vour use. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer — _ Mailing Address 7/ 2AP!Q Sly �� ®f''i� La % CUi' 5' Aa2c - Property Address (Verification required from Planning Department for new construction) 0 & 0 00 City /State r Parcel Identification Number 6j-r. - 16 10 -6S0 LEGAL DESCRIPTION Property Location -,,� '/4, W_ `4, Sec. _ , T QN -R _W, Town of Subdivision Lot # ._ . Certified Survey Map # . Volume . Page # Warranty Deed # 724 S"L . Volume JP13 , Page # s S$ - Spec house 0 yes ❑ no Lot lines identifiable yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of septic system could result in its premature failure to handle wastes. Proper maintenance your P 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 ro a to submit to St. Croix Zonin g Department artment a certification form, signed by the owner and by a P PertY owner agrees master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal 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 expiration date. r; SIGNATURE OF APPLICANT DATE 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. 'I 1, 4; SIGNATURE OF APPLICANT DATE \ e . Any information that is mis- represented ma� result: in the sallitary permit being revoked by the Zoning Department. ** lode with this application: a stamped warranty decd from the Register of Deeds office Inc PP ty $ i a copy of the certified survey map if reference is made in the warranty deed II �. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION - SYSTEM SPECIFICATIONS Owner � - Septic Tank Capacity a l ❑ NA Permit ># Septic Tank Manufacturer — ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units 6 NA Pump Tank Capacity a l E NA Estimated flow (average) g al/day Pump Tank Manufacturer 0 NA Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer ■ NA Soil Application Rate , " al /da /ft= Pump Model E NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit E NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L R In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510' cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: O NA Other: ❑ NA Other: ❑ NA 'Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA I MAINTENANCE SCHEDULE i Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 0 month(s) (Maximum 3 years) 11 NA j Clean effluent filter. At least once every: 0 month(s) ❑ NA f 3 ❑ year(s) ❑ month(s) ■ NA Inspect pump, pump controls & alarm At least once every: ❑ year(s) ❑ month(s) Flush laterals and pressure test At least once every: ❑ year(s) ® NA Other: > At least once every: ❑ month(s) ■ NA ❑ year(sl 7 a Other: r ❑ NA; II i { i I µ ' ue f; I MAINTENANCE INSTRUCTIONS T . Inspections of, tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications a £ Master Plumber, ,Master ,Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer; Sep Servicing Operator Tankf . inspections'must Include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or, leaks, i measure the volume of combined sludge and scum and to check for eny back up or ponding of effluent on .the ground surface *k' i The dispersal cells) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding ove'ifluent , "the :ground surface The ponding of effluent on the ground surface may Indicate a falling condition and requlres tt e� . Immediate notification of the locallegulatory authority: ` ± d When the combined accumul ion of sludge and scum in any tank equals one -third (Y or more of the tank volume, lthe entire contents of ,the - tank shall be removed b y a Septage Servicing Operator.and disposed of In accordance wt J chapter NR . 13, j Wisconsin Administrative-Co a $m..: � r� > , r: r. 1t�, tKt '+t.'k�"�':^'",.'x^+,r,`...'' x v All otherservices Iccluding but not limited to. the servicing of effluent filters, mecharncal or pressurized ,components; pretreatment units any servicing at Intervals of 512 months, shall be performed by a certified POWTS Maintainer y s y 2 �aa�. . g .. ,t x 4 a. ' t °; a �s ..4 s ., tion ?U .:tI19, r x r ye A service,report shall be ,'provided to the local regulatory authority within 10 days of comple of any,service event f vk `'' i i S • t Y < w%k z 4 r t y�: °3'I"'� ? ,�f`Y t„ k„p `#' * +., AL #. �75� �" aA Y p 9 y { .{ i f f -. s i :�T 's t � f �,: T u l 'i �'7� +'" J � . t- S � � .. i+Th' "..� �, � Page of Sit;t AND OPERATION l { For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septege servicing operator prior to use. System start up" shall not occur when soil conditions are frozen at the Infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may'result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or, must be taken, to provide a code compliant replacement system: ■ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable 'replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank :. may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY,CIRCUMSTANCES. DEATH MAY RESULT.' RESCUE _- PERSON FROM THE INTERIOR OF A TANK MAY DIFFICULT OR IMPOSSIBLE. .; ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER - #� Nartie Name4 - i Phone 6 a Phone { r 17, 51�. '! n ��. SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITYk Name Phone .,' , r sue• This document was drafted (n compliance with,chapterComm 83 22(2)(b)(1)(d) &(f) and 83.54(l),"(2)'& Wisconsin Administrative Code r: U 2813P 558 796514 State Bar of Wisconsin Form 2 -2003 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI Document Number Document Name RECEIVED FOR RECORD 06/02/2005 12:30PH WARRANTY DEED THIS DEED, made between Rolling Hills Dairy, Inc. EXEIPT i ( "Grantor," whether one or more), REC FEE: 13.00 and Grand Pro erties LP D TRANS FEE: 1397.40 ( "Grantee," whether one or more). COPY FEE: CC FEE: Grantor, for a valuable consideration, conveys and warrants to Grantee the following PAGES: 2 described real estate, together with the rents, profits, fixtures and other appurtenant Recording Area interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is needed, please attach addendum): Name and Return Address See Attached Exhibit "A" w05030_ 15 J. Estreen 304 Locust Street Hudson, W154016 026- 1025 -20 -000:026 - 1025 - 10-050 Parcel Identification Number (P1N) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated d 5j� Z4�0� Rolling Hills Dairy, Inc. n + q U (SEAL) b tz �.Y�1L / 1 ) (SEAL) * *By: Gera d A. Kieckhoefer (SEAL) j (SEAL) * *By: Rita A. Kieckhoefer AUTHENTICATION ACKNOWLEDGMENT Signature(s) Rolling Hills Dairy, Inc. By: Gerald A. Kieckhoefer and Rita A. Kieckhoefer STATE OF ) ) ss. authenticated n COUNTY ) r Personally came before me on , *Kristina O land the above -named TITLE: MEMBER ITATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: Notary Public, State of Attorney Kristina Ogland My Commission (is permanent) (expires: ) Hudson. WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 * Type name below signatures. INFO -PRO'" Legal Forma 800 - 855 -2021 www.infopmfwms.com U 2813 P 559 EXHIBIT " A " Located in part of the Fractional Southwest Quarter of the Southwest Quarter and part of the Southeast Quarter of the Southwest Quarter of Section 7, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin, being more fully described as follows: Commencing at the Southwest corner of said Section 7; thence North 00 degrees 10 minutes 53 seconds East, along the west line of said section and being the west line of Certified Survey Map Volume 15 Page 4145, a distance of 663.12 feet to the point of beginning (POB); thence continue North 00 degrees 11 minutes 01 seconds East along said West line 640.71 feet; thence North 88 degrees 43 minutes 22 seconds East 1676.75 feet; thence South 01 degree 01 minutes 04 seconds West 1315.31 feet to the south line of said Section; thence South 89 degrees 05 minutes 52 seconds West along said south line 1027.21 feet to the east line of said Certified Survey Map; thence North 00 degrees 10 minutes 53 seconds East along said east line 663.12 feet to the northeast comer of said Certified Survey Map; thence South 89 degrees 05 minutes 52 seconds West along the north line of said Certified Survey Map a distance of 630.12 feet back to the point of beginning. St. Croix County, Wisconsin. i 1 / 1 a E I �: { f ff t� y _ ' - '•...m, J 1 f� �•� ...*- • -„""`. ` O U r ^ � a .1 , 1✓ / / � j / / l'�� 1 1 o. / 1 r `l 1 , '\ d I / Y� X / i e i' m ! �//',t�. r ! 1 \,�, \ \`', - \�'\ '� ^ a %°�' ,,' X m j f1 ' _a j_ /'^. 3t� i v \ � `�. A,�,,,.. ...,...._._ It 1 s�, � ♦ � �\ '� ! / f ,/ t f '1, 1 � l \ � .1�..s�,�.:+�`" � ^ x✓.. �a�f� ,„a�.x��- ;�"*.."g".- ,.�v�.�`. vl' ,✓'} j °" f i { j � t j % CL w / / \ � X x rX ja I f /f `-' / � % X y � " F i k f I j { ,• f °` X 1 / // 1 j �� f r / QL W II i V n o zoo' f j i HORIZ. i f Z a X.I't i t : i `''`•~ ,` \�� `'_. i� v ��r r ; � �` •__-'`^ " � �` , ; ;� t'�?C, `,\` ,y^•�\� , a„ are du,x er X Pt t I f t f il;'•,' ,""� -' ^X� ".^.- "„ \ \�� \ \�� 3 -23 -05 TRD t \, wroecr ra a,wa wsr t' i wios�snu \ \� \' AlW /Z tc OMD44 X° k1j j�F�t�Ii�f m j! ,'� �xws APR 2 6 2005 ST. CROIX COUNTY ZONING OFFICE