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HomeMy WebLinkAbout1432 166th Avenue \ j2 j 04 © R 0 / 2 � \ � R � } � A � W � 2 � % } � 0 / z § � • & � C , 4 7 ƒ m ¥ m . 0 0 B z k 2? e. k • _ o c k/f // }D \ N E , \ z \ ° 2 Al ca 2 e e a � k CL d 2 / % k FL a. Z .. ;z 0 00 z # ! % a a a �/ � ' $ -1 0 \ / 0 � 0 \ f 2 t � § <f $ Z 2 <zm cc \ § 3 k k k h 5 = ® d 0 2 0 _ 0 $ § \ , 2 6 k/ §$ 7 i c$§ § d W 3§ 0 z/} k 7 & f .E 00' � E 2 � � J v a 2 0 3 � Wisconsin Department of Commerce Count Safety"and Building Division PRIVATE SEWAGE SYSTEM St. Croix Sanit Permit No: INSPECTION REPORT ry 429966 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Brushy Mound Partnership Richmond Township 026- 1126 -37 -000 CST BM Elev: f Insp. BM Ele : BM Description: N SectionlTown /Range /Map No: UO .0 I OV .D poc _ es7— t, 12.30.18. TANK INFORMATION ELEVATION DATA TYPE MANUFA TU ER CAPACITY STATION BS HI FS ELEV. f Septic , Benchmark I i S c--rL Z 1 i`$_ 2� a Dosing Alt. BM — Titp 4j Aeration Bldg. Sewer Holding SUHt Inlet TANK SETBACK INFORMATION St/Ht Outlet .Z 60 •q(n TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic D r ( --� Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System / PUMP /SIPHON INFORMATION Final Grade _ S40 07 -S`f Manufacturer G emand St Cover 1� b l o q - ��, Model Number TDH Lift n 'on Loss System Head TDH Ft Forcemain e Length Dia. Well SOIL ABSORPTION SYSTEM b �. t e� RENCH Width Length 1 73 ) Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMEN t ( G 0 SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufa er: INFORMATION CHAMBER OR Type Of System: /V _ UNIT Model Number: DISTRIBUTION SYSTEM ip Header /Manifold a Distribution x Hole Size x Hole Spacing Vent to Air Intake Length — Dia Leng 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 is No Yes j No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: 1 S-/ ?i1 / Oq Inspection Location: 1432 166th Ave New Richmond, W I { 54017 (SW 1/4 NW 1/4 12 T31 RI 8W) Water's Ed eOt Lot 47� Cwt Parcel No: 12.30.18. � 1.) Alt BM Description = T4 2.) Bldg sewer length = 2 �' Zp amount of cover = .y 1 3) -- �1, . . 18 � 3 - — Plan revision Required Yes No � Dl --i-cc Use other side for additional informat on. SBD -6710 (R.3/97) `F"� C rf Insei ctor's Sign re Cert. No. i C,\ Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7082 t iscons�n Madison, 1-654 - 7082 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608 W ) 261 -6546 -Z /(o Sanitary Permit Ap State Plan I.D. Number In accord with Comm 83.2 1, Wis. Adm. Code, perso al infot tCgt d4ED may be used for secondary purposes Privac w, s15.04(1)(m) roject Address (if different than mailing address) I. Application Information - Please Print All Informatio MAY 0 6 ZUU f V 4 Property Owner's Name gT. CROIX Parce # t #3 Block # N,4 h 1 -1 A &P ONI _ I( Property Ow Mailing Address Property Location ` ` , KI -0/., Section G � City, State Zip Code Phone Number ^� `1 t5 t� «1 T ON; R�E o V� II. Type of Building (check all that apply) p� � 1 or 2 Family Dwelling - Number of Bedrooms r S� Subdivision Name CSM Number ;ublic/Commercial - Describe Use es L � ❑ State ed - escribe U1. ❑City ❑Villageo ship of III. Type of Permit: (Check only one box on 1' a A. Complete line B if applicable) A ' New System stem ❑ Replacement System r _ Y ep y ❑ Treatment/Holding Tank Replacement Only C1 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. Type of POWTS System: Check all that appl XNon - 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 ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation tpp t 7 S ,s VI. Tank Info Capacity in Total Number Manufacturer PreTab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic Holding Tank `CT Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for instaLjx4a&of the POWTS shown on the attached plans. Pl is Name (Prin Plumber's Signa re S'3 Business Phone Number P1 Plumber's Address (Street, City, State, Zip Code) nn '"k .ems 'K` (-11 !QJ 1 VIII. County /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issui g Agent Signatu (No Stamps) Surcharge Fee) ❑ Owner Given Reason for Denial I 2-,?- - M �z IX. ConditionsrovaUReasons for Disapproval .dux -� cev�t e+�, ,� Go — S^^ --� 'Lk e 2 )1 ttach ompl to pons the Cou ty �fpr fhe s�sS m on pppe r not Igps th 8 / lAA /MA x�/ 06 VV CMI SBD -6 93 8 (R 08/ . . l I r r j j I v'S � 1 AX r , _ - - -- .. -i A I ! x` - - - i� Q r G- 3i�✓ ' !CT�Y�.S'�. -. ' • q _ - J1t_u : - -- - - I ' /- F�_�_� -► mss' __� ���� � -- ' -- —� - - -- � -- - - - - - -- - +- , I I I V I I I I I I I I r i , , -- - -- - I I I I ,- -- i �6S?3, I I I I I I I r i ', : J y I I r I J � I , • j / I I 1 i I - i j , I I i : I ! I I 1 4 - _ 4 : 3w p��` 3 d/ - - -- Wisconsin Department of Industry SOIL AND SITE E V A L U AT 3bR T Page 1 of 3 Labor and Human Relations t t i Division of Safety &Buildings in accord with ILHR 83.0,5e, 1 ltlni. Cade ; • i OUNTY 1 /4' � Attach complete site plan on paper not less than 8 1/2 x 11 inches in siz n mdWi , but St. Croix A CE 1. D. # not limited to vertical and horizontal reference point (BM), direction and slope, scale or ,tQ00 dimensioned , north arrow, and location and distance to nearest road. — _ endin , 4 �OtX E ED BY DATE APPLICANT INFORMATION PLEASE PRINT ALL INFORMAT SS )NJv #k 12 3 PROPERTY OWNER: PER ON g Derrick Const. Inc. , 1/4,S T 3 N,R 18 J(or) W PROPERTY OWNERS MAILING ADDRESS LO ! C D. NAME OR CSM # 1505 Hwy #65 37 a Brushy Mound Lake CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD New Richmond, WI. 54017 (7151 246 -2320 Richmond I 140th St. [ New Construction Use ) Residential / Number of bedrooms 4 [ ) Addition to existing building j) Replacement [ ) Public or commercial describe Code derived daily Flow 600 gpd Recommended design loading rate .7 bed, gpd /ft .8 trench, gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate .7 bed, gpd /ft .8 trench, gpd /ft Recommended infiltration surface elevation(s) 98.30 ft (as referred to site plan benchmark) Additional design / site considerations trenches spaced to code 4.00' below grade Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem :K1 S ❑ U [: Ks [I U CA S ❑ U ®S ❑ U Z] S [3 U [Is E U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench .5 .6 2 11 -24 Ground 3 24 -90 7.5 r 4/6 no ne cos osa ml n 10 ft. Depth to limiting factor a + +90" Remarks: Boring # 1 0 -11 10 r 3/3 n 2 11 -26 10 r 5/4 non sicl 2msbk mfr QW if .4 .5 .................. Ground 3 26 -90 7.5 r 4/6 none Cos 0 elev. 1 00.3 ft. Depth to limiting factor + 9011 Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ayp,, New Richmond I 54017 Signature: Date: 6 -16 -2000 CST Number: m02298 f PROPERTYOWNER Derrick Const. , Inc SOIL DESCRIPTION REPORT Page - 2 — of_ PARCEL I.D. # pending Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer& Ground 3 26 7.5 r 4 6 none os ow ml na na .7 elev. 10 ft. Depth to limiting , factor Remarks: Boring # v.f 4 2 10 6 .5 r 4 6 none o 0 M1 1 ' Z Ground elev. 1 Depth to limiting factor +96" Remarks: Boring # 1 0 -10 10 r 3/3 none 1 2msbk mfr cs 2f .5 .6 2 10 -23 10 r 4/4 none sici 2msbk mfr Cfw if .4 .5 Ground 3 23 -35 7.5 r 4 4 none sl 2msbk mvfr qw if .5 .6 elev. 4 35,4_6 .5 r 4/6 none cos 0SQ ml na na .7 .8 1 Depth to limiting p factor +96" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330 (R.05 /92) r STEEL'S SOIL SERVICE Gary L. Steel Derrick Construction, Inc. 1554 200th Ave. CSTM2298 Sw4NW4 S12- T30N -R18w New Richmond, WI 54017 MPRSW -3254 Town of Richmond (715) 246 -6200 lot #37 Brushy Mound Lake This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shoam as permanent lot lines were not established at the time the test was conducted- N 1 BM.= top of 1 pvc pipe C el. 100.00' Alt. BM.= top of 1 pvc pipe C el. 103.35 C 7O t 2�'" Ga Steel 6 -16 -2000 --- - Il��e mo. C� /�' t1w�o'VtcL V5 7'Cr ©�X a !Z 12 �� orb 3�oS73 irt�. i !' fog - - s 4 V. / \ V 3° a I AP r P j rLk'sS ►/ octh � y -' �nors _Y w CO -� 37 12 03H 74 �► +'" it 4.625 L; .. •.. +w+ +rw ► +• +w 112 Cj •` •~` r v, w *viii +ww,,,,+ 24 rr 8 ntloae 35rr f D.CA. / 'void Coat' 1.) tcagw u AMMIFAft oven at 37.496. Oa Qf4 V oid YO t ?1 hL JQ 4� P lies. 3 EL R > .ls•�2a..??3±u (2 S�+vatls) 18 '� :�? l7irr,x$j !tR >O.i17q+ t}. Le. *f � e Ylhitler — r2.5 j, a 3.tt Leh fft Void volurrw, 8ere8.iec atce„m, > f 14 - r 66 , _ Tara' Sent luterracr Area as i l t e2 'O - 3.1�•) 1 r !ZSi. ° {p ra > 12 { 12et <ie > 422 R , S,Id SQ_ Its j " 74 V� mo E 12 � '. #7a • 90, Pro3Ktext Traaati Ares �Oid veltttft at l+otto. Sidewsl( Height : r . 2 ih. j �cea cYfirrderr, 162-1-4 /i ~. 60 ` z.0osy.F= R i2 rm'tl.t- _ i 8at� 36 lh. ou# valt en outswl tt i r. it 021 tN ° 3.Op 4R. 1 Co r Iff2 ot vofnh,r hct m prQlected TriycJI Area .. Too' void vol w ec+t (t 7 491 cyi + 6.422 +• Q. w t 0.1 i S .' 2 � tJ.1 x #J �a1fo 6 2 i S 6. ! 08 R p tk 753 X � ` t. 363 �a ncr hanr A 3 6 X rQ s- C3 EPS Aggregate Trench System EZ a 203H 65 q� industrial G, oW 00kiand trio! Pork Rd. 7Tt 48 � �L• SZt2'Q11t..yt i S►�EE7: } ct t } t_y�_6r POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page J___ of FILE INFORMATION SYSTEM SPECIFICATIONS Owner & i std Tank Manufacturer W ' ,e51QwS. 0 NA Pemtit # W-9 9(� septic ❑ Dose 13 Holding Vol. 1 g al DESIGN PARAMETERS Tank Manufacturer ❑ NA Number of Bedrooms D NA ❑ Septic ❑ Dose ❑ Holding vol. gal Number of Public Facility Units ❑ NA Effluent Filter Manufacturer - ZaK ❑ NA Estimated (average) flow 4 gal/day Effluent Filter Model 10C) Design (peak) flow = (Estimated x 1.5) J gal/day Pump Manufacturer ❑ NA Soil Application Rate a)lda fft' Pump Model Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats. Oil & Grease (FOG) 530 mg1L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (800 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSSI 5150 m9A. ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Manufacturer Biochemical Oxygen Demand (SOD 530 mg/L Dispersal Cell(s) 0 NA Total Suspended Solids (TSS) 530 mg /L ❑ NA — qn- Ground )gravity) ❑ In-Ground (pressurized) Fecal Coliform (geometric mean} 510 cfu/i OUml (❑ At -Grade ❑ Mound Maximum Effluent Particle Size Ye in dia. ❑ NA ❑ Drip -UQe ❑ Other. Other ❑ NA her: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once eve ry' 3 0 month(s) (Maximum 3 yews) ❑ NA ar s) 'When combined sludge and scum equals one -third (Y) of tank volume Pump out contents of tank(s) ❑ NA ❑ When the high water alarm Is activated Inspect dispersal cell(s) At least once ev ery: ❑ month(s) p ear(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: ❑ month(s) ❑ NA DI' arts) Insp u ❑ month(s) p p pump controls &alarm At least once every: ❑ NA O emits) Flush laterals and ❑ month(s) presswe test At least once every: ❑ NA ❑ year(s) Other: ❑ month(s} At least once every: ❑ year(s) 4 NA Other. ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding ' of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. Ali other services including ut not limited o the s ervic i ng of ef f lu ent filters mechanical or pressurized components, g t h e ng p p , p retreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (2/02) Page of of painting products, solvents or other D OPERATION treatment tardc(s) for the presence high concentrations are detected AN check If m9 , START UP 'or to use of the POINTS at cell(s). For new construction, Pre nt ocess and /or damage the soil diapers chemicals that may impede the treatrne servicing operator Prior to use have the contents of the tank . ts) removed by a $ ions a inns surface. are frozen at the infrltrat the excess System start up shag not occur when soil conditions hwater levels. When power is restored tanks may fill above normal overload them resulting in the backup or surface During extended Power outages Pump al ceay in one large dpsa and may re moved by a Septage Servicing operator prior wastewater will be discharged to the dispars the contents of the pump tank the pump To avoid this situation have a Plumber or POWTS Maintainer to assist in manually discharge of effluent. opesetir+g efflusnt pump or contact Power to the levels within the PmmnP act, the area to restoring Po tank• controls to restore normal I c am, Do not drive or park over. or otherwise disturb or corny. Do not drive or park vehicles over tanks and disperse a bsorp tion a• of any mound or at'9rede � a�orP rea rove the performance and prolong the fife of the w 15 feet down slope from the wastewater stream may imp disinfectants; fat; Reduction or elimination of the following condoms; cotton swabs; degreasers; dental floss; diapers% icatrons; oil; aratte butts; gasoline; grease; herbicides; meat scmPs; mad POWTS: antibiotics; baby wipes; ci9 etabie Peelings; gas foundation drain (sump pump) discharge fruit srrd i ns; and water softener brine• � es; sanitary napkins; tempo ABANDONMENT � the following steps shad be taken to insure that the system is painting products; pesticides; When the POWTS fails nd /ar is permanently taken out of service Wisconsin Administrative Code: property and sa fely abandon in compliance with chapter Comm . Y nngs sealed. tad and the abandoned lie °►� i Servicng Operator. i • All piping to tanks and pits shalt be disconnected and pro perty disposed of by a Septage shall be removed • Th contents of all tanks and Pits or their covers removed and the void space failed with coveted and removed • After pumping, sit tanks and pits shall be ex soil, gravel or another inert solid material. CONTINGENCY PLAN he following measures have been, or must be taken, to provide a code compliant if the pOWTS fails and cannot be rep aired t replacement system: � utilized for the Location of a re placement soil absorPt A suitable replace tested from disturbance a ction and should not be infringed P will rent area has and comPa � be and may wells. Failure to Protect the r e pl ace m ent e cement cyst amp system. The replacement area should osed structure, lot lines and t stems must required setbacks from existing area P bush 8 suitable replacement are a• Replacemen systems result in the need for a now soli and site evaluation to seta Banning advances in PO comply with the rules in effect at that time• and/ so,, limitations. ❑ A suitable replacemen art is a as a as resort to replace the f ailed POWTS- a suitable replacement area' Upon failure of the pOWTS a soil and t am technology a holding site has not been evaluated to identify r eplacement area. if no replacement area is available a hording 13 The rformed to locate a s evaluation must be Pe lace the failed POWTS• removal of the biomet at the may Installed as a test resort to rep be reco nstructed in place following 13 Mound and at -grade soil absorption systems may i � th des in effect at that time. infiltrative surface. Reconstructions of such systems must come Y DO NOT GASSES DIOR INSUFFICIENT OXYGEN. < cWARNING> > 'TME T TANKS MAY CONTAIN Y L GASC►:MSSES AN AN . DEATH MAY RESULT. RESCUE OF A C, pt1MP AND OTHER TREATMENT TM� TANK UNDER ENTER A SEPTIC, PUMP OR OTHER TRH PERSON FROM THE INTERIOR OF TANK MAY at DIFFICULT OR IMPOSSIBLE. A ADDITIONAL COMMENTS ' POWYS MpINTA1NER pOWTS INSTALLER Name Name Phone Phone f LOCAL REGULATORY AUTHORITY •� TOR (PUMPER) c ! Ip ✓l V-\ SEPTAGE SERVICING OPERATOR Noma t Name Phone is Zoning and san agencies in compliance with Phone This document was drafted by 'die sta th Gr een 1 & 3), Wi in Administrative Code. M and Woushare County chapter Comm 83.2212)(b)(1)(d) &(1l • ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND . OWNERSHIP CERTIFICATION FORM Owner/Buyer ��ZetS fL�/ A `d %J I'L 0 PAar qk4LS- AA Mailing Address ICC C�-Fa -S Y ! 7 Property Address (Verification required from Planning Department for new construction) City/State 14t3 p � Karcel Identification Number © Z / G ` 37 - ® 1 , LEGAL DESCRIPTION Property Location S�1 i /4, J V4, Sec. 1) . T 30 N -R / � W, Town of ef (-.f M° kfc) Subdivision � �� Lot # 7 Certified Survey Map # , Volume , Page # Warranty Deed # ®y 2 S -7 , Volume j . Page # Spec house yes O no Lot lines identifiable yes O 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 masterpluniW, joumeymanplwnber, restrictedplumber or a licensed pumper 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 tha your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 34 days of ve y e ira ' at �& 0 SIGRATURE OF APPLICANT/ PPLICANT DATE OWNER CERTIFICATION I ( We ) certify that all statements o this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the prope escn above —by a warranty deed recorded in Register of Deeds Office. SIGRATURE OF APPLICANT DATE * * * * ** 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 k � R I V C Y 3 - t t t t 4"JIS 4MV L � 0 jj v � a •� ox 4. > z � v U cil eq z -� cz tz U) .� -rs �. :� to U) � `� u cu a, ,��. ,� ;� � •� �o too � -� � :� � ° � -� °' '� � � 3 0 a o a p ti o o a, v 3 o 0. 42 . G� M �+ w N i. V 4J 4! iy .. �+ v .4: O O O O ca O O 0 W O v W a? in Ln Q tb cu CL,� 3 °' 3 /y l,(- 4 31PAGt 169 >� f ST ATE BAR O F WISCONSIN FORM • 1993 THLEEN H. WALSH wAg m= DM . ST. CROIX CO., WI er This Deed, made betWeen Dayid L. Nun, Grantor, and Brushy RECEIVED FOR RECORD Mound Partners, LLP, a Wisconsin limited liability partnership, Grantee. Grantor, fora valuable consideradon, conveys and warrants to Grantee 06-03 -1499 9:30 All the following described real estate in St. Croix County, State of Wisconsin (The NARW DEED "Property'): FEES FEE. See attached B.Wbit '$A" Ti AIWER FEE: 1047.60 NO FEES 12.00 i P I 2 Recordpr Ana Name and Return Ad&ws Hendrick W. van Dyk • VAN DM O'BOYLE & SZZR, S.C. Pant 000 Box 127 Nerr Rid=41 , WI 54017 amt of d26.1Q� aA.At►At 036.id3 ?.9S.tf0b ZA3d.10.000 Paroel IdeadIIaadoa Number 0?" This 12 021 Aomestead propeM. �r Exceptions to warranties: Subject to all Casements, restrictions and covenants of record. Dated this' Z, 8 t:h day of May , 1999. *David L. 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