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040-1002-10-000
§ j $ w K 0 ] � k � o � a � § � ) . U- 0 . < � � » � \ \ e § f t & z�' t2 / $ a m § k z § j \ jk \ z z 2 � ) � \ C ■ % « b cc E \ § o o a E % L M 0 '= 0 0 0 - k a a a CL S0B co u 'ƒ § \ z _C4 \ a := o § ¥ = E '§ r £ / f k J z / ) ; » ° c CD $ E Q 2 «% L� « G G B 2§ �\ . in _ = c o cq � k , - I , 2 6 \ /d § a § § \ ± 0 3 w '3 ■ 0 z$ 2) 2 A ■ � ■ C CL ) k � k a § CL ; k 0 t U) U Parcel #: 040 - 1002 -10 -000 12/28/2005 08:33 AM PAGE 1 OF 1 Alt. Parcel #: 01.28.19.13A 040 - TOWN OF TROY Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner ANTOINETTE R & CLIFFORD W CADWALLADER O - CADWALLADER, ANTOINETTE R & CLIFFORD W 24824 FALLBROOK AVE FOREST LAKE MN 55025 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 23.000 Plat: N/A -NOT AVAILABLE SEC 1 T28N R19W 23AC E 3/4 NE SE EXC N Block/Condo Bldg: 660 FT Tract(s): (Sec- Twn -Rng 401/4 1601/4) 01- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 08/23/2004 772294 2641/625 WD 07/23/1997 2001/244 QC 07/2311997 1165/560 DJ 07/23/1997 827/104 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 101994 Use Value Assessment Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 22.500 2,600 0 2,600 NO UNDEVELOPED G5 0.500 100 0 100 NO Totals for 2005: General Property 23.000 2,700 0 2,700 Woodland 0.000 0 0 Totals for 2004: General Property 23.000 2,700 0 2,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division I0SPECTION REPORT Sanitary Permit No: 488122 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: Cadwallader, Antoinette I Troy, Town of (f G` W- r CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 00 la. 6 01.28.19. TANK INFORMATION ELEVATION DATA TYPE MPUFACTURER CAPACITY STATION BS HI FS ELEV. Septic y Benchmark W ( 5 505 q, Dosing Alt. BM t r Aeration Bldg. eyver rs ` C9 ' Holding Ht In I a ,�p • � r TANK SETBACK INFORMATION t t ut et TANK TO /L WEL BLDG. Vent o it IntaKe ROAD D 1 1(ig . i S ep t ic >�' �! l �_ B o tt om �fl.�r7 D =aA.la= 3 using « f to 2 7 ' 33 c Header/Man. A erat ion D ist. Pipe . T3 -2 • OZ r0� J H okf ing o . ys em ,� r 3,1 poi, 33 P &'/SIPHON INFORMATION LL� ,,(( L,e o%f a + s-u CsAr m anufacturer Uemand bltuover 11^ C, GPM W 6 oci et N U m er 's \• rIC Ion o S yS em n eaa > orcemam 2 � l SOIL ABSURPTIUN SYSTEM (G:7 i DIMENSIONS t / !i l jn;�_Jt INFORMATION CHAMBER _ t UNIT � 1Pip.w // Length Dia length Z. • -1S J is 2 ' O Spacing 3 l�fd i r 30 • S x Pressure Systems Only xx Mound Or At - Grade Systems Only JA Mululmd Bed /Trench Center BedfTrench Edges Topsoil Yes No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection # : � Ins ecti _on Location: Hudson, WI 4016 (NE 114 E 1/4 1 T28N R19W) NA Lot 1 Parcel o: 01.28.19. 1.) Alt BM Description =� G 2.) Bldg sewer length = Q 1�� A - amount of cover = `� ! Plan revision Required? Yes o Use other side for additional information. _ I — . -- C�'rt'. SBD -6710 (R.3197) Sa; -.ty and Buildings Division County ` ME O1 W. Washington Ave., P.O. Box 7 S, Y0 �scons �rn bison, tIV ED San tary Permit Number (to be filled in by Co.) Department of Commerce (60 0 0 � Z Sanitary Perini Cat n 200�j Stat Plan I.D. Number p y APR 1 2 S4 In accord with Comm 83.21, Wis. Adm. Code, ersonal in at n ou rovide may be used for secondary purposes acy Law, s 15.0 Priv 1)(m) j (' g ST. CROIX COUNT Pro e t AddSre�r� ifieren� t? ai1j� a� s I. Application Information - Please Print All Information t C( Property�O , N } ame Parcel # P of # Bleak v7 /p Gl�� F �� 1 a� Gc ev Property Owner's Mailing Address Property Location f� I' YCI�J U� '/4, -S E 'A, Section City, State ) Zip Code Phone Number t1 pa � Lu t li��' Q ' ! d T N R Q(c ir ircl ) II. Type of Building (check all that apply) wLt M Number 9,1 or 2 Family Dwelling - Number of Bedrooms w � O1 �6 t/ El Public/Commercial -Describe Use r T ❑ State Owned- Describe Use ❑City_ ❑Village,'ownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. A-New System ❑ Replacement System Y p Y ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System B. List Previous Permit Number and Date Issued ❑ Perini[ Renewal ❑Permit Revision El Change of F1 Permit Transfer to New Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl ,, 2, ❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable '1 KMound < 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: .O Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (so Dispersal Area Proposed (sf) System Elevation 950 -0 1 75 ) 6), VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units to /P �Z S Concrete Constructed Glass New I Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum er's Signature MP/MPRS Number Business Phone Number Cla+ F� gels ./ �'�► 1-? Plumber's Address (Street, City, State, Zip Code) �2 Le VIII. Coun /De artment Use Onl Approved ❑ Disap Sanitary Permit Fee ncludes Groundwater Date Issued Issuing ent Signature o Stamps) Surcharge Fee) ❑ O Re 5Z�-- - I ason fo Denial � IX. Conditions qfLA rov 3) S i_ 2_ - r . -Q 1C �b 1( - 12 SYSTEM OWNER) ' - S , 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) P C O - P LAN AN _.. SCAL E 1 + ='q0 . 1 40 I e0' , 14.91 ACRE5 BM I TOP IRON P) PE l , o AT GRADF EL, 1 00.00 0' TO f3O UNDAKLAD am 'Z 7'OP.7fJON -PEPS WEST 510E v 99• A 9q. 6 "w0oD M ST 6t • gq,02 1 c TTE LD �oopEp � 3 O O ` t a �II CV c.1 1- c V ( t d� 4 � ow 4 Q' �FSF.R CoN � — 5 BDRM � 1 6 . 5 SEP7'i 0 7'9N uTE y, 52 5 EIt _ _ K SNjT,I paCY401( KoM f s Prc fas4 NA)cU ' Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary April 06, 2006 CUST ID No. 220554 ATTIC• POWTS Inspector ZONING OFFICE CARL P HEISE ST CROIX COUNTY SPIA 1042 S MAIN ST 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES; 04/06/2008 Identification Numbers Transaction ID No. 1254237 SITE: Site ID No. 710560 Antoinette and Clifford Cadwallader Please refer to both identification numbers, Boundry Road above, in all correspondence with the ag6nc Town of Troy, St Croix County NE1 /4, SW1 /4, S1, T28N, R19W Lot: FOR: Description: Five Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1066940 Maintenance required; 750 GPD Flow rate; 11 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /O1), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 101); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the /I component manuals listed above.. �9 • The changes made to this plan on 4/06/06 b this reviewer were acknowled ed and approved b the system I g p Y g pP Y Y designer. . D ME c Est • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. SEE i; 1,)R1 Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. / CARL P 14EISE Page 2 ' 4/6/2006 • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • _Comm 83.22(7) A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101. 12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me' at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 6A �-" '/ l Balance Due $ 0.00 J Charles L Bratz POWTS Reviewer 11, Integrated Services WiSMART code: 7633 (608)789-7893, 7:45 am - 4:30 pm Monday - Friday charlie.bratz @wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 r _ r C � � VEl7 �wR . ?006 Bulk DING ' S 285 COUNTY ROAD SS EXCAVATING RIVER FAILS w. 5ao22 800 -828 -3723 715- 425 -6200 715 - 425 -8466 FAX TITLE SHEET - MOUND SYSTEM FOR BEDROOM RESIDENCE LOCATED IN THE N E Y. OF THE S E Y. OF SECTION, I , T N, R 1 9 W; TOWN OF 'Fro $L COUNTY, WISCONSIN. INDEX PAGE 1 OF 7 TITLE SHEET PAGE 2 OF 7 SYSTEM MANAGEMENT PLAN PAGE 3 OF 7 PLOT PLAN PAGE 4 OF 7 PLAN VIEW -CROSS SECTION PAGE 5 OF 7 DISTRIBUTION PIPE LAYOUT PAGE 6 OF 7 PUMPING CHAMBER CROSS SECTION PAGE 7 OF 7 PUMP PERFORMANCE CURVE PREPARED FOR A NTO z N E77 4 C U F FO RD CA DVA D t P \ M624 FALL8PMK AVF FbR F5T LAKE M 55 025 PREPARED BY i c �G/ � wl _ GNo CARL P. HEISE CSTIMPRS 220554 This plan has been prepared in accordance.with the Mound Component Manual SBD- 10691 -P and the Pressure Distribution Manual SBD -1 0706 -P. i �i PLOT - PLAN P 9 2 °F SC A L E E' A. - 40� , 40 80' 14.91 ACR SM " TOP I R O N P) PE AT GRADE EL, 100.00 0 0U ND Attr RD 49.32 _ aM�`2 Top,jRON { p Q% -Pt P): WEST Slit of j9 a q4.2 6 "w000 1=o ST r j EL. 81.02 1 �oopEP TIE LP a 0 S � a s N � v` B3 .57 f d� L • o m/ O+ o 1 o t � � e 1 - �'Ns7•,p wiFSF O --- s _ 15 �g SEP�'i 0 T Ap CON - 52 5 FI LTE i� K w r T,j P,,, , px Ko m �- i i i i PrDpose� -�7G�L 3 7 - Page _.j Of.2— Cross Section Of A Mound Using A Trench For The Absorption Area ASTM C33 _ H 16 Medium Sand Fill Ei �� ° F To - 6 - - 4 3 E D Trench of - 2�" Aggregate, 1 go5�a�e Plowed Laver 6" Below Pipe, Covered With D 2, F Ft. Straw, Marsh Hay Or Synthetic Fabric E 2,5 1_ Ft. G 0. 5 Ft. F . Ft. H ® Ft. Plan View Of Mound Using A Trench For The Absorption Area F j Distribution Pipe Permanent Marker Observation Pipe 2 INCH FORCE MAIN AW o ---------- - - - - -- - -- r " I Trench Of � - Z? Aggregate f L A �- Ft. I Z Ft. K Ft. W Ft. B ! e B Ft. 2 Ft. L Ft. SYSTEM ELEVATION Pagej.Of_?. Distribution Pipe Detail For Two Lateral lietwork ti ales Located On bottom e Equally Spaced PVC Force Main A U, Y X X PVC Distribution Pipe P p \��\ X • Last Hole Should Be Next To End Cap T P � Ft Hole Diameters Inch X 30, 5 Inches Lateral Diameter 2„_, Inch(es) Y 3� Inches Force Mai n Diameter z Inches Of Holes /Pipe Invert Elevation Of Laterals Ft. f Min. 2' Vent Ppe with cap PUMP CHAMBER CROSS SECTION Page � of 210' from door. window or fresh air Intake - --- Vent ea P Weather Proof •,lunctlon Box T - 7 Approved ticking manhole cover w/ warning label 12' MIN I Final I 1 Grade I A /! V MIN I i 18' MIN Conduit % 18'MIN� --- - - - - -- ,u /r inlet ' - - - -- • / t j I t I � f ( Provide Approved \1 A Airtight Seat I III 4 Approved Joint Joints /! � I II • Alarm � C Pum I 1 p i p ' 8 S. 5� EL� � \ - - f off // EL V. ft 4 Concrete Block 3' approved bedding maurial under tank SPECIFICATIONS Note: Pump and alarm are on separate Number of Doses: J t- Per Day circuits as per ILHR 16.� Wis. Adm. Code Gallons Per Day /n of Doses: 1 SO Gallons Volume of Backflow: 5 2,10 Gallons Tank Manufacturer: VJ F C to C Pr ' Total Dose Volume: I e 7, / Gallons Tank Size: ( 0 C c) Gallons Alarm Manufacturer: .S T E l PI^ ►- Capacities: A l R inches or .9 4 Gallons Model Number: 1 0 l l B 2._ inches or Gallons C �, 5 - inches or lg:, R io Gallons Pump Manufacturer: Z D JLJ� inches or A211 Gallons Model Number: 161 Total........ =. 4� inches or I Ilo Gallons Minimum Discharge Rate: 49.94 GPM Vertical Difference Between Pump Off and Distribution .Pipe :............:° Wit. Minimum Required Supply Pressure: .......:......... ............. .. ................ + . Ft. ,;?o6 Ft. of Force Main x 6 .11 Friction Factor /100 Ft .................. +I Z�z Ft. Total Dynamic Head = 4- Ft. x.3'7 Internal Pump Tank Dimensions: Length . I Width Depth to inlet ±2 83 Signature: Ucense Number 'Date ' ti C W ub HEAD/ W W 115 l CAPACITY 110- Z oELL�q CO 2 105 - 30 f- CUR ICE 95 28 90 26 L es EFFLUENT 24 MODEL and C 75 MODEL 189 DEWATERING = 70 , 65 a > 18 Go 55 16 MODE C 163 MODEL F- 14 188 12 40- 35 Q 10 MODEL , 1 MODEL SEWAGE and ° ! , 65 25 DEWATERING 6 20 MOD L ,5 MODEL 161 4 97 10 W uWi 2 MODEL W LL 5 53, 55, am 57. 59 i 0 GALLONS 10 20 30 40 0 60 70 80 90 100 110 24 80 75 LITERS 0 80 60 1 240 320 400 FLOW PE NUTE 70 20 �. G 18 60_ MODEL Q 295 W 55 U 50 Q 14 45 MODEL Z 294 11 p 12 40 - Q 35 MODEL 293 G 10 I MODEL 284 — - T 8 � 1 MODEL ° 20- 282 i 15 � ZFR TA9. 10 MODEL I I I 1 [71*1-11 --1 ZJ91Z 2 5 267, 268 0 3280 Old Millais Lane / GALLONS 10 20 30 40 50 60 70 60 90 100 110 120 130 140 150 160 170 180 190 P.O. Box 16347 LITERS 0 so 160 ao 480 560 640 720 Louisville, Kentucky 40216 2 ao 32o a (502) 778-2731 FLOW PER MINUTE - � - �. V V F !'1 r i IY J Y. '_ . L L t F. ,� l r 11, • r e r r. 1 • Mound System Management Plan o f 7 • Pursuant to Comm 83.54, Wis. Adm, Code Sop The septic tank shall be melntained by an ir.Civldual Certified to service septic tanks under S. 251.48, State. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm, Code. Th operating condition of the septic tank and outlet rilter shall as a4ae33ed A least once overy 3 years by inspection. The outlet ff(le( shall be Cleaned es necsuary to ensure proper operotion. The filter cartridge should not be removed unless provisions 314 made b retain solids In ft tank trwt may Stough off the Altar when removed from its cnctosure. If the filter Is equipped with an alarm, the rilter shall be seMC►d It the start is activated continuously. Intermittont filler alarms may Indicate surge flows or an Impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shag edv4s tM owner of when the next service needs to be performed to maintain less than maximum scum and sludge acemulation in the tank. The addition of biological or chemica; additives to enhance septic tank performance is generally not required. However, if such products are used they shall be, approved for septic tank use by the Department of Comm. erce, Safety and Buildings Oivlslon. pg mp Tan The pwrrp (dosing) tank shall be Inspected at least once every 3 years, All switches. &farms, and pumps shall be tested to verify proper operation. If an effluent filter is ins :ailed within the tank It shag be Inspected and setviead as necessary. : 4 . � 11 nd and Prvs ;yrt C 13t System No Cross or shrubs should be planted on the mound. Plantings may bo made around the mound's parimoter, and the tnound small be seodad and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Tra"ic (other than for vegetalive maintenance) on the mound is not recommended slnca soil compaction may hinder aeration of the infiitralve surface within the mound and snow compaction in the winter will promote frost psnetr3Wn. Cold weather installations (Ociober•Februery) dictate that the mound be haavgy mulched for frost protection. influent quality into the mound system may not exceod 220 mg/L 8005, 15o mq/l TSS, and 30 mg/L FOG. Influent now may not exceed maximum design new specified in the permit for this Installation. The pressuro dlstrirutlon system Is provided with a flushing point at the end of each lateral, and It Is recommended that each Lateral be flushed of accumulated sollds at least once svory 18 months, When a pressure test Is performed It should be compared to tho IniUal test when the system was Installed to determine if orince clogging has occurred and if orifice clear*V Is required to maintain equal distribution within the dispersal cog. Ooservation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any leve :s above 4 inches consldared as an Impending hydraulic failure Mquldng additional, moralrequent moniforii'►g. Goners( This system shall be oporated In accordance with Comm 82.84 Wis, Adm. Code, and shall maintalned In accordance with its' wmponent m31)u41 (58C- 10572•P (R. 8189)) and total or state rules pertaining to system malnlenanca and maintenance reporting. No one should ever enter a septic or pump tunk since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be In accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POYJTS components. SapUc or pump tank manhole risers, access risers and covers should be inspected for water Ughtneas and soundness. Acc+ss openings used for service and assessment shag be cooled watertight upon the completton of service. Any opening doomed unsound, defective, or subject to failure must be replaced. Exposed access opariings greater than 5- Inches In diameter shag to secured by an effective locking device to prevent accidental or unauthorized entry Into a tank or component Contlnaoncy Plan It the septic lank or any of its components become detective the tank or component shall be repaired or replaced to keep the system In proper operating condition. It the dosing tank, pump, pump eootrois, alarm or related wiring becomes defective the defective component shall be Immediately repaired or replaced with a component of the same or equal performance. If the mound component falls to. accept wastewater or begins to discharge wastewater to the ground surface. It will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing blologically dogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be directed to the County Zoning office at '584 -94go or to the licensed plumber who i.ristalled the system. - p I ST. CROIX COUNTY I�.. WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road •�• 4� -----° Hudson, WI 54016 -7710 (715) 386 -4680 FAX (715) 386 -4686 Page ( of 1 COUNTY ON -SITE VERIFICATION FORM Inspector: 4, Cl 9 A, Date: Ak h I to , ?to f Parcel ID Number p yo - ( cep 2 - ow G X 34 P roperty Omer - Pi - o — padyL ocation CM W Iott -Ab 6-e C L (r � AJTV /N Govt. Lot V &- 19 !�6, 114 S I T ZF N R Property Owners Mailing Address W# IBlock# 5ubd. Nama or CSW CRY StAq Zip Code Phone Number oCky ❑Village MTawn Nearest Pmed Ce UW- MAJ I 5"5 D7- - ( 6 57 ) -41 7-30 1ANewCanstruction Usa:p Residential P Number ofbedrooms _._.._,...._..._.__._ Codederivr?cides n_�_fb�v r E] Replacement ❑ Pubiic m - -- - - - -- �_ _ _ _...._,..._........_...._..._...._ ............... ....... ....... _ .... _ ........... _ .... - ...... ....... ... ._.. ....... ..... ..._ .... ...... _ .......... _.. .... ..._.__. Parent material _ _ w Rood Plain eievgon it ap cable . ft. General comments 0. 3p �oa' r and recommendations: © C �S tN 0 U_ 04" r � � "fig►... �-a-- � s� cs..�.'�►�is ! J.J„,IBeringlt E] Being 1 �pp S"� �-� 1 Q S J T: �'�p t►+ 1t�`' L17y - ---� ❑ Pit round surface elev _ ft. Depth to Umiting t�ruar In .— Sail Application Rate Horizon Depth Dominant olor RedoxDescription TWure structure Consistence Boundary Rods GPD% aLkQA.. f in. Munsell c ---�__ Conditions: U "-Ck t 1 Soil Survey description: _P AJ6k s� S �s Ck L"_ Cam.( �. � � . Notes: FEE: s 3 P 44- � t�rE1�E® "sconsin Dep en o once {ON REPORT Page of Division, or safe and WW E s 21 2 4 5 '$gym L Ce With Comm Code Attach comple site plan on p�a�pe than 12 x 11 Inches- in�size. Plan must s � Include, but tfmite Amm" �tal ference point (BM), direction and Parcel I.D. percent slope, a or dimensions d location and distance to nearest road. 0 100 /0 — 60 . Please print all Information. Z by Date Perso" Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m) / Q � rm Property Owner Property location C Govt, lot .r 1145 F 1/4 S J T 7 0 N R q E (� Property Owners Mailing Address lot # Block # Subd. N� or CSM# �i Den �n City State Zip Code Phone Number ❑City ❑ Vilage CITown Nearest d r n} S51?9s' ��i - T O � W New Constructlan Use: C@ Residential / Number of bedrooms Code derived design flow rate d GPD ❑ Replacement I PublI or commercial - Describe: Paront material Lti [? 4'r e- rel l' &m o Inn e-- Flood Plain elevation if applicable ft. General comments ,��I/%:3 v/), X 72 �r K`t �/ a M Yo�T S7 6j d f,( ! `T e mtt Ys R +1 and recommendations: !ns74 /,vn,s ` na r -. , vcwnJ aNJ eA 0,: Qiref ,. �'n5y m r ua•C W /�'P � 3 u��l�t -f; �i �rs7 kl- Iaa.9'7 Baring # [r�]r Boring ❑ Ipl pit Ground surface elev. Tq, Y7 it Depth to limiting factor l l in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ffr In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 3 - �4 1a 7 rn Boring # C] Boring ) Qj pit Ground surface elev. ft. Depth to limiting factor / in. Soa olication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Endar Roots GPD/fP In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 - Efftt2 m r v d �. -, i Effluent #1 = BOD > 30 220 mg/L and TSS >30 1 150 mg/L ' Effluent #2 = BOD < 30 mg& and TSS < 30 m91L CST Name (Please Print) Sig a ST Number �° 11 � fse cis Address Date Evaluaboo Telephone Number kC ii(ei Fa S 4 200 I Property Owner 1i rV ih tiv'c � a �ql l �'�" Parcel ID it 04 0 (r�D 2 — 1 tal �7 Page _ of Baring �t Baring /{ # � Pit Ground surface elev. IQy,ILU n. Depth to IirrnUng tacoor In Soil icatlor► Rate Horizon Depth Dominant Col Redox Description Texture Stuck" Consistence Boundary Roots OPOrt In. Munseli 0u. Sz. Cont. Color Gr. Sz. Sh. 'EW p- yn Y' ,s t v D. $' �a e 674 Psi 9 r E eor1ng # M pit Ground surface elay. 7 �, / it. Depth to ttrnitMq factor _ In. Soil Rate Horizon Depth Dominant 03ior Redox Description Texture Structure Consistence Boundary Room GPDO in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 'Eff#2 0 1 C?. s ik r ) 4 O'b 0. 7 -11 '7, s r --- S a + v 3 l - 15 1 2 l?S Y9 1 64 -- 0.2 0 i Swing # O Batin o pit Ground surface elev. ___, ,___ ft. Depth to limiting factor In. SoM AMk#gp Rate Horizon Depth Dominant Colo4 Redox Description Text" Structure Consistence Boundary Roots GPOAT In. Munseti Cu. Sz. Cont. Color Gr. Sz. Sh. 'Enwi 'EM# Effluent #1 s BOD, > 30 <_ 220 mg& and TSS -%30 150 mglL ' Effluent #2 = 800 5 30 mglL and TSS 130 mWL 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 608-264-9777. SUC•3330 (R.3r00) PLOT PLAN ANTON WE N DWA LLAPER 5 CALE ► "1- 40 040 14,91 ACRE 5 sm fop { on elk a"�Gc4te �� �OQ.Oa � PrTpe1�y 949.10 70 O 9►(a ,tiro "P�P W e,57 sliC S O��i �titOo 1 ti �oa�tr� '�►ti10� 9l 0 S oPE J 0 X 4 7.7'1 i 0 45.87 Pro Pose J �r Se � 0 " SAFETY AND BUILDINGS DIVISION • - commerce .wl.gov Integrated Services Bureau 13 East Spruce Street ■ ■ Chippewa Falls, WI 54729 �scons�n INSPECTION REPORT www.com err .wi.go2vr//ssb Department of Commerce 6 Date of Inspection: October 16, 2003 Plumber Name and Address: Project Name: Lenertz NA REL`�'4 Use: Residential E Legal Description: NE, SE, 1, 28,19W s $ Site Number: NA Certified Soil Tester Name a d Ad 20 Subdivision: Lot 1-4 Proposed CSM Thomas Nelson, CST 27i 7 05 Municipality: Town of Troy 1432 120 St ZD R�/kCp(JNT�- County: St. Croix New Richmond, WI 5 N�NG pFFICE Plan Transaction Number: NA Owner Name and Address: Sanitary Permit Number: NA Fred Lenertz 220 Livestock Exchange Bldg. Wastewater Flow: 450 gpd St. Paul, MN 55075 Persons Present: T. Nelson Soil conditions at this site were reported by the CST to have less than A +0 soil conditions. Soil pits were reviewed on all lots with the following results: No cwt- P65 5&V/n /`TJE- Lot 1 CST B -1 00 -09" 10YR 2/1 sil, 2m -csbk, mfi, cw. 09 -11" 10YR 4/3 sil, 2mpl, mfr, cw. 11 -16" 10YR 4/4 sil, 2mpl, mfr, with c2f 10YR 4/6 rmfs. CST B -2 Similar to B -1 except rmfs begin 1" below the bottom of the A horizon. Lot 2 CST B -1 00 -10" 10YR 3/2 sil 10 -16" 10YR 4/4 sil, with f3f -d 10YR 5/8 and 5/3 rmfs 16 "+ Gleyed clayey subsoil Lot 3 CST B -2 00 -10" 10YR 3/2 sil, 2m -csbk parting to pl, mfi, as. 10 -12" 10YR 4/4 sil, 2mpl, mfr, cw, with f3f 10YR 4/6 rmfs. 12 -14" 10YR 414 sil, 2msbk parting to pl, mfr, cw, with f3f 10YR 4/6 rmfs. 14 -24" 10YR 4/4 sil, 2msbk, mfr, with c2f -d 10YR 4/6 and 5/2 rmfs, and common 10YR 6/3 si coatings. Lot 4 CST B -1 00 -08" 10YR 3/2 sil, 2m -c sbk, mfr, as. 08 -18" 10YR 4/4 sil, 2msk, mfr, ac. 18 -24" 10YR 4/6 sl, 1 csbk, dsh CST B-4 Noted variable depth to rmfs at A +2 to A +5 inches. Lenertz Site 4 October 16, 2003 Page 2 of 2 Conclusions: All but one soil boring evaluated have an estimated highest level of soil saturation of 0 inches based on the general lack of at least 4 inches of unsaturated soil below the A horizon [ref. Comm 85.30 (2)(b), Wis. Adm. Code]. In other words, standard mound systems cannot installed unless some other determination is made to negate the estimated highest levels of saturation to the ground surface. Recommendations: Approval of soil saturation monitoring as per Comm 85.60 (3) or an interpretative review pursuant to Comm 85.60 (2), may allow this site to be approved for mound type systems using conservative designs that account for poor soil limitations. Most areas for potential mounds should be landscaped after mound construction to improve surface water drainage. In addition, mounds should be designed using a maximum linear loading rate of 4.0 to 4.5 gpd /ft, and maximum basal loading rate of 0.2 gpd /ft ^2. Chisel plowing should be to 16 inches deep to improve water movement into and through the topsoil and subsoil that is often platy. If there are any questions regarding this report, please contact me. -&" Qzd� �_ - roy G. ansky, stewate pecialist Ljansky comme ce.state.w s E -mail 715/726 -2544 Voice 715/726 -2549 Fax cc: Lrlc;ounty ❑ Plumber ❑ CST ❑ Owner ❑ Other I I Computer #: 040 - 1002 -10 -000 Parcel #: 01.28.19.13A Municipality: Troy, Town of Address: Boundary Road (needs CSM) Hudson, WI 54016 1011912005 Cadwallader, Antoinette Pam Quinn new owner purchased 23 acres at auction from Fred Lenertz and found it is not a legal parcel. Soil on -sites done in May 2005 for Tom Nelson see file notes Y ( ) show A +0" in various locations >sfv7�.k erg, MK i , %M5 , �(� w t y l am, P -1,141;m -=`� d d 1 s I t -- _ I - I I — _.— . —_-i— N I i I i I i i J ol C L T I -- -- -- w4' 7 I f 3 e� -etc • Parcel #: 040 - 1002 -10 -000 10/19/2005 04:15 PM PAGE 1 OF 1 Alt. Parcel #: 01.28.19.13A 040 - TOWN OF TROY Current ' X'i ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 - Current r - Current w Tax Address: Owner(s): O - Cu ent Owne , C - Cu ent Ca0 ner ANTOINETTE R & CLIFFORD W CADWALLADER O - CADWALLADER, ANTOINETTE R & CLIFFORD W 24824 FALLBROOK AVE FOREST LAKE MN 55025 ,_ Districts: SC = School SP = Special Property Address(es): - Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 23.000 Plat: N/A -NOT AVAILABLE SEC 1 T28N R1 9W 23AC E 3/4 NE SE EXC N Block/Condo Bldg: 660 FT Tract(s): (Sec- Twn -Rng 401/4 1601/4) 01- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 08/23/2004 772294 2641/625 WD 07/23/1997 2001/244 QC 07/23/1997 1165/560 DJ 07/23/1997 827/104 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 22.500 2,600 0 2,600 NO UNDEVELOPED G5 0.500 100 0 100 NO Totals for 2005: General Property 23.000 2,700 0 2,700 Woodland 0.000 0 0 Totals for 2004: General Property 23.000 2,700 0 2,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I Parcel #: 040 - 1002 -10 -000 05/06/2005 09:26 AM PAGE 1 OF 1 Alt. Parcel #: 01.28.19.13A 040 - TOWN OF TROY Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * ANTOINETTE R & CLIFFORD W CADWALLADER CADWALLADER, ANTOINETTE R & CLIFFORD W 24824 FALLBROOK AVE FOREST LAKE MN 55025 Districts: SC = School SP = Special Property Address(es): Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC cry - s Legal Description: Acres: 23.000 PI N /A -NO AVAILABLE�� SEC 1 T28N R19W 23AC E 3/4 NE SE EXC N lock/Condo Bldg: !J 660 FT Tract(s): (Sec- Twn -Rng 401/4 1601/4) /V U 01- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 08/23/2004 772294 2641/625 WD 07/23/1997 2001/244 QC 07/23/1997 1165/560 DJ 07/23/1997 827/104 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 22.500 2,600 0 2,600 NO UNDEVELOPED G5 0.500 100 0 100 NO Totals for 2005: General Property 23.000 2,700 0 2,700 Woodland 0.000 0 0 Totals for 2004: General Property 23.000 2,700 0 2,700 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 U'. 2641? 625 • 772294 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO.. MI This Deed, made between Frederick G. Lenertz, a/k/a Frederick RECEIVED FOR RECORD G. Lenertz, Sr. 08!23/2804 10:150 WARRANTY DEED Grantor, and Antoinette R. Cadwallader and Clifford W. Cadwallader, EX8W 1 husband and wife, as survivorship marital property REG FEEt 11.00 TRAITS FEE: 348.00 COPY FEE: CC FEE: Grantee. Grantor, for a valuable consideration, conveys to Grantee the PAGES: 1 following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area The E 3/4 of NE 1/4 of SE 114 EXCEPT commencing at the E 1/4 comer of Name and Return Address Section 1, Township 28 North, Range 19 West, Town of Troy, St. Croix Steven B. Goff, Attorney at Law County, Wisconsin; thence South 308 feet to the point of beginning; thence P.O. Box 167 continue South 352 feet; thence West 991.77 feet; thence North 352 feet; River Falls thence East 990.15 feet to the point of beginning; ALSO EXCEPT Wisconsin 54022 commencing at the E 1/4 corner of said Section; thence West 988.83 feet; thence South 308 feet; thence East 990.15 feet; thence North 308 feet to the oint of beginning. 040 -1002 -10-000 Parcel Identification Number (PIN) This is not homestead property. JW (is not) Exceptions to warranties: easements and restrictions of record Dated this 19 day of August 2004 Fre erick G. Lenert& 4Wa Frederick G. Lenertz, Sr. + * By: Steven B. Goff, P r f Attorne s AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. St. Croix County ) authenticated this day of Personally came before me this IF( of August 2004 the above named Frederick G. Lenertz, &Wa Frederick G. Lenertz, Sr., by Steven B. Goff, power of attorney TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, W is. Stats.) instrument and a kno dged the same. THIS INSTRUMENT WAS DRAFTED BY : Steven B. Goff, Attorney at Law Notary Public, State of Wisconsin River Falls, Wisconsin 54022 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) 1' x ; p% �T 22- , 4&8 ) • Names of persons signing in any capacity must be typed or printed below their signature. Irtom,auon v roraaabnals c ompany. Fond du Laa, N WARRANTY DEED STATE BAR OF WISCONSIN ' FORM No. 2 -1999 Parcel #: 040 - 1002 -70 -000 05/06/2005 09:33 AM PAGE 1 OF 1 Alt. Parcel #: 01.28.19.15 040 - TOWN OF TROY Current ', X; ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner F %LIVESTOCK EXCHANGE BLD LENERTZ * LENERTZ, F %LIVESTOCK EXCHANGE BLD PO BOX 292 SOUTH ST PAUL MN 55075 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 1 T28N R1 9W 40AC SW SE Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 01- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 2001/244 QC 07/23/1997 1165/560 DJ 0712311997 827/104 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 24.000 4,600 0 4,600 NO PRODUCTIVE FORST LANC G6 16.000 84,000 0 84,000 NO Totals for 2005: General Property 40.000 88,600 0 88,600 Woodland 0.000 0 0 Totals for 2004: General Property 40.000 88,600 0 88,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Char es S Special Assessments Special Charges Delinquent g Total p 0.00 0.00 0.00 i Parcel #: 040 - 1002 -80 -000 05/06/2005 09:33 AM PAGE 1 OF 1 Alt. Parcel #: 01.28.19.16A 040 - TOWN OF TROY Current X'', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " = Current Owner * LENERTZ, F %LIVESTOCK EXCHANGE BLD F %LIVESTOCK EXCHANGE BLD LENERTZ PO BOX 292 SOUTH ST PAUL MN 55075 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 35.000 Plat: N/A -NOT AVAILABLE SEC 1 T28N R19W SE SE EXC CSM 711871 Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 01- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/2311997 2001 /244 QC 07/23/1997 1165/560 DJ 07/23/1997 827/104 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 34.000 3,700 0 3,700 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2005: General Property 35.000 3,800 0 3,800 Woodland 0.000 0 0 Totals for 2004: General Property 35.000 3,800 0 3,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount I Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i 429401 CERTIFIED SURVEY MAP I LOCATED IN THE SE 1/4 OF THE SEI /4 OF SECTION 1, T28N, R19W, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN. OWNED BY: •A FRED LENERT2 ]A' CA EDINA REALTY TOO 2nd STREET HUDSON, WI 54016 FILED AU821 1987 O= SET 1" z 24" IRON PIPE WEIGHING _ E 1/4 CORNER OF AAM 1.13 LOS. PER LINEAL FOOT. M,S ECT ION 1, T28N, mob a R19W. (COUNTY bomw Of 0w4 0 MONUMENT FOUND). M � UNPLATTED LANDS I 3 ............. ........ 1 o , NORTH LINE OF THE SEI /4 OF THE SEI /4 I � N S88 ° 29' 03 "E 442.15' U) W' 40 2. 15' 1 40.00' W i U) I I shed 1 33-1 w i I I Wk 1 e I = K t0 I I NI c -. Z. Z. W 3 K Q' d , �� I i o Q 2 00 LOT I p. 5.00 ACRES a D w wo W• 1217,820 SO. FT.) born 3 ( W. sr _W 4.55 AC. TO R.O. W. 8 w I - I W I _ . a = (198,115 S0. FT.)1 d 40, a o a- Z�y .J . O .° l O 1- .J . 0 < ° ? Q.• N z N U. a• ou Z Z right-of-way Ilse „ '�° �• W F-O I .• F•ef I -, O Q = 2 W O 1 N W E e �33' 33' Q + W o I - 402.15' • 40.00 _ .I N88 "W 442.15' .0.1 UNPLATTED LANDS 1 e ,�,,.�� g�a ............... ......... � .1 APPROVE13 a C3 ��♦♦ � I AUG 181987 l JAMES M. WEBER w - ' I ::�J Y, .COUNTY � S-1804 CO - is -ILIV_ FARK5 PtANM SPRING VALLEY 1 AND 10AING COMMITfE6 t ` Wis. 'p ,, SCALE 1 "- loo' I o 19 4f `ate N x• 00 ��r' ♦� �U l�G;t]��'® O 50' loo' 200' Z SE CORNER OF �eQ l�slb�� SECTION 1, T28N, _ R19 W. (COUNTY MONUMENT FOUND). JAMES M. WEBER S -1804 WEGERER, WEBER AND ASSOC. DATED SHEET I 0 F 2. i j 87- 204 THIS INSTRUMENT DRAFTED BY _tQA�f++�t �'louie� Vol. 7 Pg. 1871 08/24/05 WED 08:12 FAX 715 386 4686 X1001 - ST. CROrX COUNTY SEPTTC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer fif7 /'7 t ye Mailing Address ra A 67 rda Fore Property Addres' fFrr' n` - s °�' sj w1�S � ✓ �� _� � ��' (Verifi'• 'on required from Planning & Zonil g Department for new construction.) City /State & So Pareclldentitic Number LEGAL DESCRIPTION Q Property Location IV r_ ' / 4 , 5 f , % 1 , Sec. 8 N _ W, Town of 190 y Subdivision C S M Vol �p D �� �v)`® 8 � , Lot # . Certified Survey Map # /�/ � y0 _ , Volume _ ?-� .Page Warranty Deed # q 7 -,Volume Q1_41 ____, Page # s Spec house yes Lot lines identifiable 4S no SYSTEM MAINTENA AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to liandle wastes. Proper maintenance consists of pumping out the septic rani, every tlhrcc 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, Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification tarn, signed by tlrc owner and by a 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 purnping (if .necessary), the septic tank is less than 1/3 full of sludge. I/we, 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 Connneree and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be eomplered and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. 1/we certify that all statements on this form are true to the best of my /our knowledge. i /we an the owner(s) of the property described above, by vir e o ' arranty deed recorded in Register of Deeds Office. SIG_ APPLICANT DATE t; A * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.*'* Include with this application a recorded warranty deed from the .Register of Deeds Office and a copy of tjle certified survey map if reference is made in the warranty deed. (REV. 08105 FROM BO JON'S FLOWERS FAX NO. 17154251522 Dec. 13 2005 12:36PM P1/1 IJ. 26#1? 625 77x294 STATE BAR OF WISCONSIN FORM 2 - 1999 ICA771LEE1i It WAISH Document Number WARRANTY DEED REGISTER OF DEE ST. CROIX W. , I This Deed, made between Frederick G. Lenertz; a/k/a Frederick RECEIVED FOR RWM G. Lenertz, Sr. W/23/20 k 161 ISAII WARRANTY DEED Grantor, and Antoinette R. Cadwallader and Clifford W. Cadwallader, EXl7lPT 8 husband and wife, as survivorship marital property REC Ms 11.00 TRANS FEE= 346.00 COPY FEES CC FEE: Grantee. Grantor, for a valuable consideration, conveys to Grantee the PAM 1 following descry real estate in St. Croix _ County, State of Wisconsm.(if more space is needed, please attach addendwn): Recording Ares 1-be E 3/4 of NE 1/4 of SE 114 EXCEPT commencing at the E 1/4 comer of Name od Rctum Ad&= Section 1, Township 28 North, Range 19 West, Town of Troy, St. Croix Steven B. Goff, Attorney at Law County, Wisconsin; thence South 308 feet to the point of beginnin& thence P.O. Box 167 continue South 352 feet; thence West 99).77 feet; thence North 352 feet; River Fails thence East 990.1 S feet to the point of beginning; ALSO EXCEPT Wisconsin S4022 . . commencing at the E 114 comer of said Section; thence West 988.83 feet; thence South 308 feet; thence East990.15 feet; thence North 30? feet to the pint of beginning. 040 -1002 -10-000 Parcel Ideotificatlon Number (PIN) This is oat hommtead property. 1 (is not) Exceptions to warranties: easements and restrictions of record Dated this f 0 _ day of August . 2004 FreLetjck G. Lener da Fre&rkk G. Lenertz, Sr. • $ : Steven B. Goff, P6&jr f Attorney - Y } AU THENTICATION ACKNOWLEDGMENT Signatures} STATE OF WIScoNs ) ss St. Croix County ) authenticated this day of Personally came before me this _ _ _ /� day of August Z004 the above named Frederick G. I.eaertz, a/k/a Frederictc G. Le°ectz, Sr., dy Steve° B. Gott, wer ofattorae TITLE: MEMBER STATE BAR OF WISCONSIN (Xf not. to me known to be the person($) who executed the foregoing 8uthori2ed by § 706.06, Wis. Stats.) itltstrumcmt and a kno ged same 1�i'leGtsXe7 THIS INSTRUMENT WAS DR.AFFED BY ♦ E Steven J4. Goff, Attorney at Law Notary Public, State of Wisconsin fiver ails, WisconiN 54022 M Commission is Y permanent- (If not, $We expiration dam: (Sig u*= may be eutbenticated or acknowicdged. Both an not accessary.) _p T'rvl T�dg� z , Z&A ) • Names of persons signing in any capacity must be typed or printed below their skontare. tram„ �r. em*", Fend d„Vy vN WARRANTY Inxito STATIC BAIL OF WISCONSIN 9Q04W4=j FORM N46 2. 1999 8 1 97463 VOL 20 PAGE 5164 KATR= H. QAESH REGISTER OF DEEDS ST. CROIX CO. w1 RECEIVED FOR kECORD LEGEND 03/02/20% 03:55PK FOUND ALUMINUM COUNTY CERTIFIED SURVEY KAP REP FEE: 13.00 SECTION CORNER MONUMENT COPY FEE: 3.00 PAGES: 2 0 FOUND 1' OUTSIDE DIAMETER IRON PIPE Q SET 1. OUTSIDE DIAMETER BY 18" LONG IRON PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT BEARINGS ARE REFERENCED TO ........... ROADWAY SETBACK AS NOTED THE EAST LINE OF THE SEi /4 OF SECTION 1, ASSUMED TO BEAR S00'03'3M U nN(AlAu4(9 Dr a"M NOO 07'40 "W 663.53' _ TO 268.13' 176.65' o , 218.75' a WEST LINE OF THE EAST 3 /4 OF THE SE1 /4 OF NEV V a m N ° o : ® rn C ;Cj t Om 4 N= I I —{ Z 1 1° O 'O y m o ` Z s 0 N H�� O o z s "' _ 7 O X m: °m° Z _ O m f,jJ oy o o z ' to c/) m a W m m : O 7D m a, � 5O C', Z: C m x a 2A, � }moo r Ln - V1 O ,p m 3 Q S" O - 1 Cm's �+= A A . TO = n � n q ^ a ti X rrn °: _ 6 p � W ft1 c j I!� cn. my D W u D Ipl IV a• cry 11� c') f 1J -i I � I d Q m 1� 1(`1 0 --1 l� C�7 X° 00 i o q i� ° �° I �' 1�1� sp•y: � Z i i� z Z IQ I IV m A 1 z m OmT ° o 0 ............. � Z O .................. .................� ..... m mm °ov ° v M M CA 0 N m m \ w v EAST LINE OF THE NE 1/4 OF THE SE 114 -- C1 0 O �- __ S00 °06'58 "E 658.41_ y n.w � � Cal�tir�L3G3C/ G3�L s Q -0 3 3 W $.2� _.r. _� 6 60.00' 131 8.20' W �_ ^� S00 ° 0337"W 2636.41' (SOUTH S00 ° 00'00 "E) cp LQU 9 I I f�OO 4 z Fn - � 1 ------------- - - - - -� -- N g z -o ° °Zc) � zo rrnn rn u' 0', � 70 • • �" -n 9 SHEET 1 OF 2 SHEETS � 819748 1 of 2 Vol 20 Page 5164 .� '� � r-- .� � --- r � + � 7 } �'�� , J _.. � -� ,i ' /. _ 'i J ' /� �, S / l 6 .. ..... _..� /� i • _. ... ��` .,. � rV � j `��} � �. � I ,/� r �" � 1 v ( " -- .- (�� ,,� �, �_ __ _;, r f `' X ,. `, .f! � . /F, !. J • ... i ;�_, i