Loading...
HomeMy WebLinkAbout040-1190-70-000 W isconsin Department of Commerce y Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar PermitNo.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)1. 74955 Permit Holder's Name: ❑ City ❑ Village ❑ T wn of: State Plan ID No.: P.C. Collova Builders, Troy Township CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: o 040 - 1190 -70 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark p Alt. BM s v3 -& Aeration .. Bldg. Sewer S /P2. Holding (S)/Ht Inlet 3 9 TANK SETBACK INFORMATION Ht Outlet TANK TO P / L WELL BLDG. Air i to ntake ROAD Air Septic 7 �' / saYO NA Dosin -- - - -" - NA Header / Man. Aeration ' N Dist. Pipe 1 Hong Bot. System a li eI7. PUMP / SIPHON INFORMATION Final Grade Manufacturer n °d St cover Model Number PM TDH - Lift Friction tem TDH Ft L oss rea Forcemain ILength E ia. Dist. To well SOIL AA§PRPTION SYSTEM BED / ENCH Widt Len th No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN 4 O - SYSTEM TO P / L BLDG WELL LAKE / STREAM L - SETBACK AMBER INFORMATION Type Of Moe er: System: UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length � Dia. Spacing 3. s- r Z L 9 7 Z SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) Inspection #1: fl l/o IOU Inspection #2: / / Location: 593 Tower Road, Hudson WI 54016 (NE 1/4 SE 1/4 4 T28N R19W) - 042819845 Valley View Heights -Lot 6 1.) Alt BM Description )wo k/e# %^lt / 2.) Bldg sewer length = 3 $ r lin s k�.dc� �als� eof %h' �'� 1.eet .� +° 2 Aso +f "fs - amount of cover = > Y' oil Solvfl. Lsvp �I er�� 'rile w2t et. M.tr S_ F4,, s sre,., el o W,c L S Plan revision required? ❑ Yes P No Use other side for additional information. 1C 4Da SBD -6710 (R.3/97) Inspecto Signature Cert. No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: m, € I i € i .e�®.�.�. »...»..„„..,..«.....». f,�.�».. ..»- ...j,.... ... ..��.. _» �..,. ...�.....�.,.�..».d�...e.,,.,.. �..._„...,.,,„q, F +- .�.,.... i 4 s f ; 66 4 E _. ._ 1_-a_ I E : I s93 Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for c ' this application PO Box 7302 ` isconsin personal information you provide tnaf b� used f 2I ary purposes Madison, WI 53707 -730' Department of Commerce i ;S 7o (Submit completed form to county if r [Privacy La r� state owner Attach com lete plans (to the county cony o y r the pa of n6t s than 8 -1/2 x 11 inches in size. County State Sanita Permit Number ' I Z i q Chec y�Y n to previou>; cation State Plan I. D. Number 1. Application Information - Please Print all Informati D, 1 L..._ Location: Property Owner Name !�? �,1 F Property Location i G L �� GL, CCU` 2s�S � i � 1/4✓�1/4,S Te2q,N,R /fE or Property Owner's Mailing Address >1 Z Z Lot Number Block Number City, State Zip Code Pho Subdivision Nafne or CSM Number sa W �Ol� ( )6 �S9r� II Type of Building: (check one) r r ❑ City W_ I. or 2 Family Dwelling -No. of Bedrooms: 3 la S {ier Si t9-, - tt c� pt-, ❑ Village ❑ Public /Commercial (describe use): 0-Town of Tye y ❑ State -owned III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road A) 1. R New System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s) y. ZoR Jf- opf' System Tank Only Existing System el L a - - 7 (� B) Permit Number Date Issued 11 A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ALNon- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade / 4-re" Apr bic Treatment Unit ❑ Recirculating 11 Other: V Dispersal/Treatment Area Informatio f.k- 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) c, Elevation 445 ' d ✓ 9od 9oa ✓ . sue✓ �- '� VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ VII Responsibility Statement I, the undersigned, assume res onsibilit f ^r installation of the POWTS sho the attached plans. Plumber's Name (print) Plumber's Signature ( stamps): 69NPRS No. Business Phone Number l�u S aa79pD' -38 Plumber's Address (Street, City, State, Zip Code) Xy VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) ,Appr)ved ❑ Owner Given Initial Adverse Surcharge Fee) termination I1 ; t3O — (- — . Conditions Approval /Reasons for Disapproval: ' n _v..'S; a�XX4_Q� &'. - 4 r- � Vb *CICGIC wk, 4"t- I f1A 0 D'Ak-=61 A-L r l & " Le ­ WaAIJ ks (' cck rlc - SBD -6398 (R. 07/00) 1 I Cl� ) I 'A ]� I � � I (so cri lb I i ti p { M y 1 � 1 1i y 1 v li a L � „ Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page �_ of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and 5 T r 01 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Pleas thi f tion. R awed by Date Personal information you provide may lie used for purposes (Ptivai q,Fa s. 15.04 (1) (m)). +y - Property Owner < r' Property Location 15 n Y �' ` Govt. Lot 1/4 SF 1 /4,S 4 T 2 N,R ( E (or) W Property Owner's Mailing Ad ress Lot # I Block# Subd. Name or CSM# C► Stat4i Zip Code r PIdaU ptoWber ❑ City Ej Village Town Near st Road New Construction Use: Residentia edrooms _„G— Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: f Code derived daily flow 5p gpd Recommended design loading rate 0. S bed, 9 9 9Pd/fl 0 , to trench, gpdfft Absorption area required q6O bed, ft 7�o trench, ft Maximum design loading rate S bed, gpd/ft b _ _ k trench, gpd/ft2 Recommended infiltration surface elev ation(s) 10 6r ; rte 6 n,1 Y J ft (as referred to site plan benchmark) Additional design/site considerations Pv n fiy, Ir e A. i,S p*, I v S / 1 L ah/ e tot r a w o u. J 1�. y S'l Parent material Flood plain elevation, if applicable W A ft S = Suitable for system Conventional Mound In- Ground Pressure T EDS AT -Grade System in Fill Holding Tank U = Unsuitable for system ® S E] U � S ❑ U Ns ❑ U NU [Is IO U ❑ S ,® U SOIL DESCRIPTION REPORT ( ZA 11 2beD -'!� Boris # Horizon Depth Dominant Color Mottles Structure GPD/ft Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench z 123 R 9 57 o.s '0,b 5 Ground 7 34_ C� = r c;, Pn --- D S 0 / S• elev. Depth to limiting factor A4 in. Remarks: Boring # � ) 2 s6 /1-t r cl 2 2 &-30 4 ( 2 m 5 b/ R j✓ T O, 5 , o, J Ground elev. Depth to limiting factor 7IO2 in. Remarks: CST Name (Please Print) Signa a Telephone No. , L' .. -r't i P 4 2 Address Date CST Number ID42 S7 ��Pr >~u(Is LJ 1 - 2-7 - 99 05 PROPERTY OWNER I t� :� sn 1'1t v e✓r SOIL DESCRIPTION REPORT Page 2, of 3 v PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 2 ►► -3b 5 y a S t'k rh ► v o s , o, - s Ground e_99 O S elev. i 03,2 ft. ' Depth to limiting factor >l�in. Remarks: Boring # 2 2 vi 4 s 2 b s ► o, o, •S� 3 2,s wr' ' w P Ground elev. 94 O ft. Depth to limiting factor Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed . Trench Boring # 0 g YR b' yn r s 0, ©. 6 " ✓ t 2 DA 4 z — s; I z S b �,,, s v f ,e•3 — s;cl �s61 f S , v .� Ground A 3z•98 Z Z1 b/ vn v�; elev. �— Depth to limiting I L± factor -"' Remarks: Boring # 4 0 -! 6 s ; 2 sw1 rn j v Q s F f Z 10 -20 5 `� 9 � _°° 5� 1 �s6 / ' of, s t v 0 U s d 21 s b - f I Ground q 3t -Sv (L 3 Z, (' C . if vf; elev. 9 4.O Depth to limiting factor Remarks: SBD -8330 (R. 07/96) PLOT ?LP ✓ �c�1e , l '= 10 ✓ o� 0 O L v' 0� �1 J �e o ` � N 2 o o - f pmt S�,�kB �w R if ceagr" Tree t, 00, �..J �—�- -" 3 ' a bG � e g a a e I,,,r✓` SskYnE x'1,106 y�" A 4� /� _ vVsTQL 3 TY crc�e s 50 � L ,�`�h eac, rn aY C' c C I 4501 C,ord; ItFSLOFE e.h) z.p d eeQ Cam Top 2 "�roh py-e E L_ 100,00 NOTE, TW5 LO IS VERY THtCH IIRU5H .AND MOSTLY CC ?REFS ALTERNATE AREA 15 FOR MOUND 5YSTEM OY LV Wisconsin Department of Commerce SOIL AND SITE EVALUATION Welon of §Wety and Buildings Page I of Bureau of Integrated services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach Complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (SM), direction and 57 Percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION • Please print all Information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 6U Property Owner Property Location ! S 0 f1)' Govt. Lot N L 1/4 S F7 1 /4,S q T '�� ° ,N,R j E (or) W Property Owner's Mailing Address Lot # I Block# I Subd. Name or CSM# dq r "I e� r Va1�1 ►c�,� I-� r C Sta Zip Code Phone Number p El city (� Village Town Nea t Road l d1 S W L4J `{ ti7 ' i' l N� ) . ' l 7 `T K 0 New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 450 gpd Rec design loading rate 0. 5 bed, gpd/ft Q . /o trench, gpolflz Absorption area required K O0 bed, ft 7S 0 trench, ft2 Maximum design loading rate 0 , - S bed, gpd* C . jn trench, gpd* Recommended infiltration surface elevation(s) 70 t+ t'tN ; », r u� ft (as referred to site plan benchmark) Additional designtsite considerations T� r_ .S.0 t 1tt c a rr o ��H to s� t: Y^ Parent material Flood plain elevation, if applicable w it ti S a Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in FlII Holding Tank U = Unsuitable for system ® S U L4 S u ®s ❑ u I [Is L9 u ❑ S 0 u ❑ s O u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPDftl2 in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. Bkd T L3 2, r I a °12 5 rz -'�'1 ! 2" ,S , ,,• "3G __. Ground ��_ �6 5 },., rv, S ✓(� slev. Depth to fkrliting factor Remarks: Boring # 1 n 5 —" � a rabl ii-t r �; z �� 0 ,s ✓o Ground ei�e e ft• , Depth to limiting factor y t0 . Remarks: CST Name (Please Print) SI ture Telephone No. � �, f,�j$. r �+ Address Date CST Number I Y , 12 ROPER* OWNER A 5 el N 7 e? Y SOIL DESCRIPTION REPORT Page �_ of 3 PARCEL 11.01 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. T ch 1 0-11 1 -C� 2� & rn r r 2 A 0. s d, 4 o 5 Ij Ground ti_9�1 -- , ✓� elev. ' Depth to limiting factor Remarks: Boring # M 3 -S Ground 'U P, ' X 94 a ft. Depth to limiting factor 2 �in Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. Boring # _ $ R 6 ij : r C& 2 - y y "T Ground NP 1 `, 3 5'� ��1 I i y'i Ground 2.98 2 r Z`t elev. 98.grt Depth to limiting factor _32—in: Remarks: Boring # 0 - 1 0 4 21 S 2` Ground q 32-50 y 1Z 3 Z . Y r 7 , S G t t. 1, �; rot' ' r Slay. Depth to limiting factor Remarks: SBD -8330 (R. 07/96) r d.1 PLOT ?LAYO ' Sc t "t 1 01 DoT o� r ,0 0. i ~ V flD � Cr o f 'ar 4 Q O O. Qm� .�' 3 ' YV57g1 3 T,r c rc c S So 1 ! ch �y Top ��QSS 1.6 Lt�in:c NOTE. Th I S LOT IS VERY THICµ UU5H ANP K 5TLy c C- 0 4 c' 7f�rf5 ALTERWAT E A kEA 1 5 FOR MOUNI) 5YST -M 044 f! �� , ` e i mss• ,,� �i� s��y s �-i 7-7 c l q b u v v u � �. � � J v �P b f ' i Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number 3q 1 Number of Bedrooms Design Flow - Peak (gpd) Estimated Flow - Average (gpd) Septic Tank Capacity (gal) Soil Absorption Component Size (fl?) p Z Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absor tion Component Design Flow - Peak (gpd) 60 z Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of.in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition olithe septic tank and outlet filter shall be assessed at least once every 3 years by inspectio - n 77 t he outlet felt r shall be cleaned as necessary to ensure p roper oo�atl The filter cartridg se hould notte removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer oV'A 6 1 A 4 S ti Mailing Address !vim Ov - /F cl t Property Address Tbu p (Verification required from Planning Department for new construction) City /State Parcel Identification Number O f6 70 LEGAL DESCRIPTION Properly Location NE %,, 5 y,, Sec, , T�N -R Town of ' Subdivision V� ( U (` �ru-) � � Lot # cP Certified Survey Map # Volume . Page # Warranty Deed # Volume 1/ Page # Spec house ❑ yes �no Lot lines identifiable yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature.failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a 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 d a year expiratio date. X— .77/ Vd NA : TbU F APPLICA 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 p erty ribed above, b virtue of a warranty deed recorded in Register of Deeds Office. / w S NATURE 0 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 ' 618069 STATE BAR OF WISCONSIN FORM 2 - 1998 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI Document Number ��I.1489 98 RECEIVED FOR RECORD This Deed, made between 02 -08 -2000 8:10 All Wilson J. Myers, a /k /a Wilson J. Myers JR. , a WARRANTY DEED single person EXENPT N Grantor, CERT COPY FEE: — — COPY FEE: and P.C. rnl loya. Build Inc., A Minnesota TRANSFER FEE: 75.00 Corporation RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: Lot 6, Plat Valley View Heights in the Town of Troy Recording Area Name and Return Address Fri r 040- 1190 -70 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: easements, roadways, restrictions of record Dated this day of 'r� , r *Wilson J. e w w AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) ) ss. St. Croix Coun Personally came before met his \ day of authenticated this day of 6 R 2M- the above named Wilson J. Wers TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person who executed (If not, the for ,going instrument and acknowledged the same. authorized by § 706.06, Wis. Slats.) THIS INSTRUMENT WAS DRAFTED BY ' Tracy 1i Turner Michael H. Foreeki Attorney Notary Public, State of Wisconsin Eau Claire Wisconsin My �mmis�sion11s pe a If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are - /- +��` CQif 22D not necessary.) Tracy L. TUMOf Notary Public 'Names ot'persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2-1998 Pro0uce0 wah ZipF.-" oy Venisaa Inc. 18025 FPtean Mild Road, Clinton Township, Mirlhgan 98035, (900) 383 -9805 Crntu.y 2 l P.em Gnup 706191h Si. Rudvm WI 4)1b2161 Ph—(715)J86 -8201 Fev. (715)216 -M61 a z Q Qp F D Oz J tL ^ uz ° aa o Y Z�- � 8 W- aO 'lZ x 0 N M 0 b 7 0 2 3 0 W: W * rn. 5£ AMH v Q': Z cr O d J: U Z: �} Z m mt OD N 1 O 1-- c' w 1• ' 486.45'• 1 ° S 01 46 "E- 1 S O1' 4' 48 "E 254.77 0' LD M Z Q Q W H m c I i a I l a CK W J T I I U Q I 7, LD CD , Op. O 210-90 "T I 1 S 00.04'00 "W 7.1 LD DRGAd w C3 — W (� 3 S 'A'1!`000w m O Q Q C) j t 9t.z xo4.80' Q u CD U I t ti h M �- (!) Z I j h•a v L I 1.O � U Z Q >— I MW _ = F-- Q ; i O 187 ` 42' 10" > Q J 1— Z: I & w ry 1 _ ZD 0 J: I S 00'04 "W U cm I— CD ry cr- u r ST. CROIX COUNTY � r+►, .. y WISOONSIN ZONIN41 OFFICE 1* 1 s i M N � w — s... ST. CROUP COUNTY GOVERNMENT CENTER 11Q1 Cuttillateu►1 Road _ Nuason, w l 34010.77 (718) 3864M Fan (MB) 3*4M "'July 28, 2000 Mielke Coldwell Banker 1301 Coulee Road Hudson, W154016 Rll: Lot 6 of Valley Vtow Heights Subdivislcn Dear Mr. Mielke; As you tequosted, l am rappiyiag you with written certification that lot 6 of Valley. View Heights subdivision is a "lot of record ". This lot to oorteiderod buildable n for a single farnsly home pt+ovic3ed to grorisiona of the St. Croix County Zoning Ordinamoe and applicable Town building coda provisions are mat. I have enclosed a spreeakeeet idmitylag minimum setbacks for your miew. Please note that the mi iraum road r-o -w setback im required rr= both platted rou b to the north ad cant (chock with the Town mgamling the classification of the roads). If you have nay quosdons, do rA hoaitm to till. Sinccrel Sts�ven tsher . Zott g Director Encl.: Cc: Mlle Dean Albert - Tavvb of Troy T1= y •6n Wow Td Wd6�:Z0 000 0Z d �T6S 6bS STZ 'ON �NOHd ONI 'SaQ�H kii10�100 0 d ' ST. CROIX COUNTY - 1- 1 WISCONSIN ZONING OFFICE A M N N N N ■ - r■ri ST. CROIX COUNTY GOVERNMENT CENTER - 1101 Carmichael Road "'�� � —____— Hudson, WI 54016 -7710 - (715) 386 -4680 Fax (715) 386 -4686 February 6, 2001 P.C.CollovaBuilders Attn: Laurie 705 County Trunk E Hudson, WI 54016 i RE: Septic Inspection for P.C. Collova Builders located at 593 Tower Road, Valley View Heights (Lot 6), Troy Township, St. Croix County, Wisconsin Dear Laurie: A septic inspection of the above referenced property was conducted on 11/10/2000. This property is located in the NE 1/4 SE 1/4 of Section 4, T28N R19W, Valley View Heights ( Lot 6 ), Troy St. Croix County, Wisconsin. At the time of the inspection, this Y Townshi p Y septic system was found to be code compliant for a three (3) bedroom home. If you have any questions regarding this, please contact our office at (715) 386 -4680. Sincerely, Jo j(S6n66f116g Zoning staff /sm cc: file