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Home My WebLink About040-1030-20-000 Wiscor!sinDepartmentofCommerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 453324 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: Woodruff, James I Troy Township 040 - 1030 -20 -000 CST BM Elev: Insp. BM Elev: BM Des riptio Section/Town /Range /Map No: dQ � D 01) d � I &T 07.28.19.96 TANK INFORMATION LtLEVATION IIATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic B�IIC4ma* �� w � -( � (� • d Dosing � O � Alt. BM Aeration Bl Sewer Holding St/Ht Inlet �' mot. �•Z IG •3 0 St/Ht Outlet q TANK SETBACK INFORMATION �� (R - 1 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 1 ✓ �t �� / � / � DtBottom Dosing 4f I Heade Aeration Dist. Pipe Z �- q4 Holding Bot. System - c .S �3 Fina s PUMP /SIPHON INFORMATION � J K Lf Manufacturer Demand St Cover q GPM 5 / 3. Q'] D(�. � Model Number tA,4S TDH Lift riction Loss Syste d TDH Ft r N Z �� O2' • 0 Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Tren:C -- PIT DIMENSI o. Of Pits Inside Dia. Liquid Depth DIMENSIONS I SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING anu ulcer: INFORMATION CHAMBER OR oD I F�� USc Typ f System: ^ v , -/ _� UNI Model Number: DISTRIBUTION SYSTEM G t�tl� ' a— .Q, V & t1k Header /Manifold Distribution / I x Hole Size I x Hole Spacing Vent to Air Intake �' L Dia ) tr / �' Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil J Yes iL: No [ [ Yes ,_j No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /� Inspection #2: Location: 477 County Road F Hudson, WI 54016 (NW 1/4 NE 1/4 7 T28N R19W) 40 acres Lot ��// Parcel No: 07.28.19.96 1.) Alt BM Description = � 1' 7 1*1 2.) Bldg sewer length - amount of cover = Plan revision Required? Yes � No ONo Use other side for additional information. SBD -6710 (R.3/97) Date Insepctors 5 nature Cert. Safety and Buildings Division County ^n_ 201 W. Washington Ave., P.O. Box 7162 �T C�l� l " N visc , vnsin Ma ' on, WI •53707 - 7162 Site Address Departmant of Commerce 7 . 7 Sanitary Permit Application Sanitar !Tit Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide � 3 3 2 / may be used for second Privacy Law, a15. 1 m ❑ C i[ Revision I. Application Information - Please Print All Information , 4 • State Plan I.D. N ber Property Owner's Name -' 'i Parcel Numbe J a rYl S 0 @ D /0 38 - A 0 --000 Property Owner's Mailing Address Property Location 7 c_7 /P 'v . /� u u S7 T2 N. R 1 9 it' City, State Zip Code orie°NornGei '__ " "° Lot Number Block Number �jD (p 7 r - 4 � Subdivision Name CS Number I Type of Building (check all that apply) j� ❑City lJ 1 or 2 Family Dwelling - Number of Bedrooms -3 ❑vil e ❑ Public /Commercial - Describe Use FI ST C�ZL.S �� rest R p 11 State Owned Nearest Road c III. Type of Permit: (Ghee only one box on line A (numbering scheme for internal use). Complete line B applicable A. 1 El 2 Replacement System 3 ❑ Replacement of 6 0 Addition to For County use System Tank Only Existin S stem B • Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. TT of Permit: (Check all that apply)(numbering scheme Is for internal use) /) /,c.;O 44 1K Non - Pressurized In- Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tahk 48 ❑ Single Pass 510 Drip Line 45 ❑ At -Grade " AC,^ a 46 0 Ae bic Treatment Unit 49 0 Recirculating 30 0 Other V. Dispersal/Treatment Area4dfbffi _ /Qd Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Perco a , Required Proposed Rate(Gals. /Days /Sq.F) (Min./inch) Elevation 7 9 s-a 99 sa VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic allons Gallons of Tanks Concrete Constructed Glass t lRew Existing Tanks Tanks Septic or holding Tank / _ 771 Dosing Chamber VII. Responsibility Statement- I, the undersig assum responsibility for hxstallation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number: xt�� . I Pl umber's Address ( treet, City. State, Zip Code) 9%7 Agzy 6S tPo r- VIII Count /De artmen Use Onl Approved ❑ Disapproved ' Sanitary Permit Fee (includes Groundwater Date Issued Is ng AS t Signature tamps) Surcharge Fee) p ❑ Owner Given Initial Adverse 2� f Determination M. Conditions of A provaVReasons for Disapproval �,�, ,) YSTEM O Q J� """ . eptic tank, effluent filter andC6YMVIW1 • U 3 ,� dispersal cell must all be serviced / maintained as per management plan provided by Plumber. 2 2. All setback requirements must be maintained 17 Y O e rOrA#W plans (to the County onlYll for the ryat o not less than Hn x 11 Inches WO-66 SBD -6398 (R. 05(01) l GlJ -- SO i I trc IG�4 �'ON i / �.G� FNwy .f �,,, G r Tod► e W = oat Vo Ql- sJl�� e3 3 ° 0 o� d�/�i v c u9 3► 16 3 n ■ o ■ - 0 c } /� \ i Q! § 0 / 0 ° & + ° E k k 00 ? a E0 #2 0 7 ] - § § / CD { ƒ \ CL E E E $ E E [ § t © / § £ K E 0 CL \� § § 0 f 2 E\ n r C . 2 m in o c _ C o o o Q. Oro 0 0 0 ; � � / ■ ■ ■ �' k / ( T ° I o ul *� ECM ƒ g ul � 42 ; E 2 z , & o 0 9 @ / k _ k / k § / } i z E_ � � R ■ ! § § 0 k / 2 o z / m CD C 4 ' k � j3 3 2 /BCD \ �a /��]kE oEe =® z e 33c f$ � 9 9/2 i ƒ[\\0 c .' 3 7 3 ',D = o —CL ;:L \� & -a9 9 \k�± / CL C / 2 k # 2 I / � 0 < � ¢ % \ / , o � % �/µ .►, bar H w r T OP 9L� Y w w 3 B3 all � wo 9 Ql v \ a� �ri � c co 3• l b '3 1812 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. A$r A.C.E. Soil & Site Evaluations 11 County Attach complete site plan on paper not less than 8'r4 x 11 inches in size. Plan must U!A1 St . Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest Parcel I. D. '840-1030-20-000 Pease print all infb�natioq r.. Re By Date Personal information you provide may be used for secdndary purposes (Privacy taw; x 15.04 (1) (mJ). Property Owner Property Location James & Margaret Woodruff i , $4vt. Lot NE 19 S 7 T 28 NR 19 W Name or CSM# Property Owner's Mailing Address Lot # Block 477 Co. Hwy F City State Zip Code Phone Number pity _J Village 01 Town Nearest Road Hudson I WI 1 54016 1 715 - 386 - 2279 Troy 1 477 Co. Hwy. F New Construction Use: 0 Residential / Number of bedrooms 3 Code derived design flow rate 450 GIRD If Replacement J Public or commercial - Describe: Parent material Glacial outwash Flood plain elevation, if applicable na General comments and recommendations: Install two trenches at elevation= 94.50' using 22 leaching chambers. Boring # J Boring N,f Pit Ground Surface elev. 99.68 ft. Depth to limiting factor >107" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 *Eff#2 1 0 -16 1Oyr2/1 none sil 2fsbk mvfr cs 2f,1m 0.6 0.8 2 16 -23 10yr4/4 none sil 2fsbk mvfr cs 2fm 0.6 0.8 3 23 -28 1Oyr5/4 none sil 2fsbk mvfr gs 1fm 0.6 0.8 4 28 -36 1 Oyr4 /4 none sl 1 msbk mfr cw 1vf 0.4 0.7 5 36-43 7.5yr4/6 none Is Osg ml gs - 0.7 1.6 6 43 -107 1 Oyr5 /6 none s 0 sg ml - - 0.7 1.6 ❑ Boring # J Boring , II' Pit Ground Surface elev. 99.12 ft. Depth to limiting factor >105" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 *Eff#2 1 0 -10 1 Oyr2/1 none sil 2fsbk mvfr cs 2f,1 m 0.6 0.8 2 10 -21 1Oyr4/4 none sil 2fsbk mvfr cs 21m 0.6 0.8 3 21-28 1 Oyr4/6 none Is 0 sg ml gs - 0.7 1.6 4 28 -105 1 Oyr5 /6 none s 0 sg ml - - 0.7 1.6 r / I / ' T_ • Effluent #1 = BOD 5 > 30 < 220 mg /L and SS >30 < 150 g/L ' E nt #2 = BOD < 30 mg/L and TSS <_0 mg/L CST Name (Please Print) Signature: CST Number James K. Thompson � 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, 1 54020 6/182004 715 - 248 -7767 Property Owner James & Margaret Woodruff Parcel ID # 140 - 1030 -20 -000 Page 2 of 3 3] Boring # Boring rJ Pit Ground Surface elev. 98.83 ft. Depth to limiting factor > 102" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QP in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. *Eff#1 'Eff#2 1 0 -11 10yr2/1 none sil 2fsbk mvfr os 2f,1m 0.6 0.8 2 11 -16 1Oyr4/4 none sil 2fsbk mvfr cs 2fm 0.6 0.8 3 16 -28 10yr5/4 none sil 2fsbk mvfr gs 1fm 0.6 0.8 4 28 -38 1Oyr4/6 none Is 0 sg ml gs - 0.7 1.6 5 38 -102 1Oyr5/6 none s Osg ml gs - 0.7 1.6 F—I Boring # Boring _f Pit Ground Surface elev. ft. Depth to limiting factor in. F Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 'Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg /L *Effluent #2 = BOD mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608-264-8777. ♦ - ledC c; are N LP .�cim e S Q �Y(Q.�'untt Lc�c�'i Krr . S.E • �iX C'o � �/. he d a 3 � 5/"e I 1 44. i ` 0 98.97 4, e4. ■ bit c�� 99.39' breeae i �'Xista:rq ° 3 6�av ✓ �►, res rclarlce E,Ci's s�o{,c�•,�C re /ac td u n du em / = 96,a "e 0 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ( of 7 FILE INFORMATION SYSTEM SPECIFICATIONS Owner mes , J " d Septic Tank Capacity DOS al ❑ NA Permit # �� 2 Septic Tank Manufacturer W — s ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units jWA Pump Tank Capacity al �A Estimated flow (average) ANW 3 D O al /day Pump Tank Manufacturer "A Design flow (peak), (Estimated x 1.5) gal /day Pump Manufacturer A Soil Application Rate al /da y /ft2 Pump Model O'IrA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) :530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD _ :220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) :510 cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y. in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ 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 every: �7 rd0 �nth(s) (Maximum 3 years) 11 NA ' ear(s) Pump out contents of tank(s) 3 When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 0ynonth(s) (Maximum 3 years) ❑ NA year(s) ❑� �e nth(s) ❑ NA Q Clean effluent filter At least once every: "year(s) Inspect pump, pump controls & alarm At least once every: ❑ mo nth ❑ yeaarr((ss) ) ) Flush laterals and pressure test At least once every: ❑ ❑ year(s) ) m 6<A Other: At least once every: ❑ month(s) A ❑ year(s) Other: q 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. 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 to 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 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. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment 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 (4/01) Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: • A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. • The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. • Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK AAAY BE IFFICULT OR IMPOSSIBLE. ADDITIONAL — COMMENTS POWTS INSTALLER POWTS MAINTAINER Name h `,[� Name j Phone _ 7 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY —y Name ~ r�0 (.l� Name s'^t o i Y Cc Phone Phone �8'6 Tb o This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.540►, (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailin g Address Property Address (Verification required from Planning Department for new construction) City /State Parcel Identification Number (1 4`0 —/ ZO — 2Z0 ^ ODp LEGAL DESCRIPTION Pro Location r /4, � r /4, Sec. 7 T�N -R� *,Town of 711OY Ply .�� l Subdivision . Lot # Certified Survey Map # , Volume . . Page # Warranty Deed #44 7 Volume Page # Spec house ❑ yes no Lot lines identifiable 7yes ❑ 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 mastorplumber, journeyman plumber, restricted plumber 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. 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 Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. I ATURE OF APPLICANT DA 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 owners) of the property descr above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLIC DATE s « «•a« 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 Document Number Document INfle � c to /12- Recording Area N �o A �G� -io3a ao- o00 Panel Identification Number (PM This information must be completed by submitter. daawk w tale. named Haan address, and �V (qf mgtdtrd). Ocher po madm Pwh at the granting clawes, lean/ description, ea:. may be placed on thkj st page of :he dociewnt or may be placed on addle nol pales of the docrmrart. Abte : Use of dds cowr page adds one page m your docmnent and $2.00 to the ntcotdinr fee. WPseouin Sraar a 59.517. WRDA 2196 �-►� ST. CROIX COUNTY WISCONSIN 1� k� ZONING OFFICE Nouni ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road ;•.. Hudson, WI 54016 -7710 (715) 386 -4680 EMERGENCY TANK REPLACEMENT APPLICATION STATE OF WISCONSIN ) ) ss. COUNTY OF ST. CROIX ) CITY, TOWN, OR VILLAGE OF: 7/IO I PROPERTY ADDRESS: - 77 G d l LOCATION: ;, ;, Sec. T `� N, R__L _ Tow of D I, the undersig d do hereby ackno 1 ge fthat I am re iving a sanitary permit to ?,-�-- _ without a soil and site evaluation, or ex sting system evaluation, and private sewage system plan review due to inclement weather and health or safety emergency. Further, I acknowledge that a soil and site evaluation, or existing system evaluation, and private sewage system plan review will be conducted by the deadline stipulated by the permit issuing agent, or as soon as weather conditions or circumstances permit. If the private sewage system is found to be failing as defined in s. ILHR 83.02(18), Wis. Adm. Code, corrective measures will be taken such that the private sewage system complies with all application requirements of chapter ILHR 83, Wis. Adm. Code. Dated: U Lf OPERTY OWNER Subscribed and sworn to before me this day of Ju ne — , lll� 44a Gek 14 S Notary Public St. Croix County, Wisconsi My commission expires j v COMMENTS: PLEASE RETURN TO ZONING OFFICE, 1101 Carmichael Road, Hudson, Wisconsin LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF TROY COMPUTER NUMBER 040 - 1030 -20 -000 Parcel Number 7.28.19.96 OWNER NAME: First JAMES T & MARGARET S Last WOODRUFF PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 477 CTY RD F SECTION 7 TOWN 28N RANGE 19W 1 /4160 1 /440 Line Description Line Description TOTAL ACREAGE 40.000 PLAT LOT BLK 01 SEC 7 T28N R1 9W 40A NW NE 15 02 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit DOC XAKNt NO. WANIANTr T"Ia Won aagslkwr ran mosesomm MAT& MATS Sp OV WI MMM "M 1 -018 4 4'791 ► vs CM Orin REGISTER' OFFICE Us CR= CM W1 fled for ftmd Catherine 8., Woodruff - individu MAY17 sure vinq.,apouse of Will allyy and as liam _, .K. . 1leodrufl� .- . ..._ . .._ - . ............. 900 A ooavass sad war ran ta ts�, xamesl.. T.. ...�IiGA�d]C3�l�t..A10.d..�IA�QA O ..S.Woodruff.,..- Susbaad.- and.- TAifa•h .... holdlat.As ................ su�cxixarehip.. toaxitatl.. BxQtriy .................... ............................... .............................. .............................................. ................. .............................. .... ...... ....._........ 1 �— ........._.. ............................... ........... .............. the following described red aNata In ........... ....St- CrrdX ............. County, State of Wioeeeain: -.�. TIME )'areal No:.. The Northeast Quarter (NE}) of Section Seven (7), Township Twenty -Eight (28) North, Range Nineteen (19) Westy (Subject to the rights of the Public in County Road "F" as laid out and existing along the dividing lire between the NE} and NW} of said Section 7 .) TRAM a-� FEB I { This deed= i given in full satisfaction of that certain Land Contract between William K. Woodruff and Catherine E. Woodruff ,Husband and Wife, Vendors, and James T. Woodruff and Margaret S. Woodruff, Husband and Wife as joint tenants, Purchasers, dated January 1, 1972,recorded May 3,1973, in Vol. "497, page 226, as Document No. 315869, Office of Register of Deeds This -- is ..... not........ bomestead property. for St. Croix Co., W1. (is) (is not) Z:oeption to warranties: Easements, restrictions, and rights -of -way of record, if any Dated this ,4 s ........ M$y ..................... ii�.�..... 11 .................... ............................ day of . ........_...................... � i . ..................................•-- ............................... (SEAL) �� •........ .�Z - -... • ----------------•-••-----•---...... ...........---- ............ - - -- Catherine E. Woodruff ........_. .............•-....... ._•-••- ._...._.._........•--... ......(SEAL) .----•-•---- _.............................. .........................(SEAL) ' ---------------°--.....-----...... ............_..-- •-.._......... ' -•---••-•-•-•----....-•-•--------.. ......................-- •-_.... AvTBS NTICATION ACSNOWLSDOMZNT STATE OF WISCONSIN as. • / �tLis .� ? aL...A.-I. ..... 1Y� ........ Parwnally cease before me county this ................day of .......1.ic ........... ..... ....... ....... » .............................. . 19........ the abate named LeoA. Beskar .... .. ....................................................... ................... I T1TLZ: YZHBZZ STATE BAR OF WISCONSIN • .............. .................. ......... ............................... (It ....._ ............... ..._......._......_...----------- ...... -- ..................... Dy ! 706AA, Wb>. Stab.) - ere .............. he I to me known to be the .- person .._........_ . wh o eaycnted •- the fore`oine instrument and acknowledp the same. �I �f THIS INSTRUMENT WAS DRATTED al/ I! HeA;Lr...AV ne ....... .... ....... . .......... ................ .... ........ •.. ...... .. ...... ...... ' Rodli,..Beskar i Boles, S.C. ._..... • .. ...... .. .................. _ ..... ........................................... I Rfver--- Ptz131;.. ill1°• 5f02 .1� ------------------ .._........ No tary raimie .................................. Co Wig. I! tares may be authenticated or acknowledged. Both My Conim bidon is permanent (It aot. state expiration !� ') daft: ......................................................... 19 ...... 11 ' 6a bsed or prlatad below their signatures.