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HomeMy WebLinkAbout040-1279-20-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Build irig Division Sanitary Permit No: INSPECTION REPORT 420716 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: Printz, Jason I Troy Township 040 - 1279 -20 -000 CST BM Elev: Insp. BM Elev: r BM Description: Section/Town /Range/Map No: 4 �• t ST tm ( 16.28.19.1 C? 3�1 9 (3 g 5 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark t • 30 - ter 9 Dosing Alt. BM ID-30 +E>r Aeration Bldg. Sewer Holding St/Ht Inlet TANK SE St/Ht Outlet T ACK INFORMATION . Sg `� S• II I TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ,r 75 t :z Of I Dt Bottom Dosing Header /Man. Aeration Dist. Pi e w.. ,s,L Holding 113ot. Sy em Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM 'i- ��� • 3 Model Number TDH Lift Fri ss System Head TDH Ft Forcemain Le N th Dia. ist. to well SOIL RPTION SYSTEM �- 2-• AMW EENCK- idth Length No. Of Trenches PIT DI NSIONS No. Of Pits Inside Dia. Liquid Depth DIMEN NS 3 � SETBACK SYSTEM TO P/L JBLDG IWELL LAKE/STREAM LEACHING Manufact re . INFORMATION p CHAMBER OR _ q& Type Of System 2� O� t �� UNIT Model Number: t7 t 1 w DISTRIBUTION SYSTEM up Header /Manifold `t Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) r L Length Dia Spacing �� SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of odded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil xx Seeded /S ®Y ®s 0 No � Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection fl itLL- Y 09 J 2 = 3 Inspection #2: T T Location: 495 Omaha Rd Hudson, WI 54016 (NW 1/4 NW 1/4 16 T28N R19W) Ea I Bluff 2 1.) Alt BM Description = � wt�, Q&D W'kL eu-*- Q rP''S 64 Na-4 S 2.) Bldg sewer length =— 30 �S •IS t3� -S`f Is'.n = 936.91 - amount of cover= t$" -t- I s - . I = 9 • S�f I 936 . 9 3' 934. fqt 17 -3f = 93 1� Plan revision Required? Yes No • Z.� D r– Use other side for additional information. t SBD -6710 (R.3/97)� S Inse Signature . Cert. No. cteg P tvc'� Memo. wl " Tit i ANwr # '49 an Wks Llw WAR*w - t- r�... ZONING OFFICE i EC EIV 1 a. q ab _�- -- - --- ---- -- - ter• w q_=llc u IcIi tom, ftm � ST. CROIX Cour -- NAM CM 11�r t S SP I� �.s �.'! . rt Yis t ,i Mt MVW .s y r' v d� .. t3c�s l t] saw III r1nr� NL TSP a[!r►! tKi + we • iu i �w MMr lnliwwr 0016 w we s Miaw 13 mobmmwawm Mlndtl�r pit MI�O '�`r MR. 0 4.lwi � �� wit 1lwM� 11rui --- -- .' wt 1lMwis ICS ilnt riwfr� wtlnrre i MIs Mnurt� ww�i �¢` � t�mt tr El and f so d o.wwwn�nw war.+ wr -NwrAwtw�t l+�rwr�s s 3 D Ddlp Li.�e 40 A*4 wwk ws©w.� ma •Q � jo Qaiwr � � -- w.AwrMw.r ors UVWW A...► t�swwiw row VL *a linty VIL Mlw�wne- so � .t�Irr�s sw+..ws•+•• 53 7rs a s _Wj 94 da I mq um ^Poop a owr.r avm bmd A*—m 4 226 2g UL cummom �•w�•' >�*s lrr>Nry dew s ,� o„ �QdcD o� sus � Q ����� " " t i _ t L- I U) LA y i I I I i I i_,__ �_d�sC>_ I _jS Ci �5[�LJT ���lf� f+` r'.- 1-- •-- � ----�I �. i � -� � - - =- -- ; - - - -, i I � 1 I i i � I I I 1 I ! I I i l i i l l i i tP I I' i 1 I - I I - ti` �- ; 1 I I I _ I 1 I i I 1�fi Pia , Pr" ��► y L A f bQ 67 9a1j Wlol2 di 91 N 3 yr^ p p i � Z t 0' f 13 -- __ _ _. _ _ _ _ - _ ', �.. _ _... _ ,. '� II I . _ '_.. I, '� I l i i _. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of ' Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County ST. C,e—O \X- Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 3 Property Owner Property Location C- I;LE5 5. COX Gbv. /VvJ 1 /4A) J 1/4 S I(o T 2$ N R 19 J�-WW Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1 1800 Ak tz0E&&)i Sfi N SkITE 1 00 3Z - eA E 131 - l; FF City State Zip Code Phone Number ❑ City ❑ Village 54 Town Nearest Road t.. -1 I N E M N 5 4 4 ( )- ) "1 -7 61 16,0 'Nwja54At 1j-- TtD, (� New Construction Use: CK Residential / Number of bedrooms q Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: ^- Parent material nmD570 Me Flood Plain elevation if applicable General comments L4 ►Ct} � �( I r"�1` U and recommendations: S� STAN\ >Lr�V {?Tl O1J q 3b.5a f - -, NOV () 7 2000 ST CAC)iy \' COUNT'r A] Boring # n� Boring ZONING OFFICE r ITSI Pit Ground surface elev. q 3q • (1 ft. Depth to limiting factor $ Z in. \ ' Soil i ate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rapts G D in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I •Eff#2 I 0 -5 1ov Zl — 1 ds 6Lb 3A 0,5 0,% Z 5 -lo 4/ '50 d es 2qf 0.2- 0,3 934•S'a 3 10-.15 it, U 413 6 L GS 24 -M 0.5 0,4 Joe - W Lf I _Z 0 v 3 — 51) 1 m sbk/ trT GZS 2-f= -m 0.2 0,3 31 ,3 y 5 Z( l0y 611 - S ► s I - Q. z 10 7 10 911 S D 1 1 - 0, I, Z 37 -% 10 42.SIz tj 1 5 1 Twh 0, 51 �t b -8Z Honng f vfs o oh � 0,L-t Od Boring # ) i� pit Ground surface elev. � (I . ft. Depth to limiting _� � i n. 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 I IoY L t d� b 34 0.5 0. Z- 3 -IZ l0 3 2- St1 Z m5b Ask 0.5 v.4 3 12- -2--7 10NA } C� S11 CS Z�-Mt D, Z 0,3 14�g.5 Li L7 4 - c.lt W Zf m 0.0 0,O Guf -4 6 Ig S y -7s o �� ''` I s a dl — — o. Ll 0'(0 ti Effluent #1 BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS 5 30 mg/L CST Name (Please Print) S' nature — CST Number G ZZ�18 3Z Address Date Evaluation Conducted Telephone Number i WQ %75 loQiD''' -, WEr FALLS WT 5LAOUL 10 25 -0o t✓°715)4z�- Il 7.S` r L - T 3 'L Property Owner ('ODK CHn12t -'5 Parcel ID # Page of Fal Boring # Boring pit Ground surface elev. _�1`1L� ft. Depth to limiting factor $s 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-,3 101 P - 41 1 1 3� m r d.5 0,8 Rj�` Z Z -)t) f , 3/Z I Z m -1 h a, 5 Jf� 0.5 O.8 3`l 3 It)- 3�4 Is ¢ 0 d l s z F 0, 5 Y 4 i5 r 0 dl 0 f - o 4LI -70 7 `fly o .7 I. z 7 70 -SS I M5 05 I b l z Boring 5 I� Boring # Pit Ground surface elev. �.0 ft. Depth to limiting factor � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2 0'lp 3 v o.!5 ON 5 Z -10 IOYn` 3 ( L.mSb 2�f- 0 O- )0-2L 5-4-4 I di QS ;?� 0.7 1.2 .2Z 1A y — Ise dl CL Zf - o, 1.2 3 a•36 W 41? U) Os ch a 7 2 � � i s (�s dl I v i, z l o y a5 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F 0 pit Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 Effluent #1 = BOD, > 30:S 220 mg/L and TSS >30 150 mg /L ' Effluent #2 = BOD, _< 30 mg /L and TSS <_ 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. SBD•9330 (RAW PLOf PLAN pAG� -1� LEA V I : LOT 3Z EAGCE A-ur-F � j/ � f�M° T POF L lu L 'We T� ► - rte �►w o 'rrre w u N� s F ce. . 16 Tz - tDu M Of=TRD AI E ►x N ►seoNs►� . 501L PRING W/ PACKNa NO COMM 85 DPACK PPOMM5 Ub-V -; S> Z M J LL 3 , a �La 3a x z STtYT►4�1 L 51GNEP c5r 0 2 9 32 VA T: 10-26-00 Har-e y OF y ` C0NYTOtkle, U pa F-5 FOR LOTS -- t lu E/ ISLtkF'F SW%t). 1 "= yo' 1' 1 ti7y - y�� — � - - --- i \\ 32 - - - -- -_ d -328 4 — "l§-32D �� i J wso EZ1 7� PQ �- VF _ •..lwwiPwi r rr ,r, •: � � ,�:.�t.,.c - :.� - _ �,; ,�s. w �w ° r w 't 2 ff 2Aff t vw vvv 4.625 rvw vw wvi wvr vvtr vww vw• wrvr tt . v v 1/2 Circ. w vww wv 11w v vvv w yr r vv 11 www ►vwvvwwwv rwwwvov wvvwwvvwv v •wewv evvv rvvvvvvwii vrvvvww vwowwww q 24 `_ — ! Bottom 36" y`oal 12 -1/2f, DL,�. (`.7 p.) Void Coefrwirnt in AWellatc given at 37.4% 50 LWSMA Area s�q Fl O.D. of 4" p* - 4.625 inctfes Stae"ll (2 $idewalis) * 18.84in Vaidvolume ( 2�l25u 12in = 3.14 � linear R. = 3.14 `( 12ne! fl �� � tR < 0.119 (N t Bottom tft O. D, of center cyliader =12.5 ink ? 00 ( Total Solt laterface Area Void +rolwne in sggtegatc of Coot, cylituler = to • f 6- 3 I F25ir _ 5.1-0 SQ. t t (12in /fg�,"l.te• t2in f f, ___ �•.s�a =.4MfN Q•D. of outside cylinders = l2 incbrs Void volume in autside cyi' enders 3.1 . uin _ Projectedt Trench Area °I01 tN ti � 2 t S7v = . 1 (12antfl� Sidewali Height = 12 in. •2 t " 2.00 Sq.Ft. Void volume at bottom between cylinders (( 2sw . bw / 3 Bottom Q.Ft. M. 36 in. = 3 -00 S �ilZintli 32 .+t1 '.� r t 1 >ft� ° 0215 fN Projected Treach Area a I Void volume at oumitle bottom C ! S- S4 Ft ` co mers (1P± oCvoid volume be cylunders) 1/.215 ; 2 = 0.108 re Total voitl volume - o.1 17 + 0.422 + 0.90t . 0.215 o.1 o8 = 1.763 cubic ft t I Gallons per ft = 1.767 X 7.4$ = l3� rations nee Zia r ft } 36 X to 376 EPS Aggregate Trench System EZ12C}3H EZZow R A U?dustriai G roup - 65 Industrial Pork Rd j Oakland. TN 38060 { FIE "AML EZ7203Fl,vai St1tEI; t of t 11 - 27 - oi l i POW TS OWNER'S MANUAL & MANAGEMENT PLAN Pa —L of -- SYSTEM SPECIFICAVONS =I! EIFORMATION Tank Manufacturer W i ❑ NA Owner r` i Septic E3 D ❑ al g D vol. � ��'O Permit # /. �� ❑ NA Tank Manufacturer PARAMETERS ❑ NA ❑ Septic 0 Dose ❑ Holdhng Vol. gal Number of Bedrooms I ❑ NA Number of Public Facility Units ❑ NA Effluent Roar p(wufacturer Z[tlo�Q Estimated (average) flow Effluent Rlt� Model Il�D ^ pump Manufacturer Q NA Design (peak) flow = (Estimated x 1.5) ©U ai /d t ft' Pump Model Sod Application Rate. al/d / ❑ NA Monthty average" Pretreatment Unit S tan d ar d lnfltrent/Effluent Quality ❑ Sand/Gravel Fitter ❑Peat Filter Fats, Oil & Grease (FOG) 530 mg/t Biochemical Oxygen Demand (BOD 5220 mg/t. ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) ---ISO mg/t. p Disinfection ❑Other- Monthly average Manufacturer ❑ NA Pretreated Effluent Quality Da( Cell(s) Biochemical Oxygen Demand (BOD 530 mgli. 13 in-Ground (pressurized) Total Suspended Solids (T S$) 530 mg/l. ❑ NA � in-Ground (gravity) ❑ Mound Fecal Col) ( geome t r ic ( ip ten) st 0 cfu11 OOm1 13 At -Grade Q oan Y in die. 0 NA D Drip - I.ipe Maximum Effluent. Particle Size ❑ NA Other ❑ NA Other: ❑ NA +V ekes typical for domestic wastewater and septic tank eff ktent. MAINTENANCE SCHEDUILJE Service F"KPNMCY Servim Event © month(s) (� g years) ❑ NA Inspect condition o f tank(s) At least once sv�Y: 3 arts) When combined sludge aril scum equals one - third (Y,} of tank volume ❑ NA out contents of tank(s) When the high water alarm is activated Pump ❑ month(s) (MaAmxmn 3 years) ❑ NA Inspect dispersal cali(s) At least once every: �-- Ye — wis) O month(s) ❑ NA Clean effluent filter At least once every: ., (s) '❑ month( s) O NA inspect pump, Pump controls & alarm At least once every: Cl year(s) ❑ nwnth(s} ❑ NA Rush laterals and pressure test At least once every: 13 set(s) ❑ month(s) ❑ NA Other. At least once every: 0 year(s) ❑ NA MAINTENANCE iNSTMJCTIONS one of the following licenses or certifications: d ispersa l cells shall be made by an individual carrying Servicing Operator (Pumper }. tanks and dispe twiner; Septage inspections of tan WTS Main Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector. P any missing or broken hardware, identify any cracks or Tank inspections must include a visual inspection of the tanks) to identify far any back up or ponding of effluent on the ground leaks, measure the volume of combined sludge and scan atui a check indicate a failing condition and 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 sur may requires the nnmediste notification of the local regulatory authority or more of the tank volume, the When the combined accumulation of sludge and scum in any treatment tank equals One in in accordance with chapter NR 113. entire contents of the tank shall be removed by a Septage Servicing Operator and disposed Wisconsin Administrative Coda. retreatmen' All other services, including but not 1'rmited to the servicing of affluent filters, mechanical or pressurized components, p med by a certified pOWTS Maintainer. units, and any servicing at intervals of 512 months. shall performed 1 O days of completion of any service event. A service report shall be provided to the local regulatory authontY GMW (2 102) START UP AND OPERATION Pow of For new construction, prior to use of the POWTS check treatment tanks) for the presence of painting products, solvents or other Chemicals that may impede the treatment process and/or damage the sot dispersal cel!(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 extended power outages pump tanks may fill above normal highwater levels. When wastewater will be discharged to the dispersal caNs) in power is restored the excess discharge of effluent. To avoid ails situation have the contents may overload them resulting en the backup or surface di restart Imp tank removed by a Septage Servicing Operator prior n9 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 won area. Reduction or elimination of the following from the wastewater stream may improve the performance and POWTS: antibiotics; baby wipes: cigarette butts: condoms; caftan swabs; degreasers; dental floss; diapers; the life of the foundation drain (sump pump) discharge; fruit and vegetable peas; disinfectants; fat; Painting products peelings, gasoline: grease; herbicides; meat scraps; medications: oil; . 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 Property 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 property 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 ment 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. Replacernent systems must comply with the ides in effect at that tine. 0 A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank maybe installed as a last resort to replace the Bled POWTS. O 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. D Mound and at -grade sail 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 MAY BE DIFFICULT OR 1001POSSIBLE. ADDITIONAL COMMENTS _ ?9WTSIV L ALLER POWTS MAINTAINER [ Name C L I I(\ da^, Q r^ j Name Phone `'( (!j 24 S( Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Name `7 ( S 3 �D This document was drafted by the staffs of the Green Lake, Marquette and Waushare County Zoning and Sanitation agencies in compliance with chapter Comm 8 3.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. i f Feb 25 03 11:30a CALVIN POWERS 715 - 246 -5135 P.2 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OOwner/Buyer p uyer _ I l Q — o - r,"�rl� Mailing Address 1 r�. d �l �u n L Property Address (Verification required from Planning Department for new construction) City /State Parcel Identification Number h U p - I A - 7 2 — a 0 ` c) �• I S� `�� LEGAL DESCRIPTION Property Location WO y., ' /., Sec. . TN -R �- t W, Town of Subdivision Lot #. Certified Survey Map # Volume . Page # Warra Deed # E P 7 S 3 9 Voltune (�, i Page # Spec house ❑ yes 0 no Lot lines identifiable 14 yes ❑ no SYSTEM NLA NANCE Improper use and maimteasuceof your septic system could result in its premature faihm 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 sage in the waste disposal system. The property owner agrees to submit'to St. Croix Zoniutg Department a ceitifimfm form, signed by the owner and by a master plumberjourneyman p1wabclr. t:catticted plunsbcror a Ilcenwdpuwper vedfyWg dot (1) the on -site wastewaterdisposal system is its proper operating oottdition and /or (2) after insfxxtion a pare cif necessary ae septic tank is less than 1/3 &11 of dodge. Uwe, the undersigned have read the above rapu a m" and egret: to nwIttam the private sewage disposal system with the standards set forth, baein, as set by the Department of Commerce and the Delmoncat of Natural Resources, Sate of Wiseoasim Ccrocatibo septic system has been maimained mtnst be completed and tetumed to the St Croix Bounty Zoning Office widtin 30 days � year expwoon date. G / O GNATUR$ OF APPLICANT DATE OWNER CE CATION I (we) certify that all staternems on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of Z IATU rty a of a warranty deed recorded in Register of Deeds Office. G o tea 3 RE OF APPLICANT DATE " "" Any information that is mis represented may result in the sanitary permit being revoked by the Zoning Department. Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed I r 8 �j (� STA•fE BAR O U WJOIRI FIRM I- !N9> 6 7 4 5 3 9 WARRANTY DEED KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO., MI poculnent Numbar RECEIVED FOR RECORD This Deed, made between 03 -26 -2002 8:25 AN Troy Development Corporation, a 14innes Corporation_ - _ WARRANTY DEED _ Grantor, EXEMPT # Z ' REC FEE: 11.00 TRANS FEE: 269.70 COPY FEE: Grantee. CERT COPY FEE: G to Grantee the following PAGES 1 rantor, for a valuable consideration. conveys described real estate in St Croix County. State of Wisconsin (the 'Pr Name and Return Address L t 3 f the Plat of Fa2a BlufL in the Town of n T Croix County, Wisconsin, Subject to Declarations of Covenants, Conditions and la0 Restrictions for. Eagle Bluff, recorded in Vol. 1589 , ` Page 516 , as Doc. No. 638946 as appearing in �GtAI.1 the office of the Register of Deeds for. St. Croix �J A� �Z ` County, Wisconsin, and such other. easements, O yQ restrictions and reservations of record, or. in use, P Identlticalwn Number (PIN) and the "Buyer." obligations contained in the This is not homestead property. Purchase Agreement for this lot. (is) (1s not) Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good. indefeasible In fee simple and free and clear of encumbrances except Dated this J'b6 day of M L12 f I (SEAL) (SEAL) . Charles S. Cook, President Troy Development Corporat on (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Minnesota Signature(s) State of W1iseensirr, ss. An oka County. authenticated this day of _ PersonaIf came before me this �� day of �,i t he above named Ch arles S. Cook President Troy Development Cor10ration to TITLE: MEMBER STATE BAR OF WISCONSIN (If not, me known to be the person - who executed the foregoing authorized by §700.06. Wis. Stats.) Instrument and acknowledg the same. THIS INSTRUMENT WAS DRAFTED BY - Troy Development Corporation _ ' Rick Johnson Notary Public. Suw-0G]<WsuxuktAnoka County, 141nn. Charles S. Cook, President My commission Is permanent. (Ir not. state expi atiionn date: (Signatures may be authenticated or acknowledged. Both are not January 31 ) necessary) N.nma nl pm vuu saub,R in u,y .,i+u d "wnI Ic Iyld w' P,bnCd LeloW tlu•n .ixnibn P. Wbceosn Leg► MV* CO. . IM STATE BAR OF WISCONSIN MrwaW.w. wo. WARRANTY DEED FORM No. 1- 1998 ,,,,��W WO RK R� ►tfFafl n a � � CArm V FEB.18'2003 20:05 952'890 -6244 JAMES R HILL INC #0862 P.002/003 2 p I ?W111 ..rte �. r r r q PO so R x1 fi o x F fill lilt fill lilts 'roc °4, AJ �1t in" NN� I�n9 ' u aaaeM� a IMS E 1/4 COMM SECTION S T2Bµ R19WJ ' ^b LOCATION MAP _. T ION 8 , T TIE sE 114 Ol SECTION 0. T,E 9W 1/4 OF SECTION 9, 1 HE NW 1 /4 OF 1 .. e,s Qw' a T11D s T . 1 01 4 OF SECTI 4 . A THE NE 1/4 OF SECTION 6t _ LUD I NG ALL OF LOT 1 ixl Robj 8— - ; — - I - _ 9 13, DOCUMENT #498385. � >� I N11 ' NE - 1E ' Nw -w NE -sw TENPORANY �� UY -� I TOYMSV r - - ' SW-SW 1 ROAD S ww 21" E . P y�' - Acy to RADIUS Am : 7r f p 4y NE ' OF THE BE 1/4 W EXCEPTION N -NE C OMAW1 BOAC —� is y w SCALE IN FEET VRARY CIA / 1 , C , , ' J HEIR, R.BO. 1 / , ' I ROA 12 13 I; 0 9 0 75 150 300 450 I sw ,E I SE -NE 1 - Mr _I -"W16 TOME. u. I , 1 7 -J = Sr. I v`J SCALE: 1" - 2000' LEGEND /• 373 II 1 '� I OOURY SECTION CORKER WIAAENT. N MAGNETIZED "M NAIL ". SET. " ALLNIMM CAP. FOLIO. ��- 1' I �'O( - -- BUILDING SETBACK LINE (SEE NOTE /3). 4M_ ; _ • IRON PIPE, FOUND (DIAMETER NDTED). 10' WIDE UTILITY EASEMENT. a I 1 Ill 3/4" FEBM. FOLIO. `. IA00 ALYEj DRA INAGE EASE►EM (OIMENSIOILS SHOWN). . Etk 1 1 51•� 2• • 30" . I PIPE WE I NG 3.�5//IIf ••••••••••.....•• a No 2A42 ACRES , • FOOT, SET. 1 • 24" IRON PIPE NEIGHING BUILDING SETBACK LINE WITH TOM OF TROY I►0 RINEM FOOT AT ALL OTHER LOT VM IANCE APPROVED SEPTEMBER 11, 2000. 1 1• A 74" IRON PIPE NEIGHING fk / PREVIOUSLY REOMM INFMATION. 1 \ .6q/LI1EM FOOT, SET, 10 ` l MRATT£D LAAV R , c01wER ' LSIS ACRES , OF 8EGN96NG SECTOR /6 um RIM s 10B,B / N ww 00• E 2616 -w NORM LINE OF THE US 1/4 la COMO 57L17' `� 1]OS 15' 'T29NMiW • 13DS,V �IC_FFOORPAW �9' I DAM ACRES � ' SF. 2.546 ACRES OU ACR 3 �� f '� �_�. 6 4.428 5 AGRE= ({ 16O.7SS SF. � 7 �3O COI 1 /'�� BENCH MARK J / 18 TOP a ," PPE ACRES ' C f p�AVp2 A0 L _ 51 4 / 21 I 20' �1 130AN Sr. BENC \ ` `` ' -�1 • �1 I TOP Hi ,` PPE I • I 7 r �2,5 ACRS r ' ' OEVVD27) ' 2.327 ACRES I I toBJa Sf.� 1 15 16 J ' »_ -- 1OIJ54 SF. I 0.477 "AUU�E'�� spas Aa1E4 17/ 1 L� ` .. T 1.470 ACRES I , 11 4 ' {sons u. '12 ACRES I'. _22 �- ¢�,1y�at S6a6a SF. �' ; P :` �,� Y , 1Q . l ii jf-7m.!! A� S EASEAEM y i {i may' -_- 7 _ r qo T �31 . ACRE , I= ACRES 2 ° .� ,A ` 1299 AC g� 24 32 , ' 8 I �� • f \ 1 , 33, ''�'D�>` / / ^` / " f i6�si3Ass�I 17 ' _35' ,Lqb ` 1 t 1 ��, �,/ 2 A A CRES 36 sF 'DSO '{ C� ,- re,e sE. ,� Q 26 e s ? J snlAU`j u. i _ 506701 S.F. , -�-�/' OUTLOT 4 B 3.551 ACHES 2 •', ' / , 1/ TSM•3 $F. A. 28 I / 1200 ACRES 57. / S ' I iiY�� 1.738 AACRES /� 384 SF. 53.906 SF. I TAW _�\ SOUTH LIE OF THE NE 1/4 OF THE WE 1. 1 LNWPLATT£D LAND a W SOUTN LIE OF THE NW 1/4 OF THE "" '/` 1 I o A s,DMl� ULAR — — — — — — o - LARATT£D LAND i � r l Ln ,P 5 L.NK RLLES AIO / �. � APFROPR t1 TQW1 earo T bac we R• o*cfi m m b CONg r ddt plat with re4Pse1 Sees. 235. 1 S. 236.16. 236.20 atd 236.21(1) aed (2k ��S�� LKINS S -2246 a ll t1E R0/0 R16Nr -aa6Ar Wis Sws p OGDDED. F SURVE EN E COMPANY I I FLICINS 113 WEST WALNUT STREET I I E ROUGED TO t0' (25' �I RIVER FALLS. WISCONSIN 54022 I ADJDNNIM, LOT IS MRRPAtts, SIR Ai ` Y Zt TABLE f7111IO,161E5 AS S SAO DATED THIS 7TH DAY OF NOVEMBER, 2000. r B`! -,• REVISED THIS 11TH DAY OF DECEMBER, 2000. REVISED THIS 14tH DAY OF DECEMBER. 2000. I CATER UPON $TREET EXTENSION. SHEET 1 OF 2 , _