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HomeMy WebLinkAbout040-1249-70-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division I INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 408296 0 GENERAL INFORMATION 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: Armstrong, Gregory D. I Troy Township 040- 1249 - 70-000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � Benchmark�� � O t Dosing V V Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet 13 S63. TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL qBLDG. ttoAir ROAD Dt Inlet Septic / / / Dt Bottom Dosing Header /Man. ry Aeration Dist. Pipe 96 3, y a a 1 • 7 Holding Bot. System ' i° S 5 a.s PUMP /SIPHON INFORMATION Final rade t�S 1de , r7 ,- 7 Manufacturer Demand St Co-A � S / �ir . S61S . Model Numhei TDH Lift ti oss System Head Ft Forcemain ength Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Len No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM ACHING Manufa f c INFORMATION AMBER . 1�1 �- ry}�e of S�te��tr�lZ� 1 Model Number: DISTRIBUTION SYSTEM &0 > 2 d 44— Header /Manifold Distribution I x Hole Size x Hole Spacing Vent to Air Inta e / I - 7 Length Dia Len th Dia a SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only W Depth Over '3 No #1 Yes Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil D1 I [] Yes L] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: V / / 9 / i�9 Inspection #2: Location: 272 Troon Court Hudson, WI 54016 (W 1/2 NW T29N R19W) Troy Village Lot 57 Fa Parcel No: 19..29 1.) Alt BM Description ' For c- �'dk& -zWa / / C� W' �t•S' /h2 �_d S- luuAe/.4d /Dh_/-- CO.'•N'tiJJ- ,+,4-�Z'.�s dl'-- CS 2.) Bldg sewer length - amount of cover Plan revision Required? �� Use other side for additional � No formation. �.._ � �_ SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No. I I In 201 NNE' 71 �E3 Arirr IL M wr VW -Tin see mwtxwnt O Dad �r of ciwpiO p- sprtarr ttisde Wutaeisr Parmit Ap�,�cat�► ° - c� Is &woad WO Cum 12.21. Wis. Ad.. 00616 =I*^ ym r� 0 Ala& r sr LD. 1lw*w I 'I L A� - 1�sw Ifti� Ali Ioilie�ldhw L P.eoae tieedrer a ft 7 -�ra - 00 0 Lsaeeioe Adiews a 3 3 `�r�� CEI�IED E a u -s r N x chy. Sim zip Code H".Ac Ju� �, LODIs -,, � �LoMT. parvgpp " ZONINGUFF I or 2 rUnN! D - ralowb r d •oiooao ° Ir�omset Fold I �i ©sr�e `�V` 0 0 Vn Qo �i w� aL, .r a* an tom.. Now A sebow Wier taeewel +erg. ,�,.�w� tr s N a�tteaYU L i 9 ❑ � d s ❑ wdee�ew • Mor ta..rlpr 7 adwy!n uft � TWA Club s. D CIMd �+. ► 2.—A FINS& "Imbr IV. r r to Aerae! ![.bwk a1 Mm11�t+ldrr���i ar3rrrr ti flit ielrer�rt ..) w.a.ad 41, I ev SO ' Y� 1 9 As -P�d Inawnd 21 moved 47 ❑ s..d POW b , Lin ❑ d� 72Rienaellodltt9eotied 41 ❑ i1idie�'iai 48 Sepls!'afe Si Delp sa D A*ewo 46 ❑ AoeoR TIONSION Ulk M ❑ 30 O vier T. Agres am � =mom Agar Digw" Am sail A� ) am � 04*a w •a.aad p"poaad �b Z to� �S � .33 � Vi. Tusk � +mow► b Tom "Now c e... and shed OWN i Oldlor,i Gomm sr'Ilutye ff l a+4s �� v8. - dre ,a,,,r ,ear hoodh w or i POW S immo ns re a�Merlui !lo�isr's roommus Teu�Iror end"" !Boas Al 7o" pradeeP3 AiAaes C bWk Cpl. Sauk 24 COM) C� to-4 vg :S `' ` u-Q- N vw ude Iwood bo" A2eeE�eamR AWmvW n W,. Ct A.aea (Wea MW Adwae D.at.ei.eia. _ tat. CoodO n.fAWooWVANWWrWT bNPPr" t `A"^t Atoo""iAr~ i+e 4+�1 + Nlrrrstr��d1A =-Uwe %Ube o%mr"*;QR sm n,%,nt, A T) V", copeci o� �• ��s`��r r �� sew, a y ram f' at3 a w. ro,ti� v Q ( Ss�� iC1 - r g.,9.0 R 14 �oad�o urr M#J Sslo\S 'I ro ort 57 �,b 5 0� Y / r a sa se a lt, �n� ���p o� a ye V, 0/ Q J.� 64 r ag N RG t R 1 LZ IY1 SSI�I,_S iro V v�� l et - tq 1 aSc7 S.e `�� c.,! ? , J� tbc� `wa _TfJ pA f aY? a s " _,yo` `7- I -o �t -8 1 o � JJ C WM OnStn oe partment or Industry. SOIL A N 0 SITE EVALUATION REPORT Page J_ of I Labor and Human Relations Oivegon of Satsty s Buildings in accord with ILHR 83.05. Wis. Adm. Cade COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but ST. CROIX not limited to vertical and horizontal reference point (8M) 9/e of slope, scale or PARCEL I.O. x dimensioned. north arrow, and location and distance n ! o ! fi REVIEWED BY DATE APPLICANT INFORMATION - PLEASE PR Y 7,L INFO MATIC PROPERTY OWNER: !,;' x ; ' qtdfSTYLOCATICN E 1/2S 24T 28 NR 20 W TOM RUEMMELE &JOHN AND B "RUE .LOT 1/4W 1 /2S 19T 29 NR 19 �IW PROPERTY OWNER':S MAIUNG ADDRESS I j jz!�) Lot i ft eel( 0 SUSO. NAME OR CSM se 260 COUNTY ROAD F ST cpale TROY VILLAGE CITY, STATE ZIP CODE ~ .E? Ng TY ILLAGE MrOWN NEAREST ROAD HUDSON WISCONSIN 54016 3 OY - lr oi) C UR1' Dd New Consm=on Use J Residential Nu s 4 ( ( Addition to existing building Replacement (J Public or commercial des Code derived daily n 600 gpd Recommended design loading rate 7 bed. gpd/ft 0. 0 trench. gpdM Absorption area required 0 51' bed. ft 7SO trench, ft Maximum design loading rate ? bed. gxkit D. _ 0 trench. gpti/ft Recommended infiltration surface efevation(s) BY DESIGNER It (as referred to site plan benchmark) Additional design I site considerations SEA No TeES ON 1 e 3 Parent material TLG O�?w.H�jy Rood plain elevation, if applicable N/A It S - Suitable for System CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U - Unsuitable for system I NS O U I CS S ❑ U I ® S (] u ❑ S U I ❑ S Iffiu I ❑ S S U SOIL DESCRIPTION REPORT x Hartzon Oerltnt Nicums ITexvire I Strw:ture ICa=wric9I'9u=V I Roatsl GPOirt- 8e7ttnQ in, l oormnaritCatior Munsetl QL Sz Cant Caor Gr. Sz. Sh. i 3eC rrarm A 10 -9 110YR 2/2 1 1 zls 11csbk 1 I2vf —t 0.710.8 '179 C1 19 -14 17.5YR 4/4 1 - -- 1 is bsg Iml ICs 2vf 1 0.710.8 Ground C2 1 14 -841 10YR 5/6 I - -- 1 s bsg I ml I--- lvf I 0.710.8 . } eher. gU.5ft owe to I I I I I ( I 4-:L L:� �1 Remarks: Bonng A 10 -7 110YR 2/2 1 - -- I sl !2 m — csbk Imfr (as I2vf — 0.5'0.6 .r . 180 `s B 17 -25 110YR 4/4 I - -- I sl 1 2csbk Imfr I cs I2vf 1 0.5 0.6 C1 25- 41110YR 4/6 I - -- I I I I I 0.8 Gr ound •� elev. C2 141-82 110YR 6/6 I - -- i s !Osg Iml - -- Ivf 1 0.7 0.8 8 62— .5. It• I • I 1 I I I I 1 I °8 °'t° li rrtiang Ian I I I �s •� �L 4 1 Remarks: Nainc — Aerie Prier ,LAMES 0. FUNS ROW (715) 425 -7631 OGDEN ENGINEERING CO.. 113 WEST WALNUT ST., RIVER FALLS. WI 54022 S'gnaare: Dam f lb �7 CS7CS"TM03988 pRopERTYOWNER SOIL OESCRIPTION REPORT Page _2_ of _3 PARCM.1.0. ! Honzon Oeptn Oommant Color Moines Texture Structure Co==rm G==y Roots GPO /ft-4 Bonng # A 0 -16 1 10YR 2/1 1 - -- 1 sl 12m -csbk Lfr Lw 1 2vf I 0.5 0.6 .� X576 :s C1 116- 2517.5YR 4/4 I - -- 1 is hcsbk lmvfr 6w 12vf 1 0.7'_0.8 C2 125- 3617.5YR 5/6 1 - -- s LZ w llvf 1 0.7` •� Ground I - -- 1 I -- 1 eNv C3 1 6 -7 I L d h 4 1t. } I I I ( I 1 1 080 to I 1 > 75 lirtebng i I I I i I I Remarks: Bonng z 1 I I � A 10-21 10YR 2/1 I - -- sl !2m -csbk mfr icw 2vf - e, 0.5 0.6 577: B 121 - 30 110 4/3 1 - -- I sl 12msbk Imfr Icw 12vf 1 0.5 0.6 •�` C1 1 30 -471 7.5YR 4/6 I - -- 1 is hcsbk Imvfr Ls 2vf 1 0.7' 0.8 .� G towd C2 147- 75110YR 5/6 1 - -- L-- lluf I Q 7 Q A .�" 86J., -L It I I i I I I OWM Ii rtlrUtt gta > '9" I Remarks: Boring # 10 -12 110 YR 2/1 1 - -- sl 12m -csbk mfr law 2vf -f1 0.5 0.6 57& B 12- 24110YR 4/3 1 - -- scl 12msbk mfr Icw 12vf 1 0.4 0.5 Cl 24 - 39 7.5YR 4/6 1 - -- is lcsbk mvfr cs of 0.7:0.8 .� Ground ew• C2 1 39-751 10YR 5/6 86 1L - -- s Osg 1 - -- of 1 0.7 0.8 . 1 1 Depth to 1 insCn g 4 .uE- �o q -Z 11 A Remarks: Boring # Ground elev. ft Depth to IirmGng 18t:tOt Remarks: - -- 380- eSSOrfi.OalDZ1 PAGE 3OF3 SITE PLAN 8 S7G ❑ B -S79 a s� G a j � s . z a i s a 8-577 ❑ ,� S7B Z- e' 7 S� SCALE: 1 " = 40' NOTES: DRAINFIELD TO BE A MINIMUM OF: 25' FROM DWELLING; 50' FROM WELL; 5' FROM LOT LINE. v T OGDEN ENGINEERING CO. JAMES . FILKINS, CSTM03988 Civil Engineers & Land Surveyors 113 W. Walnut St. River Falls, WI 54022 DATE: ¢����97 (715) 425 -7631 Aug 08 02 08:01a CALVIN POWERS P - Q �mS�rc�,� F ►!�. 5��, dl y L. C, , 3 4�1nt►"O��n� �s ��� 1 �o a d u !^ y ►Y11U SS i d.s --� A a y — 70 0cl, /� �r.�vc� -- �T3 • 75� �� �(o�. :JS`�.�' fa�r� �O:,�r ✓ 30 as sr� g3 �• ° ".�� r q r � al JJ VJ ^ 1 Aug 08 02 08:01a CALVIN POWERS P - POWERS EXCAVATING INC. 1969 185 AVE. NEW RICHMOND, WISCONSIN 54017 FAX TRANSM3SSION PHONE: 715- 246 -5135 FAX: 715 -246 -5135 DATE: f tj C6 8 NUMBER OF 61 CLUDING COVER PAGE): ATTENTION O n COMPANY NAME: FAX NU R• FROM: rr■ rrrrr■r■■ rsrrrr■■ r■■■ ■■■■■■r■■rrrrr ■■■■■■r■■rrr■■■rr ■■■■rrr■ ■ ■... ■..�..■ mn J `t c - 00 .��.� s • ova C , A Witter Wa l Go Wv S 1 to eel LOT M -- ---... Uva V + "`�'1 Y 1D8 �tes r . + 1. 00 vtrs r + Ste' S � O P M ft and dft + h n�ww effect ♦ y ae Maximli The � � 'un�► S//lface Of u nmasked the obje �'�v+e teachi optim aunt an l eaching surface. Its design unmasked sidew Proviad low pen b ottom pillar all to efflue to flow Y action in all directions. flow vi SPEC #F#C thieved by cOmbini orvbw d o nom with 8 the This has been , a series t raditional, op I- �h..........,76" � t '� unit louvers �'' L lualQi inside the chamb uv rs al ong the sides. ..........34% � Length .. 76" flo e deli nthe foil length of ea unc orrtPacted Ne ►t . 14" W •... ....34" comp acted 8 ed to allow e f u de. The Louvers Invert. .............9« HeIght ...... ..., f 1 " gratin backfill fl ent to pass into the BtoQ�ffu Invert ....... 1ntrh� the chamber.�Ie preventtn8 it from and °i g he , wt� instamw ! size Of 12* or t7- . withstand H- t Qom' to -2p#� o ver 104 faCtorg 31, l POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 0 FILE INFORMATION SYSTEM SPECEICATIONS Owner n nn t`o &4 Septic Tank Capacity C - �,5 'C) a( ❑ NA Permit # V 1 0 9 2% , Septic Tank Manufacture ❑ NA DESK3N PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Fite Model ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity g al ❑ NA Estimated flow (average) ©O g al/day Pump Tank Manufacture ❑ NA Design flow (peak), (Estimated x 1.51 g al/day Pump Manufacturer ❑ NA Soil Application Rate al/da 1W Pump Model ❑ NA Standard Influent/Effluent Quality Monthly average' Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand /Graven Filter ❑ Peat Filter Biochemical Oxygen Demand IBODJ 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids ITSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand iBODJ 530 mg /L ?lln- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids ITSS) 530 mg /L ❑ NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric man) 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 affluent. Other. (] NA MAINTENANCE SCHEDULE Service Event Service Fc1/ Inspect condition of tank(s) At least once every: ❑ month(sI (Maxknurn 3 Years) 0 NA 3 4T earls) Pump out contents of tank(s) When combined sludge and scum equals one -third (343) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ m onth 1 (Maximum 3 Years) ❑ NA Clean effluent filter At least once every: — :Z ❑ mo 1a yex (s) ar) ❑ NA is) Inspect pump, pump controls & alarm At least once every: 0 Yearns) ❑ NA Flush laterals and pressure test At least once every: ❑ ❑ yea(s) ls) ) mar ❑ NA 13 month(s) Other: At feast once every: ❑ yea(s) ❑ NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tankfs) 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 cellist 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 IY 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) 2 7 AW UP P44D OPERAS Paps of For new construction, Prior to +sat of the POWTS that may impede the treatment e check treatment l lank for the presence r on painting products or other chernnioal of the tank(*) removed by a Prods �df°r damage the dispersal +s:eN(s). 8 high concentration are asptage servicing operator prior to use. detected have the content System start up sMk not occur when soli conditions are frozen at the infktrative surface. Curing power outages PUMP tanks may fill above norntnsl d�narged to the dispersal CONS) ii one void levels. When Power is restored the excess wastewater wile b. effluent, To the this large le do overloading the caills) and may result in the backup or surface d- 0 , o 0 situation have the contents of the Pump re tank moved by a Septage Sarvicln Operator power to the effkaattt pump or a P POWTS Maintainer to assist in Prior to restores restore normal levels within the Pump tank. operating the pump controls tc Co not drive or park vehitdens over tanks and digpersal calls. within 15 fast down sktpe of any mound or at -grade sou Do not delve or park over, or otherwise disturb or compact, the am .area. Reduction or allure Mon of the following from the wastewater stream may unprove the Performance mind Prolong the We of the POWTS: arr:ibioties; baby wipes; cigarotte butts: cordons; cotton swabs; degreasers. • dental floss, d oundstion drain imp Pumpl water; trait and vegetable Peelings. floe; grease. herbicides; +aP�; d edi infect tat; Painting Products. Pesticides; sanitary napkins; tampons. and water softenarbri . :medications: oil; an ABAN When the POWTS falls and/or is Permanently taken out of service the following steps shall be taken to insure that the ProPerly and safely abandoned in conprranoe with chapter Comm 83.33, Wisconsin Administrative Code; system is • All Piping to tanks and pits shall be disconnected and the abandoned Pips openings sealed. • The contents of an tanks and pits shall be removed and Pn►PsrlY disposed of by a Soilage 5avacing Operator. • After pumping. all tanks and pits shale be excavated and removed or rhea covers removed and the void space filled with sed. gravel or another inert solid mat+erisi. CONTINGENCY PLAN If the f w cannot be repaired the following measures have been. cx must be t�ren, to provide a Dodo compy an A suitable replacement area has been evaluated and may be utilized for the location of a ant soil abs system. The replacement area should be Protected from disturbance and COMPactm and should not be infringed upon by d seeks from existing and Proposed s lot and weft. F8 to prvtact the area will result in the reed for a new soli and site evaluation to establish a suitable replacement ores. Replacement systems must comply with the rules in effect at that tine. © A suitable replacement area is not available due to setback and/or soil amitatiorns_ technology a holding tank may be installed as a last resort to replace the failed POWTS. barring advances in POWTS 13 The sate has not been evaluated to identify a suitable replacement area. Upon tame of ttro POWTS a Sail and site eva y be mush be performed to locate a he %Nilee replacMrnent area. If no MPWCennent area is available a holding tank may be installed as a lest resort to replace: the fad POWTS. [l Mour and at- grade am' abWWWn systems may be reconauucted in place following removal of the biomet at the infiltrativ a surface. Reconstructions of such systems must c0mPiY with the rules in effect at that time. < <WARNWe> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL BASSES ANDIOR WSUFRCIENT OXMEN. DO NOT ENTER A SEPTIC. PUMP OR OTHER TREATMENT TANK UNDER ANY STANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE pR OF A TANK MAY BE D�CULT OR MopOSSBLE. ADDITIONAL COMMENTS POtKTS NbBTALLER POWTS MAWTANNtSi Name V c` Q tjo 0#-s Narne Phone '7 r s c� s! i SEPTAG S OPERATOR {PI)l `ER) LOCAL REt#ULATORY AUTHORITY Name nn Mom° S � \ f`C> a �•� Phone " Phonies This document was drafted in coaspkerrce with chapter Conant 83 .22(2)(b"1)Idltkffi WW 89.5411), f2) A 13). Wmansi n Adagnistrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer bP4;z uo!!::v D, kz-mx oy- q Mailing Address l�73 %5 W D(KyC- Property Address 1t 1- Li Aj 60 (Verification requir d from Planning Department for new construction) � City/State P�j O 5. oo Parcel Identification Number LEGAL DESCRIPTION Property Location j t ,, V4, Sec. T "N - R I4 4W, Town of j � Subdivision �l?� y �''-- Ui c-1 A. to c , Lot # S Certified Survey Map # . Volume . Page # Warranty Deed # 6 7 .1 / . Volume � � 7S . Page # �4 Spec house D yes Xno Lot lines identifiableXyes O no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and' by a master plumber, journeymanpl*nber, 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. 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. � 0 Z SIGNA PLICANT 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 pro rty described abov by virtue f a warranty deed recorded in Register of Deeds Office. (� /'hS - 7 SIGNA O 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 07/10/02 WED 13:28 FAX 715 386 4687 REGISTER OF DEEDS 1@002 u 1s7sP �o� �c e REGISTER OF DMS STATE BAR OF W(SCONSlN fQRM 2 - 1008 WARRANTY DEED ST. CROIX Co., Nj RECEIVED FOR RECORD �eR,ertarit Nureq, 6 4-25 -2002 11:00 An f .. This need, made oetwean I _ EXE f � i no Deyel2EEent Co rat on, a Minnesota Corporation DEC FE 11.00 Grantor, TRANS PERI 479.70 grid y A — C 1� rJ,J copy pm CE RT COPY FsE: PAGES: 1 Grantee. Grantor, for a valuable consbdetailon. Conveys and Wart'anes to Grantee {he following ' described real estate 1n St. Croix County, State of Wisconsin: Lot 5 of the Plat of Troy Village t nty nmph oa Addition in the Totrn of Tr Noma and Rpwn A ftkees Wisconsin. ' °1'r 5t. Croix Coutlty, �i GKO. C ory AA 0 W1.3t `OAy Subj to Declarations of Covenants j , Conditions and r , Re ®frictions tar Troy Village, recorded in Vol. 1241 Y , Page 256, as Doc. No. 559964, and the Declaration of 1�.317Orx�u� m i ' Golf Course, Covenants, Conditions and Easements, i� recorded in Vol. 1241, Page 301, as Doc. No. 559969, all as appearing in the office of the Register of Deeds 0 y0 k C ? - 7Q •{k7 for St. Croix County, Wisconsin, and such other fWool montt8oetien Nta++ber(M?4 easements, restrictions and reservations of record/ This is not homestead property, 1 f ' or in use, and the "FATern obligations contained in 081 ps trot) the Purchase Agreemnt for this lot. , • if �f i Fitceptlons to warranlleV i1 n '1 Dated this a 1 day of (SEAL} (SEAL) Charles S. Coax, President Troy Development Corporation i tSEALI (SEAL) L �l A ACKNOW LEDGMENT Slsnsture(s) Minnesota State of W4srnm }n, 1r } ss. Anoxa county JJJ authenticated this day of Personally came before me this day of the above named I Charle$ S. Cook, Pis di apt Tray DemloMnt Co ration l • �i TITLE: MEMBER STATE BAR OF W!SCONSLN to it (fr not, me known to be the person - who executed Ufa reresoing authorised Oy 5706,06, Wis. Stara.) Instrument end acknowledge dw r same. II �UIiY i'n+S rN &TtfuMENf WAS oHnFYEO BY f I TRAY DEVELOPI -= CORPORATION Rick A. Johnson 1� Notary PuUUe, StslreF34tleee,NtwAnaka County, Minn. Charier. S. Cook:, P_re_s My Commission is permanent. Of not, state expiration date, I� (Signatures may be authenticated or arknowledst:d. Both am not January 31 - _ 2006 necr�ryr) II ( • Nam.. Of F - AIRnR+a In .ny e.F.cxy m.," W ryF,d Of prlead Nalw that imomem I I i STAT6 PAR Op WIMNSIN M v,c. it WARRANTY DEED FORM Nn. Y - 1998 r e6 W6, i RIGC A.,IOI•I�Oµ 110 &itleec uNarBpq W 00 Md>9910N ESP dMLUAW 31, 2006 s a E 1/4 OF �OFkTHE I HE `N4Y 1 /4 -, HE °KNE S1N . 1 /4"' OF SEC 1 THE SW. 1/4 OF . T 70yyN OF ' TR HE NtiV 1 T 9 T28N NW 1 /4 aF R 19 W, ANG T /4 ' `THE NW 1 G OY ST, HE SE ` 1 /4 HE NW /4 OF S 00.34.40. E 13J UN TY 1 /4 HL: 1 I X CO THE NE 1 /4 OF OF THE NE 1 H SIB THE T /4 • 6.9,)• I W L SCONS I N, SE 1 j THE THE s 99.44• 29' E .c „3 SOrJTH CCr ROAp S _ SE 1/4 OF 216.7+ " T . :• u 67 SO.a4r i t� �� Cl C12t �• f 100.19 n ,.. 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