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HomeMy WebLinkAbout040-1253-00-000 col Q! D n N ( O O w 07 p tD W CD CL "'• N {A\ (D p p N C N p- p O t7 d = fy O 3 tD fD •C g c o 0 e �+ v Cl) Z I Co a � • h► m Co D a y CL 3 z °o i13 I °0 M. O 0 r w w m 3 Z lr. 2 T C lV z O O 0 0 O 0 1 O I O g g N3 0 NNg oa o m M A o ' V CD a CD CL D Z a T a • o co c C p a r. Ow ".= C N w CD vwon:n(0 a c c c — 5 w 3 0)p a CD 6 a cmm? 0 3 r Z N n C S N 7 N p n� �y m a A 2 0 n S Q 3 O Cc y A Z O G) 3 p N i. 0 CD 3 z Z < y CD CD W m N o �• w 3 eo to z Q p a X <D fl: s O : Z � •mac 3 co n CD X CD HI CD p t I 3 a CL CL o a m CD N I a fD A fi 3 I O I a ti N I o CN 3 7 O, fD DO f0 O (D ti Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430312 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: Hauer, Michael I Troy Township 040 - 1253 -00 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: C) I(- . cv I t - 0 [°�, 1 (k4ct 19.28.19.1331 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing s Alt. BM Lovti �LF � Aeration Bldg. Sewer Holding - St/Ht Inlet oci St/Ht Outlet TANK SETBACK INFORMATION f C)q. SS TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet (/ 2S IL)A4.4S Septic / 5t / p / Dt Bottom Dosing / � �. / . � ea er 7 W an. Aeration Dist. Pipe INO 60 Holding Bot. System Final Grade _ PUMP /SIPHON INFORMATION S� � 11o. Manufacturer Demand over _ GP 3 > L� I l2.Y Model Number 3 TDH Li S � Friction System ead T Ft Forcemain Length ia. � Dist. to Wel 1 0. SOIL ABSORPTION SYSTEM BEBfTREN611 Width ILength INo. OfTreaehes PIT DIME Inside Dia. Liquid De t DIMENSIONS t "v �• � SS.`f 9 I.A '1s 36 SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufact G INFORMATION CHAMBER OR —! pt Type Of System: / 1 r j o -N Model Number: ✓ 1" i J � - DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing lVent to Air Intake i q iv Pipe(s) �. _ Length Dia Length Dia Spacing SOIL COVER s0` `t WUL x Pressure Systems Only xx Mou nd Or At -Grade Systems Only Depth Over / Depth Over jxx Depth of xx Seeded /Sodded xx Mulched Bed/Trench enter Bed /Trench Edges Topsoil I J Yes _j 190 COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1(7 / u'_/ , V I Location: 295 St. Andrews Drive Hudson, WI 54016 (NE 1/4 NW 1/4 19 T28N R1 9W) Troy Village 2nd Addition Lot 80 Parcel No: 19.28.19.1331 1.) Alt BM Description 2.) Bldg sewer length - amount of cover Pn Use other l q side for additional information. No � �— U3 V 7] U /KM S _/V Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) � ,� _ _ �/J Safety and Buildings Division Canty s 201 W. Washington Ave., P.O. Box 7162 iseainsin Madison, WI 53707 - 7162 Sanitary rSmit Number (to be filled in by Co.) (608) 266 -3151 "OS `2- Department of Commerce State Plan LD. Number Sanitary Permit Application t in accord with Comm 83.21, Wis. Aden Code, personal information You provide Address (ifdiffP^° ' �'�- _° , - "idress) may be used for secondary purposes Privacy Law, aI5.04(lxm) o1 295 5T'• RNQars DR . 1. Application Information - Please Print All lnforma#" -.._. -" - W S 60-bDO 133 s 3 Property wner's Name I Parcel # Lot # Block JL r 8� Property Owner's Mailing Address Property Location RAI Z Aew- eA6e- (j i A % A "a'`r %, Section City, State Zip C Phagte NWrJW, circle o e) e �r 11. Type of Building (check all that apply) aD ubdivisi Name CSM Number X , or 2 Fanuly Dwelling - Number of Bedrooms �EVr ❑ Public/Commercial - Describe Use ❑City ❑Village Township of State Owned - Describe Use K ` s - 111. Type of Permit: (Check only one box on line A. Comp ete line B if applicable) A. ew System ❑ Replacement System ❑ Treatment/Holdmg Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision - ❑ Change of ❑ Permit Transfer to New list Previous Permit Number and Date Issued Before Expiration Plumber Owner 1V. Tvpe of POWYS S stem: Check all that appl JrNon - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At - Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In - Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating S [befit Media Fitter CILhi DDripune ❑ Gravel -less P' ❑ Other ( lain) V. DispersaL Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) yttem Elevation / o + (07 107/• 0• �) l l 9, G 105.57 �� u m Total Number Manufacturer Prefab Site Steel Fiber Plastic VI. Tank Info Capacity Concrete Constructed Glass Gallons Gallons of Units New Existing Ta . Tacky .�+ Septic oriia�i A, �oD ��( / Aerobic ftcatmcta Unit Dosing Chamber V11. Responsibility Statement - 1, the under ed, ass onsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI 's Si MP RS Number Business Phone Number Pb­ —'e e.iA6— /c..ee. - w.t s� r Date Issued lss in gent Signature (No S s) I go bs- s Ij— �� va than 91 /Z 111 inches is size T.L. Sinz Plumbing Inc. E5609 708th Ave. Phone: (715) 235 -2644 Menomonie, WI 54751 /C� Fax: (715) 235 -2592 Z51A www.tlsinzplumbing.com �4 a '? /9W CA k Ur �T w 6 IA VI � o o c F- I T.L. Sinz Plumbing Inc. E5609 708th Ave. Phone: (715) 235 -2644 Menomonie, WI 54751 Fax: (715) 235 -2592 www.tlsinzplumbing.com r Adz.. xw. z —r J 9 c c v- Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings 'in accord with Comm 83.05, Wis. Adm. Code Environmental By Design Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point #BM), direction and S Croix percent slope, scale or dimemsions, north aFe6w ,arid location 4nd dl� to nearest road. Parcel L D.# APPLICANT INFORMATION -, 4 6 /eased t l informAt *. Personal information you provide may be us d§t for secondar P 'rr vacy [*Ww sa15.04 (1) (m)). Reviewed By Date I Property Owner Property Location Continental Develo meet "'"0, vt. Lot - NE 1/4 NW 1/4 S 19 T 28 N,R 19 W Property Owner's Mailing Address }' HO:,; Lot # Block # Subd. Name or CSM# 12301 Central Avenue NE, S 1 to 230 80 - Tro Villa a Second Addition City State \�p Code Phone r F7 City El Village ❑Town Nearest Road Minne olis MN Troy St. Andrews Drive ❑ New Construction Use: ❑ Residentiat76ff &r of bedrooms 4 ❑ Addition to existing building ❑ Replacement ❑ Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd/ftz .8 trench, gpolfts Absorption area required 857 bed, ft' 750 trench, ft' Maximum design loading rate .7 bed, gpdff .8 tr ench, gpd/fl? Recommended infiltration surface elevations) By Designer ft (as referred to site plan benchmar Additional design / site consideration Parent material Loess Over Glacial OutWash Flood lain elevation, if a licable ft S= Suitable for system Conventional Mound In Ground Pressure AT -grade System in Fill Holding Tank U= Unsuitable for system ®S [I U ® S ❑ U ® S El U ® 8 [1 U ❑ S ®U ❑ S ® U SOIL DESCRIPTION REPORT c oo r z.we "�lr Depth Dominant Color Mottles Structure GPD/ftz Boring# Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistenc Boundary Roots Bed Tronch 1 1 0 - 10 10yr3 /3 - sil 2msbk mfr cw 2f .5 .6 • S" 2 10 -20 10yr4 /3 - sil 2msbk mfr ow if .5 .6 .S Ground 3 20 -61 7.5yr5/6 - s osg ml cw - .7 .8 . a, elev 109.62 ft 4 61 -110 7.5yr6/4 - s osg ml - - 7 .8 Depth to limiting factor >110" Remarks: 2 1 0 -27 10yr3/3 - sil 2msbk mfr cw 2f .5 .6 . S 2 27 -31 10yr4 /3 - sil 2msbk mfr cw 1 f . 5 .6 S' Ground 3 31 -46 10yr4/3 - A lcsbk mfr cw - .4 .5 T elev 110.57 ft 4 46 -120 7.5yr6/4 - s osg ml - - .7 .6 Depth to limiting factor >120" Remarks: CST Name (Please Print) Signature: Telephone No. Thomas C. Nelson 715- 246 -2454 Address Environmental By Design Date CST Number Ref # 1432 120th Street, New Richmond, Wl 54017 2/2/98 MO2605 17 PROPERTY OWNER: Continental Development SOIL DESCRIPTION REPORT » Page 2 of 3 PARCEL I.D.# Environmenta By Desi Depth Dominant Color Mottles Structure GP /ftz Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. onsistence Boundary Roots Bed Trench °� 1 0 -17 1 r2 /1 - sil 2msbk mfr cw 2f .5 .6 • S� 3 : 2 17 -23 10yr32 - sil 2msbk mfr cw if .5 .6 , Ground elev 3 23 -45 10yr4 /4 - sil lcsbk mfr cw - .4 .5 • �' 110.86 ft 4 45 -60 7.5yr5/6 - s osg ml cw - .7 .8 Depth to 5 60 -130 7.5yr6/4 - s osg m1 - - .7 .8 limiting _ factor Remarks: 4 1 0 -24 10yr2/1 - sil 2msbk mfr cw 2f .5 .6 2 24 -29 10yr3/2 - A 2msbk mfr cw if .5 .6 •1� Ground elev 3 29 -43 10yr4 /4 - sil 1 csbk mfr cw - .4 .5 • `� 112.54 ft 4 43 -56 7.5yr5/6 - s osg ml cw - .7 .8 Depth to 5 56 -130 7.Syr6/4 - s osg ml - - 7 8 . } limiting factor >130" g3 1 19 • 16 y Remarks: 5 1 0 -9 10yr3 /3 - sil 2msbk mfr cw 2f .5 .6 , S 2 9 -38 10yr5/6 - is 2csbk mfr cw 1f .7 .8 Ground elev 3 38 -130 7.5yr6/4 - s osg ml - - .7 .8 �- 110.75 ft Depth to limiting factor >130 Remarks: Ground elev Depth to limiting factor Remarks: ti ENVI ONMENTOL BY DE5IGN 1432 120 STREET, NEW RICHMOND, WISCONSIN 715-246-2454 T28N PROJECT NAME: TROY VILLAGE 2nd ADDITION DESCRIPTION: NEV4, NW'/,, SECTION 19,, R19W TOWNSHIP: TROY COUNTY: ST.CROIX LOT: 80 SUBDIVISION: TROY VILLAGE 2 nd ADDITION C Loi 0 o n- SCALE To Nelson BM I SEcorner post ground surface elev. 100' cstrao2605 BM 2 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMA ON SYSTEM SPECIFICATIONS Owner S Septic Tank Capacity I ❑ NA Permit # 31 Z Septic Tank Manufacturer ` � ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model /�-' �Q ❑ NA Number of Public Facility Units A!rNA Pump Tank Capacity gal ❑ NA Estimated flow (average) 00 gal/day Pump Tank Manufacturer 449: j W_r ❑ NA Design flow (peak), (Estimated x 1.5) // "u al /da Pump Manufacturer 4 ❑ NA Soil Application Rate s V al /da /ft2 Pump Model ❑ NA 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 5220 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 <_30 mg /L Ground (gravity) ❑ In- Ground (pressur zed) Total Suspended Solids (TSS) <_30 mg /L ❑ NA f ❑ Mound Fecal Coliform (geometric mean) :510' cfu /100m1 ❑ 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 At least once every: ry: 3 ❑ ear( )(s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA CI month(s) (M 3 years) ❑ NA Inspect dispersal cell(s) At least once every: ear(s) Clean effluent filter At least once every: ❑ month(s) ©je ❑ NA ear(s) Inspect pump, pump controls &alarm At least once every: m onth(s) ❑ NA ear(s) ' ❑ month(s) NA Flush laterals and pressure test At least once every: ❑ year(s) Other: ❑ month(s) A At least once every: ❑ year(s) Other: A MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or ce ifications: 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 crac s or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the grou d surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check foray 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, p etreatment 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. Page of STAI'3T UP AND OPERATION For new construction, prior to use of the POWTS check treatment tanks) for the presence of painting products or othei 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 d charge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior tD 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; disinfe tants; 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 th 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 infring d 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 m be installed as a la esort to r lace the ja 'ed POWTS. The ite not e n ev ua d to ' e tify suit le re ace ant /4e Up f ilure th POW s it a site ev do m st e p rfo ed o to ate s ' able r I MA a r ace en area is v 'able a h Id' g t nstal as a reso eplace a failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the bio at 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 IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name N 6.• AJL-- E Name Phone �� f 3�,� e SEPTAGE SERVICING OPERA (PUMPER) LOCAL REGULATORY AUTHORITY Name Name [)C Ill N Phone Phone ,0 a This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Aug 01 03 05:50p Building Investments /Dev 651- 554 -0491 p.l Aug D5 03 11:33a Bonte Excavating (715)798 -2519 p.l ST CROM COUNy SSMC TAM Mpi aMONCS AGRE04MT AND OwrnaRSIM (MRT1mCATFON FORM OwnerBuya Zvi Address CVICZ � ?��c Ptopody Address ° Gom P anew 000sttudion) (verif catic�a OVY/State PwwJ Identification N>ba i ia(:AY- DES �q aw, Town of Pwpert Y,Qa� 600 ' /,, Sao- 19 I T N R� Lot # Subdivision . Volume Page # (xrtifltid Survey Mop # * o Page # ..' Warranty Deed # —7)9'3 V olume Spec horse a yes g no Lot lines identifiable '� yes O no ptopw Ia�xopac ZNM_" ion rtsP *tuce fa m b YM ...bts of FM*iag out the septic tat 1 C 1 °7► �°° Y !O°0dr' if troedod by a Beet f wn of ;aa the faaatiou of dw ICpdC tank as a ax+mmw* >p In the waM a o IMca� $,pod by the ovmer and by a 'l7�e prnpeaty ovruei a� � a�tma to SL G+oiz Zoaittg Depz� . 9�at(i) ttse oa -sioe weroo'wat�xl �' aaesaesplambas'. jot�Y�P�a�t�oralloa�eedA ®P�+ � � is 1�as theu lI3 full of oindge. a in psop� oPa*tioa 000ditraa and/or (Z) afar boa � P'� (it' a000tsaryl. °� the private of met° � We Ihro. fire aad+a haves soad shove mgdromeots ad agt* t0i1°°1°0 of Wisconsin Cc*O° fork , as sat by the tof C.oa000eaoe toad t><a D tLt: St. Gout Comaty Zoning �"e within 30 stawg that your � Wst� U=WW=ad� bt O°�1� aoMl tet� to days f r / L DATE SI '1111tE OF APPL[CAld'1' OWNER CTsRTfC.ia64N oor lcnowiodge. I (we) an (arc) the ewnef(s) of i (sine) oettifY that all elatemaata oar *As f orm are trine to the basteof VOWS OR�cce. virtue of a wutanty and ceooaded in O . _f DATE =;4v=; .....• • «..•• mva3'ed by the 7.oaio�g DcP t Aay infomaatioa dwat is mis-reptc5eaned may sewh in the sawtatY Pu 0 hem& • w mu" doed &= do Rq*w of Doe& off= •« 1pdade rratlt tbls •pplicadtloa: a y of the cabled satvey uwP if mfesveoe is made in am warts" deed tf J ,22271 531 - 719A 0 ` KATHLEEN N WALSH REGISTER Oft DEEDS STATE BAR OF WISCONSIN FORM 2 - 1998 ST. CROIX. CO., MI WARRANTY DEED RECEIVED FOR RECORD Document Number 0$/02/2003 11:30AN I Th13 Deed, made between WARRANTY TEED EXEMPT T roy Development Corporation, a Minnesota Corporation R$C FEE: 11.00 Grantor, TRANS FEE{ 419.70 and Micheal S. and Angela L. Hauer COPY FEE: CC FEE: PAGES: 1' Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described r in St. Croix County, State of Wisconsin: Recur 9 Area Lo 80 of the Plat of Troy Village .. ..- :,_:.,- Ad in the Town of Troy, St. Croix County, Name ara Rattan Adwess i Wisconsin. M' heal S and auer 84 oad Subject to Declarations of Covenants, Conditions and Restrictions for Troy Village, recorded in Vol. 1241, W db ry, �MN• 5 125 Page 256, as Doc. No. 559964, and the Declaration of . Golf Course, Covenants, Conditions and Easements, '- °- - il recorded in Vol. 1241, Page 301, as Doc. No. 559969, i all as appearing in the office of the Register of Deeds 040 - 1253 -00 -000 l parcel IderulYcalion Number (PIN) I , for St. Croix County, W and such other ( easements, restrictions and reservations of record, This is not homestead prope ty, l or in use, and the "Buyer" obligations contained in (is) (is not) the Purchase Agreement for this lot. �I I� It I� i+ I Exceptions to warranties: Dated this 29th day of April 2003 I (SEAL) (SEAL) �I • Charles S. Cook, President Troy Development Corporation (SEAL) (SEAL) ' .I AUTHENTICATION ACKNOWLEDGMENT Signature(s) Minnesota ; State of W+scorrs+re, Is. li Anoka County. authenticated this day of Penor) iy came before me this 29th day of i April named Charles S. Cook, President h Troy Development Corporation �i TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, me known to be the person _ who executed the foregoing authorized by §106.06. Wis. Stals.) Instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY — II � TROY DEVELOPMENT CORPORATION R ick A. Johnson t Notary Publle, Stae.or- LUwao«awAnoka County, Minn. Charles S. Cook, President My commission Is permanent. (If not, state expiration date: II (Signatures may be authenticated or acknowledged. Both are not January 31. 2006 .) necessary.) i. ii I� • N. — or P.rwq 'amng in my c.p,cny nnm be typed w primed below —v sig-na,. 'I II STATE BAH OF WISCONSIN WARRANTY DEED FORM No. 2 - 1989 ■ wn. RIC A. J O H NSON MOON EXPIRES JANUARY 31, 2006 w ■ .,,. i ». ............ .. -- -- TROY VILLAGE SECOND ADDITION LOCATFO :N fHF: NW 1; 4 :1F 4rk NW 1i4, T!iF.. P1E. iJ4 OF THE NW ' 1,'4, THE 5E 1/4 OF frk �.,' W `\ :r> f • "' l !'. NW 1/4 AND THL SW i/4 IN it NW 1/4 0;- SEC. 1%. 1?HN, (419W. KING CUT'LOT G OF THE PLAT OF TROY v�Lt. �"E. TOWN OF TROY, SP CROIX COUNTY, W'SCONSN Isn) n t. 81 r k�k ,�1y � P k "7'4i77n' 1 . •§ ...... r,e 1 Is �Xrk><t. CU VL IAtiU l: SCALE: 1" = 120' OUfl t`T 1' < h � .:x °° I 'FI li 1 .7 Ora F.. b a s x w a! pg ' Vi I� I 1 *or[ x 1.. T a 7,1 ` W T 1 UXATIM M I 1+c i 41 um. ,.. ., . :, .w ..,.x ,.. xxt,..,.x... M ... aa" y ;1 UsGUND A w •1 n yy J� , J ....... LC, 10 UR JF 'N2 CFRi61CA.E xars 1 , a,:: ....... .. A' f x .AU4 V taytM�.ls x r2ctla . 1 £ �1�Y.1 tiCAi r' NfPkP I. , M I I , .MI ,. g . j P ^< .. ..I 6URy� II s oa rm 1Atit r x Ab /;