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HomeMy WebLinkAbout040-1142-50-000 n(0) 0 i 3 V 0 d _1 l 0 A I o w y o 0 D o rn d c 3 O p � N °' !,,,� . '< pp C3 H -4 y D Ln CL ° j D o N N p ! p p CD v D m a n a 7 ro o W I a o o ¢ 0 Z o P lei o co o 3 rr z a 000' CJ �g2 ����i �yLn m `may VC N O 0 a J i y a N Qo cr n* d c A. ••,� H N 0 o O y9 d m tr . a ,z m o y cn m m m fJ OIQ _ c � �r am c r a o m m A y g m N y y CL A Z p � a p Z N co I 7 W CC .Oy.. O C cp j Z C L 7 ii a 0 d A ;7 CD O ' N o co I � a A N a 0 ° O a N N N a a Q fD n O � < O I 3ym m c ° m N Z a C.) (D O m d V S N h CD O� = p) N co fp Q. p CD III O p 4^ p — o N a O N j A ° ft .o fn O I� Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix SafBty and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 515293 0 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. �YA Permit Holder's Name: City Village X Township Parcel Tax No: Hovde, Aloha J. Troy, Town of 040 - 1142 -50 -000 CST BM Elev: Insp. BM Elev: BM Description: Sectionfrown/Range/Map No: 1 • `1 � lAl7a d cwev 4 36.28.19.571A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic O 0 Benchmark Dosing � / � Alt. Aeration Bldg. Seamy Holding � j F t/ Pt Inlet J TANK SETBACK INFORMATION tiHt Outlet TANK TO P /L WELL BLDG. Vent to Air Intao ROAD Dt Inlet Septic �� C1 f ' 2 ( Dt Bott ' 1 043 Dosing � � s Aeration Dist. Pie W Z I , Holding Bot. System PUMP /SIPHON INFORMATION ���- �-�'t� Final Grade s S •3 Manufacturer d St Co v e r /, l Model Number `7 e`pb TDH Lift . / Fricti S System H T H t T Y 3 `5 / / For main Length Dia. n Dist. Well SOIL ABSOKPTION SYSTEM BED/TRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / SETBACK SYSTEM TO P/L DG WELL CHAMBER OR i K TREA LEACHING Manuf ture� INFORMATION Typ Of System: 2S / I 36 UNIT Ltly�Lal 4 0 Model Number: DI T IBUTION SYSTEM 4 D Mdd Sit 10� f 110 Header/ anifol)i Distribution //� /� / x Hole Size x Hole Spacing r ir Ike I' Pipe(s) lo� — v f l b� Length Dia eng to 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 j xx Mulched Bed/rrench Center // f Bed/Trench Edges Topsoil Ye No Yes No COMME TS: (inclu a code discrre enpiees /_ pe er rsons present, etc.) Inspection #1: - 7 40/10 - Inspection #2: Location: 8 9 Cty. Rd. fiver FaII6, W # I 54� (NW 1/4 SE 1/4 36 T28N R1 9W) met s & bounds Lot Parcel No: 36.28.19.571A 6VA W) 1.) Alt BM Description =� U l�qf fl,((ny,,p 2.) Bldg sewer length = �/i /11�����" / u - amount of cover = \ / Required? 7a Yes N Use otheS de for additional information. No SBO -6710 (R.3/97) Date Insepctors Signatu e \ Cert. No. and B . ings Mision County ` m 201 W. Washingto Ave., P.O. Box 7162 5 T-- R aO � won on, 53707 — 7162 Sanitary Permit N ber (to be filled in by Co.) Department of Commerce , 3 (608) 66 -3151 2- 3 Sanitaryl if, State Plan I.D. Number WNI In accord with Comm 83.21, iskeetta�•il provid� may be used for secondary purposes Privacy Law, s 15.04(l )(in) " � Project Address (if different than mailing address) I. Application Information - Please Print All Information JM� Property Owner's Name &1 Parce # Lot # lock # OAJOII t� Xov#F S� S d y0 • /l�f z • 70 • �a-o Property Owner's Mailing Address Pr p p '/, ' /., Section ------ City, State f f [ /' , / Z Code 1 Phone Number V 4 !17 KJ / J yo n— y 5/ T 2s N; R (c E �Wj irc i II. Type of Building (check all that apply) -e G(J�l� X1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number ,_� � / , ,,, ," -"-" /� ❑ PubliclCommercial - Describe Use s / mr - 6 0w�t.a0 ❑ State Owned - Describe Use $City_❑Viilage ❑Township of �v III. Type of Permit: (Check only one box on line A. Complete line B if applicable) ' ❑ New System Replacement System ❑ Treatment/Holding 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 IV. Type of POWTS System: Check all that a t X Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized I -Gr nd /� I i g T � Filter 4 Aeero *TrC.e�t Unit El Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter 11I'Leachm C '� rp Lirib ❑ Gra� 1- IeSsrPipe U Other (explain) V. DispersaVrreatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dis al Area Required (st) Dispersal Area Propo f) yttem Elevation oo • 7 &(Z �t?C� / 9y. zs C in Total Number Manufacturer Prefab Site Steel Fiber VI. Tank Info P tY Plastic Gallons Gallons of Units Concrete Constructed Glass Tanks Tanks g 1,5 cI Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber Q 0 VII. Responsibility Statement- 1. the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) mber's Signah MP/MPRS Number Business Phone Number RDBLWOT I hXe- 7 - Z Z1.�3 7 S 7/s • 77 •3 y�Z Plumber's Address (Street, City, State, Zip Code) IF 2,?12— /p /`w 4 vA Uhl1 ZUI. S y7(o VIE[/Count rDe artment Use Onl Approved 11 Disapproved Sanitary Permit Fee (i lodes Groundwater Date Issued I Is iniing AgEnt Si furs o Stamps) ` Surctarge Fee) II.Q wner Given Reason for Denial q110 AAVI-6 g ro for Disapproval 1 Septic tank, a Ne dispersal cell must all be s rviced 1 mal lumber 3_- as per management plan provided by p t,�/t All s ' emen must be maintained 2. as per applicable code /oar 1'�at�'s• - - /�� V; �`�, � `fD0'• 3 op Attach complete plans Po the Counti only) for the syttern on papgr not less than SY2 x 1l inches in size SBD -6398 (R. 01/03) 1" '[4AJ1< ? T eA) 6(4 Zp -5 h 3 ,N , Jol - 7' At, \Y, ( ,t4 a CS C"V 1.6 cy > 41 M > M r 0 M > ;-4 DO 0 > ri 9- czmz VN 0 z 0 0 -q z OD Z ca M ao � 0 Xr- z Z C9 N 0 0 W m > p Z C> \71 AL CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE 715 . ya S • Z Z (� Project Name: REPIACE141eN7 56 /G S 5 . 1 Owner's Name: (E) EU iL°'UE" f f OOULr. &T U 0 ? 100.4 A t.7 D 7.t V E 51SI.P2 } Owner's Address: d 0 / COY• P— 0 ' / i �� ,L �" U�, �rtClS GC��• S �© Z - t- y.5 s Legal Description: /�JLtl, s SR C. 3 <p T Z;e�: u County: ✓!' r• GIZ 1 X Subdivision Name: IV14 01A RXRf s r 13 OU' � S p lQ � *0 1,F6 0 Lot Number: Parcel ID Number: " /M - 11 70 " 'OVZ- 7 Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross - Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenanc Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer /Plumber: ERT ( C License Number: ZZ6# 7 S Date: ' 3 ' Z-O/ y Phone Number - 7 1 S • 7 7 • 3 Signature Designed pursuant to the In- Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD- 10705 -P (N.01 /01). A' � � Page 1 Q��f n • i h � o ZA t � 44 �° ell Z � � V nw T w.r a •. . N l m OD D c� w � Cy �` C) Cl) O 70 �.` O' - - -- o a Cl) � n O M 33 > i °f '' 1 Soil Absorption System Cross Section �. 7 ft Final Grade k74hed e 40 CPipe Cap .4_ ____ Leaching S , Chamber ft �— System Elev ft �► p c P `Ape Soil Absorption System Plan View N FL (00 5 ft i 3 ft Leaching Trench 1 Vent Or Observation Pipe Chambers 4° Dia. y Trench 2 Header t v'c Leaching Chamber Scecifications Manufacturer And Model 27 "3 -f t �T're hT'v P S , EISA Rating ' i ' sq ft per chamber Soil Application Rate gpdhsq ft so f r' 2 gpd Design Flow + • � Soil Application Rate + 7 2 � EISA = Z J Chambers 2 rows of chambers each. i Re vf4s7,0 : y)-e s v.. F r r a . rd lA+L j Page of 3 o� 1 -7 `L5 k //5 A" J;K TOTg1, sq. f +. o f PUMPS [q GOULDS Submersible Effluent Pump MODEL 3871 EPO4 & EP Se APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermo- ■ Bearings: Upper and lower Specifically designed for the grade turbine oil for plastic enclosed design for heavy duty ball bearing con - following uses: lubrication and efficient improved performance. struction. • Effluent systems heat transfer. ■ Casing and Base: Rugged • Homes Available for automatic and thermoplastic design provides AGENCY LISTING va e • Farms superior strength and corrosion • Heavy duty sump manual operation. Automatic resistance. Canadian Standards • Water transfer models include Mechanical ■Motor Housi Cast iron for c a s fil c l R385a9 • Dewatering Float Switch assembled and g preset at the factory. efficient heat transfer, strength, and durability. Goulds Pumps is ISO 9001 Registered. SPECIFICATIONS FEATURES ■ Motor Cover: Thermoplastic • Solids handling capability: ■ EPO4 Impeller: Thermo- cover with integral handle and 3 /4" maximum. plastic semi -open design with float switch attachment points. • Capacities: up to 60 GPM. ■ Power Cable: Severe duty • Total heads: up to 31 feet. pump out vanes for mechanical rated oil and water resistant. • Discharge size: 1 V? NPT. seal protection. • Mechanical seal: carbon - rotary/ceramic - stationary, BUNA -N elastomers. • Temperature: METERS FEET - 104° F (40° C) continuous 10 140° F (60° C) intermittent. • Fasteners: 300 series 9 ao'; _ _ _ soPnn stainless steel • Capable of running s t d ry 9 without damage to 25 components. °a 7 W 6 20- Motor: • EPO4 Single phase: 0.4 HP Z s 115 or 230 V, 60 Hz, 1550 0 1 s RPM, built in overload with a a ! Epos automatic reset. o • EP05 Single phase: 0.5 HP ~ 3 Jo .--- ___. - �� 115 V or 230V, 60 Hz, 1550 RPM, built in overload with EPO4 automatic reset. 5 • Power cord: 10 foot 1 S1TW with three / o ree p ong 00 : 10 ._. . - -_ zo 30 _.. 0 5 -- -GPM'I grounding plug. Optional 20 foot length, 16/3 S1TW with 0 2 a 6 8 1 o 1 z rn-/i, three prong grounding plug CAPACITY (standard on EP05). Goulds Pum 0 2005 117 Water Technology, Inc. ITT Industries Effective January, 2005 83871 Uot� Vo(uKE o- :0 Fop_cG A *w - .50 '- 7 2 �;d o 'l&" �`lor��.� CD f v ,0'j P A �r r4 A� K— . Septic -Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer w1Z5i5' Pump Manufacturer zoE / /Eit Tank Model Number /&m o 4-P . Pump Model Number Total Tank Capacity p D 0 r- 6Q O Alarm Manufacturer VW A ,4 'Ilk eve Max. Bury Depth Alarm Model Number v L oco Switch Type F/ 49,+ j— Filter Manufacturer Total Dynamic Head (TDH) - Feet Filter Model Number Elevation Head Distal Pressure — Network Loss /y , 3 19 t Minimum Pump Performance Required Force Main Loss j v -- > 7 w 15 GPM I @ 7. Q Ft TDH Total 7• F Outlet Manhole Min. 4" Above Grade With Locking Device. Inlet Manhole Manhole Min. 4" Above Grade J % < 6" Below Grade Sealed Watertight Securely Mounted With Locking Device 4 5 Weather -proof �, 1 qg•� _ -�� Junction Box Finished Grade — •'' _ � I © Depth of Vent Min. 12" Cover Above Grade Disconnect Ft With Vent Cap Means t1, 60utlet Outlet Filter Inlet >�a --- Inlet Baffle A �� Q '•' Switch Settings and Reserve Capacity <;s C '/<" Y5 > Y �1 Tank Volume = GPI <s< 'l d ;< Weep Y Dimension Inches Volume Gal. ';' 'l} B ;< Hole a� .�> (reserve) A 21 S < ?, r < < � ;<y (alarm) B 2 Z, Off Elevation C (dose) C & , }� Q. Ft QD:� Otto <, (dead) D D levati n ` Total t .. > > / > > > > , Y > Y > > > > . Y > Y / > > > > Y Y > > ) > < < < < < < S < < < < < S S < < < < < < < < < < < < < i < < < < < . < < S < < < < < < < < < < f . < < < < 1 < < < < > > > > / > > > > Y > > > > Y > > > ) Y > ) > a Y > > > > a a > Y > > > > ) ) > > ) > > s > > > > > > > 1 > > > / a � r p S pri c T v�y p GENERAL INSTALLATION The septic /dose tank is beddea and back filled in accordance with the `C manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank h y excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.28 / r/ NIS �C 02/05 LJ �") 7 oOSPa a of s p�'GS • j� i 4ssv E s o�Y 0 J Aux., Bose- P Iv 5 P/ 5 Vow ve � ZOLLER EFFLUENT PUMP MODEL 98 READ CAPACITY CURVE 3 ?/1 MODEL "811" 1 s/e 6- 25— I 3 5/e SkIlu 44 � m 18— 1/2 -11 1/2 NPi e– - 6— --- l. MLLONS 10 20 30 40 5a 60 7o ea lltER! -- r I so 160 240 0 FLOW PER MINUTE LOTµ DTXALq H1.IL19tOW th tlnUit 1 1M0 MMtAti l4 F,d 1�tN CAPACr1T }2 vwll a,v +p - J tict wtlen� o�lt.� +rn• l LE2 l! era 10 505 !1 »1 1 it 4s1 +s ,ro 20 t 10 45 -'- __ 3 S /li Lock V" ' Ulrt ♦�+ MAIL lA•r.U. OOX 16341 efs I Manufacturers of .. . PIP ' 10 10: : 3 3?880 4i' Afitters irk Air 1-44 v l. KY 4G216 ,QUA! //Y lNiT 74.1131 • fAV j5W) 774 3624 OWNER's MAINTAIN CE OF SEPTLC SYSTEM POWTS (landowner) is reponsible for proper operation and maintenance of this system. Regular periodic inspections and servicing is necessary for the safe healthy operation of.this system. The owner is required by code to submit all necessary maintenance /inspection reports to the controlling,authorities. SPECIFIC CONTACT AGENTS * Governmental authority/ inspectors: 24 - 715 • 3S'ta - yU 4 Q * Licensed installer, responsible for providing an operation/ maintenance "Users" manual: M P 2i 43 7 7a • 3 q Z- * Licensed service / inspection agent other than installer: r I 7,2 * Electrician, -for Pump, electric controls, wiring units: �r�= • ��, LDS • S �6 IeC 4Y lied IMPORTANT OWNER MAINTENANCE REQUIREMENTS 1. Winter traffic (sledding, shoveling, etc.) across the area shall not be permitted, or frost can /will penetrate into the cell, freezing up the system. Discontinuos use in the winter, (a vacaction trip, resulting in no water use) can also lead to freeze ups. 2. Water conservation needs to be exercised! Or system can be hydrolically overloaded and destroyed. This svOem was designed for a maximum wastewater flow of 3 - v gals. daily. 3. POWTS are not designed to accomodate wastes from a garbage. disposal unit, or any other unnatural sources of waste Diviisi n Of Safety and B�idirrgs me JUL 13 MO sOI EVALUATION REPO SP A I D P 3 th es, wa;. Adm coda sT.tROM% I T Mach oompiee site Plan on In size. Plan must 0 �•� Fndude, but not Rniited to: reference Point (BM), direction and Wcent slope. scale or dimensions, north arrow, and tocapon and distance to nearest road. P I.D. v YO • /% y • 70 • o o v Please print all kilbi maNgn. , Psraomt infommeon you WoMiroar be used for ssoondwy ourpoM (Peveer Law. s. s o4 (1) (m)6 0 - ProperlyOwner OV e �}WP10,( R aF GU Y-z AW t l 56 GENEV%E 90*Ve- R U 6 CS fS :tie es Govt Lot AV 114 114 S 36 T 2,? N R I Q E (or) Ptopwly owners Mallirig Address �flf� 9 CI` O Jul �'1 y � # 01 3 0 emirs , ovuv S tale code PtroQe ® City ❑ Vie ❑ Town .'Nearest Road kiI /M �"jf� 5 Wt 1 /0 iZ (,715 ) Y25 _10 ;ei ve crX•. Ro �iM ❑ New Corrshuc Lion Use: 0 Residential / Number of bedrooms 2— Code dolved design tow rate O , GPD Replacernent ❑ Public or commercial - Desciun Parent material Flood Plain elevation If applic N tit M ons: v i t,� a � � Y& 7) Atha v� SPot - Tested suitable for a Mvventbnai 4round system (P.O.W.T S j 171 9 9 ❑ Bortr,g , 2 Pit Grouhct a<rface etev. _ Dept, to factor � in. soar Application Rare HW= Depth DanhadCdw Rstlag c Description Textire Sbucbxe Consistence Boundary Roots in, Munsel Ca BE Coat. Color Gr. Sz. Sh. *M1 I TIM �. - 26 16 YR (o LS vf R C If . 7 3 is -/o /0 7 S ' d.2 i• G, Borings 0 o Ground surface alev. • Z O , to rector > Mo i� i - t sa Application Rate Hod= Depth Damirmt Colof Redox Description TO&M ' Structure Consistence BmWwy Roots GPOR ih. Munsell am Sz Cont. Color Gr. Sz. Sh. 'Eftl *892 0 ./ 2- to YR 3 s n4i o S 21 A G Z- V; -2,7 16M eo lln 1-5 D C S 1- aRuent In BOD > W:_< no mg& and TSS ,, w 1 1.% mg& FBlirerd e2 = BOD , < 30 mg& acrd TSS < 30 mglL CST Name (Please Prig sigrhaarre 7 � ��_ l � �• c �t�iZ,rrt,�er 7 s TO- omewr l W L R i c ITT 3 Address Date Evairaton Condixted Telephone Vinber Ulbricht &'Associates l Z ol0 7l S• 7 7� • 3 y Z rriv Le Me wage Uonsultants 2812 1O Ave. -- - Spring Valley, WI 54767 ORIGINAL I ® - - ®m mis7r�r! -m- ■ ■ -_ wig mm mm _m_ ow m®® mm mm�� mm mm�������o���� mm� MIR m . ��w mm� M��Mm m o � -a o n C �'s Nb 7k, m m m r o w> t do K zmz l �0ZO i OD 0 -I Z W mD0 oo � v w -u ZZ U C/) ! 4 ° I °�'a� Parcel #: 040 - 1142 -50 -000 07/13/2010 04:12 PM PAGE 1 OF 1 Alt. Parcel M 36.28.19.571 A 040 - TOWN OF TROY Current OX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner ALOHA JOAN HOVDE O - HOVDE, ALOHA JOAN 857 CTY RD MM RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): ` = Primary Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH (I/ Legal Description: Acres: 7.720 Plat: N/A -NOT AVAILABLE SEC 36 T28N R19W 7.72AC N1/2 OF NW SE Block/Condo Bldg: EXC 9A & 1.72A & EXC 040 - 1142 -70 (571 C) & EXC 040 - 1142 -80 (571 D) Tract(s): (Sec- Twn -Rng 40 1/4 160 114) 36- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 2010 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 11/09/2009 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 3.000 400 0 400 NO AGRICULTURAL FOREST G5M 2.600 10,400 0 10,400 NO MFL BEFORE'05 CLOSED W8 2.120 8,500 0 8,500 NO Totals for 2010: General Property 5.600 10,800 0 10,800 Woodland 2.120 8,500 8,500 Totals for 2009: General Property 5.600 10,800 0 10,800 Woodland 2.120 8,500 8,500 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 040- 1142 -95 -000 07/13/2010 04:13 PM PAGE 1 OF 1 Alt. Parcel #: 36.28.19.571 F 040 - TOWN OF TROY Current U ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner ALOHA JOAN HOVDE 0 - HOVDE, ALOHA JOAN 857 CTY RD MM RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): "= Primary Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 18.000 Plat: N/A -NOT AVAILABLE SEC 36 T28N R19W 18 AC S1/2 OF NW SE EXC Block/Condo Bldg: COM AT SW COR OF NW SETH N TO PRAIRIE MILL POND E & S ALG W BK OF POND TO S LN Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) OF 40 TH W TO POB (INCLUDES PT NW SE 36- 28N -19W LYING E OF ABANDONED RR ROW PCL #569) Notes: Parcel History: Date Doc # Vol /Page Type I I 2010 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 11/0912009 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 3.000 400 0 400 NO MFL BEFORE '05 CLOSED W8 15.000 60,000 0 60,000 NO Totals for 2010: General Property 3.000 400 0 400 Woodland 15.000 60,000 60,000 Totals for 2009: General Property 3.000 400 0 400 Woodland 15.000 60,000 60,000 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 040 - 1142 - 70-000 07/13/2010 01.29 PM PAGE 1 OF 1 Alt. Parcel M 36.28.19.571 C 040 - TOWN OF TROY Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner ALOHA JOAN HOVDE O - HOVDE, ALOHA JOAN 857 CTY RD MM RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 857 CTY RD MM SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 4.500 Plat: N/A -NOT AVAILABLE SEC 36 T28N R19W 4.50A 5.5A IN NE OF Block/Condo Bldg: W1/2 OF NW SE EXC 1 RD AS IN VOL 302 PP 217 -218 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 36- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 2010 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/09/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.500 95,000 ( 43,500 138,500 NO Totals for 2010: General Property 4.500 95,000 43,500 138,500 Woodland 0.000 0 0 Totals for 2009: General Property 4.500 95,000 43,500 138,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 040 - 1142 -90 -000 07/13/2010 01:15 PM PAGE 1 OF 1 Alt. Parcel #: 36.28.19.571 E 040 - TOWN OF TROY Current ❑ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 01/20/2010 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner ALOHA JOAN HOVDE O - HOVDE, ALOHA JOAN 857 CTY RD MM RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): "= Primary Type Dist # Description ` 857 CTY RD MM SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 3.500 Plat: N/A -NOT AVAILABLE SEC 36 T28N R1 9W 3.5A IN NE COR OF W1/2 Block/Condo Bldg: OF NW SE AS IN VOL 369 PG 591 EXC TO HWY AS IN 495/310 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 36- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 369/591 2010 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: _ Last Changed: 11/09/2009 Description Class Acres Land ' Improve Total State Reason RESIDENTIAL G1 3.500 75,000 47,900 / 122,900 NO Totals for 2010: General Property 3.500 75,000 47,900 122,900 Woodland 0.000 0 0 Totals for 2009: General Property 3.500 75,000 47,900 122,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 133 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND �! OWNERSHIP CERTIFICATION FORM t f . ZS Z Py ONvner /B 6 ! & ; � �y S Ai, Ako (►1� / �Q� C R M /Q�Utfe �i4/ S� �w/ Sy ci z z Mailing Address /�'f Property Address (Verification required from Planning & Zoning Department for new construction.) City /State ki kk Parcel Identification Number _ /fly - 70 - O- a /,�� lid, 36 �- � . �C � .x,1-9 LEGAL DESCRIPTION C r rY Property Location /UW ': , 5 '., , Sec. — 36 , T � N R ! 9 W, T"wn of ' A i V �:J2 Fh /I S ,ARfoR T' �. S -444 3 Subdivision Plat: 6�' S OVA- S ( �OC3 ,Lot # Certified Survey Map # Yll t , Volume .3 2.. , Page # Z1 7' 2 Warranty Deed # 2 z (before 2007)Volume 3 & � , Page # 5 ` Spec house yes no Lot lines identifiabl yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 attect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1.) and in Chapter 12 - St. Croix County Sanitary Ordinance. fhe property owner agrees to submit to St. Croix County Planning & Zoning Department a certification Wm, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (I ) 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 Planning & Zoning Department within 30 days of the three year expiration date. I /we certity that all statements on this form are true to the best of my /our knowledge. I /we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Num • of drooms R.I 'INAL 7 / 9 / Z 0/0 SIGNATURE OF APPLI NT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reterence is made in the warranty deed. (REV. 08/05) � � G P 6 0'Vi ^ , Imo_ n ■ o ■ -0 n c § § $ ° «Tn$I k 21� r Cl) ■ z ° 4 0 \ / § § q �' m @ M k \ \ CD a / «- OD ` 4 o Q al a - S£§ i i 0\ k�§ ) 2§ 3 2 r r$ a §% E $ I U) 8 E E = -4 v ± © @ E � n / E e R c § ƒ C / E N G \ S $ @ j E( 4 z 2 K§ co / § § f j 0 � m o , u ■ c + ° - n ( § CL g\ - o o o - % k \ a OIQ ; 2 Ca ■ ■ \ m or "a V 2 < 0 F2�: 9 _ . cr ('( \ � 2 I } ( \ Err ¢ � \ - I c § c E k � ca § A ) / z E � A @ ' 2 OD m I ƒ z N m � �f m \ ff�2 2 §ma§ � \/0 / % 0 0 C, CL mEk z;« 22CD \ � CD M 14 - akCD j a2{ Qef IZI a � $ � � � \ 0 \ \ _ \ j § k 2 (h 11 CLAM I )F (-.u. St cn< OI- AVltir+I �lN 1'oU%I Nu. 1t � 1 262472 - This Indenture ' Made thi _ 20th day of June_ _ _ _ A. D., 19 60 , a..widower. Arthur G. Rauchwarter and Arlene J. I j between - - -:.. .$tephen -J.._ Rauchwarter, � . I Rauchwarter, as joint .t.enants..and_.each in his own right _ Dart ies. of the first part, f and _ __.... Aloha. Joan- .Hovde - -- - - ---- --.__. _- _.__ - - -. _ ___ part y..__ of the second part. I i WITNESSE That �e= said odt e ' a eonsideration jerationof the su tnof I� jl -One -,Dol l a r nd of ga a nd valuable t to _ them in hand paid by the said party _ .of the second part, the receipt whereof is hereby confessed and achnowledged, La ve given, granted, bargained, sold, remised, released and quit - claimed, and by these presents do - give, grant, bargailt, sell,' �t remise, release and quit -claim unto the said part y_ _of the second part, and to her -- heirs and assigns forever, the following described real estate, situated in the County of _St, Croix State of Wisconsin, to -wit: The South Half (SNO of the Northwest Quarter (NW4) of the Southeast Quarter (SE4), except l- acres in the Southwest (SW) corner described as follows: l Commencing at the Southwest corner of the Northwest Quarter of the Southeast j j Quarter of Section 36- 28 -I.9; thence North to Prairie Mills Pond; thence I Easterly and Southerly along the West .bank of Mill Pond to the South line of said Forty; thence West to the place of beginning, in 'Acction 3v- 28 -19, to Town of Troy t ii ("d fo ES 1'l:f)fU 1fU r�, ;2 t._ Jt "0 I 1 -�� ?er OT Urea'-, 1O 11AVE ANID TO HOLD ilia sattur lovol)t)rr will all atitti the lwlnupiu) or ilppcllu;nilt, antl ,ill tlu e::tiIh' I It III. by le, uitt rc:- alA cl;nuI (t 111v till t)art ies of the first part, eit.lwl in law orequil;;, oll1l (r ill t :c::;:nnt to ref l t ;u c ti, trr Iht �,nlc prul„ t u. o. 1)cueltt un�l lrohuul tJ tlu :,u.i Dart y of 1IIe 5CCmIiI part, hagr Itoiri tut'l 1N WITNE 1VLIERI Iltc zntd part i�'s u1 the l,r:,t earl h:t Vl' 1wicllntu :,W to it hand safid ; seal :3 Lhls. _ 60th tla J of J u, 1 ,:' A. ll.,1J 5i;;nr)I :nul tit Acoi in I'rc nrt of �' J Step J r auchw� tar _.._. Er z r /�.� >.�l __. , _: ,.••�__ 1 � . Art >�r G,� Ra uchwarter „ Gene French I r �� t= ,._._, •�: ,') ,� ,, .:. b c'. , z,�� •f.�rat�f Arlene J Eauchwazter__ _ - Wilbur Va-n erq S 'FATF1 OF AVfS( (-k�IN, inneso a / Goodhue / ('uu +u�'. •- 1't rst�nally circle ht-fon. mc, thl, O i:tc „I June �.;,l l`, f 0 "` low- flit. alkove nutl Stephen J. " auchwarter, Arthur G. Rauchwarter and Arlene J. Rauchwarter to nu- knutcn to he 16t• I+er,t)n S ht) rsccutctl tht' (ttn•,,t)inc ill"n unn•ut alld at tcn()tvh•tived do ttnt• / tart' Pkiblic, tNltitt�; C'°o �Aw� (Stsidmr S9.51 (1) of the Wlsconedn Scatutrs - pnwides that ati instrumerfts [r. be rrrordrd shall bore plainly printrtl or typrwtitten thrmar the names of the grantors, {;ranters, witnesses and notary). Z) O - 7 NOONtr61ty OD 0o t 1 LL � L y it Ll LO i 1 S ) I� I V m U . ) 0) M O W N ,^ OD QZI LO LO W Z� tiM � OZb C "1 I i o vl �l I � I I-