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HomeMy WebLinkAbout040-1142-70-000 . � , � ■ a � � e � � K £ f(D 0 -4 0 / 0) i f �f C & k , \ 0 - % / Q / 2 k E E co 0 2 E■ °' © / / §¥ 0� . e } k oo� 2 0 � : # § ° k§ q 2 E c . � E i ƒ k k k OIQ \ v o \ m & » - & ( . E _ § } 0 M \ / M ƒ 0 k / k \ B 0 \ 3 k k k 0 \ E k § 7 , ■ M § d 0) CL k / j 0 � �ƒ @ ' 7 2 £ . , < e e G a=03 ƒ� G % . . 0 } (2 � \ f \ \ ( \ . } b Rk i o : � < § § . _0 ! I � k� i �k . _ CROIX COUNIJ PLANNING & ZONING May 14 2008 Aloha Hovde 857 County Road MM River Falls, WI 54022 Re: Property located in part of the NW /SE quarter of Section 36 T28N R19W, Town of Troy, parcel # 36.28.19.571 E, further described as 857 County Road MM. Code Administra 715- 386 -4680 Dear Ms. Hovde: Landlnformation After further consideration of the complaints regarding the property mentioned Planning 715- 386 -4674 above, this Department has concluded that you are not in violation of the St. Croix Zoning Ordinance. We have abated this investigation. Real Prope 715 -3 677 We recommend that the level of traffic on the trails of the property mentioned above be limited as much as possible until vegetation has been restored. The main Re cling purpose of our Shoreland Zoning Ordinance is to prevent erosion and water - 386 -4675 pollution. Any additional efforts to establish groundcover on the disturbed trails would be appreciated. If you have any further questions, I can be reached at (715) 386 -4683 (8:00 A.M. to 4:30 P.M. weekdays). Thank you for your cooperation. Respectfully, Dan Sitz Zoning Technician /cs Cc: Town of Troy Seth Rugo Dahn Borh, Forester File ST. CRODC COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD, HUDSON Wt 54016 715386 FAX PZVC0.SAINT-CRO1X. W1. US W W W.CO.SAI NT-CROIX. W I. U S Wisconsin Dp Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 479345 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal inforfnaion 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: Hovde, Aloha J. I Troy, Town of 04 0 - 1 142 -7 -00 CST BM Elev: Insp. BM Elev: BM Description: ' Section/Town/Range /Map No: CO. r w •a s mr $ tut 36.28.19.571C TANK INFORMATION U AEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark W t SSG -i2.. Dosing w t &ar Alt. BM Aeration Bldg. Sewer . o s - q 3•� Holding St/Ht Inlet J1 C IO-1 ` 0 ' St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 3ar� y IvD 6_4 / Dt Bottom + / Dosing v + Header /Man. ,�,,.W• ��- 93.E Aeration Dist. Pipe ,(Q ,(s l.i 2 $� ,S4 2 r Holding Bot. System f r Ed (o •s0 Final Grade PUMP /SIPHON INFORMATION sd� O Manufacturer Demand St Cover n 61 5 GPM G.YO Model Number TDH Lift ` Friction L ss System Head T Ft /� orcemain Length Dia. Dia. ^ r r Dist. to Well Alp� SOIL ABSORPTION SYSTEM 33 R NC Width t Length r No. Of Trenches PIT IIMENSI� M$ No. Of Pits Inside Dia. Liquid Depth DIM 4 NS �� C 3 ( ��( [ ,iK_ J • SETBACK SYSTEM TO P/L BLDG WELL LAKE /S LEACHING Man!2 -Ir. INFORMATION CHAMBER OR Type Of System: Z i r p I ' I / UNIT Mod Number: C,� - � 1 DISTRIBUTION SYSTEM h, r...t R. t>. Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake ��5 Pi p/ Length Dia Length Dia TSpac:�,IngO SOIL COVER x Pressu Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes [] No 0 Yes L No N MM " E p NTS : r (IInc cl lu dis ncies, persons present, etc.) Inspection #1: � ,Zf Inspection #2: Lbcation: 857 Cty. MM River Falls, WI 54022f(NW 1/4 SE 1/4 36 T28N R1 9W) 40 acres Lot P rcel No: 36.28.19.5710 1.) Alt BM Description K /A) Cam' - $�v� Cs•` 2.) Bldg sewer length = (pD + A. e �h /� , 2(Q Zalos amount of cover 42.' S 1 C�++e'' • •J~ Q li Plan re�v Required? Yes 0 • AA �Z �-- ( ' Use other side for additional informat of n. Date Insepctor's Signature - /� - Cert. No. SBD -6710 (R.3/97) I Safety and Buildings Division Cowry „ n _ Washington Ave., P.O. Box 7082 c �j 1 i cp 201 W. seonsin �. WI 53707 - 7082 Sanitary Permit Number (to be filled in by Co.) D ep artment of Commerce (608) 261 -6546 3 5- Sanitary Permit Ap C11 ECEIV �'� P LD.Number In accord with Comm $311, Wis. Adm. Code, /�_ may be used for secondary purposes Privacy Law 5. 2 8 2 A w (if diff t tban mailing address) 1. Application Information Please Print All Information CROIX COU TY Y Na FFI IParcel # Lot s Stock tl 0 A� U�0'I!c!2 -7o— Property owlier's 7 dd ?" � Property Location Ci71T) Code Phone Number '� — - /~ section p � (ci eY i , pdo vs al T O� N; R( c EorWa one) IL Type of Bugling (check all that apply) /� , y� / 8t or 2 Family Dwelling - Number of Bedrooms 3 -r/ ` ='1��7 i� �( Subdivision Name CSM Now ❑ PablidCommaeial - Describe Use } ❑ State Owned - Describe Use ❑City ❑Vines OTon mship of III. Type of Permit. (Check only on box on line A. Cou*kte line B If applie") A ' ❑ Now System 19 Replacement System ❑ TieA.WHokling Tank Replovement Only ❑ Other Modification to Exerting System B• ❑ Permit tRaaewal ❑ Permit ReviaioW ❑ chimp of ❑ Permit Transfer to Now cast Previous Permit Number and Date issued 13tssfotre Expiration Plumber Owner IV Tmw of Poyns • Cbtxk aU that a l 5 Mound 2:24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Cottsuttcted Wedand ❑ Pressurized ❑ Molding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Saud Filter ❑ Media Filter ' Chamber Lane ❑ Gravel- Pipe QOdner V. tmea! Area Information k, Gu-L Design Flow WO Design Soil Application Rate(gpdsl) Dispersal Area Rai (sq Dispetssi Amer �90,s, ion � Z 7 1" r � * �5 �` o 91. VL Tank Info Capacity in TOW Number Maatfaeauer Poem Site Stud Fiber Plastic Gdlm • GaOons of Units Concrete Constructed Glass New LbcielkK Treks Tide Septic er liow" Trek e Aerobic TneNaeaa tleit posiagClra#ta / /,.� VII. nsuA ty Statement- b the ra gacd, asswu responsibility for tastalla WTS oa the atmclred plans. r p '7 's Name (Pr>nt) P �"re Business 0' �' -995 t3 4,0k a- S �� a Address ( street, city. s tie VI eau numt use 0 Approved 0 Disapproved Sanitary Permit incl des Gramdwater Date issued 9-Agent Pa hue ) ❑ Owner Given Reason for Denial 1 Stuclmrge Fee) v� -7 /ola IX. Conditions of ApprovaUlteatons for Disapproval S T " n %1: ant e {^S 7� 7 1 V k, efflueg fitter Q dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained C'o cats! as per applicable code /ordinances. �U 7�2 /�G�- A- Q -�%fJ� �s t ��C.rfY) far tYe spe._ as paper not less F � '3 3 C SBD -6398 (R.. 08/02) NVI*cobsin 7A1 W . Madison, Wn Ave., P.O. Box 7162 Madison. WI 53707 -7162 S'bsAddtess . De artme»t of Commerce f � ' Sanitary Permit Application Sanitary Permit N r In accord with Comm 83.21. Wis. Adm. Code. personal information you provide ❑ Check if 'on ma y be used for secondary PUPOM PI Law 815. 1 L Application Infornsutioa - Please PAd All Information Sure Plan . Number Property Oweves Name Puoe1 r Property Owner's Mailing Ad1 .7 perry Location '.t 4:S T N R B City. State Zip Code Phone Number Lot Number Block Number Subdivision Name CSM Number H. Type of Building (check all that ply) ❑City ❑ 1 or 2 Family Dwelling - Number of Dvmage ❑ PublidCommercial - Describe Use ❑ State Owned j cares' Road i III. Type of Permit: (Check only one box on )' e A (numberiirg scheme f# injwnfil use). Complete line B if applicable) A. 1 ❑ New 2 ❑ Replacement System '3 n 6 C1 ' oa to For Cowsty use.. stem Teak stem B. ❑ Check if Sanitary Permit Previously Issued Number Date Issued rV. Type of Permit: (Check all that apply)( eme for internal use) . " ❑ Non — Pressurized In- Ground 21❑ Mo 47 ❑ Sand Filter 50 ❑ Consoucted Wetland 22 ❑ Pressurized In- Ground 41 okWcg Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 11 At-Grade ❑ Aerobic T nit ❑ Recirculating 30 ❑ other V. Disp ernMeatment Area rination: Design Flow (gpd) Dispe Dispersal Area Soil A • • ion Percolation Rate System Elevation Final Grade Re ' ed Proposed Rate( ls. s 1 (Min./imb) Elevation VL Tank info Capacity in Total I umber r Prefab Site Steel Fiber Plastic Gallom Gallons of Tanks Concrete Constructed Glass ew P.>;istine Tacks Taoks Septic or Holding Tank _ DosW Chamber VII. litesponaft Statement I. the assatase shown on an attached platys. Phmuber'a Nance (Prim) Signature � Busin � P hon e � / �99 Phrmber's Address (Street, City. e W e �e Q s W i e o VIaL use only ❑ A p p " ❑ D saniarl► Fee (iocludea GtoundwaW Data 7asoed Iammg Agent Sip"tre (No Sumps) Sumbarp PW) ❑ Owner Giv n Initial Adverse . JUL Conditions of Ap for Disapproyig Attach eesnptete phm (to the Coaab ono) [or tLe syatrm as papa asotleas ttum at /=x11 tae3a to slu SM4398 (R. 051011 > .: v Y i t 4 S � 1 , rt a k }--- -' b 04 t 't o - T O TO 0 ' 6�t �l a _ �,�►. � '�v »_ ?e':: �a r -� �E„. 7'o coj+s ;QI^tcr� . (;' < 2 � f i G *sl .,vim 3 y 44� �. TO �� . `i " 7 �"?� ,.," .. �� r- ,,e, 7 c�r� �r<.cc,C,or7 • � L a ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGRBEMENT AND OWNEP CERTIFICATION FORM Owner uyer ry� Mailing Address property Address t (Verification required from Planning Department for new constuction) CA � � a 79- 060 City/State Ar � Parcel Identification Number O — Irr GA L DESCRIPTION _ Property on '/4, ' /., Sec. T R N -R L_ W, Town of Subdivision ' Lot # > Certified Survey Map # . Volume L . Page # Warranty Deed # r_., . Volume © Page # Spec house ❑ yes '® no Lot lines identifiable 0 yes ❑ no SYSTEM 11SAII�iTENANCE 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 foram, signed by the owner and by a mastorplumber, journeymanpiumber, restcictedplumber or a licensedpumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than W full of sludge. Uwe, 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. TURF F APPLICANT 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 P ro PC described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE 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 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page / of FILE INFORMATION SYSTEM SPECIFICATIONS Owner -9 Septic Tank Capacity 4 v b g al ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent F ilter Model �`�L S� ❑ NA Number of Commercial Units ,NA Pump Tank Capacity 6S-p a l ❑ NA Estimated flow (average) 3 r gal/day Pump Tank Manufacturer Wl -c, ❑ NA Design flow (peak), (Estimated x 1.5) a w �' gal/day . Pump Manufacturer tic Y ❑ NA Soil Application Rate C5 al/da /fe Pump Model cc 00' ❑ NA Influent(Effluent Quality Monthly average' Pretreatment Unit 044A Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 420 mg /L ❑Mechanical Aeration ❑ Wetland ❑Disinfection ❑Other. Total Suspended Solids (TSS) 50 m /L 51 Manufacturer Pretreated Effluent Quality - XNA Monthly average" Dispersal Cell(s) �J Biochemical Oxygen Demand (BODO 530 mg /L *In- ground (grAvity) L ❑ In- ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ At -grade 1• t A9& ❑ Mound Fecal Coliform (geometric mean) 1 510' cfu/100ml ❑ Drip-line ❑ Other Maximum Effluent Particle Size Y inch diameter Values typical for domestic (non - commercial) wastewater and septic tank effluent. *• Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspe cond i t ion of tank(s) At least once every ❑ months years) (Maximum 3 yrs.) Pump out contents of tanks) When combined sludge and scum equals one -third (Y,) of tank volume Inspect dispersal cell(s) At least once every ❑ months Xyear(s) (Maximum 3 yrs.) Clean effluent filter ,� A j At least once every , / ❑ months Xyear(s) Inspect pump, pump controls & alarm At least once every ❑ months ❑ year(s) 0 N yee Flush laterals and pressure test At least once every ❑ months ❑ year(s) A NA Other. At least once every ❑ months ❑ year(s) • XNA Other. At least once every O' months ❑ year(s) j-&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 tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreattment components, and any other maintenance or monitoring at intervals of 12 months or less 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. START UP AND OPERATION. For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. Page 2-- af System start up shall not occur when soil conditions are frozen at the infiltrative surface. When power is restored the excess s um tanks may po During power outage pump Y fi!! above normal highwater levels. W wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or: elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONm ENT When the POWTS fails and/or is permanently taken out of service the following steps shall betaken to insure that the C omm 83:33 Wisconsin'Administrative Code: stem is p roper l y sy stem P P Y and safely abandoned in compliance with ch. C • 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 falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: • suitable replacement area s been evaluated and may be utilized for the location of a replacement soil absorption e s m. a replacement area should be protected from disturbance and compaction and should not be Infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. U • The site has not been evaluated to identify a suitable replacemen t 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 be installed as a last holding tank may . resort to replace the failed POWTS. • Mound and at -grade soil absorption systems may be reconstructed In place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WI RC1jIGI ce. NG>> T 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 T 11�dh Name Phone 7 /S-- Phone SEPTAGE SERVICING OPERATOR PUMPER Gftilelw)f.17 LOCAL REGULATORY AUTHORITY Name Agency & - Phone Phone 7! S` - 3�'6- 46� This document was drafted by the staffs of the Green Lake, Marquette and Waushars County Zoning and Sanitation agencies. This document meets the minimum requirements of ch. Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Use of this document does not guarantee the performance of the POWTS. GMW (2/01) Cc rs - S Pi 5' p v c A l" /- v c I p 57 },s�`�,3s Vie; = G6sc rf S' 3 SC t'ouY1 6 7�G.,? ve.,.^.Gie.S Nofi tv aHy r -z -�c cew�wreiL YGS` _..l' �f coM.w� e F- s q /j,. 0 Se �--,'oh A -A T= S) / /IV G cA. C u L,4 r10 1,15 0 F ; ¢s �v � � � j �„ �!'/ ��.�� pie �d tie �. 7�p � ✓� ✓9krd v�� r . j 33 �4 �4�. �s� l• / / �, f = �' ��.� ✓ 3re1`s 0 a•• t✓- c - s . z !e_ .✓ c �-7 7 %ota/ i Page Of • � ln � - .�,�r Ste 90 (No Scale) �j -'3�.� re�rt P.Pe� >jo�t .Approved Locking Manhole Covers � ve,,J w,i,a�owor With Warning Labels Attached Weatherproof Approvedn _ d r J4e -Ilke Junction Box Vent Cap 12" Minimum G.,+dQ Ai7,++�fn;nurn � t 4" Minimum I i Quick 18" Minimum ; , Disconnect i 1 /4" Weep ,p Baffle Hole Alarm B On � C *APPROVED Off 0.4 coy 0., to JOINTS WITH d°c'' APPROVED PIPE D 3' ONTO Conc. Block SOLID SOIL 3" of Beddi Under Tank Number of Doses:6d Per Day Gallons Per Day /tf � o Doses : 75 - ->— Gallons Volume of Backfl ow:tO! �C( - — ?.Fe Gal Ions Tank Manufacturer: 64- "e5'." Total Dose Volume: ........ _ Gallons Tank Size Septic /Pump: Gal lons - Alarm Manufacturer: A e 1 old lit . � Model Number: y L.y Capacities: A inches or Gallons Switch Type: rt -C + B Z inches or Pump Manufacturer: C. Q/ + C ,S inches or S - Ga11ons Model Number: U + D or 13K Gallons Minimum Discharge ate: o GPF Total ..... = inches or 6 Gallons Vertical Difference Between Pump Off and Distribution Pipe:.-0 Feet Minimum Required Supply Pressure: ......................... +'5 - S" Feet 6 O Feet of Force Main x Friction Factor /100 Feet: +eet i .Z Inch Diameter Force Main c> Total Dynamic Head:. - . = -Feet :nlernal Tank Dimensions: Length ; Width of Liquid Depth 3� ��h ♦ /G. /- l/ v c c alf ✓CY l RECEIVE® , Wisconssn Department of Commerc SOIL VALUATION REPORT Page I of Division of Safety and Bemis / _mil) �tl+d afici Wb Com 85, Wis. Adm. Code M /`� 4 County r— T ot X Attach complete site plan t I ches n size. Plan must include, but not limited to: v �e int ( ), direction and Parcel I.D. _ percent slope, scale or dimension istance to nearest road. �l I Q —6Q , C Please print all information R Personal information Date y ou P rovide may be used for seconds ( () ( )) D� Y p Y second purposes Privac Law, s. 15.04 1 m Property Owner Property Location t Govt. Lot 1/4 � 1/4 S J( T N R E W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2� � VO( City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road TT ❑ New Construction User Residential / Number of bedrooms Code derived design flow rate GPD K Replacement ❑ Public or commercial - Describe: Parent material G�kc—AC O Flood Plain elevation if applicable dV ft. General comments and recommendations : Boring # F1 Boring Pit Ground surface elev. + ft. Depth to limiting factor > fr�� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 U -tO �F 34� f> m e A k C5 1 o. y 0,7 r I -vo j L L L I " Boring # Boring �. Pit Grourd surface elev. 7 . . ft. Depth to limiting factor 9 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 I2',a I!�' I~ `} era -- - 9 - m fr ► ,--� .k 0 i a�- * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD 5 - < 30 mg/L and TSS _< 30 mg /L - CST Name (Please Print) Signature CST Number , Address Date EvKation Conducted Telephone Number IJ 0i / s -?3 -343a Property Owndr Mot-'o— 4e— Parcel ID # Page of_ 7 7 Boring # F] Boring �g�2 0 / CK Pit Ground surface elev. 6 . V ft. Depth to limiting factor 1 (o in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 0 -10 s i i SE 0,y 02 010 (010 5 5 • Vei 5- ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 a Boring # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 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 -8330 (R.07 /00) 4 1 A4, 07/28/2005 04:38 PM Parcel #: 040-1142-70-000 PAGE 1 OF 1 Alt. Parcel #: 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 00 0 Tax Address: Owner(s): * = Current Owner ALOHA JOAN HOVDE ` 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 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 4.500 Plat: N/A -NOT AVAILABLE SEC 36 T28N R1 9W 4.50A 5.5A IN IE,QE Block/Condo Bldg: W1/2 OF NW SE EXC 1 RD AS IN VOL 302 PP 217 -21 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 36- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESID ENTIAL G1 4.500 69,000 79,200 148,200 NO Totals for 2005: General Property 4.500 69,000 79,200 148,200 Woodland 0.000 0 0 Totals for 2004: General Property 4.500 69,000 79,200 148,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ` Parcel #: 040 - 1142 -90 -000 07128/2005 04:40 PM PAGE 1 OF 1 Alt. Parcel M 36.28.19.571 E 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ' = Current Owner " HOVDE, ALOHA JOAN ALOHA JOAN HOVDE 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 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 3.500 Plat: N/A -NOT AVAILABLE SEC 36 T28N R19W 3.5A IN NE COR OF W1/2 Block/Condo Bldg: OF NW SE AS IN VOL 302 PP 217 -218 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 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: ° b62,2OO ast Changed: 07/21/2004 Description Class Acres Land Total State Reason RESIDENTIAL G1 3.500 50,600 112,800 NO Totals for 2005: General Property 3.500 50,600 62,200 112,800 Woodland 0.000 0 0 Totals for 2004: General Property 3.500 50,600 62,200 112,800 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 I - f Parcel #: 040 - 1142 -50 -000 07/28/2005 04:38 PM PAGE 1 OF 1 Alt. Parcel #: 36.28.19.571A 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * ALOHA JOAN HOVDE 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 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH 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 1/4) 36- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 5.600 1,100 0 1,100 NO ENTERED BEFORE'05 CLO W8 2.120 11,100 0 11,100 NO Totals for 2005: General Property 5.600 1,100 0 1,100 Woodland 2.120 11,100 11,100 Totals for 2004: General Property 5.600 1,100 0 1,100 Woodland 2.120 11,100 11,100 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 040 - 1138 -40 -000 07/28/2005 PAGE 04:I 41 P Alt. Parcel M 36.28.19.562A 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ' = Current Owner ALOHA JOAN HOVDE 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 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 20.000 Plat: N/A -NOT AVAILABLE SEC 36 T28N R1 9W 20 AC E1 /2 OF SW NE AS Block/Condo Bldg: IN VOL 307 PAGE 218 EXC PT TO HWY IN VOL 495 P 310 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 36- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 12.000 2,300 0 2,300 NO PRODUCTIVE FORST LANC G6 8.000 42,000 0 42,000 NO Totals for 2005: General Property 20.000 44,300 0 44,300 Woodland 0.000 0 0 Totals for 2004: General Property 20.000 44,300 0 44,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount I Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 040 - 1142 -10 -000 07/28/2005 04:38 PM PAGE 1 OF 1 Alt. Parcel #: 36.28.19.568C 040 - TOWN OF TROY Current i X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * HOVDE, ALOHA JOAN ALOHA JOAN HOVDE 857 CTY RD MM RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 3.300 Plat: N/A -NOT AVAILABLE SEC 36 T28N R19W PT NE SW 3.30A BEGIN NE Block/Condo Bldg: COR, TH S 470 FT, W 250 FT N 66 DEG W 123.5 FT, N 420 FT, E 363 FT TO POB Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 36- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 830/360 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 3.300 600 0 600 NO Totals for 2005: General Property 3.300 600 0 600 Woodland 0.000 0 0 Totals for 2004: General Property 3.300 600 0 600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r Parcel #: 040 - 1142 -20 -000 07/28/2005 04:38 PM PAGE 1 OF Alt. Parcel #: 36.28.19.569 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN t:reation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): = Current Owner ALOHA JOAN HOVDE 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 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.880 Plat: N/A -NOT AVAILABLE SEC 36 T28N R19W PT NW SE & NE SE/ABD RR Block/Condo Bldg: R/W 50OFT Tract(s): (Sec- Twn -Rng 401/4 1601/4) 36- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason ENTERED BEFORE'05 CLO W8 1.880 9,900 0 9,900 NO Totals for 2005: General Property 0.000 0 0 0 Woodland 1.880 9,900 9,900 Totals for 2004: General Property 0.000 0 0 0 Woodland 1.880 9,900 9,900 Lottery Credit: Claim Count 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Qt;It 0 AI,NI 1)I I.D. Sr:rtr: ui• 1CI�lu,util� I oI:�I �u. 11 • I 262 47 2 This Indenture Madetlris 20th day of June A. i).. if) 60 1 I between_ _Stephen J. Rauchwarter, a widower, Arthur G. Rauchwarter and Arlene J. Rauchwarter as 'oint tenants is and each in his own right part ies of the tirst ptut., y 4 an - Aloha Joan Hovde j J part, y - of the socoud Dart. d WI' the said part. iesof the rlrr;t part, for and i)) consideration of tile i�uu) of One Dollar and other good and valuable consideration 1k;:ar >tu them ill hand paid by the said dart y of tho sc.co)ul part, the receipt whereof i�, LLerob� conl'ssed and n� l:nowloriyhd, lw Ve i el give", granted, bargained, acltd, r; and quit - clai)Iled, and h> I h(�se r)c:�lufs llo (� I P:c1-, }•r;utt , lnupuin, :r11, remise, release and quit - cIaiu) onto the still p:lr1 of t I v seclnui y t�ur[,,)II +1 '.n .iE?r Iwo unrl q forever, t hefol lowiugdet;cnhedrealo:1tale :'itu;Itol ill liteUoantyof !o- •,%)t: d 1 1: ,... ° ouch liE�' rt he �, l.t of the tort })cat Qni , s'?:Cf:C7t 1 <iCrF'.. 111 pf C.OToj:Ole 7t(T 1 i t fib: uflttira�•, _.Jrrur :�I ttG I�' ��f��Ne r l'li�,pter ,;) *�� _ gut', 'f I � I , r k lei I . "e I'e�r,l�llall� I Ins;• Irc I rrl� nt tali - . t T ' T " �ltlCl�H'caYt;_r r i�.rt..lat <,1:��1t 7 rtt -r ar,l nrJere J. t. :)achwarter to Illy I \nlmi ill k , (l)1' �)t'(� .. Al �Ifl 1'Vl'l �lit('I� t�lf' lUR•Lt)I I1 � !I I I 111w lit til +� .0 �.Ilu.. �l'f �11•I) ,ill' : V o 'o the ranters, 1 le" Ihat all t Cry GpCr a (Stt lie 59.51 , grant --, wit neases rend not l ar.l ). hlir names of InstrumeMS to be �.r..nLd slwll bore plainly tnlntivl of ty pr..rla •„ thn,•..n the � _ Kevin Grabau Subject: Wang / Hovde, 40 acres, 479345 Location: Troy Start: Fri 8/12/2005 9:00 AM End: Fri 8/12/2005 10:00 AM Recurrence: (none) Meeting Status: Meeting organizer Required Attendees: Kevin Grabau 040 - 1142 -70 -000 36.28.19,571C 857 County MM 1 1 D ^' �� �.� V p„i. «'?►