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040-1155-50-000
. } . . . . . 0 2 � / % ; E 2 © ! § F � � � ■ � e s m m z o ®o ®k 2 9 E §° 2 2 ƒ Q e _ ' C ' , A a :3 ' ° E w # OD § £ C L \ § § \ \ \ t ,, E E k 8/ Z ! 0� ■ Z E @ z > E % < \ D > \ e 0 CL 0 o $ 2 / 8 8 �' § E o ( M -0 -0 f . 0 0 0 -: / \ 1 31 3 % § o q © § � + _ X � � § ■ � 00 � CL > > I / 7 2 . m f ( y § CO) o 1: z m ■ _ z 9 ®2 k g m 2 � #$ fZL 2 § 22 § § o a CD M ' c n§a , _ z A @E o CD 0 0 a ( 5 CD { a — W -3 � S §# ; § k A J 14 0 e / o 9 CL 7 Parcel #: 040 - 1155 -50 -000 02/08/2007 03:48 PM PAGE 1 OF 1 Alt. Parcel M 24.28.20.611 D 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): O = Current Owner, C = Current Co -Owner LYNDLY F OPITZ O - OPITZ, LYNDLY F 3119 LYNN AVE ST LOUIS PARK MN 55416 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description * 192 COVE CT SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 24 T28N R20W PT GL 2 CSM 01/08 EXC Block/Condo Bldg: SLY 250 FT Tract(s): (Sec- Twn -Rng 401/4 1601/4) ` - + L 24- 28N -20W i rl — _3 _7 Notes: q Parcel History: /'� 7 t Date Doc # Vol /Page Type Dy 06/07/2002 681221 1907/01 WD 2007 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.740 279,500 89,500 369,000 NO Totals for 2007: General Property 0.740 279,500 89,500 369,000 Woodland 0.000 0 0 Totals for 2006: General Property 0.740 279,500 89,500 369,000 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 i I ` Certified Survey Map PA of begi`nniny 64.0,30 f- N of Yves* %g corner Sec. 2f¢, T26N, R 20 W Parf Gov. Lo f .Z, .sec, 24, • - 26 N, FZ 20 W 9 - -0 4 •E-- - - - - -- 9 N / 522.70 0 Z� /e \ �^ p �F V 4 0 10 0 So 0 0 0 �1 °.2 0 K �✓ S2 3 . So o by y 0 N � _ �� 3 82.70 0 % 7 d jca 4 iron fD I /oil �° /'X.30 � I e A parcel of land located in Gov. Lot 2, Section 24, T 28 N, R 20 W. further described as follows: beginnin o at a point on the west line of said Sec. 24 a distance of 646.30 feet north 1 west of the west quarter z corner of said Sec. 24;thence North 89 East along the north line of Cove Road a distance of 125.00 feet, "� thence North 4 'Nest a distance of 523.50 feet, thence \ . due west on a meander line a distance of 100.80 feet to R� the west line of said See. 24, thence South 1 36' East along \� the west line of said Sec. 24 a distance of 522.70 feet to place of beginning; including all land between meander line ` and sake St. Croix and also an easement for an access road 30 feet in width along a centerline described as follows: be- ginning at a point 382.70 feet North 4 West of the south- �'�0 east corner of the above described tract; thence South 88 0 \0 1 * East 191.50 feet, thence North 56 East 161.20 feet, thence South 76 48' East 72.90 feet, thence South 55031' d East 328.30 feet, thence South 49 -7' East 111.35 feet, thence South 31 East 108.73 feet to Cove Road. I certify that the above is a true and correct way map of the parcel surveyed, mapped and described A and that I have fully complied with the provisions 0 a --- �- -��. of Sec. 236.34 of the Statutes. �� m Surveyed June 20, 1959. 4, C, 2 g 12 x Instrument prepared by Carroll A. Grubb, Reg. Land Surveyor River Falls, Wis . June 20, 1959 FILED N JUL 101959 DAVID HOPE 1 Rag. of beads i _' w b' St. Croix County, y o Wis. i e e� Ceti 7 P 0 I_ A.GI?Utit7 R Page #8 6# ;; ,zoraAanS pu •BaE ggnao •k TToaaiaO .Sq peavdead quawnalsul slur � • ouI ' Pao3uT M J13 6y6T 6 8t 91n.0 padan,znS • sagn4B1S 0 3 fie• 92?, • 1aS 3o suolslnoid aql gjTm paTIdwoo Sllnj GAVq I qvql puv pagTaosap pu pedd pGSaAans Taoxed eqq jo dvw gogaaoo puv anal v sl anOgv 9 741 Veq� SJTIJao I \ • -4.aGj \ 0 6V •0:�T JO eout2lslp L 1 9V 0 99 N aoueul 1 49aj )D ,4 0ti' T6T 3o GOuv4sIP *a 3 E� a , 9� S s Pua�}xa pug 3 �� 0, �� od.zsq�} aaujoo 4sa,m 5 jog' — g4nos ag 3o !A ,OZ :� N 49 w ��`�....... �L' 384 3o aoue�.slp a Tao,zlea PT - es , o �O auTT gsem aqj uo julod v 4 sulSag golgM 3o auTlagquao aqq q4PIM ul a jea3 0� Pvoa ssaooa u a 03 luawasea ur o goa�gns sl aaoqV pagl�zosap Tai z 'ad • umogs s-0 polIGAVa'� puV peuado mou sv pleoH anoO 04 x10,20 'IS G31V w0aj ggpTm ul f t jdaj 02 p's0j ssa0oV uv a0j �uawasva uv puv •SPsea 15 4" tiet"ll ` �, xloaC) • qS axeZ pu auTT aepuvaw aqq UQGM4 -aq puVT TTu BulpnToul '9uluulSaq jo 4ulod Bed oq Pleog ano0 2uoT1 499J 00 JO a0u *eIslp 'e s spy 5n.zng ��` M T fi ol B 69 S a ouagq ` pvou an0 0 0 � �a a3 08' �3 v J0 � aou - egslp `4999 OL'29 to T 8wnl0A 0 -/ C - slp B 8i�19L S aouag4 4 1 99 1 ZL • 6Z 1 9ouB4slP uIPaPJma'W • y � t0I3A 00:6 v � / 'e a I LT , OZ S aauagl `4 99 30 eouLIslp v Gull 761 "Cl - V � cX 'zapuvem -e uo 4sve anp aouag4 l l�aej 09 3o aouv'� Aep — SI44 P1030H Jol Paelaaaa "a - sip -e M j Ozofi N a0u9114 :ulaaaq paSenuoo aq of 19oaad SIM 1, 03 XIO89 '1S �ti� m ao3 SuluuTBaq 3o 4ulod o-� qae3 00-1 Jo aou - eislp B a TV069 N oa `fiZ 0 0a Plus 30 .zau.zoo .za-*.zvnb isaM aql 3 M ,94;oT N IGGJ 02* 9V9 sl golgM VZ • 0 aS PTVs Jo Gull gsem age uo �ulod B wox3 :sMOTTo,� s� pegTaosap agq A4 OZ a `N 9Z s `TZ •09S `z X 02 •Ao0 ul pa��OOT pu�T 3 Tao.z�d O N °Jl 0 'i.S� M, 0 6; qL � . u x n �� OD ��Q �I vi ° .141 h�Q C °Q Z oL'Z8£ U I�ytKO oS E 7S M 02 ° b N j �I M 0z y ',v 97-L "pz 'was d %j RaAanS PGI3Iga80 % / T /x'1,9£, i /� , 0f '9•A - 0 r,o „ Wiscons4epartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 499174 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: O itz, Lyndly 1 Troy, Town of 040 - 1155 -50 -000 CST BM Elev: Insp. BM Elev: BM Description: / o o . , ��jj l a r. L Section/Town /Range /Map No: /ACS 24.28.20.611 D TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 97 140 Dosing Alt. BM Aeration Bldg. Sewer 3. I ?Y- Holding St/Ht Inlet 5. Z 76, 7,7 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet epti Z Z , z`f / Dt Bottom 1 Z� Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM A C? 7 �� Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Leng Dia Spac SOIL COVER x Pressure 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 Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: ! / Inspection #2: Location: 192 Cove Court River Falls, WI 54022 (Gov't Lot 2 24 T28N R20W) NA Lot 1 &2 Parcel No: 24.28.20.611D 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = Plan revision Required? Yes )(No / Use other side for additional information. --------- Date Insepctor' Signatu Cert. No SBD -6710 (R.3/97) 13 KATHLEEN 634 -535 i KATHLEEN H. MALS REGISTER OF DEE ST. CROIK CO.,. Document Number Document Title RECEIVED FOR RECORD 09/14/2006 04:20PM St. Croix C o unty HOLDING TANK AGREEMENT Holding Tank Agreement EXERT # REC FEE: 13.00 ta t® Plan Transaction Number - 3[2 2 TRANS FEE: - - —� COPY FEE: CC t- / 9 I PAGES: • 2 Ngthe - (Oi er) Typed or printed Being duly Envom, states, under oath, that: 1. He /she is the owner,part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume / ?C 7 Page 06 Document Number ?21 St. Croix County Register of Deeds Office-6,7 o t L R000rding area • 1, A parcel of land I orated in the t/, of the _ 1 /e of Section Name and Return Acidness T ' 9 N - R ` J W, Town of Tr as St. Croix County, Wisconsin, being duly de ribed as follows (include lot no, ands division/CSM or detailed legal description): ;f6 /4 H" c/ Q`�'0 - /�S S- S l)' [n70 • „ Parcel Identification Number (PIN) Agreement Date; �/ _ We acknowledge that application is being made for the installation of (a) holding tank(s) on the above described property or that continued use of ttmi exitiling premises twuirm that a holding tank be installed on the property for the purpose of proper containment of sewage. Also, a municipal sewer cannbi now serve the property, or any other type of private crane wastewater traa"ent system as parmitted under Comm 83. WI& Admin. Code, or § Ch. 145, Wis. Scats. .4 inducement to the county to Issue a sanitary permit for the above•deacribed properly, we agree to d0 the following: 1, Owner agrees to conform to all applicable requirements of Comm s3, Wis, Adm. Code relating to holding tanks. If the owner faits to have the holding lank properly serviced in response yo orders issued by the governmental unit or the Department of Commerce to prevent or abate N human health hazard as described in S, 254.59, State„ to governmental unit (Town) may enter upon the property and service the tank cr cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a speolal assessment for current services rendered. The charges will be assessed as prescribed by s, 88.0703, Slats, 2. The owner agrees, pursuant to Comm 63.54(2) and Comm 82.40(3x@), WIS, Adm. Code, to have a water meter Installed in the structure. Ths water meter shall be installed by a plumber authorized by the Department of Commerce to make such Installations, with said i istallatlol compMng with State regulations and manufatturers speoifications. The owner agreac to be financially responsible for the purchase, Installation, maintenance, and repair of the water molar, and agrees to allow the govemmerttai unit cr ft r ;,*:u °+ant ay owmerce to enter " the property on a regular basis to road and/or Inspect the water meter. 3. Omer agrees to pay all Charges and costs Incurred by the governmental unit or county for inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank in such a manner as to prevent or absta any human health hazard caused by the holding tank The governmental unit shall notify the owner of any costs that shail be paid by the owner within thirty (30) days from the date*( notice. In the even tt the owner does not pay the costs within thirty (30) days, the owner specifically agrees that as the costa and charges may be pleoad on the to roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. 4. The owner agrees to contract with a person who Is licensed under Ch. NR 113, Wis. Adm. Code, to have the holding tank serviced and to it e a copy of the contract with the governmental unit. The owner further agrees to fit* a copy of any changes to the service contract or a Copy ,t a new servloa contract, with the governmental unit withln ten (10) business days from the date of change to the service contract. S. The owner agrees to contract with a person liconeed under Ch. NR 113 Win. Adm. Code, who shall submit to the county on a semiannual basis a report detailing the servicing of the holding tank. The governmental unit or county may enter upon the property to Investigate v e condition of the holding tank when pumping reports and meter readinga may indicate that the holding tank is not being property maintained. 6. This agreement will remain In effed only until the county office responsible for the regulation of private onsite wastewater treatment systems eortifies that either a municipal sewer or a private onsite wastewater treatment system that compllos with Comm 83, Wis. Adm. Code serves the property. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement In such manner which will permit the existence of the cerillicaWn to be determined by reference to the property, T. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit thta agreement to the register of deeds, and the agreement shalt be recorded by the register of deeds in a manner that will permit the existence of tits anrnrirrxt to be determined by reference to the property when the holding tank is Installed, owrner(s) Nsme(s) - P,case Prnt Subsgribed and swot to p4fo me on vns al 5- i j Notarized er's i ate ) i P bl I C� r;nvPAynnnt M! a." T"lo f6M ' ^t - ^. a vbinari MARIE E. Notary Public-Minnesota : v FVPj G overnmental Unit W8 ignatureDraRld swe,@e onal Info atlon pro be used for secondary purposes [Privacy Law s. 15.04(1xm)] "THIS PAGE IS PART OF THIS LEGAL DOCUMENT -- DO NOT REmOVE This Information must be completed by sabmirrer. document Utle. name 8 rotum address. and rM (if required). Other information such as the graftV clauses, legal dosoripuon, etc. may be placed on OWS Aral page of the document or may be placed on addri!ianef pages of the document i i Rxcept the. Southerly 250 feet of the following described pzope ty2 - :AZI of a parcel of land located in Gov. Lot 2, Section 24, 1'. 28 P. R. 20 W. farther described " follows beginning at a point on the west line of said See. 24 a distance of 646.30 feet north 1 degree 36 minutes west of the west quarter corner of said Sec. 24; thence North. 89 degrees 42. minutes Bast along the north line of Cove Road a di,stauce of 125.00'fact; thence North 4 degrees 20 minutes West a distance of 523.50 feet, thence due west on a meander line a distance of 100.. 00 feet to'the west line of said Sec. 24, thence South 1 degree 36 minutes Mast along the west Una of said sec. 24 a distance of 522.70 feet to the place of beginning; including all land between meaner }i� and Lake St. Croix and also and easement for and access road 30 feet in width along a centerline described as follows: beginning at a point 382.70 feet North 4 degrees 20 minutes west of the Southeast corner of the above described tract; thence South 88 degrees 55 minutes East 191.50 feet, thence North 56 degrees 46 minutes East 161.20 feet, thence South 76 degrees 48 minutes East 72.90 feet, thence South 55 degrees 31 minutes East 328.30 feet, thence South 49 degrees 57 minutes East 111.35 feet, thence South 31 degrees 10 minutes East 108.73 feet to Cove Road, as shown on Certified Survey Map filed July 10, 1959, in volume 1 at page 8, office of the Register of Deeds, St. Croix County, Wisconsin. Safety and Buildings Division County j , n ) a ` 201 W. Washington Ave., P.O. Box 7162 T V Madison, W1 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) (608) 2W51 4 n / Department of Commerce State Plan I.D. Number Sanitary Permit Application , In accord with Comm 83.21, Wis. Adm. Code, personal info ou prov may be used for secondary purposes Privacy Law, s15.04(1) , P , rroject Address (if different than mailing address) I. Application Information - Please Print All In RE C E Iv E � Property Owner's Name Parcel # Lot # _ Blo # h� D P i �' P 1 8 2006 Property Owner's ailing Addm Prod t/ � tio�n CA,. ST. CROIX COUNTY �� Section 2 City, State Zip Code Phone Number s� 1 to ^7 trcle N; R - W 11. Type of Building (check all that apply) Ha a � e , I a Subdivision Name CSM umber or 2 Family Dwelling —Number of Bedrooms J O 1 0 G ❑ Public/Commercial — Describe Use ❑City_ ❑Villa wnship of /Y2 ❑ State Owned — Describe Use 1II. Type of Permit: (Check my one box on line A. Complete line B if applicable) 0 14 New System eplacement 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. T e of POWTS S stem: Check all that a 1 ) El Non - Pressurized In- Ground [I Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground OLding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit El Recirculati Sand Filter ❑ ✓✓ �^ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Di ersaffreatment Area Information: p p System Elevation Design Flow (gpd) Design Soil Application Rato(gpdsf) Dispersal Area Required (sf) Dis ersal Area Proposed (sf) y To V1. Tank Info Capacity in tal Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber V11. Responsibility Statement - 4undersig nine responsibili ty for installation of the POWTS shown on the attached plans. Plumber' ame (Print) re MP/MPRS Number Business Phone Number 2,2, ?ice _X b Plumber's Address (Street, City, State, Zip ` VIII. Coun /De artment Use Onl Sanitary Permit Fee (includes Groundwater Da Tssu Issuing t Signa re Stain Approved 0 Di' pp=.?Rcas.. Surcharge Fee) G Op C ❑ Owner for enial u IX. Conditions of Approval/Reasons for Disapproval � t - r; M L) 15+ 1 e . 2,) t4 6e�� Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in sin SBD -6398 (R. 01/03) • PLOT PLAN PROJECT Lvndlv Ooitz ADDRESS 192 Cove Ct. Hudson Wi 54016 GOVT Lot 2 S 24 /T 28 N/R 20 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION TBD 3 BEDROOM CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE 3000 gallon LOAD RATE ABSORPTION AREA # of chambers BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter BEST GF10 -8 ❑ BOREHOLE O WELL * H. R. P Same as Benchmark ST.Croix River River Elevation is 30' Below walkout elevation 2 Arce parcel Scale = 1 /4" Tank is to be properly bedded and provided = 10, with lockdown covers with approved warning labels Property Line Tank will not need to be anchored Tank area is flat Well G Old System is to Existing 3 Driveway o Cove Ct Y be located Bedroom House pumped and ❑ buried pk � 163: B.M.* VJ /� Holding Tank Driveway to act Property Line as a service road r - PLOT PLAN PROJECT Lvndiv Onitz ADDRESS 192 Cove Ct. Hudson Wi 54016 GOVT Lot 2 S 24 /T 28 N/R 20 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION TBD BEDROOM 3 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE 3000 gallon LOAD RATE ABSORPTION AREA # of chambers IL BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter BEST GF10 -8 ❑BOREHOLE O WELL *H.R.P. SameasBenchmark ST.Croix River River Elevation is 30' Below walkout elevation 2 Arce parcel Scale = 1 /4" Tank is to be properly bedded and provided = 10 with lockdown covers with approved warning labels Property Line Tank will not need to be anchored Tank area is flat Well G Old System is to Existing 3 Driveway To CoveCt be located Bedroom Y pumped and House buried p ❑ ca t 33 Holding Tank B.M.* Wf F't r� Driveway to act Property Line as a service road i Safety and Buildings 4003 N KINNEY COULEE RD commerce .Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i ��O �' www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary September 15, 2006 CUST ID No. 226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/15/2008 Identification Numbers' SITE: Transaction ID No. 1319268 Lyndly Opitz Site ID No. 718152 192 Cove Court Please refer to both identification numbers, Town of Troy above, in all corres ondence with the agenc St Croix County Government lot 2, S24, T28N, R20W FOR: Description: Three Bedroom Replacement Holding Tank Object Type: POWTS Component Manual Regulated Object ID No.: 1096964 Maintenance required; 300 GPD Flow rate; System(s): Holding Tank Component Manual, SBD- 10571 -P (R.6/99) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This holding tank is to be located and installed in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Slats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of See. 145.20(2)(d), Wis. Stats. • Comm 83.52(3) The activities relating to evaluation and monitoring POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • Comm 83.22(7) - A cop approved plans, specifications and this letter shall be on -site during construction and open to infection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. P.O.W.T.S. Conditionally ''PROVED - k1MENT Of COMMERCE _ • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard..In the event this holding tank or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 60.00 1 r-N Fee Received $ 60.00 Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WISMART code: 7633 jerry.swini@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 9/8/06 Owner: Lyndly Opitz Location: Govt Lot 2 S24 T28 N,R20W 192 Cove Ct Troy System type: Holding Tank Manuals Used: Holding Tank Component Manual Page# 1. Cover Page 2. Holding Tank Plot Plan 3. Holding Tank Cross S ct 4. Maintance and Cont irj a Plan f ; Signature License numbe 2 00 6t4FETY AND BUILDINGS 7 SEE GORRE �NDEN�CE BOLDING TANK CROSS - SECTION Approved Weather Proof -lent Cape Junction Box \ Ti Approved Locking Manhole Cover 4" C.I. --.. With Warning Label Attached Vent Pipe Y i Minimum 12 Final Grade 4" Minimum Approved Joint_ � - - -- 18" Minimum 'Water Tight—' Seal High Al 47'3!!'111 SPECIFICATIONS f 1� TANK New 7K Ex'st' ` Approved Joi Manu acturer: LZ _ w/ C.I. Pipe Bli -C.I. Tank Size: 3 Gallons Extending 3" Plug Onto Solid S ALARM Manufacturer: L/t1 5.: Model Nuntiuer: L- Switch Type.: s Xn NUMBER OF BEDROOMS GALLONS PER DAY 3" of Bedding Under Tank Owner's Name: / nc 1 f" Address: 9� ) Legal Discrip ion: , Township/Municipality: County: l �u n PLUMBER /DESIGNER Signature: Lic Number: Date: H01.unv.x 'TANK MANAG9W - OLAN This Private Onsite Wastewater Treatment System (POWT'S) has been designed, and.is to b installed and Z Wis. Admin. Code, the Holding Tank Cor:nponent Ma a S13D� 5'ti -P maintained according to County Sanitary Ordinarnce. 611 111999), and the �� — t. This POWfS is designed to accammbdats an estimated domestic wastewater flow of go. . !e for operation and maintenance, including all provisions in r s i responsi Y is POWi'S s p The owner of #h nts. Th Agr eem e nts- 2. _ A ee Maintenan ntenan ' Tank Servicing contract and ivlas 9 ed Hong .. the attach 3. E b the wastewater in the second tank rea c hes a l Contract l must be called tto empty the tan s e alarm will activate), the pumper listed in the current g contents and dispose of them in accordance with NR 113, Wis_ Adm. Code. hould visually inspect the 4. At each service event, Ctrs service pr y rrrn system stem functions and manhole ocking devices are present. manhole covers) and verify that the Di are reported to the ow ner tn� timely d Comm $3 and 84 Wales Adm. COde.rrective actions shall comply with the county 5. Ail service events or inspections of this POWT'S shall be reported to the county within 10 business days. not remove any of the wastes from the holding tank(s), or cause such wastes to be 6. The owner may do so under Ch. 281 > Ws. Stages. The discharge of wastes removed by any Pew not authorized to from this holding tank to the ground surface, including intention! discharges and discharges caused by of correction orders or a citation by the neglect constitutes a failing pOWTS and may result in issuance county or state. tank for an 7. No one should enter a holding v. reason without being in full compliance with OSHA standards for entering a confined space. '1' ~ osphgc within these tanks may contain lethal gases, and rescue a person from the interior of the tank may be difficult or impossi ble. red, a code compitantieplacement holding tank may 8. in the event that this POWFS fails and cannot be is required for such a replacement). Connection to be installed in the same location (a new sanitary permit available to the property. rrtunicipat.services would also be considered at this time if they are deemed 9. it this pOWTS is replaced, or its use discontinued, components no Conger in use it shall be abandoned in accordance with Comm 83.33 Wis. Adm. Code. ` should b j�nt 6 or question about c. �Sl L blem with, t this i lation, the foalo phone: 10. I# there is a pro `✓ /3� .- a installer .......................... .S �' f, Phone: / — a= /v 2 b. Service Provider ............... . Phone: ?/� c. County Zoning or Health Dept. 11. Project: Transaction, - gumber. HOLDING TANK SERVICING CONTRACT Contract Date / 9 ` V l This contract is made bebmen the Holding Tank Owner(s) Name(s) and Pumpers Name acknowl a in (lation9 L, holding tank(s) on , � nap 2 (Provide legal c¢pt10 F oZ 1. The owner agrees to file a copy of this contract with the local gvvemmetttai unit that has signed the pumping agreement required in Coaaa 83.52(1)(c)l. Wis. Adm. Code and the approved. Holding Tank Component Manual. This agreement will also be filed with the St. Croix County Zoning Department- 2. The owner agrees to have the holding tads(:) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for dw purpose of servicing the holding taws). The Ownerr agreaa to maiataia the access road or drive so that the pumper can service the holding taak(s) with the ling equipment 'The owner f niber agrees to icy the pumper for all charges incurred in servicing the holding tank s) as mutually agreed upon by the owner and pumper. 3. The par4= agrees to submit to the local governmental unit that has signed the pumping agreement and to the County, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees to include the following in the semiannual report: a. The name and address of the person responsible for servicing the holding tank; b. The name of the owner of the holding task; c. The location of the property on which the holding tank is itssta0 ; d. The sanitary permit number issued for the bolding tan1S o. The dates on which the holding tank was serviced' The volume in gallons of the contents pumped fiom the holding tank for each servicing; S. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract In the event of a change in this contract, the owner agrees to file a copy of any changes to this service coi * ' or a copy of a new service contract with local governmental wait and the County named above within ten (10) business days from the date of change to this service contact Owner(s) Name(s) (Print) Owner na , re ) Subscribed and sworn to me on this date: F �T a / Today$ Date Pumpers Name (Print) PUMPOIS Signature NotarY PublicSignaWrb /jZ— Pumpeft Registration Number Con isslon Expiration I f MARIE E. NELSON Notary Publlc-Minnesota My Comm. Expires Jan. 3t, 201Q v K 834.535 KATHLEEN H. PALS REGISTER OF DEE ST. CROI K Co., RECEIVED FOR RECORD Document Number OoeumaM Title 09/14/2006 04:20PN St. Croix County HOLDING TANK AGREEMENT Holding Tank Agreement EXEMPT it REC FEE: 13.00 fate Ptan Transaction Number - [.419' TRANS FEE: ,! COPY FEE: GC FEE: AGES: 2 Ngine — (Ou er) Typed or printed Being duly sworn. states, under oath, than. 1. He/she is the ownerlpart owner of the following parcel of lam located in St. Croix County, Wisconsin, recorded in Volume 97 Page DO 1 Document Nutnber6 `dJ ? Z) St. Croix County Register of Deeds Office: 6,, v4- o t Z R• ores _ "'—'�7 A parcel of land I ocated in the V. of the _ t /a of Section Nsnte and tRstenn Iddewe ,P � 2 V _, 1' -2 - S N — R 'Z J W, Town of ?r , St. Croix County, Wisconsin, being duly delidribed as follows (include lot no. and s ivision/CSM or detailed legal description): SPE j '0 -as S- S >- [r770 Q G Parcel Identification Number W) Avroarserd Date. } - — We adehowls t hat app lication It being made for the Installation of (a) holding tank($) on the above described prop" or that continued use of thrr Was requires that a holdkV bank be Installed an the csnn6t toffy sews property any other type private orate propert aa�tewater trea�M ey$te pro m e as permitted under Comm 83. Wis. Ad a or ii Ch. 145, W sots. -As. so indueemcrht to the eoanty to Issue a sankary permit for the above deaC(ibed property, we agree to do the following: 1. Ownar agrees to conform to all applicable requirements of Comm 03, Wis. Adm. Code relating to holding banks. If the ownertaks lo hove ash holding Wink property serviced hi response &o orders Issued by ihe govenrinm taI unit or" Department of Commerce to Prevent or abaft t human health hazard as described In S. 264.59, Beals., the governmental unit (Town) may enter upon the property and seevios to tank cr curse to have the tank ic be serviced and charge the owner by ph k the charms on the tax bill ass spsoiel aaaessmsnt for Cutnnt servtae s rendered, The cherms will be asses$eo as proscribed by s. t8.0r03. Stets. 2. The owner agree&, pursuant to Comm 83.54(2) and Comm 82. 3)(s), Wis. Aden. Code. b have a wafer meter Installed in tint structure. Th s water meter shall be Instated by a plumber authorized by the Department of Commerce to make such Instaaaftne. with said i stallado t compytng with stale ragalsticna and manufecwtrcrs speaklosrons. The owner egress to be fta ncially responsible for to purchaser. inetaMaton, rnaintananoa, and repair of the water meter, and agrees to stow the govommarntal unit or the Depownent of Commerce to ankr the abowdeecribed property on a regular basis to rood and/or inspect the water motor. 3. owner "Mae to pay all charms and costa ihctsrad by the governmentsl unit or county for Inspection, pumping, healing, or otherwise ssrvidng and maintaining the hetdit tank In suety a manner as in prevent or abste any human health hazard caused by the holding UW*L The governmental unit shag notify the owner of any ooats seat mail be paid by On owner within thirty (30) days from the daft of notice. In M» want the owner dots not pay the Costa within Vdrty (30) days, the owner specifically agrees that all the costa and charges may be placed on the tax tall as a special assessment for the abatement of a human health hazard, and iha tax shall be collected as provided by law. 4. The owner agrees to contract with a person who h licensed under Ch. NR 113, "a. Adm. Code, b have the hcidkv tank serviced and to fi e a copy of the contract with the governmental unit. Tits owner furthor agrees to Sea eocpy of any changes to the service contract. are oopy of a new service eontraet, with the govemrrw ttsl unit whhln ten (10) busbnsss days from the date of change to "service contract. 5. The owner agrees to contract with a pe.son licensed under Ch. NR 113, Wls. Adm. Code, who shall submh to the county on a sembiowwat basis a report detailing the servicing of the holding tank. The governmental unit or county may emir upon the property No Investigate If a eondtlon of the holding tank when pumping reports and molar reading* may Indicate that rte holding tank is not being properly na ntaited. S. This agreement will ramai n In affect only untA the county of iea teoporglbte for the regulation of private bnata wastewaw thlGitment Wotan's corWoo Meat either a municipal sewer or a private enebte washwvator boobnent ayatam slat oompMrts with Corntn e3, Wh. Adm. Cods se mo the property. In addition, this agreement may be eanghted by executing and r000rding said certification with reference to this agreement in such manner which will permit " existence of the certification to be datermkho0 by reference to the property, 7. This agreement shall be bilang upon the owner. Ihe hats of the owner, and assignees of the owner. The owner shall submit this agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner that will permit tee ex idlen" of Ma anrmwerhrsM to be determined by reference to the properly when the holding tank Is Itlsb~. Owner(s) Name (s) - lease tint bad ands to era on eyes deer_ oterix,rd s alu P bp Clove hTYm - e e t y „pYnun MARIE E. NELAILM Notary Publle- Minnesota ernmental Unh igrhature Ora d e^ree r tor{ 7w§- pro used for satondary purposes rdv0cY Low a. 1 .04(1Nm)] "THIS PAde 19 PART OF THIS LEGAL DOCUMENT – tit NOT REMOVE` This intonnatien meat os compf*tod by subntin r. eowment &ft. nampa ratum addriasa and p= (if ragWrod). Other infwmaaon such as ile pranflra clau /spas d•surprooh, etc. may b• pla"d on brats /use page d Me• dbeurnant or maybe pMoed on addAkinol popes orthe dbownent game re lffis as 9171 1 of 2 x3coept t 250 fast of tb* foliowiag described px*peYty2' of a parasi of land locates! S= Olay. Lot 2, sectioan 24, Z'. 28 7t. R. 20 W. further derozibed As follows: peg 36 at a paint oa the west line of ss�id Sec. 24 a distance of 646.ao loot no t degree 36 >aaintttes Mast of the asst quarter comer of benc North. 89 degrees 41 said Sec. 24r t aoiautes Sast along the =rtb line cf owe Road a distance of 13S.00 feet; thecae North 4 degrees 20 minuares West a distance of 523.80 feet, thence West can a mean"':' line a diaztanoe of 100•.00 feet to'the west line of said sec'. 34„ tlaeaoe South 1 degree 26 Mu mtes last along the Wert 3L4ne of said seo. 24 a distance of 523.70 fast to the place of beginning; including all land between meaneria9e and Lake St. Croix and also and easement for and feet in width along a centerline access roc 30 described as follows: at a point 382.70 feet North 4 degrees 20 minutes bfg e th e ing Southeast corner of the above West o described tract; thence South 88 degrees 55 minutes East 191.50 feet, minutes thence North 56 degrees 46 East 161.20 feet, thence South 76 degrees 48 minutes East 72.90 feet, thence South 55 degrees 31 minutes East 328.30 feet, thence South 49 degrees 57 minutes East 111.35 feet, thence South 31 degrees 10 minutes East 108.73 feet to Cove Road, as shown on Certified Survey Map filed July 10, 1959, in Volume i at page 8, office of the Register of Deeds, St. Cr oix County, Wisconsin. 2of2 I r , ►` . .l\:li�` Jft— "��./= - ✓./i: r_nV. r`a�'S��:+i. � .. Law I � ter■ ��� - ; + �*► � � � 1 •...••� � _ ,, -- lop - Oi 7 WEI Nil l I P l o t ro 0 � r s� t, ' Ai q _ • I `,i - i.� - r te :.: /...+l�ti � - . _ _ - _ `��,� � . � r • �� I \�1�r • r ' ` iii- '7, :7 Q ArcIMS Viewer Page 1 of 1 i ,a 1 PG 7 k 4 WAL K W 'l 1 c6 18 11 E . , 5 360!181 � .. �� 11F ' 716 „ 5$1 F M VOL ? 402!569 611D TN TROY 61G s a M g 2 tp ro 10 4 11H q1'M' 11K CSM V 1 PG 17 CSA VOL 4 PG 8 g 125 100 120 150 172.71 http: //72.21. 230.178/ website /LRPortal /ARCIMS/MapFrame.asp ?PIN= 9/18/2006 :'1 1 9 .0'7 P. 0 0 KATHLEEN H. WALSH ti STATE BAR OF WISCONSI14 FORM 1 - 1998 REGISTER- OF DEEDS WAPMkNW DEED. ST. CROIX - CO. , MI RECEIVED FOR RECORD 06 -07 -2002 2:30 PH This Deed made betwe o HARRAM DEED Dennis 41 Cochrane a married taerson and Sheila _ EXEMPT # Swanson a married »arson and Steven A Cochrane A REC FEE: 13.00 l�l i ed P And Bra�.Z + d• nc ane_ s4 � mnn!4arl 50 'Pew TRANS FEE: 10.00 .� An I. 'F, i t� � Sino7a COPY FEE: CERT•COPY FEE: PAGES: 2 _ Grantee Orantor, for a valuable consideration, conveys to Grant" the following described real estate in St. Croix County, State of Wis (the "pow): At� ShJA-a m. Si l t rwne ltadsa itz Y f� �rc� �� • 19 CO C t rI� n 401dQ�` nQ_, l (W A40 ti ns so too Parcel Ideatt il"don Number OW4) This is not homestead properly, Except the. Southerly 250 feat of the following described prcpeky� of a parcel of land located 4= Gov. Lot 2, Section 24, T. 28 }i. R. 20 W. further described as follows: beginning at a point on the west line of said Soo. 24 a distance of 646.30 feet sort$ 1 degree 36 minutes west of the west quarter corner of said Sac. 241 thence North.t39 degrees 41 minutes Fast along the north line of Cove Road a distance of 125.00 feet; thence North 4 degrees 20 minutes West a distance of 523.50 feet, thence west. on a meander lisle a distance of 100•.00 feet to want line of said Sec. 24,, thence South 1 degree 36 minutes East along the west line of said Sac. 24 a distance of 522.70 feet to (Continued) Together will all appurtenant rights, title and interests. NONE Grantor warrants that the title to the Property is good, indofoasable in simple foe and free and clear of euoumbrancas except Dated this da of tUjX 2002 _ (S EAL) _ (SEAL)' r a11e r, k Bruce J. Co n sin s G: Cochrane (SEAL) (SEAL) Sh G • Swanson - 13teven A. Cochran AUTHENTICATION ACKNO f Wtico .. O Hein. BL'1C St. Croix aushonticated t}tis NO P pamoW lly came.bofore me thi day of S �A r4av Ma 02 the above named ruts:• ape., sing. a teven A. ` Cochrane a married person and Bra _ or - B. y ane, a marri e 'prson TFTLE: !MNEit STATE BAR OF WISCONSPR who 01 the foaegoiag slot me known to be the pars authoitized by $706.06, Wis. Stets.) and akfo the rime. THIS n-TsTRUMENr WAS DRAFTED BY Coldwell Banker SurMst 01- 29891 2301 Coulee Roa * NoteryPublio.-St4itooM onsin yd,Ton . Las " 54016 My commission is p l J 310t, two date: ( Signatures may be audmdcate4 or acknowledged. Bath are not aecessssy,) Qie d an or swaim W 1.y ]P=D FORM no. 1 -1996 Milwaukee. wis. :` the place of beginning; including all land between meaner }i 0 7 0 0 2 and Lake St. Croix and also and easement for and access road 30 feet in width along a centerline described as follows: beginning " / O f/ at la point 382.70 feet North 4 degrees 20 minutes West of the V I Southeast corner of the above described tract; thence South 88 degrees 55 minutes East 191.50 feet, thence North 56 degrees 46 minutes East 161.20 feet, thence South 76 degrees 48 minutes East 72.90 feet, thence South 55 degrees 31 minutes East 328.30 feet, thence South 49 degrees 57 minutes East 111.35 feet, thence South 31 degrees 10 minutes East 108.73 feet to Cove Road, as shown on Certified Survey Map filed July 10, 1959, in Volume 1 at page 8, office of the Register of Deeds, St. Croix County, Wisconsin. Parcel #: 040 - 1155 -50 -000 05/26/2006 04:59 PM PAGE 1 OF 1 Alt. Parcel #: 24.28.20.611 D 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Ma # I Area Application Permit Map Sales ea pp on # e # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner LYNDLY F OPITZ O - OPITZ, LYNDLY F 3119 LYNN AVE ST LOUIS PARK MN 55416 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 192 COVE CT SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 24 T28N R20W PT GL 2 CSM 01/08 EXC Block/Condo Bldg: SLY 250 FT Tract(s): (Sec- Twn -Rng 401/4 1601/4) D / 24- 28N -20W 1 Notes: r y Parcel History: Date Doc # Vol /Page Type 06/07/2002 681221 1907/01 Q * WD 2,06 2006 SUMMARY Bill #: Fair Market alue: Assessed with: 0 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.740 279,500 89,500 369,000 NO Totals for 2006: General Property 0.740 279,500 89,500 369,000 Woodland 0.000 0 0 Totals for 2005: General Property 0.740 279,500 89,500 369,000 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 I 0 SURVEYOR'S RECORD 686.30 N iO36'W of W % Certified Survey neap corner Sec, 24, T28 N, e 20 W _ I I� r CA i o f' 3. 6'o �4o.so y4 I! 0140 I 382.7 T� Z R o LA - O -- fD 0 0 �• o 2 9.72 ca O W /o 454,80 o N / `' a /'40 INDEXED �m A parcel of land located in Gov. Lot 2, Sec. 24, T 28 N, ��,' 258 820 R 20 W, further described as follows: from a point on the west line of said Sec. 24 which is 646.30 feet N 1 W of the west quarter corner of said See. 24, go N 89041' y'0 1flS (ER'S OFFICE, E a distance of 12F.00 feet to point of beginning for �ST. CROIX CO., WIS. parcel to be conveyed herein: thence N 4 W a dis - v� �w Received for Record this 21 st day tance of F feet, thence due east on ameander J i. of July A.D.,19 line a distance of 158.65 feet, thence S 2 0 47 E a o i A 9:00 o'clocl�: _M. Recorded in distance of 29.72 feet, thence S 76 48 1 E a dis- 4/• tance of 163.70 feet, thence S 5 E a distance �o Volume 1 of of 454.80 feet to Cove Road, thence S 89 W �g� Survey Maps a distance of 320.00 feet along Cove Road to j� pag point of beginning, including all land be- 'Vi tween the meander line and Lake St. Croix j� w•a+ easier (Deeds. and an easement for an access road 30 feet Y -, in width from Lake St. Croix to Cove Road as now opened and travelled as shown above *; J Parcel described above is subject to an easement for an access road 30 feet in width the centerline of which y wi�y° begins at a point on the west line of said �areel a distance of :82.7 � 1 �,�,,�,� >•° feet N 4 20' W of the south- west corner thersof and extends S 88 55' E a distance of 191.50 �° J feet, thence N 56 E a distance of 140. 49 feet. I certify that the above is a true and correct map of the parcel surveyed mapped and described and that I have fully complied with the provisions of �t Sec. 236.34 of the Statutes. Surveyed July 18, 1959 for Winford,"Inc. , This instrument prepared by Carroll A. Grubb, Reg. Land Surveyor � Pave #69 � I 8# a�Ed t 4 1 • ` . .S r ` 7 a Fin liq'V S l`C p er' 00 4 ' Io ;. 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