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Home My WebLink About040-1308-00-159 Wisconsinbepartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safe,y an(�Building Division Sanitary Permit No: INSPECTION REPORT 488209 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: Southwind Builders Inc I Troy, Town of 040 - 1308 -00 -159 CST BM Elev: Insp BM Elev: BM Description: Section/Town /Range /Map No: " �� N / (►� gl�7 24.28.20.1978 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. i 93• / Septic W • 2!O$ Benchmark , „ / - ' � I Dosin � Alt. BM I 1v IC�t,('f� � D Aeration Bldg. ewer Holding t/ t Inlet WI 1Z•dZ TANK TBACK INFORMATION S t /Ht O ut l et TANK TO P/L WELL BLDG. V ent o Air In ROAD Dt I n l et 12.32 ZRI ep Ic 3 1 3G o. tom- Z.33 3.03 f 4.16 F f?. OD osmg ' 2 � u / ea er an. '� A eration J Dist. Pipe o Ing Bot . system IT. �� PU Ina ra a MP /SIPHON INFORMATION 3 egg. d3 M anufacturer Derriana Ef _1 GPM �W'� m odel um er G .,� ?% 1D / I I_dD ric Ion LOSS byst m ea u w / main en / , Aoia. 2 I RENCM MIMI!] NO. 01 F-113 pin — Lie DIMENSIONS 3 f F� INFORMATION ` J CHAMBER O D5 LINII 1. Csvliv. 1 1 ln3 ( x) - 36 DI-51 KI ION SY5TF-M Pipe(s) Length Dia Leng Dia Spacing 501L (;L)V1zK x Pressure Systems Only xx Mound Or At - Grade Systems Only F pu, d/Trench Center Bed/Trench Edges Topsoil Yes " : No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: • 10 1 Inspection #2: / Location: 208 Muirfield Tr Hudson, WI 54016 (SE 1/4 SE 1/4 24 T28N R20W) NA Lot 159 Parcel No: 24.28.20.1978 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = Plan revision Required? i i Yes No ertLN Use other side for additional nformation. a ` -- LD to - -I -- -- Insepctor's - Signature - -- - C SBD -6710 (R.3/97) Safety and Buildings Division County p Vi sconsirn 201 W. Washington Ave., P.O. Box 7162 Sj- Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) De p (608) 266 -3151 De of Commerce v Sanitary Permit Application ° State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information provtde may be used for secondary purposes Privacy Law, s15.04(1)(m) Project t Address (if different than mailing address)) I. Application Information — Please Print All Informati n 9 2Dg SDrl t 0j G✓+011? Property Owner's Name Parcel # Lot # Block # 41 JT - t�W WtND i5vr�s, 1 n/e . ivy ' ' r '006 �. Property Owner's Mailing Address ST. CROIX COUNTY Property Locatio 511100 lfW`I' isl fVoRr 1 C 1 /., SE Y,, Sectio City, State �n,� Zip Code Phone Number a V*11 M Wk 1 �• P �J' � U < J I ' 113 ' 01 VD (circle one II. Type of Building (check all that apply) T bd yi on Name ot) S Subdivision Name CSM Number X or 2 Family Dwelling — Number of Bedrooms �� 1 V '1 L E ❑ Public /Commercial — Describe Use ❑ State Owned — Describe Use ❑City_ ❑Village gTownship of TQ yY 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) 64 — 13 — 00 — }T A, )( 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 appl 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 In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter 9 Leaching Chamber ❑ ip Line ❑ Gravel -less Pipe ❑ Other (exp am) V. Dispersal/Treatment Area Information: 2 Design Flow (gpd) Design Soil Application Rate(gpds Disfersal Area Required (sf) Diipersaf Area Proposed (sf) System Elevation „1 '7i VI. Tank Info Capacity in Total 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 VII. Responsibility Statement- I, the undersigned, as ume reap or installation of the POWTS shown on the attached plans. Plumber' N e Print) Plumb 's Si a MP/MPRS Number Business Phone Number Plumb is Address (Street, City, State, Zip ode) VIII. Coon /De artment Use Onl Approved El approved Sanitary Permit Fee (i cludes Groundwater Date Issued I uing gent Signature (No Stamps) Surcharge Fee) ❑ ven Reason forr nial IX. Condition prov 1/R SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 a 11 inches in size SBD -6398 (R. 01/03) 0 ............. ................ 1. ......... . ...... . -••. ...... -....894 . ....... .............. Al ............ I ................. I ....... ..... .................. . ... &W, 7 1,�Al 675 ......................... . .......... ....... . 9 . . ....... I ...... ................. .................................................. 819o.... ....... I .............................................................................. .. ............................... ....... ...... .......... .............. ................. ........................... LOT 159 3 ti % i ai w A.p �. �i i i r� t t �� . . ............ . ........... A T �: 37 ........... .. . . ...... . ......... 890 ......... ......._.. .................•............. 00 .......... ........ ......... ............ ......................... ....... ; ................ PrOPosed .......... as" 2 00 ------- I s, Pr opose 28 5 d 1.9.00 9.M ....... -2.3 22--7u B90 ....... ............. ............. ....N z; r ....;; ................ ....... ... ...... ................... . I !� to 10' to fti=t 14"K 134.03' MUA�IELD TPA L LOOKOUT) (9 FOn7 pn i PROPOSED EI-EIA ROA(.S- ......... ...... f3 ....... I ......... ... 0 6.4t. 1 -894 . ................. 6 �37 Al ............................ .... 7 A'Al 6 .............. .............. ..................... ........ .... .............................. .. ............................... .................. . ...................... ............ ....... - ............................................................................ ........... ............................... ............. .......................................................... I. Z�e zx�') o LOT 159 13 --8 4—* ............. ........... ............... .. ...... ... . ....................... ............ . 34 wee 34 .......... . ........ 836 CO /vIl 0 7 ............ ...... . . .. ..... . ........ ........ 890 ......................... ............................... y ............. .... ..... ............... ...... .......... .......................................................... ,g ...................... Frg�csed ............. 28.5 9.00 Proposed 19.00 28.5 C -orcge POR ' j T 2. C�, 3 �2 ....... 1 L. 6 7— 890 ...... Pr=rsed' 892 .... .. .............. ... ... .. ....... .................. ..890...... ............. .......................... .... 0 o !2 cz** 10 P 2R MUIRF TRAIL ------------------------------------------ (9 F00 PCO P�() VV"' LL LOOKOUT PROPOSED EL f - 1A T10A1.';'- Wiscon Department o1 Commerce SOIL EVALUATION REPORT Page _ - of 3 l i Division of Safety and Buildings In accordance with Comm 85, Ws. Adm. Code 5T• C Attach complete site plan on paper not less than 8 112 x 11 Inct as In sqg CIV E include, but not limited to: vertical and hortzontsl reference poi (BM), l P I I.D. l 1 percent slope, scale or dimensions, north arrow. and location a d distance to nearest road. C p ENO1N 6 - / Date OCT Re wed by Please print all Information; 2 9 2003 � ' 30 7anona, inlormauon you provide may be used for secondary purposes Prtiacy Lew, s. 15.04 (t) (m)). I fil�1 1 Property Owner N R 2 0 Z NING OFF cJt 1/4 S ZLI T 2S� W TIN l- o'PMEM CDOX• . CON EN - TAL DE E Property Owner's Mailing Address Lot # Biodc # CSM# Subd. Name ,x N00 X00 6T. E sut t j5H — 7Roy v ► t_UaGE b�`AD City State p Code Phone Number. ❑ Clry ❑Village Nearest Road ;� Town I.AtNE 55 (7(,:5)7 �- •75(oa Dy I tAw% iFkr=L0 TK tt-- GPI New Construction user Residential / Number of bedrooms _ Code derived deslgn how rate 0 0 t ❑ Repiacarnent PubYc or commercial - Describe: _ ft Parent material _ _.,nt��/� -� A L -►-�C� i A L- -- Flood Flain elevation it applicabie , General comments � and recommendations: C0Nu'rxrt%0MAL J>J- &KCKkl4,10 - nqEX ) C r t Boring Boring # $ . �. Depth to limiting factor . � i. EA {� p around surface elev. (t ! n `�� Soil Ycauon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDnf Gr. Sz. Sh. 'Eff#1 'Elf92 ;rt. MunseY Qu. Sz. Cont. Color o �cl�z/ 5 - d aW v -M .5 0. z rn - t - bIC dh Z�f -m u. Y I I -ZB o t� - 1 Z h 5 3 -58 Io a.� — 7 I• Z L s '8 -W Io vK � Q Boring 1, Boring # �- h D to limiting lector ,?! — Pit Ground surface elev. DeP i n. Soll ' "don Rate GPD /If ' Horizon Depth Dominant Col Redox Description -exture Structure Consistence Boundary Roots '1301 'E"2 ; in. MunseY Qu. Sz. Cont. Color Gr. Sz. Sh. z�tf -co .� 0•g 1 z _ 21 - 5i I ?� K dk L _ d h Q_S z , 0.5 5 sal 3 - 34 4 l H -'i0 — z- S Q z -,V. 5 L10 -�0 10 i S d I QS Zv(:tr I. Z I i b 50 -7Z y ( - S 1 C-5 Iqf . 7 1• Z _ 5 - 7 77 4 - EKluent #1 = BOO > 30 < 220 mg/L and TSS >30 < 150 nail- ' Emuent 92 BOD 130 mg/L and TSS 1 30 nlg/t. Number CST Name (Please Print) Ignature tST iYl J 0 H 0 t_ L sT>� Tele phone N ixttN ber Address Date Evaluation Conducted v�- =K-C3 L 1:5 y2b '17.5 W9875 6qC� AVe, piUE FAU W3: 5402 - 1 II t � T Property Owner Parcel ID # _DI'U Page 2 - of cow- ; Bori � 60 ❑ g Bo # 7 114 C• � ft. Depth to limiting factor ' ^• Pit Ground surface elev. Soil ication Rata � r Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'E!f#1 EH#2 1 -ID 10 Z4t 0 -� D.S b• I Y r Z _ 10 ' )3 t 1 U -Z7 I 0 ,(e_ 1 4114 — 5► zf un h s 2.,� y Lf L o 4 k 5)(- s ' i . z r. �� 9� - ❑Boring # ❑ Boring ❑ pi Ground surface elev. h. Depth to limping factor ____ in. Sal Application -Rate r( Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ff r in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'EfF#1 Eff #2 d y y d i i Boring a Boring # Ground surface elev. ____ __ ft. Depth to limiting factor _ - _ in. ❑ Pit Soil A dication Rate Horizon Depth Dominant Color Redox Description Texture ASTz, uC ence Boundonsistary Roots GPO/fF in. Munsell Ou. Sz. Cont. Color 'Eff#1 'Effn 1 i I 1 Effluent #1 = BOO > 30 1 220 mg/L and TSS >30 150 mg/L ' Effluent 92 = BOO < 30 mg /L and TSS < 30 rtglL r 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. Se0 -11730 (x.61001 Y y r y y r PR01't;KfY OWNU: IJTI LEGZND: EV M oK DM- I I 1 ' 5 �Ai '1 d S C S t� rI I.R Is e nmsoA . I t �- 501L GORING W/ I3AClga j NO COMM 8 5ET ACK PP MEM5 I LEV. 896.52�� ---- ELEV. 893.41 t � 134.05' I I 61596 I ELEV. 890.9 y - �E31 9a f' B 16oC j ELEV. 888.6 L 6 , I 1 I w i r�rd�d �aitcr . r i � c c lc �. Site ��uS Frith tmal but •�c Pad` of be affc ctcd. C) cum }Meted l �letermmed W) j ui Sv ;tcm cicy'atlo ', lllnccd to b` Oc},th bclovr rack in tilt of cut or till. BM the � Lcmained constant. ] on bare � base S hould cic� atlonS 893 L T 159 516Nci7 C5f ry ZZy y3Z rM i E t� FOOT FLAN PA y znrouw�: courT��+TN�a�P ��c�nx�• �' = yo' r *t�dr co T B - W" 13K* E q 1 0 S F I iV m - GRADE P- LG-O AT 18 N S 0 81598 ELEV. WTI —89 9� B 160C E EV. M-4 81 9A ELEV W i0 ♦ O p O , M O M O 2 LOT 159 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page/ of FILE INFORMATION S SYSTEM SPECIFICATIONS Owner Septic Tank Capacity ga l ❑ NA Permit # 4�S2o� Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer / ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model — ❑ NA Number of Public Facility Units H NA Pump Tank Capacity gal f3-NA Estimated flow (average) gal /day Pump Tank Manufacturer Z- NA Design flow (peak), (Estimated x 1.5) gal /day Pump Manufacturer L-NA Soil Application Rate /I gal/day/ft' Pump Model NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ANA Fats, Oil & Grease (FOG) :_30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD :_220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODO <30 mg /L J9 In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) :_30 mg /L S9 NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) :_10 cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA * Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA > JR year(s) Clean effluent filter At least once every: ❑ month(s) ❑ NA 0 year(s) Inspect pump, pump controls &alarm At least once every: ❑ month(s) ❑ year(s) NA Flush laterals and pressure test At least once every: ❑ month(s) [J NA ❑ year(s) Other: ❑ month(s) At feast once every: ANA ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the 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 chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of :_12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION Page I of' For new construction, rior to use se of the POWTS check treatment tank(s) for the presence of painting products of 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. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface 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 elimindtion 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. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be 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. ❑ The site has not been evaluated to identify a suitable replacement 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 holding tank may be installed as a last 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. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name e - / Name Phone / Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. 05/22/2006 09:43 FAX 1 715 247 3038 BELISLE EXCAVATING 1@003 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OW,tt;l-/Btt SOUT 1 M D '?>Vt1_nEKS I MC M ailing Address 51 (P 0 Nh Ll tf yok (o ( >J W "I g � � P 1 M .110 Property _address Z 0 b IAV42 I1 L a �ybSVM j W I �LLe (VV4 rut uirrcl li'um P - - I L�nuuip. & Zutaaub Department for new construction.) City /State HVnS Dl"j a Vy I Parcel Identification Number 04.0-1308 -00— 1 5 0 1 LEGAL DESCRIPTION Property Location SE ',a , S E !/, Sec, 24 'l' 2-$ N R 2D W, Town of T ROD Subdivision Vtt" A L-%E IRT+ ktgxT7DN , Lot # . 15 1 Certified Survey Map # , Vol une , Page # warrautv Deed 14 ....__.__ t3 ? Ce D Volume Page Spec house GD nu Lot lines identifiable yes 1110 SYSTEM MAINTENANCE AND OWNER CERTIFICATION Imp roper use and maintenance of your septic system could result in its premature failure to liandle wastes. Proper maintenance consists of pumping out the septic tank every three yvars or sooner, if needed, by a licensed pumper. What you put intu the system can affect the function of the aseptic tank as a trerahnent stage in the waste disposal system. Owner maintenvico responsibilities arc specified in §Conan. 83.52(l) and iu Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification. form, signed by the owner and by a master plumber, joutmeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on - site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, heroin, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. ertifica ' C ton stating that your septic system has been maintained must be completed an returned to the St. Croix County Plautnicag etc Zoning Dopar[tnent within 30 clays of the three year expiration date. l; we orrtify that all suuuvnlents on DNS lur1J1 arc uruu to Ihv busy of my /uttr knowledge. 1 /wc anVarc the owner(s) of the proper ru of a warranty dead revurcled to kcgtster of Deeds Office. Num F APPLICANTS) DATE C ,--�� 8 2 3 2 6'rD am`! KATH H. WALSH STATE BAR OF WISCONSIN FORM 2 - 1998 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., MI DmurrmvN,m,ber RECEIVED FOR RECORD 04/20/2006 10:15AN ! This Deed, made between WARRANTY DEED Troy Develo%=mnt Corporation, a Minnesota Corporation EXEMPT # Grantor, REC FEE: 11.00 and Southwi Builders, Inc. TRANS FEE: 329.70 ' COPY FEE: CC FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration conveys and warrants to Grantee the following deacrlb estate in St • Cra;i County, State of Wisconsln: ! lot 159 the Plat of TM village 6th ReoorWre area arid Addit on in the To of Troy, St. Croix County, Name Address wn ti Wisconsin. Southwind Bu' rs, Inc. -5960 Hi y 61 Sub ect to ti j Declarations of Covenanta. Conditions and Whit ear Lake, MN 55110 Restrictions for Troy Vill recorded in Vol. 1241, /f A Page 256, as Doe. No. 559964, and the Declaration of V Golf Course Covenants, Conditions and Easements. recorded in Vol. 1241, P 301, as Doc. No. 559969, , all as i . a in the office of the Register of Deeds 040 - 1308 - - 159 ij for St. Croix County, Wisaonsin and such other Proel Identlbcrakn Number f" easements, restrictions and reservations of record, This is not homestead property or in use and the "Buyer" obligations contained in (u) (la not) the Purchase Agreement for this lot. all ii .f is �i I, ii Exceptions to warranues: it Dated this 12th day of April 2006 • t i�llw �f �f ichard Ha u ok Vice - President t Troy Development Corporation t (SEAL) (SEAWI „ AUTHENTICATION ACKNOWLEDGMENT (I t S%nabae(s) Minnesota :! State of W*sveirsisr, j Anoka Countv. tinerrUcated this day of Personally rams bef me this 1 it h day CC au Ap r 1°t6I - the aboMa nerned R ichard a uatzok. Vice- President Trov Devsiopment Corporation ' e TITI.B: MEMBER STATE BAR OF WISCONSIN o0 (If not, me known to be the person who sitecuted the foregoing authorised by §706.06. Wier. Stats.) Ursnvmant and ackrwwledg \ e�� THIS TNS7RUM0fr WAS DRAFTED BY IN _ ' David F. Lamers TROY DS.VEGOPMEW CORPORATICK N Pu State aae�+aFw Minn. ' Wier. olm Cosmt �+Y Y. Charles S. C k, President My Commission is i f no4 state exptrstton date: ft- ,� a „ y b , o. Both are riot y 31 2009 h p max) �' • N,ma erpaso,r •Ip+fna to W' uPrew ewac d• tYP•a er praaW brow d„Ir ey,.nu.. ! WA@RANTl7 DIiBD STATR BAR OF WISCONSIN Wkmnah Lahr Blar,lc Oe.. Y1p, PORIA No. 2 - I996 aaNMa/,w. a11r. DAVID F. LAMER8 NO?AllYP10LIC -�� 1 of 1 V 1.120 ACRES e� \ 48.792 S.F. 4y./ S( s . <. 152 % \ \, pJ 0 50 \� 1.059 ACRES 46,132 S.F. fi r,,, 01.9 '' J S I / R I STI 153 \ \ h � JAMES D. DEN I g. 1.223 ACRES ��.�"� �IH FI g �� _ R?VER 53,271 S.F. RIVER FALLS, 0 DATED \ �- \� \ ,, • 9� -�`��.�` REV I SEI REVISE( ',RES \� Q 4i u►a"`� c.F. - _ S81WT4 "E . " 3' 49" E 237.84' 71.44' 2.61' 134.05' 1 134.05' 134 S 89 28 14 E 1021.88 , 131.71 13 4 . 05 S 89 °28' 14" E 1 bJ3.32' ; ;OS 1 ( ( F : F 1 1 I I I 8 1 1 1 1 1 1: : 1 1 I I 1 1 I W I IW tW W: I I 't I I -( I M I ( t I IID: :- I I 157 I :. $ I 158 $1 159 1 W 1 160 , ^ s 1 161 ,.� ;g , 162 ►� 1 1.026 ACRES M M 1.000 ACRE• ,N 1• E 1.000 ACRE N 1.000 ACRE M; :N o 44,705 S.F. I $ 1 43,566 S.F. Ig MI 43.566 S.F. I `� 1 43,566 S.F. ( g''� 1 43,566 S.F. I$� MI 43�566 FE I Z �- -I `'—�- I � :o�- I $ I �_ I Lam I • � � _ I I POINT OF BEGINNING "A" . I 150 1 34.05' 134.0 44 134. 134 1 it N 89 0 28' 14" W 1277.69' - - - - - - - - - - I � 73 ° 53 - os „ I MUI RF /ELD TRA IL I Z�GE F / F_TH_A DDI_T /O N• °•'3' A I N E W DR I VE SaurH C ins- o►- - - — rE SW 1, SE CORNER %I ------- _... - -- SECTION 24 ----- r'MlT,—R26 --- - - - - -7 i 1 (STEEL "SURVEY L 0 T 1, C. S M., VQL. 2 I MARK" NAIL) — 7 P_A_GE_416, DO jf3 i TROY 3 ' - DELANDER DRIVE I I Parcel #: 040- 1308 -00 -159 07/14/2008 10:1 AM PAGE Alt. Parcel #: 24.28.20.1978 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/10/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - HUMBURG, BRAD J & LAURIE BRAD J & LAURIE HUMBURG 208 MUIRFIELD TRL HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description * 208 MUIRFIELD TRL SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.000 Plat: 09- 100 -TROY VILLAGE 6TH ADDN 146/168 040 -04 SEC 24 T28N 20W PT SE SE; BEING TROY Block/Condo Bldg: LOT 159 VILLAGE 6TH (04) LOT 159 (1.000AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 20- 28N -20W SE SE Notes: Parcel History: Date Doc # Vol /Page Type 05/31/2007 851662 WD 04/20/2006 823260 WD 04/20/2006 823259 WD 02/10/2004 753934 09/100 PLAT 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/24/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 90,000 327,600 417,600 NO Totals for 2008: General Property 1.000 90,000 327,600 417,600 Woodland 0.000 0 0 Totals for 2007: General Property 1.000 90,000 327,600 417,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 05/30/2008 Batch #: 08 -12 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 � ��