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Parcel #: 040 - 1255 -60 -000 11/30/2007 10:47 AM
PAGE 1 OF 1
Alt. Parcel #: 30.28.19.1353 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): 0 = Current Owner, C = Current Co -Owner
J RAGNAR & NANCY L BJORNSON 0 - BJORNSON, J RAGNAR & NANCY L
192 TROY GLEN DR
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description ' 192 TROY GLEN DR
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 2.584 Plat: 07- 032 -TROY GLEN 98
SEC 30 T28N R1 9W PT NW NW LOT 6 TROY Block/Condo Bldg: LOT 6
GLEN
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
30- 28N -19W
Notes: Parcel History:
Date Doc # Vol /Page Type
04/16/2001 642777 1618/283 WD
2007 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/22/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.584 100,000 432,400 532,400 NO
Totals for 2007:
General Property 2.584 100,000 432,400 532,400
Woodland 0.000 0 0
Totals for 2006:
General Property 2.584 100,000 432,400 532,400
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
1
ST. CROIX COUNTY ZONING DEPARTME T-
AS BUILT SANITARY REPORT
Owner �7 5
C ? Property Address / 1r Z �I ff X .t/ i'Glei � P A: • ^n
City/State ./ -��,� ��� /- S yD / �, Cou ��oi `' ;�
o
Legal Description:
Lot _ Block ,S& OL O 7
Subdivision/CSM #
ti %a PV ' /4, Sec. 19 , T N -R�W, Town of T PIN # 0 y0 •1//3 TO ' 3 �
(.q 0 Np ,(�j
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Dpi // 7 o
Tank manufacturer Go -V&.� 7 41, • Size ST/PC / Setback from: House ..1) Well P/L y ��
Pump manufacturer Model --
Alarm location
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM
Type of system: Width 3 Length ' S Number of Trenches
Setback from: House G7 ' Well PAL yG ' Vent to fresh air intake SD '
•/v So .
ELEVATIONS
Description of benchmark
Elevation
Description of alternate benchmark Top off' Fort, � Elevatio - 61 - 2
Building Sewer ' 3� ST/HT Inlet ST Outlet PC Inlet
PC Bottom — 'Header/Manifold Top of ST/PC Manhole Cover Pfl. 5
Tap /Skee- �� y 9 , P7 0 7
/ � iPiJ`E.t'S
Distribution Lines () () ( )
Bottom of System ( ) ' !� , () S 7.S ( )
Final Grade ( ) o �/ �✓ ^� () ��� SO ( )
N , - y
Date of installation / / Permit number d State plan number
Plumber's signature ,!. License number 2 7 - S Date
Inspector �D G rr S A �
Complete plot plan
11,00e (DN s crro-.L)
5
Iz
H442 \ , I
Z° �y' I1� �
� to �-��S
_.---------'-` 0 s-. -r.
39
/////////
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Pg�pC�9o^a�1[EoIS ( 07.4101
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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Coun
Safety.and Buildings Division T . CROIX
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) SanitalyftrMo.:
Personal information you provice may be used for secondary purposes [Privacy w, s.15.04 (1)(m)].
Permit Holder's Name: ❑Village E] Town of: State Plan ID No.:
13 RUCE LENZEN HOMES, INC. PRc6�(
CST BM Elev_: Insp. BM Elev.: BM Description: Parce r140Q1113 -90 -300
TANK INFORMATION ELEVATION DATA A9800494
TYPE MANUFACTURER CAPACITY STATION / BS HI FS ELEV.
ti �Aj Bench M 6 S co w-v toll l
Dosing 4 H �8 3 •z 3. (o
Aeratio = :7r7 Bldg. Sewer ?• Sy
Holding 5S ? * Inlet 5� ! j fig$ • ��
TANK SETBACK INFORMATION n (501rt Outlet `6 t V8-r5 q (
TANK TO P/ L WELL BLDG. Air stake ROAD A* Inlet L-Po p
NA Dt Bottom
Dosing Header/ Man. i
Aeratio A Dist. Pipe 9
4 -d 6
Holding Bot. System /0' Fri° 7
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer mand 54. VIC4, X91 -97
Model N er GPM
TDH I ift Friction S m TDH Ft
Force main to Di a. Dist. To Well I F
SOIL ABSORPTION SYSTEM
BED TREN Width 2 i Length, „- No. Of Trenches PIT No f Pits :I!n! a. ur er: Liquid Dept DIM N I N ? {{,�� DIMEN I N SYSTEM TO P/ L
BLDG WELL LAKE / STREAM HI fact
SETBACK
INFORMATION Typ CRAM
L
Sy er&V BHT /ayl
DISTRIBUTION SYSTEM �h i ru ��T C atii ” >!rNW6
Header/Manifold Distribution , x o e ize x Hole Spacing Vent�T Air I� ake
Length � Dia. `1 Length y � Spacing � �� (�t44. 64s y Gln- // r
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 discrepancies, persons present, etc.)
LOCATION: TROY 30.28.19,NW,NW 192 MAXANICKIE DRIVE — LOT 4
64d
1�0. &A -I q` VF v t wf- ,wx�
�� /Nq
Plan revision r quired7 Yes SNo
Use other side for additional information.
SBD 6710 (R.3/97) Date Inspecto s Signature Cert. No.
Safety and Buildings Division
SANITARY PERMIT APPLICATION 201 E. Washington Ave.
14.4consin In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969
Department of Commerce Madison, WI 53707-7969
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 812 x 11 inches in size.
• See reverse side for instructions for completing this application State Sanitary Permit Number
The information you provide may be used by other government agency programs ❑Check if revision pre6iou� r o n
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N / 7f
Property Owner Name Property Location
�/Q UCE' LEiV Z�iv ,f &*Jl AI&/ 1/4, S 30 T J-$ , N, R / f E (onfo
Property Owner's Mailing Address Lot Number Block Number
50 2— Z,�L $'T . 2--c`
City State / _/ Z p Code Ph n Number Subdivision N��o�� Number
D.So� GfJ . yb!<v ( /�) •SOS CS,�
11. TYPE OF BUILDING: (check one) ❑ State Owned ° ity � ,/ Nearest Road
Public 1 or 2 Family Dwelling ?
- No. of bedrooms ° V own o O ,±X CSC( "61 4
III. BUILDING SE : (If building type is public, check all that apply) Parcel Tax Number (s)
1 ❑ Apartment / Condo 07z-,,2 � /
_/" 13 _ � `� ?
aV
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash
5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable)
A) 1 New 2. [] Replacement 3. E] Replacement of 4 E] Reconnection of 5_ [] Repair of an
_____System - ___ - - __ System ______ _______Tank Only_ ____ _______ Existing System ________ Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one) Z, 7 ,7jj76,� �it, G i}�P�!' "Sl' '!1- vG2C '
Non - Pressurized Distribution ressurized Distribution Experimental 3l d .Srs �E Other
11 Seepage Bed 21 E] Mound 30 [] Specify Type L �. " _ 41 ❑ Holding Tank
12 Seepage Trench 22 E] In-Ground Pressure ( ��'"'42 ❑ Pit Privy
13 ❑ Seepage Pit _XAL_C "5 r 43 ❑ Vault Privy
14 E] System-In-Fill r Z� - 3 ` X75 12 S S t
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 16. System Elev. 1 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation
(a0 7S0 750 • Q 0 7 - 10 ir Feet Z Feet
Capacity
VII. TANK in allons Total # of Prefab. Site Fiber- Exper.
INFORMATION g Gallons Tanks Manufacturers Name concrete Con- steel glass Plastic App
New Existin strutted
Tanks Tanks
Septic Tank 2. 124 1 K T v ❑ ❑ ❑ ❑ ❑
Lift Pump Tank i phon Chamber/ / LT ❑ ❑ ❑ ❑ ❑
NSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumber's Signature: (No Stamps) r MP/MPRSW No.: Business Phone Number:
Plumber's Address (Street, City, State, Zip Code): / SS 0 S fez.
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate Issued Issuing Agent Signature (No Stamps)
"X A pp roved ❑Owner Given Initial Surcharge Fee)
Ors
/ �
Adverse Determination [
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD4M (R.11196) DISTRIBUTION: Original to County, One copy To: Safety i W&ings Division, Owner, Pkmnbw
l
ULBRICHT & ASSOCIATES CO.
655 O'Neil Road • Hudson, WI 54016 Reg. Designers of Engineering Systems
715- 386 -8185 Private Sewage Consultants
PROJECT INDEX
DILHR Plan I.D. # N- Date 6 Gr •
Owner 4/10 0,1 1vs 41v . Phone —
Address 5 0 Z- - -y .ST .._.. Z- V /,s S�
Legal Description Ld r„ -_ -- 4
mzf S<o60 0 - 7 _ 44 /• /2- �Wj ' 3 2-4
Y d • 1//.3 • y-O • f z� Sec - 30
Tao, l2 /f w
Town of '/ County s•�,,', ��
C.S.T. , t/,QS Installer
Local Authority/ Supervision 22 CO3 - 7 5
ST �Ol' 1C Zfl,ui � G -- _
PROJECT DESCRIPTION
N440 40-v 57WOU e�7*mo V,4
4>� yjt. U Y Sr�ilS i
- ��
' Ae lt S l
s�
At iA 3 7 s
Ulbrleht & AssOclates
Pg .1 PLOT PLAN VIEWS Private Sewage cons . 01 6
685 O'Neil Rd.
Hudson Wis.
54016
Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS C v
Pg . 3 PIPE LATERAL LAYOUT
Pg.4 DOSING CHAMBER CROSS SECTION mty-5 223 - 7s '
Pg.5 PUMP PERFORMANCE SPECS / "' /� - --
. , . .5 . t erv- i-
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CSM 001
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PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
(--Th„---VEKIT CAP
4.C.I. VENT PIPE — APPROVED LOCKIM&
I —
WEATHER PROOF
JUIJCTIOIJ BOX ^�(,�MANHOLE COVER
- 25 FROM DOOR, r-- co/!vJ>O(--41/3E/
WINDOW OR FRESH 12"MIU.
AIR INTAKE I
imp, 6-/EV�1Tfon/ GRADE \ ' I 4� I 1 IB"MIIJ.
' MIIJ. ._li
F1d
, CONDUIT '�Y 1 -�
\- \, n,
'WVI PROVIDE I B
IIJLET AIRTIGHT SEAL I [I i I
�_-r n III
APPROVED JOINT A y�'(V'I I APPROVED JOIIJTS
W/C.I. PIPE '� 1 �N/•fUM III W/C.I. PIPE
EXTENDING 3' 'Ft)-1 �d II ALARM EXTENDING 3'
OMTO SOLID SOIL F 3 I I ONTO SOLID SOIL
B "I 3 1
/�� I Ib 01J
ELEV. Yili. FT, 1 J Z'SC 3 die
PUMP-� U OFF
. 1.1 ~' /10 eb' IF
K I BLOCK
w
X RIStR EXIT PERMITTED DULY IF TANK MANUFACTURER HAS SUCH APPROVAL
SEPTIC E ��D���� SPEC-IF IC-ATIOI�]S
DOSE `, 3 ,
TAMKS MANUFACTURER: iihte 1-57- kIUMBER OF DOSES: PER DAY
TAIJK SIZE : /� GALL//o1�'J,S DOSE VOLUME L
ALARM MANUFACTURER: L�% C� 41 / INCLUDING BAGKFLOW: Z/D/ GALLONS
MODEL IJUMBER: 7) 1, L"" / ]� CAPACITIES: A= /6 IIJCNES OR yda GALLONS
SWITCH TYPE: e-le FA, 1 B=-INCHES OR r° GALLOIJS
PUMP MAIJUFACTURER: ���� C= F, / IIJ HES OR 210 GALLOAIS
MODEL NUMBER: 6 //i tt /i4 D=/3•4' INCHES OR � GALLOMS
5WITCH TYPE: PlgOJC1tt rLe2+-7 NOTE: PUMP AND ALARM ARE TO BE
MINIMUM DISCHARGE RATE 25 GPM - INSTALLED 01J SEPARATE CIRCUITS
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE./'`'' •11 FEET fiAop SpEcs
-F MIMIMUM NETWORK SUPPLY PRESSURE 'P6' FEET 6AGln. I ,l 01 �t P ' v I
-}- .57 FEET OF FORCE MAIM X //a FT�oFT.FRICTION FACTOR.. • ss FEET 40rIS .2 S ?Is.
= TOTAL DYIJAMIC HEAD = 7.0 FEET
INTERNAL DIMEUSIOIJS OF TAIJK: LE.MGTH 2 ;WIDTH / .;LIQUID DEPTH
. --AiLe — 70 PA°, /So X C7a/7 e f- , "" ,u6 /W'CE it.,v
_____------7------. 17(pi5r /*/4-17- 41f- 4/Pi
IIEAb CAPACITY C
Mob�L "91)•, unvE > > a
I J S/a
NPT
M DNS 1 --- 10
SO 1
FLOW PER MINE UT !/0
1Oi11t �Yr1AYq NIM'►lOW
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1�tla luuAcny It
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it
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20
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Lock va►ve J S /la
CONSULT FACTORY FOR SPECIAL APPLICATIONS
�l!ctrlcel ehenlelore, for duplex eyslems, are available and
eupplled d g en alarm. d •Mercury 0081 ewNches ere available for conlromn
�. wlhmA kal aAsrn @lore, I& duplex eV@l#ms, ere evallablA wAh or lhree phis@ eyelems. 9 single end
w�houi Nerm "Chet. • bouble 1
p ggybeck mercury 0081 ewdches. are evailable lot
varIWO level long cycle conlrois.
Standard ell mode - Wel h1 �9 Ibs 1. are Iat
is *flee — - /1 )l,p, • ELECTIONQuint
e Moaf epeialed ! Rob'WIverdcel ewkch, no external cottbof raQlrlrad.
Mode C
�— 1� y he - ontrol S.t.c 11 !. etnpb pleovbeck mercur of double r
-- MOd Am t /wheh. parer b FM0/», PiOlibaek mart ury, 1,0 e 1 ulo 0. 6 1 � A bu tat 5. Mechartkal ahernator 10 0072 or 10-0OIe '
094 �p1L /. see rm0? 1!, for totted model o f
Elee41ea1 AMernator, • 'E.Pak ".
: Z ���L
I. Mercury *Omw "'m ewN
E N t Non r ! or duplex 131 a 111 pool eyrt , lovm wid a/ • oor*.1 te@valer ,peeih.
$ or 1 t $ .. .rl ,h) f+ole "1 Pak ", IoncUofi bole I,....u.
Wis"nsufo a or Industry,
Labor and Huu man n Relations P SOIL AND SITE EVALUATION REPORT P e_of 3
Fiel
Oir n of Safety a auddings in accord with ILHR 83.05. Wis. Adm. Code
COUNTY �
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but ` j �
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D.
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REV 8Y DA
/Q�SB
� PR PERTY OWNS . �. PROPERTY LOCATION
�U�E GOVT. LOT IVA) 1/4 Nra 114,S J50 T Z8 ,N,Rl9 -h@4 W
P OW ER':S MAILING AO RESS LO rr BLOCK S NAME OR CSM a
STATE P CO PHONE N MBER CITY I E OWN N EST ROAD
ft�/ffat! GU/ .f /� (7i5i 86 -S Sa o Iry /cKi� �
W NG* Construction Use Residential / Number of bedrooms
j) Replacement Public or commercial describe ( J Addition to existing building
( J
Code derived daily flow A 60 gpd Recommended design loadtitg rate bed, gpcW trench, gpo1R
Absorption area required $ bed. ft 75 trench, ft Maximum design loading rate S:7 bed. • 0 trench.
9P�,�_ 9Pdjjt2
Recommended infiltration surface elevation(s) 8B8,S /�/ /T. , 99%'4 AZ 7 — ft (as referred to site plan benchmark)
Additional design / site considerations I L E 1- =/Z I X 75' 4 ELw , L 72) EAsT
Parent matenal Flood plain elevation, if applicable / 4 - (t
$ a Suitable (pr $ CONVENTIONAL MOUNO I N- G ROUND PRESSURE AT GARDE SYSTEM IN FILL HOLDIWG TANK
U: Unsuitable for rem Id a u s o u s ❑ u s a u t] s u a s u
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Blurry Roots GPD /ft
in. Munseil Ou. Sz. Cont. Color Gr. Sz. Sh.
Bed Trench
<. R -7 APYA 3 z - Z sbk Ht aw r�-f DS D.G
zpn ojiv W{r Cup D,s D -6
Ground
8 ft. c� -8¢ lone
Depth to
limiting
;fa
Remarks:
Boring # ,.I '�q_9 /eye
J6 f-17 r4 D -SD.G
Ground G,I 7 Z7 APM ` 4
ft
limiting
C RU
Remarks:V;y
CST Name; — Rene Print JAMES D. FILKINS Phone:
(715) 4
OGDEN ENGINEERING CO., 113 WEST WALNUT ST., RIVER FALLS, WI 540
Sgnaaxr Oats: p CST Number 222952
925 8
AMPERPfOWNER tey6 44AI z-1 0 11 SOIL DESCRIPTION REPORT Page Z of 3
PARCEL 1.0. #
Depth Dominant Color Mottles � es Texture Structure Roots GPO/11
Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed ITmnch
Moom
P -8 D 3 z Ze eeh aw r D.� lD•�
k i s -zi o112 ¢
Ground Z- Zf33 D Yx ' Aq dl w Z✓-� 0 1 ,04
Depdr to
y 6 „
r{2�
Remarks:
Boring # Q�0 /O /� 3 Z 5i� ZirI 56�C' d1f acv �- d•
oY2 — !s
Ground
elev.
ig ft.
Depth to
limiting
Remarks:
Boring #
IDYL
31z le v A5 o•G
� - /DY .. —' Si/ Zn�sd� �k acv 2 D.So.G
Ground
elev.
ft.
Depth to
limiting
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
S604LIMR -05AM
± I PAGE 3 OF 3
SITE PLAN /
NOTE: DRAINFIELD TO BE A W MUM OF: 25' FROM
DWELLING; 50' FROM WELL, FROM LOT LINE.
J �
SCALE 1" = 50'
Z-0 7 N
7,2o y 044!5.v
N
�% SLo,oE
8 A
/,QoN
I
I
OGDEN ENGINEERING CO.
JAME . FILKINS, 222952 / Civil Engineers & Land Surveyors
DATE: �' ZS� �S 113 W. Walnut St. River Falls. WI 54022
/ (715) 425 -7631
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
OwnerBuyer /� J —15 L £ti ZED g±0 rti S ANC
Mailing Address - 0 - 2 a2oL1_ S7 --0 ,2 1 ,L,l see,► (., S 4�o s6
Property Address / T2— M�4 Y,4N /G �Ci �
o S
(Verification required from Planning Department for new construction)
City /State Parcel Identification Number 0 �Kb - W 3 - Ala - �oCl
LEGAL DESCRIPTION
Property Location %., �i,✓ 1 /4, Sec. T 2-8 N- R_Q_W, Town of T/2 o c�
Subdivision Lot # _ Z / _
Certified Survey Map # D G�� Volume 2 Page # 3 2
Warranty Deed # 8. 7/ £3 Volume �3S/ . Page #
Spec house F yes ❑ no Lot lines identifiable % yes O no
SYSTEM MAINTENANCE
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 form, signed by the owner and by a
masterplumber, journeyman plumber, restrictedplumber or a licensedpumper 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, 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 the three year expiration date.
SIGNAVURE OF APPLICANT 1 1 5 - 1 S 8
DATE
O
WNER 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 97erty described above, by virtue of a warranty deed recorded in Register of Deeds Office.
SIGNA OF APPLICANT �d /5",/
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
STATE BAR OF WISCONSIN FORM 1 — 1982 j!
585 718 WARRANTY DEED
DOCUMENT NO. VOL 13, 5 PAGE141
i
This Deed, Brooke W. Wolf and ST. CROIX CO.' WI
I made between ` Iteo'd for Record
Mary J. Wolf, I
husband and wife AUG 2 4 1998
Grantor, ! : oz)
j and Bruce Lenzen Homes, Inc .. a Wisconsin P
l i Corporation R ellefor of be ads (,,
I;
Grantee,
(f Witnesseth That the said Grantor, for a valuable consideratio $1.00 and !
other Rood and valuable consideration j
St. Cr O17C THIS SPACE RESERVED FOR RECORDING DATA
conveys to Grantee the following described real estate in
County Slate of Wisconsin: NAME AND RETURN ADDRESS
I! Edward F. Vlack
PART OF THE NORTHWEST 1/4 OF THE NORTHWEST 1/4 OF Davison & Vlack
SECTION 30, TOWNSHIP 28 NORTH, RANGE 19 WEST, TOWN 200 East Elm St.
OF TROY, ST. CROIX COUNTY, WISCONSIN, more fully River Falls, WI 54022
i described as:
i Lot Four (4) of Certified Survey
!! Map recorded in Volume 12 of Certified Survey 040-1 000 ri
Maps at page 3264, as Document No. 560007 PARCEL IDENTIFICATION NUMBER I
i
ji
II
I
�i TRANSFER
I
;i
$
FEE
j! This is not homestead property.
(is not)
j� Together with all and singular the hereditaments and appurtenances thereunto belonging;
j' And grantors
warrants that the title is good, indefeasible In fee simple and free and clear of encumbrances except
I easements, restrictions, reservations, and covenants if any, of record, and
I; highway rights of way
li
i
and will warrant and defend the same.
I' Dated this �ck, day of August ' 19 98
II (SEAL) (SEAL) I
'i Brooke 10 Wolf
�1
(SEAL) ✓ / / L Ll w (SEAL)
Mary J. Wolf
I� AUTHENTICATION A 7 KNOWLEDGMENT
i �Ld,�.v�dJdtC
(G� �• W4l.F State of ms`s " ` "° - - --
Signature(s) "���
,
S
t7 FILED p �Q[ 0TR
M rultrcEauH WALM ► r0 ` ) —
u , 5 991
X74 CrWz Co. m 56000'7 �, ! SL CROIX COUNTY
SURVEYOR'S RECORD
r
CERTIFIED SURVEY MAP
BROOKE AND MARY WOLF
Part of the Northwest 1/4 of the Northwest 1/4 of Section 30, Township 28 North, Range 19 West, Town of
Troy, St. Croix County, Wisconsin.
NW CDR. SEC. 30, T28N, R/9W, N L INE NW 114
N114 CDR. SEC. 30, T PBN, R /9W,
/ COUN7 Y BERN7SEN NAIL J UNPL A T TED L AND S . tcomNTY s�U MON.J
S89•4 'O7 "E 2.506.62 _L .4 1V
!a 693.
11 6
693.84' 2/6.38' 2/79/' 3/?3r
O I00' N 89 "W 1194.14' m
ROAD SETBACK LINE m
N
aI LO T 4 LOT / LO T 2_o h
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2.678ACRES M 2.686ACRES N
t /.000 ACRES N
^. /I6,675 3 00 / /6;9.86s0.Fr.
9/4, 77/ S „ j,� QI
Q O FT. ^ N SO. FT. Fj 2.502'ACRES v
20.455 ACRES EXC. ROAO R.O.W. C 2.$00; AC. N h EXC. ROAD ROW O Q
891, 015 SO. F T. h EX C. ROAD N /08,999 =SO. FT. �
v R. 0. W. 0 N
Owner's Address: /08,9 /3SO.FT.2
,I a c 321 Plainview Dr. �� J v
River Falls, WI 5 022
2/6.37' 215.84' 2 I
._
N a 89 • 4 07 "W 13t.21'
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9.699 ACRES
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QI W Q 9.643 ACRES EXC. ROAD R.O.W. Z
3 m m POND £LEV. 420,034 SO. FT.
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