HomeMy WebLinkAbout040-1318-00-054 County: St. Croix
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Sanitary Permit No:
safety and Buildingoivision INSPECTION REPORT 572828 0
(ATTACH TO PERMIT) State Plan ID No:
GENERAL INFORMATION ur ses Privacy Law,s.1 5.04(1)(m)].
Personal information you provide may be used for secondary p po I city illage X Township Parcel Tax No:
ty 040-1318-00-054
Permit Holder's Name: Troy, Town of
Creative Homes, Inc., c/o Nathan Hidde section/Town/Range/Map No:
CST BM Elev: Insp.BM Elev: BM Description: 1 11.28.19.2129
ELEVATION DATA
TANK INFORMATION STATION BS HI FS ELEV.
TYPE
MANUFACTURER CAPACITY
Benchmark �. � �d$S,a `j 1678.
Septic J J �vJQ
Alt.BM
Dosing 3 ��' /
/` Q 65
a a Bldg.sewer �a , /67`7. Zq
F
St/Ht Inlet
Holding
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO L P/L WELL BLDG. ent t it Intake ROAD Dt Inlet
Jbj1 A-- DtBottom ��, /676 -3`t
Septic ZO / /"_1�.. -9y
� Header/Man. rj. L, /079•S%
Dosing y
Zd � � 90 Dist. Pipe S. /QZ 9• v ff
Aeration
Bot.system rj 167 7, r9
Holding
Final Grade Z 10 46 to
PUMP/SIPHON INFORMATION Demand St Cover IL, C (�,(� /47g'y I
Manufacturer Zvi GPM \
v ,9 /677, /
Model Number L� Vd c�.,��b✓J y
77 S stem Head TD� �t t )' /O%g.b 1 �2_ Zq
TDH Lift G Friction l-03, y
t
Forcemain Len Dia Dist.to well /
g�� N
/o. 3. 1� Z
SOIL ABSORPTION SYSTEM Inside Di Liquir�Deoth
BEDITRENCH Width Length
No. renc a PIT DIMENSIONS No.Of Pits �
DIMENSIONS 8 7 LEACHING Manufacturer: _\
V P/L BLDG WELL LAKE/STREAM CHAMBER OR
SETBACK SYSTEM TO UNIT Model Number:
INFORMATION Type q(,�ystem: ` gi[
V�to J J aT L�e(3 IJ Ven t Air In ke
DISTRIBUTION SYSTEM x Hole size / x Hole Spacing
Header/Manifoll I Distribution I Z. �/ ,s
Pipe(s) -7Z Dia Z Spacing 4` c7/T
Length Dia 2 Length
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Seeded/Sodded xx Mulched
xx Depth of�
Depth Over \ Topsoil ( No s No
Depth Over -7 Bed/Trench Edges
Bed/Trench Center � I
'' (p Inspection
Inspection#1:�!/ /
COMMENTS: (Include code discrepencies,persons present,etc.) .Tl�t 54 Parcel No: 11.28.18.2129
Hills of Troy�-
Location: 48-78 Prominence� ay Hudson,�I 5�(NW 1/4 NW 1/4 11 T/28N R19W)
1.)Alt BM Description= �"► ) (� C Le../--!5 '' II
2.)Bldg sewer length= 9y /6 vK� d�-
-amount of cover= � d,I`,
Plan revision Required? [] Yes No ', F� ' Cert.No.
Use other side for additional information. Date Insep s Signat
SBD-6710(R.3/97)
PLOT PLAN
PROJECT Creative Homes ADDRESS 707 Commerce Drive Suite 410 Woodbury Mn 55125
NW 1/4 NW 1/4S 11 /T 28 N/R 19 W TOWN Troy COUNTY ST.CROIX
SYSTEM ELEVATION 1080' DATE 9/29/14 BEDROOM 4
CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
I
MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765
HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none
BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 1078.29'Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
Scale = 1 /4'1 = 10'
All piping shall be SDR 30/34, within 10'
of tank,piping shall be Schedule 40.
B.M.* Property Line
1 Acre Lot
B-C Grading is to be done to divert Tank is to be properly bedded Town Road
run-off away from system and provided with Iockdown
covers with approved
B-B 6% Slope labels
H uffc utt pro 4 Well i s to meet
Combo Tank Bedroom al I WDNR
House setbacks
c �
B-A
O0,
Property 1078' Q79' LTV Well is to meet all setbacks
Line 1077' found in Comm. 83
Area 15' be I ow syste m
is to remain Property Line
undisturbed
Scale = 1 /4" = 10' �
Icl,copy
- � un
Safety and Buildings Division Co
201 W.Washington Ave.,P.O.Box 7162 Sanitary Permit Number(to be filled in by Co.)
K OC� 24 Madison W1 53707-7162 �/
r 7 2
�, RO1X CpU pp E� �AID U
' OM itary Permit Applicatiz3r-- - State Transaction Number
In accordance with SPS 383.21(2),Wis,Adm Code,submission of this form to the appropriate governmental unit
o2 8
is required prior to obtaining a sanitary permit Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing address)
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary L, p P11?6 IA4�'�C& /
purposes in accordance with the Pri Law,s.15. 1 m,Stats. 7 O
1. A lication Information—Please Print All Information
Parcel#
Property Owner's Name
o qo- )` 3 i 9- 00-0'5V
Property Owner's Mailing Address Property Location 7j .y
7�, f t C G
! L!/�/,Ilr?/C�✓ r Govt.Lot
City,State Zip Code Phone Number /, /i.tJ)y�, Section
Lot# T 14r (circle or W
II.Type of Build" eck all that apply) ' `
1 f:s� `� Subdivision N e
Family Dwelling-Number of Bedroo
e Block#
❑Public/Commercial-Describe Use ❑City of
CSM Number ❑Village of
❑State Owned--Describe Use
own of �
III.Ty (Check only one box on line A. Complete line B if applicable)
A' Systemm y ❑Replacement System ❑Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System(explain)
List Previous Permit Number and Date Issued
B. [3 permit Renewal ❑Permit Revision ❑Change of Plumber El Permit Transfer to New
Before Expiration Owner
IV.Type of POWTS System/Component/Device: Check all that a
❑Non-Pressurized In-Ground ❑Pressurized In-Ground ❑At-Grade Mound>24 in.of suitable soil Mound<24 in.of suitable soil
❑Holding Tank ❑Other Dispersal Component(explain) Pretreatment Device(explain)
V.Dis rsal/Treatment Area Information: t ' ' ' �� (--L
gn Flow(gpd) Design Soil Applicati /Rate(gpdsf) Dispers �Arre-aa RRequ (sf) Dispersal Area Proposed(sf) Sy ternAlevation -e
0 .
✓ G'. � C/C✓ �L�l -7Z Gn'4
VL Tank Info 'Capacity in Total #of Manufa
w �
Gallons Gallons Units fl e, j 3
V y n
New Tanks Existing Tanks ° :'• 2 .9W t°
Septic or Holding Tack
Dosing Chamber '7
VII.Res onsibility Statement-1, un ersigned,assume ibility for installation of the POWTS shown on the attached plans.
Pi Name(Print) 1 Plumber's c MP/MPRS Number Business Phone Number
Plumber's Address(Street, ity,State,Zip Code
Countv/De artment Use Onl l�
Permit Fee �L, Date Issued Issuing Agent St. urey
Approved
El
❑Owner Given Reason for Denial $ �
IX.Conditions of Approval/Reasons for Disapproval
SYSTEM OWNER; /�t y�_ i ,
I.Septic tank,effluent filter and ( �} ! I V r L L`c�-��
dispersal cell must be serviced/maintained
as per management plan plovided
se ac requirer?t �� �►Sla ntalned m and submit to the County only on paper no�less than R 1121.Vr1 inches to size
as per applicable code/ordinances.
SBD-6398(R. 11/11)
�GEenxr'n�EV\ DIVISION OF INDUSTRY SERVICES
141 NW BARSTOW ST FL 4TH
y� WAUKESHA WI 53188-3789
Contact Through Relay
Y
www.dsps.wi.gov/sb/
www.wisconsin.gov
Scott Walker,Governor
Dave Ross,Secretary
October 17,2014
CUST 11)No. 226900 ATTN.•POWTS Inspector
SHAUN R BIRD ZONING OFFICE
BIRD PLUMBING INC ST CROIX COUNTY SPIA
1432 120TH ST 1101 CARMICHAEL RD
NEW RICHMOND WI 54017 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 10/17/2016 Identification Numbers
Transaction ID No. 2465388
SITE• Site ID No. 806878
Creative Homes Please refer to both identification numbers,
Lot 54 above, in all correspondence with the
Town of Troy agency.
St Croix County
NWl/4,NWI/4, SII,T28N,R19W
Lot: 54, Subdivision: Hills of Troy
FOR:
Description:Mound
Object Type:POWTS Component Manual Regulated Object ID No.: 1506890
Maintenance required; 600 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade;
System(s):Mound Component Manual-Ver. 2.0, SBD-10691-P(N.01/01,R. 10/12),Pressure Distribution
Component Manual-Ver. 2.0, SBD-10706-P(N.01/01,R. 10/12); Effluent Filter
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative
Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be
constructed and located in accordance with the enclosed approved plans and with any component manual(s)
referenced above. 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 system is to be constructed and located in accordance with the enclosed approved plans and with the Mound
Component Manual-Ver. 2.0, SBD-10691-P(N.01/01,R. 10/12) and the'Pressure Dis on Component
Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD--10�
�Ar qAA %,,
In the event this soil absorption system or any of its component parts malf �oQ 5 I&,Wth hazard,
the property owner must follow the contingency plan as described in the approved. dlt_�e►,the owner
must comply with the operation,maintenance and monitoring duti s as de be .n the, mponent
manual. A copy of this information must be given to the owner upon of the pro ?'
All holding/treatment tanks are to comply with SPS.384.25(7)(a). Sc�`cCy`
O ,p.
Maintenance information must be given to the owner of the tank explaining that pfiodic cleaning of the filter is
required. Access to the filter for cleaning must be provided per SPS 384 product approval conditions.
I
SHAUN R BIRD Page 2 10/17/2014
c
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. Stats.
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 Sec. 145.20(2)(d), Wis. Stats.
Owner Responsibilities:
• SPS 383.52 Responsibilities. 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. SPS 383.54(1).
• SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as
required under s. SPS 383.54(4)shall be considered a human health hazard.
• SPS 383.55 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.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department,which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise leaking 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 and the POWTS management plan to the owner and any
others who are responsible for the installation,operation or maintenance of the POWTS.
Si ely, Fee Required$ 250.00
This Amount Will Be Invoiced.
When You Receive That Invoice,
Julia A Lewis-Osborne Please Include a Copy With Your
POWTS Reviewer 2,Integrated Services Payment Submittal.
(262)397-6005 WiSMART code: 7633
julia.lewis@wisconsin.gov
Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services
(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been
replaced with"SPS"to recognize the relocation of the Division of Industry Services from the former Department of
Commerce to the Department of Safety&Professional Services. Additionally,all IS (formerly S&B)codes have
been renumbered and addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code
will be addressed by SPS Chapters 360-366.
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 9/29/14
Owner:Creative Homes
Location: NW1/4 NW1/4 S11 T28 N,R19W Lot 54 Hills of Troy Troy
Manuals Used: Mound Component Manual Version 2.0 (01/31)
Pressure Distribution Manual Version 2.0 (01/31)
Page#
1. Cover Page
2. Mound Plot Plan
3. Mound Cross Section
4. Pipe Cross Section/Pipe Layout
5. Pump Chamber Cross Section
6. Pump Curve
7-8. Maintance and Contigency plan
9-11. Soil test
12. Filter Specifications and cro section
Shaun Bird
Signature
License number 22690 <Y
,r
Y
cs
�o Fg
NSF
Nc�
PLOT PLAN
PROJECT Creative Homes ADDRESS 707 Commerce Drive Suite 410 Woodbury Mn 55125
NW 1/4 NW 1/4S 11 /T 28 N/R 19 W TOWN Troy COUNTY ST.CROIX
SYSTEM ELEVATION 1080' DATE 9/29/14 BEDROOM 4
CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765
HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none
IL BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 1078.29'Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
Scale = 1 /411 = 10,
All piping shall be SDR 30/34, within 10'
of tank,piping shall be Schedule 40.
B.M.* Property Line
1 Acre Lot
B-C Grading is to be done to divert Tank is to be properly bedded Town Road
run-off away/ from system and provided with Iockdown
covers with approved
B-B 6% Slope labels
Wei I is to meet
Huffcutt Pro 4 all 1�DNR
Combo Tank Bedroom setbacks
Ho use
B-A
80,
Property 1078' 079' We I is to meet al I setbacks
Line found in Comm. 83
1077' �
Area 15' below system
is to remain Property Line
undisturbed
Scale = 1 /4" = 10'
Mound System Cross Section and Plan View
- - - - - - - - - - -
- - "" - - ` Dimension Feet
A t`3
J
i
B
S
. . 77)
i
D J. 0
'
mill., i ir • r,}i :• .:`} r , E 44 0 M1+4 4•.r 4 4.1L C {YL:Yt{tifL�.}}i4f}.{•V} � •rt� }itjit A ' :L:L. rL:•r••1ih�1tL 4 1 4{1.1. \11•M1HYL•M1 M1 YL•L• �} r•JY J J J r f J F J•• NJW1•r•N fF
�4 }• M1 r•r•r•r.J.i•rw.r•r•r.r Nr.r•r.r•NNr i•f•Nr•r r•i•J}5+r r J J r}F}r:r.r• i• +i• r4• fry
W
i � Z
G � J
H Jr
;I
i K
i
3 -
i
� L
1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -' W C�
K B
Z l J
Slope % I
L
Topsoil = ASTM C-3 3 ::�4�rL = Clean aggregate =4 in. sch. 40 pvc
Cap Material sand fill 'L`L 1/2 to 2 `/2 in. dia. observation pipe
1\ t
L - J
Geotextile G H
Fabric
\.4• Yr}i4i4'Li'•iii••f.:.
D
E
Plowed Surface'
f���Ft Contour
Slope Direction
GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing
vegetation is mowed and raked off the site. The mound basal area (L x W) is plowed with a moldboard or
chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a '/4 inch soil wire
^ immediately
sand is laced immedi
when a sample is rolled between the palms of the hands. ASTM C-3) quality p y
'
after plowing. Sand is placed with a tracked machine keeping inches of sand under the tracks or
12 or more
is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot
thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound
is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The
observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange.
10/07lgj Page of
Pressure Lateral Layout
Two Laterals — End Manifold
4 'Threaded
Cleanout
I_,ateral Turn-up — 10 Plug
Manifold
M
X
L Long-
Force Main Sweep
90
Bend
Distribution Network Specifications Pressure System Construction
Lateral Diameter In.
Manifold Diameter _ �- In. Laterals are constructed of Schedule 40 PVC
Orifice Diameter 5/32- In. pipe. Orifices are drilled perpendicular to
X Orifice S acin rt`f In. the pipe with a sharp drill bit and face down.
L Lateral Length) 7�2_ Ft. Lateral turn-ups terminate with a threaded
M (Manifold Length) 7 Ft. cleanout plug and are enclosed in a 6-8 inch
Force Main Diameter 2 In. diameter lawn sprinkler valve box accessible
Force Main Length Ft. from finished grade.
• • • • • Grade • • • • • • • ..d : :_ ' '_ _: • • • • • • •
6-8 Inch Lawn
Sprinkler Valve
Box
Page _- of _
03/0519)
Septic-Dose Tank Cross Section And Pump Performance Specifications
Tank Manufacturer Pump Manufacturer
Tank Model Number � 7� 'Q
Pump Model Number L
Total Tank Capacity l 5s 6
Alarm Manufacturer UC C-
Max.Bury Depth Alarm Model Number t.-✓
Switch Type �C'. .ulC r
Filter Manufacturer
Total Dynamic Head(TDH) - Feet
Filter Model Number i9a
-
1 Minimum Pump Performance Required ��1 GPA� ,; Ft TDH �6,
outlet Manhole Min.4"Above Grade With Manhole Min.4"Above Grade
Locking Device, Inlet Manhole Securely Mounted W�Locking Device
<6" Below Grade Sealed Watertight Weather-proof l
"""—► Junction Box -
- Finished Grade ` Ma �• ♦•• ••wmw
1
Vent Min. 12" Disconnect
Above Grade Means
• With Vent Cap
Outlet Filter
Inlet ;: .r-•---'"�
Inlet Baffle
., A
Reserve Capacity ''
• Switch S ,>:; Weep
Tank VohYYne= GPI B Hole
Dimension: Inches Volume Gal.
(reserve)A -6•S �.5 v Off Elevation C
{alarm) B 2 �Ft _ Bottom
(dose) ;
_ D Elevation
dead D Ft
-7 �0
Total ;:;: ..... ..
Y.
l•YRYi�Y•>;r�,���/:!Y;l,Y;1,Y,�,.,i,i,l:::::.,R.,4 a
filled
in accordance with the
k
is
bedded
and
back
GENERAL INSTALLATION: The septiMaxi u depth of bury as specified by the manufacturer may not
manufacturer's product approval specifications. have an effective locking device (padlock)
be,exceeded without prior approval. Manhole covers exposed w grade tank with watertight fittings, and
d material
installed. Piping at the inlet and outlet is of approve , conned to Sch. P'VC to bridge the tank
laid on stable soil to prevent settlttug or sagging• The force main is sleeved with »
is sealed vwatestight.
Electrical service complies with NEC 300 and Comm 16.29.
excavation and the sleeve
Page of ----
02105 U
- Dr
`-
T ' .3 .-`-A,
P,
R MINLIII
'ENT AND D-LWATERIN'u
HEAD CAPACITY CURVE
i. 1 a
M.ODEL .O 152/1" � L
z
L
Lj
S
7
s
69 25 1 77
29' i
153 I 2E5
7--
121 40 4 6 E-3 1 6 231 152
T 44
a C,
5 2
C"
6 -,4 129 42 9
30
Q-1
20
77-7
4A.j
4
U
0
4 E 50
GALLONS I
LlifEps 01 0_0 240 320
FLOW PC R VIINL
CONSULT FACTORY FOR SPECIAL APPLICATIONS
5"
Timed dosing panels available.
Electrical alternators,for duplex systems,are available and supplied with
an alarm.
Variable level control switches are availab;e for controlling single phase
systems
Double piggyback variable level float switches are available for variable _T_
level long and short cycle controls,
Sealed Qhik-Box available for outdoor installations.See FIV11 420.
Over 130°F.(54*C,)Special quotation required,
1521I53 Series n jk
Control Selection. l
1521I53 MODELS /5
Model Volts•Ph Simplex .., L)upiex
M-qtTi 1
Si '_2 or 3
85
Auto i 8.5 i inciujed 2 or
I El5 i Non 2 or
4.3 inciu-.ed 2or3
2 2��1 i
t��5 ! 2 of
�U_10 —10.5 1
1 Non
SELECTION GUIDE
10.5 1 Inciu;eo 2or3
I TNI'53115 1 Auto 1-27 2_1 piggyback variable level float switch or double piggyback variable level Boat
I o 3 1 Single Pig_
E153 230 1 Non 5.3
T,,_I� 2oF3 e4er to FM0477.
GE153 1 230 i AU10 — _ I svv�tch. R ,
FA7:C�AUT CAUTION 2. See;-jj0-1,12 for correct model of Electrical Alternator E-Pak
All installation of controls protection devices and wiring should be done by a qualified 3, 'Variable level control switch 10-0225 used as a control activator,specify duplex(3?
most or i4)
L Boat system.
licensed electrician, All at r rn
electrical and safety codes should be followed including the
recent National Electric Code(NEC)and the Occupational Safety and Health Act(OSHA).
RESERVE POWERED DESIGN
For unusual ccriditions a reserve safety factor is engineered into the design of every Zoeller PUMP.
-------------—
MAIL TO: P.O.BOX 1637
Louisvilie,KY 40256-0,347 Ma'-'_'i1)aCfUr6rsoi
SHIP TO; 3649 Cane Run Road
Louisvilie,KY 40211-!96! 'CIJA"Ps slyer-
7732731.1(8001928-PUMP
Azwa FAX(507,1 774-3624
http.11www.zoelier.com Q Copyright 2000 Zoeller Co.All rights reserved,
'F Wisconsin Department of Commerce � C IL EVAfWAT10N REPORT Page 1 of 3
Division of Safety and Buildings
in accordance with Comm 85,Wis. Adni.:�l le
County ST.CROIX
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must
include,but not limited to:vertical and horizontal reference point(BM),direction46d Parcel I.D.
percent slope,scale or dimensions,north arrow,and lQcation anddistance to neardlt roa — — Q
Please print all information:' uj�rl viewe at
Personal information you provide may be used for secondary purposes(Privacy Law . .04(1)( )). t
Property Owner Property cation
LEONARD&MARGARET DELAURIERS Govt.Lot ----NW 1/4 NW 1/4 S 11 T 28 N R 19 E(or)❑W
Property Owner's Mailing Address Lot# Block# Subd.Name or CSM#
706 Coulee Trail N54 --- Hills of Troy
City State Zip Code Phone Number Village ■ Town Nearest Road
Hudson, WI 1 54016 ( 1roy I Coulee Trail
New Construction UseE] Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement a Public or commercial-Describe:
Parent material loess over till Flood Plain elevation if applicable NA ft.
General comments Mound System-- 1.00 ft.sand fill--0.6 loading rate
and recommendations:
(If pre-treatment-below ground drip irrigation system--0.8 loading rate)
A] Boring
Boring# ❑ Pit Ground surface elev. 1076.90 ft. Depth to limiting factor 24 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 -Eff#2
1 0-12 10YR3/2 sil 3f-ma&sbk mvfr ai 2vf-co 0.6 0.8
2 12-24 10YR3/4 sil 3fabk mfr as 2vf-m 0.6 0.8
3 24-30 10YR3/4 c2d 10YR5/6&10YR6/1 sil 2f-mabk mfr cs lvf-f 0.6 0.8
4 30-35 7.5YR4/4 c2f 7.5YR3/4 sl Om mr -- -- 0.2 0.6
B Boring# E] Boring 24
] pit Ground surface elev. i 01R.CO ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 I *Eff#2
1 0-4 10YR3/2 sil 3fgr mvfr cb 3vf-m 0.6 0.8
2 4-9 10YR3/2 - sil 3fabk mvfr as 2vf-m 0.6 0.8
3 9-16 10YR3/4 sil 3fabk mfr cam' 2vf-m 0.6 0.8
4 16-24 10YR3/4 sil 2f-mabk mfr cs lvf-m 0.6 0.8
5 24-30 7.5YR4/4 f2f7.5YR3/4 sl orn mvfr -- lvf-f 0.2 0.6
Horizon 5 has some gr;few cobbles.
*Effluent#1 =BOD >30:5 220 mg/L and TSS>30<150 mg/L *Effluent#2=BODS<30 mg/L and TSS<30 mg/L
CST Name(Please Print) nature CST Number
Mary Jo Hollister 224832
Address Date evaluation Conducted Telephone Number
W9875 690th Avenue, River Falls, WI 54022 09-06-05 (715)426- 1775
Page Property Owner DeLauriers(Lot N54) Parcel ID# (Pending) Pa e 2 of 3
C Doling# Boring
❑ Do Q Pit Ground surface elev. i CW XV ft. Depth to limiting factor 24 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2
1 0-4 10YR3/2 -- sil 3fgr mvfr cb 3vf-m 0.6 0.8
2 4-10 10YR3/2 sil 3f r&abk mvfr as 2vf-m 0.6 0.8
3 10-24 10YR3/4 -- sil 2fabk mfr as 2vf-f 0.6 0.8
4 24-28 10YR3/4 m1f 10YR4/6&10YR6/1 sil 2f-mabk mfr as lvf-f 0.6 0.8
5 28-33 10YR3/4 m2d 7.5YR4/4 sl Om mfr -- 1vf-f 0.2 0.6
El Boring# Boring
apit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2
Boring
F-1 Boring# Ground surface elev. ft. Depth to limiting factor in.
Pit Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2
*Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD,<30 mg/L and TSS<30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330Test(R.07/00)
Plot Plan for Hills of Troy Page 3 of 3
Town of Troy, St. Croix County, Wisconsin
Lot -5y I" - 40ft.
Legal Description `t,T2,SAl, 2 ft. contours
IZI� TLWrQ OF7)ZX M = Backhoe pit
tic
goo
----- - x 7 085 6
CH MARK. \
TOP F 1 1/4" \
IRON ®
ELEVATIO R---98A \
\ ® R-97C
1079 ft
C
e
R-97B ►X
gi. IC'SxtCu
i
i
� � I
R-97`A
,L 107
BENCH MARK:
TOP OF 1 1/4"
IRON PIPE
EL ATION = Eb7U
7 \ \
BENC/ Mq
TOP OF- K D \
\ E EVP'PE' IVE.wAYEq
_ \
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page or
FILE'tNFORMATtON SYSTEM SPECIFICATIONS
Owner �r,e r Septic Tank Capacity al O NA
Permit# Z Septic Tank Manufacturer ❑NA
DESIGN PARAMETERS Effluent Filter Manufacturer , ❑NA
Number of Bedrooms ❑NA Effluent Filter Model ❑NA
NA Pump Tank Capacity al ❑NA
Number of Commercial Units
ated fkw(average) al/da Pump Tank Manufacturer NA
IDesign flaw(peak),(Estimated x 1.5) gal/day Pump Manufacturer ❑NA
allda Pump Model f.r�- ❑NA
Sofit Application Rate
Monthly average' Pretreatment Unit A
Influent/Effluent Quality ❑ Sand/Grdvel Filter ❑ Peat Filter
Fats, Oil&Grease (FOG) S30 mg/L ❑ Mechanical Aeration ❑Wetland
Biochemical Oxygen Demand (BOD5) 5220 mg/L ❑ Disinfection ❑ Other.
Total Suspended Solids (TSS) 5150 mg/L anufatmr
Pretreated Effluent Quality ❑ NA Monthly average' Dispersal Cell(s)Biochemical Oxygen Demand (BOD s) 530 m
/L
❑ In-ground(gravity) ❑ In-ground(pressurized)
❑At-grade ound
Total Suspended Solids (TSS) s30 mg/L ❑ Other.
Fecal Coliform(geometric mean) 510`cfu/100ml ❑ Dri ine
Maximum Effluent Particle Size Y,inch diameter " values typical for domestic(non-commerciaq wastewater and
septic tank effluent.
�* values typical for pretreated wastewater.
MAINTENANCE SCHEDULE
Service Event Service Frequency
'�-
At least once every ❑ months7ar(s) (Maximum 3 yrs.)
Inspect condition of tank(s)
Pump out contents of tank(s) When combined sludge and scum equals one-third (Y,)of tank volume
inspect dispersal cell(s) At least once every ❑ months ar(s) (Maximum 3 yrs.)
Clean effluent filter At least once every // ❑ months earls)
Inspect pump, pump controls&alarm At least once every ❑ month ear(s) ❑ NA
Flush laterals and pressure test At least once every C3 months ar(s) ❑ NA
Other: At least once every ❑ months ❑year(s) ❑ NA
other: At least once every ❑ months ❑ year(s) ❑ 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
efeffluent levels
in the observation pipes and to check for any pondiing of effluent on the ground surface. The po g
ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third(Y,)or more of the tank volume, the
entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR
113,Wisconsin Administrative Code.
The servicing of effluent filters, mech nical or pressurized POWTS components, pretreatifinent components, and any
other maintenance or monitoring at iervals of 12 months or less shall be performed by a certified POWTS Maintainer.
A serviw, report shall be provided to the local regulatory authority within 10 days of completion of any service event.
START UP AND OPERATION
WT
For new construction, prior to use of the POS check treatment tank(s)for the presence of painting products or other
chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are
detected have the contents of the tank(s) removed by a septage servicing operator prior to use.
r
Page of
START UP AND OPERATION for the presence of painting products or other chemicals th�it
For new construction, prior to use of the r damn check treatment tank(s)
rocess and/or damage the dispersal cell(s). if high concentrations are detected have the contents of this
may impede the treatment P operator prior to use.
tank(s)removed by a Septage servicing o P
at occur when soil conditions are frozen at the Infiltrative surface. restored the excess wastewater will be
u shall n r is r .
System start p owe enit.
During power outages pump tanks may fill above normal ding the r levels. When result In the backup or surface drscharg OWe� to tl�ie
discharged to the dispersal cell(s)in one large dose,overloading the cell(s)y and may operator prior to restoring P
To avoid this situation have the contents of the pump
tank removed by a se; Servlcl th® controls to restore normal teveis
effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating pump compact,the area within
within the pump tank.
Do not drive or park vehicles over tanks and solpabsorption area.not drive or park over, or otherwise disturb or POW1 ,�
15 feet down slope of any mound or at-grade
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the fife of
condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain
gasoline; grease; herbicides; meat scraps; medications; oil; painting produclls;
antibiotics; baby wipes; cigarette butts;
(sump pump) water; fruit and vegetable peelings; 9
pesticides;sanitary napkins;tampons; and water softener brine.
ABANDONMENT wi
When the POWTS fails and/or is permanently taken out of service 3 i t�nsili Administrative steps shall be taken to insure that the system is propel Y
and safely abandoned in compliance with chapter Comm
• All pip in g to tanks and pits shall be disconnected and the abandoned pipe openings sealed,
erator.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Op
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil,
gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compli�pn
replacement system:
❑ A suitable replacement area has been evaluated and may be utilized for the location of a
protected from disturbance and compaction and shouldenotc
The replacement area should be p be infringed upon by requke
fish a suitable replacement area. Replacement systems must comply with the ruled in
setbacks from existing and proposed structure,tot tines and wells. Failure to protect the replacement area will result in the Weis
for a new soil and site evaluation to estab
effect at that time.
El A suitable replacement area is not available due e ticet{he fated POs Smitations. Sorting advances in POWTS technology
holding tank may be Installed as a last resort to p a evaluaiiior
�b site has not been evaluated to identify asit leer replacement olacement area isuavail b aOhoding tank may beeinstalled:a!
be performed to locate a suitable
a last resort to replace the failed POWTS.
\Mound and at-grade soil absorption temts must be with reconstructed ctees in
effect follows ti�e movai of the biomat at the infiitrativ�
surface, Reconstructions of such y
<<WARNING>>
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN, DO N
ENTER A SEPTIC, PUMP OR OTHER TREATMENT T DIFFICULT NK N OR IMPOSSIBLE.IRCUM NCES. DEATH MAY RESULT. RESCUE O
PERSON FROM THE INTERIOR OF A TANK MAY
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAIN R
Name
Name f / ct�tf✓ l ./ �----............
Phone �✓��
Phone l f �'
SEPTAGE SERVICING OPERATOR(PAJMPERII LOCAL REGULATORY AUTHORITY _
Name Name oe
Phone Phone 7,/..,;
&(3),Wls
This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(fl and 383.54(1),(2) c:onsin Administrative Code,
OILIER CARTRIDGE I
Installation
o ensure it is
i t e
f h outlet e
onto the end o the STEP 1 D fit the filter case pipe Dry
centered under the access opening. If not, then either insert more pipe Into the
tank through the outlet or solvent weld (glue)additional pipe onto the outlet
pipe.
STEP 2 While the case is still dry fitted on the outlet pipe, measure the length
of 3/4-inch pipe needed to brace the filter to the tank end wall if utilizing the
optional supplemental side support. If side support method is not utilized,
proceed to step four.
STEP 3 For installations utilizing the optional supplemental side support:
solvent weld the 3/4-inch pipe onto the filter case. If side support method is not
utilized, proceed to step four.
STEP 4 Solvent weld the filter case onto the outlet pipe. Insert the filter
cartridge into the case, pressing down until the filter locks into the bottom of
the case.
STEP 5 If a VRS switch is utilized: insert into the filter and lock by turning
clockwise 901.
Maintenance
1. The effluent filter should be cleaned every time the septic tank is
serviced.
2. Open the outlet access opening to inspect the tank and filter. r� ;, k
3. Pump the septic tank completely, making sure to remove the sludge
layer on the bottom of the tank and not just the scum and effluent. f
4, Once the effluent level has been lowered below the invert of the
outlet pipe, firmly pull up on the filter handle to dislodge the
cartridge from the case. ? '
S. Slide the cartridge up and out of the case for cleaning.
6. If a VRS switch connected to an alarm is present, the switch
should be removed by turning counterclockwise 900 and cleaned
with water only. .
7. While holding the cartridge on its side (large flat surface facing
down) over the access opening, rinse off the cartridge with water
only, making sure all septage material is rinsed back into the tank. '. &
-iA S. If VRS switch is utilized, replace by inserting into filter and � I'
turning clockwise 90°.
9. Insert the filter cartridge back into the case, pressing down until
the filter locks into the bottom of the case.
10.Replace and secure the access opening on the tank.
BEAR ONSITET"FILTER CARTRIDGE-FIVE-YEAR LIMITED WARRANTY
5.
BEAR ONSITE Filter Case-Lifetime Limited Wa are y
;it I;.e*_rase ;b u.. `e_
2'c-'a. 'kite l"),.3:;,,. {_..::;)r. .a, „ .\':1� r.• _.1i .. ...
..rJ 3.tus. ltin",C.cimaae t` C pi uClfC ccli'ta, J'-n.,>_ii, wefe,.
of ::alfu' .t-lr. 'Ps AI it;q.'!O:^.l a t.`,no �,',Call... ✓.t r.£'.,.i .J
? J
.'+e w':irla`?y Proof of rwcrlase:,'io naG IF,�PC Pt„ 1u:..1.1E P.""�ne.c t.0 yr - +. Y tr dl t io .?�f'
s,:o�smie•for laDOr na'uc.,
,,. r t c n's-alt,ne.I!a 'W'Y Of Flee %r '_eG
V)e CJfrraSe Price v t.,c{'.'DGJC•C
M
ST. CROKX0OUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERT1y1CAT10N [00IW
[)vvocrqBuyer_____
Mailinm�d�000
-
Property Address V-IA--v
(Verification required from Planning&Zoning Doport.men1 ion.)
City/State ( /L/�^ P3�C�ll��ot�f��a�ou��u����z /7'-
LEGAL DESCRIPTION
Property Location V" See. T� �—_r----'----'----- ----'----~~--~------------�'----'
Z'
Certified Subdivision /Y-/ ZZ e2 '-7— Lot#S/I/
_ Survey _-, ' Volume Page ---_--__.___-
Warranty Deed# Voiumn__________, pugc#___________
Spec,house 00 Lot line:! idautd5ubbc
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use and maintenance o[your septic system could result in.its yno-mutun:failure k,handle wastes. Proper
maintenance consists of pumping out the septic tank every three years or sooner, it needed,by a licensed pumper. What you put into
the n}mteo/can affect the hinc6000f the septic tank aun treatment stage io the vvus|n disposal u}mu:o1. Owner maintenance
responsibilities are specified iu§Coouno 83.52(1)and iuChapter 12 S/. Croix County Sanitary 0rdiomcv
The property owner agrees m submit to St.Croix County Planning&Zooing,Department a certification fonui, signed bytile
owner and by a master plumberjourrieyman plumbei,restricted plumber or a licensed pumper verifying that(|)the oil-site
wastewater disposal system is in proper operating condition and/or(2)after inspection and pumping(if'riecessary),the septic tank is
less than 18 full uIsludge.
l6wo`the undersigned have read the above requirements and agice to maintain the private sewage disposal systern with the
standards set forth,herein,as set by the Department of Corlimerce.and tile Departirimit.of Natural Resources, State of Wisconsin,
Certification stating that your septic system has been maintained must be coniplete4 I and returiled to the St. Croix County Plannuilg&
Zoning Department within 3O days of tile three year expiration date.
I/wo certify that all statements ou this form are true m the best n[ug/onak novv>od&e. Dvvuurniuro the unnuer(u)ofthe
property described abo by recorded iu Register of Deeds Office,
Number of bedrooms
of
SIGN TI FR E OF APPLICANT(s) D
*-**Any information that iu misrepresented may result iothe sanitary poonit being n'!vnkedhy the Planning &Zoning l)npudzoeut. ***
Include with this application a recorded warranty deed fTom the Registei of Deeds 0 ffice and a copy of the certified survey n-iap if
reference iu made in the warranty deed.
(REV.08/05)
Parcel #: 040-1318-00-054 10/28/2014 08:43 AM
PAGE 1 OF 1
Alt. Parcel M 11.28.19.2129 040-TOWN OF TROY
Current ❑X ST. CROIX COUNTY,WISCONSIN
Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units
01/17/2006 00 0
Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner
O-CREATIVE HOME CONSTRUCTION INVESTMENTS LLC
CREATIVE HOME CONSTRUCTION INVESTMENTS LLC
707 COMMERCE DR STE 410
WOODBURY MN 55125
Property Address(es): '=Primary
478 PROMINENCE WAY
Districts: SC=School SP=Special
Type Dist# Description
SC 4893 SCH DIST RIVER FALLS
SP 0100 CHIP VALLEY VOTECH Notes:
Legal Description: Acres: 1.051
SEC 11 T28N R1 9W PT NW NW HILLS OF TROY
('06) LOT 54(1.051AC) Parcel History:
Date Doc# Vol/Page Type
04/16/2013 976926 WD
01/10/2011 930266 WD
01/17/2006 816571 EZ
01/17/2006 816568 10/095 PLAT
more...
Plat: '=Primary Tract: (S-T-R 40%160%GL) Block/Condo Bldg:
* 10-095-HILLS OF TROY 040-06 LOTS 1/6 11-28N-19W NW NW LOT 054
2014 SUMMARY Bill#: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 11/09/2009
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.051 48,800 0 48,800 NO
Totals for 2014:
General Property 1.051 48,800 0 48,800
Woodland 0.000 0 0
Totals for 2013:
General Property 1.051 48,800 0 48,800
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 I I I I I I I I I I I I I I l i
I I IIIII I II
8147904
State Bar of Wisconsin Form 6-2003 Tx:4120163
SPECIAL WARRANTY DEED 976926
BETH PABST
Document Number Document Name REGISTER OF DEEDS
ST. CROIX CO., WI
THIS DEED,made between BMO Harris Bank National Association,successor by 04/16/2013 11:52 AM
merger with M&I Marshall&Ilsley Bank REC FEE:EXEMPT#: NA
NA
("Grantor,"whether one or more),and TRANS FEE: 2025.00
Creative Home Construction Investments, LLC,a Wisconsin limited liability PAGES• 3
company ("Grantee,"whether one or more).
Grantor for a valuable consideration, conveys to Grantee the following described real
estate,together with the rents,profits, fixtures and other appurtenant interests, in
St.Croix County, State of Wisconsin ("Property")(if more space is
needed,please attach addendum): Recording Area 2
Name and Return Address �+
See attached Exhibit A. ,Joh E I
e%6ria o e CNstkctten vestwerttc,MV,
gl Drive La-M Tit Ho , 08� �w Co.,RD%. C, 9�
`Ros"',1(r�MN SSll3
F-:1
See Exhibit A
Parcel Identification Number(PIN)
This is not homestead property.
(is)(is not)
Grantor warrants that the title to the Property is good,indefeasible,in fee simple and free and clear of encumbrances arising by,through,or under
Grantor,except municipal and zoning ordinances and agreements entered under them,recorded casements for the distribution of utility and
municipal services,recorded building and use restrictions and covenants,general taxes levied in the year 2013,and Permitted Encumbrances
described on the attached Exhibit B.
Dated February 28,2013 BMO HAJUUS BANK NATIONAL ASSOCIATION,
success th &I M rshall&Ilsley Bank
(SEAL (SEAL)
* *B S. autze , I President
(SEAL) (SEAL)
* ._...� *By:
SIN AR „tl,l ACKNOWLEDGMENT
AUTHENTIC p�11+If
Signature(s)
�} C � ��� STATE OF WISCONSIN )
ss.
authenticated on ,. CRS 4 1 % MILWAUKEE COUNTY )
v�lUpk��S 1'�
Personally came before me on Al '2013
rtr•, wr tt\,-,.�- the above-named Gary S.Kautzer, Vice President of BMO____
TITLE:MEMBER STATE BAR VS.GOI�ISIN Harris Bank National Association
(If not, to me known to be the person )who executed the foregoing
authorized by Wis.Stat. § 706.06) trument d ac wl e the me.
THIS INSTRUMENT DRAFTED BY:
Marvin C.Bynum II,Godfrey&Kahn,S.C. *Carol Lee Hopkins
Notary Public,State of Wisconsin
My Commission(is}permanent)(expires:April 6,2014 )
90033732
(Signatures may be authenticated or acknowledged. Both are not necessary.)
NOTE:THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
SPECIAL WARRANTY DEED ®2003 STATE BAR OF WISCONSIN FORM NO.6-2003
Vp2l
name below signatures.
EXHIBIT A
Legal Description
Lots 2, 11, 13, 14, 15, 16, 17, 19,24,25,26,32,33,34,35,36,37,38,39,40,41,42,43,44,48,52,53,54,55,56,57,58
and 59,Plat of Hills of Troy in the Town of Troy,St.Croix County,Wisconsin.
Parcel ID Nos.:
040-1318-00-002
040-1318-00-011
040-1318-00-013
040-1318-00-014
040-1318-00-015
040-1318-00-016
040-1318-00-017.
040-1318-00-019
040-1318-00-024
040-1318-00-025
040-1318-00-026
040-1318-00-032
040-1318-00-033
040-1318-00-034
040-1318-00-035
040-1318-00-036
040-1318-00-037
040-1318-00-038
040-1318-00-039
040-1318-00-040
040-1318-00-041
040-1318-00-042
040-1318-00-043
040-1318-00-044
040-1318-00-048
040-1318-00-052
040-1318-00-053
040-1318-00-054
040-1318-00-055
040-1318-00-056
040-1318-00-057
040-1318-00-058
040-1318-00-059
2 of 3
is
EXHIBIT B
PERMITTED ENCUMBRANCES
i 1. Any encroachment,encumbrance,violation,variation,or adverse circumstance affecting title to the Property that
would be disclosed by an accurate and complete land survey of the Property.
2. Easements or claims of easements which are not shown by the public records.
3. Any lease,grant,exception or reservation of minerals or mineral rights appearing in the public records.
4. Subject to the building set back lines,utility easements,drainage easements and wetland areas as reflected on the
recorded plat.
5. Subject to the terms and conditions as shown on the recorded plat of Hills of Troy.
6. Restrictive and protective covenants as recorded in Document Number 816569,amended by Document Number
841464. (These restrictions contain no forfeiture provision.) (Omitting any covenants or restrictions,if any,based
upon race,color,religion,sex,sexual orientation,familial status,marital status,disability,handicap,national origin,
ancestry,or source of income, as set forth in applicable state or federal laws,except to the extent that said covenant
or restriction is permitted by applicable law.)
7. Subject to the terms and conditions of the Landscaping Easement in favor of Hills of Troy Homeowners
Association,Inc.as shown as Document No.816571.
8. Subject to the terms and conditions of Conservation Easement recorded on July 1,2005 in Vol.2834,pages 155-
173,as Document No. 799119,amended in Vol.2937,page 68-77,by Document No. 813315.
S?
3of3
I ACRES W lf , .
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