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HomeMy WebLinkAbout040-1322-12-001my"I'll Coal of comm"o, Agal and EARN Dold, GENERAL INFORMATIC) PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) TANK SETBACK INFORMATION VAR outlet TANK TO PAY WELL BLDG Valtu Ar pi ROAD Ol In lse of Bottom Dmrng Heatle reAanAwasol oI:L I'll ame Bnr srzmm PUMPISIPHON INFORMATION Eaal catle anmaqu,er remene St Dover Ton Gn Splean Lola Saudi Head TDn Folauga Length mwau SOIL ABSORPTION SYSTEM " 5 wexsl rpne xLEACHING :oi= xrve ovpuFIMA E�n�jTrenrne° SYSTEM TO BLDG WELL LAME STREAM MasaiType Of System uxn ix"m°o. DISTRIBUTION SYSTEM enmwuaa "Eft"'al° remw ie spnlnc mninnuxe oOIL COVER ,BYamms Gulfm Xx ip and Or gLmaeB vxn ,.zn cans ra"w Ee .e to Yeeoll ceax elN evert FISH D=a' cr aM COMMENTS: haute@ wee mec:apenviea pi present em.I lnapeman*1 � o �.a n �' °p' Ed Sul mzpmlcn az: Locallon']]]PFACFABLE HILL RG I )AT BM Dunnp(ron = 2) Bldg ... 8, kngN- amount M Case - N Plan n1 El Id[v,'Yea III— — US,fullylfonalinternal . 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CiY aNNsxaean+ IS W �- deveov.ear S' q50 VTIL Pw ueobl SmbveeO L01.ee andi mltlllaM Iwontr POWfs YvnuS ree.nmYelb m Nlmh. .TEFL' �� � 22s 242 �15�491 '3Y58 %J'1 M1eel3tlen,db.Stl.Zlp Coiel E,K QD0. 1VI 80 5 S KeSS 5400y vn a m. ru..mu,eom Pmmmr: ousming Si s m /2 `/ l9 Mrmat ❑venevemike ad fe m ce"W" OAppER_.ua nforo l MelYSTE ej:.vJ 1 septic tannkkNemoem filer and („!(i no, fXmC�f PuA+:�1. ewpewl mu must be seMsoaalmaintained do par management plan provided by pWmbsr. Y NlseroeJ raVuiremenls must be melnh,oebeML.u�en.Nlebi 43 SH663%tR un p SEFF(�Y J KRrsil cEIZNbIiUS LOId11 'I RDY 6VERLrzSK NWI+H Sill S t4 TZ8 OR 19 W —t-1Zpy ThWlJsHfP ti Qra... (/ jh� ���� v6` MRS Z72Z'+Z L.0"l 1 a %PCAMPRK' "fib(' 6Y 3/y Re t?m l - (m ® tr:UC9AlARK 2' T6P a3� " PiA RIY6 L ' 7 D 5A ffbillOb �:AIG I " H6 4"Approved Pipe Mound with " 10x 75' cell Weser, \ 2" Sch 40 PVC 11%Slope — _ Well to 5' from Septlc Tank srly6 fmmtoe of Mound t1 � t�F�fAZI,E HILL RO�� WeA.� 4 orveioxrawrwow rzpon unasw daynnirsavanne,.. October 29, 2019 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2021-10 29 Plan Review: PWFS-101902373-C IEFF FOX PO Box 565 Dresser WI 54009 SITE: Jeffrey and Brad ternaboue 383 Peaceable Hill Road St. Croix County Town of Troy NWN SEX-S19-T28N-R19W FOR CONO?IONALLT APPROVED DERdSapEry AND PROFESSIONAL SERVICES Dn ONOFINDUt ySEWCM (.ZtE �eGn-cis: SF£CD PoNDENfF Description: Mound Component Manual -Vec2.o,5BD- 5gedmomMound -750 ODD -New 10691-P(N.01/01, R 10112) Construction2T to limiting factor- Pressure Dktrlbutlon Component Manual-Ver. Effluent River- Maintenance required 205BD-1OT06P)N.W/O1 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 manuals) referenced above. The owner, as defined in chapter 10101ILD), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage) we&at plumbing in the state unless licensed to do so by the Department per a 145.06, stats. The following conditions shall be met during construction or Installation and prior to occupancy or uce: Reminders • The mound site shall be properly prepared prior to plowing. Any grasses longer than 6- shall be can short and removed. TO avoid matting, any leaves Or loose organic matter shall be raked up and removed Cut trees and shrubs flush to the ground and leave stumps. Awld operating equipment on the mound site. If necessary, use only Racked equipment, during dry conditions, with minimal passes, to al compaction. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of sec 145.19, Ws. Stab. • Inspection of the private sewage System Installation is required. Arrangements for inspection shall be made with the designated county offioal In accordance with the provisions of See. 145.201 Wis. Stairs. A state approved el0uent filter Is required. Maintenance Information must be given to the owner of the tank explaining that periodic cleaning of the filter Is required A copy of the 4 pay .. d mars srociffications;and this letter Shall beon-site during construction and open to inspection by authanded representatives Ofth Depa normal which may include local Owner Responsibilities • The currentowner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a ceps, of the appropriate operation and maintenance manuals) and be responsible for Spending that POWTS is operated and maintained In accordance with this chapter and the approved management plan under s. 5PS 383.5af1). In the event this soil absorption system or any of its component Stands matfundions 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 maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at Intervals appropriate for the components) utilized In the POWR. In granting this approval the Division of Industry Services reserves the right to require changes r additions should conditions arise making them necessary for code compliance. As per state slats 101.12)2), nothing in this review shall relleve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may he 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. Sincerely, CeC& Rudnie Data (Elizabeth) small Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608)400-3186 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Resitlenlial Application INDIX AND TITLE PAGE Poked Name: JeRre,&Wistl Clarence WANDMOrVALCP Cori Names APPROVED CEP! OF SAFETY AND PROFESSIONAL SEANCES OwWfs Addrays 7M Prominence CL DOOSION OF INDi SERVICES Hudson VA CZIL Ck NOS SEE CO PoNOENCE Legal Description : Ni SE114 S19 T28NIR19W Township: Troy County: St, Crux Subdivismn Name. Troy Overlook Lot Number: II Bloc< Number: Parcel l D. Number. NO1322-11-000 Plan Transaction No.: Pagel Index and title Page Data entry Page Mound drawings Page Lateral and dose lank Page System maintenance specifications Page Management mtl contingency plan Page] Pump curve and specifications Designer. Jeff Fax L'oanse Number'. MPRS 2232Q Dale: 10111119 PMrw Number: 715491-345B Signature inV' Conned Pursuant to tla Mound Component Manual for POYVTS Vapor 20606101 IN. 01101, R 11112)and ban Si Publication 96 Ceaign of Preaaum deuibution Nm i for STSAS (01161) and Preasure CSNbufwn Component Manual Car. 20 S90.10I06-P IN. 01101, R. IW12) Version ZO(R. 11112) Page Iof 7 Mound and Pressure Distribution Component Design Design Additional Site Information (R or C) r RasibeMlel or Commercial Design Nine'. send NO mbuts"Iwnme. SOO.00 Estimated Wastewater Flow (gold) Ted, 3s3<6.5 P-On deal reasons 1,60 Peeking Factor haft, 15=150%) real offerm 1h. de James ]50.00 Design Flow(gpd) L00 Site Slope(%) 100.00 Contour Line Eleuation (H) 39.W Depth to Limiting Fedor (in) �.so In $ito Soil Application Hate (gptlm') Distribution Call samurai >S.00 Dispersal Cell Length Along Cursor Od 10.00 Cell Width ED 1.00 Dispersal Cell Design Loading Rate J;dm � 1 Influent Wastewater Quality (1 a2) Are line laterals the highest pointy In (Me UiaVlbi I Y PMUUM Dlartbutlon Information naN ? Enter Y or D or E) a Center or Eno Manifold 3.33 Lateral Spacing frc) S N salve, enter the elevation it 3 Number of Laterals ollhe M1ighasl pool. 0.156 DiplCe Diameter(in) 1.So Estimated orifice Spi (H)= 0.33 H /orifice xoo Famemain Diameter (in) BO,Op Forcemaln LongN(ID Does the Promised drain back? O 90.00 Pump Tank Elevation QQ Enter V or N 4-m System Head (it) x 1.3 8.18 Vatican Lift (fl) 2 82 Fric4on Lwa (H) o.W 1n-ima Filter maa (rc) 13 55 Total Dynamic Head (fl Lateral Diammm Selection In, die. options chose o]s 00 25 1 if M) 9]9 Funeral Drainback(gal) 5x Von Volume (gel) Minimum Dace Volume (gal) system Demane(gpm) 10080 110]] ae.m Manifold Diameter Selection 1min options choice 25 Ise 3,00 3.00 200 GallaneMch Cameramen partional) Treatment Tank 1pformatlon T001 Tank Capacity (01) 1566W to crank CWedty(gall) Total Working Liquid Depth (in) Weear Manufacturer gage (enter result in cell 6E9) Doaa Tank m Mmetion EMuu filter information 95000 GOBS Tank Capecity(gal) lilallme Filler Menuludurer 25.0p Dane Tenk Volume(gi Filler Model Number Weiner IManufaaumr Pro)eG: Janney Man Cenrohus Pal 7 Mound Plan and Croce Section Vial Mound Component Dimensions 0 '65 G pmm 0.50i eeate'ion made 545 It W 22.3flff 750.As hp) Dispersal Cell Area 12500p dr) Basel Area Available 10W(gi Limper Loading Rate 750(X)1/1000Cs. Pipe Plawnest Mound Cross Section View Aggregate Dispersal Mae Finished Grade 102.3E(d) —e G K „ a F s i 101.00(h) Lateral 0055 (oli Instantofapere c II 4 �.�--- 10000 tf1)Contour Elevation 1o%Site Slope deca le Fabric Cover ShadingK y Di TopsoilCp g $ DispersalC II 1sit sea III del cn 2 S EII Cap e 8 -+— ) Bepeard spacing W lmriwmner+ss aknls Laterals are pol ly © ASTM C33 Send e F passed emthe ® Tilled loyer c$ 05ft 5 *%d s �� � contractor calls camellias In the © +®� sentence ) A ` patches cell tsar). Poll Jaffrey B"an Cemohus Page 3of End Connection Lateral Layout Diagram Number of LateralsA Lateral Diameterin Lateral Length den Lateral Spacing(8)n Lateral Flow Rategive System Flow Rategem Total Dynamic Headn Drive Diameter103in ounce Spacing RHnOrifras pertaterelOrifice Densty fllon6CaMandold Lenin Mani fold Diameterin Remoreein VelocitySAM: Dose Tank Information maNnp ramr wm wemim labelaas miem °p1e are Elev9iP9 par NECJ00 eM —v Jt&J00 WPC Jln. min bl.,�anna<I Tank vuTm.m a omrycei •,.<—Aft t Fall mar Ca t MOMellonv G V01ume 2500 gegmgt 16716.]3n000]]a500,00 m B Alarm ManuefecWrerWhombuv Alarm Model Number AI PIu ar Pump Manufacturer Zoeller / Pump Model Nel SN 152 Pump Must Deliver ge q)gem at 13.55 HTOH Poll Jeffrey & Kral Carl Fom.mab diameter =? 2in. np Ma mam Note'. Switches containing m not be used the system. Page 4 of 7 Mound SvsWm Maintarmange and Operation Specligmaticurds Service Provider' a Name Jets fox Phone ]1S]552461 POINTS Regulator's Name SL CroIx Count Zonln Plwnel thstem FESS leadLoad P Design Flow - Peak 750 gptl Maximum Influent Panicle Slze 118 in Esllmmahl Flow, -Avemge 500 gptl Maximum BODS 220 mi Septic Tank Capacity 155$ gal Merimum TSS 15D mi Soil Absoetion Component Size ]50 ticMaximumFOG 30 milTypaofwenewalar Bomeslic Magmam Fatal Cmiform >10Ea joi mL Septic and Pump TaIt Effluent Fillet Pump antl Controls Alarm Pressure Mound Mount DIM1ai Service Presidency Insect sugar seake once maxon, 3 years onould ina acl me dean at least[ once as 3 ears Test ante every 3 Years Should last m mthl Laterals eM1oultl be tlushetl and Pressure tested eve LSyears actfor corroung and seepageonce eve 3 e Ilanooua Cons"cdan add Motel Standards 1. ObsenaGon pipes are sbded and materials confoms to Table SPS 38430-1, have a watedighl cep, and are secured In as sM1pwn in me mound comporrent manual. 2 Disposal call e00mgetemnfmms to SPS 384.30 (6)(1), W5. Adm, Code. 3. All gravity and pressure piping maleness contain to the requirements in SPS 384, Wis. Adm. Cotle. 4. TJIape of the basal area is accomplished with a mold boats or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ............... ............... Grade 6-F Diameter Laam y Threaded Cleanout Sprinkler Valve Boy, Plug or Bell Valve Distribution Lateral GG pp \a C51>e6pr�eeetlendsrSame Diameter as Lateral Progcf. Man &Push Condoms Page 5 or Mound Syalem Marragemenl Plan Purauml W SPa MIAMI Wig. Adm. Crude awwri be re xe Me In eov.M "'*dome Italian MWx. MI. Cecil, aanel I Ina tl Inaane arMe math Me nomml :`iaaiseu.raee"'*domera ONCII a.nnz). sswINPwblh ban ga mtrel). ana vremae olembd,,CMPomml Nanwlvx. zusae. NIS?IN .Slut ,Rlot mtllNO mmxe num paMlnq to system maintenance and maintenance moue e.pa[u pump lank am[a aenaemu nine maybe pre sets wl[Wdiname seam. £title and PIMP tank abmammem anal beln as..to..avlVMS sod31 WIe. Adm. Cade m%n Me lank, ere he Four raw a¢ POVR For pump SomeorGe , lkx¢ ¢ehneand [w nioftlb Angeys Isel antlm nne Mind ,I tuM[e awenxemah Nxl... mum, ryoupon Nor Man Ion In delMy op emea by am mainfam Iek[ai wad'.mm klYre mW be mpa Ma. oM,e atepmlrye IMP Nan 61n[M1e¢In memeM ¢Mll be uarM by am eXeMre kotlnp ae aeuiee W prewmaaldemel a maumoRed eMy IM ebnk xcmmperent SIMI, Talk From upn[ may WA be mduarld by an mdw ,ln,And m"ian be haks mtlers. 2e1 Ad, Ctffi. me mmnle,run¢spa, lanx be6 Ip "am,%&W Na 113.We, And, Cecil. TM alen[na,[MMon of Me Was lank no Ind four NO be es,enN N lire Wei finr:Mla dales ncesssn m grow, papa peaabon. no Plotmmrad. an ld in be mmored maps Sole; ban saline be Me bank any may cough off cos OFF Oman,a m.gea ham Aa emamm. xtne I91ak.qulPpea Mrs analan, tire %'re @Pat lOFnewa it Me. am m ecm,md woun.... N nhm,m.mnn..Ixm, mavlMlnh ,.ee now arwImpenang cwJnae.. ank.nw nweia mm.memmcma wwn Na mJmg J,Jage.M tam in me rots eaweeF frame ngwe mwma mN. bank. Il sock,a N orae Oamnd temwedat Ne Ira Noimum exuaao slut, lunomiaCpn 1, 6,ieMl Mho Ne mmxe1Men mf b1mo epoM aWb lexmanm mane Jumee rtulatlon In Ne leM. s Te sock, nor beeappros ,l bank um wmnm ntOmm geremin nor mmitea. novwg.,.lrSuch p,oawre .m Sues Nay afar ba,ppmgee ml�m[w bank ws by ue oeoanmem orcemm.�r[e"ae Pump Sony pump le®ry�m maevzry z years At aw'Mhee, .I.Img. AM Pump. NN M te6e to WI VFW' Wall Itnema Phut I,nalka wain Me bank M On be epound and Indian as nanomme No vat,.r,nMa enwla be planned on Me mound F and IN mans Fault in w,Jn.Ml�tn°�°e may n m`ra:�o =e=m:°reTraffic(W Melon mmtaea ON, yell rots (War ban memo and pd Fewi may ANaveemticn onT mAfrallve comew the Me mo he ea ors panes from a wlll pomob hoetpeneaeAm. COItlwwNx lnmalladona lOJober Feduery) aldale rots lM1e memo he beauty mi ea pNeNon In mound . :ts wxw me Na m0 mid. Fhm may nor cme.d IN MPnego„1sd mat.ssand flw m Foe exceed rank Finamamgh w llkoo„dh mghias.mmgn Fos etdt[wrbb Map far mgmy rmama ammm. hnmJnowmaynN emeea m.Nm[m anelg. fiat ryyelMtlNW pnmA our Ne lneblYnm. an M peuum me Olnsysemh.IsodSup afWlq pelts w oreend INemM1ItlaJ,adI III, Ma an"Fr N to McM1had Get firlowd My.g.ry 1dose No wnan andM ounhatogling I area IreM1aldbe mmnmd dlMIonhwwnm ,tfourn awe,�wwoud �t hp balm Ilolifm JOAAIng na[ ccwrred end tlofifse daening k required to maintain Ni dl,bpNlon wNln to dkpemx ,If (Ansivel16 PO gn,nimedas an all Meo bemUIIC mbremuemponang. Ponalns Iwaeanal) in repcmtlmme [Sum,ant any rents.bwe a NNn [[mlrreLa.F an Impmamg rwwaao, raw. mmmW aaeacml, row, rmgwm mmlwAne. c nfm.nn Plan If Me septic may an any NIM1 mmpamM become eehNw the hak om mp sent Nell be mpand or replaced b Mep ex M M h pmpm pveYnp e,nJ If Me aging Nnk Pump pump s,Mob e%me a(mhned Sunni becomes deco Me demi oomponemp) coal be immePnN aired x replaed Of a component Nax came coequal pnrow,m,. cmOwW to Isobar" wmmaMr to NO groom emhu, men be repame ve apama in its or by romel blaleplmlN named aeewpntn and dbperml Moore, and n P�wrman=oi��erea:a°emp`�:mea.�d,wolornmou nt,bfip me an M eropaanng[omwm. San Pi Brun plan rxme barman wlpbme mMbx ofycu IntoPomsr,yAlor and FoM , pmNair. r and Me Flene� Or yrnms,mm nation soon me ex.N[ eealmen units c,& union pydTry mound as seper Ia.I it...mmm am mm enced pun OfI, velar mamfeMound on far W ayeleM. .7EFFr&N � KRiri I c5iNN1uS Lerl d J} 'j 6YERLC6K NW'!9 SE1/y S i9 Tz8 0)R Iof W -rAI 7pWAskiP ti --- Fs zzszyz ° \ FFPCrIMgQK' "r6? of 8uc41n1A2K 2° `I DP 63A ` t3xC 12iP6 L 1G ,'Ali I 10 4"Approved Pipe Mound with 10' x ➢S cell I -_.—_ Weser 15 SepticlPum with Lifetime 2" Sch 40 PVC 100 1 % Slope ' fmm Septic Tank toe of mound r� ad4E ALL POPb M1ttp://www.zoelle�pump>.cam/en-mldistribebl/s@aeerchleearcM1=152 6/21 on 10 I83,. IMP NEW NNE, 1/4- - i WI585/950 TANK SPECIFICATIONS DIMENUMS, WALL 3' DOTTON: 3. WRV KIII M I HEART. 501-3/4, ITS FNGM Bl-3/lF O➢. WROTE 3/Ps ONE UI NLEi'. AT 0➢ OPTIONAL ROUND LEVEL W WGx1: EIOas nccxolE ROPER'n%q MNN Ess Ix D OLI MAE ME SNP AM OUix-nlE OREM GASKET, CAST-A-UI GMT RE cmAL INLET AND MELET MILE NN EMIT (DTN1 SIATCG � CmAEJ I' SEAT A- NEST OR 511, Dan) CAPACITY, 41.67 GI 49PTP) GAL/x TOLUENE TERRI BE IT UNSATURATED SUL QUETTLEZED TRANS.A MISS L RE 05TWISED CONTACT wLYR CpCRETE SIDE VIEW av �a-Gax 1/4- = 1, NC➢EL Ml%58$/950 EE M/2➢TC. EEPnC/PONP OR sT TC/9Mpa �1seomNn� � No. ula�r.I�ilo / 801L EVALUATION REPORT alga WpNmemnlComlww hewWYlnwbgarm w,hennoR.cw ��"°P l"1 9 YN44noltl.xMw EVA3ge bg1W NMu •W:gwYNWIYNm %:N:A��.e�eYmuIma�n.Ml4Ae:Yily�BW%lm1 W6dAMep N4nubenamwarYeI:MN:m 4nMGBIX PNBBBgMIW InIa'mYWn. pN OeN m p�mm www..l wwru �>we nwwtum: imn Pna PenroPeboEe vmaww.tlN Cwt W1 nB Nam RIM PropxgWnerylMMIw PA}nN2� gg6CNPaF IqY 11 EIwMY Re Mtl.xewwC6M TryOmtlo BW ihhgla:I;iYx]w Huaem W q - tp6M Ne ❑CI4 OWlae®twin Neenn Rwe RgF WoCOwxWxn We:®pulrynbellxunN.NGqume, t cebJempdR%nnvxw EW ex�::e wmxwmm:eewl.aepem ne vMmMelmlYretloMYobMemVEIMMpxW tlA iIW MW aWebq Ye%Ymx�_R. 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OdL 8. 1019 9: 14AM No. 0 10 7 P. 5/10 — STEEL'S SOIL SERVICE B°'B DPvid t. ehal Toth @7teBee Pomoda 9942wst. CST.poW m NWIN,6BIN,919,T2BN,AI9W Be i.M54M Go. 048956 9brm ofTroy, BlpopCo. Dlwt7l54RO347 Troythepook. Lout 9m 715-684-399 nil loll ewNltim wmwrnWebtlro wfgry o v ,Molnmu4 nm•1'wmq'nMe.wlWYe MY'w<we, FM walion dW4 wtrz w me wl W w ilM,. w Ppument 191N wmml wAJW st&l Ima 16e mil WI wm amdooNd. Lymd ♦ Bml o;lofNIMi,g 1e0.0011 TW ofJM"Woryw •a.WBmoAnmlylam n Topol9H"pvcpipope o -bodup Bw B0ns 10ft tooB - .. ft 0104 6 — 0.00 0 ea- .don Y 4oh�Y Ip I wOot. B 4019- 9 'N" f�NE.p w� i8C No. 0187—P 10/10— "5�0' IHE_N 4 Of 1SEPd II li� 2'ib' s7?85., 11 p6 fY �. B \� 14 `LOT..I'1_ Ib'1'(t 1p 'Fi1 ,-.....n-�..n. 1w�.. . �. ..ni'r� 1 •I 1p LOT 10\`e LOT re7s0 rrr oo' �t_Baeo'®____ _ZB _M' A<?9" 8�•� EAST 28J.84' ' / ,✓�A 43, EAST 2W.64' Olx ST. CROIX COUNTY o SEPTIC TANK MAINTENANCE AGREEMENT ��iS�l%�D AND OWNERSHIP CERTIFICATION FORM OCT312019 Owner/RuyerJeffrey & Kristi Cernohous rnmmt C"'I Its Mailing Address 735 Prominence Ct. Hudson, Alent I 54016 Rope„ j,j,s3WPeaceable Hill Rd. Hudson, WI 54016 (Vetifvaionrtyoired Ovm Phnnlne$Atang DePamnmt far new eove,ruuion) City/smt,Hudson, WI FacelIdentification Number040-1322-11-000 LEGAL DESCRIPTION Isrope„y Location NW v.,SE v,,see. 19, T28NR19w,Town of Troy Subdivision Plaf:Troy Overlook 11 Lof n Certified Survey Map Warraafy De ed it _Volume page (before 2009JValume ,PaNA Spec house Dallas, Iat lines idendfiableByesclno SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper are and maintenance of your Septic catch, ,card mrvlt in its pmmumo Larose to bear, waata. proper a ofieumpsup out me tho se years manni, Ifneeded by a licensed pumper what yeupurner all, system Cal affect the Poncdon ofthe septic talk err a treatment s agcie the waste dapoaal eylem. Ownm ouncin... nvocr smshu , we specified in ISPS. 383.53(1 ) and in Chapter IE —SL Croix County Smpury OM'oao.. The property mvner agrees or Submit to St Gok County pluming as Zoning Oeparlment a certification lmrn anco d by the m and by mi ma ry m plumber permission plumber, rpm clamber or a love... d pumgv...fell that( I) then it Its titan 113 full Mall rs ht proper operating coedit d/or2n )miummemopod pumping(if¢ess�y), the septic lama lost, the wderigoed have reed the above requimmems and agree tomommathe private severe dlspmal system Cloth the andards set Spur herein. asact by the Ocpmpai If Safety And Professional Services am me DepNmem of simal Re ,m,0. wau Store ofi w£m@nifimuon sonppp9 that yow eepMsyr[wi I been mafiuelnM ma[ba completed and retpmed to thcgr nor,uvry Planung&]Lti�D,pa W1611130 days Of the Wm year explrsdoadate lose certify flat all share m a on rids Wm we tnte to the best of mylour knowledge.1/we aMue Na ownet(r)oftlre Iropctlydepumbimme, byvi ntydecd rboi no Register of Deeds 011a Number of betlrome 5arw IV /3e/15 IGNATURE0 APPLICANT(S) DATE nymfnnnemn that e, srepm reed may reult'an tho offinve, pcmnt being!nuked by the Planning Se 2bum, Ocurt ant 11. Include won this application a rewrded weranty dwd front Nc garroter O robed Office and, copy of me emitted survey map if reference is made in the calm o deed. (Full 04112) CERTIFIED SURVEY MAP LOCATED IN PAW OF THE III OF THE EEI/4 OF SECTOR 29, FIXED W9W, TOWN OFTROY, ST.. CROIIX COUNTY, WISMNSIN; NHND mrsu PREPAREDAND 12 OF THE PI.AT OF TOP,PO OVSURVEYOR �wDOMMAR Tjr 8;gOURNARTA MAN 'FAVOR b 1TR9W i` LOT s I.J Hour, ^m .%.e.. on.:m...aw.vwen PnvECTRA wTm SUeFFEIo92 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NWI/4 ST.CROIX COUNTY , WISCONSIN; BEING OFTXF LOTS 11 AND lE Of THE FLAT OF ROYO VWN ERLOOXby K. SURVEYOWS CFWIEI@TF 1,Driya here by artlty that by the dlreaan of leNrry Y�b+n en Chapter of the South east Owner of search ol9. TZIRK RISK Town of TryySt Crde Cwnry, Wlwndq described as tollo16: Lots 11 and 12 of the PIN at Troy k.Contaln:nX 2.443wm of land. SublenmY10811 ma, l she apply that WS CeNOed Survey Map lea sea'e W Mee rvryed and described: Mn l had hill complied with the plw 3e M 1M1 sln Statutes and the Subdnmon NEWEd.nr of St. oaie Cahanw and to sow of Troy In Warreneandarmr mapopgwme. i' ,rw.7._i�P� d II/16/19 S¢`C" � + Oouglas].L ^ r F 3d� one k( 0 / t xCompany prmdash, E9E9 Enloe 5t.5 te101 Hudson, Wh 50016 dOfi V y0P 719138 1 The ownerof lbut Irude, wrap, reopen Lots 11 oddly aetheplx WTray Pelha .IDlemaple being press," to Combill laid lots Into a single lot. Niaddlbmal lets are being Cleared. St. Croix County Exemptlon vemptlnn aefied under Senion 13.16. 3. a.3f of the St htiv Cwnry land Oivl uan Ordinance wd Section 236.45111 (alfdf of Wisconsin Statute. Town of Troy Exemption Ewmpoon verMed par Chapter 135 SAO)Wthrtewnofhotex iriYan Ordinance Data wa[:tLWIX xu+ee rYWla SHEETl '38" E 2o.8s' M 00-47'38- E 22.41' 66.00' =- 151 65 ON 4 1 514.39' A4 -- i�m � BENCH— LL ROAD---- /emu \ ., \sTp LOT 1 wale' zs 83318 S.F. 1.9t Ac. LOT 13 N3eo- off �D3 69491 SF g �>� 2t - /s, /T>� 1.60 Ac _ 1 i = (` /\,I 20" E 22299' 8, 54` tab/ 1• Sc. � 60103h3'� LOT 12 ; !� 00 61180 S.F. - 16495 2336' q. ma`s LOT 10 LOT 11 ��: f 51070 S . �m � 45252 SF, gl �i % SLOT I12 Ac. L04 1106 /N servc9 MARK so. _ 61. ^ �' ,� F 25 -9do -]9.04 ® \ —188.60 - EAST 26784' @� s 52�718 S.F. —PEACEABLE HILL ROADS---� i 1.21 Ac. EAST 84 1506 - 38.13 z/ .0 m_ �J i o LOT 5 4AND �,116Fa:r > (CONSERVAPION A; _c Wisconsin SOIL EVALUATION REPORT V #1981 Is"a"entolcommera In moral with Comm eS. wq. Aam. (ow,/Pe,el a 3 OmaOf IMIn95 Card, So" se Audi COMP1111 1110plen on van nottononal 0'Ae noon¢ ¢I Plan County gl Croix 0 °and Perot 1 6 [� � p nl 511 Pole or d nears, onnorth an,ndlootio�defind dlegadlvie tor .... I fall. Please pant all ion Maflon. A� OBy Lett Pemnal q w colOM)1 °y Pmp.MoelwrenonPfapeM Local Tom AnGRenee PollGwr anneal Nattalariailirq AdiL 7�25 ton N /4, ii SIR, U8N, R19W # M# Soon name or CSMtl 22S Cry RdFLot t�e Troy CounciN 1al eWl CAN I IVmaye l_, Tonal ea2¢t ROM son Troy I Gly Rd Use - Residential l Number P bedroom. 4 (Made, Mrlvetl tivlyn Tom raid, fill GPO Rnbvmern Pugbormmm ood.miacnle Fee Pamnlmet Limestone uplands covered yglm ill Flood plain eleverin, If appil IF ft Genb mmmeMound design, systdealdea1C0. 5M 08s on contour line elevation 0 ation 10" Mlcimuum_ dnenl inches a rewmmeme fans. ASTM33 Mound hand —� 1 eon9# I rorina .. Inn no I m....._,._.._... of n OFF Gominenl Lobr does Radon COMCoon Gu. SZ C71:10 r TeSo $Intlure Gr. 5z.5h. COMM ¢I¢IenM'BOundvry. Bt8 GPWt _ 85 1OW3/1 2f 2 9-2o SOyr4/9 or 2msM fah8 3 2U29 7Syri Far 21FF R6 4 29 I0y-7/4 none IlaRurm Ilm *�.c8 J 4 Form BonyF, GouldIW00 Depth to ninB lam 36 �I Soil App4el notRetloa TaurlPlpn Nunsell Go. Se. Con Cox Color Slrmu on¢nl can Gc 3a 5h. So I Russ, .E . 1 0-II 1%r9/1 II r 19yM14 now ell 1mzOk mfi a Ibi .6 .8 none sil I Sao 6 .S 3 D. 36 2.5yroll now Far Pmffk fah gw no .4 .6 10f Fund lreRu lime3me no na 1 .0 0 Faad J77 Fix 248956 Patio" Owner TCm Mtl Renate P3NIX1e ParceIIDN.not Page 2 M 3 Son 3R Ruing Gundsmlawelev.-99,70 P. Nqn to lending factor_ 33 J SOII Fppuwtlon Rah Honed, Own faminaneColm PMov Oemglon pu Sa, Cot. Gohr iedure si Gn 51 Sll. ConeleWw Boundary,nPoda GPOM' _ 1 0-12 10yr3p none vl 2msbk mh 1H 6 .8 2 12-22 lOyN/9 nerve 91 2msLk mfr aw n1 .6 .8 3 22'33 ZSyM/� one zkl. 2mand mfr gov ru .4 6 4 33- Ipyp/9 'laRuar Ilme�ID ne ol .0 ,0 uBaungM Fp Being Gmundsurkn elw. fl Depth to Inane fact In. 71 Bodng3 it Pit Gmnndei edew It Cepm N llmmng Inner in -Im"no 41-DOD'> 305Dan) mqh and Tog 1 150 myL 'MGM DO= WOs(30 lg Land T5S 1$0 Mi no D,panmeatofCem an Nall oppon on pmvlderandemplyn Vvo and as iwsor - xrvl a ao alrwmmaaass wry need metmel to ao alremale 6rmur, pleatt eoNazr Wn depenm<nl0 W�G66d I51 orTN W8Q6J81'p. STEEL'S SOIL SERVICE 3 of David J. Steel Tom & Renee Patnode 994 200'n St. CBT-POVr8M NWIASPI/4gI%1`8NR19W Baldwin, wl 54002 Lie, #248956 Town ofTmy, St croa Co Direct 915-760 0347 Troy Overlook, Lot 11 Fro: 915-6843449 This soil evaluation was oonauecea to satiom azoning neim emenl, It may or may not be suitable for your use. Des larettoo of this test may or nue not be as shown, as permanent 1°t lines were not established at are room the Wl met was candumed. Legend 1"-40, ♦ =Benchmark Ele. I M 0 f1 Top of3,4' treetops =Ah Benchmark Ele. 100.00 % e pop of3/4' pw Pipe o-B01mes Boring Elevations B1- IOoo0X B2- too .0on B3 - 99.70 ft B4- for If s w' Y Ty V N'(r �s— fS ZONED:= 5I(ULTTRAL NORTH $ E 897r'E W y4�'�OFF$54 THE SE 1/4 ..—(MAr5R9_ J ar6" W)' - w N 00'47-38" E 22.41' 600, � 6 I 0 - 26418 1772o. �a LOT 1 1 n i LOT 13 08 N 61roe 20" E 22296 N 1 ®� IRPATTON 16495, 2336 LOT 12 LOT,�2 w LOT 10 'm �• ' �` �= LOT 11 _fib, z _ --.. .N @ N ` ejS 00 188.80'.O _ as 79.04'T o� 39. / T a• EAST 26784' i'N}AEEABLE 4HLL iM*D— _93' + EAST 26784' LOT 85.71' 162.95' 19.1]' 0 Y " 125 % z } /�� q 1 .34 -0 o L0T t 'T„'• 138.62 N �5 LOT 6 'CONSEEVATdONi '�'/ EA3EMEN'C.. ee0 N>PIN. 1' w ,o_ LOT. 4 I