HomeMy WebLinkAboutAVES CLAY WAREHOUSE_27345_TROY_Town_10_040-1045-60-100_455 HWY 35County
QI
Industry Services Division
1400 E Washington Ave
St.Croix
S
Sanitary Permit Number (to be filled in by Co.)
P
P.O. Box 7162
Madison, WI 53707-7162
ION
Sanitary Permit Application
State action
PWTS-022-umber
In accordance with SPS 383.21(2), W is. Adm. Code, submission of this form to the appropriate governmental unit
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to
the Department of Safety and Professional Services. Personal information you provide may be used for secondary
Project Address (if different than mailing address)
purposes in accordance with the Privacy Law, s. 15.04(1)(m), Slats.
455 Hwy 35
I. Application Information — Please Print All Information
Property Owner's Name
Parcel #
David Brummel/ Aves Design Studio Clay Warehouse
040-1045-60-100
Property Owner's Mailing Address
Property Location
P.O. Box 433
Govt. Lot
SW %., NW '/4, Section 10
City, State
Zip Code
Phone Number
River Falls, WI
54022
circle one)
T28N R19EorV
II. Type of Building (check all that apply)
Lot #
Subdivision Name
® 1 or 2 Family Dwelling — Number of Bedrooms
1
NA
Block #
�}
® Public/Commercial —Describe Use W A 0 t /4 0 U S C I�1 L
❑ City of
❑ State Owned — Describe Use
❑ Village of
CSM Number
® Town of Troy
III. Type
of Permit: (Check only one box on line A. Complete line B if applicable)
A.
® New System
® Replacement System
❑ Treatment/Holding Tank Replacement Only
❑ Other Modification to Existing System (explain)
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 S stem/Com onent/Device: (Check all that apply)
® 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. Dispersal/Treatment Area Information:
Design Flow (gpd)
Design Soil Application
Dispersal Area Required (sf)
Dispersal Area Proposed (sf)
System Elevation
420
Rate(gpdsf)
600
874
98.00
0.7
VI. Tank Info
Capacity in
Gallons
Total
# of
Manufacturer
a 2
d
°
New Tanks
Existing Tanks
Gallons
Units
o
a. U
on t'n
y,
v)
Septic or Holding Tank
1250, 1250
2500
2
Wieser Concrete
®
❑
❑
❑
❑
Dosing Chamber
I I
1
I
I ❑
❑
❑
❑
❑
VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print)
Plu s S'
MP/MPRS Number
Business Phone Number
John Schmitt
/f J
223760
715-760-0486
Plumber's Address (Street, City, State, Zip Code)
586 Valley View Trail, Somerset, WI 54025
VIII. Coun /De artment Use Only
❑ Approved
❑ Disapproved
Permit Fee
Date Issued
Issuing Agent Signature
❑ Owner Given Reason for Denial
S
IX. Conditions of Approval/Reasons for Disapproval
Attach to complete plans for the system and submit to the Count only on paper not less than 8 in x 11 inches in size
SBD-6398 (R03/14)
DIVISION OF INDUSTRY SERVICES
2331 SAN LUIS PL
GREEN BAY WI 54304-5211
Contact Through Relay
http://dsps.wi.gov/programs/ind ustry-services
www.wisconsin.gov
Tony Evers - Governor
Dawn Crim - Secretary
February 28, 2020
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 2022-02-28
Plan Review: PWTS-022000247-C
JOHN F SCHMITT
616 150th Ave
Somerset WI 54025
SITE: Clay Warehouse (Aves Design Studio)
455 Hwy 35
Town of Troy
Saint Croix County
Total Amount: $250.00
FOR: (Tank Replacement)
Description: 420 GPD (Replacement — Employees and Floor Drains)
Maintenance Required
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:
• Abandon Existing System per SPS 383.33
• Divert surface water from POWTS Area.
• All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5
• Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c)
• Tank Installation to follow all manufacture's recommendations.
• Verify property line(s) prior to installation.
• Well setbacks to meet chs. NR 811 & 812.
Owner Responsibilities
• The current owner, and each subsequent owner, shall receive a copy of this letter including instructions
relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation
and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard, the property owner must follow the contingency plan as described in the approved plans.
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 making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any
others who are responsible for the installation, operation or maintenance of the POWTS.
Thanks,
r%ury &11" 1eeaf
POWTS Plan Reviewer — Wastewater Specialist
Department of Safety & Professional Services I Division of Industry Services
email: tim.vanderleest(z-vwisconsin.gov
Cell: 608-516-6134
Project Name
Owners Name:
Owner's Address
CONVENTIONAL COMPONENT DESIGN
INDEX AND TITLE PAGE
Aves Design Studio ( Clay Warehouse)
David Brumrnel
P.O. Box 433
River FdOS, Wi 4022
Legal Description. SW1/4, NW1/4, 510, T28N, R19W 7�_ 2.,,1,, ---c
Township Troy
County St. Croix
Subdivision Name. NA
Lot Number: 1 Block Number
Parcel I.D. Number 040-1045 60 100
Plan Transaction No.
Page 1
Index and title
Page 2
Gallons per Day Calculations
Page 3
Plot Plan
Page 4
Septic Tanks Specifications
Page 5
Effluent Filters Information
Page 6
Soil Absorption Area Evaluation
Page 7
Management and contingency plan
Page 8
Septic lank Maintenance Agreement
Page 9
Warranty Deed
Page lu
CSM or Plat
Attachment 1
Soil Fvaluation Report
Attachment :
1987 Sanitary Permit
Attachment 3
Building Plan
Designer: John SLhmltt
MPRS 223760
Date- 2/24/2020 Phone Number 715-760-04R6
Signature:
i
In-Gruund Suii Absurption Component Manual Version 2.0 SBD-10705-P (N 01/01)
Page 1
Gallons uer Day Calculation
FOR
Clay Warehouse Building
(A ves Design Studio)
The Clay Warehouse Building is a new building that will be constructed on the Aves
Design Studio property. The %arehouse building will employ 10 employees and have 6
floor drains. Two new 1250 gallon septic tanks will he installed and be connected to a 2.1'
x 52' rock & pipe soil absorption area that exists on the property and had served the
existing Aves Design Studio building. The soil absorption area was evaluated and that
evaluation is contained elsewhere in this plan. The existing Aves Design Studio building
will have a new Soil absorption area installed.
Only residential strength wastewater will enter the septic system.
10 employees x 13 gallons/day= 130gpd
6 Floor Drains x 25 gallons/day = 150gpd
Estimated Wastewater Flow
Design Waste% ater Flow
280gpd
280gpd X 1.5 = 420gpd
Existing Drain field
Existing drain field capacit.N Mailable=(241X52')Ft2*0.7gpd/Ft2=873.6gpd
Septic Tank Cavacity
420gpd X 2.088 = 877 Gallons
T-*io 1250 gallon tanks will be installed, the first with a Polylok 525 effluent filter, the
second with a Polylok 625.
Page 2
SYSTEM PLOT PLAN
Project Name. Aves Design Studio
Project Address 455 State Highway 35
8M2 Symbol - BM Elevation 104 28'
BM Description Top of existing distribution box cover
BM3 Symbol Q BM Elevation 102 95
BM Description Top of vent cap or existing dram held
Slope Gradient of Tested Area `, 1
Well Symbol (if applicable)
Notes Existing Aves Desigr Studio building septic system will be another
a
Gravel
Parking Lot
Driveway to
Highway 35
Gravel
Parking Lot
Gravel
Parking Lot
Design Flow 4 2 ' gallons,dar
Attach design flow calculations for
commercial plans
Pipe Materials, ASTM Standard
Tables 384 30.3 8 384 30-5
4' SC- 4C wL --TM 02665
4" 3034 PVC ASTM D3034
separate bian 8 permit
See Previous
ermit on
existing drain
field
BM3 Fksr \
°gar„ Ae//o, ys? (Proposed tanks
�\
2 WLP1250-MR
/Septic tanks
Proposed Clay
Warehouse Building
B3
61■T1�
GG T2
7z� r
Driveway t Ao
N
Scale 1" = 60'
0 60 90 120
15"
Property Line
State App vt
Effluent Niter
Gravel
Parking Lot
BM1
Existing Aves Design
Studio Budding /
-- — - — 96"
- - eri Lme — -92'
-_ P►o y
o Existing
Well
Gravel
Parking
Existing
1000 gallon
Septic tank;
a
A 4S r Al
TOP VIEW
Uli ILE
1 IF J
_ I \A W
TANKS ARE MAN'! A- 'JRED TO MEET ,F EXCEED ASTM C-1: FFQUIREMENTS
V'/i_F"1250-MR
TANK Sr ECIFICATIQNS
DIMENS )hS.
WA-_L 2 1/2"
BO FT DM SEPTIC 3"
CO A
MA.N 1': 24" I.D. PRECt 1 CONCRETE RISER
HEI(,iT 52 1/2" O.D.
LE vI,TH: 120 1/4" O.D,
WITH: 14" O.D.
BELOW INLET: 41" O.D.
LIUUIJ LEVEL: 36"
WEIGHT 8,810 LBS.
INLET All I, TLET:
4" CAA' —A —SEAL BOOT .k EQUAL
(ASKEI, CAST —A —SEAL F)C' OR EQUAL
INLET ANC OUTLET BAFFLE AN-) FI IER:
W1S,:GNSIN, SEE DETAIL 010
(- ] H- = STATES SEE Cl AF+T i
LIQUID 'APACITY: 34.81 GAL/ N
HOLDIN,: :ANK:
OLITLE_ TOLE PLUGGED
ACPIA_ CAPACITY: 1,323 SALONS
LOADIN' f .13N: 8' 0" UNSAILRATFD SOIL
TANK CAN BE JSED AS:
I Lt:! HOLDING/ PUMP Cat SIPHON
COVER: •a - I I SIGN #8 NO FIBEF, )
TANK- NIX 11, RGN #10 STRUCTLRA_ FIBER)
CUSTOMIZED TANKS:
FOF CUSI)M TANKS CONTv T NIESER CONCRETE
Q
D
� Z
I Q
N
d U
a
DRAIVINGS SUBMITTED Lu
In
FOR APPROVAL
APPR(A _ _ SHEEI NO.
APPRJ
PR(
-
OQJC'. 'Itf. D Bt: /OF 1
p)IY?X
INSTALLATION INSTRUCTIONS
PL-525IPL-625 FILTER
INSTALLATION INSTRUCTIONS
Step 1:
(A) Locate the outlet of the septic tank.
(B) Remove tank cover and pump tank
if necessary,
MAINTENANCE INSTRUCTIONS
Step 1:
Locate the outlet of the septic lank
V• A•
WHEN FILTER IS • r
USE RUBBER GLOVES
WHEN CLEANING FILTER
Step 2:
(A) Before installation. place the
filter housing on to the outlet pipe
(B) Make sure that the housing
tc po5iboned su the filter can he
removed from the tank for
maintenance and service
Step 2:
1A) Remove tank cover and pump
if necessary
tB) Pull the filter out of the housing.
iC t Hose off the filter over the septic tank
Make sure all solids fall back into the
septic tank
Step 3:
(A) Glue the filter housing on the
outlet pipe.
(B) Insert the filter cartridge in the
huusinrg making sure the filter
cartridge is properly aligned and
completely inserted in the housing
Step 3:
(A) Insert the filter cartridge back
into the the housing making sure
the filter is properly alighed
and completely inserted.
(B) Replace septic tank cover
Page 5
SCHMITT & SONS
OKC AVA TIiVG
586 Valley View Trail
Somerset, Wl 54025
(715)549-6651
Aves Studio LLC
455 Hwy 35
Hudson, W 1 54022
To Whom it may concern:
iiu ,t119
On September 27. 2019, 1 "Thomas Schmitt CST, POWTS Maintainer 227429, dug a .oil
evaluation pit (described as B1 on soil report for Da%id Brummel 9'7 2019) along side
and into the existing draintield at Aves Studio LLC. There was no ponding or bio-mat.
The draintield appeared to he functioning properly. The aggregate used M the drainfield
was clean. Sec Pieture atta.hed
According to the inspection report on file with St. Croix County Community
Development Department the drainfieid is 24' X 52'.
Thank You!
Tom Schmitt
Page b
In -ground Gravity Management Plan
IMPORTANT:
PAGE 4OF4
The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384. Wisc Admin Code Pursuant to SPS 383.52 (2) Wisc Admin Code, this system shall
be considered a human health hazard if not maintained in accordance with this approved management plan
Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in
accordance with SPS 383 52 (3). Wisc Admin Code
Maximum Dispersal Area Operating Limits:
Design Flow = 420 gpd: BODS 5 220 mgL"; TSS <_ 150 mgL'; FOG 5 30 mgL-'
Inspection Checklist INSPECT EVERY 3 YEARS
type of use
age of system
nuisance factors (c a odors user complaints. etc )
mechanical malfunction (r a pumps valves switches floats, etc j
material fatigue (i e . leaks, breaks corrosion. etc )
solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) o a distribution / drop boxes)
neglect or improper use (+ a exceeding design capacities prohibited activities. etc
extent of ponding in distribution cell prior to dosing
dosing irregularities - if applicable 0-e . pump re -cycling, float switch settings, etc I
electrical components - if applicable (, e . wiring, connections switches. controls. timers, alarms. etc )
distribution lateral or lateral ontice plugging (measure lateral distal pressure — compare to design specification)
surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s 281 48 Wis
Stats when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or
as required by local ordinance Disposal of contents shall be pursuant to NR 113 Wisc Adman Code
Effluent filter(sl shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer s specifications A servicing period will always be greater than 12
months
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company Schmitt & Sons Excavating, Inc. Phone 715-760-0486
Local government unit. St. Croix County Community Developement Phone 715-386-4680
Local government unit address 1 101 Carmichael Road. Hudson
ZIP 54016
Any defective part of this system shall be repaired. replaced. or removed pursuant to SPS 383 51 (1), Wisc Admin
Code Repair or replacement of failed or malfunctioning components shall comply with SPS 383 Wisc Admin Code
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384. Wisc Admin Code
Contingency Plan
In the event that any failed treatment component of this POWTS cannot be repaired it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval A faded in -ground dispersal component may be
abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable sods
System Abandonment
If use of this POWTS is discontinued it shall be abandoned in accordance with SPS 383 33. Wisc. Admin. Code
Page 7
Owner/Buyer
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
David Brummel / Aves Design Studio Clay Warehouse
Mailing Address P.O. Box 344, River Falls, WI 54016
Property Address 455 Hwy 35
(Verification required from Planning & Zoning Department for new construction.)
City/State Hudson, Wl Parcel Identification Number 040-1045-60-100
LEGAL DESCRIPTION
Property Location SW '/4 , N1N 1/4 , Sec. 10 , T 28 N R 19 W, Town of Troy
Subdivision Plat:
Certified Survey Map #
Warranty Deed #
Spec house ❑yesOno
Volume , Page #
(before 2007)Volume , Page #
Lot lines identifiable Elyes❑no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Lot # 1
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. Owner maintenance
responsibilities are specified in §SPS. 383.52(1) and in 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, journeyman 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.
I/we, 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 Safety And Professional Services 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 Planning & Zoning Department within 30 days of the three year expiration date.
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
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number of bedrooms 420g pd
SIGNATURE OF APPLICANT(S)
C� _1z0
DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. ***
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is trade in the warranty deed.
(REV. 04/12)
u
DOCUMENT No WARRANTY GEED i' T.— --c I,cB 111r. —A pXCP V..G on1•
STATE 11A)t OF' \V_j, 51N?�M 2-18e2
Allen C. L.Lridh, a single pet -son
........... . ....
................... _ .. .. --- -
coll�eys and ,re.rranta Co`laVj,r_1 _li. RrtlrrenPl R1'1d SanCiT•a
.. ... .................. ..
Brurrme.l, husband and. wi_fe as .survivorship ,marital
_......... -- _ _...._..... .
.. ........ ._ _....
Lhe following described real estate in St....C'noix... ,,
.................. Count
st:Ite or Wisconsin:
KC-Gi5TEF25 OFFICE
'iT, CROIX CO., W IS,
lk,:'d. for Record this 30
Y of April A.D. 1986
c 8: 3 0 A
" 'THE FIRST NATIONAL BANK
., 165
WISCONSIN 54022
Tax Parcel No: .... -. .. ..........
Part of tho SW9 of the NW4 of Section 1C , Towi.ship 28 North,
Range 19 West, St. Croix County, Wisconsin, described as
follows:
Commencing at the NW14 corner of said Section; 10; the=i.ce 31320.9
feet along the E line of said i`1Wa; thence S89'34'W 1322.97 feet
to Point of Beginning; thence S89'34'W 730.0 feet alorig the N lirle
of said SW4 of the NW} ; thence SO' 06' F: 333.0 feet) thence N89' 34' E
730.0 Peet; thence NO'06'W 33j.0 feet along the E line of said
SW4 of NW4 to Point of Beginning, except the N 33 feet for Town Road.
o : _b �
FFF.
Thi, is not
(is) (is not)
}•:xrel,tion to „•nrranties
homevtend property.
easerrents, restrictions, r1phts of way, cf recoi-1 .
Latr•d this day of
A U T H EN T I CA T I ON
Signature(s)
. . (SEAL)
(SEAL)
authenticated this ..... . day of .. ... 19
TITLE: MEMBER STATE DAR OF WISCONSIN'
(If not ........ _ ._ ... .......-- ..........
authorized by § 706.0r,, Wis. Stats.)
T. 15 INSTRUMLNr WAS DRAFTED 7Y
Edina Realty, Inc.
Hudson, Wisconsin
(Signatures may he authenticated or acknowledged. Roth
are not nccu�ary.)
An r ll I
Pul�n LLndr.
(SEAL)
ACKNOWLEDGMENT
STATE 01 :��MX TEXAS
Travis
Perxonnlly came before me this 7th. _ .day of
ai?I.i.l.. 18... 6.. the above I.ame,i
Allen .(,. Lindh
to are kno%,-ri to be the 1-,•r,on who executed the
foregoing instrument and acknowledge the game.
... ....... _.. .
Nut:uy Putaic ..Travis Tex.
My Commission i.
date: . Jul,. Jp..a,� �' )
DEB1)lE S.
. �1 • No" Public. st,y d T401
I�GJI/ My Cam ttat,n 1-"
-N.-- ..f 1--, wlen,nv le war •ae —v ,li..-1 — 1,e,'I •, ,.-. 1 .1 W", •1,. Ir .Ie,i T•.�r A C
WAAitAVTT DEED STATt: UAft OF WISCONSM •, {1�r (ry —�^'
t'n RM !:0 2 - I.N2
CERTIFIED SURVEY MAP
NW CORNER
SFCTION
T28N,R19W,
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.9-NPLATTED LANDS
N88037'59"E
417.42'
LOT 1
4.0 ACRES MORE OR LESS
(174,i88 SOFT.)
417.4 2'
f e�-96.4 S88°37'59"W
Z
Gf$ r9G\ O UNPLATTED LANDS
9`~ •Z� N \l-POINT OF BEGINNING '
\ NI-
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W 1/4
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VULUME 501_ PAGE _95
SGA-E IN FEET
100 200 300
;I"=100)
DESCRIPTI ON
LEGEND
COUNTY 5ECT10N CORNER
BERNTSEN CAP
• 1" IRON PIPE FOUND
O I".24" IRON PIPE WEIGHING
1,681tGAIN• FT. SET
A parcel of land located in the SW 1/4 of the NW 1 /4 of Section 10, TUN,
R 19W , Town of Troy, St. Croix County, Wisconsin, described as follows:
Commencing at the W 1 /4 corner of said Section 10; thence NOo22'04"W
(bearings referenced to State Trunk Highway "35") 174.26' along the West
line of said NW 1 /4 to the point of beginning; thence continuing N0022104"W
417.42' along said line; thence N8803759"E 417.42'; thence SOo2Z'04"E
417.4Z'; thence S88o37159"W 417.4Z' along the North line of that parcel
recorded in Volume 501. page 95, to the point of beginning; containing 4.0
acres (174,213 sq. ft.), and being subject to all easements, restrictions
and covenants of record.
Also an access easement across the driveway presently constructed at
the southwest corner of said lot, being the 33' adjacent to and Northerly of
said parcel recorded in Vol 501, page 95.
I, James E. Rusch, registered Wisconsin land Surveyor, do hereby
certify that I have surveyed and mapped the above described property; that
such plat is a true and correct representation of the exterior boundaries of
the land surveyed; and that I have fully complied with the provisions of
Chapter 236. 34 of the Wisconsin Statutes, the Town of Troy Subdivision
Ordinance, and the St. Croix Countv Ordinance to the best of my professional
knowledge, understanding and belief.
483-461 Vol. 6 Page 1606 THIS INSTRUMENIDRAFTED NER
Is SOIL EVALUATION REPORT
S Frpf85SJla_.- _- -
attach ^Ornp'@te s!'e p;ar rr papal r !ass r a, F: r r -,-eq r 5 ze d '
mciude but rot limited to vertir-al and hCr,Zonial eference point BMi d reci . i
percent slope scale or yimensions norm arrow and location and distar-: �
Please print all information
Pic
Groperty Owner Pr,Derty Local-:
Brummel David & Sandra 31-o -Ll 10 728N R'....
P,operty Owners Ma ring Address Elccti z S,od 'name or CSMrr
455 Hwy 36 1 C SM 151,1606
G ty State Z,p Code PhCr e ?,ur'ter ,,ty ;,age "w. %eares! P: as
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St Croix County, WI
Legend
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State of Wisconsin \ nanartmont of ln(itigtry I ahnr and Kinnan RAlations
PRIVATE SEWAGE PLAN APPROVAL SAFETY BUILDINGS DIVISION
PAUL STEINER
ROUTE 1 BOX 138
BAY CITY WI 54723
Pf - Plan Numbcr Ei/ UtUQ0-
Gallons Per Day: 3U0
Project Name. AVES STUDIO
Town of TROY
Office of Division Codes and Application
201 East Washington Avenue
P.O. Box 7969
Madison, Wicrnngin 53707
Owner: DAVE BRUMMEL
ROUTE 3
RIVER FALLS WI 54022
,-aye Hppr-ovea i_!_l hey t 1987
Date Received: October 1, 1987
Location: SW,NW,10,28,19W
County: ST CROIX
The plumbing plans and specifications for this project have been reviewed for
compliance with applicable code requirements. This approval is based on Chapter
145, Wisconsi^ Statutes and the Wi�rr,rncir, Arlministrativp Coda The plans are
stamped 'rn-ditinn:ally epproved' This approval is rontingr,nr iipon compliancp with
any stipulations shown on the plans. All items that are noted must be corrected.
All permits required by the city, village, township or county shall be obtained
prior to construction. The licensed plumber responsible for this installation
shall keep one set of plans with the department's approval stamp at the
construction site. The installer shall notify the appropriate inspector when
inspections can be made.
inis approval w,11 expire two y;• r� rrum the date wppruvea or if a sanitary
permit is obtained, it will expire the day the initial baniLary permit expires.
The Section of Private Sewage has reviewed these plans for private sewage system code
requirements only. These plans have not been reviewed for the code requirements
set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the
Wisconsin Administrative code.
This approval I . i Li�, ful.0w_ , . „p_)nenl:. y
- NFW CONVFNTTONAI
Inquiries concerning this approval may be made by calling (608) 266-8230.
Sin -erely,
KE ETH STIEMKE
Section of Private Sewage
Division of Safety and Buildings
PPP016/0009n/23
cc: DAVE BRUMMEL
___Private Sewage Consultant ___County
Ownar
_UW-SSWMP _Plumbing Consultant
P1rn. rnr!mLnt31 Hed1, 1
DILMR SSO-6423 (N. 04/81 )
SANITARY PERMIT APPLICATION COUNTY
Z.DILHR In accord with ILHR 83.05, Wis. Adm. Code -� 5 A E SANITARY PERMIT({
-Attach complete plans ;to the county copy only) for the system on paper not less than
8'% x 11 inches in size
—See reverse side for instructions for completing this application. PETITION
I. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE -]YES NO
PR ERTY OWN PROPERTY LOCATION
/ I % 4 it)%,S IL T:2,N,R
P TY OWNER'S MAILING ADDRESS LOT NUMBER I BLOCK NUMBER SUBDIVISION NAME
;)UE PHONE NUMBER _r NEAREST ROAD LAKE OP LANDMARK
It. TYPE OF BUILDING OR USE SERVED: ' //
Number of Bedrooms it 1 or 2 Family �— OR a Public (Specify). 1�/ /y
III. PURPOSE OF APPLICATION: (Check only one in #1. Check # 2,3 or 4, it applicable)
I d Zr� r) r^
New b L Replacement . _ Replacement of j — Re�Utlrlucliull ul U �' Repair of an
System System Septic Tank Only an Existing System Existing System
2 ❑ A Sanitary Permit was previously issued Permit # Date Issued
3 ❑ An Existing System has been inspected and soil conditions meet minimum requirements.
4 ❑ The System is shared by more than one owner/building Attach Common Ownership Agreement to County Copy,
IV. TYPE OF SYSTEM: (Check only one in #1 and only one in #2)
1 :2 FA t ;nnvantinnal h n Alternative C. ❑ Experimental
._,vy _a ... — ..v. .w ...,_, .... ,..y ... .....,.. ,..�
— ._.
In -Fill Tank
V. ABSORPTION SYSTEM INFORMATION: (Check one)
f a X seepage Bed b ❑ Seepage Trench c. ❑ Seepage Pit
2 PERCOLATION RATE 3 ABSORPTION AREA 4 ABSORPTION AREA
(Minutes per inch): REQUIRED (Square Feet). 'PROPOSED (Square Feet).
5. SYSTEM ELEVATIONI 6. WATER SUPPLY
I
y /� /1 el
h
7% Feet IxPrivate LJ Joint
D Public
01 CAPACITY
VI. TANK StP
in Mons Total # of ManulestAuter's Name refab Con- Stool Abet Plastic E <per
INFORMATION New istin Gallons Tanks I �oncret glass ( App
Tanks I Tanks
strutted
Septic Tank or Holding Tank
/
a
Litt Pump Tank/Siphon Chamber
VII. RESPONSIBILITY STATEMENT
the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans
dl— Pr "t P1u111tJ VndlUl NV
NNW M1+e.ilrhr 4#0 Subinubt. Phund Nurnbw
I
C <
�: 7LY6 7is
a
9
-so�2
_
Plumber's Address (Street, City. State. Zip Cod
Name of Designer
*-/
VII(. SOIL TEST INFORMATION
Certlf,ed Soil Tesler 2:2
CST q `�
CST's ADDRESS (Street. City. State Zip Code)
Phone Num✓bber
IX. COUNTY/DEPARTWENT USE ONLY
Orsapproved I Sanitary Permit Fee Groundwater IYate Issue Agent Signature (No Stamps)
Approved ❑ Owner Given initial /A 1 S haarg^e Flee ] /, p^7 /y u►,/,
Adverse Determination 7 or" � I�� � Ot , 0-2T1 II f 611
X. COMMENTS/REASONS FOR DISAPPROVAL:
SBO-63N (formerly P1bf 1) (R 03/8e) DISTRIBUTION Original to County, One Copy To Bureau of Plumbing Owner, Plumber
. •t
AYES STUDIO
Hwy 35
Hudson, WI
[aster Plumber Paul C.J. Steiner #6780
Q r-70 V.00 ()
Table of Contents
Title Page ....................Page 1 of 5
Table of Curitents..............Page 2 of 5
Calculations ...................Page 3 of 5
Plot Plan......................Page 4 of 5
Cross Section..................Page 5 of 5
Project :Name: Aves Studio
Master Plumber: Paul C.J. Steiner #6780
06000
Page 2 of
PRIVA!E SEVVAG--
-;IEM
A r
, SEE
WAY
Pfwc _ o► _.r.
CROSS SECTIOU OF A BED SYSTEM
Fresh Mr 1Mals AFA OeservolloR MPa
�,.--- Approves Vaal Cap
► isimvat 12' AfgM
Finui Yreae
20- 42' Above Plpe
To Float Grote
tlnea "or Or Synthetic CovM#q
Yin 2' AVarepela �.
0•N Pipe
Di►InD�l�un
t•rpe ! u
o' Aegos • --
beneeln Pipe
ELLY. OF__ FEET��
_ /' Coal RON
Wool Plpe
la•
Parturaloe Pipe Batan
LjWoo,V lermrnallna At
N.Itum Of Sr.lete Z, / ' 1 0
C COVER
STRAW
DEPARTMEIOT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RFLATInNC PRIVATE SEWAGE SYSTEiviS DIVISION
P U- Box /yby fJL r1L.) JF PLUMBING
MADISON:• W1 53707
SWk, XWZ, S10,T28N—R19W kjCONVENTIONAL ❑ALTERNATIVE a...-11014 -.•
.,I .PIMPE
Town of Troy El Holding Tank .—i In•Ground Pressure L✓ Mound
HWY 35
NAME GF PC EMI' ••0, ]fR AODPFSS OF Fill •IO.OFR iNS/E TION DAif
David Brummel �L) (000C
eENC•- MAP! IF+t••I e t t^ 4 ","I DESCAIeE I/ DDDIIFFFFF.ERR'EJ�N_T rRok. PLAN REF PT ELEV ST RFF PT ELFv
I`ce wu� IMP MPp;W it. r --- -- y It • r N.+wt. _ _ _
l Paul f T StLa—nor 6780 I SL. Croix iul,88
CFPTIr TAfUie1WnE nill TATUM
MAN ^ RFn
iUID'A14CI'T
TANK INLET ELEV
TAN. OI.T.ET t.EI
WAPNIN lA
L
OrxING �:nv FA
►AOvIDFO
►POv,ofO
,s£
IL
��a
I YES
.:JNO
1'��YES.-,NO
all ^.+ •'.•'� a
Vf YT NATL
1•lyln
NUMBER OF ROAD
PRoP(A/
WELL
ILD(NG LLN,J,•wfs
L_.-.YES —NO 1
C>�
K.
n(nArl
_ YES ENO
FEET FROM
NEAREST
���(
Ai4 wLrr
DOStrUC rifAMGC".
_.YES i-jNu —),ES L_N,0 �}ll _ l
GALLONS PER CYCLE PJM-AND CONT DL ERAT ONA. NUMBER OF PuOPtAry wEu e�'LOw:. I r N A
(DIFFERENCE BETWEEN _ FEET FROM , u+NLL'
PUMP ON AND OFFI_ YES —NO _ NEAREST—?
SOIL ABSORPTION SYSTEM. Check the sod moisture at the depth of plowing ""'.. b'A I R a a.. "'fi"%
o' P.cavatlon (If sou can be roiled Into a wire, construction shall cease untd FORCE
The sod s Dry enougn to continue 1 MAIN
1E1- TI. Nr .(
BED/TRENCH ^ „ / / E,+-
U R PIKE SSA, 'N.. f ..
E. J �` PIT
'
PP'S
L ')
fP'
I, -UMBER
of -
I
o I ��'
L A ✓ I
FEET
D .� FROM
I — -- L— ; NE_AR_EST� — �_ L. _
MOUND SYSTEM
Mound site plowed perpendicular to slope
Check the texture of The fir material forPROVIDE
A DIAGRAM OF SYSTEM
and furrows thrown upslope
mound systems to make certain that it
1 ON REVERSE SIDE SHOW ELEVA
YES NO
meets the criteria for medium sand
TIONS MEASURED.
OIL OVCR ' '-77
-
- - -
rEN1EA
L_ YES . NO
DYES NO --
YES _ NO
PRESSURIZED DISTRIBUTION SYSTEM.IBED/T
w "' .E\GT.• NO OF
DIMENSIONSENCH TP ENC�ES
DIMENSIONS
ATf Ra; S°AC (,
R•,t1 '+k�-11, "w i1C---
i w Apr', (
F': �(.• ILIA ',f.f�
ELEVATION AND E
IM1�MATION
i
COMMENTS. IFRMAN N MA RE
1—YES ( Nn I
o
Sketch System on
Reverse S,de
'Ye\ 1114'A T1.11 Ir•r - �. •�•y v,PE ')li(�Ilq .I l(.'•Pi(l '.: tl 1. _1 S•. .:•1�1.1
o Pf •. IAA
I I
Nu
Ci Oti Wrl—S TNUMBER OF /RO/FPTV WFl l I PUn�
FEET FROM L-Ni
D YES v0 (NEAREST—J'
R`
.%.�
Reta'n In uw.t1.
f
-- LUning Adminii;t i
jt r F R' m
INDUSTRY.
Of ---�' REPORT ON SOIL BORINGS AND SAFETY ay BUILDINGS
INDUSTR V, DIVISION
HUMA Also PERCOLATION TESTS (115) MADISON WI53 07
HUMAN RELATIONS
IN63.D9(116 Chapter 116.0461
I gr I LJA.6 Q, a 26.1 M Wl LZ 6 &. a-)z., , % , &J ( TL v Z,,?_ I
E _ DATER Olti[AVA IOIYi YAD9
�Awr4na 3 — Y°b,,,_ ❑Re)lacer�7,/ ' 8 Z
RATING. B- ins wnablo ter system lh IWO Yftetl/lallle 1N ayatatm
V N TC U LL l 11WfANK ECOMMENDEDSVOEM 4001.0nell
Ims r uT s nu s nu gas nu ns mu lcON,/6Xd7"YONALL
�u Percnta�n� plan na NOt .ap,,natt ^! RAT: --� i r erne notrinn nr me tanw sere n ,• me i
andw s.IMJ.f1o1611M, mdm:ate1 M s„i . l itooddan. Mmwta Fbrwl/w.m
Ge-5I L &--j0nL I& PROFILE DESCRIPTIONS a v q„/L N A,,.FL CT Z. O
BOAING
� NltE17
TOTAL
IN,
ELEVATION
AT R 1 H
A IL WITH 1 S, TEXTURE. AND DEPTH
TO SEDROCK IF O V ABBRV ON BACK 1
6-1
�rt
iO0.0i
!�Ia&JE
' �01en
Y
n Mao OW420 e -0,
&
/03.o
ov9
>�Der>
I�r 2 T3 L WJ6�-1 l4-5-LS <;ibrra, J
8.&
60
N%dL�s
e- 5
ion, v
C
> az
6
5'
.,� etia A gtv S� w vS�
tit ..t/Cn<. IL �4',
,03,E
E
L
�4L 5w�.� --
PERCOLATION TESTS
TEST
DfPTm
INCHES
IN H LTES
AFTERSWELLING
I T VA .MI
TE
PER INCHNLWKA
P
N ar
�s
P-
n.
P•
-LOT PLAN: Show locattdtts of Percolation tests, 10t1 bottngs and the d-rmeltone Pf wltabla soil crew Inchoate solo or ditYndw. Dwcrtbt what are Iha horn
ottial and wl KJI swt.wlon reference polnts and show their locution on the Plot plan_ Show the sattaa aletrelfon si all borings and the direction and 0stant
it Iond.loos ® S ft "_. 4 MMt-K _ `_ r,N r_
SYSTEM ELEVATION 98.0 'C "`' z s ff
n;-/AOo6
i - SVoT
tat
Zloo SQ leT 5vI!
pv
bC L_E� a t.J C
� G dO�Ra M1•o L. E TE Sr
o P situ 4..A.t� a+J T! ST'
e aaNa++ hN.1e.�
B '
.r•..V�n
the Wlderstane1, hereby arltfy � tat spit moo reported on that II —,a main by -cold wrlh 1M MocMluree and nall'tods /Pealrad rn the WruOnYn
tdmoustreti.ie Cow and that the date recorded and the locattdn M the tests are nxrecl to the best of mo knowledee and belief
lAM Or�nt TESTtWEAE COMPLElEDO
,N N /ERTt F,CATION NUMBER PHONE NUMBEIIIPpttunell
4Z0 OW-ANr,E ST. A. it /�. -3 is z e&-,
C!T ^ fN.�A,rT JR E nrL
L
WEST 407- i,
tic
/ NkeldY CCl T�iY T�dAT T/l��j \ _ '
y)QAW 1.0 " W/ Pit EP4 Qc a Bye \xK
Mt ANA TNnT TNL DA.'FiN4 BU+'.LuK.
A.,n 't.,t 1?,&e,r4&- AS CncArtA QY
MY%kLC Aft AccakAr&L`! SNowN
--n ., ry , To Sc► , 'r
r+1AVa� Joury Q�S s-i899
CsT 34g4
M
4LTkt.t,TE
SIrc 11
1 MAR+(
i
i
1�
tl
QvES FimR t�� FAu cc
IDtRM-I ELL JaT,o►J f
Ss�p�o �oq•I3
g-S
David Brummel
New Building
Area Legena
5 eso-6, Y
6 119.31
Of
■
DESIGN CONTACT aLUEFLA"ONTRACTO
Pogo.
fUIDIM
"Ma
PHow
cow., SnOo,
I iALF SCALE IF PPINTED ON 11 X 17
j_7
A-101
IF
EXISTING'BUILDING
David Bf(lmfTwl
Now INjilrOng
o i([:, - _ _ dhu E3,
L 100809
e3
M.1
LN
—YSIA.W.
-;,- 1 Pt
of
ttwi
—01 113,5
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DavK1 &iunme! I I db DURAND I
.� BUILDERS
6
, f[! 101d'19 ..n.euwo..,eaoor