HomeMy WebLinkAbout040-1285-20-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and ?uiWng Division
' INSPECTION REPORT Sanitary Permit No:
395206
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: _
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Miller, Sam I Troy Township 040 - 1285 -20 -000
CST BM Elev: Insp. BM Elev: BM Description:
CV. D I icy .�' l t; a -
TANK INFORMATION V ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic W Benchmark e
. G pq, D
DD .
Dosing 6 w/ Z� A— m 6V, �=v r^ Alt. BM ' 310 � -W,
Aeration Bldg. Sewer g .9 2 qs 13
Holding St/Ht Inlet r
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic Dt Bottom
Dosing Header /Man. I cf 9�•23'
Aeration Dist. Pipe
Holding Bot. System { ��r�p
R2. q - S -
PUMP /SIP N INFORMATION Final Grade S-b 9 9.1 5 r
-
Manufacturfar Demand St Cover q
GPM
Model Number
TDH Lift Friak<oss System Head Ft
For cem ' Length Dia. Dist. to well
SOIL ABSORPTION SYSTEM
Widt h Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 3 • � L
SETBACK SYSTEM TO P/L E1LDG WELL LAKE/STREAM LEACHING M Type Of System: nufa t er:
INFORMATION CHAMBER OR �bc
I �� UNIT Mode umber: / // �� 1
> LTD N /
DISTRIBUTION SYSTEM
Header /Manifold q Distribution x Hole Size x Hole Spacing Vent to it Intake
22 L� Pipes) .w �1
Length 1 J Dia 1 Length Dia Spacing '
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil � Yes [W No Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_/ �.�/ �� Inspection #2: ��
Location: 498 Bauer Road Hudson, WI 54016 (NE 1 114 NW 1/49 T28N R1 9W) The Orchard Lot 22 Parcel No: 09.28.19.1616
1.) Alt BM Description �o�kd7a<f
2.) Bldg sewer length = 23 •�
- amount of cover
4 - I oO
Plan revision Required? Yes No p
Use other side for additional information. 4�
Date Insepctor's Signature Cert. No.
SBD -6710 (R.3/97)
I
Safety and i8uildtttgs Division Couot� e- iA
101 w. Washington Ave., P.O. Box 7162 ( .
isconsin . � :3707 - 71� ,� � � &M,6c
F DepartmOnt of Commerce SanitN' permit Number
Sanitary Permit Apphc ; 315`2-0(o PMW !,`' 0 Owk if Revision
in 0010014 ttritth Comm >r3.21, Wis. Adm. Cade, 3. 1 ,
ma be used for State p I.D. Number
L Appliatim Irdoematbn - PNaas Print All
Parod Number
P>opera► wm es Nam o c�
(�. �- �' �L" �' d G � properl, I.ocatioa q / q
i'mPm� Owoac's MailioS Address: i zG�P u `�f • S ! E
0)( / Code ;N1 t Lat Numbs 2 2 Bloch Number
City. Stars ' '
zip Code
- s-- - � Subdivision Name CSM Number
Sq,0 Z7 &y T 2t ",/� o
�,
]L Tip. of MdMg (� all drat appV pC
) � / 0V 4 or 2 Famib► > t - Ntwber of Bedrooms .�, -r r Z v
0 p&WCommercid - > Use Nearest Road
0 sous owned la! 4.1 5 ' I ? F,�/cN �4 u � 20
3 X q 3 .7 e- N /31 Complete line B if applkable)
T
liry pe of per (Check Only one boat on lint A (numbering scheme for internal W). O _ O
of 6 ❑Amnion to � °r Couot'tue � j a� SS — a
aw 2 0 Symm 3 0 Replacement room `t /
s0em Tank Od Date Issued
permit Number
Choclt d Stmitacy hermit �101f4' Hgied all that apply)(nnmbering scheme is for internal Mate) 3 D ` L f! fi 8 /2 S EAe H '714 1 nl c . lk ad Pte: (CbeCk 47 0
Said Fiber 50 O Constructed Wetland
I 210 Mound
44 Noes - Peeanimd � FAG H 410 Holding Tank 48 O Single Pau s10 Drip Line
0 Pnutuiand la- (ilduw 30 ❑other
0 M 6 46 0 Aerobic Treatment Unit 49 0 Rec irculating
45 t Area fi n ' Percolation Rue Sysoem Elevation Final Grade
V. rsal Area Soil Application Elevation
D� (� Disposal Accra � Rate(Gals./Days/Sq.I�t.) (Min. /Inch) /
. Required €7 7 - T z prefab _ 1 ? Site Fiber P
, 0 9 7, C
� �D ADD ?, 1 -7(/,
)Ka�facdhrer Stal lastic
,rte Into Cp& m Total Number Concrete Comnucoed aim
VL Odkm of Tanks
New Er3stisa
Taub Taub
sopdc or Noldina Task / Z GCa ) / e l L...
Statement I, the undersigned, rrspoosib� for installation of the POWTS shown on the attached plans.
bill
VII. t0fW�RS Number Business Phone Number
plumber's Naas (Print) Mumber's Sigmture�, �'. 3 / g t - ;� O Z`
pktmbec'a Address (Sttaex. City. Stroe. Z4 Code)
VIII. 1De eat Use O Issuing Agent Stgoaare (No snaps)
Sanitary permit Fcc( includes Groundwater Date Issued
Approved 0 Disapproved Surcharge Fee) -
0 Owner Given Initial Adverse
IR. Canditiaos roOOS for Disapproval�� 4 l ►� "�j., '(-i / did
,,,nsn• .
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SAn -6398 (R. 05/01)
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Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code AC.E. Sal & Site Evaluations
Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix
include, but not limited to vertical and horizontal reference point (BM), direction and
percent slope, scale or dimemslom, north owwrw M'd14t1heR pnd distance to nearest road. Parcel I.D.
040- 1039- 60 -000, ID#9.28.19.132
Please pr ail htteelfalh Y
Personal iMOrmafjon You Provide �Y'w VA for �aQ!�wposes ("41" lRw, s 15.04 (1) (m)). Dab
B lb wV
Property Owner * .,. ' Property Location
Miller, Sam Govt Lot NE 1/4 NW 1/4 S 9 T 28 N R 19 W
Property Owner's Mailing Address , q Lot # Block # Subd. Name or CSM#
P.O. Box 151 r
.,-h _ . 22 Plat Of M iller's Orchard
City State'. Zip Code #hgda� er � City _j Village r T own Nearest Road
Hudson I W , 54016 1 ..15) 3$5=2.7 Troy I Bauer Road
II New Construction Use. ✓J Re3idWW / N rooms 4 Code derived design flaw rate 600 GIRD
aa
J Replrrient J Public or ca'mrr ercial - Describe:
Parent material Glacial outwash _ Flood plain elevation, if applicable na
General comments
and recommendations: Recommend installing 2 trenches at Tx 90.625', using 29 high capacity BioDiffuser infiltrator chambers at
system elev. = 93.00'.
a Boring# Boring 1/ Pit Ground Surface elev. 99.19 —ft. Depth to limiting factor > 130" in. Soil Application Rate
Horizon Depth Dominant Cola RedoxDescription Texture Structure Consistence Boundary Roots GPD/fP
"Eff#1
1 0 -15 1Oyr2 /1 n sil 2fsb mvfr as 2f 0.5 0.8
2 15 -27 1Oyr3/3 none sil 2fsbk mfr cs 1f 0.5 0.8
3 27 -32 1Oyr413 none gr. sl 2msbk mfr as 1vf 0.5 0.9
I
4 32 -38 7.5yr4/6 none Is Osg _ml cs - 0.7 1.2
J
5 38 -77 1Oyr5/6 none s Osg ml gs - 0.7 1.2
Z?� 7--
6 77 -130 10yr5/4 none s Osg ml 0.7 1.2
1l
7
a Boring# Boring f/ Pit Ground surface elev. 98.02 ft. Depth to limiting factor >128" in. Snit AWAcafim Rate
Horizon Depth Dombwt Color Redox Description Texture Structure Consistence Boundary Roots *EGPI *
E
ff *
1 0 -17 1Oyr2/1 none sil 2 fs b k mvfr as 2f 0.5 0.8
2 17 -28 1Oyr3/3 none sil 2fsbk mfr cs 1f,vf 0.5 0.8
z
3 28 -33 10yr4 /3 none sl 2msbk mfr as 1vf 0.5 0.9
4 33 -39 7.5yr4/6 non Is Osg ml cs - 0.7 1.2
5 39 -71 10yr5/6 none – _-- - - - s -- _-- Osg ml gs - 0.7 1.2
6 71 -128 1Oyr5/4 non s Osg ml - - 0.7 1.2
* Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 50 mg/L ` Effl = BOD <30 mg/L and TSS <-0 mg/L
CST Name (Please Print) Signatu CST Number rb �� James K. Thompson – 3602
Address AC.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number
340 Paulson Lake Lane, Osceda, WI 54020 4/23/01 715- 248 -7767
lye
property oa rw Miller, Sam parcel ID # _0 40- 1039 -60 -000, ID #9.28.19.132 Page 2 of 3
3 ] # Boring -
Pit Ground Surface elev. 98.52 ft. Depth to limiting factor >129" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP
*Eff#1 *Eff#2
1 0 -12 1Oyr2/1 none sil 2fsbk mvfr as 2f 0.5 0.8
2 12 -21 1Oyr3/3 none sil 2fsbk mfr Cs 1f,vf 0.5 0.8
3 21 -34 1Oyr4/3 none sl 2msbk mfr as 1vf 0.5 0.9
4 34-40 7.5yr4/6 none Is Osg ml Cs - 0.7 1.2
5 40-80 1Oyr5/6 none s Osg ml gs - 0.7 1.2
( 6 80 -129 1Oyr5 /4 none s Os ml - - 0.7 1.2
t 1
4] Boring # J Boring
Pit Ground Surface elev. 98.72 ft. Depth to limiting factor > 122" in. Sail Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF
*Eff#1 *Eff#2
1 0 -12 1Oyr2/1 none sil 2 mvfr as 2f 0.5 0.8
2 12 -20 1 Oyr3/3 none sil 2fsbk mfr Cs 1 f 0.5 0.8
3 20 -29 1Oyr4/3 none sl 2msbk mfr as 1f 0.5 0.9
4 29 -36 7.5yr4/6 none Is Osg m Cs - 0.7 1.2
5 36 -77 1Oyr5/6 none s O sg ml gs - 0.7 1.2
6 77 -122 1Oyr5/4 none s Osg ml - - 0.7 1.2
F- 1 Boring
� # 16 Pit Ground Surface elev. 99.28 ft. Depth to limiting factor >126" in. Sail Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rorie GP
*Eff#1 *Eff#2
1 0 -13 1Oyr2/1 none so 2fsbk mvfr as 2f 0.5 0.8
2 13 -22 1 Oyr313 none sill 2fsbk mfr Cs 1 f 0.5 0.8
3 22 -28 1Oyr4/3 none sl 2msbk mfr as 1f 0.5 0.9
4 28 -34 7.5yr4/6 none Is Osg ml Cs - 0.7 1.2
5 34 -70 1Oyr5/6 none s Os m l gs - 0.7 1.2
6 70 -126 1Oyr5/4 none s Osg ml - - 0.7 1.2
Effluent #1= SOD ? 30 < 220 mg& and TSS >30 < 150 mg/L * Effluent #2 = BOD - 30 mWL and TSS <,0 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 deaartrnent at 608- 266 -3151 or TTY 608- 264.8777.
385.78 ` p� . 3 0T 3
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BioDfffuser Specffications,
C=3 r=
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Chambw
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Chembo
End Uiew
Kn
Universal 1 1
• Chamber 11" Stan• 14" High 16" High
� • • Dimensions dard Capacity Capacity
1l' `"� a ��' • j �,, +Its � 1 '�yw°.
I
Private Onsite Wastewater Treatment System Management Plan
Septic Tank And Gravity In- Ground Soil Al,o sorption Component
Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment
System (POWTS) shall include information and procedures for maintaining the system within
the parameters of Comm 83 and 84, and the conditions of approval by the department, agent,
or governmental unit. The approved plans and permits for system are on file at the county
zoning or health department.
g This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground
' Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD-
10567 -P (R.6/99).
Table 1: System Des i n Specifications
t
Sanitary Permit Number 3 5
Number of Bedrooms
Design Flow - Peak ( pd) to o
Estimated Flow - Average ( pd) 0
Septic Tank Capacity (gal)
Soil Absorption Component Size (ft) 'z
Type of Wastewater Domestic
i
ii
Table 2: Soil Absorptio n Component - Limits of Reliable Operation
jj Septic Tank Component Soil Abso tion Component
Design Flow - Peak ( pd) c� 3 I
Maximum Influent Particle Size (in) 1/8
Maximum BOD (m /L) 220
Maximum TSS (m /L) 150
'1
Table 3: Maintenance Schedule
Septic Tank Inspect and /or service once every 3 ears
Outlet Filter Inspect once a ear and clean at least once every 3 years
Soil Absorption Component Inspect once every 3 years
Septic Tank
The septic tank shall be maintained by an individual c¢rtified to service septic tanks
under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with
NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease
Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable
Restrooms).
i
The operating condition of the nd outlet filter shall be assessed at least
once every 3 years by inspection. T outlet filte ed as to ensure
proper operation The filter cartridge show no be removed unless provisions are ma o
retain solids in the tank that may slough off the filter when removed from its enclosure. If the
f
Management Plan for a Septic Tank and Soil Absorption Component
filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously.
Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of scum and sludge in the tank
exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the
time of an assessment, maintenance personnel shall advise the owner of when the next service
needs to be performed to maintain less than maximum scum and sludge accumulation in the
tank.
Manhole risers, access risers and covers should be inspected for water tightness and
soundness. Access openings used for service and assessment shall be sealed watertight upon
the completion of service. Any opening deemed unsound, defective, or subject to failure must
be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by
an effective locking device to prevent accidental or unauthorized entry into the tank.
No one should enter a septic or other treatment or holding tank for
any reason without being in full compliance with OSHA standards for
entering a confined space. The atmosphere within the septic or other
lethal
gases, and rescue of a
tank may
treatment of holding t y
person from the interior of the tank may be difficult or impossible.
Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the
tank is no longer used as a POWTS component.
Soil Absorption Component
The soil absorption component serving this structure is designed to accept domestic
wastewater from a residential facility. The limits of operation of this component are shown in
Table 2.
The longevity of a soil absorption component depends greatly on proper and timely
maintenance, and system use within or below the limits of reliable operation. Good water
conservation practices by all occupants and the installation of water conserving plumbing
fixtures are key factors in extending the useful life of this component.
The soil absorption components operation must be assessed by inspection at least
once every three years. The inspection shall include recording the levels of ponding, if any, in
the observation pipes, and a visual inspection for any evidence of surface seepage or discharge
from the component. On steeply sloping sites, areas of erosion should be identified and
reported to the owner for repair. The surface discharge of domestic wastewater or sewage
from the system is prohibited and considered a human health hazard.
i
e avoided particularly
i absorption component onent should b p
the soil r over e
ffi around o P
Traffic rP
during winter months. The compaction or removal of snow cover over the component may lead
to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or
' impossible to repair until weather conditions improve. In general, soil compaction over this
component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to
more intense, and earlier, organic clogging of the soil.
'E 2
I
Management Plan for a Septic Tank and Soil Absorption Component
e - rooted trees and shrubs directly Plantings of de Y over or within ten feet of the
9 P
component should be avoided since root intrusion into the component may obstruct wastewater
flow.
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STATE BAR OF WISCONSIN FORM 7 - 1998 632796
TRUSTEE'S DEED KATHLEEN H. WALSH
OocmexreNUmper - VOL 1555PAGE
REGISTER OF DE EDS
DANIEL S. SOLBERG AND KARLA J. SOL$ERG RECEIVU FOR RECORB
11-01-1000 8130 AR
TRUSTEES KE1
as Trustee of ENNPT 1
DANIEL S. SO AND KARLA J, SOLBERG REVOCABLE CENT COPY FEEL
TRUST DA ED APRIL . - COPY FEE:
TRANSFER FEE: 2810.30
RECORIIRB FEES 10.08
for a valuable consideration conv without warrant to = I
E. MILLER, A SINGLE PERSON
Fbc«ay Neu
Grantee.
the following deKrlbed real estate In ST . County !Nwis and Atlaresa
State of Wisconsin: SAM MILLER
PART OF`THE NA OF THE NA AND THE SA OF THE NA AND THE '' HUDSON, WI
NEk OF THE NWk AND THE NWk OF THE NEIi AND THE NWk OF THE
SA OF SECTION 9, TOWNSHIP 28 NORTH. RANGE 19 WEST, TOWN
OF TROY, ST. CROIX COUNTY, WISCONSIN AND MORE PARTICULARLY.-- ::._:____
DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF 040 - 1038 -60 040 - 1039 - 60-000
SAID SECTION 9, THENCE SO0'5O'54 6 'E ALONG THE WEST LINE OF 040- 1039 - 70 -Ana
SAIDNWk 2626.30 FEET TO THE WEST QUARTER CORNER OF SAID pwomlam*mcmtlonlaniber�veq
SECTION 9; THENCE S00'45'32 "E ALONG THE WEST LINE SWk OF
SAID SECTION 9 150.31 FEET: THENCE S56'24 "E 70.00 FEET: THENCE N59 "E 850.85 FEET
THENCE ON AN ARC OF A CURVE TO THE RIGHT 102.10 FEET AND WHOSE RADIUS IS 403.00 FEET AND
CHORD BEARS N07'32'30.5 "W 101.78 'FEET; THENCE NOO "E 569.05 FEET; THENCE 588'45 "W
250.00 FEET; THENCE N00'50 "W 350.92FEET; THENCE S88'57'07 "W 512.29 FEET; THENCE
NOO'50'54" 100.00 FEET; THENCE N88 "E 250.31 FEET; THENCE NO3 10'51"E 202.31 FEET;
THENCE N32'19'49 "W 95.25 FEET; THENCE NO2 "E 136.96 FEET; THENCE S81 "E 198.63
FEET; THENCE S01 "W 149.41 FEET; THENQIE N89'46'50 "E 148.76 FEET; THENCE S2 "W
256.95 FEET; THENCE N88'57'07 "E 1065.55 FEET; THENCE N89 ° 12'30 "E 325.61 FEET; THENCE
SOO'47'30 "E 10.00 FEET; THENCE N89'12'30 "E 554.46 FEET; THENCE N01 "E 587.22 FEET;
THENCE N55'31'03 "E 651.90 FEET; THENCE N38'09'35 "W 413.25 FEET; THENCE S89'31'02 "W 142.03
FEET TO THE NORTH QUARTER CORNER OF SAID SECTION 9; THENCE 589'12'35 "W ALONG THE NORTH
LINE OF THE NWk OF SAID SECTION 9. 2666.45 FEET TO THE POINT OF BEGINNING, SAID PARCEL
CONTAINS 96.52 ACRES AND IS SUBJECT TO ANY EASEMENTS OR RESTRICTIONS OF RECORD.
Dated this day of OCTOBER 2000
lsD►W 2 (SEAL)
DANIEL S. SOLE 1
. KARLA J. SOLBERG
nan Tham
AUTHENTICATION ACKNOWLEDGMENT !
au�W State of Wisconsin,
u.
Count
�,//►'�� P(�t�O�'�'�uy w�ts before me the day or is
authendcaud that day of the above named
TITLE: MEMBER STATE BAR OF WISCONSIN w
(If not. me known to be the person L who executed the foregoing
suthorind by 5708.06. Wis. Suns.) I rumen and acknowledge the afts
TWS INSTRUMENT WAS ORAFTEO SY I L
• -�-
H EYWOOD6 CARI. S.C. 204 LOCUCT STREET _ S.. pf W1,fCOmi
No Public, State of Wisconsin
HUD W 54016 �' i
My commisslon Is pernunent. (If n t. sou -expiration date.
may ay be authenticated or acknowledged. Both an not
_ 1- ��{�_1 )
necessary)
• I:.me of P• 14P-1 m •M •w•dr -at be r1ped w ptnud bd- lh Ww
TRUSTEE'S DEED STATE BAN OF WISCONSIN wucon,n taesi Mo, G. as
FORM No 7. Im ,.o.&,.,.,, W
_ i _
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer L t-- /�=--
Mailing Address fQ X /S_/
Property Address //9 F 0&/ 044 X 0 /9 D
(Verification required from Planning Department for new construction)
City/State -OS o N U Parcel Identification Number 0 yy — Z s" 2 n — 00
LEGAL DESCRIPTION
Property Location /VF '/., u- ' /4, Sec.` T � N_RL2 V7, Town of 160
,&bdivision
T1 � a �' C f�/-1 l2 ►� , Lot # Z Z
Certified Survey Map #
!c8 3 �d , Volume . Page #
Warranty Deed # 3 2 7 9 6� , Volume Page #
Spec house yes ❑ no Lot lines identifiable A yes ❑ no
SYSTE M AINTE NANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
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, asset by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to St. Croix County Zoning Office within 30
days of the three year expiratio date.
/
ATURE PLICANT DATE
- 4 . 40WN ER CERTIFICATION
. I'(we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the ; de 'be v , b virtue of a warranty deed recorded in Register of Deeds Office.
...
0'? /e/ / e
( !q ( ATUIt t dF MPISCANT DATE
* * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * **
** Include with this application: a stamped warranty deed from the Register of Deeds office
.a copy of the certified survey map if reference is made in the warranty deed
I
THE ORCHARD SUBDIVISION
LOCATED IN PART OF THE NORTHWEST 1/4 OF THE NORTHWEST 1/4, AND IN PART OF THE
SOUTHWEST 1/4 OF THE NORTHWEST 1/4 BEING PART OF LOT 5 OF CERTIFIED SURVEY MAP I
RECORDED IN VOL. 11, PACE 2985 AND IN PART OF THE NORTHWEST 1/4 OF THE I 1
SOUTHWEST 1/4 BEING, PART OF LOT 5 OF CERTIFIED SURVEY MAP RECORDED IN VOL. 11, I
PAGE 2985, AND IN PART OF THE NORTHEAST 1/4 OF THE NORTHWEST 1/4, AND IN PART I I
OF THE NORTHWEST 1/4 OF THE NORTHEAST 1/4 OF SECTION 9, TOWvSHtP 28 NORTH. I
RANGE 19 WEST IN THE TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN i I 2
t
W
/ 385.78'
LOCATTONAL MAP 508.29'
(NOT TO SCALE) / m / / / B -z
T28N,R18W THE ORCHARD SUBOMSION 8 -4 / L0�'I' 2�.
B- / / I
® 33' 33' i
B-3 / / / C / / / 12 920 Sq. I i i
LEGEND: J.B. .80 Ac. �I , o w
JOINT DRIVEWAY // / I / N 2.* ACS'
s NW 9 EASEMENT / / / / ` N.B. 10994J Bfts9l i W i
r /
---- -- - - -- FUTURE ROAD EASEMENT // // S� 6 ^ / I j e
SE - PROPOSED DRIVEWAY LOCATIONS / }.y0 / /�� v
SW -- — SETBACKS 66.00' 1 ® I
S 7259'17" W
Nk - • FOUND 3/4' IRON PIN /
/ / i rn I \ 6tb J i *. 33.00'
D.O.T. CAPPED MONUMENT -10
FOUND I' IRON PIPE 2. 0 C.
1 -2 .8. 2.08 AC. LOT 'S
111 3/4' IRON PIN FOUND / /
T SET 3/4' BY 24" IRON N.B. 90810 split. 1 l 109484 Sq.
Ft.` \\
PIN WEIGHING 1.50 m
POUFS PER LINEAR - 1 i� 2.51 AC.
FOOT AT ALL OTHER LOT rr 1 ) w \ N.B. 2.51 AC.
CORNERS 1Ob � .8 -RS94�
- -- - DRAINAGE EASEMENTS �' /\ N -1 ® B
- SET 1 1/4' BY 30' IRON PIN ® / SEE $HET 2 U: ® 8-3
WT. 4.172 185./FT. 0-2 \ ^� 457.47 S 89'43'28' W
OL - COUNTY SECTION CORNER I —
cn _
MONUMENT (FOUND AS NOTED)
12' UTIUTY EASEMENT , I 109435 Sq. Ft. '• \ LOT 2 \ �
® SLOPES OF 12X - 19X .oil X AC.
o ' Rro. 2.32 AC_ t N� \ — 113914e F�
scV.E: ,• • too' ® SLOPES OF 2OX OR GREATER ,_ H Nom 101044 sq. 1L rn
_ `6 2.62 Ac. g
0 50 100 100 N.B. 731 N. B. .6a A ft NET BUILDABLE AREAS �-�,L -N � •• N.B. 2.62 AG. -3
N.B. 11 914 sq. ft.
R.A. - RECORDED AS EASEMENT N � __ .�
NOTE ® 500. BORING LOCATIONS n. 1�•� 414.67 -
BEAR
NGS ARE REFERENCED TO THE NORTH LINE NW 1/4. SECTION 9 - - - - - - - - - - - - - - - - - -
----
(ASSUMED S89'12'35'W)
_ - ORCHNtO DRIVE- - — - -
DRIVEWAYS FOR LOTS 2, 3, 15, 16, 19, 20, k 25 SHALL BE - — - - - — - — - — - — - — - — 1051.99' N
CONSTRUCTED IN CONJUNCTION WITH ROAD CONSTRUCTION AND SHALL 1051.99' N EB'45 E
BE BUILT TO ROADWAY STANDARDS. - - - - - - \, vales
- - - - --
294.00' 297.00+ � ��� .,
ALL BUILDINGS TO BE CONSTRUCTED IN PROXIMITY WITH HIGH WATER
EASEMENTS SHALL HAVE A FINISHED FLOOR OR WINDOW WELL ELEVATION
NOT LESS THAN TWO(2) FEET ABOVE THE HIGH WATER ELEVATION. ® 0 904.40'�/ _
109112 Sq. Ft. 1105143 5q. Ft.� -0 109(
ALL DRIVEWAY OR JOINT DRIVEWAY CONSTRUCTION SHALL REQUIRE EQUAL. Y 2 A 8-3 w ® �
EROSION CONTROL PROTECTION AS PROPOSED ROAD CONSTRUCTION. 2.50 A -�
r -®
I g ® ♦ e H} 1
100' SETBACK VARIANCE - LOTS 28, 29 N.B.
e- I N.H - 2.25 AC. tVe
LOT FRONTAGE VARIANCE - LOTS 2, 3 N.B. 2.50 AC. Z N.B. 98014 sq. H. I r
25' SIDE SETBACK VARIANCE N.B. 109112 sq. ft. o LOT 24 L- — _ J o L 0 o O L
8 -2
GENERAL NOUCE STATEMENT LOT ®12 ®; LOT 13 L
EACH PARCEL SHOWN ON THIS MAP (PLAT) IS SUBJECT TO STATE, COUNTY,
AND TOWNSHIP LAWS, RULES AND REGULATIONS (I.E. WETLANDS. MINIMUM 'O
LOT SIZE, ACCESS TO PARCEL, ETC.) BEFORE PURCHASING OR DEVELOPING -- -2 &09'
ANY PARCEL OF LAND. CONTACT THE ST. CROIX COUNTY ZONING OFFICE 294.00' -- 268.91 _ -- - - - - - -
AND THE APPROPRIATE TOWN BOARD FOR ADVICE. - - - - - - - - - - - - - - - - - -
1065.55' N88'57'07 "E N 325.61' NE
UTILITY EASEMENTS
NO POLE OR BURiEU CABLES ARE TO BE PLACED SUCH THAT THE °
INSTALLATION WOULD DISTURB ANY SURVEY STAKE. OR OBSTRUCT VISION - - L
ALONG ANY LOT LINE OR STREET LINE. THE DISTURBANCE OF A SURVEY -- - - - - - - - - - '�- - _ q5 1C
STAKE BY ANYONE IS A VIOLATION OF SECTION 236.32 OF WISCONSIN
STATE STATUES. UTILITY EASEMENTS AS HEREIN SET FORTH ARE FOR THE
USE OF PUBLIC BODIES AND PRIVATE/PUBLIC UTILITIES HAVING A RIGHT TO �NP
SERVE THE AREA. y°�S