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040-1044-20-200
✓isconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety an#BuildI. Division INSPECTION REPORT Sanitary Permit No: 514893 0 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: Bennett, Eric & Donna I Troy, Town of 040 - 1044 -20 -200 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: C Bm 1 G 5T 10.28.19.145A20 TANK INFORMATION t ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Z•� Septic ,, F'��» . Benchmark dd Alt. B Aeration Bldg. Sewer f6 Z + Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet c? `I5 <7 2 3 TANK TO P/L WELL BLDG. Vent to Air Intake RC}AD Dt Inlet u L /ow�.7 Septic T4 NA— � /6Z_ Dt Bottom Dosing Header /Man. /a r ' Aeration Dist. Pipe J6. q r $� Holding Bot. System ll + - 7 v� it .7 o . Final Grade PUMP /SIPHON INFORMATION later" �� �� �� Manufacturer Demand St Cover GPM 7 . 0 Model Number /a3• TDH IT Friction Loss System Head DH Ft Forcemain th Dia. ist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width ) Length, No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 �y Z � GXL SETBACK SYSTEM TO Do P/L BLD WELL LAKE /STREAM LEACHING Manufacturer:� l / , t INFORMATION Type Of System: ( S 1 _r l� � CHAM OR Model Number�.�� ; / f `! «�fa't *1 1 1 GodLJe. � YY GFe.. DISTRIBUTION SYSTEM ®J , ZZ & W - go, Z Header /Manifol [ D i istr pe( i t bution x Hole Size x Hole Spacing Vent to Ai In h ta P en s) Length Dia LgDia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over r Depth Over y j xx Depth of xx Seeded /Sodded xx Mulch d Bed/Trench Center /'� �j 1.� Bed/Trench Edges \ Topsoil ` J � Yes No [NYes j] No �J 1 1 \ COMMENTS: (Include code discrepenctes, persons present, etc.) Inspection #1: / / inspection #2: 1 i Location: 668 Coulee T H dson, W 54016 (NW 1/4 NE 1/4 10 T28N R1 9W) NA Lot 3 Parcel No: 10.28.19.145A20 1.) Alt BM Description = IF, ` eZ Coves �GI e LJ S 2.) Bldg sewer length = 15 , e j - amount of cover = Plan revision Required? ] Yes No Use other side for additional information. j r Date Insep or's Sig re Cert. No. � lk SBD -6710 (R.3/97) pt7itw11®1.tiW.gCiv Safety and Buildings Division County 201 W. Washington . P.U. Box 7162 '' "� C o r y- Madison 07- 152 isConsi n , Sanitary Permit Number (to be filled in by Co.) Otipef bnsrit of Commerce %q Sanitary Permit Application State Transaction Number In accordance with s. Comm. 83.2! (2), Wis. Adm. Code, submission of this form m the ap verntraental unit is required prior to obtaining a sanitary permit. Note: Application farms for state WTS are prolt Address (if different than nailing address) submitted to the Department of Commerce. Personal information you provide may be used for aundary purposes in accordance with the Privacy Law, s. 15. I m Stats. I. Apylkation Information -- Please Print All Information Ptope Owner's Name Patcei # a yd 1 O y 4i - Zd - Z C1 y' ' G Property Owner's Mailing Address JUN 0 6 2008 P Laahan 2Z� Lot �• 1Y5� — City, State Zip Code P COUNTY ,!j (; y,, . "U Yy Section 1 4 ZONING OFFICE ( ono j. � • / ;` �y� %6 T o N; R 19 ❑ E R W 11. Type of BuRding (check all that apply) 0 N » # . 10 1 or 2 Family Dwelling -Number of mar Subdivision Name (� d BI Public/Commercial - Describe Use 5✓ M �=c' n r V City of P�°' '< ❑ ❑ State Owned - Describe Use CSM Number Village of 2 . D b4- 6a 4J 2.1 a- 0 ®T own of �Y14 2 . / t ,. III. Type of Permit: (Cheek only one boss on line A. Complete line B if appliaMe) New system Replacement Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain+) system B. Permit Permit Revision Change of Permit Transfer to List Previous Permit Number and Date Issued Renewal Before Plumber New Owner Explication IV. Type of POWTS S tem/Co nent/Deviee: Check all that Non- Pressun ln- Ground U pressurized in- Ground U At- Chide Mo 24 in, of suitable soil Mound < 24 in. of suitable soil ❑ alding Tank ❑ Other Dispersal Component (explain) QPreheabt ad"36 Plain} V. Dis rsnt/I'res t Ara Information: c' Design Flow (gpd) Design Soil Application Rate(MM) rail Arm nspersal AteaPro ( S ion VI. Tank info Capacity in Total # of Mannfactwer Material Gallons Gallons Units New Tasks Existing Tanks , 16k Septic nr Hording I'snk Jd l� ( /1;' Dosing Chamber l far hiM IRWIN of the POWTS on the attaeled na Vli. Re sibili Statement- I, the nedcraiigned, atefmfe respaaslb8ily Nub, Business Phone Number Plumber's Name (Prim) Plumber's Signatw y x� vZv'r W C1 Plumber's Address (Street, City, State, Zip Code) f ? s� �O✓�'G d� L'� VIII. Conn /De t Use Onl pproved Permit Fee Date Issuing 3ignaturo f Owner G' eason for�Den�a1 $ 04A 06 1 / U f IX. Condi6YGeTFM easons for Disapproval lI t. septic tank,, effluent filter and dispersal cell must all tie ser&0 main1aln9 as per management plan provided by plumber- 2. All snubs.* requirements must be mainWh0d n PM code / of+tfs. Atlaeh to eamplete pim" for the spum and sobs* to the County WHO an t aPe+ an t Ilan n to x 1 f inehaa in du SBD -6398 (R. 01/07) Valid thru 01/09 1, t I 1 �a� I Ropy o 3 h (ers l t 9 ��/9 �- i s--�, ai C� e rF1 I j A � � , 2123 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8% x 11 inctres in siz must County include, but not limited to: vertical and horizontal reference polnt (BM and St. Croix percent slope, scale or dimensions, north arrow, and location and d' to road. Parcel I.D. Please 040 -1 20-200 print all Information. Revi By Date Personal infortnaUOn You Provide 6.04(l)( ep N f Property Owner Prope ovation Eric R. & Donna L. Bennett Govt. Lot NW 19 NE 1 S 10 T 28 N R 19 W Property Owner's Mailing Address JUN 1 1 ZU08 Lot # Block # Subd. Namekir CSM# 920 Fraser Lane 3 1 CSM Vol. 19, Pg. 4963 City Sta ZipZWeW r City J Village I6 Town Nearest Road Hudson W NiN F l - Troy 1 688 Coulee Trail 16 New Construction Use: 01 Residential ! Number of bedrooms 4 Code derived design flow rate 600 GPD 1 Replacement I Public or commercial - Describe: Parent material Glacial Outwash Flood plain elevation, if applicable na General comments and recommendations: Site suitble for convewntional POWTS at 0.7 gpd /sq.ft. loading rate. Install trenches at 92.00'. Dosing may be required to reach replacement system elevation of 95.00'. I 7 I Boring # ' Boring L I Sol Pit Ground Surface elev. 95.88 ft. Depth to limiting factor > 987 in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Q P In. MunseO Qu. Sz. ConL Color Gr. Sz. Sh. - Eff#1 - E 1 0 -8 10yr3/2 none sil 2fsbk mvfr cs 2fm 0.6 0.8 2 8 -17 10yr4/4 none Sid 2fsbk mvfr gs 2vf,lf 0.4 0.6 3 17 -30 10yr4/6 none sic! 2fsbk mvfr cw 20,1f 0.4 0.6 4 30-48 7.5yr4/6 none gr cols 09 9 ml Cw 2vf,ffrl 0.7 1.6 5 38-52 10yr416 none 2 s Osg ml gw - 0.7 1.6 6 52 -91 10yr5/6 none A 47s osg ml - - 0.7 1.6 Honzon 04 displays alhigp clay content and approx. 3fto gravel & 6666 s. ( Z i Boring # - Boring 111 ,,, tll 16 Pit Ground Surface elev. 95.68 ft. Depth to limiting factor >96" in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. - E - Eff#2 1 0-5 10yr2 11 none sit 2fsbk mvfr Cs 2vf,fm 0.6 0.8 2 5-11 10yr4 14 none gde Osg ml cw 2vflfm 0.7 1.6 3 11 -20 10yr4/6 none gr Is Osg ml cw 3vflfm 0.7 1.6 4 20-31 10yr5/6 none gs 0 sg ml Cw lvf,fm 0.7 1.6 5 31-66 1Oyr /614 none y s Osg ml aw - 0.7 1.6 6 66-96 10yr6 /3 none a s Osg ml - - 0.7 1.6 Horizon 1 - contain approx. % gravel co s. " Effluent #1= BOD? 30 220 mg/L d TSS >30 < 1 mg/L " uent #2 = BOD S30 mg/L and TSS ,30 mg/L CST Name (Please Print) Signal . CST Number James K. Thompson 5--- 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake lane, Osce , W 54020 61=008 715-248 -7767 Property Owner Eric R. & Donna L. Bennett parcel 10 # 040- 1044 -20 -200 Page 2 of 3 i 3 ( Boring # Boring L t 16 Pit Ground Surface elev. 100.04 ft. Depth to limiting factor ygg° in, Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfif in. MW%dl Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 1 Oyr3/2 none sil 2fsbk mvfr cs 2vf1 fm 0.6 0.8 2 9-15 10yr4 /4 none coal lcsbk mvh Cw 2vf,fm 0.4 0.7 3 15-20 7.5yr4/6 none cost 1 csbk mvfr cw 2vf,fm 0.4 0.7 4 20-25 7.5yr4/6 none gr Is Osg ml cw 1vf,f 0.7 1.6 5 25-71 1 Oyr4/6 none gr s Osg nil gw - 0.7 1.6 6 71.96 1 Oyr5/6 none gr s Osg ml - - 0.7 1.6 Horizons #4 & 5 contain approx. 30% gravel. F-1 Boring # --j Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz, Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # J I Boring Pit Ground Surface elev, ft. Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Efr#2 * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mgA. * 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. SOD -8330 (8.07/00) A.C.E. Soft A. Ste EvrswaOM 1 Sl�i+u.bs��i'ecs • So,% /u a-&,,, OBE I ,4 /o�af,o� — _ _ • EX 41 *&v rad ole.J / o� / owed /'ors / E�sfe d arC4 b co Tr� C ��s� 895G a l e'afcd� /�,/oS OOJ ,eel #z /Z3 -- �a /tQ � /clip �itC. : Z6,7"a i3ennct a pe/. l��opascd oQeS, alonCC �t S stax as 5 Esi,�/C.Q/n /oz, 89. r x•��+'nj+ �.a,de = ice. e�' B./rl . uk /¢ m.�..,tc d as 1 � i 1 � i ,x v /ate. Se E by oElsrs'6D i:td�'cr..fC /oc.ab'erlo�' fv SySfewt ins}ia��OGfi47. A SScc/►iGL / Q/t�` = A7 V i KA. --iEU D. VALSR REGISTER OF DEEDS ST. CROIX CO. MI REMYRD FOR RECORD 04/01/2005 09:00AN CERTIFIED SURVEY MAP EXEMPT b REC FEE: 13.00 TRAILS FEE: COPY FEE 3.00 CC FEE: CERTIFIED SURVEY MAP PAGES 2 Frederick and Ruth Andiag Vol 19 Page 4963 Being Lot 2 of that Certified Survey Map recorded in Volume 13 of St. Croix County Certified Survey Maps, Page 3674, located in the Northwest 1 / of the Nord mum 11 14 of Section 10, T 28 N, R 1 9 W, Town of Troy, St. Croix County, Wisconsin NORTH QUARTER CORNER s aEigii9w 2Q 1 Q xq Oaat+anAbxmbi :aeega..� NO Lee WE tN sEC1toN t0 • t e g RTH _ �+ . • —. —. LOT 3 �----- •— ._..._._._._. ® .�?_._._._._._. - - -• —� .� r i N ► •- sQ Fr j f ao! z1Ag7aM�,Bg1SQFT E ._ j!W !l��X i .._._ - -. i I R ♦ 1"W 0 S I ' 1 °° Saab 61 t I a fsO° goo pp I 1 x8 i/� 0f t 1 j S o Lgr 6,�se w s se•syst � i< 6.40, 0 , AM s M M r Ebte d� SQ. r: r: I Note - 3" slops *UbM M on sheet Z W Map W LOT t Vd,e„a►e 3 -Rokgk 3674 r 3� g oo LEGE pit a�ee VD r �+ * • • � � FO+ORd] I t7xy � � � I • �a�c,,rs$ x,� �' j O Ia+ulaiaatea BofiBarfty 1 �I • •`. . • r Qj � eot� Moaeuttent �? mil ! e `` l.n' ♦ �'v .�/� a + (It "J .ReeardedAs �1 M pap ly"�, A E�MNIMIL Y a L . _ .7s.TpA : Ss.._... asprVbl. Pape I r • " r 622'1�9'A6.5•'E• N!B'6711•E _ '�•M1 °M89y �. 1 7aa.4U' N a1 "3atH" EP _.tQ�l9a,� ry� 3 98'R7'36 N BBy y�M. MAN lam �Q�lIEg T 386'0' °9 53 SOUTH uNENw,w -� LOT A s noN�io N R w VNPJ A,TUp LAN" ! c4dwo Smaaw map, d in AL 1' tPaaie llanhea Alraaiasia Ato„e,mq , Y*bwtj2, Page.Am ��safitte4 a¢r &fop, �s Yshh2, �+Q This rnstrumait Drafted by Mark W. Peavey jjh� 6 SHEET 1 OF 2 V01 19 Page 4963 CERTIFIED SURVEY MAP Frederick and Ruth Anding Being Lot 2 of that Certified Survey Map recorded in Volume 13 of St. Croix County Certified Survey Maps, Page 3674, located in the Northwest '/4 of the Northeast '/, of Section 10, T 28 N, R 19 W, Town of Troy, St. Croix County, Wisconsin DESCRIPTION: That certain parcel of land being Lot 2 of that Certified Survey Map recorded in Volume 13 of St. Croix County Certified Survey Maps, Page 3674, located in the Northwest K of the Northeast '/4 of Section 10, T 28 N, R 19 W, Town of Troy; St. Croix County, Wisconsin, more fully described as follows: Beginning at the North Quarter corner of said Section 10 also being the Northwest corner of said Lot 2; thence S 88 E (recorded bearing on the North line of the Northeast' /. of said Section 20 and the North line of said Lot 2, recorded as N 89 38` 39" E, 1312.85 a distance of 1313.25' to the Northeast corner of said Lot 2 and said Northwest %4 of the Northeast '/+; thence, along the East line of said Lot 2 and said Northwest '/4 of the Northeast 1 14, S 01 ° 31' 12" W, 1265.78' to a point in the centerline of Coulee Trail; thence, along the South line of said Lot 2 and said centerline, N 88° 36' 30" W (recorded as N 88 °16 W), 28.39'; thence, continuing along said South line of Lot 2 and said centerline, S 86 47' 37" W (recorded as S 86° 47` 36" W), 188.00'; thence, contin. along the South line of said Lot 2, S 01° 16' 24" E, 31.11 to a point on the South line of said Northwest 'Mbf t Northeast 1/4; thence, along said South line of Lot 2 and said South line of the Northwest '/, of the Northeast ' /., N 88 °41' 09" W, 34I.01'; thence, along the West line of said Lot 2, N 01 ° 39' 01" E, 658.92'; thence, along the South line of said Lot 2, N 88 47' 01 11 W, 728.03'; thence, along the East line of said Lot 2, S 01 0 '39' 01" W, 657.66' (recorded as S 00 10` E, 660.00') to a point on the South line of said Northwest '/, of the Northeast %4; thence, along the South `line of said Lot 2, and said South line of the Northwest •'/4 of the Northeast '/6, N 88 ° 41 W, 33.00' to Southwest corner of said Northwest '/, of the Northeast '/s and said Lot 2; thence, along the West line of said Northwest '/4 of the Northeast '/< and the West line of said Lot 2, N O1 ° 39' 0 1 " E (recorded as N 00° 10' W), 1316.72'to the Point of Beginning, containing 28.468 acres or 1,240,081 square feet being subject to an easement for Coulee Trail over Southerly portions thereof, as shown on this map, and to any other easements, covenants or restrictions of record. GENERAL NOTICE STATEMENTS: Note: Each parcel shown on this map is subject to State, County and Township laws, rules and tgulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the Town of Troy. Note: A special exception use permit is required for the disturbance of slopes 20% or greater not identified on the approved plat or CSM. This permit is applied for through the zoning office and is reviewed through a public hearing process by the St. Croix County Board of Adjustment. State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owners, Frederick and Ruth Anding, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of Wisconsin Statutes and th Ordinances of St. Croix County and that this map and description are a true and correct representation thereof. rovgo Dated: September 13, 2004. sr. atau.� .fig ° oNS MAR 2 8 2005 If n01 FOMC eo %"Min 30 days of $ 17,3 i 4 aPW daM aPPOOVO shall be ME and void REI.UIINVIL.L.E This Instrument Drafted by Mark W. Peavey SHEET 2 OF 2 • .....• a i.gNfl 5 Vol 19 Page 4963 2008- May -21 03:54 PM 3M 6517361518 1/1 05/21/2008 11:99 7153865583 Hn PA AE 04 ST. CROIX COUNTY SEMC TANK MAINTENANCE ACIMEMF?NT AND OWN sue. SHIP CER'T'IFICATION FOIZ.M Owner/13uyer C% � ' M Mailing Address _,.fg-0 £ Property Address tom' �- �...J (Vorification required from Planning & Zoning Deptrrtrouret for'now construcamm.) City /State Parcel identification Number LKOAL I ESCRIPTI4IY Property Location _.fit V- WO , V, , Sce. A_, T eL N R /9 W, Town of Subdivision Plat: Lot # Certffled Su rwcy Map # _ - 99 , Volume page # AIV g t . I W#rrranfy Reed #_ (before 2447)Vv1urrle :J _, Page Spec house 0 yes no Lot lines idendfiable "• yea ,no SYSTEM WNV&ANCX AND QW R CTS. iIl'�CA'�')UN Improper use and maittt+ct'iance of your aeptlo system could Molt ilk its premature failure to handle: waste, proper maintonan0e Consists of pumping out the septic ank every tbres years or sooner, if needed, by a licensed pumper. What you put Into the systwn can affect the function of the septic tank as a trembuent stago in the Walla disposal ay�tn. Owner mBlnixsnalke e responsibilities arc specified in ()Comm. 83.52(l) And in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrecis to submit to St, Croix County planning & Zoning Departatent a certifiextion form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on•sito wastewater disposal system is in proper operating condition and/or (2) Aflcr in"etion and pumping (if necessary), dle septic tank is less than U3 %li arsludge, } I /we:, the undersigned have read the above requirements and agree to maintain the private sewage disposal system wide the t+tatkdards set forth, Detain, as set by the D4pffi of Commerce and the Deperitnont of Natural Resources, State of Wisconsin. I Ccrtificatian stating that your septic system has bomk maintained must be oamplated and returned to the St. CMIX County planning & Zoning Department within 30 days of the thtee year expiration date. Uwe certify tb8t all staterr=11e on this form are true to the heat of raylour intowltdge. I/we amtar'e the ownea{a) of the Proper dawribcd above, by virtuu o Ip warranty decd recorded in Register of Tweeds Office, r Of b oelnlS i S ATURE O F APP CANT( 5 is r 06 DATE, 'Any infttrmation that it miancprosented may rMjt in the sanitary permit being revoked by the plaemhig & Zoning Department. * *'" include with this appitcation a recorded warranty deed from the Register of Deeds Office and a copy of the certified Survey tap if rct'crenac is made in the warranty deed, (REV 08105) 791EaSEa.6 , �; 8 14 P 8 9 KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 1998 REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between Frederick E. Anding and Ruth M. Anding, 06 /0312005 L0:00AN husband and wife, Grantor, and Eric R. Bennett and Donna L. Bennett, husband and wife as survivorship marital property, Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys and warrants to Grantee EIIEIDT t the following described real estate in St. Croix County, State of Wisconsin (The REC FEE: 11.00 °Property"): TRAMS FEE a 643.20 CO PY _ CC EE tt Part of the NW 1/4 of NW 114 of Section 10, Township 28 North, Range 19 PAGES: 1 West, Town of Troy, St. Croix County, Wisconsin described as follows: Lot 3 of Certified Survey Map filed April 1, 2005 in Vol. 19, Page 4%3, Doc. No. 791039. Recording Area Nance and Remrn Address Ronald L. Sher VAN DYK, O'BOYLE & S11", S.C. 201 S. Knowles Avenue New Richmond, WI 54017 Part of 040- 044 20-[00 Parcel Identitication Number (PIN) This is not homestead property. Exceptions to warranties: Subject to easements, restrictions and covenants of record. Dated this _ day of '2005. 62q.ZA 2k) *Frederick E. Anding * tb M. Anding * �-^ AUTHENTICATION ACKNOWLEDGMENT SA* to( T lr r r,' < k Z. AJ,:,p q f STATE OF WISCONSIN ) 4`F{-t 1'+1. Awfe ) ss. County ) authen ted this 2 ..1 day of 1 & q L- , 2005. Personally carne before me this day of 2005, the above named TITLE: MEMBER STATC. BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If trot, instrument and acknowledge the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Ronald L. Siler VAN DYK, O'BOYLE & SILER, S.C. Notary Public. State of Wisconsin 201 S. Knowles Avenue My Commission is permanent. (If not, state expiration date: New Richmond, W1:54017 > (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DJWJ) STATE RAR OF WISCONSIN FORM Na. 2.19" INFORMATION PROFESSIONALS COMPANY FOND DU LAC. W I 800.655 -2021 POWTS 0WNEFt':$ MANgA4 MANAGEMENT PLAN Pace of FILE INFORMATION Y M SPECIFICATIONS Owner ILrG a o Tank Capacity al O NA Permit # 0,eptic Tank Manufacturer ❑ NA DESIGN PARAMETERS iiifft4ont Filter Manufacturer Q /' j pt; ❑ NA Number of Bedrooms ilter Mod ❑ NA Number of Public Facility units OA Pump Tank Capacity g Q t7 a l O NA Estimated flow (average) p Q l AV PUMP Tank Manufacturer � te- S� R ❑ NA Design flow (peak), (Estima x 1.5 p © l an'. Pomp Manufacturer Cr o %XA Jy - ❑ NA Soil Application Ra d wig Pump Model [3 NA Standard Influent /Effluent Quality Monthly avera 0 . �rptreattnent Unit ❑ NA Fats, Oil & Grease (FOG) S30 mq /L P 6160. /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 3 5220 mg /I. I)(A P M ohanical Aeration O Wetland Total Suspended Solids (TSS) <_150 mg /L P Pislifection ❑ Other: Pretreated Effluent Quality Monthly averse , Qlapera9 l Cell(t) ❑ NA Biochemical Oxygen Demand (800 530 mg /� !7 Ih- Ground (gravity) O In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /h Q NA 0 At ❑ Mound Fec Coliform (geometric me an) 510" cfu /4QOMI ( o ripLine ❑ Other: Maximum Effluent Particle Size Y in dia. Q NA Atha - ❑ NA Other: �thpr: ❑ NA "'Jelyaes typical for domestic wastewater and septic tank efflupnt. I then' Q NA MAINTENANCE SCHEDULE Service Event Service Frequency ❑ month(s? Inspect condition of tank (s) (Maximum 8 years) ❑ NA At least onpq every _ X e ar s Pump out contents of tank(s) Who d4arPtgltltae sllid� . end $0 rn equals one - third ('Y of tank volume O NA Inspect dispersal cell(s) At If?I9st ortAa eve 13 month(s) (Maximum 3 years) ❑ NA _ year(s) Clean effluent filter At 164" Drip# 9upP : D months) C] NA ear(a) It ❑ months) ❑ NA Inspect pump, pump controls & alarm At laaot gnco every: ^ ❑ year(s) . Flush laterals and pressure test At least bhGQ eVary: El month(s) D NA ^--- O year(s) Other: ❑ month(s) O NA At tearat pnpi +�!►4`tiry!: O earls) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersel cells shall be merle py on in d ividual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWT - $ ' ltlllifieotor; POWTS Maintainer, Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(e1 tla ider(tl>y! Arty missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum $01 ; jQ phj'ok for ±any book up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to cheek ttte.afti►ieltt lauels In t observation pipes and to check for any ponding of ma condition and requires the f r. ' nd surface e u Y indicate a failin g of effluent on the ground surface. The ponding effi�gttt Qrt ,� �_q , immediate notification of the local regulatory authority'.; When the combined accumulation of sludge and sour in any tgnk equals one -third (Y or more of the tank volume, the entire contents of the tank shalt be removed by a Septa" �ialvlaling Oper4tQr Arad disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of sl2 months, ohal) be pp�rtgrmaf! by a certified POWTS Maintainer. A service report shall be provided to the local regulatory 'outhotlty within 10 days of completion of any service event. Page _ Or - START UP AND OPERATION For new construction, prier to use of the POWTS ahfip t'fsfljltfiikgt i:Wrlkls) fir the presence of painting products or other chemicals that may impede the treatment process and /or dalhllll(Illl�� {).; If high concentrations are detected have the contents of the tankls) removed by a septage servicing opsi~ ,1 ttii , System start up shall not occur when soil conditiogs iji O lliIfilttotlye surface. During power outages pump tanks may frill above lt+p n power is restored the excess wastewater will be discharged to the dispersal cell(*) In one large dodoi ii ,i�Illl gild may result In the backup. or surface discharge of effluent. To avoid this situation have the contents ti r�,by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumbic {ff Iitll ill assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispsM.01 . oi- O'lkq or - park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade #01f Reduction or elimination of the following from the ew a ! di ; l bl+Iii at f '4 Onprove the performance and prolong the life of the POWTS: antibiotics; baby wipe *; cigarette butts) r =d�01 � P, degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vlisdir �illJ IIt I grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; to I `nine. � ��o i. ABANDONMENT When the POWTS fails and /or is permanently taken tit d eel 10 ON fill _Wing steps shall be taken to insure that the system is properly and safely abandoned in compliance withlkbI,, tJltnsin Administrative Code: • All piping to tanks and pits shall be discontlx# "d l?Ipe openings sealed. • The contents of all tanks and pits shall be r(yit 0 , 6r 4 trf}gitf+ly 41 000sed of by a Septage Servicing Operator. • After pumping all tanks and pits shall be eltgftift>f1 pt their covers removed and the void space fitted with soil, gravel or another Inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the ftill§,rl?i�flllfWd hpuelj Bien, or must be taken, to provide a code compliant replacement system: 0 A suitable replacement area has been evtUkilr rrl>e{y l4F l4# for the location of a replacement *oil absorption system. The replacement area should be Qr :1?ml�d ,end compectian and should nat be infringed upon by required setbacks from existing and QropoSt •i1kEtCtii IfIM� 'i} "wells. Failure to protect the replacement area will result In the need for a new soil and site evt ti ttl+i t fS ;i lifi� } Ir *4i;eble replacement area. Replacement systems must comply with the rules in effect at that time. - ❑ A suitable replacement area Is not avail* p ip LL' k �1 /¢r soil limitations. Barring advances in POWTS technology a holding tank may be Installed 0 +Io- the failed POWTS. ,APO The site as not en evaluated to tdentl l . area. Upon iallure of the POWTS a soil and site mil l ` j` - evaluation be performed ! to locate a stilt T 11. If no replacement area is available a holding tank may b all s a last resort to replace:the O Mound and at -grade soil absorption systatIpi `:I> r place following removal of the.f�iomat at the infiltrative surface, Reconstructions of such lliEf► r;�ltitlf MI`h► rilr the rules in effect at that time. < <WAR WO> > SEPTIC, PUMP AND OTHER TREATMENT TANKS ; SES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMEN M OTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BII ADDITIONAL COMMENTS POWTS INSTALLER c TAINER Name l 1 f1 C. Phone 71 ^- 3 g SEPTAGE SERVICING OPERATOR (PUMPER) LATORY AUTHORITY Name 5-. Gce� r Gam V Phone This document was drafted In compliance with chapter Comrn >I Ibilf l ifl,.. fl )trip t�,!4a 1. 12t & 431, Wisconsin Administrative Code. [RGOULDS PUMPS Submersible At Effluent Pump EPO4 ; 3871 EPOS APPLICATIONS • Fully submerged in high ■ EP05 Impeller. Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. ■ Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation. Auto- resistance. G' Canadian9AMardsAssodatioa • Heavy duty sump matic models include • Water transfer Mechanical Float Switch ■Motor Housing: Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in "F" or "C ".) factory strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic Goulds Pumps is ISO 9001 Registered. FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. /a" maximum. ■ EPO4 Impeller. Thermoplas- N Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1 NPT. seal protection. • Mechanical seal: carbon - rotary/ceramic- stationary, BONA -N elastomers. • Temperature: 104OF (40°C) continuous METERS FEET ; • .. _ . 140 °F (60°C) intermittent • Fasteners: 300 series j stainless steel. 9 so - ....... .. . ....... ------ • Capable of running f....._.. .. _.. z Fr dry without damage to $ _........._. _;.._ components. 25 "- _.__..._ ..__ _ G 7 _ .. _ ....... , Motor: ' • EPO4 Single phase: 0.4 HP, 6 115 or 230 V, 60 Hz, 1550 a ; RPM, built in overload with automatic reset. a 4 i EPOS _. • EP05 Single phase: 0.5 HP, o ' 115V, 60 H7,1550 RPM, `' 3 10 T bunt in overload with EPOa automatic reset. z _.. • Power cord: 10 foot 1 standard length, 16/3 ....... S1TOW with three prong i ... _ grounding plug, Optional 20 ° ° 0 10 zo 30 .... 00 so GPM foot length, 16/3 S1TW with three prong grounding plug 0 2 4 6 8 10 1z m� /h (standard on EP05 ). CAPACITY Goulds Pum ITT Industries ®2000 Goulds Pumps <& Effective February, 2000 83871 S EFTIC TANK PUMP CHAM'3 � _ a It�N AND SPECIFICATIONS „ WEATHERPROOF 4" CI VENT PIPE I2 MIN. ABOY' � "� � . JUNCTION BOX APPROVED ? 25! FROM DOOR, WINDOW OR WITH CONDUIT MANHOLE COVER FRESH AIR INTAKE W/ PADLOCK � WARNING LABEL FINISHED GRADE _--- -- Is" IN. 6" MAX. �•� INLET t OAS WATER TIGHT SEALS TIG FIGHT + PPROYED A SEAL { JOINTS WITH ALM APPROVED PIPE OPROVEU pN 3' ONTO 'IPE 3'^? + , SOLID SOIL INTO SOLID ' RISER EXIT ;OIL PUMP OFF ELEV . T OFF PERMITTED ONLY D IF TANK MANUFACTURER HAS APPROVAL 3 APPROVED BE? I?} u TANK CONCRETE PAD SP SEPTIC f DOSE T3IrS PER DAY: TANK MANUFACTURER: TANK SIZES: ZES : SEPTIC I E a �3 GAL. I O XO 3 INCLUDING j � 9 GAL. DOSE GAL . F LOWBAC K : ______- __._._ A LARM MANUFACTURER; ,,, i ' l , ' A = 43L INCHES = �'I�, , GAL. A MODEL NUMBER: - B = 2 INCHES = ._�o4 GAL, SWITCH TYPE : g C = $ INGHES = �$ GAL PUMP MANUFACTURER' �•t� MODEL NUMBER: F a D = INCHES = ab _ GAL SWITCH TYPE: mere' REQUIRED DISCHARGE RATE qO GPM pyl4p AI WIRING AS PER ILHR 16.23 WAI FEET VERTICAL DIFFERENCE BETWEEN PUMP Q AND 0j$T'RjpUTION PIPE. '2.5 FEET + MINIMUM NETWORK SUPPLY PRESSURB . • ' J FEET � FEET FORCEMAIN X , ,(DO / '1QQ '� FR: aN FACTOR FEET tQT1 ' NAM IC HEAD + WIDTH �-- _�' ; pIAMETER INTERNAL DIMENSIONS OF PUMP TANK: • `�.-- g--- -• �1 Cy'�4L �+e,R � SIGNED: NU DATE: : -1� AL F tic �, f ° / ` • . 1626 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Co m 85, Wis. Adm. Code Steel's Soil Service, Inc. County //�� Attach complete site plan on paper not less than 8% x 11 inches in s' �J1i must St. Croix include, but not limited to: vertical and horizontal reference point (B di opt U percent slope, scale or dimensions, north arrow, and location and distan to _ Est rA'Jld. Parcel I.D. Please prima i ewe y Revi Date Personal information you provide maybe for secondary p rposes - (j Law, s. 1 .04 (1) O a 0 (}� Property Owner , A N 2 0 roperty Location Bennett, Eric And Donna vt. Lot na NW 19 NE 19 S 10 T 28 N R 19 W Property Owner's Mailing Address 5T CROIX COUNT),' of # Block # Subd. Name or CSM# 920 Fraser Ln OFFIC 3 na CSM Vol.Pg 36N4 2) S - City State Zip Cocle Pnone 1-10111bul City I Village 1/ Town Nearest Road Hudson WI 1 54016 1 715 - 386 - 2250 Troy Z Coulee Trail New Construction Use: 0 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement J Public or commercial - Describe: Parent material outwash Flood plain elevation, if applicable na General comments and recommendations: Conventional system, system elevation 94.70ft. Trenches spaced and depth to code 3.75ft below grade. Sig- If f 2 6 a wAgL a4u M 01 Boring # J Boring Pit Ground Surface elev. 98.45 ft. Depth to limiting factor 1 20 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMI in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -14 10yr3/1 none sil 2msbk mfr cs 1f .6 .8 2 14 -31 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 31 -60 7.5yr4/4 none cos osg ml cs na .7 1.6 4 60 -120 7.5yr4/6 none cos osg ml na na .7 1.6 >3 a Co �f 8 S .l Boring # I Boring 01 Pit Ground Surface elev. 98.45 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3/1 none sil 2msbk mfr gw 1f .6 .8 2 9 -31 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 31 -55 7.5yr4/4 none ms osg ml cs na .7 1.6 4 55 -120 7.5yr4/6 none cos osg ml na na .7 1.6 * Effluent #1 = BOD? 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD S30 mg /L and TSS < 30 mg /L CST Name (Please Print) ignature: CST Number David J. Steel - 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St., Baldwin, WI 54002 1/16/2005 715 - 684 -5680 Property 6wner Bennett, Eric And Donna Parcel ID # Pending Page 2 of 3 3 ] F Boring # Boring f Pit Ground Surface elev. 96.35 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3/1 none sil 2msbk mfr gw 1f .6 .8 2 9 -34 10yr4/4 none Sid 2msbk mfr cs na .4 .6 3 34 -120 7.5yr4/6 none s osg ml na na 7 1.6 F-1 Boring # Boring _j Pit Ground Surface elev. _ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # I Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 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. STEEL'S SOIL SERVICE INC. 3 of 3 David J. Steel Eric and Donna Bennett 994 200` St. CST- POWTSM NWl /4,NE1 /4,S10,T28N,R19W Baldwin, WI 54002 Lic. #248956 Town of Troy, St Croix Co. Bus.(715) 684 -5680 CSM Vol. Pg 3674 Fax.(715) 684 -3449 Lot, 3 Legend N 1" = 40' = Benchmark Ele. 100.00 ft Top of 3/4" Steel pipe • = Alt Benchmark Ele. 100.05 ft Top of 3/4" Steel pipe ❑ = Borings Boring Elevations B 1 = 9145 ft B2 = 99.45 ft B3 = 96.35 ft B4 = 0.00 ft b a jq 37 ZIUMa ULV 3Y4w crV '41 0;)l ISO (ZP97 V I IU't "V7 17: 1.'.) M i. I.7V Uc /V.7 MCtY•- 02 —PlA 01 :04 pM PR Z TZ Amm Z "C 7154255090 f- . 01 i i i ? CERTIFIED SURVEY MAP Frederick and Rath Andiag D ine list 2 orthW CCrtiftad Suirvcy Map recorded in votuffm 13 of St. • Cp.x County Certified Survey Maps, P+tgc 3674, located in the Northwest % ortho Northeast Y" of Section 13, 'C 28 N, R 19 W. To" of Troy. St. Croix County. Wi9con. -On r ' s alw,rrrs< rx lxlrl l0. , it N, R Itl rr All N 4WOW aessr . Orr t i ambin O D dr. x■ri► sa° • ftQ1 i�t.�l7&1.$ fT ! Bmbw�S ��' j �4S'4W +r�+rj_ _ � Fr 1 t 1AIdlIIMt apt �hN! i ' 139 1< i _ i s • t '•ti to vog Ty �1 +r • ,o,n • F • ,1pvtl 1 � VA l • .rs W3vlt.c.ry: j IN pis S __ "'� j 6Ua[iow Arrw�AfO.tm�wwt �I: r (x -) Awoo.dr>rt,a 4w '� wlrr.wll.F.we,.,eb e i r ; ,• ;t fa'4O • s�vaGS -E ws stl: f /�+ « lft. °f`fOSDY�f f ` , y (li • i' w s AP.�,,, `►lN�IIrw MIL N/Y 7N-w� IN— Lem u rtp�i0.Yn YtnfT1.�1T13♦p Yd�RtiK1 CedIdKE!' inswun"m Dmnw by Mal, W. Poeney s +•a STET tAF 2 0 x;0.5904 FILED £ JUN 3 0 1999 ► KATHLEEN H. WAM Z, SL O�roUc Co. VA /0 CERTIFIED SURVEY NtAP N FREDERICK AND RUTH ANDING . Part of the Northwest 1/4 of the Northeast 1/4 of Section 10, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin. m/,-4 COR, SEC. /o, r?6 N, R /9 W, NE cow. sec. /O, r ?8N, R /9W, /CO4NrY SURVEYOR'S AIONJ (coumry sbRV(YOR•s MoN./ COUnr wevo R/N89'38 Y626.J1, ?623.70•/ y� /3/3.25' e Legend: i • Indicates 1" iron pipe found. h O Indicates 1" x 24" iron pipe weighing 1.13 lbs. tin. /ft. set. w • Indicates fence. t Z Q R (1.00') Indicates previously recorded data. o � w W m Dated: March 3, 1999 ,`` U 4 rr*rr ahi ? ij J 1 y This instrument drafted by ��.`` Laurence W. Murphy yJ \SC O / 'ma �` Zli W "Revised this 24th day LAUR CEt :� r W N y m of June, 1999. ' = m W M IgPh cc Q k N' S 173 �° • ` W V ..RIVER FALLS....- 54. • , : Z Z N 8B•47'O/•'W 7 ?8.03' l �9 WISC. ••• J � ♦♦ ,I ? 3 ?J./6' 4,g7• 398.00 x' " 41 , LAND .•`♦ m 330.03 *80 4864 1&to���� h w R / Sao -so 33400'.; L o T 2 1 , /f h Iii (1/, / /� /�•M�_ 28.0 68 ACRES 240, 08/ So. Fr. m b O 27.884 A ORES EXC. ROAD R.O. W f/NP . ` o r 'O b " N 4, 6YO b b $ LA NOS C - 6.0 1 7 1 4CRES 4 + Owner's Address: ( A W b a S. 7/4 ACRES EXC. ROAD 3 431 Highway • O s !u N b R. o. W. • Hudson W1 54016 O 240,904 SO. f T. ONi p Y b O ` DRIVEWAY LOCAr /ON Z h Q q CAu 40' O ROAD I rYP/ _ — � —� � SETBACK LINE � Q O so*.3B'30 Y9, 79 q p /�' i• 263'x. R/N B8•/6' ?4 "W y c Z N88'44•J " W s 68.62. "W ?83.90' p oi YY Y.O /• 7,.J _��BB •47' "W 4 — 00' I; a. 20' of 47.70' �• -- a N 8B• 4/'0 ^W 739.0/' •/ B' 14 "E 3/. I/' N 88•36.30'•W O S L /NE NW1 /4 NE //4 S L /NE NW // E 4 N I/4 S OI I R INBB• 16124 "W/ N 88. 4/'09"W 33.00' + see-47,37"W /88.0' 3 q CEN rep L /NE R /58B•47'36 "W/ M / V0 a J LP_L A rr D A/VOS — E C I LOT ?,C ^ S. M.. PA @_� m �S //4 COR. SEC. /O, r ?6 N, R /9 W, j PAG 5440 2 /COUNTY SURVEYOR'S MON./ I ' SCALE /' O 50' /00' YO • 300' r00' 50.0• 600• SHEET 1 OF 2 Vo1.13 Page 3674 CERTIFIED SURVEY MAP FREDERICK AND RUTH ANDING Part of the Northwest 1/4 of the Northeast 1/4 of Section 10, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin. Description: That certain parcel of land located in the Northwest 1/4 of the Northeast 1/4 of Section 10, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin, more fully described as follows; Commencing at the North 1/4 corner of said Section 10, the POINT OF BEGINNING, of the parcel to be herein described thence S 88 ° 27'51 "E (assumed bearing on the North line of the Northeast 1/4 of said Section 10) a distance of 1313.25' (recorded as N 89 ° 38'39 "E 1312.85'); thence S 01'31'12 "W 1265.78' on the East line of said Northwest 1/4 of the Northeast 1/4; thence N 88 ° 36'30 "W 28.39' (recorded as N 88'16'24 "W) on the centerline of a town road; thence S 86 ° 47'37 "W 188.00' (recorded as S 86 on said centerline; thence S O1 ° 1 6'24 "E 31.11'; thence N 88'41'09"W 739.01' on the South line of said Northwest 1/4 of the Northeast l /4; thence N 01 39'01"E 658.23' (recorded as N 00 ° 10 1 W 660.00'; thence N 8847'01"W 330.03" (recorded as S 89 330.00'); thence S O1 ° 39'01 "W 657.66' (recorded as S 00'l 0'E 660.00'); thence N 88 41'09 "W 33.00' on the South line of said Northwest 1/4 of the Northeast 114; thence N O1 ° 39'01 "E 1316.72` on the North/South 1/4 line of said Section 10 (recorded as N 00 to the POINT OF BEGINNING, containing 34.485 acres or 1,502,187 square feet, being subject to easement over Southerly portions of said parcel for town road purposes as shown on this map and also being subject to easements of record. Note: Each parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e., wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the appropriate Town Board for advice. State of Wisconsin) County of Pierce) 1, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owners, Frederick and Ruth Anding, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description are a true and correct representation thereof. Dated: March 3, 1999 "Revised this 24th day of June, 1999." ``` , O This instrument drafted by Laurence W. Murphy �` ��S .. NS A UREN r m W MURF�'HY x Z 17»(((3 i IVER FALLS P'� wisc LAN S`, •`'`� u�r C':mx,vf!oo SHEET 2 OF 2 d! :TU7 rHCOrYfUU a1,K10vat date ,',pprovw she!! tw. 4x,.111 and void Vol. 13 Page 3674 - Parcel #: 040 - 1044 -20 -200 07/20/2007 05:15 PM PA 1 OF 1 Alt. Parcel #: 10.28.19.145A -20 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 04/01/2005 00 5 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - BENNETT, ERIC R & DONNA L ERIC R & DONNA L BENNETT 920 FRASER LN HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 672 COULEE TRL SC 4893 RIVER FALLS /L _� SP 0100 CHIP VALLEY VOTECH / Legal Description: Acres: 22.000 Plat: 4963 -CSM 19 -4963 040/05 SEC 10 T28N R1 9W NW NE BEING LOT 2 CSM Block /Condo Bldg: LOT 03 13/3674 NKA CSM 19 -4963 LOT 3 (22.000AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 10- 28N -19W NW NE Notes: Parcel History: Date Doc # Vol /Page Type 06/03/2005 796566 2814/189 WD 04/01/2005 791039 19/4963 CSM 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations Last Changed: 08/23/2006 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 22.000 38,500 0 38,500 NO Totals for 2007: General Property 22.000 38,500 0 38,500 Woodland 0.000 0 0 Totals for 2006: General Property 22.000 38,500 0 38,500 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 040 - 1044 -20 -100 07/20/2007 05:14 PM , P 1 OF 1 Alt. Parcel #: 10.28.19.145A -10 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 04/01/2005 00 5 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - ANDING, REETIRED REETIRED ANDING Districts: SC = School SP = Special Property Address(es): ` = Primary Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 28.468 Plat: 3674 -CSM 13/3674 SEC 10 T28N R1 9W NW NE BEING LOT 2 CSM Block/Condo Bldg: LOT 2 13/3674 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 10- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 03/24/2006 Description Class Acres Land Improve Total State Reason Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 1626 - Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings i rdance with Corn e> de Steel's Soil Service, Inc. �.$.� t��t -�,� 1c oun ty Attach complete site plan on paper not less ttla x inches size. RM" St. Croix include, but not limited to: vertical and horizonT i r n point ( M), direction and percent slope, scale or dimemsions, north arrow, n an istance to neares ' Parcel I.D. a� c'1i;'�� Tending Please print all info > Reviewed By Date Personal information you provide maybe used for secondary (P acy Law, § 1,5.04(9)0. Property Owner ►9 ocaYlo "ri Bennett, Eric And Donna ko. Govt. Lot na NW 1/4 NE 1/4 S 10 T 28 N R 19 W Property Owner's Mailing Address Lot IF Block # Subd. Name or CSM# / p 920 Fraser Ln 3 na CSM V . 13 Pg 3674 _! 01 City State Zip Code Phone Number _j City J Village yJ Town Nearest o Hudson WI 1 54016 1 715 - 386 - 2250 Troy I Coulee Trail 06 New Construction Use: 01 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement I Public or commercial - Describe: Parent material outwash Flood plain elevation, if applicable na General comments and recommendations: Conventional system, system elevation 94.70ft. Trenches spaced and depth to code 3.75ft below grade. a Boring # _j Boring 01 Pit Ground Surface elev. 98.45 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -14 10yr3/1 none sil 2msbk mfr cs 1f .6 .8 2 14 -31 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 31 -60 7.5yr4/4 none cos osg ml cs na .7 1.6 4 60 -120 7.5yr4/6 none cos osg ml na na .7 1.6 Boring # Boring sm Pit Ground Surface elev. 98.45 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3/1 none sit 2msbk mfr gw 1f .6 .8 2 9 -31 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 31 -55 7.5yr4/4 none ms osg ml cs na .7 1.6 4 55 -120 7.5yr4/6 none cos osg ml na na .7 1.6 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < mg /L and TSS <30 mg /L CST Name (Please Print) ignature: CST Number David J. Steel c am - ' = 248956 Address Steel's Soil Service, I Date Evaluation Conducted Telephone Number 994 200th St., Baldwin, WI 54002 1116/2005 715- 684 -5680 ;Property"Owner Bennett, Eric And Donna Parcel ID # Pending Page 2 of 3 F 3] Boring # Boring 1 Pit Ground Surface elev. 96.35 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3/1 none sil 2msbk mfr gw 1f .6 .8 2 9 -34 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 34 -120 7.5yr4/6 none cos osg ml na na .7 1.6 F-1 Boring # Boring Pit Ground Surface elev. ff. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD& in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # J Boring J Pit Ground Surface elev. ff. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 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. h STEEL'S SOIL SERVICE INC 3 of 3 David J. Steel Eric and Donna Bennett 994200 th St. CST- POWTSM NWl /4,NE1 /4,St0,T28N,R19W Baldwin, Wl 54002 Lic. #248956 Town of Troy, St Croix Co. Bus.(715) 684 -5680 CSM Vol. Pg 3674 Fax.(715) 684 -3449 Lot, 3 Legend N 1" =40' I ♦ = Benchmark Ele. 100.00 ft Top of 3/4" Steel pipe • = Alt Benchmark Ele. 100.05 ft Top of 3/4" Steel pipe ❑ = Borings Boring Elevations B l = 9 ft B2 = 93.45 ft B3 = 96.35 ft B4 = 0.00 ft JO i 37 �K5-4 61- ZOUKU VLV 7V6. c(V 411 OP I too (J47 V i!v't "V? 17; 1.) riv. Io%j uG /w • NOY- •$2 -04 61:04 t'M RRZT2 ^""Z"c P.01 j f CERTIFIED SURVEY MAP ��_ Frederick and Rvtiy Anditg $kia Loot 2 orthm Cextifsed Survey Map accorded in Volume 13 of St. • Cfnix County t kttirred Survey M.teM PaW 3574, toewd in the Northwest '/s or the Norft4st '/. of Scetian i o, 'C 2$ N, R ] 9 w. Town *f Troy. St. Croix Coeusty. wigcaeesin ' sQelwslrra.�°ustt�e •RGT[UFl N, Y 0 N, R etl M t .�.[.s ,mot., .•[M•a••d, 0- XLisX.RY/- W3) -,0 ", .� `ow %',•% Fit.. lk MO�e►M !0 t ie p • 1 •Mr mommeo 1 � t i � i acaaa std �r. i ! •N . 0 1 j Bombth e-sou' ! t t r f QlAn r Y t sP° ,loo ° ie rA w No 'POi jhw i �rr�sl Ate sc� W t N [sr�; ,� l� ��1 p SO Fr MOIr -Sere ate tNMet ae1 Milt? 1 t lw �� � a LAgRRAKM4 • � � �� . iMV [Y Z tt PWMdy"h01ll�I � w �f • a .{YvTtr,[. �, j � +MMe$oQaia[dnS _ • rr j � 151rC[fse R �Y � a a a•a•• .f t `� zam � MA.O[�M.MQ►E.erewrt�rNiyre�! �[ t ,• 'SSW s mear � rras�T �¢� MA'iT� yes ON 14BLY25 N X 19W t a DoNOW6 Aswahmm . ..M> Cm16 boo TWO ink wftnt DnMW b Mark w. Peavey s$EET tAF J W=onsin Department of Industry SOIL AND SITE EVALUATION REPORT Page l of 3 Labor and Human Relations Division of Safety a Buildings in accord with ILHR 83.05, Ws. Adm. Code COUNTY Attach PI site complete an on paper not less than 81/2 x 11 inches in size. Plan must include, but P not limited to vertical and horizontal reference point (Blue, direction and %of slope, scale or PARCEL I.D. dimensioned, north arrow, and location and distance to nearest road. 3 yA - Lt3 REVIEWED Y 1 D B DATE APPLICANT INFORMATION LEASE PRINT A INFORMATION - Of4m%ew •r�95 PROPERTY OWNER PROPERTY LOCATION C2 t `i ra yd� `,vm— 86di-t8T Nb l 1/4 N 1 /4,S l0 T N,R Ict E PROPERTY OWNER':S MAILING ADDRESS - BLOCK # SUBO. NAME OR CSM 4r33 "U-11Y # 35 oaeo CITY, STATE ZIP CODE PHONE NUMBER OGITY []VILLAGE EQrOWN NEAREST RO VN'6S0N fv) Sqotb cros)386 $bps �v [uQ New Construction Use Residential / Number of bedrooms 3 Ad to existing buildin [ ] Replacement [ ] Public or commercial describe Code derived daily flow tA.S,, gpd Recommended design loading rate -- bed, gpolft • trench, gpdtft Absorption area required 'B S'b bed, ft2 -1 S o trench, ft Maximum design loading rate • 5 bed, gpdM' • t ° trench, gpolft Recommended infiltration surface elevation(s) ° t S - S ' It (as referred to site plan benchmark) Additional design/ site considerations Z 3 y--I W/ M611 dA L C "JI I&LS Parent material �--W� S S �� 4 G l?,AVE'L Flood plain elevation, if applicable f`1 ft S = Suitable for system DITIUM MOUND "ROUND PRESSURE AT -GRADE " SYSTEM IN FILL HOLDING TANK U = Unsuit for Stem O S ❑ u (�S ❑ u ®S ❑ u 0 S ❑ u ®S ❑ u 11 S 9 SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bar>dary Roots GPD /ft in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed jTrench q l 7v+m.?:v? A �( r c• 1/ rte[ ` ^ L ~y\ O - 1 �� `� �C.� �� l]t' C� tJ� •r ,�� �� 1 S �V to 1Z 31(, S , J Z S 612 h� �i �S _ S Ground 3 34 - 7 .S 'y R 31 y Gr- S v gg t , ti CS `� "6 q3-lfL Ll bb-tl2 . IULIR Gt. O sg :. S3 Depth to limiting fact w Remarks: Boring # 13 -9 1p�(� z tZ — sj ` Z `� sbl wL`F>^ L ` S " z 3 Z (IL -3 b_ Lo `t R 31L IS S I G>^ Ls S •� 3 36 0 � s `i 2 31Y s u Sg VA Ground _ elev. Ll - )U -lZO LC3 FL V/6 S Fc 9t, O Sg ( 1 0 1 -5 ft� Depth to F f/. smiting t _ factor - )iemarks: ~ T Name - Please Print Phone: C, Arthur L. We erer 715 - s ,egerer Soil Testing & Design Service. -P.O. Box 74 RiveroYalls,WI.54022 Signatine: ` Date: CST Ntmtber: �1 � �� k,5 —Z s —vz —�9 2ZOi54 I PROPERTY OWNER F1Kjt)1N 6 SOIL DESCRIPTION REPORT p age Z of 3 PARCEL I.D. # -� 0q() - Logq - �-a Depth Dominant Color Mottles Boring # Horizon Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Z wt'FH CS - . si 1 S `F sbt� vn- e-S • 5 Ground S5 W, eS •� elev a 3 ft. y bS -lb8 LULI et 6� Depth to limiting factor I Remarks: Boring # 0- l�`-ta. V) - l b l li 316 _ T O - 2-'F Sb k fin. 'fit- cS , S • � 3 �4�0 �.s `m 3!v C:4, is Ground ` S9 h� 1 eS � •'1 � -� elev. l yl: S ft. Fl G� SS 111 I -1 -8 Depth to limiting factor ' --i-- I — I �In" Remarks: Boring # o 4 Lf�nka..a x. 3 Gro und u6 -6L - t2_3!y 1 GHIS V S9 L►1 � CS elev. �{ 66 - its 1 U 1 R- V/6 - S G� U ft. Depth to limiting factor , 3 Remarks: Boring # �•,54`,,2;vMi3k ; Ground elev. ft. Depth to limiting factor`' Remarks: �n n•rinrn .,r" -.. -- PLOT PLAN g Pa e 3 of SCALE 1 "= �-101 S �'PP R4 Y- . �'N`� � I3ty trLaa' 31 tt.�1`C1f11- UC H W IT* � 8 3 � � N . 6' �, � G!♦ zPfpr�t,pl'y S i Dfl�1u�0e'St 8>uf tt-� t.�ekl e1;i�..13 �kS B - 5 *A i 3 O t Soo, Oun-407—j 6 � r� i N • l � � � � ��ti� �1S _ °L S _ g sw P� \)"- -m - s o ELev prr; ki Lor U A v N E!L.W " bit). pv w C PLPE I LO} - 0- mm - �W) kF2 r C,a.. IOZ 0�1 t k k ti k k t 4 t 11 K, J S'i� In t3 A R T ternsr z s F-- o H Ly `` VJ V � O.`b w1 ► Tb STIR 3S X19 -�1S -Z ZZOZ,s4 -z -�9 ( 715 ) 425 - n - 4 65 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page l of 3 Labor and Human Relations Qrvisanof safety & Buildings in accord with IL.HR 83.05, VVis. Adm. Code - COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but 5r, not limited to vertical and horizontal reference point (BR, direction and %of slope, scale or PARCELLD.S. dimensioned, north arrow, and location and distance to nearest road. o q0 _ APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE I?,ES'f •f PROPERTY OWNER PROPERTY LOCATION Y�>a �� LZJ��` 1 310 tv 6 GUff. EeF 1vk1 1/4 N t tr4,S 10 T ' ,N,R 19 E PROPERTY OWNER' MAILING ADDRESS • LOT # BLOCK A SUED. NAME OR CSM # 433 "u 3S -Z — �tzu�na�o cs�, CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE [+MOWN NEAREST ROAD lrvn Sw'j I i-il S glut u ois) 386 °ftuLk�e `T� L ( New Construction Use Residential / Number of bedrooms 3 [ I AddikQ to existirg building I Replacement [ ] Public or commercial describe Code derived daily flow %AFN gpd Recommended design loading rate -- bed, gP ' 6 trench, gp Absorption area required 8 S$ bed, tit -1 S O trench, ft Maximum design loading rate • S bed, gpolft • t ° trench, gpoltt Recommended infiltration surface elevation(s) CIL S • S • It (as referred to site plan bemhmark) Additional design / site considerations Z - VV-C�QC.tt1=S - &'r-li 3 'x� Wu cA Pf�l`t`f L eff - F C*AH D& S Parent material ► - o S cv�M Sf�l� 4 GQ A•vEL Rood plain elevation, if applicable -N A ft $ = Suit able for sys I CONVWONAL I MOUND N•GROUND PRESSURE F AT -GRADE SWEM N FILL HOLDING TANK U =Unsuitable for system OS ❑ U ug-S ❑ U ®S ❑ U 0 S ❑ U ®S ❑ U 1 ❑ S KU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Roots in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. I Bed rrier& Z 12 s i l Z `{ b �� cS . • S • 6 ?���� Z g 3 Y L U H IZ 3! to — S t 1 Z`� Sb h yyT 'F{.. �S • S �� Ground 3 3y- -S YR 31 y _ G►.. s v s g t , l CS `7 q$- fL I-f bb - - L . 10 R 51A O 4g Depth to limiting qtr Remarks: Boring # S 6 to' 2 z t Z -- sl z�f -sb� ►� `ft� cS Z Z ot -3 L to-t 3 3d )o -- SY2 .31 Y G>^ lS Ground a s elev. t{ 70 1 V& S Etc o s9 141 -5 a9 ft Depth to limiting factor > L? o 7-T Remarks: T Name: - Please Print Phone: Arthur I;. We erer 715- 425_ - 0165° -egerer Soil Testing & Design Service -.P 0 .Box 74 River�-F411s,WI.54022_ nature Date: - CST Number: �. C l- BLS - Z S lz 2202$ i I PROPERTY OWNER T1i'J G SOIL DESCRIPTION REPORT Page? of 3 • PARCEL I.D. # OSLO - J, )qq - �-U Boring #` ` Horizon Depth Dominant Color Mottles Texture Structure GPD /ft� in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots 4f " Bed ITw& o—tl l u�l�t ZlZ 3 t� — si l Z`F sblz m�E'�• es - , s , i, l u `11z 3 /�, s t I Z `� �bk tin �►- e s Ground '1(2- 3/y elev;:. `b °t <3 ft y 6S -M8 1U y /� — S eC 6► o s9 Depth to limiting' factor i f I Remarks: Boring # J 0 -)0 a b12 V.) _Y1 LU 1- IIi 3/6 sr�J z'F sbk 1�t. fit- . cS . s b 3 3y -6o 7. s Y2 31V GH is Ground `:. " O S13 tvt) eS elev. • � 60 - 11'1 ! U � tiZ Y�6 � S t:1 Ga � S9 m I _ ,, `� . Depth to limiting factor Remarks: Baring Y o-t� lo`11Z zlZ 1 z�sb1 -c wt�� c-S ,S .6 tM sb k ,S 3 -L , u� � � s YfZ31y g Ground c.S • � elev. 66- ll5 !uVP- Y�6 1 =3 ft. � - $ it Gt. U S9' 1� f _ . - ` • S Depth to limiting factor Remarks: Boring # f`j M - M ' Ground elev. i f t. Depth to limiting fact0`r''' Remarks: _ PLOT ._PLAN age of SCALE I"= 31p tructol 3 �3 � •nt � ►a . 6' , t�{-� G!4 E.P(pr�.�Ty S � D flnhhA l g 11-I 3 4�ekt e.t�.tQ �s ssQAW - � �— �'— - -� Ie�TJ • 6 �. -- Y1z. EDIJ GAS 9. S. o' SwP� v'kR I TS - S qI:r EL EFV Prr o W s 4. Lo'- LlxjE 8.1 g_Z 3►'�t# �.. 1ob•1`O►�l 9 " N�6k,3 /y `�1�. pvc PLPE wlLAfi}I- - kivvs In t3 &T LE"r 'LS ' t =��u►� ��c��elf2 s O NO P Ro�v gP CK1 � o •� wt i To STlt 35 a9_gs -Z Z'zo Z. S'f ( 715 ) 4 A -n7 65 CST Signature Date Signed Telephone No. CST # Wisprisin Department of lndusuy SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations • Division of Safety a Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. c5 q l 104\4 u APPLICANT INFO 11. INFORMATION REV DATE PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT S W 1/4 1/4,S 10 T Z6 ,N,R 19 E (or&W 1 3710111 LOT # BLOCK # SUBD. NAME OR CSM # 6� Z �w �` �Ilt' - -- - 37 - CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®TOWN NEAREST ROAD N 'tiswkj W 1 92so16 (71S )38IS - 3`T Z3 - x�Y L TR. [ New Construction Usli Residential /Number of bedrooms 3 o z Y [ ] dditiQn to existi building Replacement [ ] Public or commercial describe Code derived daffy flow so gpd / eo\z -t Recommended dill loading rate < s bed, gpd/ft trench, gpd/ft C44g�, f,4 Absorption area required — bed, ft — trench, ft Maximum design loading rate o. s bed, gpd/ft 0 . (0 trench, g Recommended infiltration surface elevatiol Si. k%*te orl P ft 6 E - S ft (as referred to site plan benchmark) V)t W� S Additional design / site considerations A \ Jw G N Z W "lZU h4jlb l S R tTCCiM9 iH u yG . Parent material = Flood plain elevation, if applicable hl. N . It S = Suitable for S ystem CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for stem ❑ S ICI U ®S ❑ U [IS [Z U WS ❑ U El S 0 U 11 S U SOIL DESCRIPTION REPORT s ►�o'� oN. Pftstr Z Boring # Horizon Depth Dominant Color Mottles Texture Structure Consisienoe Bounil Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tmnch o- \Z 10`12 Z '� wti'FI� cSlw o, S o. . . . . . . . . . . . . . . . . . . Ground 3 . 38- 61 i o — S i c.II 1 `F Sbk wl ��. c S o , z o 3 elev. [ � /g 6y -b 0 l O Y Q 3 6 I 611 S► C-, o P. 1J. P, Depth to limiting factor 6q Remarks: Boring # i o -m lQs -i 2 Z/I — S 1 Z gV M 'F1� olw o. s o. b 2 12 -�1 Z 10`112 Z t — S 1` Z F S �>►c U f l^ C S o. S s o• 6 3 yZ_S 10 `Itz 316 — S h, f ,. C . o.z u.3 Ground elev. L/ _-)� I Q V (L 3/6 f it � 6e 21g >u. P. �r. P. 1 176.1 ft. Depth to limiting factor •1 Remarks: pi - io T Name: — Please Print �,. �t� N Phone: Arthur L. We a 9� 715- 425 -0165 egerer Soil Testing & Desi -' e P.O. 74 River Falls,WI 54022 Signature: f CF Date: CST Number: ;� 9 Z -S_93 M00576 PROPERTY�WNER SOIL DESCRIPTION REPORT Page of PARCEL I.D.# 0L40 104U - L[O ' Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench o - l 1 LOK R Z /1 �. 0-S o. L . :; Z`Fsb12 �n c.s o.s u. L' Ground 3 Sfb_4b 'wit 316 i• 'c _S elev. slg. l t�.y ft. y 46 -1Z lo I a/L Sic.1 P. M.P. sip) c1 rv• p, N Depth to S 67- - - )S ! limiting factor y6" Remarks: Boring # vo - Q z/f S 0, Z tt -ZS �o�f2 z/z — sal Zfsbk m��� 0-S 0,S aL 3 RS-31 1,0LIP- Ground ! �.SY(Z vis ` elev. q M 31f. ff \oyQ 6/ sr c.� v'„�'�� 0- N p ti•P X ft. �Z S SZ- S6 5 y 5 /3 s /e, C d r►� T,' L)'p N. f? Depth to limiting factor , 3 Remarks: Boring # S Z 11 -Z3 �u`22 Z.lZ — S 1 Z F SI�k ►n �h e.S p• S o. 1. 3 21 -9Z 1oytZ 3/L C-s Ground elev. y Slz_Y$ 1� `t2 3JL 1 S6 S� )41 1, e S tJ• p 'N•P. ft. 5 P. Depth_ta. limiting factor 147 ,10 Remarks: Boring # t4;.�• :{,i1 1.10 k, S (S) L- S S U 1 l_ "(NV Z - G S b $ S . -. . .,•, f�CZ -� �F Ql �3 !3S tj S 16tt - rL 036&vC t-U:_. Dt) U O el Ground W u` P1Z.q 1 W L Nj of L EC elev. ti wou ut� l D 3 5!. �vN or. Depth to t_ lT C t3�` Lib t wk.) S rar limiting Pte SC�v »� 1RL k T- Gtr Sbs S )`� ! factor COry ► D Remarks: SBD -8330( R.05/92) • _ • PLOT PLAN Pa 3 of 3 SCALE 1 "= 3D' d cov 1L e 0.9 wt i to S.T. �i • ":s s " YNV se� pojfl Wts-L "m be So WL`ST © F SI`m . _ O �D IuoT LoT LWke) / N � ZS' Ouwxj s� -013% 0 1 \� \ Jo lot log 93 -10 ( 715 ) 425 - 0169 M00576 CST Signature Date Signed Telephone No. CST # Parcel #: 040 - 1044 -40 -000 07/20/2007 05:17 PM PAGE 1OF1 Alt. Parcel #: 10.28.19.146A 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - BURT, RICHARD E JR RICHARD E JR BURT 49 E LONG LAKE RD MAHTOMEDI MN 55115 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 37.140 Plat: N/A -NOT AVAILABLE SEC 10 T28N R1 9W A PARCEL OF LAND Block /Condo Bldg: LOCATED IN PT OF THE SW 1/4 NE 1/4 & PT OF THE SE 1/4 NE 1/4 SEC 10 DESC AS; COM Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) AT E 1/4 COR OF SD SEC; TH S 89 DEG W 10- 28N -19W 1082.09' ALG S LN OF SD NE 1/4 TO POB; TH CONT S 89 DEG W 1390.62' ALG SD LN, more Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 998/223 WD 07/23/1997 998/220 WD 07/23/1997 859/543 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/19/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 36.000 3,700 0 3,700 NO UNDEVELOPED G5 1.140 100 0 100 NO Totals for 2007: General Property 37.140 3,800 0 3,800 Woodland 0.000 0 0 Totals for 2006: General Property 37.140 3,800 0 3,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 'wi s7cons Department of Industry SOIL AND SITE EVALUATION REPORT Page ) of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY S Gil_ l X Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # 0- lv�l - dimensioned, north arrow, and location and distance to nearest road. � u O APPLICANT INFO ORMATION REVIEWED BY DATE Q, t?1Jt� S tuc. PROPERTYOWNER: - A wM Sod 2��2G PROPERTY LOCATION T- 3U�2 � 1 GOVT. LOT 5 I 1/4 NAT 1/4,S 10 T Z8 ,N,R 1 E (or&W PROPERTY OWNER' MAILING ADDRESS L"#BLOCK # SUBD. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE ®TOWN NEAREST ROAD \ flS w"j Lu I S Ll o I (' ()1 S) 3 8 6 - 3-? Z-3 ` - N?-Z Y 1 co `'' Lam= TV'P L [ New Construction Use Residential / Number of bedrooms ? i2 y [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow so gpd / 80\2at Recommended design loading rate < is bed, gpd/ft Ste" '- trench, gpd/ft Absorption area required bed, ft — trench, ft Maiamum design loading rate o. s bed, gpi:W 0 . b trench, gpd1ft Recommended infiltration surface elevation(s) Set r-%*r oaJ Pic 6E 3 ft (as referred to site plan benchmark) Additional design/ site considerations A LOw6, LjtdLU%j "ou 1 S lZet:Ut'7M(s Parent material = Flood plain elevation, if applicable tJ. N • ft S = Suitable for system cONVE noNAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for system ❑ S O ll I ®S ❑ u I [Is [9U as ❑ U EIS M U .❑ S 9U SOIL DESCRIPTION REPORT skF'a M°Tt_- WZ P"% Z Boring # Horizon Depth Dominant Color Mottles Texture Structure Cons•Isterm Bord3y Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tiench p _ \Z 10`12�f S1 Z m'FI� caw o.S o.� 10 VP- Z� Z S Z % b 1X \n U Fl. cS Ground 3 3$- 6y 10 -y jz 3 6 1fl ft. 6y -80 1OY� 3 (� 1 6l/ S I G� O w� ►►t1- tJ•P. U.P, Depth to limiting factor 6Lf , Remarks: Boring # r O -l 10`112. ?,/I — S 1 Z gV fn o. S o. b O.So•� 3 1 q'Z-Sy t�l`tIZ 3 )6 — S' Ground 1�sb�c h• �. GS o_zo.3 Ground �) � s/ elev. y __)13 IQ V 2 3/6 6 �- 5 Y¢ z 8 S i CA O �' �, u. P. !u. P, s ob• - ) ft Depth to Imiting facts 5V „ Remarks: T Name: — Please Print Phone: Arthur L. We erer 715 - 425 -0165 Ad dress: Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022 Sgnature: Date: CST Number: g3_to Z -5 -93 M00576 PROPERTY OWNER 'iF T SOIL DESCRIPTION REPORT Page?' of PARCEL I.D.# 0L 10.1 - 40 _ 1 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourx:1 y Roots ' GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmrxfi r 1 0 -ll lO'-iR Z — s1 S Z vn h caw o. S h Ground 3 yo -y6 to�t� �/� - s�c� 1 sb12 vv, cs ° Z cw3 elev. C-1A ,SYQ sly N �\. - 7 ft. y 46-62 t0yg 3 /� SIC, Owe hn'FI- C S P• i1�.p. S A cl Depth to S 6 10 `t R I L `' fl s o-n v-,, f tV • P, limiting factor y6" Remarks: Boring # a.S u,b y 2 tt zS )o�r� Z/z S11 Zfsbk ��,��►� 0-S o,so.L 3 Zs_3 t.o�,R � /ro — si�l \`�Sb� ri, ��. c.s o•z 'o•� Ground 1 T - 7 -SYQ Sly ` elev. 39 - t O `12 3 J c. 10 y Q 613 S c� t� "h Inn 'Ft C S N• P �' p V 01• - 1 ft. CZ S SZ -5(� S `1 S/3 .S `!rZ S /�, C Orh �`�►. 1J.p 'ti,.p Depth to limiting factor� 3 Remarks: Boring # S �w AO`[2 z/ S 1 Z FSAk h7u ft- C- �. S ` o• 3 -y Z 10y rO r'l 0-S �. z'v•3 Ground elev. ti� 't2 3J� `F! n•S S/ s� G� S�1� y,, F� eS ►.�• P X.+•P. \\ 2..5 ft. Depth to 5 d - b y l wy 1Z 3� , ►, c 1 v+� wl `� i ►� p, ry A. limiting factor �L Ly Remarks: Boring # t= S o 1 L. S S u l 1 "(Su Z - 6 D s Las S. ff l3 ; c =•: ij 1 C3 S t Q l' f1'L- C Ground �'`� w u u P1Z.c� � � ` t I S � ry o� � L ysl��► � � ��fi=, elev. wou L Q � 3 1 w�.r car J c 4 3 1 F I�w ft, Depth to C0v �5 r= �Tcr< a� r t'A on�c C cap ► tyv s limiting P S 113\ �� T- Gt �t p stis I S M1 factor Remarks: SBD- 8330(R.05/92) r - • PLOT PLA Page 3 of 3 SCALE 1 "= 3D�' 0.9 M► b S.T.H. 35 N°Ts - YNv S l: t'Vv GJ tTLL `CO $ > 5 0 n 0 �o Sh - Xbc . cal '10 OF q" �16I{ 3)y'� iZ.E-81I'IC Ft� °mil = C ruoT LoT LWtZ, it t 1I , ,' S U 1`1 ft-0 L �E Pr o F07- M UU QO 4D� �� � +`� -�..� `� ,,, r p0 ►WT Dts �v�Z.�3 o!Z �IL w�Ztru ZS�OowNS�pt�! '�"`�•� t ° Y L o C R�Cl � a E.xl..L�L� lYd1 tp ° g.Z Ja 6 8-1 0- _ �d7 / jog B.3 i t Z L' I I I �I3 -1 O 5 - 93 (7 15 ) _42_q -ni hs _ M00576 I CST Signature Date Signed Telephone No. CST # X - GD Z3 9 - RECEIVED XA. Z EN H. MALSH REGISTER OF DEEDS ST. CROIX CO., VI RECEIVED FOR RECORD 04/01/2005 09:00AM CERTIFIED SURVEY MAP Z EXEMPT # ST. C � REC FEE: 13.00 OR'$ REGOPQ TRANS FEE: COPY FEE• 3.00 CC FEE: CERTIFIED SURVEY MAP PAGES: 2 Vol 19 Page 4963 Frederick and Ruth Anding Being Lot 2 of that Certified Survey Map recorded in Volume 13 of St. Croix County Certified Survey Maps, Page 3674, located in the Northwest 1 /4 of the Northeast 1 /4 of Section 10, T 28 N, R 19 W, Town of Troy, St. Croix County, Wisconsin N QUARTER CORNER (`� 7 T i� _ (Found Altmunt® Moemnent) - �{._�L N T —W 9 Q SEC IO 10. T B R 19 W ZQ A ue lomwmn Monument 1� S8B'yTWE 28281a (Found Bemt lfe S (R = '3838' E 2828.51' d 2i;w 7W NORTH LINE NE 1k 3ECTION 10 (R : 1312. - -- ------- -- - ----•— -- — ._._. o � - - - - - -- N— �-- -� — LOT 3 - - I Z2,000AQPE� 550 205Q. fT. At W I Z1.439A0ESOR 933,8815Q. fl: E �I t_._._._�EXa- W ._._._._§9WC&LINE._._._. —...� I N 88 W 781.01' j S.I. in Feet 1'-200 I _ N�'/ I I a� o / {"o! 1 Z �Be�in l s are o ced to the North � qI line o the !V$ 1/q of Section �o, II i 6.468A42FSO 2 Fr I recorded bearing S 88°sXW S. i 6.448 A S OR A01- SQ. FT. Note - See slops statement on sheet 2 ai (EXa R/W) I � t N ive8• o, "w 8.0 ' Certified Mr j t!e� aP [ n I m tt1XX I � 3 LOT Volume 3, _ra..Qe3674 i 4 4 7 r, oN ' LEGEND = I I .�ts F i ......;� i y I O I pates 1 "o-D. x 18 "Iron Pipe Set j eighing 1.13 lbs. per lineal not IJAIIItEN � W g A I '4 M 1 � I • Found i "Iron Pipe I Indicates Soil Bonn Gat �3a � 1 �YVI . sLD� LLS e� � j 9 I `.. $ 0 Section Corner Monument .�'.D 9� S (as noted) y �4 I (R -) ReoordedAa a 5(1" g, 9 1 .�" -Sept. 13, 2W# I Z / 1$I a� WI €a..antsta ller Itgresa 8 Egraes W . _SETBACK LINE. m 6I Vd. z� � Pape y a l" i Eaaernent for l 3 E g of cY as Pervol �7 NI. 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