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HomeMy WebLinkAbout040-1318-00-006 / \ f § % ( > & \ 0 � / . & � . ƒ . ƒ � \ � G � $ z 2 \ , \ \ � L f \ % . / W 7 { \ { ) z } § \ a 7 � k § k \ u _ k 7 ) / E ® & / � \ § ( / k z z •• _ �c / \ 0 -70 k & 2 ; w 'ƒ CL 'n U) 0 e ± 3 3 o a \ & \ m 8 k k( 0- L - t E E a a E E < 2 2 q \ \ 2 11 c \ § 2 \ S 0 m = \ E § # ° ° 0 / 2] k z z 2 : § _ \�G@ _ E CL - - ) / \ 0) \ C, 0 § ~ 2 § « ® @ r 2 / 2) :± S m § : r $ k% , 2 \ ; a § c g o / \ / / \ o z $ } / } \ ka §\ - - � / ' \ c a § / 0 a \ 0 3 L :onsin Department of Commerce Count .6 >+ ;� PRIVATE SEWAGE SYSTEM St. Croix _.�ty and Building Division INSPECTION REPORT Sanitary Permit No: 488089 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: Troy Development Corporation Troy, Town of CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: ty\ CS 11.28.19. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Z A ... Benchmark 1674 115 S 50: k /(o 7� e S L1 Dosing 3 94 Al BM 10- /07Z , /(, W ems-- R.; 16 60 a7••. Aeration Bldg. er �. Holding St /Ht Inlet TANK SETBACK INFORMATION t t ut a /r 3.7o /0 K - No TANK TO P/L WELL en o it I ntake 1.3. net .� 10us • 3 ep is ry►ofCx / > i Dt Bottom osing / Header/Man. era ion is . Pipe b /6`7 7, 19 01ding Bot. bystem 5 . (o`I /677, M 7 — n a7G ra e PUMP /SIPHON INFORMATION 4.6 4 Jim M anufacturer Demancl L euuer C T . 90 Z GPM ,., C:1 Z t Z 10v /a !� m odel um er ��,ti Q OY / . 7n s . Z-S 1 I ric ion oss s ystem m eacl I Jri tC. liz. 5',53 3.z Z.1 �a- Stites �r6.s5.7 10 �s If- orcemain L engin j I . l S Z i 7 SD , C� w //3 • : 5 IQ95Z.* iL7L . �(ca Coq -cam.- /6- At7 -.Bte ltS7Z • �! MrU Lengin IrFT UI1VIr-N0IUN0 INIU. kJ 1­115 MSIC]e Ula. [qulu 013pul DIMENSIONS e�x Sr INFORMATION V CHAMBER OR UNIT U15 UI ION SYSTEM ' Pipes) !� t � l Length 5 Dia Z. Length V - Dia Spacing ` 7 'S 7` x Pressure Systems Only xx Mound Or At -Grade Systems Only Bed /Trench Center I C7 / Bed/Trench Edges Topsoil ' No Ye No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: '� / Z / (o Inspection #2: ko / ZO / `-(,0 Location: Hudson, WI 54016 (NW 1/4 NE 1/4 11 T28N R19W) Hills of Troy Lot 6 �m�. S Parcel No �1.28.1�3 °� fi' Mowzd} 1.) Aft BM Description = � 2.) Bldg sewer length ter = 3 ired? Yes 1 o 16L additional information. Z z b� GJ "" -- Bate -1 -- - nsep - Signat -- — -Ce J � Mr ;, ,�, .�` � � e � r it ..... ............................... .......... .............. U 03/02/06 TH 09: ;S A%� � f� 001 Safbt and B in&s on Camty MAR 0 zal W. a WI itte I ST� CQ•olX Mad 537h Sanitary Nutsdnor to be filled in tpy CO.) Department of Co men CROIX COUNTY X08) 266 - 3151 �' Q , State Plan I. D. Number Sa pp ltcatioln lc # := l 2 3 OG' to aaoord with Comm 13.21, Wis. Ad personal information you provide Project Address (if dilti it than mailing ) r � _ � P I!1 Block N C[ 86 Ap A ff — Y, mew %i Section ....�. Ci(y, Nue Yip CLX "j n ••�� �lnmhcr t 6- )'1 -1.5G K �lcEcico c) il. Type of Building (cbeak till that apply) S w+ • "" Su "viSl6r1 Natnc CSM Numbs or 2 Family Dwelling - 1VnNnhcr of Btxlrrrans _. 0 public.Commereial - Describe Use f ar ❑ State Owned - Docribe Use ❑City_ ❑V itlage �Towr+Ship of Ill. Type of Permit: (Cheek only one box on line: A. ComPle Gina B N s A. New System ❑ Replacement System ❑ TreatmentlHalding Tool; Replacement Only ❑ Uther Modification to FAisting Syslan List Previous Permit Number and Data Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change or ❑ Peru Transfer to Now Before Expiratfbn Plumber t)vunor , tt / rr IV. a of G'p System:_ (Cheek all that a 1 t 33 , _�• u ❑ Non -Pres turind ImOround hound ? 24 in. of au itabla s ' ❑ Mound < 24 m. of sultabk soft ❑ At -Grade ❑ Si ngle Pass Sand Filler ❑ Coastrurted Wtthnd ❑ Fmiurtsnd In -Vroumt ❑ HddingTank (� Peat Fi1tr� Aombiu T+evunent Unit ❑ 11 ting Sand Filter ❑ Recirculati nthedc Modia Filler U Leaching Chamber I..] Dri Line O Camel -less pipe ❑ Uthtr lain V. D" I/Traataunt Atxa Information: .-- Dairrt Plow (go o Design Soil Application ttatMRp t) {spares! Area Required (at) Dispattat Ant as P�pos 76 Syst`7 Ltd 7 V1. Tank Info capacity in Total Numl.rcr ( Manurneturer Pn+f Site Steel •i r Plastic thtlluns Gallons of W1 :; J _.Q ,{ It)9 ( oncrcte Cons+rucecd Glees New GdetrprIV . _ j V9 Tanta Septic a i bldir Ta. ' (M at.t Aerobic Treatment Unit t)oetrt)C n r �Or� N .. VIL Resiponsibili Statemat L the andertuped, assume r agponxibBlIZ for installation er the POWYS dMWP on the atMChed Plaatt Plum (P ' Plumber's Signatura MP/M S Ph Number Business one Number 7r o .�d�'r lld Y nber's Add ,ew (Straet City. State. .ip Code) VIII. County/Department Use On Iasu ••• Vi d ❑ oni�iy Permit Pon ' IrtAx�Gro Data Issued mg r,G . ignature IN S for Surcharge Fee) ()etniul IX C'onditioas p rov ?a#aoetx for pp—w-1 3 , SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained �-- ----� Q as per management plan provided by plumber. 2. All setback requirements must be maintained tnnBxQ� `� as per applicable code /ordinances. Attlltb templets ptem to da Ce■■tr r41 tar me sys"M do PEW ra■� x t 1 i11 i■ si■e t� 1'tt- ` / SBD -6398 (R. 0I /03) —I oeo � o ��Ooo ' z el f �c k c Ric f: �U t d � f 1 Q ' ti • < Safety and Buildings PO BOX 7162 commerce .Wl.gov MADISON WI 53707 -7162 TDD #: (608) 264 -8777 isconsin www.w www.coe.wi.gov/s / t i � epartment of Commerce isconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary February 21, 2006 CUST ID No. 242514 ATTN: POWTS Inspector TODD C FEATHERSTONE ZONING OFFICE FEATHERSTONE EXCAVATING INC ST CROIX COUNTY SPIA PO BOX 467 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/21/2008 Identification Numbers Transaction ID No. 1239068 SITE: Site ID No. 709616 American Classic Homes 2006 Model Please refer to both identification numbers, Prominence Ct above, in all correspondence with the agency. Town of Troy, 54022 St Croix County NEIA, NWIA, S11, T28N, R19W Lot: 6, Subdivision: Hills of Troy FOR: Description: New Mound System / 750 gpd Object Type: POWTS Component Manual Regulated Object ID No.: 1062271 Maintenance required; 750 GPD Flow rate; 30 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 101); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: —> This system is to be constructed and located in accordance with the approved plans and with the P.O.V' Can �1�, �+ component manuals listed above. ft. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to AN '' inspection by authorized representatives of the Department, which may include local inspectors. All permits DEPA 1 required by the state or the local municipality shall be obtained prior to commencement of DIVIS10 A '�1 construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should SEE CORRE conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. r TODD C FEATHERSTONE Page 2 2121!2006 I I Sincerely Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 P ter E Pagel Private Sewage Plan fewer, ,Integrated Services WiSMART code: 7633 (608)266 -2889 , M - F, 0630 - 1500 Hrs pete.pagel@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 I APPLICATION FOR REVIEW -Gornpleie all pages- POWTS 70) Safety & Buildings Division )TE Petso Ammawn ;IV ce r" a . �r Bureau of Integrated Services im vor wan stwu& cock ox webm a Sev"A o"Ges hawe been delegMed certain auth�Dwy toreviev, plans in lieu w Commerce. For a , .Rent list of those counties and their delegation I ;oJb'zJ�' tis SR 'SE 1, Project Information - Fill in all known iriforrilmion Confirrinatton of assignment to a reviewer, Tfansac:hon ID: '"u 51e Name 2OD3 FAL %41214 A 1 , --be e Inny- 0 v r4w— "isamd w rw0d Foemmtis Pefaled Trans. ID: I r P �2' E G tJ Eshiraimi convehon Own Asxigmv Revown i TF 1 t.-, y uv ;-fli� of chowe below: 2 Ahm Mmm wo mmawad. pleasm Whech all than apr xly'i %h --- n- W—ka,h. J NOTE: 'Vic r�- the right to re-distribute plans to alaoiber olive it needed to masoniably balance x 'all Ai s to c ,at ww t RACS, tuinarouno (Irries MM ow Wn I CwM&w Me MUwbq dm Uwi �cvvner, reQL. ez:mc- mfcii rnwion. U Wiz c h e ck p c e wneo t e3 • gic n evan or reciues Ung Pa"Y is We s— avowl ni:afleafing inlorinatioit 1 If 1".:; 1 1 2-426114 -- 74t "FRICAN CLASSIC HOMES Company Namc AREACAN AORL HONES Saims f,F i P, i 20 PC 90" 40 '7ER__ Go"n ry p-4 - TUGHMJ Pnono Nun;bcf �Ot'-'o 1i'fCwq 'Dr 1 nj 3r W if oMe War Me a- - i :S'L _ "�A Iss 7aq we Qnj�l apokabW Comp men! iranuaJ You "Wy W"M LlMh"Wdl LWC qMnMMO W L o 3 & S) ohs Say S D Wauke&a S&BD St 331 Lt" "ace 1 41 INV EArstov, ff �J L1, ' Flnot vir �n 4- 71 51 Eon, Ranscne,M i ITS lwmw on A n" nPoev. Coda 763n ZOO'S MGM 0 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: 2006 FALL MODEL A.C.H. Owner's Name: AM CLASSIC HOMES Owner's Address: 145 NEWENGLAND PLACE, SUITE. 200 STILLWATER, MN 55802 PH # (651)- 351 -0995 Legal Description: NE 1/4 NAN 1/4 S 11 T 28 N R 19 W Township: TYROY County: ST CROIX Subdivision Name: HILLS OF TROY Lot Number: 6 Block Number: Parcel I.D. Number: PENDING Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings I T S Paye 4 4ateral and dose tank 'ojZUlly Page v Management plan Page 7 System and maintenance specifications 7 Page 8 SOIL EVALUATION REPORT PA li cE Page 9 SOIL EVALUATION REPORT P. AA WIN S Page 10 SOIL EVALUATION REPORT P.3 �� Page 11 SITE PLAN Page 12 PUMP CURVE �PONDE CE Designer: TODD FEATHERSTON License Number: 242514 Date: 02/09/0 Phone Number: 715 - 381 -1704 Signature: /�' �•...._ Version 2.82 (10/5/00) Page 1 of 12 A Mound and Pressure Distribution Component Design Design Worksheet Site Information R Residential or Commercial Design (R or C) Note: Sand fill (D) calculatio assume a 500.00 Estimated Wastewater Flow (gpd) Table 83-44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of <= 36 inches. 750.00 Design Flow (gpd) 6.00 Site Slope ( %) 1076.00 Contour Line Elevation (ft) 30.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd/ft Distribution Cell Information 90.001 Dispersal Cell Length Along Contour (ft) _ $.33 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N c Center or End Manifold (C or E) 2.50 Lateral Spacing (ft) If N above, enter the elevation (ft) 6 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 4.00 Estimated Orifice Spacing (ft) = 11.36 ft/orifice 2.00 Forcemain Diameter (in) _ 'L6 155.00 Forcemain Length (ft) Does the Forcemain drain back? Y 1058.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 25.28 Forcemain Drainback (gal) I /C �{ ✓ 18.08 Vertical Lift (ft) 84.50 5x Void Volume (gal) 5.91 Friction Loss (ft) 109.78 Minimum Dose Volume (gal) 27.25 Total Dynamic Head (ft) 43.25 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection o in. dia. options choice in. dia . options o s c hoice 1.00 1.25 1.25 x x 1.50 1.50 x 2.00 x x 2.00 x 3.00 3.00 x Treatment Tank Information Gallons /inch Calculator (optional) 1565.001 Septic Tank Capacity (gal) Total Tank Capacity (gal) WEISER Manufacturer Total Working Liquid Depth (in) gal/in (enter result in cell B48) Dose Tank Information 1000.001 Dose Tank Capacity (gal) Effluent Filter Information 27.83 Dose Tank Volume (gallin) JZabel I Filter Manufacturer WEISER IManufacturer IA100 I Filter Model Number Project: 2006 FALL MODEL A.C.H. Page 2 of 12 i Mound Plan View t 1!613 Observation Pipe >:> .. _ K. T '.``5 ? '. A W .... B: I ......... • ..•....... ...... . ........ • ...................... I.......... -�--- L Mound Component Dimensions A A6.00 ft E 12.00 in H 1.00 ft K [ Aft ft B ft F 9.25 in 1 12.50 ft L ft D in G 0.50 ft J 4.50 ft W Down slope toe extension made 750.00 (ft Dispersal Cell Area 1875.00 (ft Basal Area Available 8.33 (gpolft) Linear Loading Rate 1 15.00 (ft) 1!613 Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 1078.27 (ft) --► i �;;; G H ... ...:.:.:.:.:.:.... F Dispersal 077.00 ft Lateral rsal Cell J ft) 1076.50 ft —� -- Invert O ;:3:; : ; : s: s; s !;! ; Dispersal Celt Elevation E D: 3 7 �i4'�'�'- .�5.�',nZ�h?�'i`-. ����'�i��7�5 •�4z; -� - _urt:�a. ,. - . :s�� 5 ti .K '- A 1076.00 (ft) Contour Elevation 6.0 % Site Slope Shading Key Dispersal Cell Geotextile Fabric Cover 1� Topsoil Cap - 3 See lateral details Subsoil Cap e p + page 4 for number of e ASTM C33 Sand a Z T F laterals, size, and Tilled Layer 0.5 ft Typical Lateral spacing. Laterals are Aggregate a 5 centered in the AxB - - --+ distribution cell. Project: 2006 FALL MODEL A.C.H. Page 3 of 12 Lateral Layout Diagram Force main connection via tee or cross to manifold at any point. Laterals ate identio al P • = Tum -up with clean" plug or ball valve S dV- �f X-- ��Ext2 xt23) Holes drilled on the bottom of the lateral. Laterals & farce main of PVC sch 40 as per Comm Table 84.30.5. Ms. Adm. Code Number of Laterals 6 Orifice Diameter 0.188 in Lateral Diameter 1.25 in Orifice Spacing (X) 4.21 ft Lateral Length (P) 44.21 ft Orifices per Lateral 11 Lateral Spacing (S) 2.50 ft Orifice Density 11.36 ft /orifice Lateral Flow Rate 7.21 gpm Manifold Length 5.00 ft System Flow Rate 43.25 gpm Manifold Diameter 2.0Q in Total Dynamic Head 27.25 ft Forcemain Velocity 4.42 ft/sec Dose Tank Information Locking cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and ---► Comm 16.28 WAC Disconnect 4 in. min. Tank component is property vented F— Alternate outlet location Forcemain diameter WEISER Manufacturer 2 in. Cap acityl 1000.00 Gallons Volume 27.83 gal /inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 18.99 528.43 C B 2.00 55.66 Pump off elevation (ft) C 3.94 109.78 11058.92 D 11.00 306.13 — Total 35.931 1000.00 D Dose tank elevation (ft 1058.00 Alarm Manuafacturer I LEVEL ALARM Alarm Model Number I DLV Pump Manufacturer IZOELLER Pump Model Number I BN 140 Pump Must Deliver 1 43.25 gpm at 27.25 ft TDH Project: 2006 FALL MODEL A.C.H. Page 4 of 12 I Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tan shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet fitter shall be assesse least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions a made to retain solids in the tank that may slough off the fitter when removed from its enclosure. if the filter is equipped with an alarm, the fiftel 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 sludge and scum in the tank exceeds 1/3 the liquid volume of the tan the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the nex service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products used they shall be approved for septic tank use by the Department of Commerce. Pump Tartk The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent fitter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svhhtain No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seed and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil conpaction may hinder aeration of the infiltrative surface within the mound and sn compaction in the winter will promote frost penetration. Cold weather installations (October- February) dilate that the mound be heavily mulct for frost protection. Influent quaily mb the mound system may not exceed 220 mglL BOP150 mgiLTSS, mid 30 mg/L FOG for septic tank effluent or 30 mgiL 80D 30 mglt. TSS,10 mg& FOG, and lddu/100 mt for highly treated effl Iniluent flow may not exceed maximum design flow specs& in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be fhrs of aowinulided soils at least once event 18 months_ When a pressure test is peformed it should be compared to the initial test when the sys was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal c Observation pipes wi lik the I Ical shell be chadied for etirent pcnidirhg PbmAdmAg le+nelm s� bm n�rtent lip tin; airaec, std any above 4 inches considered as an impending hydraulic tame requift adnYonak mine bequent lieonelriring This system shal be operated in accordance with Comm 82-84 Wis. Adm. Code, and shat maintained in accordance with its' component manual [SBD- 10672 -P (ft 6i99) or SBD- 10690 -P (itI lOn and khcat arstale rules p * system ei I i mit and r No one should ever enter a septic or pump tarry since dangerous games may be present fleet exorrd Comae deafly. Septic and pump tank abarx3yrner4 sf be lo scowdancewith Comm 85.33, Wis. Aft Code when the tanks aee no longer used as POYlfiB eomporierrs Sepike of purer tank manhole asers, amass users and covers shodd be inspected for water bg and soundimes. Access openinp used for servipmir d a 1 1 4 t be seated wskqNW upon #* oTnpWi�p -4 qenmk—e " ,, F d4? �— Fr wr, &40� fu ac v; to faivam mud be reps F p p 1 1 access openings greater Omn 8- ireefmti art i htnet- - ,hctrrt 6, seLut--U t - . w. * i ar � � r ; � . • v ,_; rR, prevent accidental or unacathoriaed entry into a tank or component. en FA it P If the septic tank or any of is components become defective the tarns or component shy be or replaced to keep the syatem in peer operalliM condiion. If the dosing tarn, pump, pump corals. alarm cr rued wring becomes defective the defective component shaft be immediately repaired replaced vft a eamporient of to same or aqua; perlbirmance . if the mound component fails to accept wastewater or begins to doge wasbevrater to the grourxf surface, t vA be repaired or repleced rs &x u„is trawl we a if to b--%*agle occurs or by remoft bibliogically absorption mid dspaiisat media. and re 3. �IfAf t ierarag scd U3a as tleenmed necessary to bring the system alto proper operating condition. l ris c atheig: ffil t fir mtemE?E: of fts system stmQ€ Id be directed fn } trr i:re"ina itt. taRar v. ;; F .vi, t c prrh Tinian n19rr - -: local heath fir. See Page 7 for the name and tete - iNakh-- tltEmN (if you rncar rye WTS r* !: Project 2006 FALL MODEL A.C.H. Pap 6 of 12 Mound System Maintenance and Operation Specifications Service Provider's Name FEATHE EX C INC Phone 715 - 381 -1704 POWTS Regulator's Name TODD FEATHERSTONE Phone 715 - 381 -1704 System Flow and Load Parameters Design Flow - Peak 750 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 500 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1565 gal Maximum TSS 150 mg /L Soil Absorption Component Size 750 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Freauency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect once a year and clean once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals flushed and pressure tested once every 1.5 years Mound Inspect onceevery 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted or perforated and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion. Lateral Turn -up Detail Finished ..•••••....•.•• ............... Grade 6" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: 2006 FALL MODEL A.C.H. Page 7 of 12 �N - 1'( ckllJb tD 5 �S WN I 1 NEN I HL V VUh' WNtK VVisconsin Department ofCornmvres SOIL E REPORT P 1 of 3 Division of Safety and 8uitdings In accordance with Comm 85, Wis, Adm. Code Count ST. cROIx Attach complete site plan on Raper not less than 8112 x 11 inches in size. Plan must inGude, but not limited to: veniCal and horizontal reference point (SM), direction and Parcel I.D. (PENDING) percent slope, stale or dimensions. north arrow, and location and distance to nearest road. Phase pilaf all inrformadon. Reviewed by flare Personal informapon you provide may be used for secxiriasry purposes (Privacy Law, s. 15.04 (1) (m)). Property 0wrer Property Location • NORTH DAKOTA STATE UNIVERSITY c/o Leo Beskar c7ovt. I.cx -- NE i/4 NW 1/4 S I I T 28 N R 19 E Property Owner's Mailing Address Let # Elock # &ft. Name or CSW i Rod1L Beskar, Bales & Krueger SC, 219 N. Main Street 6 — Hills of Tray City State Zip Code Phone Number _ity ©village ElTown Nearest Road Rivtiz Falls, WI 54022 ( 715 425 Coulee Trail Q New Construction User Residential 1 Number of bedrooms _ 4 Code derived design flow rate 6W GPD © Replacer.wt Q Public or commenpal - Describe: Parent material loess over till Flood Plain elevation if applicable 1.r a ft. General comments Mound Systcin -- 0 -50 ft. sand fill - 0.4 lording rata and recommendations: I (If pre - treatment system - below ground drip - irrigation -- 0.6 loading rate) Boring # ng �lL —^ �- Q Pit Ground surface elev. 1 073.60 ft. Depth to limiting factor 31 in, Soil iraGVn Raw Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr- Sz Sh. '01#1 *9-002 1 0 -10 10YR3/2 - sic 2f- mgr&sbk mvfr as 2vf-m 0.t5 018 2 10 -23 10YR3 /4 - sic] 2fa&sbk mfr as 1 vf-m 0.4 0.6 3 2.3 -2R 7.5YR3/4 - sl Imsbk mvfr u3 lvf f 0.1 0 7 4 7$ -31 7.5YR4/4 sl 2mabk mfr ab I of -f 0.6 1.0 5 31- -- Iiorilons 2,3 & 4 bavc some gr. H Boring # Boring 1074.06 40 Pit Ground surface elev. ft. Depth to limfing factor in. Sod APO Cation Rate Horizon Depth Dominant Color Redex Description Texture Stru Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *001 'Eff#2 1 0 -14 10YR3/2 - 5il 3f- ma&sbk mvfr as 2tiff m 0.6 0.8 2 14 - 24 10YR3 /4 sicl 3fabk mfr as Ivf m 0.4 0.6 3 24 - 28 10YR3/4 si 2fabk mfr cs I vf 0.6 1.0 4 28 7.5'YP,4/4 - Is Imsbk mvfr as IVf -f 0.7 1.6 5 40 -47 7.5YR4/4 f2f 7.svR314 1s 0m mv fr - _ 0.7 1.6 Effluent #1 = BC4] > 34 K 224 nxyL arid 1'SS >30 150 mgt ' efnuem az = DOP, _ W mWL and TS$ ; 30 m glL CST Name (W" Prinl) w ignature CST Nurnber I Mary Jo Hollister 2 24832 Address �. Date Evaluation Conduo�d Telephone Number W9875 690(h Avenue, River Falls, W7 54022 05-05-05 (715) 426 - 1775 I i I JAN -17 -2006 03;23 CONTINENTAL DVLP CORP 763 757 2532 P.03/07 PAY Owner N1)SU (Lot 6) parcel ID r3 (Pending) Page 2 of 3 " C Rn � it t30ring "� !077.22 Pit Ground Surface efev. _ ft. Depth to limiting faelor yU in, Soil Applagm Rate Horizon Depth Dominant Color Redox Description Texhxe Structure Consistence Boundary Roots GPD/ f" in. MunseB Ou Sz. Corri. Color — Gr. Sz. Sh, _ 'EfBfi I 'Eif#2 1 0-10 10YR3/2 — sil 2f- mgr &sbk mvfr as 2vf-m 0.6 0.8 2 10 - I 101•&13/4 — sicl 2fabk ntfr as Ivf -m 0.4 0.6 22 -30 7,5YR3/4 s1 Om mfr as lvf-f 0.2 0.7 __ 4 30 -36 7.5YR4/4 _ - — Uf 7.5YR3/4 sl Om mfr as 0.2 0.7 5 36 -42 9.SYR4 /4 c2d 10YR4 /6 si Ora mfr — 0.2 0.7 Horizon 3 has some gr. f 1 Boring # RJ eonng -- — 1 — J Pit Ground carfare elev, ft. t wth to Inning factor in, Soil AppliMion Rate Horizon Depth Dominant Color Redox Description Texture SftuMre C0rZi tense Boundary Roots GPDt f in. Munsell Ou Sz. Cont COW Gr- Sz. Sh. 'EfOl 'Eff1r2 i ❑ goring s Boom Pit Ground sur ace elev. ft Depth to finding factor in Sol cation Rate Horizon Depth Owninant Colo Redox oeSpip (ion Texture Structure I Consistence Boundary Rods G_ PDMF in. Munsell Ou, Sz, Con! Cofer Gr. Sz. Sh. 'EHtf'1 - EU2 l i i � ' Effluent #1 BOD 30 < 220 rng /i and TSS >30 _ 150 rng/L Efluent #2 = 500 < 30 mg/L and TSS 130 rngyt i he OeparTmernt of Cornmtrec is an equal upportunity service provider and employer. If you need assistance to access services or need material in an altemate format, plmse contact the department at 608- 266 -3151 ur TTY 608.264 -8777. JU: 73J 11 Gt rK.4 /.W) D'q JRt7 -17 -2006 03:23 CONTINENTRL DULP CORP 763 757 2532 P.04i07 Plot Plan for .l US c�. f T'dy Page 3 of 3 Town of T3►vy & mix Corwty, *sconsi' 1 Lot �r 40 f� Legal Y�e�riptwn NT-- fi+� �;w' /� sGc. +� 2, f� Cvn#ours Eft " a$aCA*oe pit t l W logo V ;u iD1 1 0 0 0 i v a 6 t p� � � y ty J / w a ��, / -asp `tea 1 "xL•,r � r 7. �a 1 a hZ 3 , ( i L i� Q� ,� j� �,, �,� "�,1� ✓?:� � Qom. r Single Seal W ' HEAD CAPACITY CURVE TOTAL DYNAMIC HEAD/CAPACITY w i PER MlfVIITE _ r Weight n f MODELS "14014140" EFFLUENT AND DEWAIEN!NG Ff. Meters Go(. Lt rs_ 1 T i - 4J 10 305 �}-84 3t 9"�I 17 40 -- 15 6.57 76 180 , 140, 410 20 610 68 _257 25 7.62 59 123 , 7 D 30 9. 14 1 49 195 31J 35 10,6 38 164 13 ,n 12.19 21 79 I I I Ii A . i. OQ I tOCk VOWC 46' z 6 20_ - � 1 Q 1 t I J'7 i' - . - i -- _ SK7514A 4 Q I X 10 -. - - �i ___ —_ 2 -- _ —_ �• • - � I 0 U.S. GALLONS 10 20 30 40 50 60 7C 80 90 1D0 110 -_.,.' It LITERS - i,. 80 150 240 320 400 -- 0 FLOW PER MINUTE 010940 CONSULT FACTORY FOR SPECIAL APPLICATIONS 6 Electrical alternators, forduplex systems, are available and supplied with - - • an alarm. • Mechanical alternators, forduplex systems, are available with orwithout -- - alarms. Control alarm systems are available for 1 phase pumps used in simplex - system. See FM0732. Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable SELECTION GUIDE level long cycle controls. 1. Single piggyback variable level float switch or double piggyback variable level Sealed Qwik - Box available for outdoor installations. See FM1420. float switch. Refer to FM0477. Over 130 ° F. (54 special quotation required. 2. Mechanical alternator M -Pak 10 -0072 or 10-0075. Refer to FMOB06 for 200° F. applications. 3. See FMOT12 for correct model of Electrical Alternator E -Pak. 4. Variable level control switch IM225 used as a control activator, specify duplex (3) or (4) float system. 5. Four (4) hole J -Pak, junction box, for watertight connection or wired -in simplex 140 Series - 53 lbs. 4140 Series - 73 lbs. or 2 pump operation, 10 -0002. 14014140" MODEL control SelWion Model Model I yells - I Mode Amps Simp Duplex —. —p_ N 14Q 4 __ 40 1 115 1 f Non 5 C 1 or 1 & 5 _ CAUTION 2 or 314 1 E ! _ E4140 1 230 1 No 7.5 1 or 1 & 5 2 or 3 8 4 —i e' N14o BN47�5 1 Non 15.0 - 1 - or _18 s 2 o� 3 a a All installation of controls, protection devices and wiring should be done by ( 6Ef 14o sE414o 230 Non 7.s a quaFdfed licensed electrician. All electrical and or_185_2or384 J safety codes should be followed including the most recent National Electric Code (NEC) and the Double seal pumps are avalabie with optional mmture Sensnm Seal rod indicator light available' in NEMA 1 or NE MA ax Occupational Safety and Health Act (OSHA). control panels. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P0. BOX 16347 • touisvilfe. KY 40256 -0347 1 ranuractwersor. . kL M SHIP TO,- 3649 Cane Run Road Louisvrtle. KY 40211 -1961 . (502) 778 - 2731.7 (800) 92tt Q"�Arr Pa1+as SN CE I-vu -- FAX (502) 774 -3524 C Wisconsin Department ofConxrterce SOIL EVALUATION REPORT P 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wit. Adm. Code Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must county ST. CROIX include, but not limited to: vertical and horizontal reference point (BM), direction and ParoeII.D. (PENDING) percent slope, scale or dimensions, north arrow, and location and distance to nearest road. P /ease print all information. ReVOOecl by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 77R& , X& Property der Property Location ■ NORTH DAKOTA STATE UNIVERSITY c/o Leo Beskar Govt. Lot — NE 1/4 NW 114 S I I T 28 N R 19 Property Owner's Malling Address Lot Block # Subd. Name or CSM1t Rodli, Beskar, Boles & Krueger SC, 219 N. Main Street 6 — Hills of Troy City State Zip Code Phone Number ElYflage own Newest Road River Falls, WI 1 54022 1 ( 715 425-7281 Coulee Trail D New Construct" UseEj Residential / Number of bedrooms 4 Code derived deWn flow rd* 600 GPD Replacement Public or commercial - Describe: Parent material loess over till Flood Plain elevation if applicable ft. WA Gerd co and recom Mound System — 0.50 ft. sand fill — 0.4 loading rate (If pre - treatment system - below ground drip- irrigation — 0.6 loading rate) o Borirg# o BoriM Q Pit Ground surface elev. 1073.60 ft. Depth to limiting factor 31 Son Rafe Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD W in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 '0111112 1 0-10 10YR3/2 — sil 2f- mgr&sbk mvfr as 2vf-m 0.6 0.8 2 10-23 10YR3/4 — sicl 2fa&sbk mfr as lvf-m 0.4 0.6 3 23 -28 7.5YR3/4 — sl lmsbk mvfr as lvf-f 0.4 0.7 4 28 -31 7.5YR4/4 — sl 2mabk mfr ab lvf-f 0.6 1.0 5 31- — — tillAsbr — Horizons 2,3 & 4 have some gr. 11 Boring �d►n9 # Q 1074.06 40 a Pit Ground surface elev. ft. Depth to limiting factor in. Son Application Rate Horizon Depth Dominant Color Redox Description Texture Stnxxure Consistence Boundary Roots GPD/fF in. Munsefl Qu. Sz. Cont Color Gr. Sz. Sh. *001 *011 1 0-14 10YR3/2 — sil 3f- ma&sbk mvfr as 2vf-m 0.6 0.8 2 14-24 10YR3/4 — sicl 3fabk mfr as Ivf-m 0.4 0.6 3 24-28 10YR3 /4 — sl 2fabk mfr cs lvf-f 0.6 1.0 4 28-40 7.5YR4/4 — is lmsbk mvfr as lvf-f 0.7 1.6 5 4047 7.5YR4/4 Of 7.5YR3/4 is 0m mvfr — — 0.7 1.6 ' Effluent #1 = BOD > 30 < 710 "#L and TSS >30 < 150 ' Effluent #F2 = BOD < ffq& and TSS < 30 nV& CST Name (Please Print) — — CST Number Mary Jo Hollister 224832 Address Date Evaluation 0 05 Telephone Number W9875 690th Avenue, River Falls, WI 540 2 05 - (715) 426 - 1775 Property Owner NDSU (Lo 6) Parcel ID # (Pending) Page 2 of 3 C Ong # I.J Boring Pit Ground surface elev. 1077.22 ft. Depth to limiting factor 30 ❑ in. Sol Rate Horizon Depth Dominant Color Redox Description Texture axe Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cora. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 0-10 10YR3/2 — sil 2f- mgr&sbk mvfr as 2vf-m 0.6 0.8 2 10-22 10YR3 14 — Sict 2fabk mfr as lvf-m 0.4 0.6 3 22 -30 7.5YR3/4 — sl 0m mfr as lvf-f 0.2 0.7 4 30-36 7.5YR4/4 f2f 7.5YR3/4 sl Om mfr as — 0.2 0.7 5 36-42 7.5YR4/4 c2d 10YR4 /6 sl Om mfr — — 0.2 0.7 Horizon 3 has some gr. ❑ Boring # Boring Pit Ground surface elev. ft. Depth to lirrritirrg factor in. Rye Horizon Depth Domirwt Color Redox Description Todue Sbtxbxe Consistence Boundary Roots GPDW in. MrnseN Qu. Sz Cont. Color Gr. Sz. Sh. 'Efr#1 '002 F-1 # g Boring Pit mound surface elev. ft. Dep>tr ro firrMting factor in. Soil Application Rate Horizon Depth Domrnarrt Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Mu>se9 Qu. Sz Cont Color Gr. Sz Sh. 'Eff#1 '0002 ' Effluent #1 = BOD > 30 < 220 mgt and TSS >30 < 150 mg& ` 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. SB04330TW (R.OWN) f Plot Plan . for Hills of Troy Page 3 of 3 Town of Troy, Sit Croix County, m1consin ' Lot (0 1 » =40ft Legal L escTl d mr-- i/4 o f: - rHm u vs ' /4 SE c . 1 1, 2 f �: contours T�� � � P� _ , R�v�� �N c� � �= Backhoe �t m 1080 1 00 \ OX n w Z o 19 % � 1 i \ 1� b \ rp \ TRW W S D D • i r • i • • • r Wisconsin Department of Commerce E LUATION REPORT Page 1 of 3 Division of Safety and Buildings incoi omm 85, is. Adm. Code County ST. CROIX Attach complete site plan on paper t less than in si . Plan must include, but not limited to: vertical an horizontal ' M), ctio 'and _ parcel I.D. (PENDING) percent slope, scale or dimensions, rth arrow, an ares `d. N ` Please p 'nt alal Zeview Dat Personal information you p rovide may be s (Privacy Law, s. 15.04 )). �( _ / 7 7 4 Property Owner Property Location NORTH DAKOTA STATE UNIVERSITY c/o Leo Beskar Govt. Lot ---- NE 1/4 NW 1/4 S 11 T 28 N R 19 El El Property Owner's Mailing Address Lot # Block # Subd;Name or CSM# Rodli, Beskar, Boles & Krueger SC, 219 N. Main Street 6 - -- Hills of Troy City State Zip Code Phone Number it ElviIlage wn Nearest Road River Falls, WI 1 54022 ( 715 425 Coulee Trail New Construction UseE] Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD El Replacement [j Public or commercial - Describe: Parent material loess over till Flood Plain elevation if applicable NA ft. General comments and recommendations: Mound System -- 0.50 ft. sand fill -- 0.4 loading rate ��--}} (If pre - treatment system - below ground drip - irrigation -- 0.6 loading rate) A❑ Boring # El Boring R Pit Ground surface elev. 1073.60 ft. Depth to limiting factor 31 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10YR3/2 - sil 2f- mgr &sbk mvfr as 2vf -m 0.6 0.8 2 10 -23 10YR3 /4 - sicl 2fa &sbk mfr' as lvf m 0.4 0.6 3 23 -28 7.5YR3/4 -- sl lmsbk mvfr as lvf f 0.4 0.7 4 28_31 7.5YR4/4 - sl 2mabk mfr ab Ivf - -f 0.6 1.0 5 31- 1 till/lsbr _- Horizons 2,3 & 4 have some gr. ❑ Boring # B a Boring 1074.06 t � U � �` �y 40sk0 � / d 7 0 Pit Ground surface elev. ft. Depth imiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -14 10YR3/2 -- sil 3f -ma &sbk mvfr as 2vf -m 0.6 0.8 2 14 -24 10YR3/4 -- sicl 3fabk mfr as lvf -m rO.4 0.6 3 24'28 10YR3/4 - sl 2fabk mfr cs Ivf-f .6 1.0 4 28-40 7.5YR4/4 Is lmsbk mvfr as lvf f 0.7 1.6 5 40 -47 7.5YR4/4 f2f 7.5YR3/4 Is orn mvfr -- -- 0.7 1.6 * Effluent #1 = BOD, > 30 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg /L CST Name (Please Print) i nature CST Number Mary Jo Hollister 224832 Address Date Evaluation Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 05-05-05 (715) 426 - 1775 4 e Property Owner NDSU (Lot 6) Parcel ID # (Pending) Page 2 of 3 ❑ Rnrin 0 Boring # Pit Ground surface elev. 1077.22 ft. Depth to limiting factor 30 in. Soil Appli cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10YR3/2 -- sil 2f- mgr &sbk mvfr as 2vf-m 0.6 0.8 2 10 -22 10YR3/4 -- sicl 2fabk mfr as lvf -m 0.4 0.6 3 22 -30 7.5YR3/4 -- sl Om mfr as lvf - -f 0.2 0.7 4 30 -36 7.5YR4/4 f2f 7.5YR3/4 sl Om mfr as -- 0.2 0.7 5 36 -42 7.5YR4/4 c2d IOYR4 /6 sl Ora mfr -- -- 0.2 0.7 Horizon 3 has some gr. F-1 Boring # El Boring a Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. El Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = 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 altemate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD- 8330Twt (R.07 /00) Plot Plan for .fills o f Troy Page 3 of 3 Town o, f'T'roy, & CroLr County, Misconsin Lot 6 I" — 40 ft Legal Description OF : -ti-m j� W `/g. sec, i �,, 2ft contours T2TA; e . R jg W4 TOWN L'F -Tlzeg = Backhoe pit e f 1 I � t 088 1 00 "g / N e m \ T m \ �D \ f*1Z$Z i Z��D N �� a • o p Ir us f S ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM `` OwnerBuyer Trop �V Pd v p m �� � C a:6oy � - r' l q Cjl - on a 4 r i -- - Mailing Address Prtdwl ( ,A 42t-� C Property Address &111(-'616 (Verification required from Planning & Zonin epartment for new construction.) City /State Parcel Identification Num er LEGAL DESCRIPTION �, ��� ♦/'fu/� Property Location A,� /4�Sec. T off- R_/tW, Town of Subdivision A11 0-Cc O 7-'e-a , Lot # 6 Certified Survey Map # 7 Volume C , Page # Warranty Deed # 4s�G 7`-r/ ,Volume ,?- S Page # Spec house yes no Lot lines identifiableCs l no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibilities are specified in §Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of 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 the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. e. U knowledge. Uwe am/are the owner(s) certify that all statements on this form are true to the best of my /our g of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms Z / / o6 SldqATU& OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) I �1 U 2895 P 259 BtPj�404 STATE BAR OF WISCONSIN FORM 7 - 2000 KATHLEEN H. WALSH TRUSTEE'S DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI JASON L. WOHLMAN, ASSOCIATE EXECUTIVE DIRECTOR, RECEIVED FOR RECORD 09/26/2005 10:10AM as Trustee of NORTH DAKOTA STATE UNIVERSITY DEVELOPMENT FOUNDATION AS TRUSTEES DEED EXEMPT N TRUSTEE OF THE DAVID ROEKER CHARITABLE REMAINDER UNITRUST REC for a valuable consideration conveys, without warranty, to TROY TRANS FEE: DEVELOPMENT CORPORATION, A MINNESOTA COPFEE- 7 70 90 CORPORATION CC FEE: PAGES: 1 Grantee, the following described real estate in ST. CROIX County, State of Wisconsin (if more space is needed, please attach addendum): NW' /. OF THE NE' /. AND THE NE' /. OF THE NW'/. OF SECTION 11, TOWNSHIP 28 NORTH, RANGE 19 WEST, ST. CROIX COUNTY, WISCONSIN. Recording Area )••�� SW' /. OF THE NE' /. AND SEY. OF THE NW' /. OF SECTION 11, Name and Return Address P r' �C ' / z(O .rte � �p D '�" TOWNSHIP 28 NORTH, RANGE 19 WEST, ST. CROIX COUNTY, A. BESKAR / WISCONSIN LYING NORTH OF THE TOWN ROAD. R LI BESKAR BOLES & KRUEGER, S.C. 21 NORTH MAIN STREET, PO BOX 138 R FALLS, WI 54022 040 - 1047 -30 -000 040 -1047. 80-000 040 - 1047 - 20-000 040- 1047.50-000 Parcel Identification Number (PIN) This is not homestead property. *6) (is not) Dated this 22ND day of SEPTEMBER 2005 + + JASON VWOHLMAN, ASSOC. EXECU1TIV Trustee Trustee AUTHENTICATION ACKNOWLEDGMENT Signature(s) JASON L. WOHLMAN STATE OF ) ) SS. County ) Personally came before me this day of au t' this 22ND d2v of SEPTEMBER 2005 the above named LE ES -- — TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (if not, instrument and acknowledged the same. authorized by § 706.06, Wis. Slats.) THIS INSTRUMENT WAS DRAFTED BY • LEO A. BESKAR Notary Public, State of RODLI BESKAR BOLES & KRUEGER, S.C. My Commission is permanent. (If not, state expiration date: (Signatures maybe authenticated or acknowledged. Both are not necessary.) ) • Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN TRUSTEE'S DEED FORM No. 7 - 2000 INFO -PRO ( 800 )655 -2021 www.infoproforms.com S OF TROY SE' IWOF THE i41/4 Oft SECTION 10, THE NW 1/4 OF THE NW 1/4, THE 1/4, THE SW 114 OF THE NW 114. THE NW 1/4 OF THE NE 1/4, THE NE 114 THE SW 1/4 OF THE NE 1/4 OF SECTION 11, ALL IN T28P, 2ODOCUMENT :LUDING LOT 2, CERTIFIED SURVEY MAP, VOLUME 16, PAGE 43 =Y MAP, VOLUME 9, PAGE 2427, DOCUMENT NUMBER 476499. OUTLOT 5 0.521 ACRE 22,706 IF. S 6730 E 2661.76 teas - W ' K 3.y R.e7 S o p E N t.z033 F/ s w 1� -7 * f Q OUTLOT 4 'la l0 °Q 7o R� i •a4 ,3. 222 26 IF. 1� 9 3 4 cRES h ' � / k' 36 W E J' ! " 11 i C $ 35 5 y 4 3k, .003 ES O W 61 N ;ww w 1 8 Z x 43 1A1 1F. / W 66 'q0. CUR 43 �, 1JS sr r l.o9e B ACRES � E C32 M� pGu- yE CH S ACRES ,�, 1 1 J207 47.711 SF/ N C ? N 566 SF. �� 1 15 110' r C2 C2 987'. ^1 SS i 7 • / 10 -•�� 6 Jaap 497 ACRES A � $ W /49.719 I F, v{ 14 ? 1 1.164 ACRES W ,.om b ,.004�ACRES s 39 W 5,,553 SF. 8 43,569 SF. p 1.133 CRES � W y, 13� 8 ., 43.741 S.F. $ 49,353 2 S.F. N a 1 y °� t = $ 9 71 A 6 b 1 19.00 _ n 1� 16 37.]4 1.031 ACRES ACRES CREST CURVE N w 44,695 SF. s y 4401n2 N 9O'00 E 560.09• 114. A 262- qry• S C7p q0. 132.W 1 26. 9 w 1 N 1 N 9000'00' E 377.67 2121 Nan w 17 89 8 b � °� 1.004 ACRES 437x si. 53 , a 1.03911 A CRES ' $• OUTLOT 2 - / 49 8 51 8 52 1 1 1 AOES E u $ s 279 480 IF. ; 1.002 ACRES a 50 y R W N roo•oo' N 1 8 Q 18 9Mgp F. g � �• d' y' d' ,� T •i e , 4�O. AIF. _ • 2QS 5 8 i ab .00 ` ^� 0 S 4 AC RE S Y 1 225 62 �• 9J�4r p 9 d 60 .0.1' < a �• N 68'00 .& 139.12- 8' 132.07 z sNAnEO ?7a 3Y 33 / _ NJ �t,�. 1 . 2 6 f 4 IF ee 33' 2p (,p. x.922 SF. W f S 8 a � N 90 E 27235' ORN fkuy� 9 CS r 0' 59 216.14' . 1 S 76 W W N R.67 f a 2316 ACRES ' E ?7 100.976 S.F. JO' ?/6• 26496• 10 3 p 55 2.714 A a 56 = s 62 , E P I g CRES �'' / 2 C�V _ �_ ! A 240.5r 110.212 F S. 1.0 5 . 2 IF. i� g t 1.322 ACRES p '47 r' S ,,, 57.571 Si. S ;ll / n ,652 CRS "a N� 1.000 ACRE / W 1.056 ACRES 4 f 3 :, ?�• $ 46.066 SF. _.pit• 2 0� 1.075 ACRES / 46,633 SF. 21 'f •9 .. / 2 h ?61, ?6• E 7' y ACRES 69.0 ?f) 'L .8 5$ y N ��• �� � 89,057 SF. ty �9yy 8 �g 47 00 IF. ne 3 N " 2?'JO'Sp• a 13• ro S glgp,pO, E 70.09 y m ur ' I/TC OTd a y = 2 . 19 4 s 1.194 ACRES 1 SF 51.993 SF. z � b' p 4.579 ACRES LWUTM I" _ V4R1 81.- 9D� a � H r u 212.x1 S � F. f N _ O �nor 1 � E g W ah QSl ACRE 221 07 CO z � ; `► BE VC//. I /. / A:• Y /A0..T. 6PS N' All. vtWFNT'TBOYG:P.S" 4 L