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HomeMy WebLinkAbout040-1318-00-062 r - Wisconsin Department ofCommeme PRIVATE SEWAGE SYSTEM County: St. Croix Safety and �.iilding Division t It 1 k INSPECTION REPORT Sanitary Permit No: 488217 0 GENERAL INFORMATION (ATTACH TO PERMIT) S to Plan ID No: Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Z Z 9 ^: S. A0 ) Permit Holder's Name: City Village X Township Parcel Tax No: Rubedor, Mark Troy, Town of 041 — !3/ 4 - 00 - O(vZ CST BM Elev: f Insp. SM Elev: r BM Descri tion: Section/Town /Range /Map No: OvI . (o K ' A ' 7 2 — 10.28.19. 2137 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER APACITY STATION BS HI FS ELEV. w Aa A --ice. Septic Benchmark Dosing ` � ,i3 z �l r Imo) Io Z• I I Aeration Bldg. Sewer 4. b SV \ Holding Ht Inlet � /) 9•�3 eo9•o1 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic I � ( Dt Bottom > 5a > Im (o& -�� 13. ooS i I f Dosing l( « it Header /Man. 0 3•z9 Aeration Dist. Pipe S r 9!• a /3.2 Holding Bot. System $• �o �o olZ. R al Grad PUMP /SIPHON INFORMATION 'Art aL+ g•` Manufacturer 6-t il.L� Demand St Cover Oats S �J �3 0 �2 • S� r el Number moo• P6-4t 2 l�•`T 1012 •o r TDH Lift Friction Loss System He d 1 TDH Ft A - 2• iD Forcemain Length t ia. Dist. to Well ` l 44) SOIL ABSOR1 SYSTEM — 0.�6 5` Casna ITREWM Width r Leng � No. Of T�encfies PIT DIMENSION No. Of Pits Inside Dia. IMENSIONS O SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING R nufacturer. INFORMATION Type Of System: / ' Ica r J^ CHAMBER o piJ•v�d/�1, .�/� Model Number: I PA DISTRIBUTION SYSTEM O A - 6 ec Q Header /Manifold Distribution r r x Hoie Size N x Hole Spacing Vent to Air Intake I I rl i 2 r��[ 5 Length �• Di a ( 1� Length �7' Dia ✓I T Spacing 5 /3Z' SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil 2 Yes FM] No ® Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspecti Inspection #2: ' �3 }L t Location: 481 Forest Rise Hudson, WI 54016 ( E 1/4 NE 1/4 10 T28N R19W) Hills o oy Lot 6 Parcel No: 10.28.19. 1.) Alt BM Description 2.) Bldg sewer length =' - amount of cover 3.) Contour Io�Z•of Plan revision Required? Yes o I Use other side for additional information. SBD -6710 (R.3/97) 4 W eo-QL'S Insepctors Signature Cert. No. VPJ and Buill i All s 2 W. o ve., P.O. Box 7 �2 St . roiX ,O��i� M 537Q7//rr�� b Sanita Permit Number (to be filled in by Co.) bb -31'SY Department of Commerce .5 200 6 Sanitary Permit App \!natio r SRO /x co�Nr State Ian I.D. Number ! Z 7 Z In accord with Comm 83.21, Wis. Adm. Code, persona wre may be used for secondary purposes Privacy L;Q4(1 xm) \ Pro Addres�(if different than mailing address) I. Application Information - Please Print All Information Foresf Property Owner's Name ' Lot # Block # Mark Rubedor 62 Property Owner's Mailing Address Location 7114 256th Street NE ,�� NE y, Section 10 City, State Zip Code Phone Number Wyoming, MN 55092 28 ,� gfcirele one) IL Type of Building (check all that apply) T N; R r Z 1 or 2 Family Dwelling - Number of Bedrooms 3 Subdivision Name CSM Number Public/Commercial - Describe Use Hills Of Troy ❑ State Owned - Describe Use /7 []City []Village QTownship of Troy III. Type of Permit: (Check only one boa on line A. Complete line B if applicable) A. 0 New System y ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. [I Permit Renewal ❑permit Revision El Change of 13 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that a pply) ❑ Non - Pressurized In- Ground 0 Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter 0 Constructed Wetland ❑ Pressurized In -Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber 0 Drip Line Gravel -less Pipe 13 Other (explain) V. DispersaVrrmeat ment Area Information: Gt9 Design Flow (gpd) Design Soil pplication Rate(gpdsf) Dispersal Area Required (sfl Dispersal ea Proposed (sf) System Elevation w� 450 0.6 /_ �l 450 75Z 450// Z 1 1014.5 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 1000 1000 1 Wieser X Aerobic Treatment Unit (it/ 6 Dosing Chamber 650 1 650 11 1 Wie er I x VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Roger Nelson 0 MP226497 715 - 273 -4444 Plumber's Address (Street, City, State, Zip C 122 East Summit Avenue Ellsworth, WI 54011 VIII. an /De artment Use Onl Approved ❑ Disapproved Sanitary > Fee) �y P ermit Fee (i eludes Groundwater Date Issu I ing Agent ignattire (N ❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval y� vy,, SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced i maintained as per management plan provided by plumber. ���%%% _ �� ` All setback requirements must be maintained ✓ p�• as per applicable code /ordinances. _ �t� �G� CI�L� /cr - -0 ✓Dl j Attach complete plans (to the County only) for theystem� t than V/2 z 1� es in site C� SBD -6398 (R. 01/03) Mark Ruhedor vt"� s T OQ 'sG o 7114 256 h Street R ad Wyoming, MN 55092 M al NEI /,N '/., SIO,T28N,R19W 1 Hills of Troy Lot #62 Troy Township St. Croix County Scale 1 " = 40' Weiser 1000 1650 tank BM #1 = 1025.93' top of I" iron e ' PlP BM #2 =1005.6 7' top of 2 3/8" iron pipe 40' of 2 " force main _ �I'grn a3 c Ea S'C.'� c• f' 61 1C r — — — -- — 1 ao f' r � _r Die V v " � v v .Y r i t L, :, ti Page 8 of 8 r SAFETY AND BUILDINGS DIVISION Page 1 of 3 Kevin Grabau From: Reis, John Dreis @commerce.state.wi.us] Sent: Monday, November 06, 2006 1:40 PM To: Kevin Grabau Subject: 599750.DOC Here is the approval letter. I will send the customers names and address in a separate e-mail Safety ar 2331 SAN LUIS P GREEN BAY TDD #: (60E www.commerc( www.wh Jim Doyle, Governor Mary P. Burke, Secretary Itl commerce.wi.gov i � of Coritmerce June 02, 2006 CUST ID No. 226497 ATTN: POWTS Inspector ROGER D NELSON ZONING OFFICE NELSON PLUMBING ST CROIX COUNTY SPIA 122 E SUMMIT AVE 1101 CARMICHAEL RD ELLSWORTH WI 54011 HUDSON WI 54016 Identification Numbers T ransaction ID No. 1275929 11/6/2006 SAFETY AND BUILDINGS DIVISION Page 2 of 3 Site ID No. 713474 Please refer to both identification numbers, above, in all correspondence with the a enc . CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/02/2008 SITE: Mark Rubedor Forest Rise Town of Hudson, 54016 St Croix County NEIA, NEIA, S10, T28N, R19W Lot: 62, Subdivision: Hills of Troy FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1077946 Maintenance required; 450 GPD Flow rate; System(s): Mound Component Manual -Version 2.0, SBD- 10691 -P (N.01 /01) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: NOTE: A complete Management Plan shall be provided prior to Sanitary Permit Issuance This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691 -P (N.01/01). The pressure network is to be constructed in accordance with publications SBD- 10706- P(N01 /O1) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". 11/6/2006 SAFETY AND BUILDINGS DIVISION Page 3 of 3 A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Karl J Schultz Wastewater Specialist, Integrated Services WiSMART code: 7633 (920)428 -9719 , kschultz @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Nelson Plumbing 11/6/2006 r Y r • MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Mark Rubedor Mound Owner's Name: Mark Rubedor Owner's Address: 7114 256th Street Wyoming, MN 55092 6'c o Job address: Forest Rise Q 6 ' 2 Legal Description: NE 1/4, NE 1/4, S 10, T 28, N R 19 W Township: Troy County: St. Croix Subdivision Name: Hills of Troy Lot Number. 62 Block Number: 5. Parcel I.D. Number: �f � ' 1� 0 Plan Transaction No.:' of co pN Page 1 Index and title Page 2 Data entry �S;pN ° � NOO p Page 3 Mound drawings o`�� ��5 O S• Page 4 Lateral and dose tank GUS Page 5 System maintenance specifi ' s E Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Designer: Roger Nelson License Number: MP 226497 Date: 051161 Phone Number: 715- 273 -4444 Signature: /" r, Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 4.0 (R. 04/03) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 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. 450.00 Design Flow (gpd) 15.00 Site Slope ( %) 1014.00 Contour Line Elevation (ft) 36.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd/ft) Distribution Cell Information 45.00 Dispersal Cell Length Along Contour (ft) = 10A0 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/fl?) 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 or e) a Center or End Manifold 3.33 Lateral Spacing (ft) If N above, enter the elevation ft 3 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 10.00 ft 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? Y 1008.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) 8.17 Vertical Lift (ft) 41.61 5x Void Volume (gal) 0.52 Friction Loss (ft) 48.14 Minimum Dose Volume (gal) 13.24 Total Dynamic Head (ft) 24.23 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x x 1.00 1.50 x 1.25 x x 2.00 1.50 x 3.00 2.00 x 3.00 x Galions/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weiser 800 - 325 -8456 1 Manufacturer gal/in (enter result in cell 1349) Dose Tank Information Effluent Filter Information 650.00 Dose Tank Capacity (gal) Zab 1-800 -221 - 5742 Filter Manufacturer 17.00 Dose Tank Volume (gal/in) JA100 Filter Model Number Weiser IManufacturer Project: Mark Rubedor Mound Page 2 of 8 Mound Plan View T 1 /10 B . . 'observation Pipe J K:::::1:... A .. 5 ............... -� ti .. ti ;.,;., ,..• •.•• '.. ;: j � j w f ' j,l,. • f; � '' f. .: j. r. . W B ' . * . — t .,.� , I 1 41 L Mound Component Dimensions A 10.00 ft E 24.00 in H 1.00 ft K ft B 45.00 ft F 9.25 in z 17.84 ft L EAft ft D 6.00 in G 0.50 ft J 3.66 ft W 450.00 (ft Dispersal Cell Area 1252.84 (ft ) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 1 4.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 1016.27 (ft) ---► ,rrrrrrr,... G * H � frr }rrrr p rr�rrrrr. • j I F :: ; : 1015.00 (ft) Lateral r rifrr rr rrr rr_rrrr.. Dispersal Cell 1014.50 (ft)— � Invert Dispersal Cell = ..' Elevation E D : ` 4 x 4 d y y 1014.00 (ft) Contour Elevation 15.0 %Site Slope Geotextile Fabric Cover Shading Key m $. T Dispersal Cell See lateral details on _ Topsoil Cap o 1.5 ft Page 4 for number, size, © rrrrr Subsoil Cap a o ,5•�•ti ti• :r, and spacing of laterals. ASTM C33 Sand .—t0o Z :1�� •ti:�-'• F Laterals are equally 0.5 ft M E= Tilled Layer m }ti� lateral spaced from the r:iLr: a rs }:rtr:J� ti'ti'tir'� distribution cell's Aggregate �- centerline in the distribution cell (AxB). Project: Mark Rubedor Mound Page 3 of 8 End Connection Lateral Layout Diagram Center the laterals over tl» A & B dNnension 4110– Turn -up of betl valve or olsanout plug P _ , AN laterals are idenhoal if X I Holes drNed on the bottom of the lateral s equaNyspaoed Laterals & foroe main of PVC Soh 40 S (per COMM Table 84.30 -5) Force main ocwateotion via tee or oross to manifold at any point. I Number of Laterals 3 Orifice Diameter 0.156 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.11 ft Lateral Length (P) 43.54 ft Orifices per Lateral 15 Lateral Spacing (S) 3.33 ft Orifice Density 10.00 fe /orifice Lateral Flow Rate 8.08 gpm Manifold Length 6.67 ft System Flow Rate 24.23 gpm Manifold Diameter 1.25 in Total Dynamic Head 13.24 ft Forcemain Velocity 2.47 ft/sec Dose Tank Information Locking cover with warning label and lucking device and sealed watertight Electrical as per NEC 300 and --► Comm 16.28 WAC Disconnect 4 in. min. Tank component is properly vented < Alternate outlet location Forcemain diameter Weiser 800 - 325 -8456 Manufacturer_ 2 in. Capacityl 650.00 Gallons Volume 17.00 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 23.40 397.86 C B 2.00 34.00 2 P ! elevation (ft) C 2.83 48.14 1006.83 D 10.00 170.00 D Total 38.24 650.00 Dose tank elevation (ft) T Bedding uncTer tank. 1006.00 Alarm Manuafacturer IS. J. Electro Systems Alarm Model Number 1101 HW Pump Manufacturer JGoulds Pump Model Number JPE 31 Pump Must Deliver I 24.23 gpm at 13.24 ft TDH Project: Mark Rubedor Mound Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Installed by Nelson Plumbin Phone 715 - 273 -4444 POWTS Regulator's Name St. Croix County Zoning Phone 715- 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliforml >10E4 cfu /100 mL Service Freauencv Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Ins for ponding and seepage once every 3 ears Other Miscellaneous Construction and Materials Standards I. Observation pipes are slotted 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 and help reduce frost penetration. Lateral Tum-up Detail Finished • .. • .... • ... • • .............. . Grade . 6-8" 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: Mark Rubedor Mound Page 5 of 8 LeGOULDS PUMPS Submersible Effluent Pump PE 11"W GTIONS mom fT rim " _ General: General: ■ Corrosion resistant • Di scharge: I IA" NPT • Single phase construction. • Temperature: 104 °F (4M • 60 Hertz ■ Cast iron body. maximum, continuous when • 115 voits ■ Thennoplastic impeller and fu sub merged. &A-in thermal overload pro- cover. • Solids handling: ,c• tection with automabc reset a Upper sleeve and lower maximum sphere. • Class 8 insulation, heavy duty bail bearing • Automatic models include a • Oibfilled design. constru ion. APPLICATIONS float switch. • High strength carbon Stee ■ Motor is permanently Specially designed for the • Manual models avaiable. shah. lubricated for extended following uses: • Pumping range: see PE31 Motor service life, ve. performanoe &:art or aa • .33 HP, 3000 RPM a Powered for cor brwus • • EEf kje ng Systems PE31 Pump: • 12.0 Maximum amps ° ion • low Pressure Pipe Systems • Maximum capacity. 50 GPM • Shaded pole design ■ AN ratings are within the • Basement Draining • Maximum head: 25' TDH PE41 Motor. working I rao its of t . • Heavy Dual Sunup/ PE41 Pump: • .40 HP a , 3400 RPM power Dewatering • Maximuan capacity. cord, dis 60 GPM • 7.5 Maximum amps standard l ength, heavy duty 1613 S1 • Maximum head: 29' MN 9n NEMA 5-15P, three prong. PE51 Pub PE51 Motor. 115 volt grounding plug. • Maximum capacity. 70 GPM • •50 HP, 3400 RPM a Complete unk is heavy duty. • Maximum head: 37' TDH • 9.5 Maximum amps p and compam • PSC design ■ Mechanical seal is carbon, METERS FEET Ceramic, ILIA and stainless if5t MODELS ►e.31. �a . Steel. s yes? 1. i ..- .:. t -..... ...a -.. _ ........,. , .• MY' 3d, .49, .i0 a Stantries3 StJ'.el faS�ritlS- 35 1 10 GPM _ z ..:.. -� ...:.. ...i.. r ...i._t 2 i AGEIrCY NSTINGS 30 1 FT _. * r CR U 5 A 20 weed to UL 778 Teo �{ a t T' T ' �- aarldr hrepr ie rw 40o11Mer.d 10 i L 7 ..y...�.. 1 / ,�' 0 0 0 10 20 30 40 SQ 60 ` 70 GPM 80 A e- �o T ` 0 5 10 15 nrsih �70li�CiS PUMPS �� ? C,R.PRCITY Z 2002 Gouios Pumps G(p� Effective November, 2002 ITT Industries fYE31 /4' I Mark Ruibedor 7114 256` Street rvre s r OQ •'sc Rogd Wyoming, MN 55092 aM*2 % '1. � N NE ,N , S10, T28N,R19W Hills of Troy Lot #62 Troy Township St. Croix County Scale I"= 40' Weiser 10001650 tank BM #1= 1025.93' to of I" iron pipe BM 92 = 1005,67' top of 2 318" iron pipe 40 of 2 "force main _ - -- _ . _ / ace fir+AO f ` ,'''� ••. � . '`" ---tot 2 f NY f � l� F' v " v o � r Page 8of8 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code ST. CROIX 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 Parcel I.D. (PENDING) percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R by Da Personal information you provide may be used for secondary purposes (Privacy Low, s. 15.04 (1) (m)). j!/1.� V� Property Owner Property Location El LEONARD & MARGARET DELAURIERS GovL Lot ---- NE 114 NE 1/4 s 10 T 28 N R 1 9 E (or) W Property Owner's Mailing Address ;N6 Block # Subd. Name or CSW 706 Coulee Trail — Hills of Troy Phone Number vA Town Nearest Road Code � city sate zp � Hudson, WI 1 54016 1 ( ) Coulee Trail 600 E] New C Use Residential / Number of bedrooms 4 Code derived design flow rate GPD ❑ Replacement Public or commercial - Describe: fl. Parent material loess over till Flood Plain elevation if applicable -IOTA General comments Mound Syste — .5 ft. sand fill — 0.6 loadin ratted (If pre- treatmen low ground drrri`gation -- 0.8 loading rate Boring A Boring # ❑ D pit Ground surface elev 1007.86 Depth to limiting factor 37 in. Sol Application Rate Horizon Depth Dominant Color Redox Texture Structure Consistence Boundary Roots GPD1fP in. Munsed Qu. Sz. Cont. Color Gr_ Sz. Sh. 'Eff i *01#2 1 0-5 10YR2 /1 — sil 3fgr mvfr cs 3vf-co 0.6 0.8 2 5 -23 10YR2 /1 — sil 3f- ma&sbk mfr cs 2vf -co 1 0.6 0.8 3 23 -28 10YR5/4 — sicl 2fgr mfr cw 2vf-co 0.4 0.6 4 28_37 10YR8/3 — Sid 2fgr&abk mfr c b lvf-m 0.4 0.6 5 37 -39 — — Isbr -- -- -- — F Boring # ® °ng 1014.29 36 Pit Ground surface elev. R. Depth to limiting factor in. Soil j�jpn Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Murrell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 1 0-5 10YR2 /1 — sil 3fgr &sbk mvfr cb 3vf-co 0.6 0.8 2 5 -22 10YR2 /1 — sil 2fabk mfr cb 2vf-co 0.6 0.8 3 22 -32 10YR3 /3 — sil 2fabk mfr cs 2vf—, 0.6 0.8 4 32 -36 I0yR3/3 — sil Ifsbk mfr cb Ivf-co 0.4c 0.6 5 36-40 -- — Isbr -- -- _ — -- Effluent #1 = BOD > 30 220 mg/L and TSS >30 150 mg/I_ ' Effluent #2 = BOD < 30 mg/- and TSS 5 30 mg/L CST Name (Please Print) — re CST Number Mary 7o Hollister 224832 Address ` Date Ev Conclu aluation ded Telephone Number W9875 690th Avenue, River Falls, WI 54022 05-22-05 (715) 426 -1775 Property Owner DeLauriers (Lot N62) parcel ID # (Pending) Page 2 Of 3 Boring -- Boring # 0 Pit Ground surface elev. 1006.30 ft. Depth to factor fa 43 in. SoM Application Rate Horizon Depth Dominant Color Redox Descrpplim Texture Structure Consistence Boundary Roots GPDJIf in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. `13M *0182 1 0-4 10YR2/1 — I 3fgr&sbk mvfr cb 3vf-co 0.6 0.8 2 424 10YR2/1 — 1 2f &sbk mfr gs 2vf-co 0.6 0.8 3 2438 10YR3 /4 — Ifs 0m mvfr a lvf-m 0.5 1.0 4 38-43 10YR4/4 — fs Osg ml cs — 0.5 1.0 5 43- — — lsbr — — — — — — F71 Boring # El Pit Ground surface elev. ft. Depth to 6milirg factor a►. Sou Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMf in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. "EW1 I `Ef1F2 u Boring # t Ground surface elv ft Ld e_ . to Pit Depth 9 factor in' Sou Application Rafe Horizon Depth Dominant Color Redox Desafp m Texture Structure Consistence Boundary Roots GPQNF in. Mansell Qu. Sz. Cont. Color Gr. Sz. Stu. `EW 'EifaF2 Effluent #1 = BOD, > 30 < 220 rrgtl_ and TSS >30 < 150 nV& ` Etituent #2 = BOD :S 30 mg& and TSS < 30 nxdL 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. sun -U rcu OL07Mi Plot Plan for Dills of Troy Page 3 of 3 Town of Troy, & Croix County, Wisconsin Lot &z I"= 40 ft. 2 f� contours Legal �?escrtptron Me A aF T t►e N�' /4, sic• io, TzgN. � = Backhoe pat iZ,lq W y T OW1J oP TRpy —131 • �at-1 St.' / / r. /l 131E . : N •: s B 131C Cpl. • -. • -- -- --- --- -� _ MAR lit ATION ... �;+ Wisconsin Department of Commerce EV4&UA1 10"`wREPORT Page 1 of 3 Division of Safety and Buildings' in a`c"c:`mttlarrtt ". Co County ST. CROIX Attach complete site plan on paper not less than 8 1/2 11 inches in size. plan t include, but not limited to: vertical and horizontal referehce poi ' M), 'ire id Parcel I.D. (PENDING) p ercent sloe scale or dimensions north arrow and to tion and distance to nearest ro Please print all inform i n� tio. , ,i,G z feviewed Date Personal information you provide may be used for secondary p Toses'( f Q b Property Owner Property Location LEONARD & MARGARET DELAURIERS Govt. Lot ---- NE 1/4 NE 1/4 S 10 T 28 N R 19 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# Yt.#Y4 - I -, b f ✓ 706 Coulee Trail N62 Hills of Troy City State Zip Code Phone Number ocity village Town Nearest Road Hudson, WI 1 54016 ( ) Coulee Trail New Construction UseE] Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD El Replacement o Public or commercial - Describe: Parent material loess over till Flood Plain elevation if applicable WA ft. General comments //� I- Mound Syste -- .50 and fill 0.6 to ding rate QfZ frT c tAO>C an recomme igns >2coi t' Y✓�v�,44/ - -�� � " I k (If re- treatmen sys be o ground drip im ti - 0.81oadin rate) Q 7 A Boring # Boring C ce �' 0 Pit Ground � surfa elev. 1006.86 fl. Depth to limiting factor 37 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 I *Eff#2 1 0 -5 10YR2/1 — sit 3fgr mvfr es 3vf -co 0.6 0.8 2 5-23 10YR2 /1 sit 3f -ma &sbk mft cs 2vf -co 0.6 0.8 3 23_28 10YR5/4 sicl 2fgr mfr cw 2vf -co 0.4 0.6 4 28.37 10YR8/3 Sid 2f r &abk mfT cb lvf -m 0.4 0.6 5 37 -39 -- Isbr -- -- -- -- -- -- El Boring B Boring # 1014.29 36 0 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/fft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -5 10YR2 /1 sit 3fgr &sbk mvfr cb 3vf -co 0.6 0.8 2 5-22 10YR2 /1 sit 2fabk mfr cb 2vf -co 0.6 0.8 3 1 = 10YR3/3 - sit 2fabk mfr cs 2vf -co 0.6 0.8 4 32 -36 10YR3/3 sit — Ifsbk mfr cb lvf - -co 0.4c 0.6 5 36 -40 -- -- I rsb - -' -- -- * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mgA- * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L CST Name (Please Print) ignature CST Number Mary Jo Hollister 1 224832 Address C Date Evaluation Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 05-22-05 (715) 426 - 1775 r y Property Owner DeLauriers (Lot N62) Parcel ID # (Pending) Page 2 of 3 C Boring # Boring 1 Of)F.30 43 F Q pit Ground surface elev. tt. oepm to iimmng faaor In. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDdfT in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 - Eff#2 1 0-4 10YR2/1 -- I 3fgr&sbk mvfr eb 3vf-co 0.6 0.8 2 4 -24 10 I 2fgr&sbk mfr gs 2vf-co 0.6 0.8 3 24-38 IOYR3 /4 -- ifs Om mvfr cs lvf-m 0.5 1.0 4 38-43 10YR4/4 — Osg ml CS — 0.5 1.0 5 43- — — lsbr — -- — -- — El Boring # Boring pit Ground surface elev. ft. Depth to limiting factor in. Sal ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz_ Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring H Boring # Ground surface elev. ft. Depth to limiting factor in. Pit Sol Appkadw 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 i • Effluent #t = BOD > 30:5 220 mg /L and TSS >30 < 150 mgA- " Effluent #2 = 130D, :5 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. SBD- 8330Test (R07 100) ' Plot Plan for Hills of Troy Page 3 of 3 Town of Troy, St. Croix County, Wisconsin Lot Lz Descr Ne Vg cr a & 2 f� contours Legal Descri ►� . cC• } T� Backhoe pit •, o r -131A _ 7 \ 1 iDOEI.`� • ft � M : in 131B a o ' \ o : Z 6 B 131C EL C06 �: 3L �' • _ _ EC ,MAR on 1 E ATION.`_\ ST CROIX COUNTY _ SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer K /� C) & E -0 0& Mailing Address ! e;? 5 (v S T Property Address 0- 6 C'l- Ee '2 / L f1 '" w ✓ -(° (Verification required from Planning Department for new construction) City/State Parcel Identification Number L E GAL DESCRIPTION Properly Location I 6 V4, N6 V4, Sec. _�D , T2N -R _LLW, Town of TRO I X Subdivision I LC_ d F Lot # 3 3i Certified Survey Map # �— , Volume Page # 69 L IC Warranty Deed # , Volume . Page # Spec house ❑ yes 19 no Lot lines identifiable 1P yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, joumeymanplumber, restrictedplumber or a hemedpumper verifying that (1) the on-site wastewaterdisposal 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 Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE « « « « «« being revoked b the Zoning Department. "" "` Any information that is mis- represented may result in the sanitary g Y «« Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed a� s �0 0 : 13 Doti -1030 L 0 7 OL )EM o D C I Z J 106 5 N �- -- 1010.8 x � 1012,7 I _ _ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer A R K Mailing ddress f bah - � g ---r Property Address (Verification required from Planning Department for new construction) o►. (y l Parcel Identification Number 0 �-U City /State � � � ---� LEGAL DESCRIPTION Property Location e Y., Sec. T Z N -R_W, Town of IZo Subdivision // 6/-- Lot # Certified Survey Map # , Volume w Page #--- Warranty Deed # O 2 Z j Z , Volume Page # Spec house ❑ yes 0 no Lot lines identifiable 0 yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the o n-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 fo rth, here' b the D epartment of Commerce and the Department of Natural Resources, State of Wisconsin. Certification in, as set y ePartm stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. 3 2 6oP_ POGt/TY . 5 / /p to SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the property describ ve, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE ** * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed r ,. , POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of Z FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity �d4z j l�� a l ❑ NA Permit # (� Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS o Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units A Pump Tank Capacity a l ❑ NA Estimated flow (average) 3CC) gal /day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) SZD gal /day Pump Manufacturer ❑ NA Soil Application Rate h Sj (� (� gal /daylftz Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit NA Fats, Oil & Grease (FOG) :_30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD :5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) :_30 mg /L XN A ❑ At -Grade Mound Fecal Coliform (geometric mean) :5104 _.__ u /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA * Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 2-,3 ❑ month(s) Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and cum equals one -third (Y of tank volume NA Inspect dispersal cell(s) At least once every: 2-3 ❑ year(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: D - W o-rith(s) ❑ NA / 3 ❑ year(s) Inspect pump, pump controls &alarm At least once every: ❑ month(s) ❑ year(s) ❑ NA Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. > When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and 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 :_12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page of y START UP AND OPERATION I ' For new construction, prior to use of the POWTS check treatment tanks) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or.must be taken, to provide a code compliant replacement system: • A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. W / 91 T alua ' a o mg tank b e Taile T'ADWIz nvz., fbR- A16'%J 40 " STR( C7 o gou ativ e nd and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTAL ER POWTS MAINTAINER Name ^ Name Phone �s – Z / — / ` Phone SEPTAGE SERVICING OPERATOR�P3MPER 7 Y LOCAL REGULATORY AUTHORITY Name Name S T. Ckb It o(J 2W11J Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.5411), (2) & (3), Wisconsin Administrative Code. 8 2 2 1 2 9 • ''� KATHLEEN H. MALSH REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX CO., MI RECEIVED FOR RECORD This Deed, made between Leonard J. DesLauriers and 04/05/2006 98:68AN Margaret A. DesLauriers, husband and wife, Grantors, and Mark WARRANTY DEED W. Rubedor and Mary E. DesLauriers, husband and wife as EXEMPT • 8 survivorship marital property, Grantees. REC FEE- L5.111111111111 Grantors, for a valuable consideration, convey to Grantees, TRANS FEES the following described real estate in St. Croix County, State of COPY FEE: Wisconsin (the "Property "): PAGES: 3 See attached description. Recordina Area Name and Return Address Al a - - 1 LatL e a, t4 5 A- .l J s l C Part of 040- 1044 -10 -050 (Parcel Identification Number) This is not homestead property. Together with all appurtenant rights, title and interests. Grantors warrant that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: subject to all easements, rights -of -way, covenants, conditions, and restrictions of record, and will warrant and defend the same. Dated this • y '' of MAR-cfl 2006. _ da y i (SEAL) (SEAL) " *Leonard J. D auners (SEAL) CGt��Q� (SEAL) 'Margaret A. DesLauriers AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ST. CROIX COUNTY authenticated this day of 2006. Personally c;m- a before me this It -7 Tr? day of /yA /ZCH , 2006, the above named Leonard J. DesLauriers and Margaret A. DesLauriers, to me Signature known to be the persons who executed the foregoing instr ment and acknowledge th same. Type or print name TITLE: MEMBER STATE BAR OF WISCONSIN , Nota Publi State of Wisconsin. (If not, lavf6h e"es authorized by §706.06, Wis. Stats.) ? N THIS INSTRUMENT WAS DRAFTED BY 1 T A �. C. L. Gaylord Attorney at Law P. O. Box 46 / River Falls, WI 54022 F / (Signatures may be authenticated or acknowledged. Both are not gsj6i9n1(@ irf pAycity should be typed or necessary.) print .fIMoW V7 fiil,gighiiiture9. , I O 3 INFORMATION PROFESSION! LS COMPANY FOND OU LAC. vNSCONSIN 100 -0SS2=1 LEONARD d. AND MARGARET A. DESLAURIERS, GRANTORS MARK W. RUBEDOR AND MARY E. DESLAURIERS, GRANTEES WARRANTY DEED Lot 62 of the Plat of Hills of Troy, located in the NEV, of the NE %, of Section 10, Township 28 North, Range 19 West, Town of Troy. Subject to a perpetual easement by which Troy Development Corporation retains for itself and for the Hills of Troy Homeowners' Association for purposes of site grading, reshaping and creation of soil berms, erection and construction of monumental structures, related art and graphics, lighting, landscaping, fencing, utility, storm sewer ditches and pipes and related drainage functions, placement and construction of temporary marketing signage with associated lighting, together with maintenance, modification, replacement and /or removal, if desired thereof affecting the following described portions of Lot 62, the final improvements to be placed upon the aforementioned easement items will be as mutually agreed upon by Grantees and Troy Development Corporation: A 20' wide Landscape Easement over part of Lot 62, Plat of Hills of Troy, Document Number 816568, Town of Troy, St. Croix County, Wisconsin, described as follows: Commencing at the NW corner of said Lot 62; thence S08 (bearings referenced to the Plat of Hills of Troy) 205.23' to the point of beginning; thence S47 °00'00 "E 122.34'; thence N89 29.62' along a South line of said Lot 62; thence N47 0 00'00 "W 82.68' along a Southwest line of said Lot 62; thence Northerly 26.78' along a 967.00' radius curve concave Easterly whose chord bears N01 °19'35 "E 26.78' to the point of beginning, as shown on attached Exhibit B. 2 of3 d / > < i to o � o p I � r . to I to ..... • �s / p M et Ct r 4 N ul ca / Lu O z 0 Z �y i w —v Cl) O ® ' w W J 0 I O G. c eo� _ / O .. 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