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040-1276-80-000
i Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM 3a$�t County: St. Croix wafety and Building Division l7 INSPECTION REPORT p j, Sanitary Permit No: 515155 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Anderson, Christopher I Troy, Town of 040 - 1276 -80 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: /60 6VIll G 17.28.19.1540 TANK INFORMATION ELEVATION DATA b (;I J6 TYPE MANUFACTURER -r�'�� CAPACITY STATION HI FS ELEV. 4 � Septic 7- Benchmark Dosing vµ Alt. BM Bldg. Sewer g Holding I St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet /y, 6fl TANK TO P/ WELL BLDG. Vet to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe 3. b Holding — Bot. System �, �� I I � Final Grade PUMP /SIPHON INFORMATION )63 • 1�7 A Manufacturer Demand St Cover t �� GPM . >. 16,33 Model Number . � Z�r, Cd r `/. � 77 1 TDH Lift Friction Loss System Head TDH Ft `tl / .1 f 31 , C C_ t Forcemain Length Dia. d Dist. to wen �-- 2. SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of T nches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS * SETBACK SYSTEM TO P/ BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION T e Of m: CHAMBER OR yP UNIT Model Number: /7 fib$ , I AJ� Dv N DISTRIBUTION SYSTEM Header /Manifold // Distributi41- /� / x Hole Size x Hole Spacing / Vent�o Air Intake Pipe(s) z L ength .23 Dia h Length Dia /* 5 Spacing �' Z 3 Z, 3 SOIL COVER x Pressu Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center ' Q Bed/Trench Edges Topsoil I Yes 0 No `�r 'Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: // / '�_/ 0 IS I nspection #2: / t / ( 0 / Location: 395 Eagle Bluff Cou Hudson, WI 54016 (NE 1/4 NE 1/4 17 T28N R19W) Eagle Bluff Lot 8 IS Parcel No: 17.28.19. 40 JZ L �;j 1.) Alt BM Description = ! 2.) Bldg sewer length = I ` ' � 0 - amount of cover ! V r _ Plan revision Re uired? Yes No Use other side for additional information. / SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. S N vi sconsin Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 Madison, W I 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608) 266 - 3151 5/5/55 Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide 1 712-3 (c5 may be used for secondary purposes Privacy Law, s15.04(1)(m) i Project Address (if different than mailing address) 1. Application Information - Please Print All Info ion Property Owner's Name 0 Parcel # )td N Block # Property Owner's Mailing Address 1 t " V 1NG OFF1 Property Location / s 121, 3 C7 T PtANN & ZON l fvz 7 C1 , State Zip Code Phone Number +��• Secuon , « 1 (circle ) ` T N; R E oro II. Type of Building (check all that apply) A I or 2 Family Dwelling - Number of Bedrooms 0k, w Subdivision Name /� CSM Number ❑ Public/Commercial - Describe Use , ( e r ❑ State Owned - Describe Use tElcE]Villagc Township of p 111. Type of Permit: (Check only one box on line A. Complete line 0 if app -ices e A. 19 New System y ❑Replacement System ❑ TrcatmcnUHolding Tank Replacement Only ❑Other Modification to Existing System B_ List Previous Permit Number and Date Issued ❑ Permit Renewal 13 Permit Revision ❑Change of ❑Permit Transfer to New Before Expiration Plumber Owner / IV. Type of POWTS System: Check all that appl ❑ Non - Pressurized In -Ground ❑ Mound ? 24 in. of suitable soil D R�Mound < 24 in. of suitable so ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) J 01/ V. Dis ersaVTreatment Area Information: Design Flow (gpd) Design Soil Application Rat gpdsO Dispersal Area Required (sO Dispersal Area Proposed (s() System Elevation laoo o r 3 Z' /0 7 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units / /t Concrete Constructed Glass New Existing S �.� Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. PI u s Name (Print) Plum cr's Signature MP/MPRS Number Business Phone Number zn ce 7 /!5 7 - 772- - Z Plumbers Address (Street, City, State, Zip Codc) 122 off.® 4 &-e_ � Af VIII. County /De artment Use Onl Approved Disapprov Sanitary Permit Fee (includes Groundwater Datc Issu d Issuin cnt Signa o Stamps Surcharge Fee) � C . bb e i �9 rGiven R. Denial 7 IX. Conditions of ApprovaUReasons for t pproval h SYSTEM OWNER: I. Septic tank, effluent filter and / ' n dispersal cell must all be servii es / maintained ` as per management plan provided by plumber. 2. All setback fequi ements must be maintained as per applicable code / ordinances. Attach complete plans (to the County only) for the system on paper not less than 8112 x 1 I inches in size SBD -6398 (R. 01/03) 1 1 z8 9lgr � L6 / 4 8 Le /,e �� /G� �P lz-c l 1 OYO 1 271. - �jb � J sC� le EG�15g A6/� ter ., V \ J; _ y BeL •�,m � l v Lock�j2��cv ECO PY GG►r �o��� 1�n X6617 � z& s l =Yo op �� I�'�ror i�e V / o p ' l t � i � i31 /00 , D ' f `T /'�i ✓orb i {; � �,�5�,��ot►� Piz l �(Z Ir L' of L.'rk Ike y i 1 f Safety and Buildings 10541N RANCH ROAD commerce.Wl.gov HAYWARD WI 54843 Contact Through Relay i sconsin www.w wwN, commer isco n sin.go / iscosin.gov Department of Commerce Jim Doyle, Governor Richard J. Leinenkugel, Secretary September 24, 2009 CUST ID No. 226524 ATTN: POWTS Inspector ROGER L TIMM ZONING OFFICE TIMM EXCAVATING ST CROIX COUNTY SPIA 3128 20TH AVE 1101 CARMICHAEL RD WILSON WI 54027 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/24/2011 Identification Numbers Transaction ID No. 1712368 SITE: Christopher Anderson Site ID No. 751809 395 Eagle Bluff Ct Please refer to both identification numbers, Town of Troy, St Croix County above, in all correspondence with the agency. NE 1/4, NE 1/4, S17, T28N, R19W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1242419 Maintenance required; Effluent Filter 600 GPD Flow rate; System(s): Mound Component Manual - Version 2.0, SBD - 10691 -P (N.01 /01), and Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /O1); The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Dept. 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 the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691- P(N.01 /O1). • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD- 10706 -P (N.01/01). • Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. 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. ROGER L TIMM Page 2 9/24/2009 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 $ 250.00 Fee Received $ 250.00 t -1A Balan ce Due $ 0.00 s is , POWTS stewater Specialist Integrated Services Bureau WiSMART code: 7633 (715)726-2544, Friday, 7:00 a.m. To 3:30 p.m. leroy.jansky@wisconsin.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: Christopher Anderson Owner's Address: 2405 Donegal Way Hudson WI. 54016 Legal Description: NE /NE Sec 17 T 28 R 19 W Township: Tr& County: St. Croix Subdivision Name: Eagle Bluff Lot Number: 8 Block Number: NA Parcel I.D. Number: 040- 1276 -80 -000 Plan Transaction No.1 171, I P O.W.T.S. Page 1 Index and title Conditional) Page 2 Data entry •� Page 3 Mound drawings APPROVED Page 4 Lateral and dose tank Page 5 System maintenance specifications DEPARTMENT OF COMMERCE Page 6 Management and contingency plan Z v,ON OF I Y AND BUILDINGS Page 7 Pump curve and specifications L � t- I , E CO RESP DE CE �._ __ 16 L. j &n Designer: Roger Timm License Number: 226524 Date: 09/17/09 Phone Number: 715 - 772 -3214 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01/01) Version 5.1 (R. 06/06) Page 1 of 7 I 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 400.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for 1.501 Peaking Factor (e.g. 1.5 = 150 %) fecal coliform of <= 36 inches. 7 - 600 - 0 - 0 - 1 Design Flow (gpd) 1.00' Site Slope ( %) 1 Contour Line Elevation (ft) 22.00 Depth to Limiting Factor (in) _0.60 In -situ Soil Application Rate (gpd /ft Dist Cell Information i 93.00 Dispersal Cell Length Along Contour (ft) = 6.46 Cell Width (ft) i 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pre ss u re Disribution Information network? Enter Y or N (C or E) C1 Center or End Manifold 3.23 Lateral Spacing (ft) If N above, enter the elevation (ft) 4' Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 3.50 Estimated Orifice Spacing (ft) = 11.55 ft /orifice 2.00{ Forcemain Diameter (in) 168.00I Forcemain Length (ft) Does the forcemain drain back? Y 82.00; Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 27.40 Forcemain Drainback (gal) 18.83 Vertical Lift (ft) 83.95 5x Void Volume (gal) 2.87 Friction Loss (ft) 111.36 Minimum Dose Volume (gal) g ; 0.00 In -line Filter Loss (ft) 28.00 System Demand (gpm) ? 26.25 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter S election in. dia. options choice in. dia, options choice 0.75 1.25 x 1.00 x 1.50 x x ` 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1260.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weeks Concrete Prod! Manufacturer (� gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 1- 80 0.00 1 Dose Tank Capacity (gal) Polar Lock Filter Manufacturer W _ 2 1.74 1 Dose Tank Volume (gal /in) PL 525 Filter Model Number eeks Concrete Prod Manufacturer - Project: Page 2 of 7 Mound Plan and Cross Section Views 1/10 B . J Observation Pipe 5 T A W C.::: :: .:.:.:.:::::::I::::: B ................. ............................... I ::::•: .:•:•:•:•: . L Mound Component Dimensions A 6.46 ft E 14.78 in H 1.00 ft K 8.97 ft B 93.00 ft F 9.50 in z 7.80 ft L 110.94 ft D 14.00in G 0.50ft J 7.16ft W 21.42ft 600.78 (ft Dispersal Cell Area 1 1326.45 (ft Basal Area Available 6.45 (gpd /ft) Linear Loading Rate 1 9.30 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.96 (ft) ► F Dispersal Cell 101.67 (ft) Lateral 101.17 (ft) � Invert Dispersal Cell Elevation E. ..... 100.00 (ft) Contour Elevation 1.0 %Site Slope Geotextile Fabric Cover Shading Key o - Dispersal Cell See lateral details on 10 Topsoil Cap c CL 1.5 ft ~ ' ' ' ~ ~ andes 4 for pacing uo ate ale. Q Subsoil Cap :::.: Laterals are equally ASTM C33 Sand 1d ` `.•�':��.��.� .��. ® Tilled Layer 0.5 ft :Typical Lateral spaced from the distribution cell's © Aggregate v c `ti;;; {:;; :;;;:;: ;;:; :: centerline in the * A * distribution cell (AxB). Project: Page 3 of 7 Center Connection Lateral Layout Diagram Force main connection via tee or cross to mardfold at any point. Laterals are identic al P S •= Turn -up Wball valve or IE x —� IFxi2 I xf2+I Laterals & force main of PVC Sch 40 cleanoutplug per COMM Table 84.0.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.66 ft Lateral Length (P) 45.75 ft Orifices per Lateral 13 Lateral Spacing (S) 3.23 ft Orifice Density 11.55 ft /orifice Lateral Flow Rate 7.00 gpm Manifold Length 3.23 ft System Flow Rate 28.00 gpm Manifold Diameter 1.50 in Total Dynamic Head 26.25 ft Forcemain Velocity 2.86 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 10 1 � Comm 16.28 WAC . 4 in min. Disconnect _ Tank component is properly vented F Alternate outlet location Forcemain diameter Weeks Concrete Prod Manufacturer _r 2 in. Ca aci 800.00 Gallons Volume 21.74 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 19.68 427.76 B 2.00 43.48 C Pump off elevation (ft) _t C 5.12 111.36 82.83 D 10.00 ! 217.40 D Total 36.80 800.00 Dose tank elevation (ft) 3" Bedding uncler tank. 82.00 Alarm Manuafacturer Septronics Alarm Model Number 2501 Pump Manufacturer Gould Pump Model Number WE05_H Pump Must Deliver 28.00 gpm at 26.25 ft TDH Project: Page 4 of 7 Mound Svstem Maintenance and Operation Specifications Service Provider's Name Roge Timm Phone 715-772-3214 POWTS Regulator's Name St. Croix Phone % 715-386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1260 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600.78 f: Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency 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 I nspect f or ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. 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 Turn -up Detail Finished ............... Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Page 5 of 7 System Management Management of this system is critical. As a condition of approval of these plans this system management section must be z ed �k nth the owner, and the owner must be provided with a complete set of plans including this management section. If problems _: glop �� nth the adsorption system or any other system components, the installing plumber, Timm Excavating, 715- 772 -3214, or the St � Count% Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows _ :o the s, stem and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants. the xrtzr and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and Dial' greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or :,impartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water a manner to protect ground water quality and public health. ! � the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence :o contaminant load design criteria. 'stall water- saving appliances whenever and wherever possible. Repair even small water leaks as soon as possible. - \e�er pour grease or oil down any drain or stool. Garbage disposals are not recommended, if you must have one, use it sparingly. �o paper products other than tissue should go into the system ' chzm,cals should go into the system, o c surge flows of water; try to spread laundry throughout the week. Maintenance The septic tank must be inspected every three years by a properly licensed person. rccessar`. the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. � -en the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back - washed into :nz septic tank to remove accumulated material. Pe. odic observation pipe inspections should be made by the homeowner to examine the state of the in -situ soil adsorption cell ,: u3rterl., inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption :� s system contains specific treatment components other than those mentioned here, maintenance requirements will accompam -z: specifications -he pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump :re alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reser z oac n to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or 01a�s should pass before any necessary repairs can be made . o:o compaction such as vehicle traffic within 15' down -slope of the adsorption system. -� � o d disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. art cularl,, avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth face drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area Contingency Plan �' astewaier monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring become neces ` s ry if problems develop. An P p y necessary monitoring shall be done in accord with the requirements ; 9 ents of Comm 8� _-i Pumping and hauling of wastewater may be necessary hile analysis and ry y repairs are implemented. Additional testing, designing. or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 M LDS PUMPS Submersible Effluent Pump WE Series "NIFX, NkI1 PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion - resistant, Single phase (60 Hz): can be operated continuously Specifically designed for the stainless steel. Threaded • Capacitor start motors for without damage when fully design. Locknut on all models maximum starting torque. submerged. following uses: to guard against component • Built -in overload with •Homes ■Bearings: Upper and • Farms damage on accidental reverse automatic reset. lower heavy duty ball bearing •Trailer courts rotation. • SJTOW or STOW severe duty construction. power • Motels ■ Fasteners: 300 series oil and water resistant p ■ Power Cable: Severe duty • Schools stainless steel. cords. •' / ;and' /z HP models have rated, oil and water resistant. • Hospitals ■ Capable of running dry NEMA three prong Epoxy seal on motor end • Industry without damage to provides secondary moisture • Effluent systems components. grounding plugs. • 3 /4 HP and larger units have barrier in case of outer jacket ■ Designed for continuous bare lead cord ends. damage and to prevent oil SPECIFICATIONS operation when fully Three phase (60 Hz): wicking. Standard cord is 20'. submerged. P 9 Pump •Class 10 overload protection Optional lengths are available. ■ 0 -ring: Assures positive • Solids handling capabilities: MOTORS must be provided in sealing against contaminants %" maximum. separately ordered starter • Discharge size: 2" NPT. ■ Fully submerged in high- unit. and oil leakage. • Capacities: up to 140 GPM, grade turbine oil for lubrication • STOW power cords all have AGENCY LISTINGS • Total heads: up to 128 feet and efficient heat transfer. bare lead cord ends. Tested ■ Class B insulation on TDH. ■Designed for Continuous CM csazz l UL s St and andards •Temperature: '/3 - 1'/2 HP models. Operation: Pump ratings are By Canadian Standards tion 104 °F (40cQ continuous ■ Class F insulation on 2 HP within the motor manufacturers us Fil #M8549 140OF (60 intermittent. models. recommended working limits, • Goulds Pumps is ISO 9001 Registered. See order numbers on reverse side for specific HP METERS FEET voltage, phase and RPM's 40 130 available. 120 + —j SERIES: WE SIZE. %4' SOLI DS 35 RPM: 3500 & 110 1750 5GPM -- FEATURES -- - -t - 30 100 � -- - - — — — 5FT — - ± — — Et — -- — ■p semi- Impeller: eller: C iron,, p i- 90 open, non-clog with pump-out w 25 80 t -- - - - -- ___ vanes for mechanical seal protection. Balanced for 2 20 70 smooth operation. Silicon ; 60 _ I 1 bronze impeller available as < 15- 50 an option. o - {- 40 - -{ - - -- - - - ■ Casing: Cast iron volute type to - % AkA KA - �- - i -- - - for maximum efficiency. 3 2" NPT discharge. 5 20 - -f -_1 7-- ■ Mechanical Seal: SILICON 10 1 T _ _ : -r �- - r -- - - - �- - - - - - - - CARBIDE VS. SILICON 0 00 10 20 0 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM CARBIDE sealing faces. I I I f Stainless steel metal parts, 0 5 10 15 20 25 30 35 m /hr BUNA -N elastomers. CAPACITY Gould P umps ©2003G2Pumps ITT Industries Effective July, uly, 2003 www.goulds.com Wiscon armtent of Comn'e 1 �AVALUATION REPORT Page 1 of 3 Division of Safety and Buildings In accoWance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 %: x 11 inches in size. Plan must St. Croi Include but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 040 - 1276 -80 -000 / rj Percent slope, scale or dimensions, north arrow, and BM referenced to nearest road. Please print all information R iewed by Date Personal inform ou provide may be ' vac Law, s. 15.04 1 m Y P Y 1�1�' (Privacy O( )) Property Owner Property Location Christopher Anderson Govt. Lot NE v. NE �i. s 7 T 28 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2405 Donegal Way s� ��" '' e 8 Eagle Bluff ONING � City State Zip Cr5de Phone ❑ City 11 Village 0 Town Nearest Road Hudson WI 54016 715 -531 -0186 1 Troy 395 Eagle Bluff Ct. ❑ New Construction Use: 0 Residential / Number of Bedrooms Code derived design flow rate 600 GPD 0 Replacement ❑ Public or Commercial — Describe: Parent Material Loess over Bedrock Flood Plain elevation if applicable N/A ft. General comments and recommendations: 7 �? f� (� � ; .{ , r �'Y l'i r,� r ` / (v ". {� (, nt; !� N� � ✓ 1 Boring Boring # 0 Pit Ground Surface Elevation 100.0 ft. Depth to Limiting factor 52 in. Soil ADolication Ra te... 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 -5 10YR2/2 - SIL 2 -m -gr mfr gs 3f -m 0.6 0.8 2 5 -13 10YR4/3 - SIL 2 -f -bk mfr gs 3f-co 0.6 0.8 3 13 -22 10YR4/4 - CL 1 -m -bk mfr gs 3m-co 0.2 0.3 4 22 -29 7.5YR4/4 - SCL 2 -m -bk mfr gs 2co 0.4 0.6 5 29 -52 7.5YR4/6 -",, ; ";;��}, FS 0 -m mfr gs - 0.5 1.0 6 .. 52+ 10YR5/6 I f: lz-- -� BEDROCK + - - - - 0.0 0.0 a Boring # 0 Boring OPit Ground Surface Elevation 99.9 ft. Depth to Limiting factor 48 in. Soil Amlication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft� in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eif#1 'Eff#2 1 0-4 10YR2/2 - SIL 2 -m-gr dsh gs 3f 0.6 0.8 2 4 -13 10YR3/2 - SIL 2 -m -bk mfr gs 2f 0.6 0.8 3 13-20 10YR4/3 - CL 2 -m -bk mfr gs if 0.4 0.6 4 20 -31 10YR4/4 - CL 2 -m -bk mfi gw 1f 0.4 0.6 5 31-48 7.5YR4/6 - S 0 -sg ml gw 1f 0.7 1.6 6 48+ 5YR4 /4 %,�t��,; t( L S* 1 -Co -pl mvfi - - 0.0 0.0 "CAN NOT PENITRATE WITH A KNIFE * Effluent #I = BOD5> 30:5 220 mg/L and TSS > 30:5 150 mg/L * Effluent #2 = BOD5 <_ 30 mg1L and TSS <_ 30 mg/L CST Name (Please Print) ature CST Number Mark Iverson :22 46672 Address Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 September 11, 2009 715- 796 -5664 Property Owner Chri stoph e r A Parcel ID# 040 - 1276 -80 -000 Page — 2 — of 3 F3 Boring # 0 Boring Wit Ground Surface Elevation 99.9 ft. Depth to Limiting factor 22 in. Soil oplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *E #1 'Eff#2 1 0-6 10YR2/2 - SIL 2 -m -gr mfr gs 3f 0.6 0.8 2 6 -11 10YR3/2 - SIL 2 -f to m -bk mvfr gs 3f -m 0.6 0.8 3 11 -18 10YR4/3 - CL 2 -f to m -bk mfr gs 2f-m 0.4 0.6 4 18 -22 10YR4/6 - CL 2 -m -bk mfi aw 2f 0.4 0.6 5 22+ 10YR4/6 - BEDROCK - - - - 0.0 0.0 ❑ Boring Boring # Elpit Ground Surface Elevation 99.7 ft. Depth to Limiting factor 30 in. Soil AoDlication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -5 10YR2/2 - SIL 2 -f-gr mfr gs 3f 0.6 0.8 2 5 -13 10YR3/2 - SIL 2 -f to m -bk mfr gs 2f -m 0.6 0.8 3 13 -21 10YR4 /3 - CL 2 -m -bk mfr gs 2m 0.4 0.6 4 21 -30 7.5YR4/4 - SCL 1 -co-bk mfi aw 1m 0.2 0.3 5 30+ 10YR4 /6 - BEDROCK - - - - 0.0 0.0 Boring Boring # EIPit Ground Surface Elevation ft. Depth to Limiting factor in. So il Applica tion 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 * Effluent # 1= B013 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. Page 3 of 3 0 ft. 24 ft. 40 ft. 80 ft. N 1" Lot Marker Iron 95.8' c J Property Line m CL 0 a D� B-4 99 99.7' os�O, • C� ? F � B-2 B -3 99.9' 99.9' o SL i B-1 100.0' 1/ 100.0' 1" Lot Marker Iron 97.9' BM# & Des cription = Bench Mark B 1 = Borin Location & Elevation Elevation ( 100 - g Owner: Chritopher Anderson Site Information: Completed By: Mark Iverson, PSS #197 2405 Donegal Way NE1 /4, NE1 /4, S17, T28N, R19 680 Larcom Street Hudson, WI 54016 Town of Troy Hammond, WI 54015 St. Croix County 715 -796 -5664 Phone: 715 - 531 -0186 CST# 46672 07/27/2007 FRI 06:02 FAX 715 772 3216 TIMM EXCAVATING 0 001 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSE P CERTIFICATION FORM Ch ner/Buyer Ch t)6 #na ` Mailing Address 3 S Got Property Address (Verification required from Planning & ning Department for new construction.) City/State— j,/^ ^ Parcel Identification Number LEGAL DESCRIPTION Property Location IJ , '/. , /11 1E %, ,Sec. T _2 N R l± W, Town of r Subdivision C c. Certified Survey Map # , Volume , Page # Warranty Deed # 46? 8L2- Z'-T Voltune , Page # Spec house yes n® Lot lines identifiable ye no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could resWt 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 tequiremeuts 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 compieted and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. I /we arWare the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number.of bedrooms SIGNATURE OF APPLICANTS) 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, 08105) I ! Illlli IIIl1 fills 11111 liili Iillf 1111 Ifil11 fill 1111 * 8 9 8 7 2 4 1 STATE BAR OF WISCONSIN FORM 1 - 2000 898124 MTH PABST DocumentNumber WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED, made between John A. Kollitz and Jane A. Kollitz, RECEIVED FOR RECORD husband and wife, Grantor, and Christopher M. Anderson and Kelle O. 06/25/2009 08:OOAM Anderson, husband and wife as survivorship marital property, Grantee. WARRANTY DEED EXEMPT N Grantor, for a valuable consideration, conveys to Grantee the following REC FEE: 11.00 described real estate in St. Croix County, State of Wisconsin (the TRANS FEE: 594,00 "Property "): PAGES: 1 Lot 8 Eagle Bluff in the Town of Troy, St. Croix County, Wisconsin Recording Area Name and Retum Address: Title One # 14271 Together with all appurtenant rights, title and interests. 040 - 1276 -80 -000 Parcel Identification Number (PIN) This is homestead property. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Roadways, easements and restrictions of record. Dated this 18'' day of June, 2009 o n A. Kollitz * lane A. Kollitz AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ST.CROIX COUNTY. ) ss. authenticated this Personally came before me this I8th day of June, 2009 the above named John A. Kollitz and Jane A. Kollitz, husband and * wife to me known to be the person(s) who executed the TITLE: MEMBER STATE BAR OF WISCONSIN foregoing instrument and acknowledged the same. (If not, authorized by § 706.06, Wis. Stats.) _ *Jay P. Penfield THIS INSTRUMENT WAS DRAFTED BY Notary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: 8/26/2012 ) Michael H. Forecki, Attorney (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity must be typed or printed below their signature WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1 -2000 1 of 1 ..,.,, . a� 1.013 ACRES ` 44 S.F. 6 ! O rte! ti R =80' 7 g•Op p0 Q W 0 4\ o v: N1 S\ S 15p.19 0 2.518 ACRES .•�, 109,668 S.F. , 0 00 \ ?r� �_ N _NORTH L INE OF /Y - r 1.210 ACRES o,0 ,� J� Ga CO N ` >'RE 174 ti �•� \ 52,729 S.F. f r o ryy O , e, G 2 oh. 36 30. 0 / i, � \ �^�� /N 88 0 36' 10" E ss °3 , / \ \ CO 0 0 0 0 0 •.°' 2647.02 r2 4 0 p 0 00,. iv \ o � ' o W OUTLOT 2 -J v It 10t �� �, o . , c� \ �V \ �\i 7.292 ACRES 00 o Q ) L 9 t' \ 317,625 S.F. o 0 l \ 3 N W 134.6 \ � 0 9 C17 � 314 2 3.000 ACRES C1 f con Z\ N Z o1 130,689 S.F. C 19 N cn I 0 h ° ° o_ ao s o0 0 - o �,, 2.515 ACRES m s \ I = 109,563 S.F. LT N N\ Oo O O o„ D .470 ACRES rn 1 j I 1 -i T� O O., /2N °' 64,045 S.F. I - 3 tig4.1' � � k o f 81.5 29 1 1 ` \ 6 ° 6.75' p9 I s _ I 77.5_6 \ J '� N 26p 15 C "4 4 � °31 3 0" W I tot 1.087 ACRES o N 047,336 S.F. 00 loop S g 00 39 132 3► `� 00' # 1.029 ACRES ' • C69 T 68 C C6� 44,824 S.F. 1 v, tip' •.`�' /'� _ 14.1 4' N 38 _ W o , 3 N `" 1 w 33 o h I am, /1.030 ACRES , w o - w S•. 4,868 S.F. o 4 37 ► "► ^, 0 A o 0 34 $g '��,•�o °- o `. / °* I 35 - ,� - o 1 -s�,o N 36 a S 3 I n i SF. ° � 1.063 ACR r , 6 91 1.050 ACRES - T r 4g,2 ' 6,289 S. 45,721 S.F. .- 1 9 ( m 32. N ? ?• 9 1 4 p0 S3 3 W 179.61' 176.70' 132 p0 p0 „ W 26 N 89 W 356.31' g 78 OUTLOT 5 ' 10.558 ACRES 459,904 S.F. 119 1,4 V SOUTH LINE OF THE NE 1/4 OF THE NE 1/4 UNPL A T TED LAND r r ; #+ EAG�F BLUFF > 0 LOCATE 1N THE 51P' 1/4 # TK SE 1/4 AM THE 114 OF TfE SE i/4 T SMUM k j* w 1 /4 OF tf3? tb, THE 1 1/4 £T OFlON A14? TEE, Mh!: #/4 ( THE W TIE 1!4 QF,TiE:lF 1/4 DF .SECTIt4t: w 17 kEl Ill T2�1,'tti5dt TGWN`CE *; tT. MIX Op 1TY, lNt$COIf51H; 'ilEitfllNlf'ALE 'tDT 1 8 °- + " AHD glTL6T 1 tf T1E °CfAT1F #Eif Si�1VE11U1fs'REt D 1k WLAE 4, PACE 2&13. DQCtiEtiT 4365. Ee eye tt. ',a( *�« a. 1 1 � IAd�A, lE➢ t!>N(t a �"",w. � x �� r- �� " a'ntxrr aKn [t wa.uaart III arExM+a E N �1.: nawilcaKrlaa>Ka "'# � SCAIE Hf"EE'f MOT I ` I7 '0 .�� 1 + +� ,^ '.f � , mam>ana#aaa�r.' s . wtwmwruc as � -, - , KSIRCTMt rtDt } - ..r' L' 1 . :wank' 34uo+Mn! �.^ o �aa:wtraak� ID6_ IAq,f � ,- ' r :11 - r Ir MowepaK,oaq wUl 1 �'° Mo meat . .emoaM 1 0 fit �/ tn4'L fD 9.. trcwnr If lEi � �+titia'� � `_ idu �" "T "• a .. "sanir � u�r ��1o�rC J ; , aW,aa # 2Pi3Od• LD1 7 uakars \ �;. 18 ai � >uxty 01J1EDT 2 `U� �' " S .. { #g ' � : �� -' �e �' u T . r 710GM.RF � { ., t '••� ( y� � f 4 3; . m' r t t - •a»u15 1�f - .. L... 'tl41lr V. -r r y 1 E� ( TQYAVSt/ILtE1 tea . �� �s r �+ 2,._,.._,..�. R IAtlR`AtJFD � pkrucaMt+MMyplCw 1#HT V7 7777�— ZR MA sK+ka xNV«I'mit M wosyr¢t tt4°tAtt€2} AA1J tr a ci, 11t1KK Wf A7CI0Wr 7i14rilr ktMwM * �..f LF�Yn , t # a�e�a+ clm+ aaP�r +�ri#cimaK 1 t ' �` f: Mt Mml a MMf W IatMrKr m 69a W1AY.10 Ala MM .. `. ; G+tAt1(A'47 imwwFacarocarw�mrrsaakrown .`t"auwaa ( �t � Mrm.mNa>Kttoa�menawaon+a >KMeuNyt�armao ,- lwh a aaYaairiilmriqu �, ':, Makrc[: ,: sa+2K.klSK1,4Di.9p131iK111WH>1. '. +` _ 1i196-Y1N0 :' kd ` +t 0.Nn000�0 ,MIrIMta►' asge .. PMrR ;�Ox91` r� s9R "I ow" MRwnahu luktA 1 g ° wxraW FO.rFltuaFaAd gMPailKYl0M�64•#a• 1 I wrkNR:S1Rif r la �!da NMta0II91iN,X �.} iiNMMi! 4 atY /NtsaW Wwsuatm'(Ma'.`Wtso N'IM IV llmultilll �" M1A�f +tt0N�a5t7aMaMDIWenGIrMlOp�nP MY 1hM�� _' a r1�AE7i1ip{Iff�Ar<K�70. � �.MmuMae�aelKt aitwaaptnan otesarawmlcfacardtla 1J16�86k4mAFtAIW- $%me � 0B0 m8ey�srwa,pa;,mi,a�NNa.nu Dad tmr � saasa a xrArp�krM1o14a�iafesYexiMalNat6a�. d + "'Il�niNNFf lOptr� atcNM FMStS1 E#t`pKiFeByOWpP ►kt icvoeri aamM+ta a. pWirtme [aeluxurranoau+twtrugkar.. 9 fapFty 1 wboonsut Oepertrnent of Commerce SOIL E/ALUA, �QRT Page 1 or 3 Diwwn of Satety and Bu ddwM in accordance wdh Comm 8S. Md `'Cods y C.otulty. \ S T. C RO I X Attach oomdete 51te plan On pe0er not lace than 8 112 x 11 inches in rtrCl t n L �L l inctude, but not littuted to. vertical and hormontal reference pow (BM) a t• N l —7/ & 1 � y � percent slips. scaledr ditriensions. north arrow, and IoCabW and d j to nearest rostl. _ ovo /cam / - fU W l /5 � n '� aa Pltemw print all infismtsdon. a' „ o PeHOrIM MNanrMar you ordMOe mew be used tar saooneaY t \S. is." l T RCA A, % c� T PropertyOwner S - COOK F i INENTAL DEVEL C RPORATI i %� 1/4 T28 N R 19 � V � X'^I property OvmWs Mailing Addreeii Name 11800 ABERDEEN ST. NE, STE 100 EAGLE BLUFF City s tar code Phone Number Q Clty Q vala9e (3 Town Nearest Road 3 S BLAINE MN 55449 ( 763)757 -7568 1 TROY jEAGLE BLUFF CT. (� New Construction Use: $1 Readentlai / Number of bedrooms 4 Code d erived design now ra 600 GPD Q Replsoentem !D Pubic or conxnerc ial - Describe: Parent rrtatenal Loess, D t om i t e Flood Plan elevation if applicable N.A. ft General cdrttrnents J✓ �rh �z�� c/L/ '�. la�L C �- and - ,y �u y f /5� — �'/ �i� - f�'' J O 15 earv+9 # f7 Boring P1 t Ground satiate elev. . Ooh to limitlng factor 4 3 �n. F 10 3 62 Sd A iron Ram Hart=, I Oeph Oaransm COW Redact 0 Plo otiott Taxtmrs SttLt m Cata swice Bounttary Roods GPU/T in. munseY Qu. Sz- Cont. Color Gr. Sz. Sh 7 'Elffil2 A 0 -7 10YR 4/2 -- sil 2f -mgr mvfr gw 3vf -m 0.5 0.8 B1 7 -28 10YR 3/4 -- sil 2msbk mfr gw 3vf -m 0.5 0.8 B2 28 -43 10YR 4/4 -- sl lcsbk mfi cw 2f -co 0.5 0.9 R 43 -60 1 YR 8/6 -- lmst -- -- -- lvf -- -- i I P 16 Boring # Q Baring 13 Pit Ground surfaceelev. 1036.3 ft. oepth to IinMing factor 22 in. Sod Aopi Rate Honzon oepth I Dorrnnant Color Redox Oearstptgn Textur Shuen Conaatence Boundary Roots GPD/tP in. Munsed Qu. Sz. Cont Color Gr. Sz. Sh. EBiM F_ftM2 A 0 -7 lOYR 3/2 -- sil 2fgr mvfr cw 3vf -c 0.5 0.8 B1 7 -15 10YR 4/4 -- sil 2msbk mfr cw 3f - co 0.5 0.8 B2 15 -22 IOYR 4 6 -- s' 3ma k mfi cw 3f —c 0.5 0.8 R 22 -30 YR 8 6 -- lmst -- -- -- lvf -- Effluent #I = 800 > 30 < 220 mglL and TSS >30 < 150 mglL ' Effluent #2 = 800 < 30 mglL and TSS < 30 mg1L _ CST Norris (Plesee Print) Sig CST Number JAMES D. FILKINS • 7 ac 222952 Addresa OGDEN ENGINEERING COMPANY Date Evawanon Conducted relsptme Number 11 -22 -99 113 WEST WALNUT ST., R1VER FALLS, WI 54022 3 -7 -00 3 -8 -00 715- 425 -7631 1 p , Q CHARLES S. CO OK Parcel 10 # Pege 2 of 3 P 12 Bourg # r 0 Barn L`Y pit Ground surfaceetev. 10 ? ft Depth to lirrow factor 19 gin. Sad A Rate Harmon Depttt Donmmnt Color Re= OeKMXbn Texture Sbltet m Cormeewm Boundary Roots GF in. M urned Qu. Sz Com Color Gr. SZ Sh. 'f . EM A 0 -6 LOYR 3/2 -- sil 2fgr mvfr cw 3vf -m 0.5 0.8 B 6 -19 lOYR 4/6 -- sil 3mabk dsh cw 2f -co 0.5 0.8 R 19 -30 10YR 8/6 -- lmst -- -- -- 2f -co -- -- C] Boring P eOn!1h# r �t032.8 pit � su[fa� ft. Depth to lima" factor in• Sod Ao oon Rate Depth Dorm. arit Color Re= 0 Texture Structure Roots GPDJr Munsed Qu. Sz Cont. Color Gr. Sz Sh. 'Efm ' 'ENfl2 A 0 -6 OYR 3/2 -- sil 1 2fgr mvfr cw 1 3vf - mI 0.5 0.8 6 -24 lOYR 8/6 jimst -- -- -- 2f -co i F P 14 Boring # Q Bonng Gr surfaceelev. 1034.1 ft. Dep Ii factor 26 in. ® pit epth �n9 t Sod Applica Rate Harmon Depth Dominant Colori Red= Oesmotion Te=e S jcture Constaterms Boundary Roots GPD/M n. Munsed z Qu. , ,ont. Color Gr. Sz Sh. °flJIRt '5"2 A 0 -5 10YR 3/2 -- sil 2fgr mvfr Cw 3vf- 0.5 0.8 w 2vf- 0.5 0.8 sil 3fsbk ds B1 5 -14 10YR 4/4 -- � g B2 14 -26 10YR 4/6 -- sil 3mabk dsh cw 2vf-m 0.5 0.8 R 26 -40 lOYR 8/6 -- lmst -- -- -- 2vf -- -- Effluent ill = 800, > 30 220 mgfL and TSS >30:S 150 mgfL ' Effluent #2 = 80D,_ 30 mgfL and TSS 130 rnWL 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 totmat, please contact the department at 608- 266 -3151 or •17Y 608 '; 80-4)701 R.07 /001 PAGE 3 OF 3 SITE PLAN 103 ATE ovv'O �i I B -P B �P 15 I B- 14 8 I ® I B -P13 � a -P 1 2 / SCALE:)_' O? �- NOTE: $each marks are ground elevatio]X at base of 4' wooden lath near each boring location. - OGDEN ENGINEERING CO. JA S D. FILKINS, 222952 Civil Engineers & Land Surveyors 113 W. Walnut St. River Falls, WI 54022 DATE: D ( 715) 425 -7631 T ST CR01x. C O.UNTY PLANNING & ZONING FAX MEMO DATE: Code Administrati 715 -386 -4680 FAX NUMBER: 7/!;- --- 3 ,f�, Land Information /49,7, Planning FROM: 715- 386 -467 u "" FAX NUMBER 715- 386 -4686 7 -46 7 Real P ZONE NUMBER: 6 R cling - 386 -4675 NUMBER OF PAGES, INCLUDING COVER SHEET: / ST CROIX COUNTY GOVERNMENT CENTER PZ @CO SAINT-CROIX WI US 1 101 CARM /CHAEL ROAD HUDSON, W/ 54016 715 386 - 4686 FAX WWW C SAINT -CROIX WI .QS Parcel #: 040. 1276 -80 -000 12/31/2007 12:21 PM PAGE 1 OF 1 Alt. Parcel #: 17.28.19.1540 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 - KOLLITZ, JOHN A & JANE A JOHN A & JANE A KOLLITZ 8802 SPRINGWOOD ALCOVE WOODBURY MN 55125 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 395 EAGLE BLUFF CT SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 1.470 Plat: 08- 037 -EAGLE BLUFF LOTS 1/43 040 -01 SEC 17 T28N R19W NE NE LOT 8 EAGLE BLUFF Block/Condo Bldg: LOT 08 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 17- 28N -19W NE NE Notes: Parcel History: Date Doc # Vol /Page Type 04/11/2002 676067 1871/209 TD 04/10/2002 675897 1870/26 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 210450 257,800 Valuations: Last Changed: 09/09/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.470 229,900 0 229,900 NO Totals for 2007: General Property 1.470 229,900 0 229,900 Woodland 0.000 0 0 Totals for 2006: General Property 1.470 229,900 0 229,900 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