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040-1310-00-020
Wigconsin i County: Department of Commerce PRIVATE SEWAGE SYSTEM St. Croix � Sa*ty and Building Division INSPECTION REPORT Sanitary Permit No: 515226 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: Peterson, Jon & Krista I Troy, Town of 040 - 1310 -00 -020 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: /� 1 9 #\ 0" ; 17.28.19.2007 TANK INFORMATION ELEVATIlbN DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. '� 7� i0 Septic Benchmark 7 b /a-7 0 14 1 4 ZE10 I Dosing 1 I � Alt. (::; � I J ,, st D.Z / /8.Z1 Aeration Bldg. Sewer Pd I Ic 62 I,, S Z 113. Holding St/Ht In t (o 111 TANK SETBACK INFORMATION SUHt Outlet 7, Z / / TANK TO /L WELL BLDG. Vent to Air Intake ROAD Dt Inlet �' / Z 1�,T1 `�� �� Z • Z Septic / I` � Dt Bottom Dosing ' J43 / 1 23 1 Header /Man. � Z 163 I Z Aeration T � Dist. Pipe , /-63.2! Holding Bot. System S. 1 ) a2.3 PUMP /SIPHON INFORMATION Final Grade 1 L ( S Manufacturer Demand St over GPM Model Number �v d0 TDH 1-ift 12— Friction Loss / System Head 56 TDH� !b Forcemain Length Dia. Dist. to Well zs D �) SOIL ABSORPTION SYSTEM (P BEDITRENCH Width Length No. 9;js PIT DIMENSIONS No. Of Pits Ins be Dia. Liquid Depth DIMENSIONS / /,z `— SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type f System: UNIT Model Number: a 1 T > Zoa DISTRIBUTION SYSTEM b; Header /Manifold, if Distribution� I J x Hole Size /� I x Hole Spacing Ve t AiPlIke L Z Length S� T Dia �� Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center / �` Bed/Trench Edges ` Topsoil ' Yes Q No Yes � No J 11(C �� � COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1 Z / /d r , Inspection #2: G �l �..J Location: 465 Meadow Ri a Trail Hudson WI 54016 (NW 1/4 SE 1/4 17 T28N R1 9W) Meadow Ridge of T y Lot 20 Parcel No: 17.28.19.2007 1.) Alt BM Description = ' 6s � ,O 16 �,,.J 61T, 2.) Bldg sewer length = Z3 n 1 - amount of cover = J� �e�S VK 5 G O ✓A - jawv^_ G, rNo vim• Plan revision Required? ❑ Yes Use other side for additional information. SBD -6710 (R.3197) Date Insepcto s Signat Cert. No. 5 commerce.wi.goV Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St. Croix i sco n s n Madison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce P A ID 515 Z Z es Sanitary Permit Applicatio --®- State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental /7(,255 unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary 465 Meadow Ridge Trail purp oses in accordance with the Privacy Law, s. 15.04 1 m , Stars. I. Application Informatio Please Print All Information i Property Name / Parcel # 040 - 1310 -00 -020 Jon & eterson Property Owner's Mailing Address MAN 0 2 201 Property Location , 2oa7 706 Quality Lane ST. CROIX COUNTY Govt. Lot City, State Zip Code N8 OFFICE NW' /,,SE' /a, Section 17 Lakeland, MN 55043 (61 - (circle one) II. Type of Building (check all that apply) Ok G ,l, Lot # T 28 N; R 19 W ®1 or 2 Family Dwelling — Number of Bed roo 4 Subdivision Name ,,y� 2 0 Meadow Ridge of Troy ock # ❑ Public /Commercial — Describe Use P f Na City of ❑ State Owned — Describe Use CSM Number ❑ Village of Na ® Town of Troy III. Type of Permit: (Check only one box on line A. Complete line B if applicable) I I I A. ® New System ❑ Replacement Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) System B. ❑ ❑ ❑ Chan g of a Permit Transfer to List Previous Permit Number and Date Issued Permit Permit Revision ❑ Renewal Before Plumber New Owner Expiration IV. Type of POWTS System/Component/Device: Check all that apply) o d� ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ® Mound > 24 in. of suit soil Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Appl' ton Rate(gpds0 Dispersal Area Required Dispersal Area Proposed (sf) vation 600 1.00 600.00 sq. ft. / D p� 600.00 sq. ft 107.75' 6" above 107.25' contour VI. Tank Info Capacity in Total # of Manufacturer A Gallons Gallons Units o F New Tanks Existing Tanks d /a� SZ C Z a F a Septic or Holding Tank 1250 1250 1 W ieser C ncrete G• J ® ❑ ❑ ❑ Dosing Chamber 750 750 1 Wieser Concrete VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' Signature MP/MPRS Number Business Phone Number Bill Schumaker ,G =-- -_ 227990 (715) 386 - 3121 Plumber's Address (Street, City, State, Zip Code) 1070 Scott Road, Hudson, WI 54016 VII Coun /De artment Use Onl Approved _ ed Permit Fee Date Issued Issuing nt Signatur Owner �n for Denial IX. Conditivia i0 gItReasons for Disapproval �'� f �,� � are, 1. Septic tank, effluent Mar and dispersal cell must all be services / maintained �^ eta ��' S P e / �.•.' as per management plan provided by plumber, 2. AN setback requirements must be maintained as P9 MUMbie /. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 I S �% Q ✓Q�uCL�i7Jrl �!`i ♦ elva &V gra& akv, d Clerr & p�{vson foov Kjsd ��cc rte/ ,Gore �g P,fes•6o�Mta�ou� ��e pnl. �G s/o 13iO�cn ° . 2 . 0 ~-r„ Orr ►/� e9,°Isdes� eQ�ocea i�ri/ g �s 61.bial.Gr�a► -sysf o ff. 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CIO : 9a: so' r I QAI 5CD'W,'LSe%'411DquOt a- .u� z:cz' - �iRS�ofy�c4a�•K a s I,d.C. bre;lcLz+ ��' /a.a.�� /i��. .ti" sc.�» �oP.t1.C, �/ o/oose.d/►lowvd��3/•al0;r / /�3s' Sews.r �'�a(.t/oelcSa. �nxnx4ic. a#/Gx /aio'd,3yo�sR/r..�J /. �owC'f� /i�So�o�'�`�s alts�'cbafr� /a+Ecrrt /s�11.6 "x� . 5y$66 "� -/s/: do 6C= 1p77�'aE Qbo✓E /af13'C�rn'E�� =/ ZOO it " IVAa WAS V 'IIOS 3 0 V 69LL OZ 9% XVJ YO:LO OTOZ /9Z /Z Safety and Buildings commer ov 10541N RANCH ROAD 9 HAYWARD WI 54843 Contact Through Relay t t isconsin www.wisconsin.gov isco ngovsb, Department of Commerce isconsin.gov Jim Doyle, Governor Richard J. Leinenkugel, Secretary February 25, 2010 CUST ID No. 227990 ATTN.• POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/25/2012 Identification Numbers Transaction ID No. 1762551 SITE: Site ID No. 754398 Jon & Christa Peterson Please refer to both identification numbers, 465 Meadow Ridge Tr above, in all correspondence with the agency. Town of Troy St Croix County NW1 /4, SW1 /4, S17, T28N, R19W FOR: Description: Mound, 4 bedroom residence W T, � Object Type: POWTS Component Manual Regulated Object ID No.: 1255244 p'0' Maintenance required; 600 GPD Flow rate; 40 in Soil minimum depth to limiting factor from original grade; C System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /O1), Pressure Distribution Componen4P a Manual - Version 2.0, SBD- 10706 -P (N.01 /01), SSWMP Pub. 9.6; Effluent Filter D ENI 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) C referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for co fance SEE 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: Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. WILLIAM C SCHUMAKER Page 2 2/25/2010 • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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 and the POWTS management plan to the owner and any others who are res sible for the installation, operation or maintenance of the POWTS. Sincer Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Patricia L and rf POWTS Plan Re ' wer, , Integrated Services WiSMART code: 7633 (715) 634 -7810, Fax: (715) 634 -5150 , M -th 8:00 - 4:45 pat. shandorf@wlsconsin.gov L� cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Monday, 7:00 A.M. To 3:30 P.M. ,1 ;ON Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. ,0 "Construction business" means a trade that installs, alters or repairs any building element, component, material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a building product not on the building site. For further information, go to our website: www.commerce.wi.gov/SB/SB-BuildingContractorProgram.html w�ov/ SB/ SB- BuildingContractorProSB/ SB- BuildingContractorProgram.html i MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Jon & Christa Peterson 4 bedroom residential mound Owner's Name: Jon & Christa Peterson Owner's Address: 706 Quality Lane Lakeland, MN 55043 Site Address: 465 Meadow Ridge Trail Legal Description: NW1 14 SW1 /4, Sec.17, T.28N., R.19W. Township: Troy County: St. Croix Subdivision Name: Meadow Ridge of Troy Lot Number: 20 Block Number: Na qtly � Parcel I.D. Number: 040 - 1310 -00 -020 IED Plan Transaction No.: MERGE ,4u Page 1 Index and title Page 2 Data entry NDE Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications / CP Page 8 Site Plan Page 9 Attached soil evaluation report Designer: Bill Schumaker License Number: 227990 Date: 01/21/10 Phone Number: (715) 386 -3121 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 (01181) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01/01) Version 5.1 (R. 06/06) Page 1 of 9 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 1.50 Peaking Factor (e.g. 1.5 = 150 %) fecal coliform of - 36 inches. 600.00 Design Flow (gpd) 20.00 Site Slope ( %) 107.25 Contour Line Elevation (ft) 40.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 100.001 Dispersal Cell Length Along Contour (ft) F ___ 6 _ 0 _ 0 _ 1 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest oint in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) 2.00 Estimated Orifice Spacing (ft) = 6.00 ft /orifice 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? Y 103.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) 4.40 Vertical Lift (ft) 90.37 5j Void Volume (gal) 1.39 Friction Loss (ft) nimum Dose Volume (gal) 0.00 In -line Filter Loss (ft) 41.1 ystem Demand (gpm) I 12.29 Total Dynamic Head (ft) j� Lateral Diameter Selection Manifold Diameter Selection 'Y in. dia. op tions choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x 1.25 x 2.00 x x 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 750.36 Total Tank Capacity (gal) 1250.00 Septic Tank Capacity (gal) 37.00 Total Working Liquid Depth (in) Wies Concrete IManufacturer 20.28 gal /in (enter result in cell B49) Dose T Information Efflue Filter Inf ormation 750.36 Dose Tank Capacity (gal) Pol Lok I Filter Manufacturer 20.28 Dose Tank Volume (gal /in) PL -525 Filter Model Number Wieser Concrete IManufacturer Project: Jon & Christa Peterson 4 bedroom residential mound Page 2 of 9 I Mound Plan and Cross Section Views T 1/10 B :::::.:::.:::::.:.:.:.:. :.....::::::......::::......... J l — Observation Pipe . • - 5 A W . .... ....... B - - ....... . . .. ... .............I................. I ...... .. ... ... L Mound Component Dimensions A 6.00 ft E 20.40 in H 1.00 ft K 8.68 ft B 100.00 ft F 9.50 in 1 22.44 ft L 117.35 ft D 6.00 in G 0.50 ft J 36 ft W 31.80 ft 600.00 (ft) Dispersal Cell Area 2843.75 (ft) Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 109.54 (ft) —► ♦ H G 1 I F 108.25 (ft) Lateral Dispersal Cell 107.75 (ft)-♦ — Invert Dispersal Cell [ t Elevation D :., ... K < { k ' ,M1J . ,.. /• • � •/• .��� { - A 'it .{'i. . . •/ s �.ti.. {` -.'. �.. 107.25 (ft) Contour Elevation 20.0 %Site Slope Geotextile Fabric Cover Shading Key CL - T Dispersal Cell See lateral details on 1❑ _ Topsoil Cap 0 Q- 1.5 ft �;. • Page 4 for number, size, Subsoil Cap w and spacing of laterals. © Laterals are equally ASTM C33 Sand :a spaced from the {✓ ' <'' Tilled Layer d d 0.5 ft Typical distribution cell's © - 99 9 1 A re ate o � � centerline in the A —.* distribution cell (AxB). Project: Jon & Christa Peterson 4 bedroom residential mound Page 3 of 9 r, Center Connection Lateral Layout Diagram Foaoe main connection via ter of cross to mmiol0 at 04 point_ Laterals are identical I P s ! Tum -up nr'bsll vshre of I(- X I x12 Laterals & force main of PVC Sch 40 olesnoutplug per COMM Table 94,30 -5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.01 ft Lateral Length (P) 49.25 ft Orifices per Lateral 25 Lateral Spacing (S) 3.00 ft Orifice Density 6.00 ft /orifice Lateral Flow Rate 10.30 gpm Manifold Length 3.00 ft System Flow Rate 41.19 gpm Manifold Diameter 2.00 in Total Dynamic Head 12.29 ft Forcemain Velocity 4.21 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -► Comm 16.28 WAC 4 in. min. Disconnect �__ Tank component is properly vented ( Alternate outlet location i Forcemain diameter Wieser Concrete Manufacturer 2 in. Ca aci 750.36 Gallons Volume 20.28 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 19.97 405.04 B 2.00 40.56 C _ Pump off elevation (ft) C 4.78 96.89 103.85 D 10.25 207.87 D Total 37.00 750.36 Do se tank elevation (ft) 3" Bedding under tank. F103.00 Alarm Manuafacturer JLevelArrn Alarm Model Number JDLV Pump Manufacturer JGoulds Pump Model Number 13871 EP05 Pump Must Deliver I 41.19 gpm at F 12.29 ft TDH Project: Jon & Christa Peterson 4 bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Bill Schumaker Phone 715 386 -3121 POWTS Regulator's Name St. Croix County Zonin De 't. 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 1250 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft' 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 Mounidl Ins ect for ponding and seepage once every 3 ears Other 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 vl 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: Jon & Christa Peterson 4 bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD- 10691 -P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD - 10706 -P (N. 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. 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 tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at 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 are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank 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 filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded 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 compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg /L BOD 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified 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 flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 9 "M GOULDS PUMPS Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower Specifically designed for the grade turbine oil for tic enclosed design for heavy duty ball bearing lubrication and efficient improved performance. construction. following uses: heat transfer. ■ Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING ' •Homes Available for automatic and superior strength and corrosion • Farms manual operation Auto- • Canadian Standards Association • Heavy duty sump matic models include resistance. $A • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron Goulds Pumps is ISO 9001 Registered. • Dewatering assembled and preset at the for efficient heat transfer, factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. 3 /4" maximum. ■ EPO4 Impeller: Thermoplas- 0 Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: V /z" NPT. seal protection. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA -N elastomers. • Temperature: 104 °F (40 °C) continuous 1401(60 °C) intermittent. METERS FEET f --------------- _ _ • Fasteners: 300 series 10 I -- - -_ stainless steel 9 30 -4- 5GPM • Capable of running dry without damage to $ �zs Fr components. 25 a 7 Motor: W x ' • EPO4 Single phase: 0,4 HP, U 6 20 115 or 230 V, 60 Hz, 1550 Ila RPM, built in overload with 5 automatic reset. 2 9a 4 __.__- - - - _ _._ -- -- >-- conc • EP05 Singe phase: 0.5 HP, 7.-b. o 115 V or 230V, 60 Hz, 1550 3 10 — RPM, built in overload with EPo automatic reset. 2 - - - - - -- - - a - - - - - • Power cord: 10 foot 5 -- — - -- -- —___ _ _ standard length, 16/3 1 1 - _. -- - -- - ... SJTOW with three prong I ' grounding plug. Optional 20 ° °o io� 20 30 40 5 GPM foot length, 16/3 SJTW with / Mi4irhumdi -Aiz,p e4 �e rjFcc;re three prong grounding plug I (standard on EP05). 0 2 4 6 8 10 12 m /h CAPACITY Goulds Pumps © 2002 Goulds Pumps ITT Industries Effective September, 2002 83871 p� 7 oPf Wisconsin Depertmantof Commerce SOIL EVALUATION REPORT page l of Division of Safety and Buildings fn acoordanca with Comm 85, Wis. Adm. Code - County St, Croix Attach complete site plan on paper not lose than 8 112 x 11 Inches In size. plan must Include, but not limited to, vertical and horizontal reference point (BM), direction and Percei I.D. Pending percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Pfesse print all Informatfon. Reviewed by Date Pnenenni Wormatlon you p"Ida mey bo used for Mneondary purya+rm (privacy Lew, e. 15.04 (1) (m)). Property Owner Property Location DCCI Land Plnnnam Inc Govt. Lot NW 114 5C 114 S 17 T 2 N R 1.9 E (or) w Ptopefty Owner's Mailing Address Lot # 131odc # Subd. Name or C.SW 1505 HWY 65 20 Meaclow Ridge Of Troy City Slate zip Code Phone Number ftY Village Ljj Nearest Road Nmv Rlchrnond I WT 1 54017 East Cove Road 0 New Coreftction use • Residential I Number of bedroom$ 3 to 4 Code derived design flow rate 450 to 600 GPD © Replacement Public or commercial - Describe: Parent material Loess over glacial till Flood Plain elevation If appleable General comments At grado systern recommended and recommendatlons: 1_ rJ Boring # LJ Boring ctor 40.80 ID Pit Ground surface elev. 959 it. Depth to limiting in In. Sol AppNgfiori Rate Horbon Depth Dominant Color Redox Description Texture F2msi)k tructure lr'onalstenco Boundary Roots G in. Munsell Qu. $7- Cont. Cobr . Sz. Sh. '�ff#1 `Eff#2 I 0 -8 IOyr3 /2 sit dsh as 2f .6 2 8 -26 10 r4/4 ail tnsbk dsh ow if .6 .8 3 26 1 Oyr4 /4 $l l fgr dsh cur - ¢ 6 4 40 -80 1Oyr414 czcl7,syrs/2 sic) lmsbk dh Cw ,2 .3 80 -100 7.5 t'4/6 s Os); dl - - 7 5 Y 1.6 Barring # Boring >1 pit 960,1 8 E5 Ground stflface elev. R, Depth to Itmltittg fttctOt En, SoN licedon Rate Horizon Depth Domintatd Color Redox Descrlptlon Texture Structure Consistence Boundary Roots &Eff#j GPDff 'Eff In. Munsell Qu. Sz. Cant color Gr. Sx• Sh. 1 0.7 10yr3 /2 sit 2tnsbic dsh qs 2f .6 R 2 743 1 Oy r4 /4 sil I msbk dsh cur 3 43 -84 I.Oyr4 /4 sic! Irnsbk dsh Cw _ .2 . 44100 J4 sl Om dh cur 2 6 .5 r4 4 y t ' Effluent #1 SOD > 30:s 220 mWI. and TSS >30:5 150 nVI " Effluent #2 $0 mglL and TSS 5 30 m9A CST Name (Please Plan t) Signature CST Number Thomas C Nelson 227387 Address Date EvaWlon Conducted Telephone Number 1432 120th Street, Ncw Richtnond, WT 9!18/05 715 - 246-2454 Pendin Property Owner pCCt [tncl C'Iannclw Inc Parcel I D # Page 2 3 of 3 Boring # � Boring 9G5.81 L_I Aft Ground surface e1ev. R Depth to pmking factor >90 in. Sop A Ppllcatlon Rate Horizon Depth Dominant Color Redox Dewttkm Texture structure Consistence Boundary Roots GPD/tF In. Munsell Qu. SZ. Cont Color Gr. 5z. Sh. *041 'Eft#2 1 0 -2 10yr3 /2 - sit 2msbk dgh ny 2f h .8 2 2-21 10 x414 sil 2msbk dslt Cw 1'C .6 .8 3 21 -25 1 Oyr4/4 . sicl I msbk dsh Cw - ,2 .3 4 25 -50 5yr4 /4 - sl Om dh Cw - . C 5 50 -90 7.Syr4 /6 - e Osg dl - - .7 1.6 ❑ Boring # Boring Pit Ground st.irFttce elay. ft. Depth to 11miting factor In. Scil Rate Horizon Depth Dominant Color Redox Description Texture Shasxurs Consistence 1 Boundary Roots GPDM In, Muneell Qu, SZ, Cant Color Gr. 5z. Sh. 'UPI *W2 Boring # Boring Pit Ground surface elev. R. Depth to Iknitlr+g factor Sop pplkmdon state Horizon Depth Dominant Color Redox Desc ription Texture Structure Consistence Boundary Roots PD In, Munsell Cu. Sz, Cont Color Car, SL Sh. •Etf#1 'Ellt;l2 •Effluent #1 = BOD > 30;S 9,70 m9& and TSS >30 < 150 mg/L ' Eflluent #2 = DOD, 130 Mq& and TSS < 30 M91L The Department of Commerce is an equal opportunity service provider and cntployer. If you treed assistance to access services or need material in an alternate format, please contact the deparUT=t at 608.266 -3151 or TTY 608- 764 -9777. saner ;1,ar�,u rR.mmm DCCI LAND PLANNERS, INC. SOIL BORING Lot # 20 - MEADOW RI0QE OF TROT( BENCHMARK • �� �• NW 1/4 OF THE SE 114 OF BECFIQN 17, -TOP OF CONaIIIT f T26N, R1 OW, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN. APA ALT BENCHMARK --TOP OF CONDUIT TOM NELSON CST - Llo. # 22Mx MOM THE CONTOURS IDENTIFIED AM PRIOR TO 0M RUCTION. ` ENViFiONMENIAL BY DESIGN WIN- awl CCNSTRUCnON GRADING WAS IN 14 120TH ST. PRO= DURINR SDIL TIES nNC, NEW RICHMOND, WI 154017 CONTRACTOR MAY NEED TD �» p h. 71 fi-246.2484 DURING INSTAALLAATION� ..+ WVW4 •• ' \ SCALE IN FEET C .. 40' ` 100 0 100 \ Q'` 61.55 AD %9 :94 1 . 3 965.81 �\ �" DOOI LAND PLANNERS, INC". ® S01 BORING • Lwr a Lan OwrI Lot # 20 - MEADOW RIDGE OF TROY NW 1/4 OF THE SE 1/4 01= SECTION 17, A 8J "CHMARK T25N, RI 9W, TOWN OF TROD, ST. --TOP' OF CONDUIT ' CRODC COUNTY, WISCONSIN. Q ALT BENCHMARK a rv _ - -TOP OF CONDUIT TOM NELSON CST - LIc. * 227357 N NOTE: THE CONTOURS IDENTIFIC -� ENVIRONMENTAL I3Y DESIGN ARE PMOR TO CONSTRUCTION, CONSTRUCTION GRADING WAS IN 1432 120TH 8T. PROCESS DURING SOIL TESTING. L4?I, NEW RICHMOND, WI 54017 CONTRACTOR WAY NEED TO ph. #I 715- 245 -2454 CONFIRM FINAL CONTOURS DURING NSTAIlATION. ..► sCALE I F gLT � 1' . 4W , a 4C 96 .83' A 8 0 20 " w x 9 6.77' 950.4 N , �_0 ^� N N 2. 7 �`- 83 V V V I' C00 "IVAH al'IS q 'IIOS 3 0 V ML M STL YVJ 20:10 OTOZ /59/90 I WiisconsinDepartment ofCommerce OI EVALUATION REPORT P� 1 3 Division of Safety and Buildings in ance . Comm 85, d1Rs. Adm. Code Attach complete site plan on paper than /2 x Cody St. Croix include, but not limited to: vertical and horizo referen pol Parcel I.D. percent slope, scale or dimensions, north w, and on and distance to nearest road. Z Please print all inform "on. S E P 2 1 2005 Review y Dirt Personal information you provide may be used for secondary p rposes (Privacy law, s. 15.04 (1) (m)). Property Owner ST. CROIX x'06 cati n DCCI Land Planners Inc ZONING N 1/4 SE 1/4 S 17 T 28 N R 19 E ( Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1505 HWY 65 20 Meadow Ridge Of Troy City State Zip Code Phone Number DCity OViItage [E ]Town Nearest Road New Richmond i WI 1 54017 1 ( East Cove Road E] New Construction UseE] Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Replacement Public or commercial - Describe: Parent material Loess over glacial till Flood Plain elevation if applicable AA- ft. General comments At grade system recommended and recommendations: ([[F] Boring # 11 Boring El pit Ground surface elev. 959.55 ft. Depth to limiting factor 40 in. Soil MGPD/ffff ate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munse ll Qu. Sz. Cont. Color Gr. Sz. Sh. *02 1 0 -8 10yr3/2 - sil 2msbk dsh as 2f .6 .8 2 8 -26 1 4/4 sil 2msbk dsh cw 1 f .6 .8 3 26-40 10yr4 /4 - sl 1fgr dsh cw - .4 • 4 40 -80 10yr4 /4 c2d7.5yr5 /2 sicl lmsbk dh cw - .2 .3 5 80-100 7.5yr4/6 s Osg dl - - .7 1.6 2 Boring# D Boring 960.18 > Q Pit Ground surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *01#1 'Eff#2 1 0 -7 10yr3/2 sil 2msbk dsh as 2f .6 .8 2 7-43 l /4 - sil lmsbk dsh car if .6 .8 3 43 -84 10y,4 /4 sicl lmsbk dsh cw _ .2 .3 4 84-100 5yr4/4 - s l 0m dh cw - .2 .6 5 ' Effluent 91 = BOD > 30 720 mg/L and TSS >30 < 150 mgA_ ' Effluent #2 = BOD < 30 mgf L and TSS _< 30 mg/L CST Name (Please Print) Signature CST Number Thomas C Nelson CST EQ 1- — 01AAY.r - 5 227387 Address Date Evakfatim Conducted Telephone Number 1432 120th Street, New Richmond, WI 9/18/05 715 -246 -2454 Property Owner DCCI Land Planners Inc Parcel ID # Pending Page 2 of 3 F 71 Borin # Boring g Pit Ground surface elev, 965.$1 8 Depth to limiting factor X 90 m Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Etf#2 1 0-2 10yr3/2 - sil 2msbk dsh as 2f .6 .8 2 2 -21 1 4/4 - sil 2msbk dsh cw if .6 .8 3 21 -25 10yr4 /4 - sicl Imsbk dsh cw _ ,2 .3 4 25 -50 5yr4/4 - sl Om dh cw - .2 .6 5 50 -90 7.5yr4/6 - s Osg dl - - .7 1.6 ❑ Boring # 9 Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eft#2 i Q Boring # Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Appkebw 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 > 30:5 220 mg/L and TSS >30:5 150 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. s1113- 9330rest (P- 07M) I ' DCCI LAND PLANNERS, INC. • SOIL BORING 1 °'� • • u" Lot # _ 20 - MEADOW RIDGE OF TROY . cm• Uwe NW 1/4 OF THE SE 1/4 OF SECTION 17, BENCHMARK i T28N, R1 9W, TOWN OF TROY, ST. -TO' OF CONDUIT i CRODC COUNTY, WISCONSIN. a ALT BENCHMARK �` + • _ TOP OF CONDUIT TOM NELSON CST - Lic. # 227387 N NOTE: THE CONTOURS IDENTIFIED � ENVIRONMENTAL BY DESIGN ARE PRIOR TO CONSTRUCTION., • CONSTRUCTION GRADING WAS IN w. 4432 120TH ST. PROCESS DURNG SOIL TESTING NEW RICHMOND, WI 54017 CONTRACTOR MAY NEED TO - carom • ph. # 715 - 246 -2454 CONFIRM FINAL CONTOURS ate. • \ DURING INSTALLATION. .... SCALE IN FEET Y _ 'W • a.+r t0O 0 t00 61.55 9 4 \ 959.5 \ 9 .1 `o 6 5. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer A uv . r U_V t S+_r__ � ✓��� Mailing Address 4oC u c Ac Lctvte Lc lce.J vj tvw � D Property Address J lob ow (Verification required from Planning Department for new construction.) City /State 4-t J� 0 A Parcel Identification Number LEGAL DESCRIPTION Property Location IV W % S V4, Sec. I 1 , T N R � W, Town of Subdivision Lot # CD . Certified Survey Map # , Volume , Page # oc # , Warranty-Deed # `Z (� C � Volume , Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle waste s. 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 ma' itenance 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 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 1 vastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is 1 ss than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage dispos il system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, Stat of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix ounty Zoning Department within 30 days of the three year expiration date. IGNATURE 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 ov mer(s) of the prope escribed above, by virtue of a warranty deed recorded in Register of Deeds Office SIGNATURE OF APPLICANT DATE * * * * ** Any information that is misrepresented 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 and a copy of the certified survey map if reference is made in the warranty deed. � �ii�i ii�ii 45 i� Document Number WARRANTY D ED 910545 BETH PABST THIS DEED made between OCCI Land Planners Inc., a REGISTER OF DEEDS Wisconsin Corporation ( "Grantor") and don P. Peterson and Krista M. ST. CROIX CO. WI RECEIVED FOR RECORD Peterson, husband and wife, as survivorship marital property 01/20/2010 10:25AM ( "Grantee "), WARRANTY DEED EXEMPT # REC FEE: 11.00 TRANS FEE: 288.00 PAGES: 1 WITNESSETH, that the said Grantor, for valuable consideration Name an Area Name d Return Address conveys to Grantee the following described real estate in St. Croix Q County, State of Wisconsin: ' i erpp�Ogl 18 g P Q B 0see6 6, w i Lot Twenty (20), Plat of Meadow Ridge of Troy, In the Township of 5c/00 Q Troy, St. Croix County, Wisconsin 040 -1310 -00-020 (Parcel Identification Number) This is not homestead property. Dated this 30th day of December 2009. DC I Lan Inners In Co ate Na Ro . D c P sidertt ichael R. tevens Secretary STATE OF WISCONSIN ST. CROIX COUNTY Personally came before me this 30th day of December, 2009, Ronald L. Derrick, President, and Michael R. Stevens, Secretary of the above named Corporation, to me known to be the persons who executed the foregoing instrument and to me known to be such President and Secretary of said Corporation, and acknowledged that they executed the foregoing instrument as such officers as the deed of said Corporation, by its authority. THIS INSTRUMENT WAS DRAFTED BY Terri L. Woulfe Michael R. Stevens DCCI Land Planners, Inc. Notary Public SL Croix County, Wisconsin. PO Box 445 My Commission Exoire . New Richmond, WI 54017 TERRI L. WOULFE NOTARY PUBLIC STATE OF WISCONSIN 1 of 1 FINAL PUT OF. MEADOW RIDGE OF TROY Su LAND SURYEYINOINC. LOCATED IN PART OF THE 6E114 OF THE Will,, PART OF THE N1114 OF THE S1114, PART OF THE 111119 DOUGLAS J. 4LIHLER OF THE ASIA PART OF THE SW114OF THE Will, PART OF THE SW114 OF THE NE114 AND PART OF THE 2540 EFUE STREET $0111 OF THE NW1H OF SECTION 17, n8N, 111911, TOWN OF TROY, ST, CROIX COUNTY, WISCONDN, SURE 101 HUDSON, WI 64016 LINPLATTED LANDS EAM MANN 70 PREPARED FOR; OF I' PFE DOCI LAND PLANNERS INC. EIsum 1716 \ 1505 XWY ES NEWIS'E2042d1' N881H91war RLsi- I NEW RICHMOND, WI5101T NxM10E x16 Eai' OUTLOT3A 1 E.._.._..1 \. �y6 \ \ \ 0 167 x14 3004 0x14S(7r ELEVATION 17 Vd CMSI�ATON00OWED �' 1 f 1 1 \ 5a^/ AssVION I 1 1 I M _• _..� 141 F �..._.._, ,-, NIEAtAO ` \ \ G I I j I l l 1I s W I j LOT 13 "bt 0AI \ W j LOT 2 j . LOT 12 = LOT I LOT 3:. I LOT ! I I I ), j 1 1 gl: �` ,d \ \\ \9 % y I j j I LOTS j I 6 A Ad 1 .Y 1 r 1 / \O \� W 19 " I F I j wl9 11 II ` .,� ' LOT 10 LOT y 1, I j I, I I D.11AL q e ta ! ! j �I- I j j !�II LOTB LOT9L�b l �,'' _ - 61uL 1000 P re \ 11 uo.0 uamao I,g. ' �rllli'F E / /N \ / I OW pI�E \ _.. 1C" r. \\ \ a 1 YF 151 r \ / �,� ,.`,,�u ..�` ' NN ^ ti, `� i 1 �'� r p. ,ro d .1^11 1 A 1 11. LOT 19 LOT iV LOT 20' LOT 19' �OT1T1�� „I. I 4 I •\ � ORANAGE 2f �rLOT 19 .,\ \ \\ I I y ; j, LOT 14' I p ,W7i OUTLOTSI &p D tAy pIq DS CONSERVATION AREA GMm ?TFR BY NGEaxMS \ NI \ e l 1 r A°►w �� ASSOCIATION \ `, ; p E d �� 1 11 ; 11 I-' OUiLOT J ; k4 SOTN'4CW WISMATON AREA wo .� , 3 = 160.91 ! ,1`11 BY NGEDIMU ASSOCATIN SURVEYORS CERNFICATE A • ' `� I 1 �.._.._ ... oil . I.. N I.000GAS A 7NIER, AmSTpNp MNSmXS11AD ANE1V, NFSNY CM MAT M RILL MawMa NM M[ PRGAAGK OF GAV1R 2N OF 1 ME VMS STANki AN ME n.Na1MN TAKAIMIS OF x 10 OF MNK AND GO ME OEGAN OF DCO NAM PLAIRAR N0. 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Mda AGING ME KRM- SQUM OWAEN IAIE OF SID SECIIM 17 NCM'S11A � �� aI GSTANCE a mu FEET N ME wrim a SAD am 1T., 71FWE AM ME EAST - EST 16 a QUARTER 1 SM SECMGI 17 SW49 n A I ; I : i � R EDL�1•MDS GSGNEE OF 177018 FEET m ME 91n0T OW OF SO SWMEMT WO OF ME NCRMAFST WMTW; MGRE A ME EST GE OF OD SCO W GWGIA OF ME NINMEST GAIA11I Mm40 A INSTANCE OF x75 FEET W ME OX71 OF A 1067m FACT AMGS GARS Iplr, S WAVE NWMERLC NM A Oft MU OF 7171040, A OMAN MAT EPAS 117117771 AM FAST IDISC TO. WMa EMEEY M01G 1 19+ G, i T ARC OF $0 ONE A GSTACE a 1027.% W TO ME POINT OF TAOISM. MEND: NSn A GSTANO a AUx FEET TO SAM XaM• Ix1 W e = I ^ rP d ZI Gyggg SWAN QUAW GET EE AM NAT SID GE ONVI A OWANCE OF 4" FEES; INK MI%1lf A MAINE OF A% PV, a 41144 FEET; @ i ;. p ?A QI Nn�� Mp 90000 a 0111 A DISTANCE 41144 FEET; MENIE NIM111 A OFAMI a 214111 FEET TO K COMM a =MW MC, SAN Fvl� W I I I GENUINE EMC ME MO a 71100 FOOT A 71 AM 0.5E OGIGAE 1WMESIGKY, NM A CENTRAL MOLE a rW A OW MAT EMS I4'Ir� ��, 5x•100 40 MM 67114 TV,, MOME MUST ALX SW OMMA8E A G ME ARC a SO OMIE A OSTMM a 12014 FEET TO THE EAST LINE a ME OW GUAM a nD M Ili WEA,WG CA EAST UE x710Nn A 053X716 TAX W . MIKE A G FE 1'�Id W I1I 1� q n� MMw'R A OSTANE a GSD W MME N7700M411 A DISTANCE a %261 TE MEpa 314111101 1 NSTNAE a 11171 FEET x AE Ir 1 � 1 ; 0 LOCATION SKETCH N4 & R EGIIIIG a A Woo LOOT on OWE MW EASTERLY, MM A Oft MOLE OF r". A DO VAT MARS 572071X6 AS MAMA6 1 7,7 2 @ I ,1 I� � TOFN 01 TROY 779 FEET; MONGE 1WIIFASEEY NON ME AC OF SAD ONE A OSEACE OF 7114 FET A THE PW OF TM V. 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WO Na4'7n A '\ 1 ON 010ANGE a 82111 n MIME Wflr1YM A GSTALa a 2W.n FEET{ MENa 51OIEx1 A dsrAla a 71.16 FEY, "a 114'17411 A 1 1 AOC 0 100 INSTANCE a = FELT, MEND 55171601 A DISTANCE a 24.07 FEE. MHO: S2NM11'E A INSTANCE a WS PEEL WKIE 3#71'11 A `� \ , CrNIa a 1042 FEEE MENa%0w1n A GMANM 1 40717 FEE. IENGE 311•x111 A MITMa a 1MIA4 fEEC WE 9MIl A TImawooilm AnApIA »NN ee>pxln o N (FARE OF MAI FEET C ME SWAN GE OF SID WW MR a ECIMN M. MR0 AM SAD SQUM GE 9M1n AgSTANGE OF Secs. 216.13,236.IQ216:0ad W(l)NdRL 072112 FEET m ME PINNT OF EM IIiWL espy d1. LB61T,Wis. SAS 1 \ 0 A aim l � DA Y a 2Dyy 46 OF WISC CeMrNd i ,tO� � y \ o 0 oau°usL ° LMKER SECTION 17,720K RIM OW0A5 CZ/NSA ES 214 SSUi y y I e 1 S 1 N lA0 9DE1AD fM Nu0SOK g Z S w I � Mx ERLE MEET A 6 J DeQMOnCAI Of 1QU 6 W IE 10 HUM N 3006 � � 1B,yY. 'S0T'17� 7IOw 6 X 1 , 49'2 6 ��s92' MS MOT WATm BY MA NAE Al N0 011.05 DATE 07711x0 EM 2p61MW SHEET 2 OF 3 SHEETS r LOT 7 ^ 1 . J LBO -918.0 r 3 F ,, ► , gbowRl S81 2 / / ``�� •� ' �' ` �,, ` 1 \ --- '---C1g- — 118.8.4 �•�� `c s.1 \ DoE - Na8't$ •\ LOT 20 ` 10' WOE f \ . DRA/NAGE N s9 •4 8'3 0 •'�-� - — 588'12'43W 313.91' �^s�9jFLQ ��VNE�y DL� OUTLOT 5* `��• 8 CONSERVATION AREA OWNED BY HOMEOWNERS ASSOCIATION S87 44'40"W 184.97' y IRVEYOR'S CERTIFICATE :)UGLAS .L 7AHLER. REQSTHRED VASCONSIN LAND SURVEYOR. HEREBY CERTIFY: THAT IN FULL COMPLIANCE WITH THE PROVISIONS OF CHAPTER 236 OF