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HomeMy WebLinkAbout040-1259-70-000 d I ° c � � ? � 3 ti• ty, (D C) m a • CD m M � 0 I r � In � 0 0 to Z OD N pp A `C • s °_'. n a a° W ° ° �l N N .7 ° n W W a fl1 = T3 CD C R R3 po O O N V A O = O (�y 3 w N O p d m m cnv m aw CO CD C , co CL 3 ° c !� a w a lei N) o K n r cn I fn (D C) CO) M r CD 1 a O O V 3 N. N c ai ai ? a m in m m < tQ C7 c, D CD z z o cn N ? aQ CD �CD I 0 Q I v U1 � C N; :3 A z I n z -� I W m m w CL z ° o " Z co m z m W F A to I I Cv a C Cl V cn 4W 0 �• 0 cn O 91 90 C O — 7 CD w cn a N I 3 a� I >>a I 7 N 0 7 C A N Q cn 0 n N_ CD m I a m aa)w m o c o I h 'V 0 ryry, O V V I O 0- Parcel #: 040 - 1259 -70 -000 06/05/2008 10:38 AM i PAGE 1 OF 1 Alt. Parcel #: 18.28.19.1386 040 - TOWN OF TROY Current O 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 - HEIDEMAN, WILLIAM H & PATTI J WILLIAM H & PATTI J HEIDEMAN 379 DEER VALLEY DR HUDSON WI 54016 I Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 379 DEER VALLEY DR SC 2611 HUDSON SP 1700 W ITC Legal Description: Acres: 4.742 Plat: 07 -068 -DEER VALLEY 040 -99 SEC 18 T28N R19W PT NE NE LOT 7 DEER Block/Condo Bldg: LOT 07 ' VALLEY Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 18- 28N -19W NE NE Notes: Parcel History: Date Doc # Vol /Page Type 03/15/2001 640514 1601/632 WD 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/06/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.742 118,300 449,300 567,600 NO ' Totals for 2008: 300 449 General Property 4.742 118 , 300 567,600 Woodland 0.000 0 0 Totals for 2007: General Property 4.742 118,300 449,300 567,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 08/21/2007 Batch #: 07 -14 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I - - /* O 10 Wiscor;v(n Department of Commerce S YSTEM 'Safety and Buildings Division PRIVATE SEWAGE count Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar o.: Personal information you provice may be used for secondary purposes [Privacy Law, x.15.04 (1)(m)]. 1 411{�i�, yam ❑ City ❑ Vi ir9y M" Ip State Plan ID No.: CST BM Elev. Insp. BM Elev.: B Parcel TANK INFORMATION U ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. e t 1/�f wit. Lbflc� B ch k 3,'� ( !p3• }/ 10 c7 Dosing Aeration Bldg. Sewer $ 58 -7 / Holding S /Ijr Inlet TANK SETBACK INF ION S Outlet . p� `'1 C G TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake 2q / NA Dt Bottom Dosing A Header/ Man. 1 7 -7 q(, - d Aeration _ NA Dist. Pipe Holding Bot. System &9 6) ff� PUMP / SIPHON INFORMATION F8p0j0 jp �•� n? $� % Manufacturer and s} &� -j AA 41• 38� 3 Model Number GPM TD H Lift Friction System TDH Ft oss Forcemain Length Dia. H Dist. To well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Di _ DIMENSIONS x'71 DIMENSION SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer SETBACK CHAMBER INFORMATION Type Mo Num er Syste : h s� + s OR UNIT DISTRIBUTION SYSTEM Header / Tfold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake �} Y Length Dia. Length (OV — Dia. J`(j 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 InS ectlo # Yes/ /No I n � pn ffw ft No / - E� M111 ANTS' (� Jude �c g d3*ll reoan W t persor�rV484 ,6 t NE 1/4 NE 1/4 18 T28N R19W - 1828191386 Deer o ,a ion: 3 8'1 ` eer a ey ri e, u son, ) Valley -Lot 7 r, 1.) Alt BM Description = �o P� �x v1,�o 1 R C6� 2.) Bldg sewer length = ZGI - amount of cover = 1 15-i nl 5 3�0& e-lo Plan revision required? ❑ Yes No Use other side for additional information. Z► Q / `� SBD -6710 (R.3197) Date Inspector' ign ture ert N . + y i Y 7 � I P D 0 �a a 7 a 6 wq I Sanitary Permit Application safety a: Division � $ C in acemd with Coaua DII. Wis. Adm. Code l W. Washington Ave. On See Mvcm aide fbr b� ft this application PO B ox oapert�sia m. -.40 rep �olmsoon You ROVIde may be used for so y puepom Madison, Wl S3707- 73,02 - (Priv Law, a.1 S.04(t (Submit eompkted room to county iroot A Ums eaui ' state owned. " ", I I i in Smote Check 1. inchos \ r \ 4 1 I. A lication Iafor=atioa - PIO:se Print an Info tion j\UUVLU pea" lita�e w. �t-e� d��Q� Z P ?( k t N U� s TA It w 9T �.sw � � �� , prq J: I IV 5 5 (a r Phonc MatneorCSM IL a of Bttildiagt (cheat one) I or 2 Fatah O City © Y Dwelling - IQo. ef8edtooma :.._ vMw �aj (desalbe rose , 'r?owa of J3 State -Owned ib Ner � .S e u �n Tax s MIT Yoe of Permit: heck o 0110 box on tine A. Check box on tine B if applicable) ` A) 1. U iem 2 $ � 3. Reef 4. S. Adds onto I3) Tank On Exists A (tCie all that apptY) Pr ir«t O Monad ❑ Sand Fitter O Consttuetoi wetland � O At fl A T Tleatment Unit D Siagia Pass O Other. V. Di imeat AreaIarormatlon-. v Flow (04— Aeon w Ilyz I 4 S 2 3-7-7 7 VII: Tonh dip �► is Totat * of b�,o Prefab Site SW Fiber plastic �. Information New mow! Tab Con- con- � T T crete amueted ' V C rs 0. O ❑ O D VIIL Responsibility Statemeat I t f the Povrm t9towa on the attached 1110:. (ms. car, Stow. zip %-Vow c.. .� . S M Couatymepartment Use Only o r 13 Smkry Pernik Fee [Tam Dow l=ued ) O Initial Adverse S1nmhup Pcc) (3 v X. oadidens of Approvltl /Reasons for Dfsttppreval: AO �j `� s Sanitary PtYrmit ApI iteation safety d<> uairtgs l ion C01110110 83 21 Wk, Adnt Code 20I W. Washinew S �! reveres aide for fa the application PO Door G * Peraonai infoneatiat you Provide tray be =W for secondary p poacs Madison. Wt 53 ?7 f. y Lan, a. 1S. ! to it � x )) Cs� Convicted form to cotmrynot n tot hxa than 8-112 x 11 ' in orate Darned �+ � Soda h► 1: A 1. A icatioa at ' - Please Print so Informatio tY�th j Location; w L 1 l ct �Y Loattion 1U 114 Kg S OTa R W cit state zip code !a �p iU Sub&W= Nwft er csm Nom S's c IL a of Buildlag: - (check one) ✓ ay S I or 2 Fina Dwdlift . No. of Hedrootta • Y �P Cdcaaibe use)-. V _ t V_ Pfd 0 vftv O State -Owned lTown of �ro QI, a of armlt I t Ck ottc bon on lim A. Check box on title B if a tieabie 2 A) L 2 S �+ 3. Tank of 4. 5. Addt on to B) F.tdsti LAM Im" Sato it Type of POV" Sy*Cm: (CherA an that apply) O Iti- grotmd O Mound O Sand Filter D Cionstructed Wetlaw D At Rd O to Wit 0 Shwo Paaa D Drip Late f V. D[ orsa attne it Area Information: Other. remaktion i d Rata � tt.) (M) a Y S kivalen VII; 'Wank C owly in Total 0 of Matxtfaaurer Prefab Site Steel Fhor• Plastic Information Oaliota CWIM Tanks con- tam - T crate Mueted 5 .>1 LD T :C-1 n E3 50V ❑- O O O O VIIL ResponsibtiI Statement [ the undo as$um for the POW7s sho�aa on the attached j9 uci e a 1 v IV.e w 0 t,� o i2i:. ConntytDcpartmeat Us Only 1 . t D ' Farmit Fee Quelo w QroaadNntter taste issued Atteae wiatps) IR ApprevW CI Owner Gh" Initial Adverse . " 10 Pea) av _ X. :oAdltlanS ofA rortti ZCD p- ��or D[sap� t2 Irods � � , , �e�- t . w C ti i c" t11r� C.�OIJ ? -, , � 0 f Lk . RY Q0.' Ste( oka► 6k- ft e - sus Vf 9L S roc �a.��a:� -t' a°"^ VA. WMVA� - 1 "`�S a��( �S e•r a� y " q�n,� S ktr+/ 0. 7;` De 1'e Stdl9�cQ . U - c u tA,- �` � c k- ti s 'g3 Ter(o60&% (07 I . 0 Y�J c {SOO _.: u n /►� O 3 W .. - u Effi ....... let 1 J '• � t` 'J ` + t iaor e • F E� t i W to '0 to c ! X 4 } � C]. n � � ••n ' i F X (C OL I z c g �. n o0t m t Oto a N +" : CL W CD' Q CT to D ( N Invert 11' p_ ii 4 s P ' I � i z i • ' , 1 / �� 7$I c.� . - '/ r e i (� f 1 ' , 1 , i , ' , r I f � , I i ' , i ( : , } f r i � , 1 a I i • �_ � t . - - -- - I - f {- ,_ I r � r , , + , I , • f , ; I I • r - i iY • I , ; 7 I I i } I i i i I 1 r � j I ` t I , I r r � r_ i I I } , i 1 I I i I ' I I � _ , I - �� • _- i- � I .. I I F I I - 1 I i I ' I # F , I 1 I I . , � I ' 1 , I 1 , I : 1 , r ' I 1 , I 1 1 , i j .. ' I I 1 7 r 1 I I I : I I a i { I 1 � I i I I , i I I : 1 fi t* :. i , : •, -,� I � i Tc ,. f _ r �- 1� �_. - - -- -- I { 7$ I + i c 1_ zn a + 1 o r I I i f 1 � I ! I Wwonsin Dgmbn nt of came SOIL EVALUATION REPORT pass I— of -3— MAmon of sal* and a tunas in sooaderm wih anon as, wis. Aft cone Cam" c*.� Aftch sate t� an paper ot n +ass *m 8 tat x 11 inches in same. Plan aea� J ' • � � \ tndude, hi ro- 0 - ix wiid aid lroebonlri rehrencos point d oc" and pwod to. peewnESlaPe. ee' . Km anvw.andbc on, aye eo m tgaad b — ( - Zo FWw"h*MWMftftYft P I ld =Wbemodbr 1-1 puepo w(ft wgtaw.s.,sot(l)or r C4 ` l opNi it i ooaiort \ % Ft , , 2 Oat tot M � tM N r- IM S � T N R E:} W p� roA t,ot ar Bkp k S Sind- Now or CSWtA �` P� aht OvNew Ip Tom No wed Reed' }� Nearcrnrswcfiort tkao Res &WWlMmhaafbetiioonts Code d~desisn low rate #A Gm 0pApb=Ww* 0 PdAcor ma nmmed - Desd&M i 4m Will Fbod Pkin sieagm W appkable N tt R orte� S ED Ondrgif a pit t�rmad std ce atev. 9 ? , S lt Dopm a ti 0 0 far. r �z- ---a -- in saf AndcOm Rai Horilorl Daplr oomkwtcdw Redoot DescripGon Tee st wma cwmmw= 8oundwy Roots 11L mwnw QA GL Coat Caton tr: SL sat. 6 -10 D r3 3 a I o as 7, Y r Y � .1 ® Q ptt Groundsrabasabv. ! � 7 R, t)eplh b FA 0 fedW 9 in. Sol Harbxt Depth Domk=*Cdo fisdm f i l r % sm t Te& akwo a Cendstunce Rorndwy hoots WL ilAlMml1 aw Si. OWL Cafor qr. SL StL M" INC a2 tSbK rn r .1 , ,5 , .2 U /o fn-s ImS !n i t.A 7 / Al ams 1�? b y'10 �, � ►- n' ' i3'1 � � L � •emu" iti= > _, w "A_ ifGG I .M "o- wW M 130 "A- almmifims =r er i Mb EraiAian C orm&xftd Teiephoere Au 0 N.Qv-3 Q -'t 5VPl 7 S -23 - 6 1 "7i5 sl 1 pap � Q'rr"u 1F v parcel ID �? � - -- ---- -- PropertY C1Wner � i Q � R E eon � sv�•�►. 9S I fl. +� -I lie TOOM rs Hodoo Doplh Dwfd*MW l Relax Des""m SIh 'EI t 't_lON2 iR l flu Sz flout. Color 5 -/ o — d• b E ew t fl # ❑ Pi v C�a�nd sine eie _ It. DWM W � in. SON Rate Homan �i Taetsre SinduNe 6oeRS<iarY hoofs GPM In 11At W Sr- or. Sz. Sh. `HIp1 'E 2 i cam Goiff i 80" * ft. � Ground surface ales. *- OW& b Ik Sol R� ❑ PIt Dssa"M. Tod re � l ., GPM ou. Sz. Cont. Color car. SL Sh. _ E'IOD, > 90 < 220 mgR MKI TSS >30 c 150 wV 1. fq m WM, 130 nV& and TSS 5 30 � ' I?Nk�ent fi _ The Departlneat of C... is an eq ual "poMmitY mvi" p °Yida ad anployer. If rm deed assistance to &ON" services or aced material m an altot3tate format, Plem t.0 �t at 60&266-3151 or TTY 608-254-8777• wo ,J �� ►� ���\ u. �;c�,�.., r y N.' E' Y Sf �' T- /Q,to Y A B o �9zs °S o/5� S 1 o' ly h� 8P1 1 ad Wisconsin Depa of Indus", SOIL AND SITE EVALUATION REPORT Page 1 of 3 f-a d Human Relations ' Divisior ASafety & Buildings in accord with ILHR 83.05, Wis. Adm. Code or COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM c n °° of slope, scale or PARCEL # dimensioned, north arrow, and location and distanc oGn a e t'e ad. a, ©7 0 - 1 0 7o ^ a APPLICANT INFORMATION PLEASE PR T L IN ORATION.- VREVIEWEDBY DATE PROPERTY OWNER: '15 ERTY LOCATION Derrick Construction, Inc. - jai d E" LOT NE 1/4 NE 114,S 18 T 28 N,R 19 X(or) W PROPERTY OWNER':S MAILING ADDRESS I - + � `er g BLOCK # SUBD. NAME OR CSM # 1 5 - ', �RC�X .' na Deer Valley CITY, STATE ZIP CODE P N ' Y ❑VILLAGE OWN NEAREST ROAD N Richmond, WI. 54017 ` 715, - Troy E. Cove Rd. [3q New Construction Use p ] Residential / Numbe df (]Addition to existing building I I Replacement [ ] Public or commercial describe Code derived daily Flow 600 gpd Recommended design loading rate • 7 bed, gpd /ft - trench, gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate • 7 bed, gpd /ft . .8 trench, gpd /ft Recommended infiltration surface elevation(s) area A= 98.7 -B= 96.3 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING T NK U= Unsuitable fors stem N S ❑ U N S ❑ U N S ❑ U ®S ❑ U M S ❑ U ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. 1 Bed jTrench <1 1 0 -88 7.5 r 4 cos os ml na na .71 .8 Ground elev. 103. Depth to limiting factor 10 . fo +88 Remarks: Boring # 1 0 -88 7.5 r 4/6 none cos oSg ml na na .7 .8 Ground elev. 102. ?t. Depth to �. limiting oft factor +88" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ave. ew Richmond I 54017 Signature: Date: CST Number: m02298 P C7� 4L&Z� 6 - r � PROPERTYOWNER Derrick Construction SOIL DESCRIPTION REPORT Page 2 pf PARCELI.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPDift in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench .....3...a> 1 - 12 10 r 4/3 none lfs 2m r mvfr cs if .5 .6 2 2 -90 7.5 r 4 6 none ms osq ml na na .7 .8 Ground elev. 10 ft. Depth to limiting factor +90" O Remarks: Boring # 1 0 -20 10 r 3/3 none 1 2csbk mfr cs 2f .5 .6 4 2 20 -84 7.5 r 4/6 none ms os M1 na na .7': .8 Ground elev. 1 00. at. Depth to - limiting factor +84 Remarks: Boring # 1 0 -11 f .5 .6 2 11 -16 10 r 4/4 none sil 2msbk mfr cs 2f .5 .6 Ground 3 16 -84 7.5 r 4/6 none cos OSQ ml na na .7 .8 elev. 9 8.7 ft. Depth to limiting f +84 Remarks: Boring # Ground ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) ! STEEL'S SOIL SERVICE Gary L. Steel Derrick Construction, INc. 1554 200th Ave. CSTM2298 NE4NE4 S18- T28N -R19w New Richmond, WI 54017 MPRSW -3254 town of Troy (715) 246 -6200 lot #7 -Deer Valley This soil evaluation was conducted to satisfy.a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. I-N .1 =40' - BM. = top of survey stake C el. 100.00' -Alt. BM. = top of survey stake C el. 97.60 �j h Gary L. Steel 6 -3 -99 3 -28 -1995 7:3GPM FROM P.1 �w.'.+ra+nr Mera� Y�snt pr �Iwr,��y, ' V I L RN IJ ti l I k t V A L W A 1OLIN M' t P U M 1 rage 1 or 3 s t.n4•l and Rrldtlor6 ^ ot3a tY a B�ildinprr in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than a 12 z I 1 inches in size, Plan must include, but a - nal iirrrted to vertical) and horizontal reference point (BM), direction and % of slops, scale or PARCEL 1. 0, a dimensioned, north arrow, and location and. distance to nearest road, i APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION REVIEWKI) SY UA TE PROPERTY OWNER: PROPERTY LOCATION Derrick C=wstruct I=. GOVT, LOT NE 1/4 NE va,s 18 T 28 ,N,R 19 X(w) W PROPERTY OWNER'S MAILING ADDAESS LOT a SIOCK t 1 BUDD. NAME OR CSM 1505 flu 465 � 7 na I riser Valle CITY, STATE ZIP CODE PHONE NUMBER E]CITY LLAGE OWN NEAREST ROAD NOV Richmond., WI. 54017 (71$ 246 -2320 oy E. Cme Rd. [iq New Construe ft Use pc ) Residential / Number of bedrooms 4 [ [ Addition to e* *q building I t Roplaaement [ 1. Public or mmMeraat describe Cade do&od daily-flow 600 gpd Recarnmert0ed design loading rate • 7 bed, gpd/ft? - 8 trertdt, gptf/� Absorption area required J§8 bed, !ta 750 trench, f1 Maximum design loading ra6e .7 . bed, gpd/RZ . 8 trench, gpd/0 Reoorntr�etMed �tft4ration suttee elevation(s) Ar= 98.7—B= ft (as rekrred to site plan benGhmark) Additional design / site.coreiderations na Parent material out vaash Flood plain elevation►, if applicable r1a tt S = Sult" for system CON1lENTlONAL MOUND IN-GROUND PRESSURE AT OPA0E SYSTEM M FU DWG U. UUnsuitable Wray sism w s O U or s O U MS I O U LEI s Q u t as o u 0S Ou SOIL DESCRIPTION REPORT 80010 # Hotizon Depth Dominant Color MoMes Texture Structure ConsiSlenpQ Bouldiay Roots GPD/It in. Mussel! Qu. Sz Cont. Color Gr. Sz. Sh. g� Tiertett 1 1 — rn1 rea r>a .7 .8 ^I Zoo Ground slew. 103.0. I DePlh to gird ng faaor +88 Remarks: Boring A 1 0-88 7.5 r 4 6 none cos M3 na na .7 .8 .2 Ground slew. 102- Depth to factor +ggr . Remarks: CST Nano: Please Ptint Gary L. Steel Phone: 715 - 246 - 6200 A*hu: 1554 200th. Avo w Richmond 54017 CST Numbw n 02295 I i THE AMONA 28x44 OOmoaq OTC 7C ;a ' •�••�� pC... QCz aseaoaeaooeoaQ:c'a::aaaaaa s �-3 Qo0 :oaaamecoe oo OCO oG 4CeG�7aZ2C as ���� �• - poo M-a/R �• S/ -2 � • ��1 -' wf ms`s, W _.I FEATURES 1 30" GAS RANGE FROST FREE REFRIGERATOR SHINGLED ROOFNINYL SIDING R -19 FLOOR INSULATION 2 X 6 SIDEWALLS R -19 WALL INSULATION 30 GAL VELLIXE WATER HEATER R -30 ROOF INSULATION SCULPTURED CARPET -INC. M.BATH AUTO IGNITION FURNACE CATHEDRAL CEILINGS THRU OUT DELUXE DRAPE PACKAGE COTTAGE REAR DOOR +i4 INCH RESOND CARPET PAD DEAD BOLT LOCKS STEEL 6 PANEL DOOR W/STORM DEEP STAINLESS STEEL KIT. SINK LIGHTED EXHAUST FAN$ M20 S.OFFS -LAV, SINKS A COMMODES FROST FREE FAUCET OSB SHEATHING CORNER TUDMOWER STALL THERMOPANE WINDOWS GLASS CABINETS OVER &COUNTER TILE LOOK BACKSPLASH FIBERGLASS TUB IN HALL BATH tower 16 teumm floubllIN& 4M $OUT" VWAMC Vievi VbM. 4*M6VlA FALLS. WI 94UI ••••..to+. wr"a Td wd00:e0 0002 e z ' 'ON XdJ w0Nd 7-0 `` 8 { � ff rf �mjE VY C �u •� ; . O • . � t� X t0 1 C i t3 i 1U l N Q °� it3 $. = v 2 o c eJ 1� 'tj U � 9 .8 A �' Q. y c L CL '0 ♦ 1 ri 0 i � X J a aNi N +� 0 - 1 0:c t"n Ilk cc CL i • a .a ' Y W tG su °'n M a •` � l� w , `I u ( • y y k! 1 l a ' � w s i Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). i Table 1: System Design Specifications Sanitary Permit Number 3 Number of Bedrooms 3 Design Flow - Peak (gpd) '0 Estimated Flow - Average (gpd) CSU Septic Tank Capacity (gal) Soil Absorption Component Size (ft) }S i ` b�-rs Type of Wastewater Domestic i Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) �p Z - as M #A -r�� Maximum Influent Particle Size (in) 1 / 8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years 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 (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the s"fictank nd outlet filter shall be assessed at least once every 3 years by inspection. The shall be cleaned as necessary to ensure proper operation The filter cartridge se removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the I i Management Plan for a Septic Tank and Soil Absorption Component fiiter 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 scum and sludge 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 an 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. 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 the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. i Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerA3uyer t �- t a M '• 1 M �- t.! Mailing Address '>9 l0 9 R o s t Ca m u. �2 D, Ac n sy t E v',r M " - 5&1 Property Address 1 4X -1 VP O(L. (Verification required from Planning Department for new construction) City /State _ - t4'A'o 5a \ f'S Parcel Identification Number fly- LEGAL DESCRIPTION Property Location r /4, %4, Sec. , T � N -R 1 9 W, Town of �1 Subdivision ��`'`'��1 Lot # 7 Certified Survey Map # _ , Volume , Page # Warranty Deed # t04 l 9 , Volume i ► . Page # 10 L Spec house ❑ yes 1 40 Lot lines identifiable 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, joumeymanpl*nber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification . stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year exp' tion da '7 J SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of m our knowledge. I we am are the owner(s) of the � rope described Oove, b e 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 b the Zoning' Department. * * * * ** Y P Include with this application: a stamped warranty deed from the Re gister of Deeds office PP P h' g a copy of the certified survey map if reference is made in the warranty deed I - - 04!24/2001 08:09 171538643x.4 VIKING ELECTRONICS PAGE 02 1601 632 j� STATE BAR OF WISCONSIN FORM I - 1888 44LQt!53 - ! WARRANTY DEED KATHLE H. WALSH ST. CROIX ppoymernNtxnber � I ;. • .. .......:........._,: ,,. LL. j REEEIVO FOR 11CO D I This Daetd, mod. between 3UNE M . ERDM.IN, a singl person J, 03 -15 -Not 10:04 W4 - _ YR1tR ay DEEP Em. PT M Crontor• Cli1I COPY FEE: �! and tr tx �rrrTa v g Intaaran and P=1 J H •ID>3tJAN COPY FEE. _ FEEL husband and wife i TRRM Ff! t 239.54 Dm .!tG 14.04 Grantee. J Grantor, for a valuable consideration, conveys to Grantee the following St. C County, State orwisconstn !. described real estate Ut _ n .i, !� ` +AC;r�rOiny raen �. (ihe Property , , .. • .- Name and Rehm Addraae Ir Lot 7, Plat of Deer Valley in the Town of Troy, ij Barry C. Lundeen St. Croix Couaty, Wisconsin. WiDGE, PORTER, LiT1CDEEN g SEGUIN Post Office Box 469 Hudson, Wisconsin 54016 r• 040- 1259 -70 Rams idem,ftolor. Number tkPINI This is not homestead property. y (lsl its not) , j I i 't 6 1I Together with all appurtenant rights, title and interests. V h Grantor wirrants that the title to the Property is good, Indefeasible jr fee simple and free and clear cf encumbrances except — none. baled this 4eh day of ?da =eh 2001 . -� ? (SEAL) L �� ' : (SEAL) / JfZ E M. ERDMAN w i i (SEAL) (SEAL) i — AUT ACKNOWLEDGMENT $ignaturx (s1 " S'JNC „ M• �,�f State of Wisconsin, aa• St. C =oix County. authenGcatsd this day CA �^� +� d T Fetsonal)y ama before me this ve dry of March 20 1 the abo named June N. Erdnan Burry C. Lundeen - - TITLE: MEMBER STATE BAR OF W15CONSLN � __ � � to (If not, me known to be the person who executed tre Foregoing authorized by ST06. Wis. Ststs.) instrument and acknowledge the same THIS INSTPUMENT WAS 4RAFTED BY Attorney Barry C. Lundeen MUDGE, P0 , ► No" ry Public, State of Wisconsin — 110 Second Street Hudson, Wisconsin 540 My commission is ,, permanent. (If not, 4tate expiration date- , fSVA'.ures may be authenticated or acknowledged. Both are not \� y•! necessary.) ' N.mw O' pw m stgniris in my Capec'ity mm %typed Or prineed beew jhr,r sVswCe.... .. WARRANTY DE.FD SSA FORM No. I - ID waeantr tope ® N . , DEER VALLEY w Located in the NE1 /4 of the NE1 /4, Part of the SE1 /4 of the NE1 /4,.Part of the SW1 /4 of the NE1 /4, and part of the NW of the NE1 /4, of Section 18, T28N, R19W, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN LOT 12 2.3 Acres LOT 11 2.7 Acres LOT 13 4.8 Acres Q Z J LOT 10 p 2.7 Acres LOT 14 Q 32 Acres a LOT 9 Z 3.3 Acres to � Z LOT 15 a LOT 16 J UNPLATTED LANDS 2.3 Acres LOT 8 Acres 3.4 Acres 4 J a Z LOT 17 � 2.4 Acres LOT 18 LOT 23 Lf Acr A 7 2.6 4.es LOT 28 2.5 Acres LOT 22 Acres 2.9 Acres 2.7 LOT 2 Acres 6.8 Acres LOT LOT 6 LOT 19 2.4 2.7 Acres C 2.3 Acres Acres ir LOT 20 3.4 Acres C LOT 5 U 2.7 Acres LOT 4 4 8 Acres LOT 25 2-3 Acres LOT 3 LOT 2 3.7 Acres 2.8 Acres LOT 26 3.3 Acres LOT 27 2.7 Acres LOT 1 2.3 Acres Existing House East Cove Road