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HomeMy WebLinkAbout040-1320-00-001 Wisconsir, Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix ' 4 Sz! ety and Building Division # Sanitary Permit No: INSPECTION REPORT 499109 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 Townshl Parc ax No Lenzen, Bruce Uf�irnevv+�- 6 v J CST BM Elev: Insp. BM Elev: BM Description: Section/To n /Rang ap No: f3� ► Gs " �' �y� TANK INFORMATION c S ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic r L 2 f Z oz�' Benchmark Alt. BM • 1 �f > 7� a Aeration Bldg. Sewer Ilk ( Z /11 Holding SUHt Inlet -,k o , 14 t o • c7 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. V l ent to A ir Intake ROAD Dt Inlet Septic > 50 4 S .0 Bottom Dosing Header /Man. C C Aeration Dist. Pipe Holding Bot. System 9• ' , / 5 O Z PUMP /SIPHON INFORMATION Final Grade `� ` S Manufacturer Demand St Cover GPM ' Model N (�� r�T TDH Lift Friction Loss System 1 10 1 , Ft � 7- 1 b lb T Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenc PIT DIMENSIONS No Ot Pits Inside E':-' DIMENSIONS 3 156 �1_1 SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer: _ INFORMATION CHAMBER OR a 6 1 Type 0 System 1 Z A /) �� UNIT Model Number: r DISTRIBUTION SYSTEM uk,64- 3160 is Header /Manifold Distribution x Hole Size x Hole S acing Vent to Air Intake Pipe(s) Length_ Dia Length � 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 dyes No -- - % ,4es No COMMENTS: _pUude cod� persons present, etc.) Inspection #1 _ � / 1 5 ! 02� In #2 ___.__' _ Location: g rt'(5W 1/4 SW 1/4 18 T28N R1 9W) C ove Rid ge Lot 1 C /rte JOV11A aZParEel,�lo ' `r� — L b � p �� 11 • G s G1w 1. Alt BM Description = '1`" P I 2. Bldg sewer length = C t, L D - amount of cover = 5 // G��' Nfj �' �AGr`J ✓�. Z J Plan revision Requiredrt*ional Yes No Use other side for add inform n ___ - t - Date Insepct s Sign re Cert. No. SBD -6710 (R.3/97) `` I 10 1 > 5 a 4 b i 1 1 P N n comt7merce.Wl.gov Safety and Buildings Division County v s i con 201 W. Washing ve., P.O. Box 7162 St Croix '"� Madison, 53 -7162 Sanitary Permit Number (to be filled in by Co.) epartment of Co r Sanitary Permit Application State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropr ovemmental N/A unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned WTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal informatior you pR Ct or sec dary purp oses in accordance with the Privacy Law, s. 15.04 1 m , Slats. I C 327 South Cove Road I. Application Informatio lease Print All Information Property Owner's Name p Parcel # �/ BLH Development 2 2 2008 7Q Property Owner's Mailing Address Property Location l 502 2nd Street, Suite 204 ST. CROIX COUNTY Govt. Lot City, State Zip Code SW '/4, SW '/4, Section 18 / t Z/ 8 J\ Hudson, WI. 54016 (Check One) y II. Type of Building (check all that apply) _ / T28 N; R 19 ❑E ❑✓W ❑✓ 1 or 2 Family Dwelling - Number of Bedrooms L / fit .a Subdivision Name Cove Ridge ❑ Public /Commercial - Describe Use A4 lock # e` ^ v` 11 City of ❑ State Owned - Describe Use CSM Number ❑ Village of / I r _ 18/4721 ❑✓ Town of Tro 151L 60 III. Type of Permit: (Check only one 11ox on line A. Complete line B if applicable) A, ❑ New System ❑ Replacement ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) System B. ❑ Permit ❑✓ Permit Revision ❑ Change of ❑ Permit Transfer to 7revermit Number and Date Issued Renewal Before Plumber New Owner 499 Expiration I d IV. Type of POWTS System/Component/Device: Check all that appl ✓ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound> 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil Holding Tank Lj Other Dispersal Component (explain) []Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Design Flow ( Design Soil Application Rate sf) Dispersal Area Requir d (so Di System Elevation 600 .7 857.14 36 -Arc 36 biodiffusers 94.45 VI. Tank Info Capacity in Total # of Material Gallons Gallons Units New Tanks Existing Tanks ^ Septic or Holding Tank X 1200 Wieser Prefab Concrete Dosing Chamber N/A VII. Responsibility Statement- I, the undersigned, assume res onsib' ity fopohistallation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu Si �re.MP /MPRS Number Business Phone Number Mike Rogers 225094 715- 235 -1132 Plumber's Address (Street, City, State, Zip Code) E4457 Hwy 12 Menomonie, WI. 54751 VIII. /De artment Use Onl pproved Permit Fee Date I sued Issuing A t Signature t eason enial $ 4i35 r t� IX. Conditiffs *OWNWasons for Disapproval 1. Septic tank, effluent fitter and dispersal Cell must all be services / malntairud as per management plan provided by plumber. 2 AN setback requirements must be maintained Attach to complete plans for the system and submit to the County only on paper not less than 8 112 x 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 cl- 0 6 i N ( A5 o I It is i }, S 104) { 4 1 � Q th vi i v b� st J► ! Nvisconsin SOIL EVALLkATION REPORT #2106 Department of Commerce J mm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Steel's Soil Service County Attach complete site plan on paper not ss than 8/2 x 11 iIan must St. Croix include, but not limited to: vertical and h rizontal�rgfer9ndo ction and percent slope, scale or dimensions, no arroww�iJJFFa�liidd l a to nearest road. Parcel I.D. Please print 11 inf n;NoAA Revie d By Date Personal information you provide may be use for sec s. 15.04 (1) (m)). Z� D Property Owner Property Location Bruce Lenzen Development Govt. Lot na SW1 /4 W1/ S18, T28N, R19W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# 502 2nd St Suite 204 1 na Cove Ridge City State Zip Code Phone Number City Village Town Nearest Road Hudson WI 54016 Troy South Cove Rd New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: na Parent material outwash Flood plain elevation, if applicable na ft. General comments C onvetional Syste system elevation 93.65ft or adjusted to sand depth. O tren 175ft center manifold feeder. and recommendations: — 2S 0 Fi-1 Boring # Boring Pit Ground surface elev. 97.45 ft. Depth to limiting factor 120 in. JSoil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0 -7 10yr3 /1 none sil 2msbk mfr cs lvf 0.6 0.8 2 7 -18 10yr4 /4 none sicl 2msbk mfr cs na 0.4 0.6 3 18 -32 7.5yr4/4 none cos osg ml cs na .7 1.6 4 32 -120 7.5yr4/6 none ms osg ml na na .7 1.6 S .t 'Slo ❑ Boring Boring # Pit Ground surface elev. 101.55 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I `Eff#1 *Eff#2 1 0 -24 10yr3 /1 none sil 2msbk mfr cs lvf 0.6 0.8 2 24 -34 10yr4 /4 none sicl 2msbk mfr cs na 0.4 0.6 3 34 -48 7.5yr4/4 none cos osg ml cs na .7 1.6 4 48 -120 7.5yr4/6 none ms osg ml na na .7 1.6 l " Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 m * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signatur V i, CST Number David J. S teel 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 1699 150th St New Richmond, WI 54017 7/15/2008 715 - 760 -0347 SBD -8330 (R.07 /00) Property Owner Bruce Lenzen Devel endin Pa 2 of 3 P Y P Parcel ID # P 9 _____ 9 ❑ Boring 3 Boring # Pit Ground surface elev. 98.65 ft. Depth to limiting factor 120 in. Soil Application 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 1 0 -48 10yr3 /1 none fill na na cs ivf .0 .0 2 48 -120 7.5yr4/4 none ms osg ml na na .7 1.6 Boring 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 GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 I 'Eff#2 Boring F-1 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 GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 I 'Eff#2 Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ` Effluent #2 = BOD < 30 mg /L and TSS <30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Steel's Soil Service STEEL'S SOIL SERVICE 3 of 3 David J. Steel Bruce Lenzen 1699 150th St. CST - POWTSM SWl /4,SW1 /4,S18,T28N,R19W New Richmond, WI 54017 Lic. #248956 Town of Troy, St Croix Co. Direct 715- 760 -0347 Lot 1 Cove Ridge Fax 715- 246 -0318 Legend N 1 " =40' ♦ = Benchmark Ele. 100.00 ft Top of Phone Ped • = Alt Benchmark El 857.00 ft n cC + r) rye ❑ = Borings Boring Elevations BI = 97.45 ft B2 = 101.55 ft B3 = 98.65 ft B4 = 0.00 ft J 0 . v �G 17e I j� Safety and Buildings .Division County - 201 W. Washington Ave., P.O. Box 7162 VI fiscoiisin Madison, WI 3707 — 7162 Sanitary Permit Number (to be filled in by Co.} Department of Commerce (608) 2 -3151 cy ey Sanitary Permit Applicati � State Plan I.D. Num er„ In accord with Comm 83.2I, Wis. Adm. Code, personal information you prove f j maybe used for secondary purposes Privacy Law, s1 5.04 1)"m t Address (if different than mailing / address) � — SW � I. Application Information — Please Print All Information Prope Owner's Name I I At q 7 200 Parc Block rt L.,�./1 Illy G J �e \ Property Owner's Mailing Address ST. CROIX COUN I Prop Lac tion ST �v�I , Cit State _ /4 �' /, Section _ Zip ad ( Cfe TPhone Number j 1� (circle ne) T X N; R E r I1. Type of Building (cheek all that apply) 014 eoS S.. Subdivision y1 � N j r� I or 2 Family Dwelling - Number of Bedrooms e Number I I f ❑ Public /Commercial - Describe Use et7 v�J (� t5f 1( - State Owned - Describe Ilse y_ g I ownship of �7�7�j L/ 7 A_ LJ 2-t 17..4 Z- ❑Cit • ❑villa e III. Type of Permit: (Check only one box on line A. Complete line B if applicable) C K New System ❑Replacement System ❑ TreatmentiFIolding Tank Replacement Only ❑ Otter Modification to Existing System It• ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New ist P 'ous Permit Number and Date Issued Before Expiration Plumber Owner IV. e of POWTS System. Check all that a 1 Mon - Pressurized 3n- Ground ❑ #found > 24 ig, of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter C:anstructed Wetland ❑ Pressurized ht -Crro d ❑ Holding Tank El Peat Filter 11 Aerobic 'Treatment Unit 11 Recirculating Sand Filter El Recirculating Synthetic Media Filter aching Chum ❑ Drip Line ❑ Gravel -less P!d Other (explain) V, Dis ersalfTreatment Area Information: G (! Desi Flow (gpd) Design Soil Application ^ te(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation VI. Tank .Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons _ Gallons aft nits Concrete Constructed Glass Tanks I New Existing Tanks OI i - �✓ Septic or Bolding Tank / v0 Aerobic Treatment Unit �— — Dosing Chamber 4O �]„„ p r pr+fi" tis � VII. Responsibility Stateme 1 , the undersig assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu bee's , ignature MPiMPRS Number Business Phone Number Plumber's Address (S et, City, State, Zip . r rr / ®C /721 �it✓��1 Q / !/� .J VIYI. Coun a artment Ustf Onl Approved ❑ tsapprove FSanitaryPemntFe�( nclu des Groundwater Date su d Issue gent Sign re o Stam arge Fee) ❑ caner n Keason for vial 1 IX. Conditions of Approval/Reasons for Disapproval /� SYSTEM OWNER: 3� J.` C.�. nti J - i ✓� �� .�ws.� �, ; ,nc, 1. Sertic tank, effluent fNter and 4lspersal cell must all O&servit=es / nuintained as oe, management plea provided by plumber. 2. Al! ,,aback requirement$ must be maintained �1 I Y bt)5 �, („tti� e t7✓� t as per applaable node / ordktancea. J n 5 sue. ► 5 aver b 1 3 S Attach complete plans (to the County only) for the system An paper not Less than 81/2 x it inches in size SBD -6398 (R. 01/03) 06/02/2006 14:29 7154257965 A OGDEN ENGINEERING PAGE 04 01/14/2004 11:26 17154256664 WEGERER SOTS TESTING PAGE 04 PLOT PLANT Pala 3 of Scale 1'30' I J -i8 ►�-� Fo j I9rc Aq (cOF /oil p , . .IJ �7 to I �_ . CG0►.1..A�P� l.ti'I'" C.o1�.J�J_�'��.._ � , I I I - � --Oy ' 71 5 - 425 -0165 _ 220254. 0 O Z CST Signature Date Telephone jo. P CST No. .lob NO, f - 06/08/2006 14:29 7154257965 A OGDEN ENGINEERING PAGE 04 01/14/2004 11:20 17154256064 WEGERER SOTS TESTING PAGE 04 PLOT PLAN Page 3 of• 3 Scale 1'� I C7 wc- r y 09rc 3(0 (coFtlo�D I r v :71 w� I "►1 g�� .-,g' o ► l D►P" IkrzKJ..7 -tip 1:07' - 425 -0165 220254. ._ Oy -O Z CST Signature Date Telephone . P CST NO, Job No. k Wisconsin Department Com *Pf 1 el 2004 SOIL EVALUATION REPORT Page of -:5 Division of Safety and B ildings ROIX CUNT ti County i accordan with Comm 85, Wis. Adm. Code ST. C Attach complete site }{9t451Qian 8 1/ x 11 inches in size. Plan must include, but not limited to: vertical and horizon re erence point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. Please print all information. Revie ed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). zS, 4s Property Owner Property Location Cavt-L-at VJ 1/4 1/4 S J T Z g N R `� E (o(Wj Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1 - Village City State Zip Code Phone Number ❑ City v ❑ Town Neare st Roa Ste) LLw h)v o b - 1 �!3 .3 I SS a - Z c ) q � TIZU S� � �rnt v i New Construction Use: [ Residential / Number of bedrooms �_ Code derived design flow rate _ b �[j GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material U fE:j 14 Flood Plain elevation if applicable N General comments ft . and recommendations: \ZC� � �"I 3 C- �S � I ? b Z / LL\�.,v 6 kj i— 1 %v h. LIZya -`p R L ? ! 'vl l3 L� S t=' �- e.LffLL , i3 K dt= 0_k--_1k3 't� i��� 6 � I � ��� , .� 5 47 0 e . p0. Boring # ❑ Boring Cjp�P_ Am ft ° F16$ . 2COL .� ® Pit Ground surface ev.` 2 , ft. Depth to limiting factor 1 3 r Soil Application P.atE i Horizon Depth Dominant Color Redox Descnpbon Text.:re Structure Consistence Be• rndary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Y� S hh yr1 '►- C �. `-� . `� , • to — 1. Z i i i Boring # 1❑1 Boring p v 1G1, pit Ground surface elev. O 6� • s ft. Depth to limiting factor �) 1 in. Soil Applic -tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 011? 3 1 2 - - S L 1 - L+3 � J2 r't-� C w 1F -��, • 5 �3 b 131-1 2. Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) nature CST Number drthur L Wegerer 0`� ~OZ 220254 Add W e g e r e r Soil Testing & Design - Service Date Evaluation Conducted Telephone Number 421 N. Hain St. River Falls, UI 54022 1 - 1Z -O 715 -425 -0165 ' r Property Owner ,lZ�l\J Parcel ID # ��L��1� hJ page ` of 3 7�] Boring # ❑Boring p f ❑ pit Ground surface elev. O S l�• 1] ft. Depth to limiting factor 2 US in. Soil Application 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 of,R 3 l — s i t Z h �n� c w Z � -VO o vZ ,31� — - 2 ►�i Sb ti►1_ �- erti 1 wt S - .•p 3 do�� �•S 1 — S� (3 S �. I O-w p _I b5 -iOZ3/ — S U ❑ Boring # ❑ Boring pit Ground surface elev. ft. Depth to limiting factor E] pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ❑ Boring # ❑ 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 GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 • Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L • Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608- 264 -8777. SBD -8330 (R.6/00) Property Owner ,Z S'l� Parcel ID # ���'�)`� ��/ Page ; of 3 F1 Boring # ❑ Boring Pit Ground surface elev. S C) ft. Depth to limiting factor OS in. Soil Application 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 Qft 3 Li — s i Z`� h 17 C- w 2 -CEO to`��- 3t� — - Z Sb t.►1 (�, ems, - 3 �p � c� -►. S 1Z 1 -- S � C�- c — � Z0 -105 ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth Dominant Color Soil Application Rate Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boning # ❑ 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 GPD /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608 -264 -8777. SBD -8330 (R.6/00) . + PLOT PLAN Paae 3 of 3 '. Scale 1' =30' t I O C7 z IX i 1 rj ! (j n � i s i + w11� - �-. �5�1, U L prJ �l� 0;;- �t L�1? C`F•U iLJ � � Lam_ . _- __ i � � o P'J 1 I N D I A 12k)rJ p t pE LD c-U Z" GN7Z�_ ! I I �Y-)w Z- -1� 0 715- 425 -0165 220254. O -O Z v y CST Signature Date Telephone No. CST No. Job NO. I w T 758'34 VOL 18 PAGE 4721 KATRLEW H. WALSH REGISTER OF DEEDS ST. CROIX CO. MI RECEIVED FOR kECORD 03/31/2004 02:36PH CERTIFIED SURVEY MAP CERTIFIED SURVEY KAP LOCATED IN THE SW 1/4 OF THE SW 1/4 OF SECTION 18, T28N. R 1 pY FEE: TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN, BEING ALL OF LOT 1.pAG CERTIFIED SURVEY MAP. VOLUME 1, PAGE 73, DOCUMENT NUMBER 325473. I LOT 2 OWNER AND SUBDIVIDER STEVE OG .u' N N _G..S_/y_ P.O. BOX 15 VOL UME STILLWATER, MINNESOTA 55082 ` 3 PA GE 74 X325474 M j 'V�� U S 691 I I I ^ M AP� an PRROVED OIX COUNTY Z ZankV d Pwkx Comm /Q% 1 i • ' N � MAR 3 1200V � q 11: I of l d � - O / / t 'RADIUS-129.74' � I I � CENTRAL ANGLE=43 at �� de � 1 �� ph ARC LENGTH-98.60' CHORD LENGTH-96.25' I) ^w CHORD BEARING =N 53 25" E / �y`=' ° j TANGENT MI=N 32 E 11 - i�- • . „ = 7 4 4 TANGENT OUT -N 5 2 5 E SCALE IN FEET LOT 1 I y =I C. S. _ VOL UME 1 I SI a 0 50 100 200 PAGE 73 I C)I I I I $ g LEGEND DOC X325473 I La DRAINAGE EASEMENT I I COUNTY SECTION I 4 9 CORNER MONUMENT, o ELEVATION-8511.0 ALUMINUM CAP, FOUND. up n . N �� :4�: a�i 0 1 1/4" x 18" IRON PIPE WEIGHING •• "•" :. • W ... 2S� 1 25 '.. .i .. - I 1.88 /LINEAR FOOT. SET LOT 5 B -3 I �' • 1 1/4" IRON PIPE FOUND. 13.004 AC ES ■ ■ I I I BUILDING SETBACK LINE. so' 130,851 S.F. B -2 41 I — - I SR-) PREVIOUSLY RECORDED a ' PROPOSED e g I I W I INFORMATION. ^ i� DRIVEWAY M , X - iE —K EXISTING FENCE. Go LOCATION I Q B -1 SOIL BORINGS PERFORMED BY 3 BM# 1 N 89.46' 5" W BM 2 y I I I ■ 2004. NOTES: ON JANUARY 12, j 280. O' I I NOTES: 1. MINIMUM FLOODPROOF ELEVATION ° Q FOR HABITABLE STRUCTURES ON PT g /C ,,fir I I Q LOT 5 SHALL BE 855.00. 50 , i TA0 ' 110' 2. LOT 4 REQUIRES A FRONT SETBACK I ( W I EXCEPTION TO DESIGN STANDARDS FROM 150' TO 110 3. ALL IRON PIPE (FOUND io yc LL ^ I OR SET ARE DIMENSIONED LOT 4 I I AS OUT IDE DIAMETER. I i 2 053 ACRES LOT 1, C S M. 189.436 S.F{ — � I Jam I r I I VOL. G. 2190 50' in PLAYMaI/SE ' I 110' l DOC X455496 POINT OF �J BEGINNING A4CWt AENTED SOIL L /AE' OF I S 89 25" E 920.92' T/-+E' SW 114 OF rW SW 11% (R- S 89'44'29" E _ 9 25 W 27 9.00 , S W CORNER N 89 W 2551.62' - - - - - - - SECTION 18 Sa/THL/NEOF THE SW 1/4___________ T28N, R 19 W r LOT 67_ �— OUTLOT 4 I TROY VILLAGE S� 1/4 CORNER NO ) VIL EA GE I _�� SECTION 18 _ST A N D R_EW_S D R / VE T28N, R19W THIS INSTRUMENT DRAFTED BY JEROD A. FINK PAGE 1 OF 3 Vol 18 Page 4721 L ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer � Y - tA c-g — Le vi f3c- Mailing Address �D� Lid S krr�}-� - 2-n' �{" �� (..� l ��v(,� Properly Address L W1 V\ (Verification' required from hanning Department for new construction) City/State , : :� l�l) iCVKS Parcel Identification Number �+n LEGAL DESCRIPTION Property Location SW t/ 5L) '/4, Sec. T_ZLN-R W, Town of Subdivision Ck V e.- S f'� vw att 5 Lot # Certified Surrey Map # S _ Volume b . Page Warranty Deed # Volume Page # Spec Y es � house O no Lot linens idcaffAle "Ve 13 no SYSTEM MAINTENANCE Improper use and mainteasnce of your septic system could rewlt in its prematu fa&= to bandle wastes. Proper manti == comma of ptnapiag out &c septic tank every Have yearn' or soaaex* if needed by a Iieensed pinch. What you pat into the system an affoct do fuacdm of the septic tame as a tretanew stage in do waste disposal system. The property owner agrees to submit to St tic Zoning Dtpsttaraod a oerbfuxrion foam, argued by the owner and by a In* Ph=bm l P1=mber, restictod plumba or a licensed pmmper verifying that (1) the on - site wwwwaterdisposal system is in proper operating condition and/or (2) aftrmVectim and pmaping (if may), the septic tank is less than W full of shtdge- I/we, the pAdersignGd ha ve rend the: above regait==ft and &CM to -xiii1air dw p vats sewage disposal system lolls tea st adatds set forth, h=in, as set by the Depart>mt of Commerce and flue DgarW=d of Natmzl Ra m=cs, State of Wisconsin'. Ce ff=ticn stating that your septic system has bees maintained must be eoagAe wd and rewmed to the St Croix County Zoning Office within 30 day: o three year tion date. b 11 /o SIGMA OF APPLICANT DATE O_ YM CERTIFICATION I (we) certify that all stated on this form are true to the best of ray (our) knowledge. 1(we) am (arc) the ownct(s) of the descried above, by virhre of a w=wAy deed recorded in Register of Deeds Office. dGNATU APPLICANT DATE ssssss Arrf information that is mis- teprescaicd may remit in the unitary permit being revoked by the Zoning Departa�wt'�s �° ss Include with this application: a sta>nped wuraaty decd from the Register of Deeds off"hce a copy of the eertiflod smrvcy cup if reference is made in the warranty deed State Bar of Wisconsin Form 1 -2003 KATHLEEN H. WALSH REGISTER OF DEEDS WARRANTY DEED ST . CROIX CO., MI RECEIVED FOR RECORD Document Number Document Name 05/02/2006 10:35AK WARRANTY DEED THIS DEED, made between BoMar Heights, LLC, a Wisconsin Limited Liability EXEMPT # Company REC FEE: 15.00 TRAITS FEE: 4200.00 ( "Grantor," whether one or more), and BLH Development Corporation, Inc., a COPY FEE: CC FEE: Wisconsin Corporation PAGES: 3 ( "Grantee," whether one or more). Grantor for a valuable consideration, conveys to Grantee the following described real Recording Area estate, together with the rents, profits, fixtures and other appurtenant interests, in Name and Return Address St. Croix County, State of Wisconsin ( "Property") (if more space is giver Valley Abstract & Title, Inc. needed, please attach addendum): 1200 Hosford Street, Suite 201 P.O Box 149 Hudson, WI 54016 Legal description attached hereto as Exhibit "A" See Exhibit "A" attached hereto Parcel Identification Number (PM) This is not homestead property. kis) (is not) Grantor warrants that the title to the Property is good, indefeasible, in fee simple and free and clear of encumbrances except: easements, restrictions, and rights -of -way of record, if any. Dated at LC (SEAL) �'( AL) 4 1-1 (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF tAA-0_k ) ) ss. authenticated on G,LtJ, COUNTY) I _ Personally came before me on Li ass (0t, > * the above -named Christian R. Ahrens the Managing Member of TITLE: MEMBER STATE BAR OF WISCONSIN BoMar Heights, LLC, a Wisconsin Limited Liability Company (If not, to me known to be the person(s) who executed the foregoing a e. authorized by Wis. Stat. § 706.06) instrument and acknowledged THIS INSTRUMENT DRAFTED BY: Brent R. Johnson - Lommen Abdo Law Firm Notary Public, State of l�l >M�MWA Hudson, Wisconsin My commission (is permanent xp (Signatures may be authenticated or acknowledged. Both are not necessary. NOTE: THIS 1S A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 02003 STATE BAR OF WISCONSIN FORM NO. 1 -2003 *Type name below signatures. INFO - PROTM Legal Forms • (800)655 - 2021 • infoprofo"ms.com 1 of 3 ADDENDUM TO WARRANTY DEED PIN: 040 - 1073 -95 -050; 040 - 1054 -40 -100; 040 - 1154 -10 -000; 040- 1148 -90 -000; 040 - 1073 -90 -000; 040 - 1073 -90 -110; 040 - 1076 -70 -100 GRANTOR: BOMAR HEIGHTS LLC GRANTEE: BLH DEVELOPMENT CORPORATION INC LEGAL DESCRIPTION: Located in the SW 1/4 of the SW 1/4 of Section 18 the NW 1/4 of the NW 1/4 of Section 19, both in Townshi 28 North, Range 19 West, The NE 1/4 of the NE 1/4 of Section 24 and the SE 1/4 of the SE 1T of Section 13, both in Township 28 North Range 20 West, All in the Town of Troy, St. Croix County, Wisconsin, including all of Lot 6, Certified Survey Map Volume 20, Page 5033, Document Number 802065, Part of Lot 2, Certified Survey Map, Volume 1, Page 74, Document Number 325474, and Part of Lot 10, Certified Survey Map, Volume 5, Page 1287, Document Number 384691, described as follows: Commencing at the S 1/4 corner of said Section 18; thence North 89 degrees 24 minutes 56 seconds West (bearings referenced to the South line of said SW 1/4 of Section 18, assumed to bear North 89 degrees 24 minutes 56 seconds West) 1638.93 feet along said South line of the SW 1/4; thence North 00 degrees 35 minutes 04 seconds East 325.32 feet to the Point of Beginning; thence North 15 degrees 00 minutes 00 seconds West 91.43 feet; thence North 50 degrees 00 minutes 00 seconds West 112.21 feet; thence North 15 degrees 00 minutes 00 seconds West 129.47 feet; thence Westerly 42.10 feet along a 157.31 foot radius curve concave Northerly whose chord bears North 80 degrees 43 minutes 21.5 seconds West 41.98 feet along the North line of Lot 1, Certified Survey Map, Volume 8, Page 2190, Document Number 455496; thence North 72 degrees 54 minutes 58 seconds West 59.83 feet (previously recorded as South 73 degrees 03 minutes 20 seconds East 56.67 feet) along a North line of said Lot 1; thence North 88 degrees 41 minutes 06 seconds West 210.97 feet (previously recorded as South 88 degrees 13 minutes 00 seconds East 218.20 feet) along a North line of said Lot 1; thence South 52 degrees 06 minutes 11 seconds West 106.63 feet (previously recorded as North 51 degrees 57 minutes 33 seconds East 106.55 feet) along a Northerly line of said Lot 1; thenceSouth 26 degrees 53 minutes 29 seconds West 265.67 feet (previously recorded as North 26 degrees 49 minutes 46 seconds East 265.53 feet) along a Westerly line of said Lot 1; thence South 19 degrees 23 minutes 07 seconds West 348.65 feet (previously recorded as North 18 degrees 24 minutes 04 seconds East 347.29 feet) along a Westerly line of said Lot 1; thence South 10 degrees 06 minutes 56 seconds West 977.27 feet along a Westerly line of Outlot 4 of the Plat of Troy Village; thence South 89 degrees 27 minutes 45 seconds West 943.06 feet along a North line of Lot 46 and Outlot 3 of said Plat of Troy Village; thence North 83 degrees 11 minutes 58 seconds West 190.00 feet along a North line of said Outlot 3; thence North 00 degrees 00 minutes 26 seconds West 255.44 feet; thence North 36 degrees 35 minutes 00 seconds East 163.04 feet along an Easterly line of Lot 11 of the Certified Survey Map recorded in Volume 5, Page 1287, Document Number 384691; thence North 34 degrees 42 minutes 52 seconds East 340.30 feet along an Easterly line of said Lot 11; thence North 35 degrees 25 minutes 00 seconds East 523.17 feet along an Easterly line of said Lot 11; thence North 34 degrees Exhibit "A" Page 1 of 2 2of3 40 minutes 49 seconds East 300.17 feet along an Easterly line of said Lot 11; thence North 47 degrees 43 minutes 10 seconds East 429.56 feet along an Easterly line of said Lot 11; thence North 53 degrees 39 minutes 15 seconds East 1041.00 feet along a Southeasterly line of Parcel 3 of the Certified Survey Map recorded in Volume 3, Pa &e 609; thence South 89 degrees 24 minutes 05 seconds East 348.73 feet along a North line of said Lot 2; thence Southeasterly 189.68 feet along a 222.56 foot radius curve concave Southwesterly whose chord bears South 25 degrees 01 minutes 55 seconds East 183.99 feet along the Westerly right of way line of South Cove Road; thence South 63 degrees 00 minutes 00 seconds West 509.59 feet along a North line of Lot 7 ofthe Certified Survey Map recorded in Volume 20, Page 5033, Document Number 802065; thence South 03 degrees 54 minutes 50 seconds West 124.10 feet along a West line of said Lot 7; thence Easterly 57.79 feet along an 833.00 foot radius curve concave Southerly whose chord bears North 88 degrees 00 minutes 45.5 seconds East 57.78 feet along a South line of said Lot 7; thence North 90 degrees 00 minutes 00 seconds East 40858 feet along a South line of said Lot 7; thence South 00 degrees 37 minutes 00 seconds East 457.79 feet along said Westerly right of way line of South Cove Road; thence North 89 degrees 46 minutes 25 seconds West 280.50 feet along the South line of said Lot 6 to the Point of Beginning. This parcel contains 46.647 acres, more or less, being 2,031,948 square feet, more or less. Subject to a Right of Way easement for Rural Electric Line recorded u► Volume 263, Page 420. Subject to the drainage easement recorded on the Certified Survey Map in Volume 18, Page 4721, Document Number 758294. Subject to alt other easements, restnchons and covenants of record. Exhibit " A " I Page 2 of 2 3of3 III L012 COVE RIDGE -- SOOTHCOVEROAD Sa Ali COUNTY PLAT - r \ �' �� W. '�. LOCATED IN THE SW 114 OF THE SW 114 OF SECTION 18 AND THE NW 114 OF THE NW 114 OF SECTION 19, BOTH IN T28N, R19W, THE NE1140F THE NE iii SECTION 24ANDTHESE1140FTHE SE1140F SECTION 13, BOTH IN T28N, R20W, ALL IN THE TOWN OF TROY ST CROIX COUNTY WISCONSIN, INCLUDING 'c;5` ' r _ _ I S [O'37 � Ni ALL L I 'N � REu0 0. l B a T rAK.ACFFEQA�A4 9 ALL OF LOT 6, CERTIFIED SURVEY MAP VOLUME 20, PAGE 5033 DOCUMENT NUMBER 802065, PART OF LOT 2,_- E5 CERTIFIED SURVEY MAP VOLUME 1 PAGE 74 DOCUMENT NUMBER 325474 AND PART OF LOT 10, CERTIFIED �Y i IK ^ �xN AN° ' '" SURVEY MAP, VOLUME 5, PAGE 1287, DOCUMENT NUMBER 384691 G� ' ;::ARC SH AV z RA I 0.W 9 u � wa :1 eEw .mislww LOCATION MAP ; sR I$ or/Lwlw AN Pwc CON i ST w", u F.":" 5 Q tGvNC CEPARllCUt a ?5[ im OF MY TIE SE 1/4 OF SEW 13 NO THE WS 111 I / / ^ ` $, / •4 N .1w SE18ACAS ARE A FC. a9 fd SECTOR 2/, BONE N T26N A2CW, �q+ ; 9 i J o " 1 „cA . * X NA OF 75 Ra THE R RIOA -i RAE$$ 07NERA "ESL TV' SW 1/4 OF SECi'a ie N9 THE NW 1/4 0 " - d ; A 13 s'' .;" ALAI. CP SECAa 19, 80TH N TZ9l R19W. x w, AE �N� g „ ° r 9 OBI AG _,1 ,J( HIM IOU 625 FRa SIDE LOT I'a I uaESS ciHAY1Y EARN). ii .679 , R p5 4 wY ^t RFBUaD N Av q¢Pna D ptsla sA3LWO5 7a 17 Ml N THE TOWN U iNW, Si. LRON CgACY, Y:15COV9l °�" ry PAR7L f AGE, - 5 475 - J .' a LOTS 2.5 ASS a LESS IF THE """a IO WE NFAAE$T 13— - - -_ _ -- -:1g aa "` c`Z[" BILOIwa Ek roININC m7 s 0 IMY75U. E TS I;.: a ° ; ,� DE" �F - - - -- I Rmuotaas' aLalsau DJOINING LOT IS A :.srarslFlIEOISI.w.c7o71E r 0, �2�)' IFJ8E57 To 25' a IK A NINILAY a li C SM,, . �� Sg pP i $ _ Y I � a u O a F RExaoe�ia ( IO u xsIO N As AN IW S: ' 1' .'Xi WWSW /' QI All ip!ND AUIXWlQ TO WY& . I: a i i ID's �. ° C3 N 71�65W E - I �(r - -- ¢ ri-si M 25 a LOTS AEA 2.5 90 IF G4 DISIRLC 70 THE IG a SfLIH:'pIi,R01,7 ° „O i I !•' /� NEAREST EIRLDI THE ALANIIG LOT IS A VINIMN a 107. i 1 T / NO OR ONN NA CE V 90. 4 ; T EI NW AOA.O ,4 L NA. ON C C - - SCAL �i "'' �� '; acs W ` AwAwaS �Ex s w7E uns RY _- _ wwA EP wNA KN" KA - ET V:.' p JIN SN ff SC - &' 4 1 4 i/ 197 ➢, g ^. WGE L O 60 120 240 360 $. , V n 6e 41 M W N ° ^ u A6[ OUTLOTI F 2x E P N II C l ADD " s COVE L e F i \+ r6.7 A�'7 23DSAw[s 'sl ->aa QA K RrsR91 LA D" sc. 5e /N - 5C '/P - �: Ico,49ssF cr.: N RIDGEW r,R -rt rE-xW SFC@kJ IJ o o i i /!ti El B G 6, A [ 10 P R (DUD a ri ARE OIMf IS 01 DIUfIIR `AG 2190 WALL) DIS7 X1 9E W A L LOTS IN ONE 9RE W. ILN OF NET 'LOA&L ARAREA AS OR' ED _ J i /,'J : e . 1 «,_ESE NE e r �Ou ua,a wKF. +7 `G , ° U A' �•/' t '2 h H LI. . , PET[ IA , w R 41 P.,ACE sI OW' /� DETAIL 1 0. c I IE II6TAU a w Flw PLACI, aN w rxm • T J F71 9 \, W 1 OW OR O ".5 / 7 'taG A OT NE 0 .IK _ ' SW,W sF-Rw K aW7KA 2EO lst„A9AAOC 7 A A.P! MAUI V 71.a'Ia 0,4 7 ) _ _ e / N , e E . 1 4. S, M 32 , rlsw IN Anms 'v 4SEEN cPn PE IN MM'S 15[ 01 PDT :B'OIE RO P'IIAATE P9''� LIIL',IIES ,[ _1- I k GD. f `o , THE PROP WO US /)'• �, n '� / N JE�L�jaN'' ) I v4YIND T. rw' a.✓ vIs s�' / w 24 — 3)70 _T A o L \ a: w 01TlO7S J AN 5 N SPAS 5 I \ 7 /• sh t/ g /' / ' O / 0 OUILOT 1 IS FOR STOWarA WARICEENT NO 4 CWILL OI S°AL'. CAR 2 SCALE 1" =1200' 9• " i t 9.' TILL eE TPAVEWQO TO 1°E $1. a0Ii RAILROAD a ".;IS 1. 3 / a ` _ :p . A+ ND 4 WILL fiE NO AID MR:NTAIKO 5" TIE CAE Rig NAEO'IUS J m • AS POINTOF ��LowlPEE BNY7PEE� \ i C �7E512) NOTE112) �IA71a. �' I R71 W L ,7 A OF 0 oiS 3 AC 4 A SINK: - 0 A 0i [AM / f o / LEGEND IO'6 W 8� O 1. o AN E%C[P GN a wsla rAaAms R:Ou FOR cu x -sM �FN i < r 1 4tH EX :[E,% PCC COUNTY EMU COOPER VUSNETN, � )44 ` +, � ' ro° o A .. M i2 �Elo B ALLI CAP. FWA gy o� 12 o R k6 W 11 /4'Aa PPE, Fm ,N�/ / S w4 �'76BSACRE6 I �, R \'t ,,�: �U w kd r -,I Ifa• CON arEFDUa 45`4Q5 X 77, OF d}xP r ^.'_,C 1 Q - 111T / 1 5/6` Ra PPE FOUL 7 �E U i yi, it SOUTH COVEROA� � 365 S ! NON PPE. FOUL. - O 2 3 /e` _ �' - ---- ; 161893' N owl 2 1/4' ID "Na PIPE WEGFTy 601 ;iHLINECb'ixE6V /f /4GFSFCTIONI T. " / I %522s.F. i g F I . I __ 5 _ 1 IM" . ID' Na PH WEOFl" _ � _— ..__..�... - �_: _ _ _ _ _ _ N 55'24 - �w 7 SL6T — .r- •-- .— ._— .. - - �� . e IUe LBS,ESEAA FOOT SET AI ALL ,} B I, { !! 93'26 "1" N 72d4. R1Y1' OTHER LOT AN) VACT O7OPERS. 1 4t , I - - - -- k, q,' g �g r LI AIR vn R 1/4, sr na 19 ST Y ANOREWSPARKWA a % DNC SET BACK w xt �s ^;'/ 4sF \ 4 , /�� I °a I I SURVEYOR'S CERTIFICATE 4 FRDY uAC o 5 \ 1 ' \ '�_ _ _ _ _ _ _ _ _ _ r v _ rL - - - 7 - / otov_ _4 Aa_ C N �c`� • N o rl l ;u°, 4 .IA$¢S D. FEAMS, REGISTERED LAND SbIVEYOR HEREBY CERTIFY: TION 19, WV OE Vi EAS9EN7 ONESS �. �'�'@'�'� LpM1�' / r/ I "Y ".,I TOUT I HAVE SURVEYED. DIVIDED RIB MAPPED COVE ROLE, LOCATED W THE SW 1/4 OF THE SW 1/4 OF SECTION IS ABC H Hill 1/4 1/4 OF THE 1/4 OF SEC —OIK SIC'AN -SEE [ET 6 t0 �1 r/ , / i ! BOTH N T28N, RI9W, THE NE 1/4 IX THE HE 1/4 OF SECTION 24 AND THE SE 1/4 OF THE SE I/4 OF SECTION 13, BOTH IN T2811, R20W, ALL N THE TOWN OF TROY, .,.,,.,, s '� r 'R / I I COA4TY OF ST. fAOIX, AAD STA1E IX WSCONSN, NOLONG All OF LOT E, CERiffEJ SURVEY MAP, VOLUME ?D, PAGE 5037, pDCNENI 0i 802X PART OF LOT 4 _ I" W DRANAG[ FAZEVT, r`' r $/,\ 1,651 ACRES W �` r 73,221 S.F. , / / i ! CERTIFEI7 SIRVEY MAP, VOLUME 1, PAGE 74, DOCUMENT NLNBER 325474, 4 PART OF LOT 10, CERTIFIED SURVEY NAP, VOLUME 5, PAGE 1287, OCCLAfNi NUMBER 38469t f fRwOS:D (M)F'AY laAAa i \, • Q; i A ' !. THAT I HAVE MADE SUCH SJRVEY, LAND DIMN AM PLAT BY THE DIRECTOR OF SUN DEVELOPMENT CORPORATION, OWNER OF SAO LARD, CCNTAMBaG 46.647 ACRES, i f , MORE CR LESS, HENG 2,031,918 SCUAAE FEET, GORE OR 1E55 A FOR wIATAaE sTRICA16 DESCRIBED AS FOLLOWS: CO50fE4CPND AT THE S 1/4 CORNER OF SAID SECTION I8: THENCE N 89'24'56" W L/O FOREST 9ADN' TRC S�EVAlION " ` J i // ! W BEARIRGS REFERENCED iC THE SOUTH LN OF SAA SW I/4 OF SECTION 18 ASSUMED TO BEAR N 89'24' S6" W) 163897' ALONG SAC SO'JiH LINE OF THE SW IN STRUC i �. Jq� \ , ' G / r l/ 2 4 er/ W � N7S' 04" E 32532' TO THE POW OF DECHNNC THENCE N 1'.'00'00" W 91AT ALM THE WESTERLY LINE OF SAO LOT 6 OF THE CERTIFIED SURVEY NAP RECORDED (R - REYWUS.Y ROOM 'FORMAT I \ \. r ,'A x4 N VOIUTAE 20, PAGE 5033; THENCE N 50T 00" W 11211' ALONG A WEST LIE OF SAD LOT 6; THENCE N 15'00 DO" W 129.47' ALONG A WEST ERE Cf SAID l0i 6; b / A♦i N i r,'`i I , = v ° THENCE WESTERLY 42.10' ALONG A 157,31' 1 CURVE CONCAVE NDRTIERLY WHOSE Ci BEARS N 80'43' 21.5" W 41.96' ALONG A NORTH LNE IX '.0T I, CERIFED 5 / 1.6939ACRE5 `/ 035 '� • / d' < "W° I a a SURVEY VAP, MM & PAGE 2190, OCtUf9T EVIER 455495; THENCE N 72'54' 58" W 5983' (PREVW'JS Y RECORDED AS 5 73 E 56.67') ALONG A NORTH LSE OF O ? A 'A• �.� 73,iS1S.F. /' h � 6 1 n SAID LOT I; THENCE IN 88'41' 06" W 210.97' (PREVIOGSY RECOROO Ni S S BB`13' 00" E 216.20) ALONG A NORTH LIE CF SAC LOT I: THENCE S 52'05' 1 "' W 106.63' if 114-IE 1/4 wxP e' i r A• A r ' �`'� I ^ fPRENOISLY REGORGED AS N 51'57' 33" E 106.55') ALONG A N LINE OF SAC LOT I, 7HNC' S 25'53'29" W' 265.67' (FREVIOL'SL° REDOPOEG AS A 2549' 4 6" E � A9 N n° 6 e) `, \ i � 36553'1 ALONG A WESTERLY LM OF SAID LOT THENCE S 19'23'0'," W 34865 (PREVIOUSLY RECORDED AS N 18124'04" ,34729') ALONG A WESTER _I X 0 SAID O e � M LOT 1: THENCE S '0°G6' S6" W 97727 ALM A WE NE 0 CJ L01 4 O H PLAT 0 ROY V LAS, THENCE S 39 21 4S W 9 06 A hC A N ST w C' RSCIAYJ II LOi 46 AND OUTIOT 7 OF SAO PLAT OF TROY VDLAGE T'LME N 8 1 56 W 19000 ALONG A WRix L'N: IX SAID 7111 0, 'NENC N OU OC 25' W 2 544 T _NCO 784691 iy IN 36'3x'00" E 16304' ALONG AN EASTERLY LINE OF L0 1 O. HE ER'IFA SURVEY MAP RECORDED I VOWE 5, PAW '287, OOCLVENi ALTNER ENLE N 34'42'52" E 340.37 ALONG AN EASTERLY LNE OF SAID 0 :' TF "NCE % 35'25' ' 52! 17' ALONG 344 EASiE4.Y LOP': 0" SAO Lw I ; THENCE N 71 °4G 4 9" a! r 0 73631 S.FR '� 300.17' ALONG AN EASTERLY LIE OF SAC LOT It; THENCE N 0,'48'0" E 42956' ALONG AN EASTERLY LN l SAD LOT 11; THENCE 4 53'39' IS" E 'D .00' ALONG 6 / A I A SOUTHEASTERLY LIE OF PARCEL 7 Of TFE CERiFEO SLRVEY VAT SECORCCD N VOLUME 3, FACE 609; TENCE S 89'24'05' E 348.13' ALONG A KIOI LN DF SALE / 1.S19ACNE9 7 °' r o j 0, LOT 2; THENCE SOUTHEASTERLY 189.68' ALONG A 222,56' RAN' CURVE CONCAVE SOUTK9571FLY WHOSE CI':CAC BEARS 5 25'OP 55.0" E 183.99' RIONG TFE WESTERLY C 66A635.F. I O'I (, ' ROHT -OF -WAY LN OF SOUTH COVE ROAD; THENCE S 63'00'00 'W' 509.59' AONG A NORTH LINE OF LOT 7 OF THE CERTIFIED SLIMY MAP RECORDED N VOLL'VE 20, BA��. % i / �. ry \�' PAGE 5U33, DOCUMENT NINON 802065; THENCE 5 07`54'50" W 124.ID' ALONG A WEST LNE OF SAID LOT 7; THENCE EASTERLY 57.79' ALM AN 833.00' RAMS CORK I S o CONCRV: SOUTHERLY WHOSE CHORD BEARS N 881 E 57.78' ALM A SOUTH WE OF SAD LOT 7; THENCE N 90'0000" E 408.58' ALONG A SOUTH LINE OF SAO LOT 1; THENCE S 00'31 W" E 457.79' ALONG SAD WESTERLY RGHT -OF -WAY LINE OF SOUTH COVE ROAD, TIFJRCF N 99'46' 25" W 201 ALONG THE SOUTH LINE OF SAO i , LOT 6 10 THE POW? OF HEG58NG SUBJECT i0 A RIGHT OF WAY EASEMENT FOR RUTAL ELECTRIC LIE RECORDED N VOLUME 263, PACE 420 OVER THEW 1/2 IX THE _ 22176' • 1- ` NANTS OF RECORD. n . SW 1/4 0.r SAA SECTIa 18. Sl18JECi i0 All O1NER EASEM�' ?S, RESiPoC110N5, PIN COVE ND SURVEYED AND THE S 4 o ^AT SUCH PLAT S A CORRECT REPRESENTATION OF ALL OF THE EXTERIOR BOUNDi OF THE LAIAONISON HEREOF MACE H \ 7 o/ I 3 ' \` l, z N RAVE F SC45 Or CHAPTER 236 OF THE WSCONSN STATUTES AND THE SUBOYTSON REGLAATONS OF THE TOWN OF TROY AND TIC n I 7.000 ACRE$ 63,k95fE6 ` 87,1715E, i m I C0164TY .,. 0 %, N SURVEYNC, D NG THE SAVE. l arm u W80 WO Q 91 W 8 957 65�1 IS hi W',. •' �SV�d" S � 309 � I c JA D. D LAN 5 -2246 `; •:•, ' L n 09 6 $'WY JAMES D. REG- _RED AHD SiRV. 7 d' �?ry:•, FIEIIN6 h' OSDEN ENGNEERiPk, COL-ANY 5 l o ;." REGSTER'S OFFICE 52146 234 SWASSON"K 7.614ACAE5' 1 SF CBOIXCO.W'IS. R . u I T RIVER "ALLS, WSCONSN 54022 J 6 n RR9.,dfa6mld9ry 1 EI / 72A345 f. 1$, nl 2.OS/ACPES J ? d \_ A7UI g00 ' NE0o 8F. - - _ Redd° DATED THIS 31d CA" O APR( 2006. I z - - R ` REASEJ 'kS 15th . 34Y FRAY HUGE. L._-- -J Ra2s5 4.16' 1RdJf ' "'• REVISED 'MS' DAY OF A, lu'G5. T 37231 139 5 'so FIX 15" W a'. p r,0. _ROY;' 4 ACE LOT 46 7 34 SHEET I OF 2 mu n3reTDUSA7RA+FIERerA.n2nB ArSn Chamber SAS SYSTEM ELEVATION AND SIZING CALCULATIONS Below Grade Soil Absorption Systems Owner's Name 6/15/2006 Review Date N s Y or N Highly Pretreated Effluent 3 ft Suitable Soil Below System , 12 in Chamber /Unit Height 8 ft Maximum Bury Depth 3 Ezflow EZ1203HP & E 600 gpd Estimated Daily Peak Flow 0.70 gpd /ft In -situ Wastewater Infiltration Rate 857.14 ft Chamber /Unit Area 50.00 EISA ft / Unit _ 18 # of Chambers /Units 855.50 ft Proposed SAS Elevation 26.50 Bottom Area W / Unit Soil Surface Acceptable Finished Grade EL 4 (ft) Boring Grade Limitation SAS Elevation (ft) System Minimum Maximum Number Elevation (ft) Depth (in) Lowest Highest Elevation? 857.50 864.50 1 858.00 103 852.42 857.00 Yes 2 860.50 104 854.83 859.50 Yes 3 85700 105 850.25 855.00 No Fill required 1. Depth of suitable soil required below the infiltrative surface for treatment. 2. Total height of chamber in inches. 3. Maximum bury depth as per manufacturer's recommendations. 4. Based on chosen system elevation, and chamber height. Top of chamber is equivalent to top of aggregate. The addition of fill for cover or the reduction of finished grade may be required to meet minimum or maximum code standards. Version 4.0 (04/03) • � V1 t` 0 2 •. 1� 7c t WEATkkRPQwF LOCKING GOvER SuNCT140 H Gv� c ,4&rX . �` ,,Y,V wa Q11ty. C'ac 4#4& T -- \ ' Ai cm T W7D NOiSTURUD Puy f 24 w M NI uOLE v�lrri WFLE q ka.r av�awc.a 1 L4 , �' �• �. U. Ptm d 1 At � 3' o•rro 7+w E C.71 O �S � w f �- � .cSC. � - � t?•(] � ' Q " � `� � � ow I ptw L V' �.- BcoCK 5EPTiC t SpEGIFI'CATIOtJ$ / DOSE t �.. �1 � +� `yr1 l�RS�Zri TA, JAS MAWUFACTURC; M R: W �10`�. IVUDEfi OF DOSES: y PER TAWK SIZ C : �O _ _ G A LL 0 ki S DOSE VOLUME J ALARM MAMUFAcrUp;ER: Sa ��aa��q INCLUDING 6ACKFI.OW: / „A�Lor�S MODEL QUMIDEK • CAPACITIES: A - y SWIT Tyrc: • way - e..� x tits - uJCHCS OR �®"�'e C.A! 01.E U C H E S O R 2 PUMP MA►JUFAL7URCR: °� tt¢" •� � C+A:LO� S c^� C� / "� INCHES ORI rL'S MODEL uUMCSCR: D =G�• t InlCHES OR�d,�: - 0 SWITCH TypE; 1JOTE: PUMP AMD ALARM ARE TO DE h1111�)1UN1 DISCKAK" RATE GPM INSTALLED O►1 SEpARAT S TOTAL DYNAMIC HEAD/FLOW LU PUMP PERFOAMANCE CURVE PER MINUTE MODEL 53 5/57/59 EFFLUENT AND DEWATERING 20 MODEL 53/55/57/59 Feet Meters Gal. Liters 5 T 1.5 4 1 163 4 10 34 129 15 4.6 19 72 1 < I 0 Shut-off Head: 19.25 ft.(5.9m) 1 009897 2 5 — 37!8 6 116 4 5;8 1 112 -11 112 NPT 10 20 30 40 50 3 7�8 GALLONS LITERS I T 0 86 160 FLOW PER MINUTE 4 Variable level float switches available. Y Variable level long cycle systems available. Available with special cord lengths of 15', 25', 35' and 50'. Alarm systems available. 10 1/16 Duplex systems available. 3 3,'32 i M53 siatiee Seal l Control Selection Li -T 1 Integral float operated mechanical switch, no external control required. Model volts Phase Amps I Simplex 1 Duplex CSA U Auto 9.7 55 & M57/59 115 1 1 i Y st 2. Single piggyback variab;e level float switch or double piggyback variable level & N57i59 115 1 Non ­ 2 3 or 4 & 5 lt5 T - 5 - 5 — 9 -- -/ _ — Y y float switch. Refer to FIVI0477. BN53 115 1 1 Auto 9.7 y y 3. Mechanical alternator 'M-Oak" 10-0072 or 10-0075. BN57 115 1 Autoj 9.7 N RE53157 230 Auto 4.8 y y 4. See FM0712 for correct model of Electrical Alternator. D53/55 & D57159 230 1 Auto 48 y 5. Variable level control 10-0225 used as a control activator, with Electrical E53155&E57159 230 __i I N on 4X 2 i 3or4 & 5 y y Alternator (3) or (4) float system, Single piggyback switch included. For information on additional Zoeller products refer.to catalog on Piggyback Variable Level Float Switches, F M0477 61,0ill'! lj' ;)y Electrical Alternator, FM0486; Mechanical Alternator, FM0495; Sump/Sewage Basins, FM0487; and Single Phase shijuldi bo ioiluv."'d ❑l-!: SiMPIOX Pump Control/Alarm Systems, FM0732. 1 1 For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO P. BOX 1634 Louisville. KY 40256-0347 Manufacturers of.. 502) 778-2731 - 1 (800) 928 PUMP Z c k)4 -3624 SHIP TO: 3649 Cane Run Road Louisville, KY 40211-1961 �L'14ZITI j 1 g11M,-,7 SUCT 19,79 http:llwww.zoeller.com FAX (502) 774 Copyright 2004 Zoeller Co. All rights reserved. POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS C3wner Septic Tank Capacity gal ❑ NA Permit # Septic Tank Manufacturer C NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 100gpd/bedroom p NA E f6mit Filter Model ❑ NA Number of Commercial Units NA Pump Tank Capacity gal C NA Estimated flow (average)* YO gaUday Pump Tank Manufacturer 13 NA Design flow. (peak), estimated x 1 / gal/day Pump Manufacturer C NA Soil Application Rate 1 1 - Pump Model C NA Infiuent/Efl3uent w E25Omg/L gaUday s Pretreatment Unit Qu ali ty (NACI) ❑ Sand/Gravel Filter C Peat Filter C NA Fats. Oil & Grease (FOG) [3 Mechanical Aeration Biochemical Oxygen Demand (BODs) C wetland Total Suspended Solids (TSS) 0 Disinfection d Other: Manufacturer: Model: Pretreated Efflu ent all * ** Dispersal Cell(s) Qu ty C Monthly Average p In- ground (gravity) Biochemical Oxygen Demand (BODs) 5 30 mg/L gT {gr �') C In- ground (pressurized) Total Suspended Solids (TSS) C At -grade C Mound Fecal Colifonn (geometric mean) 5 30 mg/L C Drip -line C Other: < —i Vau/100ml 0 beaching Chamber Manufacturer Maximum Effluent Particle Size 118 inch diameter Model Approval Stipulation * Wastewater Flow Verification on and calculations: Soil Application Rate - gpd/ft Area Req. dit per u (Other than bedroom based) Absorption Area Crenit ft Minimum Number of Chambers M Aggregate Design Flow=manufactwurerss min ** Values typical for domestic {non - commercial wastewater Materials: all materials muode and septic tank effluent. COMM84 and be installed cations ** *Values typical for pretreated was tewater, and approval letters. DESIGN CRITERIA ED "Wisconsin At -grade Sail Absorption System, Siting, Design & Construction Manual" (Converse et.al.1990) C "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. i Publication 15.22 C . "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 C "Design of Conventional Soil Absorption Trenches and Beds ". R.J. Otis — ASAE Publications 5 -77 and "Design Manual — Onsite wastewater Treatment and Disposal Systems ". EPA 625/1 -80 -012 October 1980 C SBD — 10570 —P (8..6/99) "At -Grade Component Manual Using Pressure Distribution" C SBD 10567—P (R.6/99) "In Ground Absorption Component Manual' 92 — 10705 -P (N.01 101) "In Ground Soil Absorption Component Manual" Version 2.0 0 SBD — 10628 —P (N.6199) "Recirculating Sand Filter System Component Manual" C SBD — 10656 —P (N.6199) "Split Bed Recirculating Sand Filter System Component Manual" E3 SBD =10572 —P (11,6/99) "Mound Component Manual' ❑ SBD - 10691 —P (N.01 101) "Mound Component Manual" Version 2.0 p SBD - 10595 —P (R.6r)9) "Single Pass Sand Filter Component Manual" 0 SBD - 10657 —P (8.6/99) "Drip -lime Effluent Disposal Component ManuaP' C SBD - 10573 —P (R 6/99) "Pressure Distribution Component Manual" 0 SBD - 10706 —P (N.01101) "Pressure Distribution Component Manual" Version 2.0 C Drip -line Effluent Dispersal Component Manual for Multi -flo Onsite Wastewater Treatment Units C , MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tanks) At least once every C months 10 year(s) (Maximum 3 yrs.) Pump out contents of tanks) When combined sludge and scum equals one -third (1 /3) of tank volume Inspect dispersal cell(s) At least once every j C months iwyear {s) (Maxunum 3 yrs.) Clean effluent filter At least once every C months 4V year(s) Inspect pump, pump controls & alarm At ieast once every p months pq year(s) C NA Flush laterals and pressure test At least once every C months C year(s) C NA Valves At least once every C months C yea() C NA Other: At least once every ❑months C year(s) C NA Page of START UP ' For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantit and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. (� 'Valves Valves shall be operated in the following manner: Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a I day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NRI 13, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. AQ Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of J, In- Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of L Mound, At- Grade, In- Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall P � g al be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: 1< A �suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. 0 A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. 0 The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. D Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS i d POWTS IKSTALJ.7,R POWTS TAINER Name rW I © Name d d .ilZ r Phone C275' 1 -?a Phone SEPTAGE SERVICING OPERATOR (Pumper} LOCAL REGULATORY AUTHORITY Name Agency fY Z f Phone Phone - p R: \WPDATA\E"OWTS OWNER'S MANUAL.doe Page of i