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O 7 CD N O Cti =r S O 3 0 7 N N a p 3 °5 � 0 CD A O O v CD O CL ti H cw co JLA UNff PLANN & ZONING ; x FAX MEmo a� DATE: TO: J7&i -k CodeAdn nistrari 715- 386 -4680 FAX NUMBER: -7 S — �D 7 21 7 Land Information & Planning FROM' 715 - 386 -4674 FAX NUMBER 715 - 386 -4686 Real Pro ry PHONE NUMBER: 715- -4677 R cling - 386 -4675 NUMBER OF PAGES, INCLUDING COVER SHEET: RE: r` a . 9. Yyrv.+' nar��fi, �ltlYllntrk: � +^Ar�#.+a'va�w,�wrs:§e�.S:C;.. ..§ 4' �Y-"::' 9C+' b'." ��ks.' X ^�m:"fi;M:YF,k.v„mY'^�S+ues^�'.M1 YSA+a:"SZ#�aF %, «,rb uxdhaY..e.M.S«? ✓a.»� ���� >C tk- v,»th,^+mv. - �x..'s, -,t+F .Sat:. °�'e4+d.. mm. ST. CROIX COUNTY GOVERNMENT CENTER 110 1 CARMlCHAEL ROAD, HUDSON Wi 54016 7153864666 FAX PZ @CO.SAINT- CROIX.WI.US WWW.CO.SAINT- CROIX.WI.US ST ROIX U NTY PLANNING & ZONING FAX MEMO DATE: �l 2s t( b To: � CadeAdminlsrrati FAx NUMBER qq 715 - 386 -4680 l S ' 3 Land Information & Planning FROM: lit/ •"` �i�/ylNv 715- 386 -4674 FAx NUMBER: 715 - 386 -4686 Real Pro r 715- -4677 PHONE NUMBER: R cling - 386 -4675 NUMBER OF PAGES, INCLUDING COVER SHEET: 3 RE: S M VOL Lf V9 2 ST. CROIx COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, W1 54016 715.386- -4686 FAx PZ @CO.SAINT•CROIX.WI.US WWW.CO.SAINT- CROIX.WI.US Parcel #: 040 - 1077 -90 -000 10/30/2008 05:02 PM PAGE 1 OF 1 Alt. Parcel M 19.28.19.299E 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - RASIDESCU, RADU RADU RASIDESCU PO BOX 941 HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 216 CTY RD F SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.090 Plat: N/A -NOT AVAILABLE SEC 19 T28N RI 9W 2.09 AC IN SE SW LOT 2 Block/Condo Bldg: OF CSM IN VOL II PAGE 556 ORD BEING REPLATTED IN CSM IN VOL IV P 993 ORD Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 19- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 09/13/2007 860378 WD 06/17/2005 797985 2825/429 WD 07/23/1997 998/533 WD 07/23/1997 726/593 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/24/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.600 55,000 446,100 501,100 NO Totals for 2008: General Property 2.600 55,000 446,100 501,100 Woodland 0.000 0 0 Totals for 2007: General Property 2.600 55,000 446,100 501,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 05130/2008 Batch M 08 -11 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wiscoash) Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix t Safety � -ia Building Division I INSPECTION REPORT sanitary Permit No: 479333 0 GEhERAL'INFORMATION (ATTACH TO PERMIT) S to Plan ID No: Personal information ou provide may be used for seconds purposes [Privacy Law, s.15.04 1 m a C Y P Y S Permit Holder's Name: City Village X Township Parcel Tax No: Zebro, Dave Troy, Town of 040- 1077 -90 -000 CST BM Elev: I Insp. BM Elev: BM Description: Sectionfrown /Range /Map No: av • D 1W.0 CST +u / 19.28.19.299E TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchma A e r.sr Dosing Alt. BM �•�'2r t 9 .9� Aeration Bldg. Sewer — — G,p- 0.02 z 3 8 Holding St/Ht Inlet r D • 21 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , 5b F' — DtBottom (3• gy p � s r Dosing t I, < < i� z p t tHeader/Man. Aeration Dist. Pipe 3.3 •`rL�o Holding Bot. System ID t It .sg Final Grade PUMP /SIPHON INFORMATION 1_v u,7L( 6e IZ4- ` `-� Manufacturer Demand, St Cover GPM ,o 't aftJO �a Model Number D a G Ce•�1.�..1 rj '71 [Forcemain DH Lift Friction Loss System Head TDH Ft 1.0c & .zg' 3.z� �.Z I 0.t�© I Length t I Dia. 2 t , Dist. to Well �( • tI, Zeo 2.•� 102.E ( b� • dp UlftU SOIL ABSORPTION SYSTEM fit' ( 1 8 EPORM 1 7M Width t,( r Length t N . Of iaerTt IS s PIT DIMENSIONS No. Of Pits In 'de Dia. Liquid Depth ENSIONS �� "'mss e::�� SETBACK SYSTEM TO P/L tttc L lRRR D����G """""" � " ��� " � " WELL LAKE /STREAM LEACHING Man sourer INFORMATION CHAMBER OR Type Of Syste t 1t'- 75- r UNIT Model N r. N T DISTRIBUTION YSTEM (L s c Head /Manifol4 Distribution I x Hole Si x Hole Spacing Vent to Air Intake Pipe(s) Q tt ® 3 / // - -- - -�+ Le h Lengt t_ [ A) 1 Dia ' Z-•- Spaci • �/ S IL COVER x Pressure Systems Only xx Mound Or At - Grade Systems On De er Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes �� No Yes [] No COMMENTS: (Include code discrepencies, persons present, etc.) inspectio $ L22 0 t 2 — l � Inspectio # byf 61 Zt 0 . " JL Location: 216 County Road F Hudson, WI 54016 (SE 1/4 SW 1/4 19 T28N R19W) NA t • 1.) Alt BM Description = �'«` l'`D,�►°t g - �ouaQb °"` '�2 iroQ .�Su+r2 • p NDV . 11, 2.) Bldg sewer length = n /Q 3f p -� 1 5 - amount of cover = :zq rrt o e'% / l -I �2 t t/t�d fo�li Yla Plan revision Required? Yes No / J -`- " - — I Use other side for additional informati n. Date Signature Cert. No. SBD -6710 (R.3/97) r - l i PL OT PLA N SCALF, ,'"= 40' `� ExC�p7 Where v� mart s >����� .Se 1 51W VI 57 1 ra 0 N 9 � g w� 1 , v � ,oI 3 / r' G r q A! �i cis me � n c co ` �vi CI GSM i p ptapoSC'Q Wek 13M I i6P I''PVC 12 " ABOV - 61?ilVE NE CORN F- R 7WI0 .� PM '* 2 TOP t PVC P1PP, o 5, 3 IN51 ,4L 120 ©c &AL WrF- -G e RCdbC9aTE COM4 AJK W-nli PDLYLOK 525 FlI i EK 1 G P 0 Safety C oun ty y and Buildings Division C ry _ ya 201 W. Washington Ave., P.O. Box 7162 �' - ?162 Sanity Permit Number (to be filled in by Co.) sconsin Madison, WI 53707 Department of Commerce (648) 266 " 3 3 Sanitary Permit Application 3 ..y -.,L ta To I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information u provide 0 = 7LAVS. 10. may be used for secondary purposes Privacy Law, s15.04(1)( 2 Z Tlollect ddress (if different than mailing address) .d I. Application Information - Please Print All Information S .uk Ik)i E 21& (i F) Property Owner's Na me Parcel a Lot # Block �aVtr Z�Aro o'�Oio0 00 2. Property Owner's M ailing Address Property Location Cry. State e 5F `ti. C , W ',Section ©fi � �a �� Zip Code Phone Number N1 hl1 �t l d5l- ?'? I - $ 4 (circle ) —AM-6yalL II. Type of Building (check all that apply) ✓� S ��� T N; R� Q E or1W) S+ilbt#iVit►ietrlVatne M N kI or 2 Family Dwelling - Number of Bedrooms s , Lip. ` 30(, ❑ Public/Commercial - Describe Use V. ( 993 ❑ State Owned - Describe Use [ OCity_C]Village ( WTownship of _ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) o _ /p77 - '�0 - M( . 291E A. 19-New System ❑ Replacement System p y ❑ Treatment/ Holding Tank Replacement Only C3 Other Modification to Existing System B. [I Permit Renewal ❑Permit Revision ❑Change of 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner u IV. Tye of POWTS System: (Check all that a lv) ❑ Non - Pressurized In- Ground X Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit .. ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treat ent Area Information: = y S Design Flow (gpd) Design Soil Application te(gpdsf) Dispersal Area Re tred (sf) Dispersal Area Pro sed (sf) System Elevation C� l dC5 �,� b� ) DOO E va r� 1 ` l 6 . (, 7o VI. Tank Info Capacity in Total Number Mamfacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank /� / o r se B e C y- Aerobic Treatment Unit / d Dosing Chamber v/t dQ VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plu tier's Si gnature MP /MPRS Number Business Phone Number 40Y `r �Q ►Se o'a ") lS 4 :2S t/ao d Plumber Addre ss (Street, City State, Zip Code) ` [ / ^� ` 0 4 Z S r it C._t,11 n �1. IV4 �A 6`] VV S 46 4 County/Department VIII. Use Onl 1� I. C1 Di pp Sanitary Permit Fee (i ludes Groundwater Date Issued Issuing/Agent Signature No Stamps) Approved Surcharge Fee) ZZ ❑ eason fo Denial LX. Conditions f Approv SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) Safety and Buildings 4003 N KINNEY COULEE RD commercemi.gov LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n www.commer isco sin.go www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary July 01, 2005 CUST ID No.220554 ATTN.' POWTS Inspector CARL P HEISE ZONING OFFICE CARL HEISE EXCAVATING ST CROIX COUNTY SPIA 1042 S MAIN ST 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 07/01/2007 Transaction ID No. 1150890 SITE: Site ID No. 700881 Dave Zebro Please refer to both identification numbers, County Road F above, in all correspondence with the agency. Town of Troy St Croix County SE1 /4, SW1 /4, S19, T28N, R19W Lot: 2, FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1026300 Maintenance required; 600 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /O1), Pressure Distribution Component Manual -Version 2.0, SBD - 10706 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, Condit! stats. A P P Kro'A ( The following conditions shall be met during construction or installation and prior to occupancy or use: DEPARTMENT Of /O .ar Approval Requirements: SEE CORRESi • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01/01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01/01). • The changes made to this plan on 7/01/05 by this reviewer were acknowledged and approved by the system designer. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c I CARL P HEISE Page 2 7/1/2005 • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm ? 8 3.22 A co of the approved Tans specifications s and this letter shall be on -site during onstruction (1 nv �n P P � and o pen of the Department, which may include local inspectors. en to inspection b authorized r p � Y P v _p Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer 11, Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday -Friday cbratz @c ommerc e. state. wi. us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 , 285 COUNTY ROAD SS EXCAVATING RIVER 8a0 828 -3723 WI W221 715- 425 -6200 715- 425 -8466 FAX MOUND SYSTEM FOR A BEDROOM RESIDENCE LOCATED IN THE Y4 OF THE 4U `/4 OF SECTION q T aN, R1W. TOWNSHIP OF (Q y' 5 T. G r v. COUNTY WI. INDEX SECENED PAGE 2 OF 7 PLOT PLAN 3UN 2 'I 2 PAGE 3 OF 7 PLAN VIEW - CROSS SECTION � & gU1LD1NGS PAGE 4 OF 7 DISTRIBUTION PIPE LAYOUT SAV PAGE 5 OF 7 PUMPING CHAMBER PAGE 6 OF 7 PUMP PERFORMANCE CURVE PAGE 7 OF 7 MANAGEMENT PLAN PREPARED FOR co mill °s DA V F _ ahr �- s Z Zo o 'Z7 ' A N � F���Si LAKE M1U Ssd �.`� PREPARED BY CARL HEISE MPRS 220554 715 -425 -2175 FAX 715- 425 -8466 This plan has been prepared in accordance with the Mound Component Manual SBD- 10691 -P and Pressure Distribution Manual SBD- 10706 -P PAGE I Z at �! PL PLA _ ' � 5CA� E ► � = 4� L 0"r 2 2.a9 ACRES Sr V4 5W VI Std IZAui r BM Z 6 .} b Yh pro posei Wek i t i3M I i o p i PVc 1" C0;ZN E iR TWI0 -c BM ""L ` 15F f PVC PIp 2 gBoi�� �Rd�DE �L: 9 3, 3 INST AU. 12- 00AF0r &AL W��SER G4NCK� CaMbO 7Au� k✓1 PDL YLOK 525 ftLTER '1 a i Designer_, N Date Non -Woven Filter Fabric 4" observation Pipe Perforated ,Distribution Pipe Below Filter Fabric ASTX C -33 50 nd G /rJ ' T opsoil ilfi it.Vra r 1 w Y. Slope Bed Of ���- 2 %= Force Nan Drain Rock From Pump toyer 4 E Cress S ection Of A Vovnd System Usin F - A Bed Fat 7t�e absorpt Argo G A Ft. �'- 2 Ft Ft. K Ft. (per , G ` Alternate Position L Ft. - o f Ft' Force Main W �L- #40bservotion Pipe A �--- - ------- - - - - -- - - -- - ----------- - - --•1 Force Moan W �' �' -- - F ror`! Pump 3 ' p Distribution Bed Of Pipe Drain Rock 4 Observation Pipe Permanent Marker Pi pe or Rods Pion View Of Mound Using A Bed For The Absorption Area G♦ r t nr ri o TTTi� . i 1 5 •i .. F' �' _ Distribution Pipe Layout P $ e , ° f .�.., Place the holes at the bottom of the distribution pipes at equal spacing, Remove all burrs from the ripe and holes. Extcnd the end of each lateral up with the use of long tum or 43° fitting to a point within six inches of the final rade. Terminate the earls of the laterals with a valve tap or threaded plug. ProAde accus from fUW gade for the valve; tIL ded &p or threaded ply. Z P 1C T`1. L Z,CLJS S 5``L 1p Later) j r -2 Lit Y Y x x/Z r x r Y 71fnI anah _ t iiir�) Unoh — P Ost:i6urtan 'na 11 t1J \F14 �- �Ft1Ai • � 1'DC.Cti Ylty. P Ft Hole Diameter inch SFt. Lateral 11 �2 inch(es) X Q Inches Manifold " Z inches Force Main " 2- inches #of holes /pipe ,' 55 Invert Elevation of Laterals • G.P.M. Page Of -- SEPTIC TANK S' PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS .'•'v WEATHERPROOF JUNCTION BOX APPROVED WITH CONDUIT MANHOLE COV W/ PADLOCK WARNING LA= 4 MIN. .____ ., - __,,_ a 18" .IN. 6" MAX. INLET 2j a II L� WATER TIGHT SEALS GAS- TIGHT i �, ` / A SE. ?L vAPPROVED POWLCK 525 FJT's p, JOINTS WITH —}— ALM APPROVED P7 B ' ' ON 3' ONTO ' SOLID SOIL PUMP OFF ELEV. OFF = ^ RISER E: D PERMITT= IF TANK MANNFACTU:.: HAS A?PROV. 3" P. ?PROVED BEDDING UNDER TAN:ti CONCRETE P 21 SPECIFICATIONS SEPTIC 1 DOSE _ E_S r- ;�y NUMBER DOSES PER DAY: TANK MANUFACTURER: L 5 j TANK SIZES SEPTIC 1 00 C GAL. DOSE VOLUME INCLUDING DOSE GAL. FLOWBACK: ! 3L GAL. ALARM MANUFACTURER: S. j ( Tr6 CAPACITIES: A = 1 INCHES = 4oc , 3 2 GA: MODEL NUMBER: SWITCH TYPE: B = 2 INCHES = GA_ PUMP MANUFACTURER: -e r C = J t INCHES = GAL MODEL NUMBER: SWITCH TYPE: � — � v D = INCHES = GAL REQUIRED DISCHARGE RATE /- GPM PUMP 6 ALARM WIRING AS PER ILHR 16.23 WP. VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE 9. FEET + MINIMUM NETWORK SUPPLY PRESSURE . • • •� FEET + �� S FEET FORCEMAIN X � FT /100 FT. FRICTION FACTOR j FEET TOTAL DYNAMIC HEAD = FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH DIAMETER LIQUID DS77ff 3f3 02 • 2 an �yy � HEAD/ „t CA PA CITY CURVE 1 So za u EFFLUENT 2/ '° j .MODEL �6 MODEL - in and DEWATER/NG i o - ss ti 1 � M00EL . j %4 1ti MODEL f((14 IN 42 10. ODEL M00tL 30 17 /'z 4 , z: SEWAGE and DEWATERING = MODEL K W MIS, o GALLONS 10 SO 70 10 SO _ f0 TO t0 !0 100 110 24 40 - -- -.. -. LITERS 0 0 140 210 720 400 FLOW PER MINUTE u u- MODEL-- U so t —+-- - -- ` 14 MODEL Z 2S4 a t2 MODEL N to 33 _ 293 _T —' MOOEL - .� 4 20 • 242 _- - - 10 MODEL A9- = 4 2017, 2014 3980 OW U Mra Lam GALLONS t0 2 40 SO so 70 10 1 90 100 110 110 '170 1 40 iso ISO *0 ,SO 1!o P.O. Box 18387 � L r� ouh Kw*ocky 4016 -- LITERS 0 40 140 210 J2D ' 400 440 S40 $40 710 (31� 78 i7a1 FLOW PER MINUTE Systems Mduagemolit , Mato li anent ot a stern is critical. As a condition of approval of these g ans this system ,.1.' Y ,,• , management must be reviewed with the homeowner, and the homeowner must be �.ovided with a co. ,ete set of plates including this rmanag ment section. General Proper functioning of an on -site disposal syatern, "septic system," is significantly dependent on tie volume otwater which flows into the system and the level of contaminauits in that %volume• The lowcr'hc v of water and the lower the level of contaminants, the better and longer the system wi,' l f :.}n. Typical system components include a septic tank or compartment to settle out solids and contain grca::,5 Inc oils, a fitter on the outlet of the septic twk to retain small particles of the store density as water, a pw �,aak ' or compartment to allow a dose to be accumulated, a pump end controls. and finale t some type cf $al' adsorption cell to recycle thr went: in a manner to protect ground water quality and public healt)a, t.. If the septic tack is irstalied prior to sheet -rock and/or painting, pump the septic tank before nor^,n' residential use begins to ensures adherence to contaminrtnt load design criteria. 2 Install waiter- saving appliances whenever and wherever possible. 3. Repair even small water teaks as soon as poasible. 4. Never pour grease or oil down any drain or stool. S. Garbage disposals arc not recorru^ncrided, if you must have one, use a sparing'. }'. 6. No paper products other than tissue should go into the system. 7, NQ chemicals should go into the system. 8. Avoid surge flows of water, try tc spread laundry throughout the week Mxirtten�nce i, The static tank must tw, inspcctPd every ttaee years by L, properly licensed person 2. If necessary, the semi; tank- must be purnped to remove solids and scum; pumping is repui c�* :t U"� combined stunt and vjlid:� volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank mist be pumped, filter must be back - washed into the septic true- to remove accumulated material. 4. Periodic observation p ipe inspections should be made by the homeowner to examine (he stf 3! U ".7 situ soil adsorption cell. Quarterly inspections are recommended, and a licensed F lumber should if effluent is consistently ponded in the adsorption ccl'.. 5, if this system contains specific treatment components other then those menttoned here, tnZin�ersti :�t requirements will accompany their Specifications. 6. The pumping components for this system include an slarin which muse be instAlled and rem4m c , separate circuit from the pump. Ifthe alarm is activated, minimize water use and n-wify a l;ct'►�sr? c�i.:r- e: for service u soon as possible The system allows reserve capacity to aocurnulate sonic necessa- normal service can be mstored; this volume is minimal, end no more than one or two days should -ass =:r any necessary repairs can be made. 7. Wastewater =nitoring of volume and quality is not o normal mquirernent for residential monitoring may become uecessar f if probierua develop. Any neceaaary rrsOnitor shall bt dort ic: a-:.- -:1 with the requirements of 0mun 63.54 (2), Pumping and houl►ng vfiwastewater rr.ay be neccsaarr; • anal}sis and repairs arc implemented. Additional testing, designing, and/or installation ofadcittor.,:.: treatment components or c o nversion to a holding tank may be necessary. 0 � e� � c ri G � a rc, ( 4 a V V.7%q"t'4'3' k f) h T d S/ C i� �� ���• a l ttt� c�,� 3t��- 4u�� b1' t'15 �.cL� any 'Wisconsin Department of Commerce SOIL EVALUATION REPORT Paget of 3 Olvls(cn of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code _ COW Attach complete site plan on paper not less than 8112 x 11 Inches ritize. Plan must y J ) Include, but not limited to: vertical tai reference point (BM), direction and pares I.D. percent slope, scale or dimensions nearest road. Q P467 00 00 Pleas // 11i,�rt�Cfo !F Review by Date Pena" Inrom+adw you provide nm y be us secondary purposes (Privacy Law, 13.04 (1) (m)). 71 5 Property Owner roperty Location ovt Lot $ 1l j r 114 S A T N R 1 E Property_Owners Mailing Address ZONING OFFICE t # Block # Subd Name or CSM# City State Zip Code Phone Number ❑ City ❑ Village JkTown Nearest Road U zS� S �J'SY 2 O o w r New Construction Us e:MRasidendal /Number of bedrooms Code derived design flow rate 16 Q 0 GPO Pn.m� Repla cement ❑ Public or commercial - Describe: n rr. '1x ^ I .:1 S B, it sto h C, nsw Piaui elevation iif applicabie � and recornm eencl dons: t.1 5-fa / / molt n4 w 1 tk 1 'r I- fl r o d L d Sao) S y sTc �C, � .l � / 6 Boring # ❑ Boring Ix Pit Ground surface elev. q 6 R Depth to limiting factor �— In. Sop Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO In. Munsell Cu. Sz. Cont Color Gr. Sz. Sh. 'ES# *1502 C) -1 `— 5 J �4 V tar 5 o a -S 0.5 i. 0 4 l o . -- - Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor Soul Appiipdon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg In. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. 'EfE#11 'Eff#2 2 926 0Y i m )n4)- 5 RU S << i s -- b iv 5 -S 5 1 d A -- 5,t. 7a'02 • Effluent #1 = B00 > 30 220 mg1L and TSS >30 1 150 mg/L ' Effluent #2 = BOO _< 30 mg& and TSS 130 mg1L CST N Onease Pint) m gi CST Address tY Date Evaluad Conducted Telephone Number 10 42 5 ffl tow Property Owner aL 9 Parcel ID # Page , of p 9onng F37 8 l� Pit Ground surface elev. ft. Depth to timiting tgCCpr' In Boil . �Wn Rats Horizon Cepth DorninantColor Redox Description Texttre Structure c�aistence Boundary Roots OPCO In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Efol I . Eff#2 2 /- 9 _q 10 "2 �d — - a Boring # Boring Cl Pit Ground surface eiay. ft. Depth to ti,niting factor in. Soll Pate Horizon Cepth Dominant Ca Redox Deswntion Texture Structure Consistence Boundary Roots GPDMf In Munseli Cu. Sz. Cont. Color Gr. Sz. Sh. '£ 1 1 t j a scing 9 t] Pit Boring . ��. Ground surface elev. _. _. ______ ft. M Depth to limiting factor . Soil Appkdw Rata Hcdzcr. Cepth Dominant Colod Redox Desc*tcn Texttxe Structure Consistence Boundary Roots GP In. Mun3sh Cu. Sz. Cont. Color Gr. Sz. Sh. - EW 'EI 02 ` Effluent #1 s SOD, > 301 220 n9t and TSS -1-30 150 mg& ' Effluent #2 = BOD S 30 mglt. and TSS 130 rnWL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608 -264 -8777. sac- iaaotrtaaa� I 9L OT PL A PS 3 0` S *00.ve c SCa1 I �40 ''�1d7o0 1 9-7 IV s eVe 7 W � C( lr �ar�S-t L rnn) 55u2s L oT 2,, 5Lj) 5 j TaaWgw e- a r U ro uC� Cool Te1z fie& "L .2j4 1 1831 � 7v �q3�a a M Top e - l fJ r6 -S1�- 'fZr C,: A r 7'w, .V Jr baK 100, I 9 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND 7 ),41/F- 0WNERSHIP CERTIFICATION FORM Owner /Buyer Mailing Address 7 Zu0 17 7 4 - N& Property Address (Verification required from Planning Departr&nt for new construction.) City /State Parcel Identification Number o�c - J T - 90 - CM 6 Z9 LEGAL DESCRIPTION Property Locationn' /d , /o , Sec. - 1-�_ T 2 N RJW, Town of Subdivision , Lot # Certified Survey Map # O 3 , Volume , Page # 9 ?3 Warranty Deed # �9 c js , Volume , Page # �z9 Spec house C1 yes ❑ no Lot lines identifiable ❑ yes I_i 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 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 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. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set fo h, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Cc i st 1 g tha your septic system has been maintained must be completed and returned to the St. Croix County Zoning De m t w' ays of the three year expiration date. �y-- SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION erti that all atements on this form are true to the best of my /our knowledge. I /we am /are the owner(s) of the prope des ibe a 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. 7979E3S U S 2 5 P Z 9 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., VI STATE BAR OF WISCONSIN FORM 2 - 2000 RECEIVED FOR RECORD Document Number WARRANTY DEED 06/1712085 03:45PK THIS DEED, made between Steven Craig Nelson, a single person and 1iARRAINETYj # EED Marylee Nelson, a single person, Grantor, and Dave Zebro, Grantee. Grantor, for a valuable consideration, conveys to Grantee the following REC FEE: 41.00 described real estate in St. Croix County, State of Wisconsin: TRAYS FEE 375.00 COPY FEE. CC FEE: Part of SE 1/4 of the S4 of Section 19, Township 28 N, Range 19 W, PAGES: 16 Town of Troy, beinQrtot 2 f CSM Volume 4, Page 993, St. Croix County, Minnesota. Recording Area Name and Return Address: Land Title, Inc. 1900 Silver Lake Road Suite 200 New Brighton, MN 55112 3 5b 040 - 1077 -90 -000 To el Identification Number (PIN) This is not homestead property. Dated this 14th day of June, 2005. Steven Craig Net * MiryloORelson AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF MINNESOTA ) RAMSEY COUNTY. ) ss. authenticated this 14th day of June, 2005 Personally came before me this 14th day of June, 2005 the * above named Steven Craig Nelson, a single person and Marylee Nelson, a single person to me known to be the TITLE: MEMBER STATE BAR OF WISCONSIN person(s) who executed the foregoing instrument and (If not, acknowledged the authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Notary Public, State of Minnesota Larry Mountain Attorney at Law My commission is permanent. (If not, state expiration date: 1900 Silver Lake Road Suite 200 ) New Brighton, MN 55112 (Signatures maybe authenticated or acknowledged. Both are not necessary. *Names of persons signing in any capacity must be typed or printed below their signature CATHERINE A. PERRY Notary Public - Minnesota WARRANTY DEED STATE BAR OF WI O M Qxrm "Im !x nN Jan .2-2000 FORM NO. 985-A M.C ' FILED SEP 21950 T ,. \ JAAES 0' CONNECG J .3 �; a Register of Deeds 64 Croix County, g ucoam u n l a t t e d CERTIFIED SURVEY MAP d s 356. ' 298.00' 654.17' r� 'd" ON 006' O o CO -, 4r *• --... Ln N �j 1 LO CN 3 M 4 -� M . !.ACRES M Q, .., ACaE p I 00 z I r Ln CO N Ln N M N r" O APPROVES s — m cn U. FEB 29 1980 co 00 N S7. CROIX W COMPREHENSIVc P,kl ,, =80, a I AND Z co,n,.::;, ,. N 43042138 cn 1 W z 4. �. 96.96' W LL 57 °1. '77 "E ``Q POINT OF WI U. O 259 �,, i �� I H i O o ,�9 ` BEG NNING F-I N z' 0 o 0�' 900 6 o M 'l �tiB O Q o c 6 �,�oy 330.00' 0 '' Z I w "' ~ S0 3 Ill r +- = m N p `v 900 W 2 z ^ 2.09 ACRES I OO �I O ,� UNPLATTED LANDS h- O M N OW W M z �I W J o M pi Z s p(n W z a J o o O f� C1 O 00 LL S0 0 55'52 "E M V) TRUE BEARING z , 257.18 0; c, o en p r\ rn ci I � 00 SCALE IN FEET Ln p o M Q J i 6 �6' }- 112 0' 0' 12 0' ,tO o Z Z w Q I cy 2.01 AC R E§ o Q i cn (- _ — i -- ' o > z ! 3 W m _. � Z �,� M �� W - O ? W oR' WESTERLY ��' a, o M U 0 O z co RIGHT -OF -WAY o� ° d� � ~ Z UO o LINE c* e V ZtW/11`„ Ln F- Z c� 256.79' 6 02'5ROADWAY EASEMENT •- U 00 - - W `�'� 0 322. 81' o co Ln (n V) ~ t° S0 0 55'52 "E ` "' NO ° 13'50 "E COUNTY _ TRUNK HIGHWAY "E" 3965, 42' 1305.30' NO ° 13'50 "E EAST LINE OF SW 114 UNPLATTED LAN _ _ _ DS Volume It Page 993 D ST. CROIX COUNTY SURVEYOR'S RECORD 346822 CERTIFIED SURVEY MAP UNPLATTED LANDS ,, 356.17 298.00' �' 654.17 N 0 30" W ti 00 o zc,ppy e O N r` 3 CO 2, � N 2.60 ACRES 3 cn I � Moo c► U) M zl N p Q� i S o 55` 52" E v a°'o 4 — 1" "16`5.;87 ` z 4.19 ACRES w . U- SE-SW N `° `y .� N M ` Y O• 0 W O�LJ N ts? CO z I w7i o� to s ' W M 0 0p co w I U - 2 R =80' H� _ In 2.60 ACRES N 43°42`8" W a1 z a � 9'6.96. z 1 �1 z 3_ N 2 POINT OF`90o U. w z a O -W, ° 7 °02 J9 BEGINNING Oi It U- M �' 0 rn A,'S- 56 330.00, M w z, �`cv S 0 13'50" W w z N O x J S 0 ° 5552 E o 0 ., UNPLATTED LANDS LL z E- 2 -5 7.3 9� �.: W N o O _ oD N O M i Z cn o 0 o a I w 01 zr = rT O M CD O .J, cr- . �... _ M O o p z cn ► T A� oo TRUE BEARING w, o o I wi SCALE IN FEET co Q- 3.01 ACRES o_ °o F—I 00 z l l .. 6' i 1 0 0 120' ; cp ao =I 6 2 z o o W z 0) o O M F- cr- M M a w z a> 3 z 0) 3 fY it O M cr -- a, cr — °' Oho N \.�, 00 0 Ov p °C WESTERLY N , O a U o Z % QJ RIGHT -OF -WAY o o rn �` a H z 'a ` pK LINE ROADWAY EASEMENT " 1 35 N 1. cli N 256.79 66.02 _ - 322.81' S 00 "E c0 0 to 00 "� HIGHWA a F a COUNT ...r 1305.30' N 0 °13'50" E EAST LINE OF SW 1/4 UNPLATTED LANDS Volume 2 page 556 ST CROIX COUNTY PLANNING & ZONING November 3, 2008 Radu Rasidescu P. O. Box 941 216 Cty. Rd. F Hudson, WI 54016 Code Administrat 715- 386 -4680 RE: Private On -site Wastewater Treatment System ( POWTS) Setback Land Information Planning Parcel #040 - 1077 -90 -000 (Computer #19.28.19.299E) Town of Troy 715 -386 -4674 Real Prope Dear Mr. Rasidescu: 715 -3 677 On Friday, October 31 I conducted an inspection to verify the minimum setback Re cling - 386 -4675 from the mound POWTS installed on your lot in 2005 to the west property line. A recent land survey has been completed and the surveyor's stakes indicated that the mound extends beyond the property boundary. As required by the Wisconsin Department of Commerce under Comm. 83.43.8(4)(1) mound systems shall be located so as to provide the minimum horizontal setback distances as outlined in Table 83.43 -1. The minimum setback from a property line to a Private Onsite Wastewater Treatment System ( POWTS) is 5 feet. This setback is measured from the mound's internal distribution cell, not from the toe of the end slope (Wisconsin Department of Commerce Mound Component Manual Version 2.0, 2001). 1 reviewed the 2005 inspection report and site plan for POWTS installation, which indicated the inspector and POWTS installer thought the setback for the mound cell was14 feet away from the west property line. I measured the distance from the approximate edge of the distribution cell (access covers for the mound's pressure distribution pipes are approximately one (1) ft. in from the end of the cell) to the surveyor's lot line stake, which just barely meets the 5 foot setback. However, the mound end slope toe extends across the property line onto the neighbor's lot approximately 4 feet. This will not require the entire mound to be moved, but requires reshaping of the west mound toe to terminate at the property line. The mound's function should not be impaired; the design exceeded the minimum treatment area by 700 sq. ft. Permission will need to be obtained from the adjacent property owner, Tom Stiles, in order to complete this work. Another option may be to ask Mr. Stiles to consider granting a sanitary easement that would specifically allow the mound's ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON W! 54016 7753864686 FAX PZ @CO. SAINT-CROIX. Wl. US W W W. CO. SAI NT -QROIX. W 1, US ICI The mo "nd installation and inspection documents were completed for previous owner, Dave Zebro. have enclosed copies of the permit site plan and inspection report for your review. If you have a questions regarding compliance with POWTS regulations, feel free to contact me at 715- 386- 4680. Sinc Pamela Qui , POWTS Inspector #665054 Zoning Spec ist CC: T Stiles, 231 Muirfield Trail, Hudson rl Heise, POWTS Installer File — P &Z sanitary records ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, W/ 54016 715- 386.4686 FAX PZ @CO.SAINTCROIX.WLUS WWW CO SAINT -CROIX WI S r � Jessie Nye Subject: Carl Heise -- Troy -- 479333 - -plow Start: Fri 10/28/2005 10:30 AM End: Fri 10/28/2005 11 :30 AM Recurrence: (none) 651.492.8594- -cell 040 - 1077-90 -000 19.28.19.299E 216 County Road F / (9� 1 i 5* • y _ _ sU lti v 1 C1_i.j.1 V 14 1vT# P _ - -- . - - - - -- t► - 7 MS 30 3N1 — 1 — S — 3110SIELo0N 10£'SO£L ,zt7 •E „ „ 1�dMH9IN �IN(l�l AiN(100 596 El 0S1E loON 3uZSISSoOS �" o ,i8'ZZE ° � — Nm, {I ® - "Z � 99 ,6L'9SZ cb ? �_ -P 1N3W3SV3 AVM(IVOU - � :; x co 3N1� •c 7o o n -1 z tJ1 N C z O con � :" a�� cc v � A` m- d0- 1H0121 �o z C a X rn ° ;o ;a w m IC c !z D o S3210V l0'Z - I y m T Iz z co c IOZI ,0 ,OZI Lm 19 9 I l > o a -1 w o L I •- i ° 1334 Ni 31'd05 I v N CO V �p W CO 18 L'LSZ j z 0NI - dV38 3(1211 tD- 3,1ZS,SSoOS 0 oiler, co 1 — O W 1 _ ID o = Iz m o 0 r r !p c z m IN m m w N w O W cc 0 - -- --- - - -'�O 0 M 532IDV60'Z ° z = SC]Nd"1 a311b'�dN(1 •�o N v t°- N c = m 0 `" ��`� �'// m (/1 I C MIIOS,E IoOS m I z "'0"0000 6 11 1 00 ' 0E £ 1 00 o ON NNIJ38 6�� o O O �� i ^' LL '65Z -n - I m o d0 1NIOd tz a �i,LoLS 1> _ z m m , 96.'96 la V) M„8£,ZtroEttiv' ONINOZ aw I (/) m " I " "d ?AISN3H3edWo� m 1 ,08 =21 XIOK) '1S _ O 086L 69 83 w n 00 W MS 3S m 110 -4 N MS 3S U) Uq 00 N m ° fi I I z N 00 �� S180V 6l't► o N S3d:)V II'fr {� oo w fJ7 N + �o _ .. .. _ Co O �9 1 � � o Aj v Mu0£ALoON ILI'trS9 `��• i ° 1L1'9S£ 1 ,0086Z s p u e j p a e � 1 �9 dVVY A3ANns 4313112130 s 1 � 'rywlo� xior� y3 �© VC9.1 : C epoea ;o �otnso'd i 1aHNOD 00 s aervr 02SI9 3` d3 S 15 ` .