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040-1244-10-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 202 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Sand uist, Richard &Sharon I Troy, Town of 040-1244-10-000 CST BM Elev: Insp.BM Elev: IBM Description: /� Section/Town/Range/Map No: °f� 0- G�T 19.28.19.1243 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ` 2-60 Benchmark 7' 75 "-0 9,b, To- Dosing Alt. BM Aeration Q Bldg.Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION ' r! p�„�, O t 7:A,5#& �Z 3 77 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 1 Dt Bottom �Zv >so 37 — Dosing Header/Man. Aeration Dist. Pipe /3 ` Holding Bot. System . .O Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St ovQr V Z c15 clC GPM � Model Number a J -3 ,� TDH Lift Friction Loss System Head TDH Ft /�_ G� �. CIN , Forcemain Length Dist.to well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION T Of S % ( CHAMBER OR Type stem:Y sJ UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Le n t h Dia Dia Spacing g SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of T�7 ded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil 0 Yes No [1] Yes Ld No COMMENTS: (include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2: Location: 335 St.Anne's Par way Hudson,WI 54016(SE 1/4 NW 1/4 19 T28N R1 9W) Troy Aage Lot 1 Parcel No: 19.28.19.1243 1.)Alt BM Description= 2.)Bldg sewer length= �Q�-- rtes 0, (1e-� ZC�7 3 2 ot �� I -amount of cover Plan revision Required? 0 Yes No If 'I 7)4 Use other side for additional information. u (Q Date 4�lnse or's Sig ure Cert.No. SBD-6710(R.3/97) p! V t ' . .. V � � � �, -�- 2 :� 13.E t � � �' ll .� 4 .� �: � � \ t � - � � � � c '_ � ti �. - .¢.T � _. .�: -- z - _ - --- -�� °. . : . . . i �' . �,.. , tii County Sanitary Permit Application ST.CROIX COUNTY WISCONSIN In accord with Chapert 12 St.Croix County Sanitary Ordinance PLANNING&ZONING DEPARTMENT Personal information you provide may be used for secondary purposes ST.CROIX COUNTY GOVERNMENT CENTER f� [Privacy .S 5. 1 ] 1101 Carmichael Road t- Hudson,WI 54016-7710 !� H (715)386-4680 Fax(715)386-4686 i Attach complete plan T for the erfeper not less than 8-1/2 x 11 inches in size. y Sanitary Permit# ❑ Check if revision to previous application _ ? I. Applicati ation-Please Print all Information Location: Property Ow me .5'I" 1/4 PSI/ 1/4,Sec 91A I S4 uroN 5�'mod'yl/I S� T IP N, R / Property Owner's Mailing Address Lot Number Block Number 2Z_52 City,State Zip Code Phone Numer Subdivision Name or CSM Number A?,A1 _5�</Z /3v ht v 4rc II Type of Building: (check one) (, ❑Village JKTown of 1 or 2 Family Dwelling-No.of Bedrooms: I ❑ Public/Commercial(describe use): ❑ State-owned h- �1Neare t Road '' Il.Type of Permit: (Check only one box on line A. Check box on line B if applicable) $/ 7hyu I"�4X�'r Pw ZLax Number(s) 1.❑Repair Reconnection 3.❑Non-plumbing 4.❑Rejuvenation T A) Sanitation aY�-'/ZYy—/D —O a& B) Permit Number Date I ued State Sanitary Permit was previously issued 3g5/�3 ✓3 ,* � IV.Type of POWT System: (Check all that apply) Non-pressurized In-ground ❑ Mound>_ 24 in.suitable soil ❑ Mound<_24 in.suitable soil ❑ Mound A+0 ❑ Sand Filter ❑ Constructed Wetland ❑ Peat Filter ❑ Drip Line ❑ Pressurized In-ground ❑ Holding Tank ❑ Single Pass ❑ Other ❑ At-grade ❑ Aerobic Treatment Unit ❑ Recirculating V.Dispersal/Treatment Area Information: !�/C � f- 1.Design Flow(gpd) 2.Dispersal Area 3.Dispersal Area 4.Soil Application Rate 5.Percolation Rate 6.SysleffFEr6vation 7.Final Grade Required ,1 P T (Gals./day/s :ft.) (Min./inch) Elevation / !� VI. Tank Information I Capaidly in Gallons o al #of Manufacturer Prefab Site Con- Steel Fiber- Plastic New Existing Gallons Tanks Concrete structed glass Tanks Tanks ❑ ❑ ❑ ❑ ❑ VII.Responsibility Statement I,the undersigned,assume responsibility for repair/reconnenction/rejuvenation/installation of non-plumbing for the POWTS shown on the attached plans. A license is not required for terralift repair or the installation of non-plumbing sanitation system. Plumb is Name(print) Plumber's ig ature(no stamps): MP/MPRS No. Business Phone Number /;r„ 6 iHG 66Y>/3 Plumber's Address(Street,City,State,Zip Code) 32/ a'w i' /4h" VIII.County Use Only � // Disapproved Sanitary Permit Fee Date Is ued Issuing Agent ,ignat�re( st ps) ❑/Approved Owner Given Initial Adverse �� I 1��!!!!! Determination ! t' '[ IX.Conditions of Approval/Reasons for Disapproval ( '�`� , -,' GL4`✓C/x /~�✓t' %- i�c °� ll SYSTEM OWNER: y} -^' )" 1.Septic tank,effluent filter and Liz- as dispersal cell must be serviced I maintained �l L 0 1z G ��rl , G , per management plan provided by plumber. - w 2.All setback requirements must be maintained �' �i� �L �" �� 4 �` as per applicable code/ordinances. /CI ' i� Rev:8/05 —i (A 0 O cn C C z D z m �-- O m .• J. m r ,� X COO cn m cn o cn � o m y o O m r �- r (� � 0 o ;u D y c) m m �w � C 1 ZZ > Z o C t O C/) Fn 03 �0 ■ C)o C/) z m O cn � W Z m z IQ 10 c m m CD CL l< a W < I� m m m C7 ? W s j °.: p -I y r m --� ° m m m ai °' o c rn � � � __ � F � N� o O TI � N m p W a � o. d m o a o 0 CD W v o m m ° r' 9Z I� m o m c CD X �_ j y N _ 1 n '. Z �_ a s < -° CD M N 7 W O N C a _ N 0 a p N W ° - o m m a' '0 m m 3 y .. _J IC fl1 D C W � "1` y N m N N a: Q W :E W O m W -N.. 'WO O D7 < O ff y =(A v m N W 2 m o 3 CD a T �• Z �7 CL a c o =. o 0 m s 3 m m o v m m m C D � Z 'O n. N O y m Z r rZfl W 3 m o D D n m Fr CD 0 W m C T W N a O O Z O D W _ m = v o W o Z Z G7 Z 3 m W W = R �' 0 W ❑ ❑ ❑ °= _ ° Qm W a ivi Li 13J. iii n I I Iii i 1 i►il►I►I i ► I►►I iii ►11111 ► 8 2 6 0 4 8 5 Tx;4212$75 Document Number Document Title 1002402 St. Croix Count BETH PABST County REGISTER OF DEEDS Occupancy Affidavit ST. CROIX CO., WI RECEIVED FOR RECORD 10/02/2014 2:32 PM Ll �,OVd 'y 5l� G+JWJ1 54A7�ldl.��S EXEMPT #: Name — (Owner) Typed or printed REC FEE: 30.00 being duly sworn , states, under oath, that: PAGES: i He/she is the owner/part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Document Number 1002089 at the St. Croix County Register of Deeds Office: Recording Area A parcel of land located in the SE '/of the NW '/ of Section 19, T28N, Name and Return Address R 19 W, Town of Troy, St. Croix County, Wisconsin, being duly described `RTarz�-Sala as follows(include lot no. and subdivision/CSM or detailed legal m description): Lot 1, Plat of Troy Village in the Town of Troy, St. Croix County, Wisconsin 040-1244-10-000 Parcel Identification Number(PIN) As owner of the above described property, I acknowledge that the private onsite wastewater treatment system (POWTS)serving this residence is sized for a 2_5 bedroom home or a design flow of 371.7 gpd. Design wastewater flow(DWF) is calculated assuming 150 gal./day for 2 individuals/bedroom. A maximum of five(5)occupants are permitted based on the DWF;there are currently_occupants living in this residence. Therefore the POWTS serving this residence is code-compliant at this time. However, I understand that if the number of finished bedrooms or the number of occupants exceeds the DWF, the POWTS may be subject to premature failure and/or will need to be modified to accommodate the increased wastewater flows and/or contaminant loads. I also acknowledge that I will make this information available to any future parties interested in purchasing this property. Dated this 1S-" day of 0G-7a C � yWfk * 1 �4+.0 t:tt� ALITHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) )ss. St.Croix County. ) authenticated this day of P rsonally came before me this �_day of QpbaI Y.Y. ILA the above named j ,,,�,0i rrl Ska rb� TITLE: MEMBER STATE BAR OF WISCONSIN in me known d be the a oing (If not, instrument and cknoxvledg�y�S M-. Komro authorized by§706.06,Wis.Stats.) HHN��TT110a�T���A�u.+RciY'v'PUBLIC THIS INSTRUMENT WAS DRAFFED BY: Pamela Quinn. Land Use Specialist STATE OF WISCONSIN Community Development DeDartment ro 144 1 vy Notary Public,State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not My Commis ion is permanent. If not,state expiration date: necessary.) Date: �ti "THIS PAGE IS PART OF THIS LEGAL DOCUMENT-DO NOT REMOVE" This information must be completed by submitter: document title.name&return address and PIN(if required). Other information such as the granting clauses,legal description,etc.maybe placed on this first page of the document or maybe placed on additional pages of the document.Note: Use of a cover page adds one page to your document and to the recording fee. Wisconsin Statutes,59.43. ST.CROIR COUNTY SEPTIC TANK MAINTENANCE AGREEhIENT AND J OWNERSHIP CERTEFICATION FORM OwnerlBtzyer �A,�2d Mailing Address Property Address (Verification required from planning&Zoning Department for new construction.) City/State Parcel Identification Number 1--'ZA T °k LEG DESCRIPTION' S �,✓^' 6��i2o S,-f.�o t w Cam ` Property Location '/a, W'/,,Sec. t�� ,T �• Iii R�W,Town of .�°0)/ Subdivision 0—/ C,F ,2o V, b ,Lot#�. Certified Survey Map/# Volume ,Page# Warranty Deed# / M Z Q � , Volume , Page# Spec house yes no Lot lines identifnabl Ycs no SYSTEM MAINTEWCE AND QMER CERTHICATION Improper use and maimmnance of your septic system conild result in its premature failure to handle wastes. Proper maintenance consists ofpumping out*a septic task every three years or sooner,ifneetied,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in§Camm.83.52(1)and in Chapter 12-St.Croix County Sanitary Ordinance. Mhc property owner agrees to submit to St.Croix County Planning&Zoning Department a certification form,signed by the awns 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 113 full of sludge. I/we.,the urndersigood have read the above requirements and agree to maintahn the private sewage disposal system with the standards set forth,herehq as set by the Department of Coamwee and the Department of Natural Resources,State of Wisconsin. Certification stating that}our'sceptic system has been maintained must be coriipleted and returned to the St.Croix County Planning& Z miag Department within 30 days of the three year expiration date. Uwe certify that all statements on this forma are true to the best of my/our knowledge. Uwe amlare the owner(s)of the property described above,by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 3 SIGMA 4F APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planuisg&Zoning Department.*** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey Wisp if reference is made in the warranty deed (REV.08105) y START UP AND OPERATION ' Page -21 of 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. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter 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 another 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 reTsystem.ent system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption 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 and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ 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. ! p� T N/JI�1 aluat' a o ding jank be ' e ai e • ?fZ Dq 15 nSb, Vb R- A/>(J CafJ57-9(JC9 I DN ❑ 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 CONTAIN 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 POWTS INSTALLER / POWTS MAINTAINER Name �v1J7%� sj��' LV/?'lL�j/V�'" Name Phone 7/� - I Y(, — J_to a7 0 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name s''r G�( dVA / �Jll�l Phone Phone /S— 3 g(O_ (O gl7 This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) &(3), Wisconsin Administrative Code. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ' of 2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner ,_„ , /L-_3 L// ,S 7— Septic Tank Capacity 12—CO gal ❑ NA Permit # 2(�� ����ECFl� Septic Tank Manufacturer /�� j� 11 NA DESIGN PARAMETERS 3 GI J d 3 Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model V& ❑ NA Number of Public Facility Units sue_ /D.4�/ A Pump Tank Capacity gal ❑ NA Estimated flow (average) yGU gal/day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) �(�(� gal/day Pump Manufacturer ❑ NA Soil Application Rate gal/day/W Pump Model ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) :_30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODS) _:220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODS) 530 mg/L ❑ In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ¢�NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) :_10° cfu/100ml / ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size Y$ in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 ❑ ear(s)(s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once ever ❑ month(s) (Maximum 3 ears) ❑ NA p p every: y Clean effluent filter At least once every: ( ❑ earths) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month❑ year(s) ) NA Flush laterals and pressure test At least once every: ❑ month❑ year(s) ) *A r(s) � Other: ❑ month(s) At least once every: ❑ year(s) ❑ NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) 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 back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) 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 NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. i 82. 58952 State Bar of Wisconsin Form 1-2003 Tx:4211605 WARRANTY DEED • 1002089 Document Number Document Name BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED,made between Les J.Webster 09/25/2014 12:17 PM EXEMPT#: 17 ("Grantor,"whether one or more), REC FEE: 30.00 and Richard Sandquist,and Sharon Sandquist,husband and.wife PAGES: 1 ("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 St.Croix County,State of Wisconsin("Property")(if more space is Name and Return Address needed,please attach addendum): Q !_Aq aD SA nv d u15"f Lot 1,Plat of Troy:Village in the Town of Troy,St.Croix County,Wisconsina� (��iA (�-���2 JA4,oJ by Y Wt rJ This deed is in satisfaction of that Land Contract.dated March 1,2014 and recorded 040-1244-10-000 April 28,2014 as document 995268 in the office of the St..Croix CountyRegister of parcel Identification Number(PIN) Deeds This is not homestead property. (is)(is not) Grantor warrants that the title to the Property is good,indefeasible in fee simple and free and clear of encumbrances except: Easements and restrictions of record Dated August 26,2014 (SEAL) (SEAL) *Les J.W bst • (SEAL) (SEAL) * . * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN JUDY L. DANNA authenticated on St.Croix COUNTY OTARY PUBLIC OF STATE• WISCONSIN Personally came before me on August 26,2014 , TITLE:MEMBER STATE BAR OF WISCONSIN the above-named Les J.Webster L (If not, to me known to be the person(s)who execuied the foregoing authorized by Wis.Stat.§706:06) instrume t and acknowledgeA4e same. THIS INSTRUMENT DRAFTED BY: Les Webster Notary Public,State of Wisconsin Hudson,Wisconsin . My Commission(is permanent)(expires: 5j/l as lw ) (Signatures may be authenticated or selmowledged. Both are not necessary.) NOTE:THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED, WARRANTY DEED C 2003 STATE BAR OF WISCONSIN •FORM NO.1-2003 +Type name below signatures. St.Croix County 1002089 Page 1 of 1 I 30_6 IEW VC.clf•/ 8 J- 0 cu 235-a e:lY` . I j 1aAlz X r, c D1-- zi D �" � �,� ��'•��� IIQt-3aun C93 ZB I SUrEPR to PkT�ti r� JIB N Io.nYc.R � E �Si c' E t o Frc OO an — 6 I 0 yo �4 R 3 � � A c NL>n ,Il�za,l, mr � f w I J N 4=� E •_ I � i ig ,•- 3 i E fd ➢ i o w I jiE d; F.It a.. 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J J a 2 3 3 J � � Wisconsin Department of Commerce County: p PRIVATE SEWAGE SYSTEM St. Croix Safety and Buiing Division • - INSPECTION REPORT Sanitary Permit No: 395183 0 G INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Continental Development Corporation I Troy Township 040- 1244 -10 -000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Z Alt. BM Aeration Bldg. Seyrer ak Holdin Ht Inlet y� /Z. 2 TANK SETBACK INFORMATION S t Outlet 1 2.3 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD .Dt inlet Septic �- / .' f t Bottom Dosing Header /Man. Aeration Dist. Pipe iio H ng =7 Bot. System 10 L is 'ir o Final Grade M © J PUMP /SIPHON INFORMATION / ufacturer Demand St Cover & ' Model Number hrp e4 V0 �. . 3 TDH Lift Friction Loss Head TDH Ft a(- S � 12..2Y Fo main Length Dia. Dist. to well cf` i4 - dE �, s SOIL ABSORPTION SYSTEM /p s s�,� Z- 94P BED7A N4 Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMKNRI S 3 S� SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LE G Manufacturer: INFORMATION C�i1AAMBF OR s Type Of System: > IT Model Number. DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake w Pipe(s) i f ( Length Dia f Length 42 5, Dia Spacin 7 SOIL COVER x Pressure Systems Only xx Mound Or At - Gr ade Systems Only Depth Over IDepth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bedfrrench Edges Topsoil [W Yes [W No A 2 Yes [] No COMMENTS (Include code discrepancies, persons present, etc.) Inspection #1: ! / 3 ( /0 Inspection #2: / ! Location: 335 St. Anne's Parkway Hudson, WI 54016 (SE 1/4 NW 1/4 19 T28N ( R19W) Troy Village L (!/ Parcel No: 19.28.19.1243 1.) Alt BM Description =�Q" cth/(.�' 1hPrc StaM,.3 ° W2 A - rr4l +^ L✓�4 4, CsTs B1F 2.) Bldg sewer length = t b g- ' �tt,►r,,bers �t0 yv-o* 4W., - amount of cover = Yz " I s��llc iw Plan revision R w , ❑ Yes ❑ No Use other side for additional information. LL= Date Insepctor's Signature Cart. No. SBD -6710 (R.3197) Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 lVi sconsin Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce Submit completed form to coup i f not [Privacy Law, s. 15.04(1)(m)] ( p �' state owned.) Attach complete plans (to the county copy only) for the sy it Ohpe tnbtAeig t an 8 -1/2 x 1 I inches in size. County C U + State Sanitary Permit Number ❑ Check ' 1F wail to previous ai1pphc�tibiq State Plan I. D. N X 95 3 x° (e( 1 7tv I. Application Information - Please Print all Information i Location: Property Owner Name roperty Location # t. CO /?�' ✓� ee7l � Y)ZL ('OT7 akt 1/4/l/GUI/4,5 T 2FlN > R/ l {er)W Property Owner's Mailing Address , ! of Number Block Number (a3ol cen�- L ,v A1 5 ulft 1 City, State Zip Code Pho N ymljer Subdivision Name or CSM Number nn��+Pol� Troy v,* I i & j2 II. Type of Building: (check one) ✓ate c w „ e S ❑ c ity 13L I or 2 Family Dwelling - No. of Bedrooms : ag e I$ Public /Commercial (describe use):_ Op, , CC /ay ew- 1 5 el Q o /—o�- JSl Town of "f r0 y ❑ State -Owned F %o^+@ v se Nearest Road 1 ' n S T' AA+r, t. PK wy Parcel Tax Numbes� III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) 1,�, 24, l ' 1 7 4 3 A) 1. ULNew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System $) ❑ A Permit Number Date Issued Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) kNon pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetlands #014 ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: e7 AY V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. SystqpiZkyation 7. Final Grade Required Proposed Rate (Crass. /day /sq. ft.) (Min. /inch) Elevation 600 soo 5- 31 skr-t .7 L VII. Tank Capacity in Total # of Manufacturer Prefab Site eel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks Q60 I A00 C0444e ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) P' ber's Signature no stamps): MP/MPRS No. Business Phone Number p/4J�l�F�l1 Hvee /:l/ P,../ a;. 10 7(5` .2 6360 Plumber's Address (Street, City, State, Zip Code) Ccl f a v S Aj or ff CLd ov w / le t- s o 0 IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Su hazge Fee) s � I z, Zoo I Determination ZZS X. Conditions of Approval /Reasons for Disapproval s t S� k s Uti rn{.�, ITT sePkC �� avtr I K olt� Ca ik - li f A,_ SBD -6398 (R. 07 /00� 6 u Q✓ C�¢ au lid +J c - *+fit-- C ad �it S rece•,m�� TAL DEV CORP TEL NO.757 -25 Nov 09. >O 1u:�53 r.v4 . , �� i - , arfo�'► �'� Lit Cat - • r. .dFF Sttedrr— " rA�tki�+� s•,Ye� S •�y r % 67`- CAA Wa 00 ' J D F•' g s u' uHd FMK � �r►uc S4 fe p P ei �rFIf • 15 0 , TA OY D Lo7�' 1 • F' Titoy►. „1l "Woy -r Safety and Buildings i 401 PILOT CT STE C WAUKESHA WI 53188 -2439 TDD #: (608) 264 -8777 ,scDns n www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Scott McCallum, Governor Brenda J. Blanchard, Secretary July 09, 2001 CUST ID No.221073 ATTN: POWTS Inspector i DARRELL K HUBBELL ZONING OFFICE HUBBELL EXCAVATING INC ST CROIX COUNTY SPIA N6490 USH 63 ST 1101 CARMICHAEL RD BELDENVILLE WI 54003 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/09/20 �'!`_ \ - .- --:�- .�` Identification Numbers Transaction ID No. 661046 SITE: a"" Site ID No. 632862 CONTINENTAL DEVELOPME ` RP `�� r��t -, rLc'� Please refer to both identification numbers,. ST ANNES PKWY j above all correspondence with the agency. TOWN OF TROY, 54022 ST CROIX COUNTY ,' Z3T < SE1 /4, NW1A, S19, T2 8N, R19W LOT: 1, FOR:Y OBJECT TYPE: POWT SYSTEM REG17L T ID NO.: 801978 DISCRIPTION: 600 GPD CONVENTIONAL NONPRESSURIZED INGROUND SYSTEM 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. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the Conventional Soil Absorption Manual for Septic Tank Effluent for Private Onsite Waste Treatment Systems" SBD- 10567 -P (R.6/99) . • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of Conventional Soil Absorption component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is P g P 8 required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • 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. Slats. A copy of the approved plans, specifications and this letter shall be on -site during onstruction and open to g P inspection by authorized representatives of the Department, which may include local inspectors. All permits p Y P P r r DARRELL K HUBBELL Page 2 7!9101 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. Sincerely, FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 7 BALANCE DUE $ 0.00 THOMAS J PERKINS POWTS PLAN REVIEWER, INTEGRATED SERVICES WSMART Code. 7633, (262)521-5064, 7 :30 -4:00 TPERKINS @COMMERCE. STATE. WI. US I _ Safety and Buildings • 401 PILOT CT STE C ' WAUKESHA WI 53188 -2439 _ TDD #: (608) 264 -8777 isconsin www.commerc istsb www.wis .wisconsonsin.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary July 09, 2001 CUST ID No.221073 ATTN: POWTS Inspector DARRELL K HUBBELL ZONING O G OFFICE HUBBELL EXCAVATING INC ST CROIX COUNTY SPIA N6490 USH 63 ST 1101 CARMICHAEL RD BELDENVILLE WI 54003 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/09/2003 Identification Numbers Transaction ID No. 661046 SITE: Site ID No. 632862 CONTINENTAL DEVELOPMENT CORP Please refer to both identification numbers, ST ANNES PKWY above, in all correspondence with the agency. TOWN OF TROY, 54022 ST CROIX COUNTY SE1 /4, NW1 /4, S19, T28N, R19W LOT: 1, FOR: OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 801978 DISCRIPTION: 600 GPD CONVENTIONAL NONPRESSURIZED INGROUND SYSTEM 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. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Conventional Soil Absorption Manual for Septic Tank Effluent for Private Onsite Waste Treatment Systems" SBD- 10567 -P (R.6/99) . • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of Conventional Soil Absorption component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. .� C Q • A Sanitary Permit must be obtained from the county where this project is located in accor th requirements of Sec. 145.135 and 145.19, Wis. Stats. 0 /t 0 • Inspection of the private sewage system installation is required. Arrangements for ' ection be made with the designated county official in accordance with the provisions of Sec. 145.20(2) Scats. A copy of the approved plans, specifications and this letter shall be on -site during onstruction and open to g P inspection by authorized representatives of the Department, which may include local inspectors. All permits DARRELL K HUBBELL Page 2 7/9/01 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. Sincerely, FEE REQUIRED $ 175.00 \g FEE RECEIVED $ 175.00 '4 , � , BALANCE DUE $ 0.00 THOMAS JJ PERKINS �/ POWTS PLAN REVIEWER, INTEGRATED SERVICES WiSMART Code 7633; (262)521-5064, 7:30 -4:00 TPERKINS @COMMERCE.STATE. WI.US RESIDENTIAL APPLICATION CONVENTIONAL SYSTEM 600 GPD INDEX AND TITLE SHEET OWNER CONTINENTAL DEVELOPMENT RECEIVED ADDRESS 12301 CENTRAL AV NE SUIET 230 .JUL - 6 2001 MINNEAPOLIS MN 55434 SAFETY & BLDGS. DIV. LEGAL DESCRIPTION SE 114 NW 1/4 S 19 T 28 R 19 W TOWNSHIP TROY COUNTY ST CROIX SUBDIVISION NAME TROY VILLAGE LOT NO, 1 PARCEL ID NUMBER INDEX AND TITLE SHEET PAGE 1 CROSS SECTION & PLAN VIEW PAGE 2 PLOT PLAN PAGE 3 MAINTENCE PLAN PAGE 4 DESIGNER DARRELL HUBBELL LICENSE NUMBER 221073 SIGNATURE f PHONE 715 - 425 -6517 DATE 6/30/01 CONVENTIONAL SYSTEM MANUAL SBD- 10567 -P (R.6/99) S O�, �cF 4- w� �yrti�' iAS�Lr:M p eM•t� ?S r•ft +4�rir dr [ VWN f . - _ �• - fir.. - ; - .7 SL J APPI am }aTe mom S �c S�,fv�Y 1.2 41 i. "Y,� r•ar , r a tc � t w p c 6 # • Q �''r .z.,_ .�.� ©� 94 c/a y . �- 1, 2- - °D 1 • pzc�3�- ✓...v, !+ 'tt. ,1:7.x. ,1A�,�.•',y' S'on r' 17, 7 — fig, 25' am, * t - ;. S YS r ev" wall-13t 30 u 61 S Vol ..��_.iv ii -i•�_Y + ,i..m - .a i.z s_.._... ttS a:4_`�'_ ::'+TT• Te ^T9T.T/� +'1 �'7"•^'��' - n,'r-AL kif W"ll 1pe rrrMAte,.`4L 6 C f p° r� c„AP.. 6 �.�; 2 fl Pyrs oncc A.1 ; = Z 6 Aa✓joiy 2clx 30' Aarron Jewce . - 72 p s x 3 = al6�re 2 4 1 C*214 X. 1.9 = 3 Y f ,c re y 1 k 14o•" w llu, �{ G aP.tiJ Sey r (S to , t tvt+,� 1-Y , t a FF.�t �,,,.w,� -, t �{ or�t ow•�s� 72v g �� X• 70 Go o Qa +b+�s X ^ 6, gF"t��e s pd r - Nov 090 2033 P.03 CONTINENTAL DEW CORP TEL NO.757 -2532 G 1- . pow t Cap '+•.. r. FF st V AL �� tai S'� �!�► � . wa • .s �.„ s,re � • D F.-Ce A pi 7.4 oy • Gitid Fvt�•K � a3 tad 9v.ry� ' ce wri rw i s'.�I�s O FF.e s 7'ao . tlil!/ • Pa e of NT ' 4 g . •'�.,,.. . SYSTEM . HAN•AGEEtE ��. Management and maintenance of this system is critical to its proper operation and longevity. The system owner must be provided with a complete set of plans including the management section. GENERAL Proper functioning of any type of on -si w System stm and the quai ts dependent on the amount of Water entering de loner the level of the water. The lover the volume of water an of contaminants, the more efficient and longer lasting-the system wiYl be.. ` Typical system components include a septic - tank - to settle out and break down solids, an effluent filter at the septic tank outlet -to filter out small particles, a pump tank with an. effluent pump and controls and an absorption cell to dispose of the water in a manner which will protect the groundwater and public health. XECOMIENDATIONS 1. Install water saving devices when and where possible. 2. Repair any water leaks as soon as possible. 3. Do not pour greases, oils, chemicals such as paint or paint thinners into the system. 4. If you have a garbage disposal, use it sparingly. 5. Do not dispose of any paper products other than tissue into the system. 6. Try to avoid excessive of water in short periods of time. Spreading clothes washing throughout the week is recommended. MAINTENANCE I. The se -ptic tank should be inspected by a licensed pumper every three y ears or less and pumped ifnecessary to remove solids and scum. 2. The effluent filter must be cleaned periodically to remove any accumulated particles. It should be washed back into the septic at 6 month intervals or as per the manufacturer recommendation. 3. Periodic inspections at the observation pipes should be made by , the owner to determine if any ponding is taking place in the i absorption cell. Also check for any seepage to the ground surface. If consistent ponding or seepage is noted, a licensed pl umber should be contacted. 4. This sytem.contains an alarm which must be installed on a separate circuit from the pucip•. If the alarm activates, minimize water use . and contact a licensed F lumber immediately. CONTINGENCIES Monitoring of the volume and effluent quality may become necessary if problems develop. Monitoring must be done as the requirements iremen of COHN 83.54(2). Pumping and disposal of xastestater by nal sis and repairs are made. uc� er as be necessary while a y P P Y 1. Failed m y and systems may require removal and disposal of the o exi.stirig sand fill and replacing it -with new sand or installing an aerobic pre-treatment unit to reduce or eliminate any clogging mat.that may be present. uire 2. In- ground soil absorption systems or at -grade unit map require the installation of an aerobic pre - treatment unit or replacement may need to of the system. Additional site and soil evaluations be done and. additional plans may need. to be .prepared and approved by the Safety and Buildings Division of the Department of Commerce. CONTINENTAL DEV CORP TEL NO.757 253-2 NU V u'a , "Ll _u : -;u t' . u why Wn SOIL AND SITE EVALUATION Page l of 3 D_ -Mbbn of $a" end Buiidinp ir+ acc oM voth Comm 83.05, Wis. Adrrt. 0 " j l;rivirurww�na,l 1) r Attach aw"lo eke plan oa paper not ktm than 8% x 11 inch" in size. Plan ad* � County inckide. WWI limited to: vertical and fwruonial reference point (DM), &eation and $I.. CrUix _ percent elope. mate or Awl- +i,aions. north arrow. and locr tiers a n nd dimance to nearest toad. . Parcel 1.00 APPLICANT INFORMATION - Please prim' an Information. - - � - - -- :l PWSOnIl i ft. ietion y"a ruuvK. nwy to. sn tl * wondM Punwx�.r- Wriv . taw, W. 15.04 (1) (no). ___.. _ l '•'� a Pwpedy Ownw Property Location Continental Dmgoptnent Govt. tot SE 1/4 NW 1/4 5 19 1 29 N,R 19 W ---- ...._. -..... .... _...._.. _.. PropeAy Owwfs Mating Add+es:. Lot d t3106 ff Subd. Nam or MOM 12301 Centred Avenue NF. Sinic 73Q 1 Troy Village City State Zq) Cbda Pf*neNurnber n City LJ V§We LITo" Nearast Road - Minn lis MN 55434 Troy St. Armes Parkway New Construction Use: ; � Residential / t`umber a bedrooms q f �AddNon b exisfin9 buildir►g _�_..._.._.___ .. Replacement ( Public or commercial dewfte __....._.� Code oerlaed dally lbw ca(►u - -__... 9Pd Recommended design loading rage .7 bed, gpd/ff -K ._ trench. gpdW AbsorpSon sea required _..- .....tiS7 bed, W 7,50_ trench. W Maximum design loading rate .7 —bed. gpolR' ..__ x...._ � . 9pd� Recornrnended InWason surface elevMon(s) . U. b (as reluread to site plait benchrr►ar Additional design / Site c onsideralio n5 MW has bwo grrxled removing 6.5 to 7 feot orrnat rial so as to obtain suitable matterods Parertt material Loe over G eaciat oulwash Flood plain elevation. if ap able _ NA _ fl ru=t " for system Cv. ncn$oaat �t.1:v: t (n C,tound t>reGSUre AT C7ade System in Fill I-10din g 1 ask ,itable for s yslen► i (; a 1,„ , ( 1 S W u W S U u cl s 0 u Lis tai u ! t, S l>.1 u SOIL. DESCRIPTION RE PORT l3oriutg# "Zon tlt UominaM Color Gu. Sz Cont s Color Tex"e boundary Roots CPD/ils Bed Tnmdt - . - - 0-2(► l Uyr4l4 �.... - - — mfr.... di .6... 2 a .... ,.... 20 -90 7. Syr S/1.... ±Dsg....,.... W .7 :g.. Giotmd 91360 De* to Remarks: .... 7.Syr4l4 - s ., ml _ - .7 .9 2 -- -- - Giound elev 90.96f DWh to i limiting ... ............. factor c„I S(Y•s ()' 2R.s2/LS Remark..: CST Name (Please. IW) Signaluro: _ r �` �^ Teleptrone No. Th mss C. Nelson '�: - ---' 715- 246 -2454 Address I;avirorrrnartel lsy 1 gti Date CST Number Ref 1432 12AM Suec(, New R dkn nd, Wl 54017 3!3/94 227397 219 CONTINENTAL DEU CORP TEL NO.757 -2532 Nov 09.0 20:35 P.05 i:llae,�.�.,w SOIL. DL9CRIP'�pN REPORT 3- %p ID /.. Ho�imn D � Oonima 4 - Momes TeuAuie 9beo1� eo GPI1R` in. Lood Ou. St. Coat Color or. St Sh. Bede Trench 3 > 1 ago 7.5yr414 - s ... °i � ... _ Nd ...._ _ .�. Vw . mi. l ww ..... .. .. .. .. .. .._ .... .. . ._. _.. _ .__...r. • - dw ..omit .. .. .._.. _r.._....r._ .. .._ ._.. ..... O�phb Cog ......._ .. ...� _..._ _.... .._... .. ,. -- teolor Rsrarks:.. - .... ' s l 0-92 7.5yrW4 . _. ' _ .... s 019 - _ 7 A .Sl." 1 0-19 IOYW4 - at lnabk ndlr d - ' 6 •`� 19-" 7.Sy d d /4 - s � q� .8 � A _ ..._ . _ .... .. �... — dw 91S3A oval* Waft i �1'NMkS: . YI 1 CONTINENTAL DEV CORF TEL N0.757 - 2'53 ' Nov 09--C' 0 3` F . i 16 1 12 DO• 5� �-_ oo•- COO QOO S 740 �.�1� ftb _ -- — pp• 9 4. �nT4�� 5 �cF�n �ie 0 , L4 91 S.F. . 0 0 _ir .00 CRES O F . _ •.�- RES tTl Qc�� � to // 1� y 0 1 4d 6 cf1CV1 MM I/ o pc� -- CONTINENTAL DEV CORP TEL NO.757 -2532 Nov 09.70 2033 P.03 s'r O FF syREE?`� ^ARAiN* F wa • wi • �IL 7A *y (f /lie I F T�cey u:��.• bt i - TAI Bdnte = _ - �- I _ a. j r • + r 1 • t • • lb om • • + • • • l ei r • • • 1 - ` • ti l ST. CROIX COUNTY WISCONSIN ZONING OFFICE N / M u M ■ - r���r ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 FAX (715) 386 -4684 Maw, 2001 Charles S. Cook 11800 Aberdeen Street, Suite 100 Blaine, MN 55449 RE: Troy Village Sales Office Dear Mr. Cook: Thank you for the recent submittal of information as it pertains to the proposed Sales Office at Troy Village. As we discussed, this is a unique request that is not specifically addressed within the present St. Croix County Zoning Ordinance. The proposed temporary sales office "use" is identified in the original covenants recorded against Troy Village. The County does not enforce or regulate private covenants; however, we do regulate land uses to ensure that the public health, safety and welfare are protected. After conferring with the St. Croix County Corporation Counsel and the Town of Troy Attorney, I have decided to permit this temporary sales office structure. The Town has indicated that they will amend the developers agreement to accommodate this temporary use. I have made the determination that this "use" is similar to a model home within a subdivision setting. Historically, we have not regulated model homes; model homes are permitted as single - family dwellings and used temporarily by builders and sales staff. This Troy Village sales office is to be used by builders, their sales staff and lot buyers exclusively for matters that pertain to Troy Village. The temporary sales office is approved subject to the following conditions: 1. The sanitary permit must be obtained for the temporary sales office before this permit is valid. 2. The structure will be located on a compliant residential lot, meeting all structural setback requirements. 3. Adequate off - street parking must be provided. 4. Signage shall not exceed 32 square feet. 5. The structure must meet applicable building code provisions. A building permit must be secured from the town. Contact Brian Wert building inspector for the town of Troy. This permit may be issued in conformance with Comm 50.03 (6) Temporary Use. r, 6. The septic that is designed will be installed so that it may be connected to a future residential home (once this temporary Troy Village sales office is no longer needed). 7. Once the need for the Sales office ceases for Troy Village, the sales office structure must be removed. 8. The use will strictly follow the provisions listed in your letter dated May 22, 2001. 10. This Troy Village sales office is to be used by builders, their sales staff and lot buyers exclusively for matters that pertain to Troy Village. If you have any questions, please do not hesitate to call. Sincerel , Steven Fisher Zoning Director Cc: file John Ruemmele, Chairman Town of Troy Town of Troy Attorney anOeparm*ntotlndusuy SOIL AND SITE E VALUATION REPORT Page I at I Ind Human RManons ,n or Sataty s ewtddngs in accord with IL.HR 83.05. Wis. Adm. Code COUN iY ,tech complete site plan on paper not less than 8 1 size. Plan must include, but ST. CROIX wt limited to vertical and horizontal reference 8t i 9ry of slope, scale or PARCEL I.O. p dimensioned, north arrow, and location and o newest ro b+ APPLICANT INFORAAATION -AIEAS T ARE� REVI DATE PROPERTY OWNER: �pp ROPERTY LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND . 'E1& RU, 3 1997 OVT. LOT 114W 1/2S 19T 29 NR 19 -&(o W PROPERTY OWNER':S MAILING ADDRESS ST CROIX a t OT x -91:013" SUM NAME OR CSM a 260 COUNTY ROAD F COUNTY 1 TROY VILLAGE CITY, STATE Z!P C00 CITY ILLAGE OWN NEAREST ROAD HUDSON W 54016 — TROY AI FS �ICWA `Q New Construction Use [K j Residential / Numbe s 4 ( j Addition to existing Wilding l 1 Replacement ( ( Public or commercial describe Cade derived daily flow 600 g pd Recommended design loading rate _ bed. gpd/tt trench. gpdM' Absorption area required bed. ft X00 trench, ft Maximtun design loading rate . r bed, 9pd/ft D- & trench, gpolft Recommended infittration surface elevations) BY DESIGNER K (as referred to site plan benchmark) Additional design / site consideratt /t/oTE5 avv Parent matenal i5s OvTw�S Flood pWn elevation, if applicable N/A It S = Suitable for System CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FlU. HOLDING TANK U= Un table for system I Q s Z U I cg s O U' Q S Z U I Q S X11 I Q S Cu 0S (i� U SOIL. DESCRIPTION REPORT Boring # Horizon Depth Dominant Color I Mottles (Texture Structure Boring Roots GPD/ in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Tr nch -13 110YR, 3/2 I - -- Isl 2m -csbk Imfr Icw 2vf - fI 0.5 0.6 f 28�%�� B11 13 -21 1 10YR 4/4 - -- Isl 2csbk mfr �gw lvf —f 0.5 . 0.6 B12 1 - 26 110YR 4/4 I - -- s1 13f-msbk mfr Icw lvf 0.5 0.6 Ground elev. Z 6 -45 110YR 6/6 Ic3p 5YR 5/8 is Osg ml Icw l vf I - -- --- 90 1 ft. 3 5 -51 I-5Y 6/6 c 5YR 5/8 sicl 2f -m6bk I mfi Icw 1 1vf - -- - -- Depm to limiting 1 -72 OYR 6/4 Ifld 5YR 5/8 gls j osg ml i - -- of ( - -- - -- factor 26! Ar Remarks: x Boring # ' A 0 -15 1OYR 3 I •___ . ' ` "s'1 ""'" lcsbk mfr gw 2vf- 26 B1 15 -28 10YR 4/6 - -- is lcsbk mvfr w 2v - B2 28 -39 lOYR 5/6 m3 5YR 5/8 icl 3mabk - -- - -- Ground 10YR 7/2 9 4 ' 3..9 B3 9 -55 10YR 6/6 m30 5YR 5/8 - -- C 5 -72 10YR 6/4 £lf 5YR 5/8 jZ1s l osg ml - -- - -- - -- Depth to limiting factor 28" ^ Remarks: FMT am e —Plwe Ptintt jgMEg 'D. R KINS Phone (715) 425 -7831 OGDEN ENGINEERING CO.. 113 WEST WALNUT ST., RIVER FALLS. W1 54022 � Data: l° 3988 ,EF#TYOWNER SOIL. OESCRIPTION REPORT Page 2 of 3 gCEL1A.0 Oeptn I u. O Color I MOM8s (Texture I Structure IC,or�ncelftuvay I Roots GPD /tt Bonng # Ho nzon in Munsell O SL Cont. Odor Gr. Sz. Sh. Bed ITmrctt l Al 10 -13 10YR 3/2 - -- sl 2csbk mfr gw 2vf 0.51 0.6 A2 2 13 -26 10YR 3/3 - -- sl 2m —csbk mfr gw lvf— 0.51 0.6 Ground B1 26 -32 10YR 4/6 - -- c 2 — 10.5 i 90 n BZ 32 -43 lOYR 4/6 c3d 5YR 5/8 sicl 2mabk mfi gw lvf— - -- - -- Depth t B3 43 -57 lOYR 6/6 cld SYR 5/8 sil 3mabk mfi cw lvf -- - -- factor C 57 -72 10YR 6/4 - -- is Osg ml - -- lvf - -- ` - -- 32 " 1 Remarks: Horizon B2 has pockets of 10YR 5/6 s, Osx, ml Boring # Ground elev. ft. Depth to I I li mrong factor I I 1 Remarks: Boring # I I 1 I ( I I I 1 I Ground I I Mew. Depth to limiting I i factor I 1 Remarks: Bonng # - Ground elev. It Depth to limiting facto 7 I Remarft 380- a�o(A.otr�1 i PAGE 3OF3 SITE PLAN 140TES: PROVIDE MINIMUM OF L' SAND BETWEEN BOTTOM OF BED AND EXISTING GROUND. MOUND TO BE A MINIMUM OF: 25' FROM DWELLING; 50' FROM WELL; 5' FROM LOT LINE. S T, 1111VNez I y � Go T Z 6,9 Env = Qoz•7¢ I i a s� -z e 4 - ,1/ SCALE: 1 " = 40' !� OGDEN ENGINEERING CO. JAWS D. FILKINS, CSTM03988 Civil Engineers & Land Surveyors � 113 W. Walnut {7 5) 425 -7631 Falls, WI 54022 DATE: ST CROIX COUNTY SSMC TANK MADaMNA14M A AND OWNERSMP CWTHWATM FORM OMOerlBuyer h T�'h e �tk L 0 e (e4W`KeAe ca )-p M a t s A,ddreeg 3 6 1 C e l l l-a L 46 IUD' Sc., y'e 2 3 a yAdd. 33S s t a fines Pet rkWk (Naridadimuatahed doom Pbm ft D ftmUresd fw ww at a-ft Hud So) w f 5YO /L Parcel Ydetitificadcm Nbmbar ^ G�o property T axem S. _ V., � y., sm. l � . T 2 � N-R. LW, Tollm of � Subdi mbim 7`ho Y v t t a y� _ # _ l r Cerdeed SOW" FAM # � Yohmae - . Peke # Wt ty D # SS19 G . V ob M 2 L/ l Pt e # 2S14 $pea b mm O ya ® no Lot Balsa tde Q yee (3 no sae+awlmd dommoofyowaepoCgammowldaa ttia tp Sib�vm6�dte .rropermdalm�tx aonLb a[p oat do septic tmah eveay da+de yam or nook; if noodedby a liooaeed l 0o* I 1 FAW yoa pad iris do 3 esa swot riser fWrotider d t6a septic tact sa a teeatmeat stags in the ember diipoal ayabeor. mo psopetty owmer spa m sect m St: Cook Zooiap Depsetmeat a as ifiDdi n lam. Biped by So mast Ed by a 3 Pia tat edpivu�becacaiioaredptaapary l dw(l)riteas-dtewwim —lud gwaalrelieae is is pespec opeesdingoaeodidm aedtarCl} sDerimpeatios►ssxl (it'meoea�►).ffie septic taaici few Baer t/3 t�tfl a[ertl/e. Uwe. the adenWW tars cad dw ob m moirommole sod sgtee a mwh tk do pause sewaip ARM" aystass wdbr t� samd� set hfk >r=106 ss set by d o Deparbmeat of C mmo and tha Dspsrb aM of r aMd Remffoee. ft to d Wb=MbL Cwdfi"on ddbg tram ym seek system hes been mddsined mat he completed sad tdwwd m dre 9t. CYak C=NW ZO ft Ohba v11r a 90 s was Cr DTs I (me) co ft that A adomosb an this form ere bane a do bat of SW (oaf losoWWB& I (WO) am (UP) 10 mss) of Bra 60% Im"e of a wamamy dad ncoodod in Regi W of Deer& Office. (t CC�� _16 am 1A'I'(IdB ) F APKJCAM DA'TS *** * Any imformadw that is avuieaeµeeerreedmay teeolt in the mibul►permit bdeg ta�r0loed by Bra ?miod Dept boards UM Mrb sppdemdm a stomped wra nNO dad Dam the Register of Deeds oboe a o" . the Ca MW =t " aasp if rea ssooe Is made in rise deed r - 55996.1 WARRANTY DEED b ocument No YO(. I NI PQrE ?5 4 This Deed, made between $T CAOIX Ca. W1 J ohn R em_mele and Barbara A Ruemmele his wife and Thomas _T I W"f° Ruemmele and Nell L. Rum mele his wife _ , MAY, 2 7 1997 Grantor, - - and 3:15 FM Troy Development e Corporation ` .. Al...r - 4k 014k Floodor of Doeft Grantee, Witnesseth, That the said Grantor, for a valuable consideration TWs spue remved row Recording Dua NAME AND RETURN ADDRESS conveys to Grantee the following described real estate in St. Croix County County, State of Wisconsin: (Parcel Identification Number) Lots to hrough 45, Lots 47 through 65 and Lots 68 through 70 of the Plat of Troy Village, St. Croix County, Wisconsin and that portion of Outlot 8 of the Plat of Troy Village described on Exhibit A attached hereto, and $ AgER Outlots 1 and 3 to the Plat of Troy Village, St. Croix County, Wisconsin A portion of the above described property is homestead property of the Grantors, John J. Ruemmele and Barbara A. Ruemmele. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And Grantors warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, covenants, restrictions and highway rights of way of record and will warrant and defend the same. Dated this 2� n 41 Cl1 J '- 8 ao p0' C 12N N 89 0 40' 21 " W - S 8 "G 0 _ r 00 N �� 00 00„ Ey C25 =�� 0�••E 586.61' Lo C27 89 94, S .00 0 00' 00" W o� w �- cn 93.94' a) 0 43913 S.F. a rn p O o 1.008 ACRES 0 0 2 ,- c 44018 S.F. pD_ 0 z 1.011 ACRES �1?�0 ul 6� M E 316882 3 65• I_ S.F. O ACRES 6 ti S 1/4 CORNER SECTION 19 T28N, R 19W (PK NAIL IN 2" IRON PIPE) I OUTLOT 2 '2 \4 D COUNTY SECTION CORNER MONUMENT, FOUND, BERNTSEN CAP UNLESS OTHERWISE NOTED. 2" X 30" IRON PIPE WEIGHING 3.65# /LINEAL FOOT SET. I" X 24" IRON PIPE WEIGHING 1.68 # /LINEAL FOOT SET AT ALL OTHER LOT CORNERS. 1" IRON PIPE, FOUND. _ UTILITY EASEMENT, 10' WIDE UNLESS OTHERWISE SHOWN. DRAINAGE EASEMENT, 10' WIDE UNLESS OTHERWISE SHOWN. - — BUILDING SETBACK LINE, 75' UNLESS OTHERWISE SHOWN. EXISTING BUILDINGS EXISTING SILO _ KUGEL SHEET 2 OF 3 I V �� Mp,R 3 1 1991 Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 06.06, Wis. Adm. Code Environmental By Design Attach complete site plan on paper not less than 8% x 11 inches in size. Plan mull County include, but not limited to: vertical and horizontal reference point (BM), direction and St Croix percent slope, scale or dimemsions, north arrow, a taori anddistance to nearest road Parcel I.D.# APPLICANT INFORMATION - P# it !`all hnformat an. v' By Da )e Personal information you provide may be used for. y purp7l 06 ( y Law,x 1 (1) (m)). (, b Property Owner " f r`f, Pl�perty LaolNon Continental Development j `/ 4 � Go . Lot SE 1/4 NW 1/4 S 19 T 28 N,R 19 W Property Owner's Mailing Address # $lock # Subd. Name or C8M# 12301 Central Avenue NE, Sui - 230 . :,,`'` `� ` 98 1 Troy Village City State 1p,06de ., (fiber sc" City ❑ Village ®Town Nearest Road , Minneapolis MN \ ` ' `'GE ! Troy St. Armes Parkway Z New Construction Use: Z Res[ % I urnbeV o rooms 4 ❑Addition to existing building F-I Replacement [:1 Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd/fP 8 trench, gpd/R' Absorption area required 857 bed, f 2 750 trench, ft' Maximum design loading rate .7 bed, gpd/ftz .8 tr ench, gpd/fF Recommended infiltration surface elevation(s) 90.00 ft (as referred to site plan benchmar Additional design / site considerations site has been graded removjn a 6.5 to 7 feet of overburden so as to obtain suitable soils (fl tu^nh avCk 4 v b� mov 57g(crn de scri t.1 aw•cs or" ,0 f7 Parent material facial sand Flood plain elevation, if applicable ft S= Suitable for system Conventional Mound In - Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system ® S ❑ U ❑ S ®U ® S ❑ U ❑ S ® U ❑ S ®u ❑ S ® U SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure Consistenc Boundary Roots GPD/fF Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed Trench 1 1 0 -20 10yr4 /4 - sl l msbk mfr di - .5 i .6 2 20 -90 7.5yr5/4 - s Osg ml - - .7 .8 Ground elev 91.38 ft Depth to limiting factor >90 Remarks: 2 1 0 -96 7.5yr4/4 - s Osg sl - - .7. ; .8 Ground elev 90.96 ft Depth to limiting factor >96 Remarks: CST Name (Please Print) Signature: Telephone No. Thomas C. Nelson - 715- 246 -2454 Address Environmental By Design Date CST Number Ref# 1432 120th Street, New Richmond, Wl 54017 7/27/98 227387 84 PhOPERTY OWNER: Continental Development SOIL DESCRIPTION REPORT ® Page 2 0 3 PARCEL I.D.# Environmental By Desi Horizon Depth Dominant Color Mottles Texture nsistence Boundary Roots GPDIW exure in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 3 1 0 -90 7.5yr4/4 - s 0Sg s1 - - .7 .8 Ground elev 90.80 ft Depth to limiting factor >90 Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: L ENVIgONMENT BY D 1432 120 'h STREET, NEW RICHMOND, WISCONSIN 715- 246 -2454 PROJE j NAME TROY VILLAGE DESCRIPTION: S '4, NW%, SECTION 28 „T 28N, R19W TOWNSHIP: TROY COUNTY: ST.CROIX LO"I .1 SUBDIVISION: TROY VIU AGE 0 I u � C SCALE 1 =30' Tom Nelson BM 1 NE LOTcorner lot 2 top of telephone pedistal elev 100' cstmo2605 BM 2 Nw Lot corner lot 2 I f i W:c�'��fYtiln 1 >np:a la,ont of Go.f rn rr�f�_ -' SOIL AND SITE EVALUATION t)ivisior: of Saloly and Buildofgs Page of l3weau of Inlegralod Services; in accordance with s. ILHR 83.09, Wis. Adrn. Code Attach complete silo plan on paper not less than R 112 x 11 inches in sizo. Plan must County include, but not limited to: vertical and honiontal reference point (CiM), direction and C percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. # APPLICANT INFORMATION - Please print all information. Reviewed by Date Personal mlormaeon you provide may he used for secondary purposes (Privacy Law, s. 15.Q4 ( (m)). Property Owner Property Location C " l�4 Co Govt. Lot 1/4 1 /4,S T N,R E (or) W Property Owner's Mailing Address L Blocks Subd- Name or CSM# City State Zip Code Phone Number City ❑ Village Town Nearest Road 7 ^ � ® New Construction Use: ® Residential / Number of bedrooms 1 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow _ ('00 gpd Recommended design loading rate • 7 bed, gpdA 1 � trench, gpd/ft Absorption area required bed, ft trench, ft Maximum design loading rate bed, gpd/ftZ trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/site considerations Parent material (9c/4 w a c f Flood plain elevation, if applicable e— ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system 9 S El & U S❑ U kaS El as 1:1 U ❑ S B U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench 1 �— Ca� Ground elev. ft. Depth to limiting factor _ ? in. Remarks: Alok,: Onsi><` -7 3 pJorirtgS i OPed1 A �� ✓�C �.AGr 71st g/�f ! �/ `S de CC- r'r p- C� 0 5 "r-f � L J • SAFETY AND BUILDINGS DIVISION Field Operations Bureau 13 East Spruce Street Visconsin Chippewa Falls, WI 54729 Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary February 05, 1999 CUST ID No.263197 DATE RECEIVED 08/19/1998 FEE REQUIRED $ 80.00 ENVIRONMENTAL BY DESIGN FEE RECEIVED $ 80.00 1432 120TH ST BALANCE DUE $ 0.00 NEW RICHMOND WI 54017 WiSMART code: RE: FILE CLOSED TRANSACTION ID NO. 143680 SITE: SITE ID: 1260 ST CROIX COUNTY, TOWN OF TROY SE 1/4, NW 1/4, S19, T28N, R20W TROY VILLIAGE - LOT 1 FOR: DESCRIPTION: LIFT MOUND RESTRICTION ON LOT 1 OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 420395 Due to failure to respond to our request(s) for additional information for more than 30 business days, the submittal as described above has been CLOSED with no action taken. No refunds of fees P aid to date shall be made. One copy of the submittal will be retained in the office listed above. The balance of the submittal is being returned. Should you desire to proceed with this project, new fees, completed application form and submittal of plans /specifications will be required. Inquiries should be directed to me at the telephone number listed below, or at the address on this letterhead. Please refer to Transaction ID No. referred to in the regarding line when making reference to this correspondence. Sincerely, j y G. J nsky, stewate pecialist Operations Bureau (715) 726 -2544 Voice ti (715) 726 -2549 Fax \; ljansky @commerce.state.wi.us cc: Derrick Construction - New Richmond, WI G ' �'• �' `' " v� i� St. Croix County Zoning - Hudson, WI ST CFK)IX ZONINGOFFICE Safety and Buildings Division 15837 USH 63 Hayward, WI 54843 -8107 isconsin Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary Department of C ommerce March 28, 1999 CUST ID No. 263197 + ; 477N.• INSPECTOR ZONING OFFICE ENVIRONMENTAL BY DESI E <<- ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017 �`' ' i � HUDSON WI 54016 RE: CONDITIONAL APP dVAL Identification Numbers APPROVAL EXPIRE 03/28/ +lo oFfii `;v Transaction ID No. 143680 SITE: ST CROIX COUNTY, TO O]V 1 Site ID No. 1260 SE 1/4, NW 1/4, S19, T28N, R19 Please refer to both identification numbers, LOT 1 TROY VILLAGE above, in all correspondence with the agency, FOR: DESCRIPTION: MOUND RESTRICTION RELEASE - LOT 1 OBJECT TYPE: POWTS REGULATED OBJECT ID NO.: 420395 The Department has reviewed the request to release the mound restriction on the above referenced property. This request is supported with information that indicates this property is acceptable for development with a below grade soil absorption type private sewage system. Therefore, the Department waives the above mentioned restriction and has no objection to the development of this property provided that the private sewage system is constructed in accordance with the applicable requirements of Chapter Comm 83, Wisconsin Administrative Code. Conditional certification is hereby made to waive the mound system restriction on this lot provided the following condition(s) are met: 1. The release and waiver of this lot restriction should be incorporated into a correction instrument under s. 236.295, Wis. Stats. This recommendation will eliminate future questions regarding the restriction on the recorded plat. 2. This lot has a preplanned soil absorption system area, and as such no development (except system installation) shall occur within the preplanned area. Development adjacent to the preplanned area shall meet appropriate setbacks so as not to jeopardize initial or replacement private sewage system installation. Pursuant to Com 87.04 (7) (a) 2., Wis. Adm. Code, any changes to the location or extent of the preplanned area will require Department review and approval. This certification does not include review of the design for the proposed private sewage system. All other applicable criteria, as contained in chapter Comm 83, Wisconsin Administrative Code, must be met prior to issuance of the sanitary permit for a project at this site. All permits required by the city, village, township or county shall be obtained prior to installation. i I • ENVIRONMENTAL BY DESIGN Page 2 3/29/99 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 08/19/1998 ji FEE REQUIRED $ 80.00 Q ' FEE RECEIVED $ 80.00 eroy G. J ky, Wastewater Spe alist BALANCE DUE $ 0.00 Field Operations Bureau (715)726 -2544 Voice (715)726 -2549 Fax WiSMART code: ljansky @commerce.state.wi.us CC: DOA -Plat Review Derrick Construction ' -FROM : TOMOandOSTACEYONELSON PHONE NO. 00000000000000000 MAR. 04 1999 09:25AM P1 co Cl 12 2 . 4,59 00 fp �l ooll o o -- - -. Q QQ . C25 5s/ l ¢► �a be- t,1O1; r tai n e row t �� � ,.... wr,.�..r,.r S Q I C G \ S �ti X 440 91 S.F. 1.00 ACRES co 0 ).F. CRES rn z .: � o R' a s w 1 44 0� P Borehole, ,o j . • 11rri rissinliepartmentofCommerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Environmental BY Design Attach complete site plan on paper not less than 8'h x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (SM), direction and St. Croix percent slope, scale or dimensions, north arrow, and locatio istance to nearest road. Parcel LD.# APPLICANT INFORMATION - Please W � n ation, Personal information you provide may be used for r (Privacy Law, s. 15.Q44 (1) (m)). a By Date __j i ks Pro Owner cn ; ._.. Property Prgp�rty Location Continental Develo meet ? ;" f, iI Govt Aot SE 1/4 NW 1/4 S 19 T 28 N,R 19 W Property Owner's Mailing Address - r Lot#' Block # Subd. Name or CSM# 12301 Central Avenue NE, Suite `% c . 1 19Q0 24 Troy Village City State Zip',Code 1 O.; M C' ❑ Village ®Town Nearest Road Minneapo MN c Troy St Annes Parkway New Construction Use: Residential f faulberv(bQ s 4 ❑Addition to existing building Replacement [] Public or co Code Derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd/fF .8 trench, gpd/ftz Absorption area required 857 bed, fts 750 trench, fts Maximum design loading rate .7 bed, gpd/W .8 tr ench, gpd/ft Recommended infiltration surface elevation(s) 88.00 it (as referred to site plan benchmar Additional design / site consideration 6" top soil to be replaced Parent material glacial sand Flood plain elevation, if applicable ft S= Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in FRI Holding Tank U= Unsuitable for system ®S ❑ U ❑ S ® U ® S ❑ u ❑ S ® U ❑ S O U ❑ S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ftz goring# Horizon in Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 1 1 0 -125 7.5yr6/4* - s osg sl - - .7 .8 Ground elev 91.7 ft Depth to limiting Alternate area to be mound syatem as described by James Filkins on 4/10/97. factor >125 Remarks: with bands of cs 7.5yr4/4 2 1 0 -120 7.5yr6/4* - s* Osg sl - - .7 .8 Ground elev 90.38 ft Depth to limiting factor >120" Remarks: * banded with cs 7.5 4/4 CST Name (Please Print) Signature; L` Telephone No. Thomas C. Nelson 715- 246 -2454 Address Environmental By Design Date CST Number Ref # 1432 120th Street, New Richmond, W1 54017 7/16/98 227387 81 RROPERT? OWNER: Continental Development SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D.# Environmental By Design Depth Dominant Color Mottles Structure GPD/ft Horizon Texture nsistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed 'Trench 3 1 0 -110 7.5yr6/4 - s osg sl - - 7 8 Ground elev 90.70 ft Depth to limiting 6 "topsoil to be placed on surface factor >110 Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor TT Remarks: . 0 � �L BY DE51G ��V �� 1�JrT 1432 120th STREET, NEW RICHMOND, WISCONSIN 715- 246 -2454 PROJECT NAME TROY VILLAGE DESCRIPTION: SWV4, NWT /, SECTION 28 „T 28N, R19W TOWNSHIP: TROY COUNTY: ST.CROIX LO"I w SUBDIVISION: TROY VILLAGE r s � w V 'b V ? �\ 1,5_0 SCALE 1 " =30 ' Tom Nelson BM 1 NE LOT corner lot 2top of telephone ped elevation 100 cstmo2605 BM 2 Nw lot corner lot 2 elevation93.98 i ^ . :grfn Onparlrnent of Cununur`'r SOIL AND SITE EVALUATION Division of Safety and Building% Page of Bureau of Integrated Service!; in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than A 112 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel W. # APPLICANT INFORMATION - Please print all information. reviewed try Date Personal informauon you provide may he used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner � ` Ci � �� � Property Location �%„ Govt. Lot 1/4 1/4,S T N,R E (or) W Property Owner's Mailing Address L Block# Subd. Name or CSM# City State Zip Code Phone Number City ❑ Village Town Nearest Road ® New Construction Use: ® Residential / Number of bedrooms 1 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow _ 0 0 gpd Recommended design loading rate 7 bed, gpd/e trench, gpd/ft Absorption area required bed, ft trench, n Maximum design loading rate bed, gpd/ft trench, gpd/ft Recommended infiltration surface elevation(s) n (as referred to site plan benchmark) Additional design /site considerations Parent material 0y4 k. C� C Flood plain elevation, if applicable / c , n S = Suitable for system Conventional ,M— ,o/und In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system 9Ts ❑ U & S ❑ U L�S ❑ U �S ❑ U ❑ S U ❑ S ® U SOIL DESCRIPTION REPORT Bolin # Horizon Depth Dominant Color Mottles Structure GPD/ft 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench OtRl Ground CJ' elev. Depth to limiting factor �in. Remarks: A On -,;I 7 1 3o/G7Zj — Vae* - S wY.✓e_ Open (r a r S0 I c fici�a f Ve l: �7 YGt,c �ool/am 14A.e ✓ r� r�G t Gv % �`i 4A, So � / � s wee `s Cie , f O p i 0 �' f � o �[ G S 4 C c�.�✓�c 1- S c rr a opt � s� L7V cod- SAFETY AND BUILDINGS DIVISION Field Operations Bureau 13 East Spruce Street isconsifn Chippewa Falls, WI 54729 Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary February 05, 1999 CUST ID No. 263197 DATE RECEIVED 08/19/1998 FEE REQUIRED $ 80.00 ENVIRONMENTAL BY DESIGN FEE RECEIVED $ 80.00 1432 120TH ST BALANCE DUE $ 0.00. NEW RICHMOND WI 54017 WiSMART code: RE: FILE CLOSED TRANSACTION ID NO. 143687 SITE: SITE ID: 1260 ST CROIX COUNTY, TOWN OF TROY. SE 1/4, NW 1/4, S19, T28N, R20W TROY VILLAGE - LOT 2 FOR: DESCRIPTION: LIFT MOUND RESTRICTION - LOT 2 OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 420414 Due to failure to respond to our request(s) for additional information, the submittal as described above has been CLOSED, with no action taken. No refunds of fees paid to date shall be made. One copy of the submittal will be retained in the office listed above. The balance of the submittal is being returned. Should you desire to proceed with this project, new fees, completed application form and submittal of plans/specifications will be required. Inquiries should be directed to me at the telephone number listed below, or at the address on this letterhead. Please refer to Transaction ID No. referred to in the regarding line when making reference to this correspondence. Sincerely, L oy G. J ky, W water Sp ialist ield Oper 'ons Bureau / (715) 726 -2544 Voice (715) 726 -2549 Fax r Ijansky@corrmierce.state.wi.us .� cc: Derrick Construction - New Richmond, WI St. Croix County Zoning - Hudson, WI ST CRUx ;<XiNTY ?CNING OFFICE Safety and Buildings Division 15837 USH 63 Hayward, WI 54843 -8107 Visconsin Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary Department o f Comm March 28, 1999 CUST ID No. 263197 ATTN.- INSPECTOR ZONING OFFICE ENVIRONMENTAL BY DESIGN -' CROIX COUNTY SPIA 1432 120TH ST f �' rn r - "n f 1 CARMICHAEL RD NEW RICHMOND WI 54017 f" SON WI 54016 F.t R.Me r, e R 49 ... RE: CONDITIONAL APPROVAL Identification Numbers APPROVAL EXPIRES: 0/28/2001 uleN �E Transaction ID No. 143687 SITE: ST CROIX COUNTY, TOWN, OF T Y �" Site ID No. 1260 R SE 1/4, NW 1/4, S19, T28N, R10W Please refer to both identification numbers, LOT 2 TROY VILLAGE = -! above, in all correspondence with the agency. FOR: DESCRIPTION: MOUND RESTRICTION RELEASE - LOT 2 OBJECT TYPE: POWTS REGULATED OBJECT ID NO.: 420414 The Department has reviewed the request to release the mound restriction on the above referenced property. This request is supported with information that indicates this property is acceptable for development with a below grade soil absorption type private sewage system. Therefore, the Department waives the above mentioned restriction and has no objection to the development of this property provided that the private sewage system is constructed in accordance with the applicable requirements of Chapter Comm 83, Wisconsin Administrative Code. Conditional certification is hereby made to waive the mound system restriction on this lot provided the following condition(s) are met: 1. The release and waiver of this lot restriction should be incorporated into a correction instrument under s. 236.295, Wis. Stats. This recommendation will eliminate future questions regarding the restriction on the recorded plat. 2. This lot has a preplanned soil absorption system area, and as such no development (except system installation) shall occur within the preplanned area. Development adjacent to the preplanned area shall meet appropriate setbacks so as not to jeopardize initial or replacement private sewage system installation. Pursuant to Com 87.04 (7) (a) 2., Wis. Adm. Code, any changes to the location or extent of the preplanned area will require Department review and approval. This certification does not include review of the design for the proposed private sewage system. All other applicable criteria, as contained in chapter Comm 83, Wisconsin Administrative Code, must be met prior to issuance of the sanitary permit for a project at this site. All permits required by the city, village, township or county shall be obtained prior to installation. r ENVIRONMENTAL BY DESIGN Page 2 3/28/99 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 08/19/1998 FEE REQUIRED $ 80.00 FEE RECEIVED $ 80.00 Leroy G. ky, Wastewater S ialist BALANCE DUE $ 0.00 Field Operations Bureau (715)726 -2544 Voice (715)726 -2549 Fax WiSMART code: Ijansky@conunerce.state.wi.us CC: DOA -Plat Review Derrick Construction t "FROM TOMOandOSTACEYONELSON PHONE NO. : 00000000000000000 MAR. 14 1999 10:55PM P5 a $.94 ' a 9 mop" .r.. _.._ . C112 so .,.r..� C25 9 $ . g4 �a X O W v RECEIVED O O p MAR 15 1999 c0 O S 'FETY M-)GS. DIV. Lip © Clq 1,01 1 ACRES w w 5X -75 Q , b — lop of HE i9f Urn e - (SM2.Top c� t)W 1oi Garner lronF t % 93.95 o 0 w .consin oepanarmw nt of industry. SOIL AND SITE E V A L J A T I O N REPORT Page L of I_ Libor and Human Relations t- Divnton of SeteN s 13-idngs in accord with ILHR 83.05. Wis. Adm. Code COUNT( Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but ST. CROIX not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.O. a dimensioned, north arrow, and location and distance to nears LLAA APPLICANT INFORMATION- PLEASE PRIN REVIEWED BY OATS PROPERTY OWNER: r 1 = EATY LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE &JOHN AND BARB UIE Et 114W 1 /2S 19T 29 NR 19(«) W PROPERTY OWNER':S MAULING ADDRESS _ 1 -9tWl( 0 SUBO. NAME OR CSM 0 260 COUNTY ROAD F TROY VILLAGE CITY, STATE ZIP CODE "'HOIA ILIAGE OWN NEAREST ROAD HUDSON W 54016 ) 6 L .lis It QA New Construction use (X J Residential o)be ( ] Addition to existing building L ] Replacement ( J Public or ca rri Code derived daily n 600 gpd Recommended design loading rate _ A4 - bed. gpd/ft trench, gpdM Absorption area required DD bed. ft - +W trench, ft Maximum design loading rate D, ¢ bed. gpdM ,0• s trench, gpd/ft Recommended infiltration surface elevation(s) BY DESIGNER it (as referred to site plan benchmark) Additional design I site considerations J ND TES DN P�9 e 3 Parent material S GL mvTk/ Flood plain elevation, if applicable N/A it S - Suitable for System I CONVENTIONAL MOUNT) IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U- Unsuitable for system I❑ s 9u I WS 0 u ❑ s �3f U I ❑ s 1� u I rl s ®'U a s Ru SOIL DESCRIPTION REPORT Horizon Depth Dominant Color MOtI>es (Texture Structure C.ortslaoence 8 Roots GPD 7Trmen1cM in. Munsell Cu. Sz. Cont Color Gr. Sz. Sh. Bed I Bonng # A 0 -9 1OYR 3/3 - -- sl 1 2msbk mfr a 2vf- 0.5 0.6 >328 i' B1 9 -20 lOYR 4/6 I - -- sl Ilmsbk mfr cw lvf- 0.4 0.5 B21 20 -28 lOYR 4/6 - -- sicl 2mabk mfr cw lvf 10.4: 0.5 Ground elev. B22 28 -31 lOYR 4/6 Ic2f 5YR 5/8 sicl 2mabk mfr gw lvf - -- - -- 903. ft Depth to B3 31 -49 2.5Y. 6/4 Im3d 5YR 5/8 sil lcabk mfi Tai (lvf I -- - -- limiting C 9 -72 10YR 5/6 I - -- s 70sgml - -- Ilvf - -- - -- fac I I I I I Remarks: Boring # -14 hOYR 3/2 - -- 1 2msbk (mfr Icw 1 2vf-fI 0.5 0.6 29.,.' 1 14 -23 OYR 4/3 - -- 1 2msbk mfr Icw 12vf -fI 0.5 0.6 2 3 -31 OYR 4/6 - -- sl 2msbk mfr I w 2vf - 0.5 0.6 Ground elev. 33 1 - kYR 5/6 flf 5YR 5/8 sicl 3mabk mfi Ici lvf I - -- -- 90 ft. 1 - �OYR 5/6 fif 10YR 3/4 is Osg ml - -- Ivf - -- - -- Depth to limiting factor i Remarks: N>r"�c�lwe Pf;rft JAMES • 0. RLKINS p " (715) 425 -7831 OGDEN ENGINEERING CO, 113 WEST WALNUT ST., RIVER FALLS, WI 54022 Signawrw Out ¢ l0 9 CST 7 CSTM03988 PROPERTY OWNER SOIL DESCRIPTION REPORT Page 7 3 PAKELLD. Y I Dow IDom�nant Color i Motne Texture Consa'tence s I I Structure ( I Barmy I Roots GPOitt Boring # Honzon in. Munsell Qu. Sz. Cont. C m Gr. Sz. She Bed iT . A 0 -15 10YR 3/2 Isl 12msbk lmfr 2i 2vf—d 0.51 0.6 r 59 B1 15 -24 10YR 4/4 - -- 1 2msbk mfr gw 2vf 0.5I 0.6 Ground B2 24 -30 10YR 4/6 - -- Sl 2msbk mfr gw 2vf— 0.51 0.6 902 ft. B31 30 -37 10YR 5/6 - -- sicl 2mabk mfi cw 2vf 0.4: 0.5 10YR 7/2 2mabk mfi cw 2vf— — Depth to B32 1 37-45 1 10YR 5/6 m3d 5YR 5/8 -- - -' I= Cl 45 -68 10YR 6/6 Im3d 5YR 7/2 r 5/8 37" C2 68 -72 10YR 6/6 - -- fs Osg ml 1 - -- lvf --- - -- Remarks: Boring # `` 1 I 1 Ground elev. ft. Depth to 1 1 limrong factor 1 I 1 Remarks: Boring 1 Ground 1 1 1 1 elev. Depth to limiting I factor 1 1 I Remarks: Boring # I Ground elay. It Depth to li nndng races Remarks: s80.8=F4.otti= I - • PAGE 3OF3 SITE PLAN W ,4 - BENcsl�.4,e,�'� To P '64E V. = Ile t.7¢ SCALE: 1 = 40' G o T Z G 07 8 3z8 NOTES: PROVIDE MINIMUM OF 1' SAND BETWEEN BOTTOM OF BED AND EXISTING GROUND. MOUND TO BE A MINIMUM OF: 25' FROM DWELLING; 50' FROM WELL; 5' FROM LOT LINE. Q . / OGDEN ENGINEERING CO. JAMEWD. FILK IN S, CSTMO3988 Civil Engineers & Land Surveyors DATE: LI Q 7 113 V; . Walnut 425 -7631 Falls, W1 54022