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ic4sin Department of commerce PRIVATE SEWAGE SYSTEM Coun Safety and Buildings Division �t. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) SanitjyJT(XNo.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. J i U��FF Permit Holder's Name: ❑ City ❑ Ilage o n.of: State Plan ID No.: roy Development Corporation, troy _Foownshiop CST BM Elev.: B � Insp. BM Elev.: M Description: Parce T $ ,, b �`�L -00 -000 TAN N M Ti8 T ) ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �� -� Benchmark 3.�o f�7•� ci, Dosing Alt. BNF �� -u Aeration Bldg. Sewer Holding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet o8 C N •S "`L' Ventto TANK TO P/ L WELL BLDG. Air Intake -ROAD Dt Inlet - - Septic >5 NA Dt Bottom ---- Dosing NA Header/ Man. �' 2 910 •yL) Aeration NA Dist. Pipe NO Z2 r Holding Bot. System (. 5 G J PUM SIPHON INFORMATION Final Grade S 5 8.11( Manufactur Demand St cover ' a. z. Model Number GPM TDH Lift L riction m TDH Ft ea I For ain Length Dia. Dist. To SOIL AB RPTION SYSTEM BMJ RENCH width Length N O Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN 1 3 S -Z I I DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING Manu tur r. 5 INFORMATION Type of CHAMBER del Number: System: c `O 3 �`— OR UNIT CSPOL u DISTRIBUTION SYSTEM P Header anifold Distribution Pipe(s) x Hole Size I x Hole Spacing Vent To Air Intake Length Dia - Le y �� SOIL COVER x Pressure Systems Only. xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: ( Include code dis repa es c� 12 et c) nspection 1` O'b ns - c ion Location: 269 Troon Court, Hinson, W� 54016 �W i /�N W 1/4 19 T29N R19W) - 19.28.19.1302 Troy Village -Lot 60 1.) Alt BM Description= N f A- 2.) Bldg sewer length= I b' - amount of cover = w�1t tie ad" 3 ) tom° v, �e►� -� a �v.�ec�`- - e • V` "�'Q`�u'e. ti�� Plan revision required? ❑ Yes 726o _ Use other side for additional information. C) ,�- SBD -6710 (R.3/97) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 4 I � R r i � Y r a t E c r F s 4 § ........ r ° e I � , �, ni�ry ,.._. .te ... .4a q .. e._ ... ,�.. .... . . �.... ...... .... �.. .... _ . .,.... .. .,�, a.e ... ... y yy m m u 3 g 21 S i 4 v . E s t .. i 5 , E i a i t Y 4 � i 3 k > e S f # i 1 7 t 4 A 5 4 5 F k, s 9 s F 4 I P s ! r : s � -- .,. ..^$ z E � n Vi afety and Buildings Division SANITARY PERMIT APPLICATION } W. Washington Avenue sco nsin 9q O Box 7302 Department of Commerce In accord with Comm 83.05, C Madison, WI 53707 -7302 Y • Attach complete plans (to the county copy only) for th ; 66 p er not4ess, County than 8 v2 x 11 inches in size. '� � • See reverse side for instructions for completing this ap n �i I lJ Sr y Perm �` \�� - teSanitar er vio Personal information you provide may be used for secondary purposes ;'': '� >a _ 33 r heck if revision to pre application (Privacy Law, s_ 15.04 (1) (m)]. Pl t to Plan I.D. Number I. APPLI ATI N INFORMATION - PLEASE PRINT A FOR Propert wner Name roperty Lp>at p 11 O n � f, 1rn__ >" ,S (q T�q ,N,R l 1 QW Property Owne 's Mailing Addres _ n Qf N ufn er> Block Number C Sta a Zip Code Phone Number Subdivisi me or CSM Nu ber cc 11. TYPE OF BU ILDING: (check one) 0 State Owned it� Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms PParcel own o f . � Courr III. BUILDING SE: (If building type is public, check all that apply) Tax Number(s) /I,z�?l9 -l�oZ. 1 ❑ Apartment/ Condo ld �© 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. New 2 C] Replacement 3. E] Replacementof 4_ E] Reconnection of 5_ E] Repair of an __System ________System __ _____ ___ ___ Tank_ Only______________ Existing System ________ Existing System B) A Sanitary Permit was previously issued_ Permit Number Date Issued Z Q 0 V. TYPE OF SYSTEM (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12]%Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit / 43 ❑ Vault Privy 14 ❑ System -In- Fill r 2 VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade bob ✓ Required (sq. ft.) Proposed (sq. (Gals/day /sq. ft.) Min. /inch) Elevation / 44 Tj A_ C IIi/ �et 9N, 3 meet Ca acft VII. I NFORMATION in gallon Total # of Manufacturer's Name Prefab. Con- steel Fiber- plastic Exper. New Existin Gallons Tanks concrete structed glass App. Tanks Tanks ept Tank r- b4W4M**"4tj X I W l r5 ❑ ❑ ❑ ❑ ❑ I Chamber ❑ ❑ 1 ❑ 1 ❑ ❑ VIII. RESPONSIBILI STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. PI er's Name: (Print) Plumber Signa re: (N9 Stamps) MP /MPRSW No.: Business Phone Number: I D e-5-1W -4P_ 1 S a V 66's tas Plum is ress (Stre Gtr, Ste, Code : O ! J C'T �w Pam onA J , IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued Issuing Agent Signature (No Stamps) r pproved C] Owner Given Initial �t Surcharge Fee) Adverse Determination `I -g-4 c)c) X. CONDITIONS OF APPROVAL / / REASONS FOR DISAPPROVAL: J / jE -IhrS /'GV(Sro►ti Cc/Gt,S 5�.�.I�„�{ «/ /3 rL� � C!/t�C ) w sYt IOG�bf -+. �" 4c 1 Lt wLFCOr b � :aou tiC 5 >ri �i�',:�s i`�n GOiGat �� sc y,,. dw, , �/ fr;/ Sl r� �`•. Gl� 4 tf /(7!^ l ,+, e er- 4a ` SBD -6398 (R. 4199) DISTRIBUTION: Original to County, One copy To: Safetlr& Buildings Division, Owner, Plumber I INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Adrpinist ptive Code will be applicable. 3. All revisions to this permit must be by: the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county, prior to installation , 5. Onsite sewage systems must be properly maintained. The septic tanks) must pumped bya licensed pumper "vvheriever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and - Buildings- Wvision, 608 - 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. V 1. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and• manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etcj, address and phone number. Plumber must sign application form. IX. County/ Department Use Only. M X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete' dimensions, location'of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells, water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system H required by the county; E) soil test data on 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. t l Safety and Buildings Division � �' V is . 0011S %11 SANITARY PERMIT APPLICATION 2 1 B W shington Avenue Department of Commerce ` In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 81/2 x 11 inches in size. r ° • See reverse side for instructions for completing this application State Sanitary Permit Numbe 35 Personal information you provide may be used for secondary purposes I] Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. tate Plan I.D. Number# I. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION 1D = 1240 Property Owner Name Property Location S /4 IV w1 /4, S 19 T aq , N, R I So" W Property wner's M fling Ad ress Lot Number Block Number State Zip Code Phone Number Subdivi Name or CSM umber I S .5304 ( > r 0 , H. P F .5 BUILDING: (check one) ❑ State Owned V 0 cit V Nearest Road ❑ Village Public 1 or 2 Family Dwelling - No. of bedrooms Town of r C.O�T III. BUILDING SE: (if building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 0 4 0 ` 12 5v — 6b �� 7 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. New 2 ❑ Replacement 3_ ❑ Replacement of 4 ❑ Reconnection of 5. ❑ Repair of an - _____System ________ System____ _________TankOnly______________ Existing System ________ Exi sting -- -- - yytem B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 D'Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 1 155eepage Pit 43 []Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation 10 c) O U r to 9% , Feet C IQ ,7 Feet Capaci VII. TANK in gal Io Total # of r Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks M anufacturer's Name Concrete Con steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank or Holding Tank I p ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ I ❑ I ❑ I ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Prin PI mber's Sig No Stamps) MP /MPRSW No.: Business Phone Number: 0 I � .53 7! 5 5 Plumber's Address (Street City, State, Z Code): O � 19 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved nitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps) Surcharge Fee) Approved E] Owner Given Initial Adverse Determination S Z� X. CONDITIONS OF�APPROVAL/ ASO� R D S PPR VAL:t� d� /v — �'�S -6398 (R. 4199) 0 � y�— ^ , n DISTRIBUTION i inal to C�e copy To: 5 t & uildings ivisio w ner, Plumber � 1 0 (�� aAAA— INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Adminis Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes i`nownership ar pl.urnber_-requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 19 ! 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licenged purnper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, .608- 266 - 3151.. - - -• To be complete and accurate this sanitary permit application must include: I. Property owneet name Arid mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, re(onnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scare or with complete dimensions, Location bf holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences, friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if-required by the county; E) soil test data on 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCH,XkdEE 1983 Wisconsin Act 4f 0 included the creation o`Tsurcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. • r r o D ev �� P „i.e Cow S W 7� N W.'4� ? t3 �4;V\.Q ffoi SS30 CQ a 73'- av chars 76 - 1 9y, K�o os � h c, �(�6 4A#a rr / �Pc� 9g,.5 sew l '7S' �3 r c ' rr, Dr1�e� Sr hi r �,r m E rn i v w L 1 O O -O W 1'. a � 3 0 CD (n N 2 0�C a 1 - :. ...:: CL 0 r- n : v -0 n• A �G O r (DD N n, Q C n —O 57 S 0 C J O R W N o N Q. - G A� Q 3 p n i W 0 X 3 (D a) X N s - ( Q s' C11 u� 3 5 � ( k:> � � .-. Ul =r (Q J 3 �— Invert 1 V C C) s U1 c j O i 1 - rro�/ De.� ego mgr * 5 /yy N ` wYj S 19 T�4 � a=3 / al . C -e r C l-�u ._ oZo�t� ��o y l� \c� cam. Lc� ro Trop n C(:;) ter' �o o0 - Coca ico rto -(Q C C . 3 g WiscoAsin.Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of3__ Bureau of Integrated Services 4 (2. , it}�accordance with s. ILHR 83.09, Wis. Adm. Code �� h Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and 4-d percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # () ki 0 - a.5 _. (_-)o - o o t APPLICANT INFORMATION - Please print all information. Rd by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owne Property Location •P Govt. Lot _S v-) 114N Ay,S ) Ct Tag N,R 19 W Property ner's Mailing Addr ss Lot # Block# Subd. Name or CSM E F r t3 8 QAC lldD P City State Zip Code Phone Number n ' ❑City ❑Village Town N arest Road rm c r ' V ( ) - �'� 0 r nIC4 ew Construction Use: Residential / Number of bedrooms Addition to existing building In Replacement ❑ Public or commercial - Describe: p Code derived daily flow (Coa gpd Recommended design loading rate 7 bed, gpd /ft� ?_ trench, gpd /ft Absorption area required 2S� bed, ft 7..5b trench, ft2 Maximum design loading rate 1 1 bed, gpd /ft I V trench, gpd /ft Recommended infiltration surface elevation(s) ' ft (as referred to site plan benchmark) Additional design /site considerations r 4cevri Parent material q q c I n, O c� ,,� c� S 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 1 [3s ❑ U XS ❑ U IX S ❑ U ZI S ❑ U I ❑ S [Z U ❑ S ® U SOIL DESCRIPTION REPORT Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft Boring Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench m c ca Ground Depth to limiting actor Remarks: Boring # p -I /8 r r- 63 -A . /C r (o S•t NJ Ground e ft. , Depth to limiting factor ")'9&in.' Remarks: CST Name (Please A int) Signatur Telephone No. l.� Q, U L b w �2�s 'Z l 5 - Address Date CST Numbbr 1 6 -- - oo a S3 r p e� o ti.a OIL DESCRIPTION REPORT PROPERTY OWNER —�— Cb Page a of PARCEL I.D.# � S�a ' 5a '�' 4 �v Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench 3 / 0 / a �--- � Ground 1 AZI . %d i- , e ev. Depth to limiting factor r ein. Remarks: Boring # Ground elev. ft. , Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Os Ground elev. ft Depth to limiting factor in. Remarks: Boring # .......................... I Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) -fi Gv , �i�r PROPHf,TY OWNER r OIL DESCRIPTION REPORT 0 � fb Q t� n °-. �r V 5 GMr[J Page PARCEL I.D.# 6 y / .I5D _g�> - 0 6V 5 / w (JY C g Texture Consistence Boundary Roots r� / Po Boris # Horizon Depth Dominant Color Mottles Structure 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench f S. 1 Ground elev. V 4 , , 1 r Depth to limiting factor �?41in. Remarks: P' Boring # 13 Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # 4 ' Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) S Q�cl S ,t tg l9 A ( A-T fik, q �� 6 '/d t acs - 3 �I� �7 ao , .r� co A o' 0 s._ sa- wiscensirrDepartment of Commerce SOIL AND SITE EVALUATION t rce _ Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Cod CJ Environmental By Design Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and . Cioix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. APPLICANT INFORMATION - Please print all information. _j Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Date cL- 1 Property Owner Property Location Continental Develop Govt. Lot SW 1/4 NW 1/4 S 19 T 29 N,R 19 W Property Owner's Mailing Address Lot # Block # J S�.Name or CSM# 12301 Central Avenue NE Suite 230 6 1 - Troy Village City State Zip Code PhoneNumber ❑ City ❑ Village ®Town Nearest Road 612 -757 -7568 Troy I St. Annes Parkway ❑ New Construction Use: Z Residential / Number of bedrooms 4 ❑Addition to existing building ❑ Replacement ❑ Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate .5 bed, gpd/ft .6 trench, gpd/ft Absorption area requi 1200 bed ft .5 .6 tr ench /ft t , 0 i loading rate /ft i� mq 1 0 trench ft' Maximum design oad bed 9 9 g � 9pd Recommended infiltration surface elevation(s) >' to as referred to site plan bane mar u Additional design / site considerations Stepped trenches-.replacement mound on fit �A_ t Parment aterial Loess over Glacial outwash food la elevation, if a licable Na ft e for system Conventional Mound In -Ground ure AT -Grade System in Fill Holding Tank ble for system ® S ❑ U M S ❑ U ®S 1:1 El S ®U EIS ®U El S ® U SOIL DIMCRIPTIO , Depth Dominant Color Mottles'. Structure GPD/ft _ Borir►9# Hoyt in. Consistence Qu. Sz. Cp41�Color Texture Gr. Sz. Sh. Consist Boundary Roots Bed Trench 1 0 -10 10yr2/2 - sl lmsbk rnI cw 2f .4 .5 2 10 -28 7.5yr5/6 - fs Osg ml cw if .5 .6 Ground 3 28 -126 7.5yr5/6 - s Osg ml cw - .7 , 8 elev 95.26 It Depth to .d factor .t3— >126 1 r i Remarks: 2 1 0 -7 1Oyr2/2 - is 2msbk mvfr cw 2f .7 2 7 -14 10yr4 /4 fl f7.5yr4/6 sil 2msbk mfr cw 1 f .5 Ground 3 14 -23 7.5yr4/6 - A lmsbk mfi cw - .4 .5 elev 90.58 ft 4 23 -45 7.5yr6/4 - s Osg ml cw - .7 .8 Depth to 5 45 -90 7.5yr6/4 - fs Osg ml - - .5 .6 limiting factorr O.9l0 >90 Remarks: CST Name (Please Print) Signature. Telephone No. Thomas C. Nelson 715- 246 -2454 Environmental B Design i ` CST Number' Ref # 14 E,n Date ii z� Add Y Add ress sr► 2 120th Street, New Richmond, WI � 401 3 chmo 5 7 @0406W 227387 187 M0PER7Y,0WRlER: continental Development SOIL DESCRIPTION REPORT Pap 2 of 3 PARCEL 1.D.# Environmental By Desi Depth Dominanf Color MotBes Texture Structure �ws te�Boundary Roots GPD/ftz Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench t 040 I0yt2/2 sii i msbk mfr cw 2m .2 .3 2 1049 I0yr4/44 - is 2msbk. mv& ew Im. .7 .8 Ground e 3 $ a I O f q4 f1 f7 /6 S 1 1 c & 6 V M; l c ,,� t , y .s 88.48 ft 3D- D 7• Y r /tP - fS Os M ` @ W 1 rn 7 .8 Depth �!d- 7.S r$ - S G — — #7 s bftv for >90 Remarks: Ground elev �: Depth to w limiting factor Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: .• r �s 5 t al . .mss w. d ZW 7 0 03 cn ..._. Lie Ai t 4 CA Q .� } .. -ION r / 1 3 { .1 f ...- C4 .. cr IA fl O ! �: r � `+ N 0 oo i , SOIL AND SITE EVALUATION REPORT _ Wiscontin oeparvn0nt of Inous". P of 3 ' Labor and Human faef'auons W4CJ7 O iws,ion of SateN & 9uddinga in accord with ILHR 83.05, Wis. Adm. Code (YO Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. PtaA must include, but ST. CROIX not limited to vertical and horizontal reference point (81M), direction"ancl of slope, scale or PARCEL 1.0. # dimensioned, north arrow. and location and distance to road. ? s 1. APPLICANT INFORMATION- PLEASE PRINT44 I INFO RMkTTION' j� IEWED 8Y DATE_ PROPERTY OWNER: "'1 ! PROP LOCATION E I/ S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND BARB 1tU f)r* GOViT.1 t /4W 1/2S 19T 29 NR 18 («1 W PROPERTY OWNEF':S MAILING ADORESS i' ` ' y i:rr "LOT'S:'' SUBO. NAME OR CSM x 260 COUNTY ROAD F STC 6 TROY VILLAGE CITY, STATE ZIP COOS N TY C 1Y_ J IILAGE OWN NEAREST ROAD HUDSON 54016 h - SCE Sf/ ob tJ 0007r ptj New Consttv0ort Use (X J Residential / Number �'" ( J Addition to existing building I J Replacement J j Public or commercial describe Code derived daily n 600 gpd Recommended design loading rate 4f.9' bed, gpoltt2 _ trench, gpdM Absorption area required 5 bed. 9 S d0 trench, 9 Maximum design loading rate D• ¢ bed, 9Pd/ft s trench, 9pdt(t Recommended infiltration surface elevation(s) BY DESIGNER R (as referred to site plan benchmark) Additional design I site / co ., nsiderations e o i,ES a" e 3 Parent matenal SS LG Ov,~`vr¢5 Hood plain elevation, if applicable N/A It S = Suitable for system CONVe MONAL MOUNO I N•GROUNO PRESSURE AT-GRAOE SYSTEM IN FILL HOLDING TANK U =Unsuitable for stem I Q S N 10 S ❑ U Cl S Z Q S C'u 1 p S 'emu I D S Zu SOIL DESCRIPTION REPORT Depth Dominant Color I Maim (Texture I Structure { GPO /tt,- gong # Honzon+ in I Munsell Qu. Sz. Com Color Gr. Sz. Sh. Bed ;Tnench . A 10 - j1OYR 3/2 - -- I sl I 2f - msbk I mfr law llvf 1 0.510.6 37 6 >4 __ B 9 - 17.5YR 4/6 I is lm - csbk mvfr gw lvf 0.710.8 Ground C1 15 - 32 lOYR 5/6 - -- s Osg ml I gw lvf 0.7 10.8 eW I _ 8 CZ 3 76 10YR 6/6 1 c1f 1OYR 3/4 s (Osg ml - -- lvf -- - -- Depth to I I 1 1 limiting I ,- I I I ( I I Remarks: Bonng # A I0 IlOYR 3/3 1 - -- 1 s 12msbk Imfr Icw 2vf -� 0.5:0.6 375; B1 18 -17 110YR 3/4 1 - -- I scl 12csbk 1 mfr I gw 12vf 1 0.4:0.5 B2 117 -28 10YR 4/6 I - -- sic 2mabk Imfi Icw 12vf ` 0.2:0.3 Ground elev. C1 128 -40 10YR 5/6 1 - -- gcos IOsg 1 ml Icw lvf 0.7 X0.8 880_3 ft. C2 4 72110YR 6/6 Imld lOYR 3/4 s 1Osg ml I - -- 11vf Depth to I limiting 1 I '� I I I L Remarks: Naine—Asa'e Prat JAMES 0. F"fllS R ' ° " e (715) 425 -7631 OGDEN ENCd E ING CO., 113 WEST WALNUT ST., RIVER FALLS, W! 54022 S'Ignawre: Oats: CST Nt+fnt>,r: ��° 7 CSTM03988 PROPFfWYOWNES SOIL OESCRIPTION REPORT Page _.Lot 3 _ PAM-& 1.0. t Oeptn IOominant Color I Moores (Texture Structure IConswericeI GPOifte- Honzon c nee nna n11 C7 r'nnr rajas Gr, z. Sh. l T Bonng # 0 -18 110YR 3/2 I - -- I sl 12csbk I I 2vf —g 0.5!0.6 ,298<' Bl 118 -31 IlOYR 5/3 - -- I sic 12mabk I mfi I I _ 2 0.3 B2 31 -40 7.5YR 4/6 I - -- gls Ilcsbk mvfr Icw I v I 0 Ground II { AeV.7 C I4 0 10YR 6/4 lmld 10YR 3/4 s 0 I - -- - -- Do" to limiting factor Remarks: Bonng # Ground l elev. I ft. Oapth to limiting factor Remarks: Boring # I I I Ground elev. ft. Depth to limiting I factor I ( I Remarks: Boring # Ground elan. it 080 to limting factor i Remarks: SBOextotA.OtlirorA PAGE 3 OF 3 SITE PLAN SCALE: 1 " = 40'1 z - 9 ©ve T /A/ ,oi�vE, Ec�v = 0,0.3. z f N 0 7 7- �D T Y pvTGo T G AN NOTES: PROVIDE MINIMUM OF 1' SAND 25, BE TW E EN BOTOM O F E D M TO BE A MINIMUM F'ROM�WELL�S'GFRO D LINE. ( r OGDEN ENGINEERING CO. JAME FlLKINS CSTM03988 Civil Engineers & Land Surveyors DATE: / q 7 113 W. Walnu s, WI 54022 7 5) 425 -7631 r a c � � R ICI � f w wn Err w m --t � W Q O b � o _ a w Z � N m 7 C , �e o b N _ O g cn c_n u , r a i CD O N -p O (Q G (D ?� �@. CD w w $ X 0 CL cr c m = N w Qo m CT o a N _ 'L3 n -, ,� r a CD Z 0 O n _« ro n 3 � m l � n w owco� o w,c o o a CD _ a CD N co ? N Q `L CD �G N 0 =3 C1 Ai 3 �j b CAJ a x 3 (D cr rn x (n as b rn cmac - G �3 o O -+ = (D �, 6 (Q SD m 3 Invert 11" ID w �' 4� m " U CD s . rn w O b I I ..I I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ( '+" �d� Nar . &V Mailing Address J 5 f v Property Address c:�613 __T_r_7),-i n Cott_rt (Verification required from Planning Department for new construction) City/State _ 4.L sm , UJ f Parcel Identification Number d 5 a 0 ' d o LEGAL DESCRIPTION Property Location �\/ V., /�, '/., Sec. �, T_Q�2N -RMW, Town of Subdivision Q � Lot # Certified Survey Map # , Volume , Page # _ Warranty Deed # J 5g a 6 3 , Volume � Page # . Spec house )' yes ❑ no Lot lines identifiablekyes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (l) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days f the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the prop r y described above, by virtue of a warranty deed recorded in Register of Deeds Office. co SIGNATURE OF APPLICANT DATE * * "•* Any information that is mis- represented 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 a copy of the certified survey map if reference is made in the warranty deed WIN Leaamala_la�A I�1� L. I<u.m�.i. W .rim . *MAX 2 T lot aad Qtatlsor. ' rt 3:1s M Tiny Devaleereune 1Y/t�tet0ada Gragbe4 wkaafaetb, TIM the am Ornw, for t.iiN oordww doer ,r....r.ra.awr.awtr. •ws�eoaaeaw „ooaew aoaveye to Grord” dw fou"bv described real awe in SL Crok Cem p Jr Connqhea . S of wlscoasio: Ifrwl 1dwAettlon Dleat� Lou I Owwgh 63, Lots 47 two* 65 and Wls 61 deoao 70 ofdw Plat of Troy VllbSe. $ Croix Cvmw. Wisconsin ad due Ration of CMkV t of the Plat of Troy vlHs jt deeeanld =fthllbkAaU3CWbc1 pa sad - Out)ots 1 and l to the Plat of Troy vi o St. Cmk Cow y. WIKCmb I A oorrae of dr reae ber.�J rgrrp. �� berereei pe�eepr of er Crueers. )oh l.11ti♦e:ntle ee Mere A L.rerY ts)�rae0 Topi'w sift ell 00 t 1-- M Meldmrr M red WOMMUM d e M hbeSt W Mf saute"rM rat.. VW4' eve* wattmnu. aMaats, nstriabrr and hi6hway 46 ONV ofreaord ae .rite %anon "d Jdw a $WAS. t7ere01Me 2� dy ,� may Lam rr /. AU MUMCATION ACKNCWL&UGi tWr 3ynwnu) STATt:Of WISCON3tti WAh=d4.Med this of 1 9L_ . — . • �` Peewtalty Catae baf0te RN dtis _ . day of d dw alone mined .A a .• i, Tlll.& W R1liiES ATE HAIL OF WISCM1N ,W-IL r+w«na b i7a6 0& WI& %a) w me koe m b be tha pekoe Who asawad the hCalli g IIWM A and ado wMadp *a owL *1 L N SL P.D_ 8mc 123 Hndaer WI tw +e Pa01IC Coaaty. wit. 7WAere uer >w a w ubwomeod 806 w wr m coemaimica is paoaoeat. (If MLMW altpkvw date: 'Nr+rAerwr ylr. -PUPS* w wM�r. ^►�t �w.r.rr . ^None Safety and Buildings Division Field Operations Bureau 13 East Spruce Street Chippewa Falls, WI 54729 isco /' � SI n Tommy G. Thompson, Governor Department of Commerce Brenda J. Blanchard, Secretary February 2, 2000 CUST ID No. 263197 ATTN: INSPECTOR ,ZONING OFFICE ENVIRONMENTAL BY DESIGN h - ST CROIX COUNTY 1432 120TH STREET 1101 CARMICHAEL RD NEW RICHMOND W 1 54017 HUDSON WI 54016 RE: CONDITIONAL CERTIFICATION ,.� Identification Numbers � .O' 'I Site ID No. 1260 SITE ST CROIX COUNTY, TOWN OF - e-k&Y+ Plat Review Perm. File No.: 20751 -903 SW 1/4, NW 1/4, S19, T28N,`R1'9W: I Please refer to the appropriate LOT 60 -TROY VILLAGE SUBb identification numbers, above, in all correspondence with the agency. DESCRIPTION: MOUND RESTRICTION RELEASE 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 ade to waive the mounds stem restriction for the rims or initial soil Y Y primary absorption system on this lot provided the following condition(s) are met: 1. The release and waiver of this lot restriction for the primary or initial soil absorption system should be incorporated into a correction instrument under s. 236.295, Wis. Stats. It should be noted that the replacement system is a mound system. This recommendation will eliminate future questions regarding the restriction on the recorded plat. 2. Both absorption system areas are preplanned, and as such no development shall occur in the preplanned area and development adjacent to the preplanned area shall meet appropriate setbacks so as not to jeopardize 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. 3. The mound replacement area is to include a 25 -foot setback area down slope of the mound perimeter that, along with the mound area itself shall not be subject to soil compaction or alteration during building construction. The area for the mound system must be fenced off to prevent traffic across the site during building construction. The surface grade elevation in the area for the mound shall not be cut or filled. 4. The system elevation for the two subsurface trenches shall be 88.00 feet for the trench adjacent to the east lot line (trench A) and 87.00 feet for the next trench west (trench B). When using aggregate and pipe in the absorption area, the maximum finished grade for trench A is 92.08 feet, and for trench B maximum finished grade is 91.08 feet. 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. February 2, 2000 Troy Village e Lot 60 Page 2 of 2 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 09/08/99 I FEE REQUIRED $ 80.00 FEE RECEIVED $ 80.00 rer�oy , Wast ater Specialist BALANCE DUE $ 0.00 Field Operations Bureau (715)726 -2549 Fax (715)726 -2544 Voice Ijansky @commerce.state.wi.us cc: DOA -Plat Review Derrick Construction Continental Development St. Croix County Zoning i i 01/28/2000 13:23 7152462801 TOM NELSON F,^-GE 02 wlxotr Depadwrit of Commerce SOIL AND SI EVALUATION Page 1 of 3 Division of Safety and Buttdtngs in accord with Comm (13.05, .05, Wis. Adm. Code __ Eh.�rcruuearsl 14 besign ; Attach cv�►ete aft plan on paper not less ttw 5% x 91 inches in size. Plan must C ��, include, put not limited m_ vertical and hori=tdi reference point (BM), direction and percent slope, scale or dimensions, north arrow, end location SnO distance to nearest road. St. Croix Parcel l.D,# APPLICANT INFORMATION - Please print a ll informa PsraOnal Wovnstron you pmvk* nW be used forascwftw puTom (F'r Qy L,aw, S. 15.04 (1) (M)). Rw**d By Dot® f property owrmr Property Location Continexrtai Development Govt. Lot S 1/4 NW 1/4 S 19 T 2% N,4 19 W Property Owner's Mrailing Address Lot # Bbck # 5ubd. Name or Cw 12301 Central Avenue NE Suite 230 60 'Troy ViD Cg'! Stine Zip Code PhoneNumber City VNtapo Town Nearest Road 612- 757 -7568 Troy St. A F;s Dar kway Z New Constmctlon Use: Residential / Number of bedrooms 4 [ to eAstlng building Replacement N Public or oommeruial describe Code. Derived dally flow 600 0Pd Recommended design loading rate •5 _,ped, gpdfiN 6 trench, gpdttt� Abso ion area required 1 200 bed, flp 1000 trench, ft Maximum design loading rate •5 bed, gpdAY .6 t" arYe ", gP dJfF Recommended infiltration surface elevation(s) 05 M .o o ft ( t rasf8trdd to site plan t�s�c.rrr3; Add$iorrtai design 1 site 0on5ideration Stepped lrmz11es, .repitt =wt mound on file ` 4-5 K64 TOr w >rtsc*j s�i�Laeo Parent materiaal Loess over Glacial Outwwh Flood plain elevation if a ieaCyle ;�a ft . _:. --�-- S= Stdtable for ay&te n Conventional Mound tl1- Ground Pressure AT-Grade 3yftn - ink I Notding Tank U= Unsuitable for system S D U !, 3 d U 9 S L1 U C7 s ®0 MS ®D ! ❑ s F U SOIL. CRIPTION REPORT Depth Oorrlinantcolor Mb'dles: Structure Oltt� ' ` l in. Munselt Qu. Sz cow C olor Texture Gr_ Sz. Sh, nsiatane Boun ROC J 6sd �---_- 3 0 - I0 2l2 - 31 lmsbk mvfr cw 2f i .4 5 2 10 -28 7.5yrW6 - fs Osg tw cw if i 6 Ground 3 28.126 7.5yr5/6 - s Osg Mal cw - ,7 Dept to NOW Rernaft, ,..w....�..r 1 Q -7 10yrm is 2msblE tuvtr cw Zf 2 7 -14 10yr4f4 W7.5yW6 sit 2msbk mfr cw Ground 3 14-23 7.5yx4/6 - sl ltnsbl� mfi cvP - S elev -.. EO.B 4 23 -45 7.5yt6/4 - s Osg ml cw - g. l7apth to 5 45 -90 7,5ytr614 - fs 03g wi 6 wag iiacor R emarks: EAdZd (Please Minn 5fgtrt3ture / Tpiephone No. �..a Thomas C, Nebou , r-°'"` 715 -296 -2454 Bnvirorn=taEDade i 1 �, CSTtVutttftar 432 120th Stream New R1c1?tnond, WT 54017 227387 �ED JAN 2 8 2000 SAFETY K BLOGS. DIV. �. 01.,;,28/.2000 .13:23 7152462801 TOM NELSON Pr;la: 03 PRtPEWY c MER- 9?qtWwW Mveimmaji SOIL RESCPJPT {ON REPORT Fa 2 of 3 NARGEL L I uiscm�sul By Des' Deptfl Damirnant Color fV4oittes StrtN ttre GMT in, Mansell ttu. Sz. Cont. wor Texhare . Cr. S7— Stt. 8outtdary Root i?ci I 'drench I 0.,a lftyf2/Z - sir T bk r r ewe 2M 2 3 10-I8 is 2mst cnulx ew I rzc. R i 8 praun¢ ew 1 O C 4 flft.5yr4/6 S1 C 4� m� t C V3 ti may' ` .5 se.ae rr Q � y,5 r�� s gtU 7.5' r f � Aso Ground elev Depth to lirrfOng factor i I I Remarks: i I I � Ground elm 1 w t° Depth to ! AmlCng j factor j { Remarks: �".. I I j Ground elev f t Depth to lofts Am r i Remarks: �a 6 CD co r.. 05 weLL sf.r-SAr.r, OW LOT 'S i Mv4,- ..,� BE > 5b F Ra-t CP LA q-11 43 r g S.E.'6 Qt a � Z; G r o . F UZI b� 3' NOS13N WOl TDBZ9PZSTL EZ:ET 0002 /BZ /TB p•ar•vrWW 01 SC11- ANO ' c a 1At_UATICN RE AT ,00r 3nq^man Pmauorm Oivrs+o f Saterr 1 Bu+angs to aCCOra - mm ILHR 33.0S. 'Nis. ACM. COC3 C0UN FY Attaan cortdote uto plan on papw not less that* 8 ?/2 x 1 incAess in size. Plan mum inducim, aut ST . CROIX to v estal acid hanzantml retwome $M1, d �feC" cn and 1 of :. cp e, =we or PARCEL I.O. a not ttmned fx xrrt dimens wed, nortfl array+, and ?oc=ean and Ctslwics to nearest road. APPLICANT INFORMATION - PLEASE P91NT ALL INFORMATION REVIEWED 8Y DATE PRCPERTY OWNEFI: PROPERTY I.GC.1TiON E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND BARB 1U Gam• U7T IMW 1 / 2S 19T 29 NR 19 -6440 w PROPERTY OWNER•;$ BAILING AOORESS LOT a I - at:5C" SU80, NALil; OR C M 8 260 COUNTY ROAD F 60 I TROY VILLAGE CITY, STATE ZIP CODE PHONE NUMBER =CITY (r ILL1G'a ' 'i OWN NEAREST RCAQ HUDSON 54016 h1 i -� ^ TROY NEAREST Coogr pq Now Catam>Giota US* ] Restdennal i N Mzw at bearoortts 4 j Adobon to extsaM Wldirlg t { Replacement { } Pvotic cr I t;I meraal dewltw Ccde dented dada now 600 gpd Recommemed design bwm ram , , ±_ bea, gWYtt trend, gpdM Abs=bon area reCUired C1c bed. tt - -5 2 trertm, 9 Mazur um design La=ding rate e. 4- hed. gportt D. S trertrn, gplimt Rommmended infiftradan stutace elevaL=(S) BY DESIGNER R (as reterrea to site plan bewimmk) Additkmal dt�sign sttae Parent malerral Mood ptaln ewevauon. if acpacanie - • N / A M n apte for system COlVe MONAL tit0u Nd3F0UN0 PPIEMAE ` A - t: SYSTUA 'N Fu f H=WG "AtiK tumttle far systtarrt I C S ($u m s C u CIS 2R I C S SU 1 C S SU 1 Q S IZu SOIL DESCRIPTION FIEPORT 06cm �Oommartt Cator I � Strue:ure } l t G ?Oret� =Wile +t Honzon ,n. a4l ! C.,. Si Cant Cato♦ Texture Gr. SZ. S11 + ��� I Roots t Sees mr n T xmm I Muns 1376 A { 0 - 1 10YR 3/2 1 - -- s : # 2f -tus k I mfr 1 aw 11vt 1 o.310.6 B I9 -15 I7.5YR 4/6 - -- k 1s 1m -csbk , mvfr gw Ilvf 0.710.8 imund C 1 115- 32 j 10YR 5/6 - -- I s � Os g 4 ml I gw 1 1vf I 0.7 I 0.3 �` I f I � I I� � I l - -- I I - -- - -- ' j1� tt. C2 32 -76 10YR 6/6 c1_ LOYR 3/4 s I Os ml I llvt' + Seam to I I I . I I I f E I 32 's Remams: 1 8ortng 4 A I0 I10YR 3/3 - -- I s1 1 2msbk I mfr I CU! I2v 0.5 0.6 "375 %' B1 �8 -17 110YR 3/4 - -- 1 scl 12csbk- I mfr Igw I2vf ( 0.4 0.5 B2 `17 -28 10YR 4/6 - -- ,sic 12mabk. I mEi cw I2vf 0.2 0.3 G+otmd ( ele+r. C1 128 -40 1IOYR 5/6 - -- I gcos losg I ml 1 C11 Ilvf 1 0.7'0.8 tt. C2 140 -72 IIOYR 6/6 ! m1d IOYR 3/4. I 4 I s IDs ml I - -- + Ilvf I - -- - -- DtloRr to I I I I I I I I I litt�ttg ` I� ;; e marxs: ,LAMES 0. FitLXA1S '°"` (71S) 4 -7631 CGCt =.'N GIN> RING C^., 113 '♦VEST `NAL,'NUT S7 AiVE.� ; �►ILS, `NI 5=022 0eatn IOommantCator ' Vanes (Texture { struc"W19 �(..x sa."m( UmvlRoom }+anztsay In ?uhinaall ^i, C7 r'nrff r XY a lonttg x j i A' I0 —L8 j10YR 3/2 �� ___ I sl 12csbk � l 2vf — _ � - � s tl 0.5 0.6 B1 {18- 31110YR S/3 I - -- I I . �I I 1 0.3 { X298 sic 2mabk mx + _ c� *_,f 4_ B2 131 - {7.5YR 4/6 I - -- { gis I Icsbk I mvfr f cw Itv } 0. 7 0.9 �fcurld { 7*4 .7 C 14 - 80 110YR 6/4 I mld IOYR 3/4 ft. O� t amer 40 01 Fiemarlt5: Omm to ta= I I I I I ! I I I Remams: Baring x eie . n° 1 I I { I I 1 I Gmund Ramat�cs: I I I I I I { ! I �� I I I ► ,_�.__ I I I l i Remana: S$a.cC3:.Otii.CSRii PAGE 3OF� SITE PLAN SCALE: 1 " = 40' f i T2oo� 1 ❑ 11414 IAI N I / a / O3 i �v TGo �" G I � 1tOTES : PROV'I1)E MINL OF I' SAND SE^jJM BUTTON OF BID AND =ISTING GROUND. MuJM TO BE d M32IU91M OF'. Z5' FROM OWULZNG; 50' FRtoM 'A:T -L, 5' FROM LOT LINE. �Q 22�c I _ OGDEN ENGINEERING CO. JAMEY. FiLAINS, CSTMC3988 Civil Engineers L Land Surteyors DATE: ,f- 1l 113 W. Walnut St. River Faus. Wi WZZ - (715) 425 -7631 I 4. wis Ah Department of Commerce SOIL AND SITE E VALUATION 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% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and • St. Croix percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D.# APPLICANT INFORMATION - Please print all information. R 'wed Qy Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Date I.w a /S Property Owner Property Location Continental Development Govt. Lot SW 1/4 NW 1/4 S 19 T 29 KR 19 W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 12301 Central Avenue NE, Suite 230 60 - Troy Wag City State Zip Code PhoneNumber City ❑ Village ®Town Nearest Road Minnea olis MN 55434 612- 757 -7568 Troy St. Annes Parkway Z New Construction Use: Z Residential / Number of bedrooms 4 ❑Addition to existing building Replacement F Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd/ft .8 trench, gpd/fF Absorption area required 857 bed, fF 750 trench, ftz Maximum design loading rate .7 bed, gpd/fl? .8 tr ench, gpd/fF Recommended infiltration surface elevation(s) 88.91 & 85.31 ft (as referred to site plan benchmar Additional design / site considerations Stepped trenches... replacement mound on file r o R c I t material Loess Over Glacial Outwash Flood lain elevation, if ticable Na ft ble for system Conventional Mound In -Ground Pressure AT -Grade System in Fill Holding Tank itable for system ®S ❑ U ® S ❑ u ® S ❑ u ❑ S ® U ❑ s ®U ❑ S ® U SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/fF n9# in. Munseli Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 1 1 0 -10 10yr2/2 - sl lmsbk mvfr cw 2f .4 .5 2 10 -28 7.5yr5/6 - A Osg ml cw if 5 .6 Ground 3 28 -90 7.5yr5/6 - s Osg ml cw ,. ,7 .8 elev 95.26 fl Depth to limiting ,� f factor > 90 Rem 2 1 0 -7 1 Oyr2 /2 ;': �) d ° N s ,, �� k mvfr .8 2 7 -14 IOyr4l4 flf7.5yr4 - il~ /� J 2msbk mfr cw if .5 ,6 Ground 3 14 -23 7.5yr4/6 - sl lmsbk mfi cw - .4 ? .5 elev 90.58 It 4 23 -45 7.5yr6/4 - s Osg ml cw - 7 .8 Depth to 5 45 -90 7.5yr6/4 - fs Osg ml - - .5 ! .6 limiting factor >90 Lo Rem s: 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, WI 54017 7/2/99 227387 187 PROPERTY OWNER: Continental Development SOIL DESCRIPTION REPORT 1e7 Page 2 of 3 PARCEL I.D.# Environmental Bv Desi Horizon Depth Dominant Color Mottles T exture Structure � onsistence � Boundary Roots GPD/fl? in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ! Trench 3 1 0 -10 10yr2 /2 - sil I msbk mfr cw 2m .2 .3 2 10 -18 10yr4/4 - Is 2msbk mvfr cw lm .7 ? .8 Ground elev 3 18 -30 1Oyr4/4 f V.5yr4/6 sl lcabk mfi cw IM .4 .5 88.48 ft 4 30 -40 7.5yr4/6 - grs Osg ml cw lm .7 ? .8 Depth to 5 40 -90 7.5yr5/6 - s Osg ml - - 7 8 limiting factor >90 Remarks: Ground eiev Depth to limiting factor Remarks: Ground elev Depth to limiting factor I Remarks: Ground elev Depth to limiting factor Remarks: f � � �• �9' � . �� ,� CCU l i ns 1t cn f C, a ex P .........""' U ► +Kisr'o . Depanmint of Industry, SOIL AND SITE EVALUATION, REPORT Pnge_L tabor and Human Refaoons Oivtston of Satety & &0"1'93 in accord with ILHR 83.05. WIS. Adm. Code • COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan' must include, but ST. CROIX not limited to vertical and horizontal reference point (8 o ran oj slope, scale or PARCEL 1.0. is dimensioned, north arrow, and location and distanc na3feat'r y ,� APPLICANT INFORMATION - PLEASE PRI 'I11L I FFARRM T116 REVIEWED BY OATS r3r Y PROPERTY OWNER: ; " LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND BARB r r LOT 1/4W 1/ 19T 29 NR 18( «I W PROPERTY OWNER':S MAIUNG ADDRESS ! -fi ee" SUBO. NAME OR CSM V4 260 COUNTY ROAD F ST GIt' TROY VILLAGE CITY, STATE ZIP CODE P E N GpFFI ILLAGE OWN NEAREST ROAD HUDSON 54016 1 - Y mo 4 Co0112' ' pQ New Constnx lion Use g) Residential / Nu 1,�"� T ( 1 Addition to existing building l 1 Replacement ( Public or commeraW desfxibe Code derived daily now 600 gpd Recommended design boding rate P• # bed, gpd/ft = MCft.9PdM Absorption area required A0 bed, 9 SD0 trench, 9 Maximum design loading rate D• ¢ bed, gpd/tt D. _ 5 n", ", Recommended infiltration stufam elevations) BY DESIGNER tt (as referred to site plan benchmark) Additional design / site co� E oi',ES G'N e 3 Patent material zw Flood plain elevation, it applicable N/A ft S s Suitable for System CONVENTIONAL MOUND IN- GROUND PRESSURE AT EM -GRAOE SYSTEM IN Fu MOLDING TAN(( U Unsuitable for rani I Q S 1Zu rK S O U C3 ®'U Q S ®'U 1 Q 1g S U I Q S ZU SOIL DESCRIPTI REPORT Depth. Oomtnant Color I Numbes I Texture I Structure lCormstIencelftraw Roots GPO /tte- Boring HanzonE in. I Munsell au. Sz. Cont. Color Gr. Sz. Sh. Bea ITmxn -x A 0 -9 JIOYR 3/2 - -- Isl 2f -msbk I mfr law jlvf 1 0.510.6 376< ___ - k lvf 0.710.8 B 9 - 17.5YR 4/6 + is lm csb Tmvfr g w Ground C1 15 10YR 5/6 - -- s Os g ml l gw lvf 0.710.8 elm. 8 aJ O tt. C2 32 - 76 10YR 6/6 1 cif 10YR 3/4 s Osg ml I - -- lvf - -- - -- Depth to I I I I I firn"M 1 tat � I Remarks: Bonng >; A 10 - IlOYR 3/3 I - -- Isl I2msbk (mfr Icw 2vf- 0,5:0.6 `375;?;: B1 I8 -17 110YR 3/4 1 - -- 1 scl I Zcsbk mfr Igw 12vf 1 0,4:0.5 B2 117 -28 10YR 4/6 I - -- Isic 2mabk mfi Icw 12vf 1 0.2 0.3 Ground elev. Cl 128 -40 10YR 5/6 I - -- l gcos 10s9 ml Icw lvf 0.7 880.3 tt. - . C2 40- 72110YR 6/6 Imld 10YR 3/4 s 10S ml I - -- 11vf - -- - -- Depth to I 1 limning 40 I I I 1 Remarks: - Name+ --Flew Prat JAMES p. FIKINS '°^ (715) 425 -7631 OGDEN ENGINEERING CO.. 113 WEST WALNUT ST., RIVER FALLS, WI 54022 Sf�naotre: Dam ¢//0/97 CST Nw ftw. CSTM03988 PF4pF,7" tvEA SOIL DESCRIPTION REPORT Page 2 at 3 O PAFiCFi.1.0. � Depot 10omrnant Color 1 Mottles (Texture Structure IQns��IBo�� I Roots GPO /fte. FHonzon Mupeall (1u S7 (AM ('.ator b• T Boring # A 0 - 18 110 YR 3/2 1 - -- I sl 1 2csbk I mfr I Cw 2vf — j 0.5 o0.6 ;M298s_ B1 18 31 5/3 1 1 sic 1 2mabk mfi `0.3 Ground B2 31 -40 7.5YR 4/6 1 - -- lgls Ilcsbk mvfr 1cw 1 v elp. C 140 -80 10YR 6/4 1cold 10YR 3/4 s 0 1 Tnl I___ —__ 8 74.7 ft. 1 Depth to 1 1 IimiAng taaor ( 1 Remarks: Boring 1 1 1 1 1 1 x .» ;a Ground 1 1 efev. ft. 1 Depth to lirrnting factor Remarks: Boring I I 1 1 l I ' I I ( 1 1 Ground 1 1 1 1 etev. ft. Deptn to Wittig I 1 factor 1 Remarks: Baring # 1 C3 Ground elev. ft Depth to limiting factlor I Remarks: $fa0.83S0(A.OSI04ti PAGE 3OF3 SITE PLAN SCALE: 1 " = 40' T2oo� � ❑ � Z 98 j�/�'�f��, T � o� ��i¢ /G o v Al i PiMe,, $834 Z N 0 / 4 B- 37 5 G ©T � / /o Gv of UT�L i T Y /A/ e46� 0A2 , ---� pv?'Go T G NOTES: 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. OGDEN ENGINEERING CO. DAME . FILKINS. CSTM03988 Civil Engineers & Land Surveyors 113 W. Walnut St. fiver Falls, WI 54022 42 DATE: ( (715) r -- ST. CROIX COUNTY WISCONSIN ZONING OFFICE N N r ■ r ST. CROIX COUNTY GOVERNMENT CENTER r "u 1101 Carmichael Road Hudson, WI 54016-7710 - (715) 386 -4680 September 15, 1999 Wisconsin Department of Commerce Plat Review ATTN: Leroy ]ansky Box 8911 Madison, WI 53708 -8911 RE: Onsite soil verification, lot 23, 27 -28, 60 -61, 64 & 112 of Troy Village Subdivision, Sec. 19, Town of Troy, St. Croix County, Wisconsin Dear Leroy: I have reviewed the soil reports for lots 23, 27 -28, 60-61, 64 and 112 in Troy Village Subdivision, filed by Tom Nelson, CSTM #227387 and have conducted onsite soil verifications on these lots. My findings have verified that the soil conditions as reported by Mr. Nelson are accurately described. The soils on these lots are suitable for subsurface sewage disposal with loading rates of 0.5/0.6 and 0.7/0.8 GPD /sq.ft. I'm also concerned that a large portion of the tested area on lots 23, 27 -29 and 112, was disturbed due to the fact that the borings got quite large during excavation and were open for such a long time. Specifically, I'm concerned that when these borings are back filled, some of the subsoil will mix with the coarser soils, thus affecting the infiltration rate. If you have any questions regarding this issue, please contact me at the number listed above. Sincerely, Rod Eslinger Zoning Specialist cc: Chuck Cook, Continental Development Corporation Tom Nelson File i .� Safety and Buildings Division - Field Operations Bureau 13 East Spruce Street Chippewa Falls, WI 54729 ,scons n Tommy G. Thompson, Governor Departm o f Commerce Brenda J. Blanchard Secretary October 14, 1999 CUST ID No. 263197 ATTN. INSPECTOR ZONING OFFICE ENVIRONMENTAL BY DESIGN ST CROIX COUNTY 1432 120TH STREET 1101 CARMICHAEL RD NEW RICHMOND WI 54017 t HUDSON WI 54016 SITE ST CROIX COUNTY, TOWN OF TROY, Identification Numbers SW 1/4, NW 1/4, S19, T28N, R19W Site ID No. 1260 LOT 60 -TROY VILLAGE SUBDIVISION Transaction No.: 20751 -903 Please refer to the appropriate DESCRIPTION: MOUND RESTRICTION RELEASE identification numbers, above, in all correspondence with the ag The Department has reviewed the request to release the mound restriction on the above referenced property. The approval of this proposal is being put on hold until additional supporting information is received: 1. The system elevation for any soil absorption system near B -3 must be at 84.98 feet or less to be at least 12 inches into the sandy material as per Comm 85.06(2)(f)1. 2. The loading rate at B -2 for an elevatrion of 88.91 feet is more likely to be 0.5 gpd /ft for trenches than the 0.8 as proposed. The CST must choose system elevations that correspond with soil conditions appropriate for the system design proposed. 3. The well setback to the soil absorption systems on lot 61 should be considered on lot 60's preplanning documents. 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 09/08/99 FEE REQUIRED $ 80.00 FEE RECEIVED $ 80.00 eroy, Jansky, astewa Specialist BALANCE DUE $ 0.00 Field Operations Bureau (715)726 -2549 Fax (715)726 -2544 Voice Ijansky @commerce.state.wi.us cc: Continental Development DOA Plat Review Q N 3 N 3 n3 0 CY) �W AVMHDIH AlNf100 3 a N =O NOSaf 1H W ` n (p L 0 W O O U W J � I _+ O� c9 I 3 z J z a, X 5 0 = OV08 ,� b w N C d �H�, W• O y L I O V1 Z F- "< '� c� 3 0 H o W I Y O N 6 £6 I 0. < qY O y< N� �� N � rn ppp S� A 44,, U) U < < Vf 'OZ Wi O 1 N N � ^� w NN p� ^ < �+�r� ��cQN O..J N � C / oN L6' it o �n ly'n< / 0) y< ^< g0 M �, M M � M�� �ho M y< , ^ 1 U ^ ��pNpM W ik: a ' N o Mt � o �� _ m� t^ "' N` ao_ <-g O �I N o0�'� wa N.. I .If` ` � ^o ^ - of � I11 .`.`..Q 6,4 U. U I o/i`� 3AI2a SM3?1(INy '1S '` 1+ ^ 6 � �O aLL_ �o _ ^ 2. F - �',ba'I�t • ,9a•tra . �-� • 3 m N � .J M SM32tMV • .LS ,� Q U. _ s V �N< 4 C4 $, q 'sp; Zl col n 1. y U I I I t� O� nm ,ZYSLI Lr No�� I COI I \ \1 00q 5' 15454, . 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