Loading...
HomeMy WebLinkAbout040-1250-30-000 e4 ST. CROIX COUNTY ZONING DEPARTMENT g,19 , 1 3C, , AS BUILT SANITARY REPORT Owner Address /,,frs �sb /.7r''`S ,c1 City /State -tea 14 �S V2 Legal Description: Lot 4=3 Block / Subdivision/CSM # r '/4 ,z, Sec. �, T N -R a W, Town of T o Y PIN # 0 - 5z - z /f -T a9 N 2 ,g w SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Size ST/PC / a50/ — Setback from: House 21L Well GS� P/L Pump manufacturer Model — Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: T.0 � /LTP�t'roP Type of system cN Width Length fS , 9C ' Number of Trenches -R Setback from: House o/7 . Well .?' P/L - s' Vent to fresh air intake 'CO ELEVATIONS Description of benchmark TE doss Ar A). Li. La-- e *,jdr Elevation loo. zv' Description of alternate benchmark Elevation Building Sewer /0/- 3-2, ' ST/HT Inlet _/O o , li 3' ST Outlet on PC Inlet PC Bottom — Header/Manifold 5'? '76 Top of ST/PC Manhole Cover /0 • �3 Distribution Lines (k) 99. Sv ' (3) 5'q. 9d " ( ) r Bottom of System (4) 99'. , v c7 (s ff . o o ( ) Final /� Grade (q) -/ - G c (►3) /° . ( ) Date of installation / 21/00Perm't number `x( State plan number Plumber's signature i License number 5 7 Date N 11b / Inspector Y01 Complete plot plan er �� NOTICIJ. Plea se rovide the following g • A plan view sketch "showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. AW T PLAN VIEW ORu pER"�` gEII L Nn��eK- T� of SrE Si. TEE ,41sT 7s, AT AIw ko eoeN Acay. /av,on /cr�e,trr�P i�ioN C,tP,4c tTY 6"0140s y " �10Q.74 �Pv c E ) WfA� (416�uY [. /Ad 149' 1�5a G�tc, t�F9E/I S�rfi�c TfivK !T 1 / 0 �j� �iNE lip � s' (.J�6'r l/ gEtl ?oor P��P�try Ens' R� S, �ENCE Peo��7�� /JQ,vFwAY - - � - 2v�a5L0 WZlC A6 S -4a INDICATE NORTH OW r Wi onsin Department of Commerce PRIVATE SEWAGE SYSTEM County: S; Ay and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary,P,.g4r,�Q,No.: Personal information you provice maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. SS / yybbt2SS Permit Holder's Name: ❑ City ❑ Village a T6Wn of: State Plan ID No.: Lifestyle Homes, Troy Township CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: OD. D a ,� _� 040 - 1250 -30 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �N 12J Benchmark ��, l oq Dosing Alt. BM , q , 03- Aeration Bldg. Sewer�� Holding St / Ht Inlet } -got, TANK SETBACK INFORMATION St/ Ht Outlet ( Z co TANKTO P/L WELL BLDG. Air to I ntake ROAD Dt Inlet - Air � Septic) g --� NA Dt Bottom -- Dosing es� P L NA Header / Man. ?,Qp 6 Aeration NA Dist. Pipe Holding Bot. System ; ' PUMP/ SIPHON INFORMATION Final Grade { Manufactu Demand St cover , l o2 -s`E Model Number GPM TDH Lift Lriction 5 stem TDH Ft Fo cemain I Length Dia. Dist. I pp SOIL, B RPTION SYSTEM 5 G� S ear TRENCH Width Len h No Of renches PIT No. Of Pits Inside Dia. Liquid Depth DIME $ ' } S oZ DIMENSION SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING rer�`% SETBACK CHAMBER INFORMATION Ty ep�pe O i !� 1 OR UNIT el Number um er System: ,'f � 5 - 11 / DISTRIBUTION SYSTEM y I �° s Header/ if noId U Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake LL i Lengt A� Dia. Length Spacl 8 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 discrepancies, persons present, etc.) Inspection #1: 1(13 /u° Inspection #2: / / Location: 324 St. Anne's Parkway, Hudson, WI 54016 (SW 114 NW 1/4 19 T28N R19W) - 1928191305 Troy Village -Lot 63 1.) Alt BM Description =� S 4o - 2.) Bldg sewer length= 19-o' - amount of cover = > 1 8 - -k Pla revision required? Yes �NoG S Z Use other side for additional information. 12 ►mil 2 C SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. v � I ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: . . a � s f E I , t E P � r . 2 � F a @ t j }} i a t .�a S'CA � 1 Sanitary Permit Application 32 LA + ,,,� `1 �l � O Ssafety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code �'�) 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 IM SCOn.S in Personal information you provide may be used for secondary purposes P t dison, WI 53707 -730^ Department of Commerce (Submit comp form to county if r [Privacy Law, s. 15.04(1)(m)� sta te owner Attach complete plans (to the county copy only) for the system. on paper not less than 8 -1/2 x 11 inches in size. County State Sanitary Permit Number ❑ Check if revision to previous application State Plan I. D. Number S"C C-06 R I. Application Information - Please Print all Information k 1121 Location: Property Owner Name / Y Property t.✓ � ' 4gW IMM,S /g Tag N. or Property Owner's Mailing Address V`C/ Lot Numb, Block Number City, State Zip Code Ph c u e�� _ Subdivision Name or CSM Number 414-5--t II Type of Building: (check one) �'�� p „/ f ❑ City I or 2 Family Dwelling— No. of Bedrooms: '.� Villag El Mown Public /Commercial (describe use): ,',� — rifnY ❑ State -owned III Type of Permit: (Check only one box on line A. Check box on line B if applicable) NearWeRoat/ ES Q r � /``fitAJAJ T A) 1. )New System 1 2. ❑ Replacement 3. O Replacement of 4. El Addition to Parcel Tax Number(s) System Tank Only Existin S stem Oy0 `IaSO ` 3d B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued t 9.?�. c ) . t 3 IV. Type of POWT System: (Check all that apply) 14 — (tr0 - )KNon- pressurized In- ground ❑ Mound ❑ Sand Filter O Constructed Wetland O Pressurized In- ground O Holding Tank ❑ Single Pass O Drip Line ❑ At -grade , n _ 3 ❑ A robic Treatment Unit O Recirculating O Other: a 3 x 93 - , �-Kb V Dispersal/Treatment Area Information: I. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation lvda :!5 �i5/.a / - °O 1 "_ 1 2 ,- 00 VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ❑ ❑ ❑ ❑ 60 C,J. _ ❑ ❑ ❑ ❑ — 15 — T VII Responsibility Statement 1, the undersigned, assume responsibility for instal latio f the POWTS shown on the attached plans. PI is Name 'nt) Plum Si nat nos ps): MP/MPRS No. Business Phone Number r 4/7 '7 �•S * , 3 Address (Street, City, State, Zip Code) P ” j 1 -5 ^ / j Owl LJ e 'G_V OZ �_ VIII County/Department Use Only O Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) ,Approved ❑ Owner Given Initial Adverse charge Fee) Determination a -, d9 9 - l g" Zscn IX. yy Conditions of Approval /Reasons for Disapproval: =J14 s s sa k bZ* Lt Ai Wjtu-. SBD -6398 (R. 07/00) ✓�(�cN,N�K T, of — �l! .. PLD W. CoP�� PLOT & CiWii iECT1ON PLANS ZA"A OMM. EXCAVATM INC ---- K UM" uNIT -PROJECT /✓�cAEt � I- �,a�l!,kPAc.,'����» i�E t� E5. y 50 ?35 Ne. EFc«e)"r 4 i oc g � C-A Syw IA go rA lee o ?— g7 ! 8 , /8'- y 'Scal,/o �w �6.cicdt SYS ffJ.c �QA�6Ls � P Rw��Y Peopwa 7 --f w>:u • Y CALF V" , r £ 0,&SEkN hT,oN P iO � FCE -.R2 4/ / DATE' ' m0 /"�btntyM /.?" i�$oJF T /A►1s'1 lo Qk4E 'r F.u,s,+ �•P.4oE i / Vw r A P£ •8 L TEOT" 0V: a • [•�.vhsr� a T F /NOSH G4.kpE Side View T E.Jc m Ba Tr— 1 EQ So,,t Tfsr End View N 4 491 OD i 34• .I S,v£c...►,.v4�R �,GN �AOA�lTy /•�OUEL = 1"Att in Department Industry SOIL AND SITE EVA L 4ATIP .. REPORT Page of 3 L d Human Relati ons , of safety & Buildings in accord with ILH 5 Ws. Adm. Code • .�� COUNTY complete site plan on paper not less than 81/2 x 11 inch sLntze. Puri trriist`1n�ude, but . not limited to vertical and horizontal reference point (BM), dre 6�at and % of e . ' scale or PARCEL I.D. # P dimensioned, north arrow, and location and distance to neare r .. oad. r r A s OL-J O - IZ s o 3 O i c� J� APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION t D Y DST / PROPERTY OWNER: Pf,DEATIOtJ -. t 1 - s� z-q ,T � R � w jr GeV e.bP Wt 12 ! _0MD P Bevf w. / l Z, tM Vq T 29 ,N,R t9 E (or) W PROPERTY.OWNER':S MAILING ADDRESS. Z3� LOT # BLy #'' SUED. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER L-jCfTY ❑VILLAGE ®TOWN ' NEAREST ROAD B1�PC1h1� wt fv g s LL 3 t( (blia ZS') -1 S 68 'ZU sT. t'tnlr� PR�tkh� »4 to New Construction Use [)4 Residential / Number of bedrooms 4 (J AdditiQn to existing building I J Replacement [ J Public or commercial describe Code derived daily flow bon gpd Recommended design loading rate -71 bed, gpd/ft trench, gpolft Absorption area required 'a SPA bed, ft -1 5 Q) trench, ft Maximum design loading rate - - bed, gpd$ - 9 trench, gpd/ft Recommended infiltration surface elevation(s) Si - 3 It (as referred to site plan benchmark) Additional design / site considerations — see NX'T 1U y%J S TR't_LQgL 0T'J � 3 ) - - Parent material _ 1 _o es a ov S tm - "p y Ov in�^ S H Flood plain elevation, if applicable ►'3 A It 3 02-2 . S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN RLL HOLDING TANK U= Unsuitable fors stem ®S ❑U ®S ❑ U ®S ❑U ®S ❑ U El 91 U ❑S ®U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Botndary Roots Bed terra in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 8 ` I o.-1 - 1•SLI 2 13 = si ��sbk wt`�i- a S — • Z .� y;3 1" Z l - O S`ttZ 4rl6 S o Sg Y4 Ground -1 - LD `11L V lra - S 0 elev. X0 . l ft Depth to limiting factor ? L 03 Remarks: Boring # Ib vnv`f El Ground elev. 1 0 4-8 It Depth to limiting i factor L > a l R (04.4 /f ogr; Remarks: CST Name: - Please Print Phone: Arthur L. We erer= 715- 425 -0165 egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022 Signature: Date: ,3 �3 14a CST Number:. 220 PROPERTY OWNER SOIL DESCRIPTION REPORT Page PARCEL I.D.# VL SL1— 3 Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD /ft in. Munsell Qu. Sz. Cont. Color Consistence Boundary Roots Bed Gr. Sz. Sh. rend( z:2 � - lZ ?•S`itZ2.5 !3 Ground to 1 - 1.R V s Q 106 elev. l Depth to limiting i factor t > It Remarks: Boring # - ...:: 1(3 s �S Ground 1aILL ft. S �-t R 3 13 s c) t vri `�; L° S 1.3P Z Depth to S y6_lls yl(, — S O S 9 en limiting factor > its i Remarks: L1 't zokiE Boring # us ` C 1 CS��C nl Th n 3 zz tb �-t2 St iR , Ground 31.3 s 1 C) 1 e 0 m j' I OS.Y tt. 4 28 -\Z - -S ti R Vl6 - s o s9 r�, l - •� j 4 Depth to , limiting $ ,, factor > LZL 4 Remarks: < l Zk ►�to1�L�q - Z 3oring # i around 1 ,lev. ft. )epth to imiting actor Remarks: _ s -' Page of PLOT PLAN 3 3 'M -VUL - VUU•p ow hlP dF 4 rRt� -£Z 1bb•U � 0.1 `t ,P OF 4 -C-MLL - vbsr t I U.1 B. g - )5' �—`1 3• B -10 15� lot � 44 J0q �br bu Lur Z / I a w W=onsin Oepartment of Industry SOIL AND SITE EVALUATION REPORT Page I of 3 Labbn and Human Relations givision of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BKv , direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. ' O LJ 0 - 1Z so o APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION E: 1Z - S ZL) R w CAS ) W eo ��V �.oPr� C D2p eew. Ee I r zj* t 4,S Vq T 29 ,N,R lq E (or) W PROPERTY.OWNER':S MAILING ADDRESS • LOT # I BLOCK # SUBD. NAME OR CSM # \'Z3o l os-K ev- lNE . N L3 (o - Roy V � LLfNGE CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE ®TOWN ' NEAREST ROAD B�Ps1W ►� ti s S LL 3 y ( b 1Z) ZS') --) S 6 8 -w sT . Ptr�N ETS PPr52ltl.� t'r�1 to New Construction Use [)4 Residential / Number of bedrooms 4 [ J AdditiQn to existing building [ I Replacement [ I Public or commercial describe Code derived daily flow \,vo gpd Recommended design loading rate bed, gpd/ft - b trench, gpd1ft Absorption area required 8 SS bed, ft 150 trench, 112 Maximum design loading rate bed, gpd/ft _ - b trench, gpd/ft Recommended infiltration surface elevation(s) SIE 5-f'V6L 3 ft (as referred to site plan benchmark) Additional design / site considerations S tai 1U t�v STPt - L 0�1 \6E 3 Parent material L - o is s ov t�z S��,py OuTu-'h S H Flood plain elevation, if applicable tQ F\. ft L U = Suitable for system CONVENTIONAL MOUND IN•GROUND PRESSURE AT -GRADE SYSTEM IN PILL HOLDING TANK = Unsuitable fors stem IRIS ❑U ®S 13U NS ❑U ®S ❑U ❑S ®U ❑S ®U SOIL DESCRIPTION REPORT Boring Horizon Structure g Depth Dominant Color Mottles Stt in. Munsell I Qu. Sz. Cont Color Texture Consistence Boundary Roots GPD /ft ;;A ;,.,:� v .,w.;� Gr. Sz. Sh. Bed rend 8 = I 0.-1 _71.S112is 13 k S - • Z- �� �'�`�} Z � -S o � •s�f� �l16 S o S m. � cis ,-- .�3 Ground 3 - LT) `la- V11. - elev. k0 . I ft Depth to limiting factor >L03 Remarks: Boring # p_Io 2 h6 C' — •� .S Ground elev. 1 04-8 It Depth to limiting factor > L L9 Remarks: T Name:-Please Print Phone: Arthur L. We erer`• 715 - 425 -0165 egerer Soil Testing & Design Service —P.O. Box 74 River .Falls,WI.54022 Signature: 00- Z"I_�.3 _ 220..5 ► PROPERTYOWNER - �ZY L�1. CbV-:V>. SOIL DESCRIPTION REPORT Page of . 3 PARCEL I.D.# `L SL1- 30 Boring # Horizon Depth Dominant Color Mottles Structure Qu. Sz. Cont Color Texture Consistence Boundary Roots G P D /ft in. Munsell Gr. Sz. Sh. � ;.,,<:•:.::4.� Bed Tmnch �••� � O - �Z �•S`1R2.5l3 e _ , s •b ........ :...:.... Z LI A S L) S9 Ground 3 4e - 11 v 1 `tT Yl6 S O S'4 ri1 - •1 elev. 1 Depth to limiting factor Remarks: Boring # - vn (2 • S . Ground 3 Z3 -38 10 ` 31 6 _ , �t1 lesbk 1n�6 elev. 1 63-Y ft. S'-t It 3 13 S 1 C-) Vnll vrl `FI S kip Z Depth to S y6_ I t s - 1 •S `1 R y!b limiting factor > l lS i Remarks: �Z-� �1 k) IT -kj Zo'uE j Boring # L 1 csbk m `Fh n, S , v `• .s L SI R 3 L 3 s 1(� a b ' Ground h1. `� �• elev. y - \ZI 3 y R- VA - S # I �S9 wll - •7 i •i3 Depth to limiting factor > LZL f Remarks: C �ZK >tio1�'l�q ZOO 3oring # i around l .lev. ft. )epth to imiting actor Remarks: — Page °f PLOT PLAN ; 3 'M - � 13 . , Wo t3 O►..1 SOP OF U l-r o'- 1 _ -ZI . \bb.q 1 00 `RAP OF u.G - tALL S �TZ rrE� k-"6.97-- SELL �Cw� Pc,9r� x-103 y s. g -)5 atlu3y � =-� � 3 L B -1 p - IS M b' ; O i 15' $ ' 9 nor 6u — Lur bZ I w I LL O w Wisk onsin pepartment of Commerce 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% x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and County percent slope, scale or dimemsiorrs, north arrow, and location and distance to nearest road. St. Croix _ Parcel I.D.# APPLICANT INFORMATION - Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Continental Development Govt. Lot SW 1/4 NW 1/4 S 19 T 28 N,R 19 W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# 12301 Central Avenue NE, Suite 230 63 - Troy Village City State Zip Code PhoneNumber City ❑ Village ®Town Nearest Road Minneapolis MN 55434 612- 757 -7568 Troy ` St. Armes Parkway Z 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 •7 bed, gpd/fF .8 trench, gpd/ftz Absorption area required 857 bed, ftz 750 trench, ff Maximum design loading rate .7 bed, gpd/ftz .8 tr ench, gpd/ft2 Recommended infiltration surface elevation(s) 97' ft (as referred to site plan benchmar Additional design / site consideration Parent material Loess Over Glacial Outwash Flood plain elevation, if applicable Na 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/fr? Boring# in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ; Trench 1 1 0 -11 10yr3 /2 - is 2msbk mfr cw 2f .7 .8 2 11 -96 7.5yr5/6 - s Osg ml - - 7 i 8 Ground elev 104.09 ft Depth to limiting factor >96 Remarks: 38 sd inclusions 7.5yr5/8 2 1 0 -16 10yr3 /1 - is 2msbk mfr cw 2f .7 i .8 2 16-37 7.5yr4/4 f2d5yr5 /8 sill 2msbk mvfi cw if 5 .6 Ground 3 37 -98 7.5yr5/6 - s Osg mi - - 7, 8 elev 105.81 ft ` Y. E Depth to limiting co factor S 9 . 16 -37 Remarks: CST Name (Please Print) Signature- z_ ,�_ Telephone '— Thomas C. Nelson 715- 246 -2454 Address Envirom rental By Design Date CST Number Ref # 1432 120th Street, New Richmond, WI 54017 7/2/99 227387 187 � RROPERTY,OWNER: Continental Development SOIL DESCRIPTION REPORT ta7 Page 2 of 3 PARCEL I.D # Environmental Bv Design Depth Dominant Color Mottles Structure GPDIftz Horizon Consistence Boundary Roots in Munsell Qu. Sz. Cont Color Texture Gr, Sz. Sh. Bed ! Trench 3 1 0 -32 10yr3/1 - is 2msbk mvfr cw 2f .7 .8 2 32 -47 7.5yr4/4 fif5yr5 /8 sil 2msbk MA cw if .5 .6 Ground elev 3 47 -108 7.5yr5/6 - s Osg ml - - .7 .8 105.31 ft Depth to limiting factor 32-47' Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: -Wisconsin Department of Commerce SOIL AND SIT. VALUATION . �Divisiri'of Safety and Buildings -- Page of Bureau of integrated Services in accordance wjiff�s:, f1 NiF $309;'Wis. Adm. Code Coun Attach complete site plan on paper not less than 8 1/2 x 11 inche i i Pla �' �� t�? � \ include, but not limited to: vertical and horizontal reference point�O3!IAY directioh' C ✓O J x percent slope, scale or dimensions, north arrow, and location an &stanc t nearest road. Pargel I.D. # _ j0 APPLICANT INFORMATION - Please print all infdff�tion cr '' oo 06viewed by Date I�1T Personal information you provide may be used for secondary purposes (Privkgyl ay 8, Pro rt Ow Tr Property Location, �-U R .: Qvt. Lot 1/4 Yl Q1 /4,S T J_ p ,N,R 9 --r= (er) W Property Owner's Matg Ad ress Lo Block# Subd. Name or CSM# a ►� �� -t Ci State Zip Code Phone Number 5 ❑ City ❑ W Village Town Nearest Road r-o S� n New Construction Use: K Residential / Number of bedrooms Addition to existing building E] Replacement El Public or commercial - Describe: Code derived daily flow ��, gpd Recommended design loading rate j bed, gpd /ft2 V v trench, gpd/ft Absorption area required S7 _ bed, ft ft Maximum design loading rate gy bed, gpd /ft trench, gpd /ft i Recommended infiltration surface elevation(s) U �� ft (as referred to site plan benchmark) Additional design /site considerations t Parent material I a 4 LS 0 A r 0 4. � � ras 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 NS ❑ U Us ❑ U [:IS L- U EIS [4 U ❑ S /`-'' U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench n1 r C j Z e z- -� 7, s d s --- _ 18 Ground elev. Depth to limiting factor Remarks: �� h 1. S ol S + �/ S �r 7 Boring # 6-9 off Z 7 '6 2 2 - j qrj ;.v Ground elev. Depth to limiting factor '� in. Remarks: "^� CST Name (Please Print) Signature Telephone No. M& C 11 Address Date CST Number SOIL DESCRIPTION REPORT PROPERTY OWNER Page of PARCEL I.D.# Boren # Horizon Depth Dominant Color Mottles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench v Io r3 Z t 1 u, r CLU 2. 7 7 Os Ci r Ground elev. Depth to limiting factor Remarks: 4 I r1 I,.ti Z Boring # /Ow 3 1L -- s ,►r7s - 7 o r NP 65" rn Ground elev. ft. Depth to limiting factor q + r/ l — in. Remarks: NV n rn � f I - 55 �2 '/ l e D 4 n,Trench Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Boring # ........................... .......................... Ground elev. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) 0 B Y DE 51 GN ��V� �J'1V1 �1T L 1432 120th STREET, NEW RICHMOND, WISCONSIN 715 - 246 -2454 Troy Burne Village '"' PAGE 3 SW 4 NW 1 /, SECTION 19 T 28 N, R 19 W TOWNSHIP TROY COUNTY St. Croix Wisconsin 4b/jo 2 6 6�) 0 g3 N, O 6' Lq a � 0L c e SCALE 1" =40' S+ A n n t S �� r k �J wy Tom Nelson BM 1. Top of 2" iron pipe NE corner 100' 227387 BM 2. Top of telephone pedistal between lots 61 & 62 elevation 95.28 Qivisimn.9f.Safety and Buildings v v • ` "' �" "" """" ""' Pa a of 9 `li ur ' eaLL of Integrated Services in accordance w" s. _03:06; VA is. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inc ha t Plarr� Cqunty r �. include, but not limited to: vertical and horizontal reference poin , directio �VL S Ct(o I X percent slope, scale or dimensions, north arrow, and location a D nc t nearest road iPar el I.D. # M _ � 19 98 APPLICANT INFORMATION - Please print all in Lion. S ROUX j9y ewed by Date Personal information you provide may be used for secondary purposes (Priv sZt�1 ; i� Pro rty Ow r n C Property L V h Q1 /4,S I T l ( 1/4 Z p ,N,R 9 — le-(er) W 1 Property Owner's Mai'ng Ad less n y� Lo Block# Subd. Name or CSM# , l 1 2,3- �-1 JQ.n +�, � - T 1 3 V" r0 tn ,e. -t. Ci State Zip Code Phone Number Ne r st Road g� i ❑ City ❑ Vil � Town M 0 ( ) u n e New Construction Use: X Residential / Number of bedrooms Addition to existing building Replacement El Public or commercial - Describe: t7 Code derived daily flow pd Recommended design loading rate (! 9 bed, trench - 9 9 � 9P� .9P� Absorption area required bed, ft ft2 Maximum design loading rate # 7 bed, gpd/f1 $_ trench, gpd/ft Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design/site considerations tt Parent material I n P S S 0 u Q r O "� of C.sh Flood plain elevation, if applicable It S = Suitable for system I Conventional Mound In- Ground Pressure I AT -Grade System in Fill Holding Tank U = Unsuitable for system S❑ U NS ❑ U N4 S ❑ U ❑ S t U ❑ S U ❑ S ZU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench ` ! o -� Ioy�3 m V r c f.J z .� L 0-9b 7, S r- G Ground elev. Depth to limiting ; factor �in. Remarks: f 7� S r Boring # 6•q a r 2 — U �' 2 2 C 2 - -7 Sr .� Ground elev. (t. ' Depth to limiting factor In. Remarks: CAO lJ L CST Name (Please Print) Signature Telephone No. Address Date CST Number L42 I.L S� Y) ` � o W1 ID -9- 8 90 z- Z z-7 3 PROPERTY OWNER Page of 'z. PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Structure 2 Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots in. Bed , Trench 3, a lv r'3 Z f5 �P1Sdt� MU r Cu.S 2 ,7 : ,d �- - L5 7.5 r S S Os — , Ground e ev. all ft. Depth to limiting factor ; Remarks: Boring # P)O F C j 7-r ,7 ,$ r n o Ground elev. Depth to limiting factor co /-:34OL'n Remarks: row', h l + 55' U7 l0 rG 3 W ws �1'$ Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD 1 ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench Boring # Ground elev. ft. Depth to limiting ; factor ' Remarks: Boring # y „ Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) 0 B 1��'Ilf ��IVI .�TT�L D 1432 120th STREET, NEW RICHMOND, WISCONSIN 715 - 246 -2454 Troy urne Village a PAGE 3 g SW 4 NW '/, SECTION 19 T 28 N, R 19 W TOWNSHIP TROY COUNTY St. Croix Wisconsin o g3 �? 6 , V�' L 0L Cr 2 SCALE 1" _, S+ A n n c S �A r k L3 u-Y -40 Tom Nelson BM 1. Top of 2" iron pipe NE corner 100' 227387 BM 2. Top of telephone pedistal between lots 61 & 62 elevation 95.28 ST. CROIX COUNTY - �-=- WISCONSIN ZONING OFFICE p p p / p p p N ■ - � ���� ST. CROIX COUNTY GOVERNMENT CENTER �r 1101 Carmichael Road Hudson, WI 54016 -7710 f ®�! (715) 386 -4680 Fax (715) 386 -4686 March 14, 2000 Wisconsin Department of Commerce Plat Review ATI Leroy Jansky Box 8911 Madison, WI 53708 -8911 RE: Onsite soil verification, lot 62 -63 of Troy Village Subdivision, Sec. 19, Town of Troy, St. Croix County, Wisconsin Dear Leroy: I have reviewed the soil reports for lots 62 and 63 in Troy Village Subdivision, filed by Art Wegerer, CSTM #220254 and have conducted onsite soil verifications on these lots. My findings have verified that the soil conditions as reported by Mr. Wegerer are accurately described. The soils on these lots are suitable for subsurface sewage disposal with loading rates of 0.7/0.8 GPD /sq.ft. Note: I conducted onsite soil verifications for lots 62 and 63 for Tom Nelson in 1999. Art Wegerer re- tested these same lots on March 13, 2000, I did not feel that I needed to re -visit these lots. 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 Art Wegerer Y ST. CROIX COUNTY WISCONSIN ZONING OFFICE I II N P N N N M ST. CROIX COUNTY GOVERNMENT CENTER .��:. 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 September 15, 1999 Wisconsin Department of Commerce Plat Review ATTN: Leroy Jansky 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, )pj z Rod Eslinger Zoning Specialist cc: Chuck Cook, Continental Development Corporation Tom Nelson File Safety and Buildings Division *4 t y' 13 East Spruce Street r Chippewa Falls, at 54729 Vis www. commerc e. state. wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary April 11, 2000 A CUST ID No. 220254 �,r W ATTN: INSPECTOR c ! ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE <' ST CROIX COUNTY PO BOX 74 ww 1101 CARMICHAEL RD RIVER FALLS WI 54022 ` = HUDSON WI 54016 RE: CONDITIONAL CERTIFICATION ` ' ` " ' Identification Numbers SITE ST CROIX COUNTY, TOWN OF TROY Transaction No.: 20751 -905 SW 114, NW 114, S19, T28N, R19W Please refer to both identification LOTS 63 - TROY VILLAGE SUBDIVISION numbers, above, in all correspondence with the agency. DESCRIPTION: MOUND RESTRICTION RELEASE v 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 for this lot provided the following condition(s) are met: 1. The release and waiver of this lot restriction for the below grade absorption system 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. Both soil absorption system areas on this lot 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. 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. 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 03129/00 -- FEE REQUIRED $ 80.00 '6� roy 7Ga sky, ast ewat Specialist FEE RECEIVED $ 80.00 Field ons Bureau BALANCE DUE $ 0.00 (715)726 -2549 Fax (715)726 -2544 Voice Ijansky @commerce.state.wi.us cc: Continental Development DOA Plat Review r r " ° - -� JUIL H lvu JI Ir- t:VALUHI hl=IJURT Page 1 of Labor and Human l o Reatins Diyision of Safety S Buildings in accord with ILHR 83.05, Wis. Adm. Code ` COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. ' D L l C - 1Z 5 0 1 O APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION E I I - SAC ZLl,TAN, tZ io w 4r C0�.1`ll } .- � t: ��V P1✓1 E1,lr °�tLP 6& f-t@T-w / I Zl* 1A,S lot T 2.9 ,NCR l9 E (or) W PROPERTY.OWNER':S MAILING ADDRESS • O LOT # BLOCK # SUBD. NAME OR CSM # Z � - 's t ce4m t. E . N — cZ oy V �Lp, GE CITY, STATE ZIP CODE PHONE NUMBER (]CITY VILLAGE ®TOWN . NEAREST ROAD aL•f �llJ E � rat ►v s s �L 3 y (b 1iJ Zs`1 -� s 6 a ZU �-, r�vW Fs t�i21c�,, R�1 [A New Construction Use [)q Residential / Number of bedrooms 4 (J AdditiQn to existing building [ J Replacement [ ] Public or commercial describe Code derived dally flow b30 gpd Recommended design loading rate • bed, gpd/f? trench, gpd/ft Absorption area required 9 S8 bed, ft `150 trench, ft Ma)dmum design loading rate _ bed, gpd$ - trench, gpd/ft Recommended infiltration surface elevation(S) _%[ E T ZZ 3 ft (as referred to site plan benchmark) Additional design / site considerations s E I CT - M Ln1 STf It LL. L ON \ 3 Parent material Lo im a ov k. Sfq Ou►1 k^ S H Flood plain elevation, if applicable I'Z A • ft S = Suitable for system CONVENTIONAL MOUND IV- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for stem ® S ❑ U ®S ❑ U ®S ❑ U ®S ❑ U ❑ S E] U I EIS ® U SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color I Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed terldi 8 1 0 -7 - 1 .SLt 2Z .s 13 C-Svt . 1 2 -S O S`tR yL6 S. O Sg w1 1 �S - 1 .8 Ground 3 - Lt) elev. Vr 3l ft Depth to limiting factor Remarks: Boring # o- Ib s 1 q ul S 0 2 9 1n1� --� • Ground elev. 1 b V - 8 ft Depth to limiting W o r Remarks: T Name: — Please Print Phone: Arthur L. We erer 715- 425 -0165 egerer Soil Testing & Design Service -P.O. Box 74 River .Falls,WI.54022'' Signature: Date: `3 =�(� CST Number.. ' L d0- Z7 -f,3 2205 } • 1 PROPERTY OWNER - �Z) Q�3, C°_LAP. SOIL DESCRIPTION REPORT of Z Page _ 3 PARCEL LD.# O`LO �.2. SL1— 3 0 . Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD /ft in. Munsell Qu. Sz. Cont Color Consistence Bourxjay Roots »; Gr. Sz. Sh. <•: �`� t Bed Trerxh �.S`t2 Z.5 ! 3 — Sblt i � Z ryt `E�- � S — s • b s 0 So Ground 3 Lle - 1 1- 1 R VA. S S`_j ri1 I _ •1 . elev. l U.O ft. Depth to limiting factor >ll i f Remarks: Boring # - .. o_�Z i.s1-l2 z•s 1 d _S z K �2 -Z3 t O `L tZ 4r `IQ`s 1 �S �k vn �'�1� c S • S Ground 3 Z 3�8 10 `1 R .3L� _ s S t esbk : �FI CS 1 .3 10�ft. Z Depth to limiting factor > ltS i Remarks: �Z� yAQ,1 "ZOkJ$, Boring # s1-ltzZs13 - L 1cs1 -'S 3 Zz t0 �2 St2 S�� 313 S1CI 10-0 ` Ground 00 v11 `� 1 cS � - Z. '• - 3 ► oS.Y ft. 4 Z8 -vZ Ll tZ VA - s 0 S9 _ Depth to limiting factor > lZL f. Remarks: < Zk >�oYl'l�q ZaD@ 3oring # x a kz�..•: around ,lev. ft. )epth to imiting actor Remarks: Page of PLOT P LAN ; 3 3 I'm - k�L Wo -0 ow NP or 4 'rnt� �� -4EL . ibb.y � cii `1 ip o q.6`tALt_ `3`T�.Zz- ���'-'� !>• (SST _ S T�"L. �'�+�' PG97 - � B. g •15 -1 3� aL Lu B - 6oTRl1+q OF vC�f @5� / ajoy 3 r �1, . . S' B -10 I $5�1�'U►"1 OF �'►�l °� -1(>vS �• �r.��T��" o/u B'rt nor 64 qcljO t✓�T bz , - - -___ B V - c- 10s y lb I i I L : ELL- I 1- 1 1,e -11 Vo -t- 63 -- -- — — -- - -- — - - -- t1��S -t l: Z `n ENCtMg, etve-14 3'x -tS. LL G_..LJLYH.._ �z �N►TS oF:�t�, _�}LGt�1 etYPl\�l'i'y sLDL w►��D�1't _.._�, i i—�t�1 Cv�.{ ►"'lL �'llZ- �R.�I./C11. _ . . _ _ - - -- I I 1S' N -}nUSF Zo �3E "/YF UMST Z S' FlZOM `C1ZUlJc1t I (D0 1Z ►00 - 7)S LIZ-S- 01 6S ZZOZS CST�Signature Date Signed Telephone No. CST # Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number - 5 R 1 9 Number of Bedrooms Design Flow - Peak (gpd) aD Estimated Flow - Average (gpd) Septic Tank Capacity (gal) Soil Absorption Component Size (ft — erg 2 Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) I Z Sbo Z Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 08/24/2000 17:13 5124365113 LIFESTYLE HOMES INC PAGE 01 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT 0 \� AND % OWNERSHIP CERTIFICATION FORM � }�� Owner/Buyer -_ Mailing Address / 8'0 d ,� Sf " , .5�,:- Q y�'e s S Y Y 9 Property Address 3 (Verification required from Planning Department for new construction) City /State „ZZ{,.ar,2 Parcel Identification Number —.?o LEGAL I Property Location 1/., J " /., Sec. L, rp1_�N -R C7 W, T OWI1 of Subdivision rAi y Lot # 3 Certifled Survey Map # , Volume Page # &2.852 /V — as a -ze-0 Warranty Deed # . Volume ,:72 , Page # Spec house ,yes Cl no Lot litres identifiable;. yes 0 no SYSIEM MAaUNADICE 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 mister lumber, journeyman lumber, restricted lumber or a licensed pumper verifying that (1) the on -site wastewater disposal system P �? YAP � P is is proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin.. Certifies stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office n 30 days of the three year expiration date. 8' lzy o 5 SIGNATURE OF APPLICANT D''t QMER CERTIF CATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the er s of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLI�ANT j�� / �Lli�, DATE • *$ **$ information that is mis -re resented may result in the sanity p ermit being revoked by the Zoning Department, •s *. rw An P Y sanit p Y "'• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certired survey map if reference is made in the warranty deed • STAKE BAR OF WISCONSIN ) ORM I - 1982 / �y c-^ r Vii. WARRANTY DEED 5 . 599 Document No. VOL 17 41 PATE 75 4 -�-- -- -- S7 .,O,,, "� , afl This Deed, made between `' r "�'' 1wd Firxv+Y John J. Ruemmele and Barbara A. Ruemmele his wife and Thomas J. Ruemmele and Nell L. Ruemmele. his wife ! MAY, 2 7 199 and ,Grantor, - f 3:15 FM Troy Development Corporation -K".. # 0 err of D " do Grantee, Witnesseth, That the said Grantor, for a valuable consideration This space reserved for Recording Data NAME AND RETURN ADDRESS conveys to Grantee the following described real estate in St. Croix County County, State of Wisconsin: (Parcel Identification Number) Lots 1 through 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 ���d.� Outlots I 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 vJ day of �� 19 • . (SEAL) �.t (SEAL) * ohn J ele * Thoma . R mm le " (SEAL) ° (S)✓ AL) * Barbara A. Ruemmele * Nell L. Ruemmele AUTHENTICATION ACKNOWLEDGMENT Signature(s) John J. Ruemmele and Barbara A. Ruemmele. his wife and STATE OF WISCONSIN ) Thomas J. Ruemmele and Nell L. Ruemmele. his wife ) SS. authenticated this of Ma , 1997 County. ) Personally came before me this day of 19 the above named * Sa ue R. Cari TITLE: ME ER- ATE BAR OF WISCONSIN (If not, authorized by S706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Heywood & Cari, S.C., Samuel R. Cari 204 Locust St. , P.O. Box 125 Hudson WI 54016 Notary Public County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: necessary.) , 19 .) 1 "Names of persons signing in any capacity should be typed or printed below their signatures. FORM No. 1 -1982 a: \I5\ruemwd 1 l • 621942 KATHLEEN H. WALSH 1jIJi" ,1JI�JPAG: ST. CROI OF DE EDS RECEIVED FOR RECORD I, James D. Filkins, Registered Land Surveyor, S -2246 04 -26 -2000 3:00 PM hereby certify that the Plat of Troy Village, recorded in CORRECTIVE AFFIDAVIT Volume 6 of Plats, Page 89, Document No. 559959, St. EXEMPT r CERT COPY FEE: Croix County Registry, located in the Town of Troy St. COPY FEE TRRNSFER FEE: Croix County, Wisconsin, shows Note No. 5 on Sheet 2 RECORDING FEE 1D -00 which states "The following Lots must have mound systems: PAGES: I 1 through 10, 15, 16, 18, 19, 21 through 45, 47 through 49, 51 through 55, 59 through 64, 69 and 70." This note was �yY James D. Filkins changed on February 4, 1998, by an Affidavit of Correction, Ogden Engineering Co. Volume 1293, Page 189, Document No. 572333, to read: 113 W. Walnut Street "The following lots must have mound systems: 1 through 5, River Falls, WI 54022 16, 18, 19, 21 through 45, 47 through 49, 51 through 55, 60 Lot 21 040 - 1246 -10 -000 through 64, 69 and 70." This note was changed again on Lot 23 040- 1246 -30 -000 January 25, 1999 by an Affidavit of Correction, Volume 1398, Lot 27 040 - 1246 -70 -000 476, Document No. 596458, to read: "The following lots Lot 28 040 - 1246 -80 -000 must have mound systems: 1 through 3, 5, 18, 19, 21, 22, 23, Lot 60 040 - 1250 -00 -00 25 through 45, 47, 48, 51, 52, 54, 55, 60 through 64, 69 and Lot 61 040- 1250 -10 -000 70." This note was changed again on July 14, 1999 by an Lot 62 040 - 1250 -20 -000 Affidavit of Correction, Volume 1442, Page 81, Document No. Lot 63 040 - 1250 -30 -000 606849, to read: "The following lots must have mound systems: Lot 64 040 - 1250 -40 -000 3, 18, 21, 23, 25 through 45, 47, 48, 51, 52, 54, 55, 60 through Parcel I. D. Number 64, 69 and 70 ". This note is hereby changed again to read: "The following lots must have mound systems: 3, 18, 25, 26, 29 through 45, 47, 48, 51, 52, 54, 55, 69 and 70" i Dated this day of 44e/z- 2000. GON Ja s D. fillZins S -2246 JAM * FIt.KIN8 z 8-24 RIVER FALLS. State of Wisconsin) _ Q' ss. County of Pierce ) ° 4ii, W � SURV u +wnnnnma Personally came before me this 2 day of fi P.12iL , 2000, to me known to be the person who executed the foregoing instrument and acknowle the same. My Co sion Expires ! 71APP1 O •t C _ o �( PU3LIc a ST. CROIX COUNTY . GFJ1Sv APPROVAL CERTIFICATE I Approved for recording by the St. Croix County Zoning Office Date qoj / I d This instrument was drafted by James D. Filkins, Ogden Engineering Co., 113 West Walnut Street, River Falls, Wisconsin 54022 - t9,36PA(z 158 a- G28523 DOCUMENT No. LST BAR OF WISCONSIN FORM 11 -1e6R KATHLEEN H. WALSH LAND CONTRACT REGISTER OF DEEDS l.u.1dol and Osrs..N. ST. CROIX CO., WI 6 VBRD rOn ALL TRANaArONa wNE1tr. ovEA Is r1NANORD AND IN OTHER HON.CONSVUSa ri. ...... ............................... _. ecr srt ANeAOrloNen RECEIVED FOR RECORD Cont by a nn "AP twou ,,, , ment .. Corpora . esota Cor Troy porats' Develop CoRTRACT .......... ............................... EXEMPT I ............. ... ............. .......................f ............ ( "Vendor ". CERT COPY FEE: ............................... re and..... $ tY. 4r.. Fi9r8t ...T}p.t ...... .............. ... COPY FEE: TRANSFER FEE: 284.70 or more . RECORDING FEE: 12.00 Vendor asps and agrees to convey to Purchaser, upon the prompt and full par. PAGESs 2 formance of this cootract by Purchaser, the following property, together with the rents, profits, )fixtures and other appurtenant interests (all called the "Property"). in ....... Q.. 4 f.. �I. 4Y .r...St►...�rFG1.3S........... County. State of Wisconsin: Lot 63 of the Plat of Troy Village in the 180 ro Troy Development Town of Troy, St. Croix County, Wisconsin. 0 Aberdeen Street 1180 lame, IYPI 55449 Subject to Declarations of Covenants, Conditions 040 - 1250 -30 -000 and Restrictions for Troy Village, recorded in Tax Parcel No. ... ............................... Vol. 1241, Page 256, as Doc. No. 559964, and the Declaration of Golf Course Covenants, Conditions and Easements, recorded in Vol. 1241, Page 301, as Doc. No. 559969, all as appearing in the office of the Register of Deeds for St. Croix County, Wisconsin, and such other easements, reservations, restrictions, and reservations of record, or in use, and obligations contained in the Purchase Agreement for this lot. This ..... .nOt. homestead property. (is) (Is not) 11800 Aberdeen Street, #100 Purch purchase the P Vendor at ..... ......... property and to pay to Blaine, MN 55449 the cum of i .....1 `jam t ......... ............................... In the followln manner: 7 . 496A 9 ............................. at the execution of this Contract; and (b) the balance of j.64t9.. aQQ. (a) i ' ••.r. to gethe r with interest interest Srvm .......,,...uto date•• hereof the balance outstanding from time to time at the rate of .......................................... •.... . ...., UAW paid id in full, as follows: per cent per annum Provided Purchaser is not in default of any provisions of this Land Contract, and /or the Purchase Agreement for this lot,,no interest shall accrue on the outstanding balance due hereunder until 10/31/2001 , at which time interest shall accrue at a rate of 10% r ann um. (kt Provided, however, the entire outstanding balance shall be paid in full on or before tlhe........3Qth Qber .................. tiltZ ( the maturity date). day or Following any default in payment, interest shall accrue at the rate of ...I % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire Principal balance). Purchaser, unless excused by Vendor, agrees to a e P monthly to Vendor am Pat" ousts suffi to a Tea D fed tnnual taxes. Special assessments, fire and required Insurance premiums when due. To the extent received by l Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bur interest unless otherwise required by law. Payments shall be applied first to Interest on the unpaid balance at the rate specified and thou to principal. Any amount may be prepaid without premium or fee upon principal at any time after ..... 7/27 there may be no prepayment of principal without permission of Vendor.• ....... ' " ""' 2Ih�QQ. 0 (o$) In the event of any prepayment, this contract shall not be treated as in default with respect to a ae the unpaid balance of principal, and interest (and in such case accruing interest from mouth to month shall be treated unpaid principal) 4 lass than the amount that said indebtedness would have been ha the monthly payments been nude as first speolAed above; provided that monthly payments shall be continued I l the event of credit of any proceeds on, the condemned promises bahnx thereafter oxciuJod hurvfram. }'uteh except: awr e that 1'utrhaarr b rrotefled for ex fa with the title as show" by the t100 evidence submitted to Purchaser Upon payment in full of all amounts due hereunder, vendor shall provide a conditions o release of all of i and obligationsco contai Agreement � ein the Purchase for lot shall survive the term and the payoff of this Land Contract. Purchaser agrees to pay the cost of future title evidence. It title evidence Is in the form of an abstract, It shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on......... 0" 4TUlx 3Q ...................... 2000 'c,m t o 7Y......... LAND CONTJSAgT LYe1W1 ase aTATR BAR Or WISCONSIN w C.gereu TORN Na 11ICO WI— Al 1Wea Cw In.. Merceree, Ni. 09/06/2000 19:19 6123365113 LIFES HOMES INC PAGE 02 Un J • ..! `4z A A r �- � 1 i �.8g '�`• R�0 „mss, `. 1-4 , eCAI r r w N �„� 4h ca 48.88► ° Qn N r y N r a + m� I b� N ! ! 0 I t jj 18.82' � $ cm 176.0 r x C OD I 275.00 N $ca N X00 obo J Co 20 V ' " � 157.76' 276.44' ,NDREWS DRIVE !'- 244.86' �. 7 201. 187.44' O N '� i 0 V ba ra I 0 � - 9 N 3> � Od aD ,°° Wisconsui - oeoanmont of indusrn/. SOIL AND SITE EVALUATION REPORT Page 1 of 3 labor and Human Flotations Oivisan of Safety & 8widings in accord with I LHR 83 .05. Wis Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 1 1 e must include, but ST. CROIX not limited to vertical and horizontal reference pant (8 , d�1 a71d 9r�o scale or PARCEL I.O. x h dimensioned, north arrow, and location and distanc est road 6 APPLICANT INFORMATION- PLEASE PHI L INFO REVIEYVEOBY OATS L-- PROPERTY OWNER: � � PROp LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND BARB R M41ELE 5 3 1 I4W 1 /2S 19T 29 NR 19 -644" W PROPERTY OWNER':S MAILING ADDRESS C01J . L x . ite(3" SUED. NAME OR CSM x 260 COUNTY ROAD F r' /NGO� b3 TROY VILLAGE CITY, STATE ZIP COOE P E ER ILLAGE MroWN NEAREST ROAO HUDSON W 54016 hl \ Y I s - r- �Jr1rS ►9XIiQA`( New Cortstrtcl:ion use (X 1 Residential / Number of bedrooms 4 (( Addition to existing building L I Replacement ( j Public or commercial describe Code derived daily now 600 gpd Recommended design loading rate A ¢ bed. gpd/ft ` trench, gpdM Absorption area required 5OD bed. ft DD trench, ft M arritu n design loading rate O• S bed, gpd/ft Q.4 trench, gpd R Recommended infiltration surf" elevation(s) BY DESIGNER ft (as referred to site plan benchmark) Additional design / site considerations SEA D TcS oA/ IOA6t E Parent material /L:� Flood plain elevation, if applicable N/A ft S = Suitable for System CONVENTIONAL MOUND &GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for system I❑ S ZU I ff S ❑ U I ❑ S CZU ❑ S [9 U I Q S ZU ❑ S U SOIL DESCRIPTION REPORT Boring At Honzon Oepth Dominant Color mes Structure Roots H GP g GPO/it,- in. I nM Munsell I p , Com color Texture I Gr. Sz. Sh. I I Trerxn A 10 -29 JIOYR 4/3 - -- lfs l lcsbk l mvfr (cw J2vf -ij 0.5 10.6 B1 2 -- 4299 9 -52 10YR 5/6 I - -- I ifs Osg ml 1 Cs lvf 0.510.6 Ground B21 152 -59 10YR 5/6 I f3f 5YR 5/8 lfs Osg ml gw lvf I - -- I - -- elev B ad -2 It. B22 59 -72 110YR 5/8 Im2p 5YR 5/8 sl 2m -csbk mfi - -- Ilvf - -- Death to limiting acMr 52"_ Remarks: Boring # A I0 -10 110YR 3/4 - -- I lfs I lm -csbk I mvfr I i of -fi 373 B1 110 -42 110YR 4/4 I - -- I lfs I lcsbk I mvfr I cw I2vf -fl 0.5` 0.6 B2 2 - 1 10YR 5/8 Imlf 5YR 5/8 1 sil 1 3f - mabk I mfi I cw I Ivf I - Ground elev. C � 7 - 1 10YR 5/6 I f l p 10YR 3/4 I s Os ( ml I - -- 11yf I -- --- 90 4. 1 ft. I I I I 1 omm to limiting 1 1 fact 42" I I 1 Remarks: FNam Print JAMES 0. FiLKINS R ' 0 "w (7 15) 425 -7831 OGDEN ENGINEERING CO.. 113 WEST WALNUT ST.. RIVER FALLS. WI 54022 Oates lb CST Ntanber 7 CSTM03988 PROPSATYOWNER SOIL :f:SCRIPTION REPORT Page _2 of 3_ PARCEL 1.0. s Depth OominantColor Moores Structure Roots O� Horizon I Texture 1 commence lftimv I in. I nsell Qu. SL Corn Color I I Gr. Sz. Sh. II B ? ed T Mu re Bon ng # A 10 -9 110YR 3/4 I ___ I llm —csbk Imvfr Icw 2vf -9 0.5 0.6 37 - B11 19 -28 110YR 4/4 - -- ifs lcsbk Imvfr Las 12vf -fl 0 B12 128 -32 110YR 4/4 If2f 7.5YR 3/4 lfs llcsbk Imvfr �cw 2vf —fl - -- - -- Ground elev. B2 I32 -39 17.5YR 4/6 lmld 5YR 5/8 sil I2msbk mfr - -- 90 ft. II i ( 3 k9 -51 110YR 5/6 1 - -- Lil 11mahk 1 Depth to 5YR 5/8 limiting F 4-87 �OYR 6/6 lc2d lOYR 7 2 IS IOsg Im l '- -- of - -- - -- factor " Re Boring # I I I I 1 I I Ground elev. ft. Depth to 1 limning taxor I 1 Remarks: Boring 1 Ground elev. lt. 1 i Depth to limiting factor 1 Remarks: Boring # 1 Ground elev. fz Depth to limiting tac>�r 1 I Remarks: PAGE 3 OF 3 SITE PLAN B z 9q o ❑ B- 37¢ 0 0 G ©T 6Z ❑ �3-- 3 7 3 G ©T 6� ? o P o,c v SCALE: 1 " = 40' 5 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. OGDEN ENGINEERING CO. JAME FILK NS, CSTM03988 Civil Engineers & Land Surveyors DATE: '�llO% 113 Y; . Waln(7 s, W I 54022 15) 425 -7631 VWscansrn 09 paranont of Industry. SOIL AND SITE EVALU REPORT Page I of _3__ Labor and Human Rela tions s 8u oivns+on at Satery ng in accord with I LHR 83.05. Wis. ACIM. 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 (8M 0 % of slope, scale or PARCEL 1.0. q dimensioned. north arrow, and location and distant n� A rpm APPLICANT INFORMATION - PLEASE P `f-i tL tN%RiAnaN REVIEWED BY DATE PROPERTY OWNER: f Yr. ERTY LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND B `RUE E G LOT traW L /ZS 19T 29 NR 19 - W PROPERTY OWNER':S MAILING ADDRESS s �Lt1 a 9('lEat SU80. NAME OR CSM s< 260 COUNTY ROAD F " ST CROIX '6 TROY VILLAGE CITY, STATE ZIP CODE NE N TY ILLAGE OWN NEAREST ROAD HUDSON W 54016 (,� - OY sr A rJ<ht'vr 1 New Constniction Use JC 1 Residential/ Nu Or ro(>tgg 4 ( 1 Addition to existing building l 1 Replacement ( Public or commercial des Conde derived datly now 600 gpd Recommended design loading rate ¢ bed. gpolti trench. gp W Absorption area required SOD bed. ft 0o trench, 9 Maximum design loading rate O• S bed. gNM L MXh, gpollt Recommended infiltration surface elevations) BY DESIGNER ft (as referred to site plan benchmark) Additional design I site considerations SEE oTrar ON 7W Parent material 1 17-4- Flood plain elevation, if applicable N/A ft S - Suitable for System CONVENTIONAL MOUNO I N- GROUND PRESSURE AT -GRADE SYSTEIA IN FILL HOLDING TANK U- Unsuitable for system I O S Z U l 1Z s 0 U 1 0 19U I 0 S ZU I Q s Z U SOIL DESCRIPTION REPORT Boring # Honzon+ Depth I Oominant Color I Mow" ( I Texture I Structure GPOift in. Munseil Qu. Sz Cont. Cover Gr. Sz. Sh. eeo Trencit `' A 10 -29 110YR 4/3 1 - -- ifs l lcsbk l mvfr (cw 12vf -ii 0.510.6 14299 r B1 29 -52 10YR 5/6 - -- lfs Osg ml I cs lvf 1 0.5 Ground B21 152 -59 1 1 0 YR 5/6 1 f3f 51YR 5/8 lfs Osg ml gw lvf I - -- - -- elay. 8 - 9 It. B22 59 -72 110YR 5/8 Im2p 5YR 5/8 sl 2m -csbk mfi - -- 11vf I - -- - -- Oeotn to 1 I I l actor I 1 I 1 Remarks: Boning rr I A 1 0 -10 1 10YR 3/4 I - -- I Ifs I lm -csbk I mvfr I i Lvf -fl BI 110 -42 1 10YR 4/4 1 - -- I Ifs I Icsbk I mvfr I cw 6vf -fl 0.5 0.6 Ground to B2 2 -57 1 10YR 5/8 Imlf 5YR 5/8 1 sil 1 3f -mabk I mfi I cw I 1 - elev. C �7 -81 1 10YR 5/6 If 1p 10YR 3/4 1 s I osg ml I - -- 1 lyf 90A Lft. I I 1 I I I 1 Depth to I I 1 I 1 limiting tatx l I I 1 Remarks: FNa"mc Print JAMES 0. FILK1NS Phone: (715) 425 -7831 OGDEN ENGINEERING CO., 113 WEST WALNUT ST.. RIVER FALLS, M 54022 Dam CST No tw. CSTM03988 PRoperf YOWNER SOIL :cSCSIPTION REPORT Page of 3 PARCEL I.D. S Oeptn Dominant Color Mottles (Texture I Structure ( Roots GPOift4 Horizon` in. I Muns+eu I Qu. SL Cant. Color Gr. Sz. Sh. Bed - rmr cm Bo ring # A IO -9 110YR 3/4 I ___ 1 I1M-csbk Imvfr Icw 2vf -� 0.5 0.6 374 B11 I9 -28 110YR 4/4 1 - -- Ilfs lcsbk Imvfr las (2vf -ft 0 B12 128 -32 110YR 4/4 If2f 7.5YR 3/4 ifs 11csbk Imvfr lcw (2vf -fl - -- - -- --- Ground 1 - -- elev. B2 132 -39 17.5YR 4/6 lmld 5YR 5/8 sit 12msbk mfr cw v - -- 90 ,t. I I I 3 69 -51 110YR 5/6 I - -- Jsil 11mahk I' Deptn to 5YR 5/8 limning 1 - 0YR 6/6 1c2d 10YR 7/2 Is 10sg ml ' - -- of - -- 28 I I I 1 I R e m arks: m Boring # I 1 I Ground elev. ft. 1 I Depot to 1 I limning factor 1 Remarks: Boring # 1 1 I I 1 1 1 1 I Ground 1 I ( 1 1 eiev. It. 1 I Depth to I limiting factor 1 1 Remarks: Boring # Ground ew. fti Depth to limtdag fa= I f Remarks: - S8t»�Off1.061DZt • PAGE 3OF3 SITE PLAN a -z 99 0 0 0 Gar 6z o 8-373 GoT �3 �'�i+r M ?° P c ,G ;va;� � /�9 -i�, ,E��✓ = 9 S�� SCALE: 1 " = 40' S'T. �9iviv�= Oi�.Q,Gki� y 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. 3 6S 2P OGDEN ENGINEERING CO. JA D. FILKINS, CSTM03988 Civil Engineers & Land Surveyors 113 W. Walnut St. River Falls, WI 54022 DATE: ¢�jo�Q 7 (715) 425 -7631 l