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HomeMy WebLinkAbout040-1254-10-000 � � 1 § o , « § f a 0 . _ƒa / f7f9 & i \kc t 2o- % \ . °2/{ % 2 0 =) = \ �ua -0 U) 0 27+§- \ �; )_ , _« _ § /J0Ec% \ �m� ) » ) \ § _ # § _ )7 a ( §�u 0 ,. =o = »g = > =e [)3 a \ E 0 � CD § _ / z a 2 k \ \ k b 2 k 7 ƒ o 0 z 0 E n � o i / S / b \ o b ( = { ) % § z { _ \ 7 , z @ .. (D « % / ) m ~ 3 [ \e -2 0 2 \\ § \\ \ CL 0) 7 � k \ ) E E a z , ' k g B - - ■ -i Q 2 S S $ ~ � �\ \ q ® �$ 3 @ _ ° E IL �� / ƒ z ± /) g 2 z m co c ' - § o �_ ) E \ S C 9 4 2 , ®§ � k L \; ° \ 2 6 § §} //\ f k a ' \ a 2 \ Co } o z 5 / ) \ 0 I �4) g § (2 \ § A u a m § o Q Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453118 0 GENERAL INFORMATION (A' ACH'TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Vargas, Troy & Darcy Troy Township 040 - 1254 -10 -000 CST BM Elev: Insp. BM Elev: Description: Section /Town /Range /Map No: 160 166 BM ,�j 19.28.19.1342 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic S , � rt Benchmark / Dosing Alt. BM a6 n Z qZ Gam„ �Sa 10.13 Aeration Q Bldg. SelNer w, - q2 . , A - 7 � r J Holding St /Ht Inlet 114. q? Z-7 TANK SETBACK INFORMATION IAAr Klb-� Vh6 \/� C SC✓ St/Ht Outlet 7 TANK TO P/L WELL BLDG. Vent to Air Intake t In et \ \ Cat' Septic 5 1 •' ^ 1 5 _ Dt Bottom wa ' r Dosing �� �.I F .A� / > _ Header /Man. 7. � 5 5 Aeration Dist. Pipe .7 lfvo� 7 Holding ` - G Bot. System C Final Grade ! to I PUMP /SIPHON INFORMATION Manufacturer DP �an St Cover p 3 '1d C-7 1 \ G J 0 E.l Model Number r� L C6 TDH Lift ` �� Frictio�Loss System H\ r Dt 5* Ft �') J Forcemain Length Dia. / Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION Type Of System: 1 CHAM OR � Model Number: DISTRIBUTION SYSTEM e..-, _ ` �.�d-� Header /Manifold Distribution x Hole Size x Hole Spacing Vent jo Air ntake, Length 24 Dia Length Dia Spacing \ � 6 ^ 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 2 Bed/Trench Edges \ Topsoil J ` Yes No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1:1/ ZZ iOq Inspection #2: Location: 284 St Andrews Dr Unknow (NW 1/4 NW 1/4 19 T28N R1 9W) Troy Village 2nd Addition Lot 91� / Parce ::19.28.19 1.) Alt BM Description = 1�a,n � f "f.� k? ,./� �✓ 2.) Bldg sewer length = (Z� �'� ps✓ 1.1 �O - amount of cover C.LLS Use other side for additional in 9 4 r_ Plan revision Required? formation. No i 2 Z � 0 T �7lu I-J I . SBD -6710 (R.3/97) Date Insep s Sign re Safety and Buildings Division County 201 W. Washington Ave. P.O; Box 7162 S t Number (to be filled in by Co.) Madison, Wt 5 ISC j (608) 26 3151 CEIV 1 4,53 1 Department of ommerce State PI LD.Ntimber Sanitary Permit Application * A PR 12 2 O4 In accord with Comm 83.21, Wis. Adm. Code, personal information y prov1OC Prc1 (if di i men- than mailing address) e may be used for yocondary purposes Privacy law, :15.04(1 X > ST. CROIX CO 1=1 2 • A+c 0 Rbw s D tZ 1. Appllcatlon lo(ormatlon - Please Print All tnformation -- 1 —10- ODO • I3 ) Parcel M t Block p Property Uw,n�er,'\s Name I � Q I --- propeRy Location 6 Property Owuer's ailing Address ') ` 3(7 I r— (.e v r l 2 �� �lt� Y., 19 Ciry State Zip Code Phone Number I' , /, — / /(o D a8 I� ^ ne) WO 60 � T N; R_ 6 11. Type of Bull ing (check all that apply) rJI rtj2z'D ubdivision Nam CSM Number J� I or 2 Family Dwelling - Number of Bedrooms ro (jU e :,d (/ 0*i OnA ❑ Pubbc/Commzrcial - Describe Use ❑City_ ❑Village .®Township oC_ ' ❑ Stare Owned - Describe Use 3 --)' K f �.0 Ill. Type of Permit: (Check only one box on line A. Complete line B if applicable) C1 Other Modification to Existing System A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Onl Y f B. C1 Permit Renewal C1 Permit Revision ❑ Change of ❑ Permit Ttaasfe to New List Previous permit Numiber and Date issued Before Expiration Plumber Owner 1V. T e of POWTS S stem: Check all that a I ❑ Single pass Sand Filter ❑ on - Pressurized In- (hound ❑ Mound >- 24 in. of suitable soil ❑ 1401111d 1401111d < d 24 in. of suitable soil C3 At -Grade ❑ Constructed Wetland ❑ Pressurized in- Ground ❑ Holding Taak ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter Chamber C3 Dd Line ❑ Gravel less Pi C] Other lain Recirculathi S tbetic Media Filter _ V. Dis ersal/'rreatment Area Information: Design Flow (gpd) Design Soil Application Jtatc(gpds Dispersal Area Required (st) Dispersal ea Proposed (st) S tam Ele S,¢R °� 3 (04) F5 _f 9,7 7, �, Manufacturer Prefab 'ter . - Steel Fiber Plastic Vl. Tank Info Capacity Total Number Concrete Conswcte Glass Gallons Gallons of units W, -;_Za A-100 Ncw Hxisiing Tanks Talcs Scptic or's'� 12.Sb t Zs o 1� �— ,crubic T ca.mcru Unit DwinKChamber 75-0 — 7 a I Da V11. Res nslbDl Statement - 1, the under ass usibW for installation of the POWrS shown on the attached che Phone Number Plumb PI er's Name (Print) s Si MP/MPRS Number ova Sz, �W(� 2 L- /w Plumber's Address (Street, City, State, Zip C V111. Count /Department Use Onl Sanitary Permit Fee (includes Groundwater Issued 1 su' Agent Signs (No Stamps Approved ❑Disapproved Surcharge Fee) �- ���Z3 ❑ 0 en Reason for Denial n IX. Conditions Approva [[ 1 SYSTEM OWNER: Y' cf4 '?� 4" It J w ll 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances Attach Complete plans (to tht County only) routbe system oo paper not lass than a1R s I I laebes In size SBD -6398 (R. 01/03) V_ 1 �� Z ITI c G r 1 T� J _ o � 4_1 m A r 0 o �J G I S 1 k4 c 73 e �A 0 w r' c i I 1 1 lR ,j 1)ry , , n., i c\T � b N �I (Ti G ' IL H 6 n� y � rV �C X U z t 11� S Wisconsin DepiigriSentofCommerce 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'/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. C roix percent slope, scale or dimensions, north arr and location and distance to nearest road. -- — ° '�t Parcel I. D.# APPLICANT INFORMATION - use print aU informotion. Reviewed By Date Personal information you provide may be J. (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Continental Develop r,r1 - Govt. Lot - NW 1/4 NW 1/4 S 19 T 28 N,R 19 W Property Owner's Mailing Address k- Lot # Block # Subd. Name or CSM# 12301 Central Avenue NE \Sur a 230 ` ° �x 91 - Troy Village Second Addition City St e',Zip C2&;A 00tf , -r ❑ r City ❑ V 17Town Nearest Road Minneapolis Troy St. Andrews Drive N New Construction Use: / r of bedrooms 4 UAddition to existing building ❑ Replacement Public or commercial describe kJ Code Derived daily flow 60 ' gpd 6 ecommended design loading rate - ,8' ' bed, gpolf 2 ' $9 T trench, gpd/ff 7 � Tc Absorption area required tr ench, gpolftz 0 bed, ftz 66 7 trench, ttz Maximum design loading rate �' bed, gpd/f� '' g� Recommended infiltration surface elevation(s) By Designer It (as referred to site plan benchmar Additional design / site consideration Parent material Loess Over Glacial Outwash Flood plain elevation, if licable NA It S= Suitable for system Conventional Mound In - Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system ®S ❑ U N S❑ U N S❑ U N S❑ LI EIS N U ❑ S N U SOIL DESCRIPTION REPORT a.o F-68. 2M+P 40 Horizon � Depth � Dominant Color Mottles Text Structure Consistent Boundary Roots GPD/fts ure 1 Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed Trench 1 1 0 -11 10yr2 /1 - sil 2msbk mfr cw if .5 .6 tp s� 2 11 -40 10yr4 /4 - sil 2msbk mfr cvv if .5 .6 ( Ground 3 40 -56 7.5yr4/6 - cs osg ml cw - .7 .8 elev 101.73 ft 4 56 -110 7.5YR5/4 - ` s Ogg ml - - .7 .8 . Depth to limiting i factor >110 Remarks: 2 1 0 -16 10yr2 /1 - sil 2msbk mfr cw if .5 .6 Ja 2 16 -44 10yr4 /4 - sil 2msbk mfr cw if .5 .6 {� Ground 3 44 -52 7.5yr4/6 - cs osg ml cw - .7 .8 elev 101.99 ft 4 52 -110 7.5YR5 /4 - s osg ml - - .7 ; .8 . Depth to limiting factor >110 Remarks: CST Name (Please Print) Signature: Telephone No. Thomas C. Nelson 715- 246 -2454 +dam Environmental By Design Date CST Number Ref # 1432 120th Street, New Richmond, Wl 54017 1/30/98 MO2605 6 } h i PROPERTY OWNPR: Continental Development SOIL DESCRIPTION REPORT © Page 2 0 3 PARCEL I.D.# Environmental Bv Desi Horizon Depth Dominant Color Mottles Texture Structure nsistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 3 1 0 -16 10yr2 /1 - sil 2msbk mfr cw 1f .5 .6 �P 2 16 -29 10yr4/4 - Sill 2msbk mfr cw if .5 .6 � Ground elev 3 29 -46 7.5yr4/6 - s osg ml cw - .7 .8 , 100.83 ft 4 46 -105 7. SYRS /4 - s osg .7 .8 Depth to limiting factor , 3 >105" Remarks: 4 1 0 -12 10yr2 /1 - sil 2msbk mfr cw if .5 .6 2 12 -26 10yr4 /4 - A 2msbk mfr cw if .5 .6 G and elev 3 26 -40 7.5yr4/6 - s osg ml cw - .7 j .8 , 100.26 ft 4 40 -110 7.5YR5/4 - s osg ml - - 7 8 Depth to limiting factor 2 s - . f >110 Remarks: 5 1 0 -12 10yr2 /1 - A 2msbk mfr cw if .5 .6 2 12 -25 10yr4/4 - sil 2msbk mfr cw if 5 .6 r G ou nd elev 3 25 -45 7.5yr4/6 - s osg ml cw - 7 .8 100.24 ft 4 45 -105 7.5YR5/4 I s osg ml - - .7 .8 Depth to limiting factor >105" Remarks: Ground elev Depth to limiting factor Remarks: E BY D 1432 120 STREET, NEW RICHMOND, WISCONSIN 715 -246 -2454 PROJECT NAM • TROY VILLAGE 2nd ADDITION DESCRIPTION: N / NWI. SECTION 19,,T 28 N, R19W TOWNSHIP: TROY COUNTY: ST.CROIX LOT: =91 SUBDIVISION: TROY VILLAGE 2 ADDITION R �y 4 . Acres L ------------------------------------------- / v 1 E t iv SCALE I " =40 ' Tom Nelson BM 1 N Line Post Ground surface elev. 100' cstmo2605 BM 2 NE Lot Corner Ground Surface ele 9v 5_ 16 FROM CERTIFIED SOIL TESTING FAX NO. 715 233 0398 Jun. 14 2002 05:52AM P2 __ j Wl:�'CIiES>,PRuJF ls7CKrA1G GOYr, R +i !�! .rQ?,C C1� f' • t'�4tCK OttGOVViCT -� \ b'p l > �} si 172127"777777m W777777777,W Y 24 f f.Lf.f Y GW+2vvs.IJ + L 4 c Ct:T Ztik47J J �l1FFL.E AL i i ! 3' cr+ c HEC.TIO►i.S y 1 e i ocr i «. .Da, PEGIpt 4-6v .. TA►i• ! -� �JU/hBtiLil OF DOSCS: __ YEh T�J.:K 5J3L; lZS"O ' OALLO&JS ..005C VOLUME S.� t ?1,���,� IIJCL bACXPI.C+N: 12 c.A...N� rLAkM I"5}SJUFhLTISRCTI; ^00ILL 1..1I.d14CR: CAPACITIES: A = ° {UCNiS OK `� I' qg SWITCH TJPL: bwl�, 8 Z, Juc>iFS 04 34 A. F nJ,l.!U FACT UiIC K: - -- /fi'OIN �C — C ��8 wLKt$ 09 133 „ _. 30 l + .,,,"„�� l u � H E r G R S Tap[; _ �JQTC: PUAP A JO ALARM ARE TO 8L Ml><!IMUt't QISCHApt" RArC ; GrM WVrALI.ED Ou SEP &RATC CJKCL-'" VZ0.T!CAL D1FFCXCWCE be1"WEEIJ PUMP OFf Akio 01S5MbUTIOII PIPE. 12 F EET + r, ut11UM 1 SUPP&. j PRFbSUR£ . . . . . . . , . . . D., rLET ,_p_'! rC ET of roFLCC tAkAI d X �' 3 � f 10p rLFKICTlQW FACT01t. PELT LO TOTAL D`dWAr'tlC k[Ab FEET i►JTER►JA CIMEUtblO►JL Of TAUK: LF -wc.TN I Performance Wholesale Products Page: 6350 -1 ' Section: Performance Data Data Dated: January 2001 RPM: 1550 Discharge: 1 -1 /S" Solids: 3/4" 12 40 9 30 W 1 -^ W W Z 6 20 Oct 0 3 `-10 SHEF30 0 0 Capacity -U.S. G.P.M. 10 20 30 40 50 Liters/Second 0 1 2 3 The curves reflect maximum performance characteristics without exceeding full load (Nameplate) horsepower. All pumps have a service factor of 1.2. Operation is recommended in the bounded area with operational point within the curve limit. Performance curves are based on actual tests with clear water at 70° F. and 1280 feet site elevation. Conditions of Service: GPM: TDH: I q U?o HYDROMATIC POWTS OWNER'S MANUAL 6I MANAGEMENT PLAN Page of FILE INFORMATION • I I SYSTEM SPECIFICATIONS Owner �� � Septic Tank Capacity I� o gal ❑ NA Permit f# 4e3 I I? Septic Tank Manufacturer f iTT ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Z -6 ❑ NA Number of Bedrooms 4Z ❑ NA. Efflue Filter Model A-100 ❑ NA Number of Commercial Units ONA Pump Tank Capacity 75-c, gal ❑ NA Estimated flow (average) oo gal /day Pump Tank Manufacturer A, — ❑ NA Design flow (peak), (Estimated x 1.5) lP�o gal /day Pump Manufacturer ❑ NA Soil Application Rate , �g� gal /day /ft Pump Model 3 ❑ NA Influent/Effluent Quality Monthly average* Pretreatment Unit RrNA Fats, Oil 8z Grease (FOG) 5530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter _5220 mg/L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) ❑Disinfection ❑Other: Total Suspended Solids (TSS) _5150 mg /L Manufacturer Pretreated Effluent Quality ❑ NA Monthly average* * Dispersal Cell(s) Biochemical Oxygen Demand (BODs) :530 mg /L grin- ground (gravity) ❑ In- ground (pressurized) Total Suspended Solids (TSS) :530 mg /L ❑ At -grade ❑ Mound Fecal Coliform (geometric mean) s10' c €u /100mi ❑ Drip -line ❑ Other: Maximum Effluent Particle Size A inch diameter * Values typical for domestic (non - commercial) wastewater and septic tank effluent. * * Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ;)- f-o 3 ❑ months Oyear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one -third (Ys) of tank volume Inspect dispersal cell(s) At least once every c � ❑ months O'year(s) (Maximum 3 yrs.) Clean effluent filter At least once every �, ❑ months 9 year(s) °e N� Inspect pump, pump controls 8i,alarm At least once every c fv ` j ❑ months ,tf year(s) ❑ NA Flush laterals and pressure test At least once every ❑ months ❑ year(s) ❑ NA Other: At least once every ❑ months ❑ year(s) ❑ NA Other: At least once every ❑ months ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Ys) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretre4tMent components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a cerlifi_4 POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of �. Oftl Jetibri of.any service event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of rho tnnWcl ramnvarf by a cantnop carvirinv nnpratnr nrinr to nca. Page of System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cells) and may result In the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts, condoms, cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides: sanitary napkins; tampons; and water softener brine. ABAN DONEMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: 0 A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. • The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. • Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMpnVURI.F. ADDITIONAL COMMENTS POWTS I STALLE8. POWTS MAINTAINS Name ' ' PtUMBINZ INC. Name E5609 708t Phone MENOMONIE Wl i4751 Phone MENOMONIE WI 54751 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Agency I eo 2i 11 \,1 q Phnna I Phone l q6 fia Feb- 09 04 11:56a Bonte Excavating (715)796 -2519 P.1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICA'T'ION FORM owner/Buyer I Mailing Addr 30 l4 l UQ �l oo & ►� Property Address � � �N nd of W S � � (Verification required from Planning Department for new construction) City/State )AU d � Parcel Identification Number 5q ' I D - D 0 0 LEGAL DESCRIPTION Property Location �V ' / {. N V v ' /,, Sec. 19 . T q N -R W, Town of �1�0 Subdivision TI'0 1? y n - T v 1 � � G e Zn l 0 Lot # Certified Survey Map # Volume Page # Warranty Deed # 742 -D I . Volume Page # �9 Spec house ❑ yes 8f no Lot lines identifiable E> yes O no SYSTEM MA.TN'ICENANCE improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper tnaintcnancc 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 ford, signed by the owner and by a mastcrplumbec, joumcyman plumber, restricted plumberor a LicensedpumPerverifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after iuspoetion and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requircments and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce grid the Department of Natural Resources, State of Wisconsin. Certification our septic a mpleted and returned to the St Croix Canary Zoning Office a i'hi° 30 stating that Y Sep i ,mbw been maintained must be co ,,. days of the ear etration date. 'IGN APPLICANT I O «NER CER CATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) o: the property descn3>ed;ab0ve, by virtue of a warranty deed recorded in Register of Deeds Office. o .' DATE 91GiN/yI'(JFLL' 4 ` `pLICANT • • • • • • Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. •• include with this application: a cop pyyPof the v y Map if Register �� m in the warranty decd 742067 �\ U. 2'i25P 159 KATHLEEN H. WALSH REGISTER OF DEEDS STATE BAR OF WISCONSIN FORM 2 - 1998 ST. CROIX CO., WI WARRANTY DEED RECEIVED FOR RECORD DocumaM Number 10/01/2003 10:30AM -- WARRANTY DEED This Deed, made between EREMIPT # 1 T roy Development Corporation, a Minnesota Corporation kEC FEE: TRANS FEE: 1.00 299.70 _ ,Grantor, COPY FEE: i and T ro y La D Varg CC FEE: Y Darcy I . PAGES: 1 j Grantee. + Grantor, for a valuable consideration, conveys and warrants to Grantee the fallowing described re tau in St. Croix County. State or Wisconsin: 14t 91 of the P lat of Troy Villag 2nd IReeaongArea I, Addition in the Town of Troy, St. Croix County, Name and Return Addres li Wisconsin. roy A. &Darcy LaDue Vargas Subject to Declarations of Covenants, Conditions and 3 Ea a ley Drive Restrictions for Troy Village, recorded in Vol. 1241, W r Page 256, as Doc. No. 559964, and the Declaration of y ' b� 1 Golf Course. Covenants, Conditions and Easements, T I recorded in Vol. 1241, Page 301, as Doc. No. 559969, " all as appearing in the office of the Register of Deeds 040-1254 -10 -000 _ i Rteeal Identifi a cation Number IPM for St. Croix County, Wisconsin, and such other jl easements, restrictions and reservations of record, This is not homestead property. or in use, and the 'Buyer" obligations contained in (Is) (is not) the Purchase Agreement for this lot. II� ri I� II Exceptions to warranties: Ii 16th Septe 2 003 i Dated this day of I� Ls (SEAL) (SEAL) 'I i • Charles S. Cook, President Troy Development Corporation Ii (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Ij Signature(s) Minnesota State of W+xmrsirr, ; I Anoka County. II authenticated this day of Personally came before me this 16th day of September named Charles S. Cook, President Troy Development Corporation I • li TITLE: MEMBER STATE BAR OF WISCONSIN to •.� (if not, me known to be the person _ who executed the foregoing authorized by §706.06, Wis. Stars.) ins tru tan ac now a same. THIS INSTRUMENT WAS DRAFTED BY TROY DEVELOPMENT CORPORATION R ick A. Johnson is Notary Public, Ssate•9(- Wkao"awAnoka County Minn. Charles S. Cook, President My commission is permanent. (if not, state expiration date: j I (Signatures may be authenticated or acknowledged. Both are not January 31 2006 .) necessary.) i. ;i i 'N.m..of In In.n 'i it wr•on. g y e.p.euy nn,.� fie rypea or yrlmea Below t14tr .Iann„nr. 1 111 1 110 1 0 111 v qqqM WARRANTY DEED STATE BAR OF WISCONSIN RIBA W, O, nn t. 0 C. vc FORM No. Z - I YOY ,)DF{N5` Al w. Wis. NDV fYPUBLIC- 1MNf -4= am 2in MY COMMISSION EXPIRES JAPAIAW 31, 2008 .° N I N 83.00 00" E N Nh •0 �� 314.19' 1 m m I m - m N 86 4 1 63 1 5993 S.F. s �, _8 _ .. o' � 1 • q .056 ACRES `� 46761 S S j .F. ' 14 I I �� 1.073 ACRES 1 ° ., o N 78 °p0. p ,g L`g . �g3° 00'0 0 .. --- -• I C,10 e w `'/ COURT @ �—� c9 2 s, BIR A SE- -- - - I 1 90' �' N R =80' Z 1 .004 S.F. 45.10' `00 0 E 224.47' 1 • � 1.004 ACRES 0 N I ,� N d0,, C >> �8 - I W N F. o 1.063 CRES „o $ j 43630 S.F. $ 9 0 `�" $ N N 1 1 %K/ / �p h o� 1.002 ACRES e M 44278 S.F. z 3 W - I �'t / 2.5�, •�, q N 1.016 ACRES _ W N a' d /' '`i �,' I �• 3° �9 , 2 185. ' 395- $ z C I ?p 9g, 210 87 . OOn E .r e e ° � Q 1 ! 4 2 cw 44 S.F. f ^ 57 1 �� s 1.060 ACRES ° N �,, E l i 3 \ \ 1 58 � / � ms's � -� 78 �, ! 45'd \ TROY IVILLAGE / � 1 . 0 \ — — — / W 40 \ / o - ♦ vii 92 , N 88 0 0t 5 / N 44040 S. 339 \ I O W /'" 59° om c 1.011 A ES ,o p ,, ^ / c) g N " �s , ° g /° 73 46539 S.F. ` R =80' 1 0 ^ ?0>>6' w �� � 1.068 ACRI lu 11 o , 4 1 w . 4 Ao I! l / 60 e � ° �. 44397 S.F. � 1.019 ,ACRES ► o 00' oo" E ' 295.52 I toss . ! (48117 S.F. S 90° N 4 h 87 °00' 00'• yy 6.40 I 1.105 ACRES °- o boo? ti N 90 °00' oo" W 297.76' S 87 °00' 00 E 0 .20' o $ I � 2 .48' a p e ° z 1 m 94 $ O 23361 N - 43970 S.F. ° r , $ 1.009 ACRES N 1 n W 71 N ' _ N 87°00 Op yy 312. 7' a a ° „ 1 44304 S.F. � / / I 1 I 154.47' Z ' i 1.017 ACRES I 1 o m m 1 S 85.00' 00" W ce I I I i 66.00' , $ / 62 I 1 8 , �., w 230.58' 63 I 1 64 1 65 ICI I wI l ,I > 68 1 I TROY ( VILLAGE Z III -I- - -- Q�� ST. AN 1 _ — — PARKW SAFETY WARNING — Risk ' of electric shock. This pump is SAFETY GUIDELINES supplied with a grounding conductor and /or grounding 1. Read all instructions and safety gi type attachment plug. To reduce the risk of electric thoroughly. Failure to follow the guideline: shock, be certain that it is connected to a properly instructions could result in serious bodil, grounded grounding type receptacle. and /or property damage. 2. DO NOT USE TO PUMP FLAMMABLE OR Your 115V effluent pump is equipped with a 3 -prong EXPLOSIVE FLUIDS SUCH AS GASOLINE, electrical plug. The third prong is to ground the pump to FUEL OIL, KEROSENE, ETC. DO NOT USE IN prevent possible electrical shock hazard. Do not remove EXPLOSIVE ATMOSPHERES OR HAZARDOUS the third prong from the plug. A separate branch circuit is LOCATIONS AS CLASSIFIED BY NEC, G recommended. Do not use an extension cord. ANSI /NFPA70. FAILURE TO FOLLOW THIS WARNING CAN RESULT IN PERSONAL INJURY ' When a pump is in a basin, etc. do not touch motor, pipes AND /OR PROPERTY DAMAGE. or water until unit is unplugged or shut off. If your installation has water or moisture present, do not touch wet 3. During normal operation the pump is immersed in area until all power has been turned off. If shut -off box is water. Also, during rain storms, water may be not accessible, call the electric company to shut off service present in the surrounding area of the pump. to the house, or call your local fire department for Caution must be used to prevent bodily injury instructions. Failureto follow this warn ing can result in fatal when working near the pump: electrical shock. a. Th@ pluq must be removed from the receptacle The flexible PVC jacketed cord aSSemF_i mounted to the prior to touching, serviC;tng of f "inna the p_ umn pump must not be mod `ied in any way, 4vith the exception r of shorten the cord to fit into a control panel. Any splice b. To minimize possible fatal electrical shock hazard, between the pump and the control panfl must be made extreme care should be used when changing within ajunction box and mounted outsicre of the basin, and fuses. Do not stand in water while changing fuses comply with the National Electrical ( PrAl f. Do not use the or insert your finger into the fuse socket. power cord for lifting the pump. 4. Do not run the pump in a dry basin. If the pump is The pump motor is equipped with an ut3►*iatic resetting run in a dry basin, the surface temperature of the thermal projector and may restart unex. fly. Projector pump will rise to a high level. This high level could tipping is an indication of motor overloa as a result of cause skin burns if the pump is touched and will operating the pump at low heads (low discharge restriction) cause serious U 4^'?ae to your pump. excessively high orlowvoltage,inadeq atewinng,incorrect 5. Do not oil the motor. The pump housing is sealed. motor connections, or a defective motor or pump. A high grade dielectric oil devoid of water has FLOW LITERS /M I NU�"_ been put into the motor housing at the factory. Use 0 80 160 240 320 of other oil could cause serious electric shock 60 1 111 11 11111111 and /or permanent damage to the pump. 15. 6. This pump's motor housing is filled with a dielectric lubricant at the factory for optimum 40 12.5 motor heat transfer and lifetime lubrication of the c� bearings. Use of any other lubricant could cause Li W 30 10.0 w damage and void the warranty. This lubricant is non - toxic; however, if it escapes the motor ' 5 housing, it should be removed from the surface a 20 Q quickly by placing newspapers or other absorbent w Q material on the water surface to soak it up, so = 5. o = aquatic life is undisturbed. l0 2.5 7. In any installation where property damage and /or personal injury might result from an inoperative or 0 0 leaking pump due to power outages, discharge 0 20 40 60 80 100 line blockage, or any other reason, a backup FLOW- GALLONS /MINUTE system(s) and /or alarm should be used. PUMP PERFORMANCE CURVE 115V 60HZ 3 INSTALLATION ust be installed in a suitable gas tight basin which REMOTE FLOAT SWITCH least 18" in diameter and 24" deep, and vented in LEVEL CONTROL Pccordance with local plumbing codes. The RFS series pumps are equipped with a remote float mp features a 1/" female NPT discharge. NOTE: DO switch level control. This level control is sealed in a NOT OVERTIGHTEN DISCHARGE PIPE INTO PUMP polypropylene float cylinder. For automatic operation, the VOLUTE DISCHARGE. pump must be plugged or wired into a remote float switch. Pump can be installed with ABS, PVC, polyethylene or Pump will run continuously if plugged directly into an galvanized steel pipe. Proper adapters are required to electrical outlet. connect plastic pipe to pump. When the level rises in the basin, the cylinder floats up with Pump must be placed on a hard level surface. Never place the level. When the cylinder position is at an angle of about pump directly on clay, earth or gravel surfaces. 45 degrees, theswitch activates and starts the pump motor. A checkvalve must be used in the discharge line to prevent As the level draws down, the cylinder floats down and back flow of liquid into the basin. The check valve should when it is again at an angle of about 45 degrees, the switch be a free flow valve that will easily pass solids. deactivates, and the pump motor stops. j CAUTION: For best performance of check valves, when NOTE: BE CERTAIN PUMP IS SECURE IN BASIN AND handling solids install in a horizontal position or at angle of CYLINDER FLOATS UNOBSTRUCTED WITHOUT no more than 45 Do not install check valve in a vertical TOUCHING THE BASIN WALLS OR PLUMBING. position as solids may settle in valve and prevent opening on start-up. REMOTE FLOAT SWITCH INSTALLATION When a check valve 2 used drill a 3/16" hole in the discharge pipe approximately 1" to 2" above the pump 1. The float su ch consi,;t3 - of four parts: discharge connection and below check valve to prevent air a) switch; locking of the pump. b) cord clam; c) clamp screw• WIRING d) cable tie NOTE: If screw is lost, use a #10 -16 X 1/2" long Check local electrical and building codes before tapping screw, longer screws can crack the cover. installation. The installation must be in accordance with their regulations as well as the most recent National 2. Attach cord lamp to pump cover as shown in the Electrical Code (NEC). switch i ction manual packaged with the switch. Th clamp and pump handle must be To nnnfn�m to the N71L'10na: 2--' r . ir For e l p umps ne posiiiud as shown to allow free operation of be wired with 14 AWG or larger wire. runs to 250 feet float. Be sureio locate pump and switch power 14 AWG wire is sufficient. For longer runs consult a cords away f m switch float. qualified electrician or the factory. 3. A 2y" tethe� length is recommended. When a' Pump should be connected or wired to its own circuit with tether length= of 2y" is used, a minimum basin no other outlets or equipment in the circuit line. Fuses and diameter of 18" is recommended. The tether circuit breaker should be of ample capacity in the electrical length is measured as shown in illustration at right. circuit. See chart below. 4. After desired tether length is established hand tighten clamp screw. H.P. VOLTAGE FUSE OR CIRCUIT 5. TESTI ;�G: Without water in basin plug pump BREAKER AMPS power cord into switch in - line - plug. Plug switch 4/10 115 20 into outlet. Lift float and watch for pump to operate. 4/10 230 15 Do not run pump for more than 5 seconds. 4