Loading...
HomeMy WebLinkAbout040-1246-30-000 0 $? o $ o c d � J % :I Z 0 2 E $� 2 0 / 0 0 <� d k k E / % E E co 7`; 2 0 7 °% k 7 } , £ , , § e $ \1 \ }( CD $ §\ E E �� 3 E E 8 E &_ § e o to § e © / § � E� ( / § £ CL E k / o/ k o/ � 0 7 m� o \ K m CL 4 , 4 z § a � - § § n f f % - 0 0 0 0 0 0 000- � £ Oro / - & \ ■ @ ii 0 a \ (a CA ■ C.0 ƒ K J 7 ° e� E § E 2 m' E E 2 t 2 m s E s z g / 7 o \ \ / k Cc } R k k \ _cn I § E ƒ c } } k g } k 2 - a 2 $ E _ -4 E § & z . / 0 \ f z ) ƒ R R . ■ W mIk E § E § $ z 0 k z rn § 7 z 7 E . � % � I 7 EE> R Ekk § / � m ƒ_ 2 % k z % ( CD [§ 3 c# \ co) f �CD 7\ 2 E ƒ / CD 7 . { 0 0 2 m ; q f ? o � 8 � CD � # iartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix diding Division P INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 430406 0 ,RAL INFORMATION State Plan ID No: gal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. .nit Holder's Name: City Village X Township Parcel Tax No: c3orseth, James I Troy Township 040 - 1246 -30 -000 CST BM Elev: Insp. BM Elev: JBM Description: Section/Town /Range /Map No'. 24.28.20.1265 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION 4BS HI F S ELEV. Septic I Dosi ., l Benchmark y ng V Alt. BM JT , C6 io Aeration 0 Bldg. SeTC J-( Yo r oll 3 D 3 Holding 517nlet ?/ TANK SETBACK INFORMATION St/Ht Outlet S •�f p TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / / � � / Dt Bottom / Dosing lHS Header /Man. f O q 0 Aeration Dist. Pipe �, Holding Bot. System / O� PUMP /SIPHON INFORMATION Final Grad Manufacturer Demand St Cover GPM Model N ber TDH Lift riction Loss System Head TDH Ft Forcemain Length a. Dist. to Well SOIL ABSORPTION SYSTEM t r BEDITRENCH Width 1 I- Length �� o. Of renches MENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 2• SETBACK SYSTEM TO P/L JBLDG I WEL LAKE /STREAM LEACHING Man re . / INFORMATION CHAMBER O �'b Y Typ f System: / Model Number: Y � DISTRIBUTION SYSTEM , 0 SE Header /Manifild Distribution r,/ x Hole Size x Hole Spacing Vent to Air Intake ti Pipe(s) K I� rT Length Dia Lengt Di �S SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only C�y d-- /4a . Depth Over ! Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center 1 Bed/Trench Edges Topsoil ✓✓ y , 'Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /y / 21 1 z) Inspection #2: / / �A Location: 351 Lindsay Street Hudson, WI 54016 SE 1/4 NE 1/4 24 T28N R20W Troy Village Lot 23 Parcel No: 24.28.20.1265 1.) Alt BM Description= �� "W ✓�!` ( ° �� � _�_ / . 01� D ��Q��,�/ ?� ' �Ac� 2.) Bldg sewer length = (/' - amount of cover = >q? A7f Plan revision Required? �1 Yes Use other side for additional information. L .a l o il(" SBD -6710 (R.3/97) Date Inse pct or's Si nature Cert No A Safety and Buildings Division County Washington Ave., P.O. Box 7082 C leo ( X, 1 *i s o n, WI 53707 - 7082 Sanitary Permit Number (to filled in by .) cons�n 201 W. Mad (608) 261 -6546 Depar tment of Commerce Y1. 61 Sanitary Permit Applicat State Plan I.D. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal informa may be used for secondary purposes Privacy Law, s15. ddress (if different than mailing address) I. Application Information - Please Print All Information / (_1A) S Property Owner's Name �pr✓1Ae # Lot # �7 Block # P © C X COUNT 0��a ( - 3a -j Property Owner's Mailing Address Pro Location I t 6 A o V4, l y %•, Section City, State Zip Code Phone Number (,� /tJ ✓ 5T Z 1 Z trcle o e) I T � N; R�E a� II. Type of Building (check all that apply) / 1 or 2 Family Dwelling - Number of Bedrooms /� Subdivision Name CSM Number ❑ Public/Commercial - Describe Use 0 7 U/ LL A T D State Owned - Describe Use v*v - ❑City ❑Village Township of 4 - c k 0 t v III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' New Sy ys ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. 11 Permit Renewal ❑ Permit Revision C *� _ ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration p)ppyy� ; Owner /� `O IV. T of POWTS System: Cbeck alt that a I / I Non - Pressurized In -Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized round ❑_ Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filte thing Chamber Drip ❑ Gravel -less gipq Other (ex lain) V. Dispersal/Treatment Area In atio / . Design Flow (gpd) Design Soil Application Rate(gpdsfl, Dispeiiaf Area Required (sf) Dispersal Area Propo ed (sfj System Elevation ✓ 1 1J� A -11 7th VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank ( 2 n I � v Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plum s Name (Print) lumber' Signature MP/i►ti"R5 Number Business Phone Number ,,, Plumber's Address (Street, City, State, Zip Cod U L Ls'W & (A VIII. oun /De artment Use Onl Sanitary Permit Fee (includes Groundwater Dat Issu ui g A t SignatureM pproved ❑Disapproved Surcharge Fee) d7� q b ❑ Owner Given Reason for Denial l� CJ Q A I IX. Conditions of Approval/Reasons for Disapproval _ Yl,o (iiti �.c.��� �?��vmt� /�,(c�inQ,rn•..- vim" tom/ s M" vv� s y_14 n� Qi4,eA-.I y se� g�, ttach c kte plans (to the County only) fort system on met [as than 8 x 11 inches In size SBD -6398 (R. 08/02) c zrn0r cl) CO) I a 0:* z 00 m 0 ZE rn ❑ rn N Go ;a ,,,,� . Orn Cl 0 MU X m 0 m m CO) m m Z! n cn w m p � W . � z --� rn z Cl) O Z r z N O D Z rn r- t" z v C1 z - p CO) n G) rn to �r C O) = m X G) C -- rn m IIIIIII C q z F) O W m m z O m< ° v W na rn m m � .f : I j'S j .� a p p SM yypW pN � J S N J 06 tv Z d t = >�-- -0 O <_ - Zm0r n * Z 0 m a %%ft C 7 � O Z m E:l m 00 ;u —I c Om � m ;u � n r _ --, 0 m Ch N -c m W O L z 0 ,, _ n 0 O z ;u r Z N O Z c v n r r z z u, n r C . G) m CO r .� - _ Cl) .Z f v m N � � N rn O --I z m ?5 O vJ 0 my m Z C < m v n v a v to n � o v 9 -I N O A H -" O -q 0.-1 z Z O p N C n> > N N f1 N O N m \ H m a N o Z � Z e� m N 1 d 5ol 03 co cr SO, 5 K m d 0 c cr O 41 w d p Z Z Sr C m A 1 i t O n 0 d° � W 0 ��� C c* 00 N N N d y N N V 7 O 4 tl p • z r I � �Ta3 ? vr•i�4 f 1 u� b r u i r P �56d a 14 /) km � fF ov S e PvL g3 Pesr►rbtr $ox ` r3 2 lb tu.eenn T D M,n /'io/'e 1 . ' h S to nI 2 3n-►1 Tot of ven 7' Pr Pe L oT ( ►2 Gro�+lc�so�F�ice te�,cr a 1 ST 5• E ter c . Orr I r Safety and Buildings Division aSamlary W 201 W. Washington Ave., P.O. Bo x 7162 K Iscionsr►n Madison, WI 53707 - 7162 Number (to be filled in by Co.) Department of Commerce (608) 266 - 3151 + Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.01(1)(m) Project Address (if different than mailing address) I. Application Information - Please Print All Information =t — z '- T I < i h J S0. Y St. RECEIVED Pr aJ"W;erNa me Parcel N Lot H Block N Mahe' 1� 01d r o Y SetA MAY 1 2 2003 93 Property Owner's M ailing Address Property Location (�q 6 /- St. CROIX COUNTY md pokes t t P1 e ZONING OFFICE U City, State Zip Code Phone Num r t � • E ,Section 2 00C� b (r r ' y /14 �J 12 (circle one) II. Type of Building (check all that apply) T' N; R ay E 016 V4 I or 2 Family Dwelling - Number of Bedrooms S Subdivision Name CSM Number ❑ Public /Commercial - Describe Use 7 o y ( � ❑State Owned - Describe Use _ Z$ � ( _)City illage IXTownship of rio l/ III. Type of Permit: (Check only one box on Gne A. Complete line B i ap 'cable) A. New System ❑ Replacement System ❑ T tntent/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Chang f ❑ Permit Transfer New L us Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of PO WTS System: (Check all that a ly) QQ Non - Pressurized ln- Gmuttd ❑Mound > 24 in. of suitable soil Mound 4 in. of suitable soil ❑ At -G de _ mgle Pass Sa Filter El Constructed Wetland ❑Pressurized ht- Ground ❑ Holding Tank P Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber Drip L' ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dis rsal rea R ed s Dispersal Pe eq (f) psal Area Proposed (st) S stem Elevation 00 S$ q0/• y 76 VI. Tank Info Capacity in Total Number Manuf turer Prefab Site Steel Fiber Gallons Gallons of U ' Plastic New Existing Concrete Constructed Glass Tanks Tanks Septic or Holding Tank ( 250 ' ^b J ' LV Acrobic Treatment Unit MA dosing Chamber VII: Responsibility Statement- 1, the wt rsigned, assume responsibility for installation of t POWT sho wn on t attached plans. 'lumber's Na me (Print) Pl bar's Si gnatur MP /MPRS Numbe Business Phone Number DA�RF 11 14oId6 // 54� ' ;22 (073 7(5 - ?07-( 3 'lumber's Addre ss (Street, City, State, Zip Code) M6((k0 u SM 6'3 `III. Count /De artment Use Onl X Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuin Agent Signature No Stamps) ❑ Owner Given Reason for Denial Surcharge Fee) iC Conditions of Approval /Reasons for Disapproval / Attach mptete pleas (to the County only) for the system o o e C � ess t 8112 x 11 inch es in size TITLE SHEET RESIDENTIAL APPLICATION CONVENTIONAL SYSTEM 600 GPD PROJECT 7u MARC & SHARI BORSETH OWNER TaOS MARC & SHARI BORSETH ADDRESS 10149 GRAND FOREST LANE WOODBURY MN 55129 LEGAL DESCRIPTION SE 1/4 NE 1/4 S 24 T 28 N R 20 W TOWNSHIP TROY COUNTY ST CROIX SUBDIVISION NAME TROY VILLAGE LOT 3 PARCEL ID INDEX AND TITLE SHEET PAGE! CROSS SECTION AND PLAN VIEW PAGE 2 PLOT PLAN PAGE 3 MAINTENCE PLAN PAGE 4 MAINTENCE PLAN PAGE 5 DESIGNER DARRELL HUBBELL LICENSE NO 221073 SIGNATURE & 715 273 -6360 DATE 51312003 IN GROUND SBD- 10705 -P (N.01/01) O p �► STt.' j1vJti ih ct. A" Port3 Vc�17 S fax in ;lid C'kamikek :tot 0940m 00 -.r am aft as Umb �','n �' Ski ,Cj}- d e- -- '• - - . - . .. _ _ -._ . ' . .. - - - -- -- :._.._• .. . A ::� - Ert�.� iris ' • t��4 Usum 5 Te - I'S S? Iq SR 2, 7 o C h 4 rnh ei-f 1`!-en Cues HenCJ.oj 9 Ch a+�b erS, � ( rn ' T!-e Ch be 1.y i ESQ' I'� �'C� G�ti J I aYl • �.�. � � h Z aiPf 121' C I r yO vrr �v7'a3 ?roY v,�i«cye b a t� P`� teYr A2e i f4ouSc S r33 Prsyrr6at%' 6131 �3Ptwerrn uel"-",A � h�f 2 © 1341 t 3� l Toe o F ven (;ry,2 G �t���ct q � S E la7' forriel' POWTS OWNER'S MANUAL MANAGEMENT PLAN SYSTEM SPECIFICATIONS al ❑ NA FILE INFORMATION p r Seth Septic Tank Capacity I SC1 g Owner /",q r,c d S� Septic Tank Manufacturer �'� !' ❑ NA Perth 7_19 } Effluent Filter Manufacturer el(t?} ❑NA DESIGN PARAMETERS Effluent Filter Model 170 - 0 07 ❑ NA Number of Bedrooms 100gpd/bedrooin X❑NA pump Tank Capacity gal ®NA Number of Commercial Units Pump Tank Manufacturer NA Estimated flow (average)* CIO gal/ ay pump Manufacturer NA Design flow (peak), estimated x 1.5* 60 O ga pump Model ®NA j Soil Application Rate , gal /day re treatment Unit p ❑ NA Monthly Average ** p Sand/Gravel Filter ❑ Peat Filter Influent/Eftluent Quality (NAM Wetland Fats. Oil & Grease (FOG) < 30 mg/L p Mechanical Aeration [3 Disinfection ❑ Other: Biochemical Oxygen Demand (BODs) 220 mg/L. Manufacturer: Model: Total Suspended Solids (TSS) < 250 mg/L Dispersal Cells) Monthly Average * ** In-ground (gravity) c3 In-ground (pressurized) Pretreated Effluent Quality C3 Monthly � ❑Mound Biochemical Oxygen Demand (BODs) < 30 mg/L ❑ At -grade [3 Other: Total Suspended Solids (TSS) 30 mg/L ❑ Drip -line Fecal Coliform (geometric mean) <10�cfu/100ml ❑ Leaching Chamber Manufacturer u 4 F U e l/8 inch diameter Model Approval Stipulation 31• Maximum Effluent Particle Size Soil Application Rate fe Area Req. ft *Wastewater Flow Verification on and calculations: Absorption � W Absorption Area Credit per unit T (Other than bedroom based) Minimum Number of Chambers [3 Aggregate Design Flow/Loading Rate = ft min * * Values typical for domestic (non - commercial wastewater COMM84 a and be installed per manufacturers specifica a nd septic tank effluent. and. approval letters. * **Values typical for pretreated wastewater. DESIGN CRITERIA ❑ "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.al.1990) : Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. C] "Wisconsin Mound Soil Absorption System Publication 15.22 ❑ "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9. ❑ "Design of Conventional Soil Absorption Trenches EPA 625/1 - .O — ASAE Pu blications 5 - and "Design Manual — Onsite Wastewater Treatment and Disposal Syste ❑ SBD — 10570 —P (8.6199) "At -Grade Component Manual Using Pressure Distribution" ❑ SBD — 10567—P (R.6/99) "In Ground Absorption Component Manual" 51 SBD - 10705 —P (N.01 /01) "In Ground Soil Absorption Component Manual" Version 2.0 ❑ SBD — 10628 —P (N.6/99) "Recirculating Sand Filter System Component Manual" ❑ SBD — 10656 —P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ❑ SBD - 10572—P (R.6/99) "Mound Component Manual" ❑ SBD - 10691 P (N.0 t /O1) "Mound Component Manual" Version 2.0 ❑ SBD - 10595 —P (8.6/99) "Single Pass Sand Filter Component Manual" ❑ SBD - 10657 (8.6/99) grip -line Effluent Disposal Component Manual" ❑ SBD - 10573 —P (R 6/99) "Pressure Distribution Component Manual" ❑ SBD _ 10706 -P (N.01/01) "Pressure Distribution Component Manual" Version 2.0 ❑ Drip -line Effluept Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units 0 INTENANCE AND MANAGEMENT Y� MAINTENANCE MONITORING SCHEDULE gervice Frequency Inspect condition of tank(s) A + least once every ❑ months ® year(s) (Maximum 3 yrs.) Pump out contents of tanks) When combined sludge and scum equals one -third year s f tank volum 3 rs. At Ieast once every ❑months year ( y ) Inspect dispersal cell(s) ❑ months ® year(s) � Clean effluent filter At least once every ls & alarm At least once every ❑ months ❑ year(s) ® NA Inspect pump, pump controls At least once every ❑ months ❑ year(s) ®NA Flush laterals and pressure test months ❑ year(s) ICJ NA Valves At least once every ❑ At least once every ❑ months ❑ year(s) ® NA Other: Page ofd_ START UP For new construction, prior to use of the POWTS c heck he dispersal ecell(If high ns ar painting e detect haee the contents of the teat may impede the treatment process and/or damage tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION an The property owner is responsible th l affect the performance mainten d and ty o your POWTS. Theinstall t on of water-saving �ty and quality of the wastewater st appliances and fixtures along with prompt repair of l reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. wastewater, however the disposal of food based This system is designed to handle solids h as a produced by a garbage disposal should be minimized. Toilet tissue gs the only peels a seeds, bones, and food so e items such as baby wipes, tampons, sanitary napkins paper that should be discharged into the system. Other non the condoms, cigarette butts, dental floss, and o etc sw shoud not be flushed into the system e as �they can sen'ously damage your , disinfectants, pesticides, antibiotics, and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. E3 Valves Valves shall be operated in the following manner: p Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sound, contact an individual licensed to service POWTS, There is normally a I day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INFECTIONS Inspection shall be made by an individual carrying one of the following licenses (per or certifications: Master Pluber, the attached Maintenance Schedule) ast er Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (p ® Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any crac or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent t the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third (1/4) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NRl 13, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. p Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A usual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. 51 In- Ground Gravity Component Dispersal Cells The inspection shall include recording the levels discharge o the gr and surface must be promptly reported to the regula regulatory � evidence of surface seepage or discharge. Any � authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of ❑ Mound, At- Grade, In- Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPOR Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to ensure 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 other 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: IZ 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 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 CONTIAN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS 5eiP "c Serve c X opel-c ?vk et.vi d J?owrt ,slit t• t7W&7 j,%eP IV &e ,J/ , A kv e_ 4 4L - f - - P%e 6 y o w v►t e POWTS INSTALLER POWTS MAINTAINER Name jO AR1160 "t/6661( Name Phone 7 1 5'— 3 0- 1630 Phone SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency C 1-o u' eovVt 2ot+: hA Phone Phone ! I f , 6' $17 K.Nwi , DxrAUsl]\POw , rs OWNER'S MANUAL.clor Page S of _S ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer v _1 01 SQ A Mailing Address ( © 64va'Ad Fb✓e-,4 r? <?K - e— ( Loc_ UN SS(Z Property Address -4:17 3 5 ( LI h &Sd\/ S'f�'f (Verification required from Planning Department for new construction) City /State Sm , W S C C 2 Parcel Identification Number T.FGAT. DF,C('RTPTTnN Property Location 5C t/4, %4, Sec. Y , T 2 9/ N -R a0_ W, Town of / k 0 Subdivision S�o� 1 l �(� , Lot # Z J Certified Survey Map # , Volume , Page # Warranty Deed # , Volume ,Page # Spec house ❑ yes �=3f CVCTF.M MATTEANANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days the $rfe yea xp 'on date. 2C a3 CGNAT4E OF APPL DATE nWNFR CERTTFT(' ATTnN I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the prope a 'bed ab e, b 'rtue of a warranty deed recorded in Register of Deeds Office. 26 a3 �&, NAT6RE OF APPLI DATE * * * * ** Any information that is mis -represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** * * Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed r ' ST. CROIX COUNTY WISCONSIN ZONING OFFICE �—� ST. CROIX COUNTY GOVERNMENT CENTER N r r N N r■ 1101 Carmichael Road rrr:� 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, 1 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 concemed 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, e Rod Eslinger Zoning Specialist cc: Chuck Cook, Continental Development Corporation Tom Nelson File I Safety and Buildings Division I Field Operations Bureau 13 East Spruce Street Chippewa Falls, WI 54729 Avisconsin Tommy G. Thompson, Governor Department of Commerce Q l A Brenda J. Blanchard, secretary October 11, 1999 `1 CUST ID No. 263197 ATTN. ,INSPECTOR s ter, , ZONING OFFICE ENVIRONMENTAL BY DESIGN }, , ST CROIX COUNTY 1432 120TH STREET 11,01'CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 RE: CONDITIONAL CERTIFICATION ~ _ Identification Numbers Site ID No. 1260 SITE ST CROIX COUNTY, TOWN OF TROY Plat Review Perm. File No.: 20751 -901 SE 114, NE 1/4, AND NE 1/4, SE 1/4, S24, T28N, R20W Please refer to the appropriate LOT 23 - TROY VILLAGE SUBDIVISION identification numbers, above, in all correspondence with the agency. DESCRIPTION: MOUND RESTRICTION RELEASE The Department has reviewed the request to release the mound restriction on the above referenced property. This request is supported with information that indicates this property is acceptable for development with a below grade soil absorption type private sewage system. Therefore, the Department waives the above mentioned restriction and has no objection to the development of this property provided that the private sewage system is constructed in accordance with the applicable requirements of Chapter Comm 83, Wisconsin Administrative Code. Conditional certification is hereby made to waive the mound system restriction for the primary soil absorption system on this lot provided the following condition(s) are met: 1. The release and waiver of this lot restriction for the primary soil absorption system should be incorporated into a correction instrument under s. 236.295, Wis. Stats. It should be noted that the replacement system is a mound system. This recommendation will eliminate future questions regarding the restriction on the recorded plat. 2. Both absorption system areas are preplanned, and as such no development shall occur in the preplanned area and development adjacent to the preplanned area shall meet appropriate setbacks so as not to jeopardize private sewage system installation. Pursuant to Com 87.04 (7) (a) 2., Wis. Adm. Code, any changes to the location or extent of the preplanned area will require Department review and approval. 3. The mound replacement area is to include a 25 -foot setback area down slope of the mound perimeter that, along with the mound area itself shall not be subject to soil compaction or alteration during building construction. This certification does not include review of the design for the proposed private sewage system. All other applicable criteria, as contained in chapter Comm 83, Wisconsin Administrative Code, must be met prior to issuance of the sanitary permit for a project at this site. All permits required by the city, village, township or county shall be obtained prior to installation. r i ' J T ' October 11, 1999 Troy Village Lot 23 Page 2 of 2 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 09/08/99 FEE REQUIRED $ 80.00 FEE RECEIVED $ 80.00 (e G. tJsky, Wa ewater ecialist BALANCE DUE $ 0 00 Field Operations Bureau (715)726 -2549 Fax (715)726 -2544 Voice Ijansky @commerce.state.wi.us cc: Continental Development DOA Plat Review ENViRONAERTAL y PE51 1432 124' STREET, NEW RICHMOND, VaSCONSIN 715 -246 -2454 I Tom Nelson Certified Soil Tester 227387 --- Registered Sanitaruin SR00713 �a \A ' o I --- �- �0h SQ �e VI) _ B5 to 5'Y 75' d� 1 � bn SCALE 1" = p Tom Nelson BM 1. -�oPu uc,�.y BM 9 ��4 - S rrc,c nth Wisconsin DepartmentofComm" SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety. and Buildings in accord with Comm 83.05 Ws. Adm. Code Environmental BY Design Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel LD.# APPLICANT INFORMATION - Please print all information. Reviewed By Date Personal in —nefon you provide may be used for secondary p (Privacy law, s. 15.04 (1) (m)). Property Owner Property Location Continental Developm Govt Lot SE 1/4 NE 1/4 S 24 T 28 N,R 20 W Property Owne?e Ma-fir, Addrem + �f * i Rr ft !Q hl— or nets* 12301 Central Avenue NE Suite 230 w 23 Troy Village City State Zip Code PhoneNumber 0 City E, village ETown Nearest Road Minneapolis MN 55434 612 -757 -7568 Troy St Andrews Drive New Construction Use: l Residential / Number of bedrooms 4 "Addition to existing budding Replacement F� Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate .7 bed, gpdffe .8 trench, gpdff Absorp area required 857 bed, R2 750 trench, fl! Maximum design loading rate .7 bed, gpolfl? .8 tr ench, gpdWHF Recommended infiltration surface elevations) 98.20 & 97.50 It (as referred fo site plan benchmar Additional design / site consideration Parent material Loess Over Glacial Oetwash Flood plain elevation, N applicable Na ft S= Suitable for system Conventional Mound In - Ground Pressure AT - Grade System in Fill Holding - Tank U= Unsuitable fbr system l ®S El I ❑ S® U I ® S❑ u i ❑ S ®U I ❑ S ®U I ❑ S® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPDN Boring# Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. nsis� Boundary Roots Bed Trench 1 % v -12 10yr3/ i - su zmsbk 2f .S b I 2 12-40 7.5vr6/4 - s* Oss ml cw - 7. .8 Ground 3 40 -95 7.5yr6/4 - s Osg ml - - . .8 elev 100.8711 Depth to limiting factor Remarks: * s w/ bands of s 7.5yr4/4 2 I 1 I 0-7 10yr3/2 I - sil 2msbk I mfr cw I 2f .5 i .6 2 7 -16 7.5yr4/4 - s Osg ml ew - r 7 S Ground ( 4 16-22 7 5vr4/4 - cc Oca ml cw - 7 R elev — 100.15 ft 4 22 -86 7.5yr6/4 - s Osg ml - - .7 .8 limiting factor factor >86" Remarks: CST Name (Please Print) Signature: Telephone No. Thomas C. Nelson 715 -246 -2454 Address Environmental By Design Date g ST Number Ref # 1432 120th Street, New Richmond, W1 54017 - �e + 27387 237 PROPERTY OWNER: Cm inentaiDrelm —a SOIL DESCRIPTION REPORT ® P age 2 of 3 PARCEL I.DJ Envunnmea Deli Horizon Depot Dorninant Color Mottles Texture Structure nsiste Boundary ( Roots GPD/IP in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. -Bed ; Trench 1 0 -19 10yr3/2 - sa 2msbk mfr I cw 2f .5 .6 2 19-26 7.5yr4/4 - Ifs* 2msbk mvfr cw - .5 .6 Ground elev 3 26-88 7.5yr5/4 - s ** Osg m1 - - 7 8 101.68 ft Depth to limiting factor >88 Remarks * bands of 7.5yr5/8 s * *bands of s 7.5yr3/4 Ground eiev Depth to limiting factor 1 C I 1 1 Remarks: Gsu�sr�i elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: . L �Y Of5i6N 1432 120` STREET, NEW RICHMOND, WISCONSIN 715 -246 -2454 Tom Nelson Certified Soil Tester 227387 - -- Registered Sanitarian SR00713 Lot 13 7r-o \/ UrI�aC�e nr /y , S ly, i .2 N, R AO W Tre tv,,o T A(�e-rrc-�e crzc, gn P 47 a ke' SGr CIS 3� CI 1p ��lcue,kon of 39`3, 02 'Cop ap I" t ro n P' p e- °s b �C Di Tog, 5 SioQe� b- slw 90y.9 J 51 y p Ge e I 2 !%2 i0o,�5 r,3 tol j�$ acre SCALE 1" _ Z} 0 Tom Nelson BM 1. j 0 c) Ue.� P, i;c'� 10 U BM WiAbsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureaq ct- integrated Services in accordance %_' _ t&k 810,9, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inct*. in -size P n rw C include, but not limited to: vertical and horizontal reference pc(n�(BM), dire - 94 / , percent slope, scale or dimensions, north arrow, and locationiand distance to addr64Xr d. parcel I.D. # APPLICANT INFORMATION - Please print all ihfiormatiors; file wed by Date . x Personal information you provide may be used for secondary purposes (Privacy L �,, t;� (m)). Prop e r Wtl & C> 4 �� !1 0 �'1 �'� ' �OVt tot 1/4� 1/4,S T C � ,N,R I E (or) W Property Owner's Mailing Address Block# Su Nam or C t f' W 3vI LQ_1J('Cj �v 1'1 93 _ 1 roY n (�, ���, 0 City State Zip Code Phone Number ad Nearest Road ( ) El city � [:1 Village Town New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement Public or commercial - Describe: (� Code derived daily flow Uo gpd Recommended design loading rate ' bed, gpd /fie 0 V trench, gpd /ft Absorption area required s 7 bed, ft ft 2 Maximum design loading rate bed, gpd /ft trench, gpd /ft Recommended infiltration surface elevation(s) 0 11, ft (as referred to site plan benchmark) Additional design /si a considerations Parent material C, n 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 El S U I MS ❑ U ❑ S ][4 U ❑ S bf U ❑ S AU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench d- CMS r r Ground ., eley,s , Depth to limiting factor ' in. Remarks: n Boring # Ground `"R ® - 40 T5 �, _ $ C_ u} r 7 (S elev. LI l 9�,Inft. -b 7,5 1 Depth to limiting I factor b a O t in. Remarks: -i r � CST Na (_Pl se Print) ��� S � gnature Telephone No. Address nn Date CST Number 1 0 -1q-9 9 2_z7 .3 3 a l p Tr0 IWO 9 SOIL DESCRIPTION REPORT PROPERTY OWNER Page - of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Z C3 .;ZIp 7,s r � f b v/ r (-k,.) Ground ��..5 7,.5 r J! J U S �' W _ 8 t U elev . U S)-7 7> 5,- 7 S 1 rt C n 7 9 Depth to S 7,S � 7/l/ limiting factor ? %,-in. I � 4S Remarks W! S InCA ►.S10nS Ib "r'7��j fDyr wl br- Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # ........................... Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) a 44 9 N BY DESIGN 1432 120 STREET, NEW RICHMOND, WISCONSIN 715 - 246 -2454 Troy Burne Village'' PAGE 3 SE % NE %, SECTION 19 T 28 N, R 19 W CP TOWNSHIP TROY COUNTY St. Croix Wisconsin _ 0 tt o \ Pe- SCALE 1" =40' Tom Nelson BM 1. Top of 2" iron pipe, NE lot corner 100' 227387 BM 2. Top of 2" iron pipe, of east lot corner shared between 22 & 21 t , � 1 fRVf �Y 0[51 1412 ii,?'r: S RH- F, N W WC HMO Wi�)Cf )N -S IN 7 1 - ? -' 4S4 om Nelson ! T t 'a 1. If 't ♦ r> w! e T a s T! 6 R 1 f r R i R w! al. a -. T r r c a R 1.. w a A� r� Y i R R , I i � r i { 1 y I I f o f i a i� 4 M L �Y 0[5 I V' _ ' F�r L61 2 3 , E { i { I r i i , ! o i,. f � Lyon Bit 2 r EJL Wis'lohstn oepamwnt of Indu$try SOIL AND S T E EVALUATION R E P O R T y Page o _ labor ar.-A Human Reiauor+s / viswn of Satety 8 Budtn dgs i in accord with ILHR 83.05. Wis. Adm. Code COUN iY Attach complete site plan an paper not less than 8 1/2 x 11 inches in size. Plan must include, but ST. CROIX PARCEL I.O. # not limited to vertical and horizontal reference point (8 and �o of slope, scale or dimensioned, north arrow, and location and dicta 1 ro , APPLICANT INFORMATION - PLEASE P 1 ) LL IN60RMAT70, r� 0 BY OATS PROPERTY OWNER: N ROPERTY LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND B RU — A M LOT 114W 1/2S 19T 29 NR 19 - 6 40) W PROPERTY OWNER':S MAILING ADDRESS �e '99? L 23 � I(S SUED. NAME OR CSM a 260 COUNTY ROAD F ST CROi TROY VILLAGE CITY, STATE DP COD PKN EMIMN MrOWN NEAREST ROAD HUDSON W 5401 c' ROY Lt ►rUSAy �OA r7 New COnsmic W Use �K j Residential I t ( j Addition to existing building L j Replacement ( j Public or commera Code derived daily flow 600 gpd Recommended design loading rate ©. bed, gpolft = trench, gpdM Absorption area required DO bed. ft Ste' trench. ft Maxanum design loading rata D. S bed. gpd/ft 6 fr 4xn. g Recommended infiltration surface elevations) BY DESIGNER R (as referred to site plan benchmark) Additional design I site considerations 7'�_O S ^Al — Parent material 6 10"5 e9OrAV 'af/ flood plain elevation, if applicable N/A It S s Suitable for system CONVENTIONAL MOUNO &GROUND PRESSURE AT- GRADE SYSTEM IN MI. HOLDING TANK U= Unsuitable for system 1 S Z I ffs ❑ U ❑ S l� U I❑ S ($ U I p S �U I❑ S RU SOIL DESCRIPTION REPORT f Depth I oominant Color I Mottles Texture Structure I S'cture I I Roots GPO /rt Boring tt Horizon in Munsefl Qu. Sz. Corn Color Gr. Sz. Sh. 1 B ed Trerim 55g A 0 -14 10YR 4/2 - -- i 0.6 B1 14 -29 10YR 4/4 I - -- sicl 2mabk mfr cw 2vf 0.4 0.5 Ground B2 29-3f 10YR 5/6 I - -- sil 2mabk mfr I cs 2vf 0.5 10.6 eim. B3 36 -4 10YR 5/4 I clf 5YR 5/8 sil 2mabk mfr I cs 2vf - -- 9 04.5 tt. Depmto C1 43.49 10YR 4/6 - -- is lcsbk mvfr I cs lvf - -- - -- lirra0ng factor F22 49 -65 10YR 6/6 - -- s Osg ml as lvf -- - -- 36" 65 -72 lOYR 6/6 If2d 10YR 3/4 I s Osg I ml I - -- lvf I - -- - -- Remarks: Boring # A 0 -28 1 10Y 5/3 - -- sil 12msbk I mfr I cw 2vf 0.5 0.6 566� B1 28 -36 10YR 4/2 - -- sil 2m -csbk I mfr 1 - cw lvf 0.5 0.6 B2 36 -53 10YR 4/4 - -- sil 2 csbk I mfr cw lvf 0.5 0.6 Ground elev. L B3 53 -64 10YR 4/6 I - -- scl 2mabk mfi aw lvf 1 0.4 0.5 C 64 -72 10YR 5/6 - -- s Osg ml I - -- lvf 1 0.7 0.8 Dow to limning 72 " I I I I I Remarks: Nemec —Pte m Pnnt ,AAAES 0. FILKMS (715) 425 -7631 OGDEN ENGWEERING CO., 113 WEST WALNUT ST.. RIVER FALLS, WI 54022 MT Dam CSTM0398s PROPemOWNER SOIL OESC IPTiON °R'EPORT Page 2 of .3 PARCEL 1.0. `r r Depth I Qu. Sz. Oomfnant Calor I Mottles Texture I Structure IC GPO/ft4 Boring # Honzonl in. Munsell Cont. Color Gr. Sz. Sh. Betl ITrBrrn 205:1 A 0 -17 - -- sil 2m -csbk I mfr w vf-f 0,510.6 B1 17 -36 10YR 5/6 - -- sil 2msbk mfr gw lvf 0.510.6 Ground B2 36 -48 10YR 4/6 - -- sl lcsbk mfr rlw 1 Arf n Al i eiev. C 48 -60 10YR 6/4 I - -- s Osg ml cs lvf 0.7 0.8 905_ 1 ft. De pth to R 1 60-64k0YR 8/3 - -- lmst - -- - -- - -- - -- fimng factor 60" Remarks: Boring # Ground elev. ft. 000 t0 1 lifrnting factor I 1 Remarks: Boring # I I I 1 1 Ground elev. 1t. Depth to limning factor 1 1 1 Remarks: Boring # I I Ground elev. tt Depth to Hot," factor � Remarks: 38th- e�'30(A.C6f0�! PAGE 3OF3 SITE PLAN GoT �z 1 SCALE: 1 = 40' 4 El zos a `T Q Z T z.3 1 1 l , ++II /o w.oe l� Ur /G /rY 0#541e IW" r /,4910►/ 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 4�ofc OGDEN ENGINEERING CO. JAME . FILKINS, CSTM03988 Civil Engineers & Land Surveyors 113 W. Walnut St. River Falls, WI 54022 DATE: �1` 9� (715) 425 -7631 wiscensim 0epeftmonr of IndusvY, SOIL AND SITE E V A L U A TI C N REPORT Page I of 'I _ LA bor and Human Raiauo- o�s�,� Ptsat n s Buddinys in accord with ILHR 83:05. Wis. Adm. Code x COUN iY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but ST. CROIX not limited to vertical and horizontal reference point (BM) v of slope, scale or PARCEL I.O. dimensioned, north arrow, and location and distance •s road: APPLICANT INFORMATION-PLEASE PRI INFOATION REVIEWED BY DATE PROPERTY OWNER: ' P.F600mLocATiON E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND BARB GOVT LOT 114W 1 /2S 19T 29 NR 19 -64"W PROPERTY OWNER':S MAILING ADDRESS LO a -Owe!E SU80. NAME OR CSM S 260 COUNTY ROAD F STCROIX 53 1 1 TROY VILLAGE QTY, STATE ZIP CODE E ILAGE j@rOWN NEAREST ROAD HUDSON W 54016 - ICE Y L, Nm4Y 'fZoA D New Constnxton Use [K ] Residential / Nu 4 ( Addition to existing building I 1 Replacement ( ] Public or commercial describe Code derived daily now 600 gpd Recommended design loading rate D. bed, gpoltt trench, gpdM Absorption area required d0 bed. 9 S� trench, 9 Maximum design loading rate Q. s bed, gWt 6 trench, 9pM1 Recommended infiltration surface elevation(s) BY DESIGNER It (as referred to site plan benchmark) Additional design / site considerations EE No �� 5 �N Ot�4i46 3 Parent material .-+�fr/ Rood plain elevation, if applicable N/A (t S - Suitable for system CONVENTIONAL MOUNO I N-GROl1N0 PRESSURE AT -GRADE SYSTGA IN FILL HOLDING TANK U= Unstutable tar system I D S ZU I ffS C: U Q S to U 10 S R U 0 S N U 10 s NU SOIL DESCRIPTION REPORT f Oepth I Oominant Color I Mottles ( Texture Structure I GPOrtt Boring Horizon in I Munsell Qu. Sz Cont. Color Gr. Sz. Sh. Sea Trwm T " . 7 A 0 -14 10YR 4/2 - -- ( 2 6 B1 14 -29 10YR 4/4 I - -- sicl 2mabk mfr I cw Zvf 0.4 0.5 Ground B2 29-3f 10YR 5/6 I - -- sil 2mabk mfr I cs 2vf 0.5, 0.6 ' B3 36 -4 10YR 5/4 I clf 5YR 5/8 sil I 2mabk mfr cs 2vf 9 04.5 tt. Depth to C1 43 -49 10YR 4/6 - -- is lcsbk mvfr I cs lvf - -- - -- Gmttirtg factor C21 49 -65 10YR 6/6 - -- s Osg ml as lvf -- - -- 36" C22 165 - 10YR 6/6 +f2d 10YR 3/4 ' s Osg I ml I - -- lvf I - -- - -- Remarks: Boring # !- 1 , may A 0 - lOYtt S/3 - -- I sil I 2msbk I mfr I cw 2vf 10.5 0.6 566 B1 28 -36 lOYR 4/2 I - -- I sil 2m -csbk mfr cw lvf 0.5 0.6 B2 36 -53 10YR 4/4 - -- sil 2csbk ( mfr cw lvf 0.5 0.6 Ground B3 53 -64 IOYR 4 6 ( - -- scl 2mabk mfi aw Iv. 0.4 0.5 9 04 . 9t. C 64 -72 10YR 5/6 - -- s Osg ml I - -- lvf 0.7 0.8 Depth to limning 72 " Remarks: Name: —plew Prin JAMES D. R_K1NS R ' a " (715) 425 -7831 OGOEN ENGINEERING CO. 113 WEST WALNUT ST.. RIVER FALLS, WI 54422 Date ��� �97 CSTM03988 PROPER" a1pINER SOIL OESC " 7 1PTION REPORT Page of P4,RCELIz:1 v Depth Color I Motnes (Texture I Structure lCorisistencelftux0y I Roots GPO/ftlx Boring # Honzonl in. I Munsell Du. SL Cant. cow Gr. Sz. Sh. Bed ITn3rtt 205 A 0 -1 - -- sil 2m —csbk mfr w kvf— B1 17-36 lOYR 516 - -- sil 2msbk mfr w lvf 0.510.6 Ground B2 36 -48 10YR 4/6 - -- sl lc 1 I etev' C 48 -60 10YR 6/4 - -- s Osg ml cs lvf 0.7'0.8 90 -a- ft. DOW to R 60 -64 l OYR 8 / 3 - -- lmsf - -- - -- - -- - -- - -- - -- 9 factor 6_0_ 1 Remarks_ : I Boring # ..fir Ground elev. it. Doom to 1 limning factor 1 I I I 1 Remarks: Boring x 1 1 I I 1 I 1 Ground elev. ft. 1 1 Depth to limning factor 1 1 Remarks: Boring # I 4 I _ Ground elev. t{. Depth to htrnOng fa:tor I Remarks: Sao -6 0rR.Q5= • PAGE 3 OF 3 s SITE PLAN SCALE: 1 " = 40'' Q ❑ zo s 0 � so ❑ 8- Ss9 Q < ❑ Z_ J , A w.oE — lr7,L / 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. � OGDEN ENGINEERING CO. JAMES FILKINS, CSTM03988 Civil Engineers & Land Surveyors If 7 113 v; . Walnut 715) 425- 75315' wl 54022 DATE: rwls7rj�"0.ovrvr+�.��of ^du= SOIL AND SITE EVALUATION REPORT P,Ge __,ut _,j . __ t,aor sri0 �.rnart Rwyuaro. s. »n s e-iar+gz to accora with ILHR 80.05. `Nis. Aam. Car .,, COUNT r ST. CROIX Attach camptaae site plan an paoar not lass Stan 8 12 x 11 imhos+n size. Plan must iniiude, but PARCEL I.O. A not limited to vemcni aria hanzzmal retotence point (8M). direcson and % of slope, scab at dimensioned, north arrow, and location and distance to nearest road. APPt.ICANT INFO R MATTON— PLEASE PAINT ALL INFORMATION EVI REW@O By DATE PAOPEFify OWNER PROPSm ";=TION E 1 / 2S 24T 28 NR 20 W ctavt•.LaT 114W 1125 19T 29 NR 19 -fen w TOM RUMeSLE & JOHN AND BAF.B RU EMIMLE PRCPeM OWNFJr*S MMUNGAODSEM LOZ3 �t3k!3G - SUSO. NAW OR C3M 8 260 COUNTY ROAD F TROY VILLAGE CITY STATE ZIP CCDG PHONE NULWER CITY ft.l ME V OWN NEAREST ROAD MM SON, 54016 (M ! _2 TROY I Lr ►jCSAY 'RokD New Catsat = Use Resi derrtoat I %doer of badrtmens 4 t 1 Addition to existing txAW9 i t R"mcement i i Pudic cr commerc Al aesalbe 600 Re=MMerlded aes loedir>q race _ bad. gpdttt tfenM gpdM Code derived d3* m ._.._._ gI� '9n AbUM6011 area required DO bed. itz �54!P trenc m. ttz Ma>onnun design loadinq rate , f� j bed. goml L mil• gpOtft� Rttcatnrttettded inttitraison stutace elwationfsi BY DESIGNER R (as retwed to site place berctmarit) Addidartat design I site cOfmd rtadtxts Parent rttaterial 1; e: 5 'iLL Qv; .sv q�- Flom pt awt elevanon, it apptinae N / A tt S - Swmdie for system com M M" MOUND 1144MUN0 Pf FMAE AT�vL105 SYSTEI4A W FAL ► axiNG Aw u= ur>stutatits for system I 0S I�' I ffS Cu I o C S (z U I Q S au I Q S �U SOIL. OESCRIPTION REPORT �0cmtnant Cotor I . Momes Structure ` Baring a Hanzan faet7Ct ,Texture I c4r=swxs1eaxmaay Roots ?O tt in. Mtinseti Cu. Sz. Cant. Caor Gr. SZ. Sh. I Sea irern I 1 �j A 0 -I4 IOYR 4/2 -- Gil _Z v' i o.6 e 14 -2:, IOYR 4/4 I - -- I sicl I 2mabk I mfr I cw 1 2vf. 1 0.41 0.5 Gratutd B2 1 29-36 10YR 5/6 1 - -- i sil I 2 mablc 1 mfr I cs 1 2vf 10.5 0.6 ev- B3 1 36 -41 10YR 5/4 I clf SYR `i /8 I sil ` Zmablc 1 mfr 1 cs 1 2v 90 ft. Own to Cl 143 -491 10YR 4/6 I - -- I is 1 I.c.sblc 1 mvfr 1 cs I lvf I - -- --_ limtortq tas�xr C21 1 49 - 651 10YR 6/6 ( - -- 1 s O s,g I ml 1 as 1 lvf - -- 36" C22 1 65 -72 10YR 6/6 I f2d 10YR 3/4 1 s I Os 1 ml 1 - -- I lvf I - -- . - -- Remarks: 6onng l 1 A I 0 - 28 1 10Yx 5/3 1 - -- sil ( ?� ! mfr 1 cw 1 2vf 1 0.5 0.6 560' B1 128 -361 10YR 4/2 I - -- I sil 1 elm -c I mfr I c w 1 l vf 10.5 0.61 B2 1 36 -531 IOYR 4/4 2csbk 1 mfr I cw 1 lvf 1 0.5 0.6 Ground ele"• B3 1 53 -641 IOYR 4 6 1 - -- scl �istabk I mf i aw Lvf 0.4 0.5 9 04. fit. ' C 1 64 -721 IOYR 5/6 I - -- 1 s �sg 1 ml I - -- I lvf 10.7 0.8 0010 lirntang 4 Aemarxs: — Nentt •AswPuit �� •0. F1l. � (7 1 a 4 2"S - 7fs31 OGOE?4 ENE Ij4 CC, 113 wEST wALNUT ST.. RIVEq FALLS. M 54022 r SCIL OF-SC !IPrICN Own � Cara. O pomnant Color Maaras Sttucarrs II GPdittl- Texture i G'xxscraar'rce fBastsay � Roots d 0 Honzonl in. Munsell Chi. SL W Gr. S St n. I See frg7� �-1 10— ` __ 1 sil 2m -` b M mfr w �vf -fl t 4205� `� Bi 17 -36 IOYR 5/6 I - -- sil 1 2msbc I mfr ! Ivf I 0.5 Gmund 32 36- 48110YR 4/6 I - -- sl I L. I 1 I n I- { eW. O 48- 60110YR 6/4 I - -- s Osg 1 ml Ics lvf 1 0.7 0.8 ,0 5..3, It. canto R 60- 64110YR 8/3 - - 1mst: - -- - -- - ! - -- -- IaC� Remancs: Bering x I l ( 1 I I 1 1 1 I I I I I 1 1 G►oune t a= I I I { 1 I I 1 1 Remarks: Boring At Ground I I I I 1 1 I I I e4e+r aeon to I ! Iimmng lat~sr I I I I i 1 I I I Rem -°-- Boring 1 I 1 I ( 1 � 1 1 I°ff rig r I I Remar$= PAGE 3 OF SITE PLAN 1 j J SCALE: 1 = 40'` J 1 J Q ❑ t3-z � J A 0 � �'� sb_ ❑ 8- Ss� a J J J J , /0 lAriivG' le lwl elv T /-4�7i Tory f'r, J T R e C / •r LIOTES: PROVIDE :iINL`NM OF 1' SAND BETW EEN BOTTOM OF BED AND MQUND TO BE a :lINIMLIM �S:ING GROUND. OF: 25' FROM DWELLING; SO' FROM WELL; 5' FROM LOT LINE. ' OGDEN ENGINEERING CO. TAME V. FiLK1NS. CSTMO3988 Civil Engineers & Land Surveyors DATE: 113 V; Walnut {715) 425.76 Falls. WI 5022 r-r- r 2 18 1 P 4 12 - 7 1-4 Z39 r=3. Ij KATHLEEN H. WALSH REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., WI DOCUMENT NO RECEIVED FOR RECORD 03/25/2003 MOM This Deed made between ERIC L. REYNOLDS WARRANTY DEED and KARRY A. REYNOLDS, husband and wife, Grantors EXEMPT # and JAMES MARK BORSE and S HERRY LYNN REC FEE: 11.00 TRANS FEE: 555.00 BORSETH, husband and wife as survivorship marital COPY FEE property, grantees, CC FEE: PAGES: 1 Witnesseth, That the said Grantors convey to Grantees the following described real estate in St. Croix County, State of Wisconsin: of 23 Plat of T rov Villag in the Town of Troy, St. "'^��� C Tax Parcel . 040- 1246 -30 Croix County, Wisconsin. RETURN TO: This is homestead property. NAT C-z ' " n ) Together with all and singular the hereditaments and appurtenances thereunto belonging; And Grantors warrant that the title is good, indefeasible in fee simple and free and clear of encumbrances, and will warrant and defend same. Dated thin - of March, 2003, . Z L Q C� (SEAL) Eric L. Reynold (SEAL) Karry A. t nolds STATE OF WISCONSIN )SS ST. CROIX COUNTY Personally came before me th day of March, 2003, the above named Eric L. Reynolds and Karry A. Reynolds, husband and wife, to me known to be the persons who executed the foregoing instrument and acknowledged the same. n� w Notary Public, State of Wisconsin My Commission is permanent / expires --7 THIS INSTRUMENT DRAFTED BY Tracy L. Turner Attorney Barry C. Lundeen Notary Public MUDGE, PORTER, LUNDEEN & SEGUIN, S.C State of Wisconsin 110 Second Street, P.O. Box 469 Hudson, Wisconsin 54016 V) CO �o �0� W LJ N W ui — O v a 0 0 h 4; (X D�d °� ? (n Q �UfYz >- Q 3,.00068t Now tn�zNN ° r h _ O ul YQZ c0 W W - h .��` I J -J W J - N N N cn v Z 3 w ° w _ Q W) > Q W 41 .,0 Fg i� f �1 ��. r O S p5 °4 03 1 E .0 [ �_ 00 24 .89 Ll No p ; in 'soh fo �c O N� \ 0C�- ' p � Z j�j c? a � ' la O O N �` \ In- Ni1� ��O ({�Na r Locn< ,,♦♦ �1 Co �I V O. a - ^ p � Z — ch LO (V Aol O M S L4 8 N Co.. O z y h oti N o^ ' oy 5 6� YI 26911 c O Ln LO W N W o to r" II �" F— Z �N33 J W f -- 3 .,6E .6 L o00 N S8V38 HOIHM 'M6 L 8 'N8Zl • • —J O. b `'p ^ '6t N01133S J0 3NIl N01103S */L Hinos —HI80N LLJ Q O , LO 0 3H1 Ol 03ON38333N SON18V38 a3MnSSV -1 U. N °O een U � oM�� y N U -O � � U •b �aM' �]0 G to > .ZO• M " ,� ' �s�° i � °� r`oi c��a a a�i t8t ooe s p.� N W w 3 t' �°cc� avi ' p U $ N a . *9 � E-� v1 3 U F u: U 3 $ •r Nn $ �a - cn �F� It N a $ (DLO U o —'00 Z8 43D 9,9 tn LLJ M a. I,1 to e9 „� o0 0 6 = 2 LO Cn Q o0 2 � fit ad0� N ° s 0 . Vi L4 w w (A o$ M \\�� \\ ' 0 0 ' aiv o O a 'O te) N $ \ 9 rn .r S 0 0 CA +�, •Zti'9>rl 00 N I V) W N N -o S`(() 11 O s o 9 . m 04 �- o gN vi Q s (1 _ io ,,, N Q 9n 9 c+. • cC r.9