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HomeMy WebLinkAbout040-1247-20-000 F,4isconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: , 430247 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Ripberger, Wayne I Troy Township 040 - 1247 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: Sectionrrown /Range/Map No: / 06,10 0 p - e— a m / 24.28.20.1274 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. lk Septic Benchmark Dosing C L ? ba63e�rwu corny Aeration Bldg. Sewer Holding St/Ht Inlet 7,sl 2•ol TANK SETBACK INFORMATION 01711 Outlet d ire ta_.11k- TANK TO fP WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic N Dt Bottom 7 5 vw ,n 13 5 . O� �• Dosing (la► M eade � a� Aeration Dist. Pipe l Holding Bot. SysterrJ � S � N •. Final Grade 1 PUMP/SIPHON INFORMATION 104-6 Manufacturer nn Demand t over G PM 3 b S V� Model Number T r I%Mi�2 y �D TDH Lift 23 Friction Lo System Head T S•, 7 / t sy�►.3 �r� /q�j ti Forcemain Length Dia. M Dist. to well Sett ,d q0 Z 0� V I,1- 'o- SOIL ABSORPTION SYSTEM BEDITRENCH Width Length d No. Of Trenc es / PIT DIMEN No. Of Pits Inside Liquid Depth DIMENSIONS / !/ d ctyre SETBACK SYSTEM TO P/L BLDG WELL LAKEISTREAM LEACHING Maautacrrrsj /D t INFORMATION Type Of System: C=UN R LL ff [[ S I i In Mgdel Numbe Vio p( DISTRIBUTION SYSTEM Header /Manifold IDistribution x Hole Si z I x Hole Spacing Vent to it I take vid Pipes) I 2 0 Length Dia Length Z) Dia �' Spacing tX� SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Dpth Over xx Depth of xx Seeded /Sodded xx Mulched u / Bedrrrench Center �B Edges Topsoil r — Yes _ rWo Yes Y°" COMM (Include code discrepgncies, persons present, etc.) Inspection #1: G / / 0 3 Inspection #2: / a3 otion: A nne P wy Ri er "WI 54 2 1/4 1/4 24 T28N R )�� y Villat 32 4,0 Parcel No: 2 .28.20.1274 QQ / /^ 1.) Alt BM Description = fJ� � W -u-u_ t L1 2.) Bldg sewer length = a 0 S L, , 0 y� - amount of cover= 7S.'l Cor',A(/Y Yes °:> No for additional inf ormation . / _._ /.- �/ /• I1U� 1__ _ Date n 3/97) sepctors Sig re Cert. No. I k 1%) -) FC t_ l Gtr" o V l S �4 201 w. w t�tittgton Ave , P.O. Bout 7082 �SCQn n Madison, WI 53707 — 7082 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 261.6546 0 2 � Sanitary Permit Application state tea [ . Number ` f 1 In accord with Comm 83.21. Wu;. Adm. Code, fomation r you provide 3S 7 e —=T it "S • a • MY be mad for s000ttdery purposes Pro t Address (if dilles mt than mailing addrm) L Application Informatioe -Phan Print All Inf tion � -� s Property Owm's Name M U F 7 03 Pared # Lot # 3Q Block # I � ( t - - Ou o -t k -a0 .ce> _ fly st9gGg Adams < Property Location City, State zip code Phone Number v., i y section S IL Type of BuMng (cbeck all that apply) " T ' "'"" F "LJ K 1 or 2 Family Dwelling - Number of ` Subdivision Name CSM Number ❑ PwAicicommemw — Describe U 10 2, . O ` © State owned — Describe Use k I ao = 12 Ov illw of III. Type of Pa vAt: (Check Daly awe box on not A. Complete Here B if applicable) " A Now System ❑ R46 -meat System ❑ Thm max/Holding Tank Rephoement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision of ❑ Permit Transfer to New Previous Pamir Number and Date Issued Bete Expiration ( — Plumber owner At 2pb : mow 13 2 AD IV, Type of POWI S S teat: Check an that a pply) ❑ Nom — Pressurized In -Grand gMormd > 24 in. of suitable soil ❑ Mound < 24 ia, of sun able soil ❑ At -Grade ❑ Singk Pass Sand Filter ❑ Conauucted Wetland ❑ Pressurized in Ground ❑ Holdmg Tank ❑ Peat Filter ❑ Aerobic Tteataeat Unit ❑ Raaralating Sand Filter ❑ Reoirdckrt'st S tbetic Melia Filta ❑ ' Chamber OpnpLme Gravel -less Pipe ❑ Other (ex lain} V. Disporsalffreatmat Area Information• Desi Flaw (gpd) Design Sat Rata&dd) Ares Raquaed {sf) Dispersal Area Proposed {sn System Elevation / •� �� 6 coo in I /c='3 VL fa Info Capacity A Total N MIUM16M urar Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Comsbucted GINS New Existins Tanim Tads le T r Aaobk Unit Cbsmba VII. Respond Statement- 1, the -adersig assn re bUlty for f tbe, POWTS sheer- on the attacied plans. P 's Name P a's S /MPRS 144mber Business Pbate Number PWW Address (Strew, City . State, ZAP Code) S�c� Q,_,_, VIII, Coun rtmeot use on KAMoved ❑ �S+Pi v� Saniwy Permit Fee incl des Groundwater Issued g Agent Si o Stamps) Surcharge Fee) so 11 Owner Given Reason for Denial IX. Co" ions of ApprovaVReasons far DlwttpprovA 7 Attach qFI er plam (to aloe Carly a-1y) for tie gskm as paper oat tea 1108 $tn s 1 t iacMa b sin SBD -6398 (R. 08/02) CJ O ZSQ a u - - lupr �� a- as 3 _ _! 5 �p -Ato _ M , ..�. -- JV ` \ W lx— e _f _ Safety and Buildings t, ,� 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 hscons1n w ww.comm www.wisconsin.gov www.wiscon isconsin.gov n.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary August 05, 2003 CUST ID No.220537 ATTN: POWTS Inspector CALVIN W POWERS JR ZONING OFFICE POWERS EXCAVATING, INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/05/2005 Identification Numbers Transaction ID No. 893578 SITE: Site ID No. 662634 Wayne Ripberger Please refer to both identification.numbers, St Annes Parkway above, in all correspondence with the agency. Town of Troy, St Croix County SETA, NEIA, S24, T28N, R20W Lot: 32, Subdivision: Troy Village FOR: Description: Proposed Four Bedroom Mound System; (using 20 - EZ1203H EZflow Units) Object Type: POWT System Regulated Object ID No.: 913589 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (R.6/99). • The EZFlow units must be installed in accordance with the manufacturer's printed instructions, the plan approval and Comm 83, Wis. Adm. Code system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • One out of every five orifices in each distribution pipe shall be installed at the six o'clock position to allow for thorough drainage of the distribution' laterals following each dose. The remaining four orifices shall be installed in the 12 o'clock position. All pipes must drain after dosing. • The mound observation pipes shall be located at a junction point between two units so as not to create separation of the bundles with in a product. • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Cori �a »d�° F% , CALVIN W POWERS JR Page 2 8/5/03 Conditions of Approval Continued: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(4), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Note: The changes made to this plan by this reviewer on 8/l/03 were acknowledged and approved by the system designer. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim @commerce.state.wi.us Wi�T!de: 7133 cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 TITLE SHEET PAGE � OF Mr DATE: �4 „ y�•e c��. c��'....� MOUND SYSTEM FOR A_ BEDROOM RESIDENCE This plan has been wepared in accordance with the Mound Component Manual SBD- 1 0572 -P and the PrMuw Distribution Manual SBD-1 0573 -P. CR 6199) (CR- 6/99) LOCATED IN THE S Et if OF THEO _ 114 OF SECTION T , RV, TOWN OF , ST. CROIX C, WISCONSIN. ! w ` L 3 0a, IN DEX PAGE I OF 8 TITLE SHEET PAGE 2 OF 9 PLOT PLAN PAGE 3 OF 9 PLANVIE W CROSS SECTION PAGE 4 OF ?2 DISTRIBUTION PIPE LAYOUT PAGE 5 OF I PUMP CHAMBER CROSS SECTION PAGE 6 OF 5 SYSTEM MANAGEMENT PLAN PAGE 7 OF S PUMP CURVE pme 9 1 19 00.&s PREPARED FOR Wcx �- q t� P P D Y C9 POWERS EXCAVATI.NG INC. 1969 185 AVE. NEW RICHMOND, WIS. 54017 PHONE: 715 -246 -5135 FAX: 715-246-5135 RECEIVED JUL 1 7 2003 Df- PARTIAEN] UE Co:,' JUR,CE bwN OF SAFETY AND LILWNGS A ge,� r- % SAFETY & BLOGS Diva C0k S NDENCE N t.a�S ` C�. �� tt txs i�6„fi �r-+J � t► n �P5 �4X� ro .�- A3 -z No a� os 3 � A r 4 ua�. Surcaes�, ��` C�<•y`v.. W�c� �v. :L� i C I Page Of Synthetic Cov.ring AO C33 Distribution Pipe Medlum Sand G Topsoil 3 -� E E t] d /Q % slope Bed Of - Z Force Main Plowed Aggregate Layer D _ Cross Section Of A Mound System Using E A Bed For The Absorption Area F A Ft. H 42 .:tLt?= B fy " Ft. " IN / K 9/ Ft. L / ,t 5i Ft. Position I /yI,7 Ft. of Force Rain W c ,/ Ft. -- L ► Observation Pipe B - -- - ----- K A k- 8 °t .-__ --------------- _______ --------- -_ --.� --7 C Distributiotf aft Of 2 Pipe Aggregate 1 Observgtion Pipe QAd+ar 3s sy t�.l�r Plan View Of Mound Using A Bed For The Absorption Area Distribution Pipe Layout p8e _� of Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. ,Ernad flee =d of each kftd up wft dw Un of Iaog a= or 43' fits to a point six b"= tilde motet ptaeie. Tamia1r *a a b of** Ameb w ft a wlhm,'th MW%d ap cc Pte- Pt+oVide at= &M !W Fade fw for vaive. *A W'rd dap or tk'rA Pb* ACOESs Bas T� �cj L C . LOW" JYfarilr Ldww �e = y \iw S EE CORRESPONDENCE he-Cc" 'sue. M+ n13��OwC a`�� Ft titlZe Diareter /Yd Inch S 3 Ft. Lateral - Inch4es) X Inds Mueifold ' Indies Force !lain " a Indies / of holes /pipe —. S____,_ Invert Elevation of.Laterals_Zd,SFt. V /11 4111 1111) La/\ V / \VVV yl..v l.4v 411 Cl . V " N. ABOVE GRADES WEATHER PROOF ENT PIPE 12 MI E 25' FROM.DOOR, WINDOWL OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER q / PADLOCK S " Cl GI RISER 6" MIN. - ---- -� WARNING LABEL ABOVE G ADE .. .-- ,�„_._ _ 4" MIN 18" IN ` I33LET s i' 'WATER TIGHT SEALS GAS. i TIGHT t f 4't A 104 A SEAL t APPROVED ALM JOINTS W/ CI CI PIPE B PIPE 3' ONTO SOLDTO '- I , ON SOLID SOIL SOIL PUMP OFF ELEV . ' ?.5 -S FT. C s RISER EXIT --- OfF D PERMITTED ONLY IF.TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC J DOSE C TANK MANUFACTURER: �,1; .�%s. �s MR NUMBER PER DAY: J TANK SIZES SEPTIC ! Q 1 50 GAL. DOSE VOLUME INCLUDING /a7 DOSE —r' o GAL. FLOWBACK: GAL. ALARM MANUFACTURER: CAPACITIES: A = - INCHES = GAL. MODEL NUMBER: y SWITCH TYPE: -`t B = 2 INCHES = 32. GAL. PUMP MANUFACTURER: Cot-t C = 2, INCHES = /a7_ GAL. MODEL NUMBER: / SWITCH TYPE: D = _ INCHES = IS�— L. REQUIRED DISCHARGE RATE GPM PUMP S ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE - FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . &S FEET + L- FEET FORCEMAIN X A FT /104 FT. FRICTION FACTOR . FEET TOTAL DYNAMIC HEAD = 15,gA FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER r LIQUID DEPTH SJ7 f' /, Ri ' &MANAGEMENT PLAN page-6 of POWTS U,WNER S MANUAL Nppiif1M11►Tfits! �► ff 1r.�; zsi)-s D NA f o DOW ;o Ffoiefinp m D NA AWOR PARAMETERS vol. '7 S c7 gal of � v HA Q seilc �'� a rlvldina o NA murnber flranber of PubNc FadW t nft ❑ NA Effluent OW Nfarwt „� meter me" A t 0 c) T�lmated favaragef lbw � S D NA Design (peak} flow . (Es*r ated x I. S) �a Pump C fL® Sag AppkwOon Raft P%ww 0 NA Standard 1rrkntXffkrsrrt OxueNtY aveu"b D S idler D past Fiflw D S Fags, ON & G11" (FOG) 530 mgll cal Aeration D Wetland B cal oxygen oernarrd ti s� 5220 mg/l DNA a D other. Total Suspended (T'SO S1 SO «qjtl pm"ated Effluent QUAKY N�rr r*v average D NA Wodmmcd oxygen Donand (mss) 530 � DNA © ► D waround asd) Totd SuapendW Sow W4% 530 "%V Fecal CoNOM (gaarr ms" 1W1 W dut' OO" Q At- Gtacle � b4axinvjrn Effluent Particle Size Y in die. ❑ NA D �P 7 D �� p Na QNA DNA +V Wks typied for dornarsec wnsmwaver and septic tang tfftmvr- 0tiner: MARiTENANGE St E swvica I ROOMMY SWrif7a Ehrert s) 3 �� DNA man of twi* At aalst ones everkr of tank volume 1lViren co�rnbared efudge and scten 'thkd O NA f'ureP out corrtartta a tankisl ❑ Yflrlr► tf+a fish vreMt dam 1S t0 yore) D NA Inert d3p9mw cem(t) At feast once sverY D ) d NA Clean effluent fifler At facet 0190 evr1►: monf#+Isl ❑ NA purp. PURV controls & alarm At ie►ast once every: D.rrmrrN+te) D NA Rush laterais and pr'east" � At evaryz . 3 s) DNA rrrarKtr(r;) A = wary: El p NA MAIN'T19— NL*E W11STIMTtONS ground on "M19t carrying one of the fogowing ficerses or certifications: tiorus of tank* and disp Cells st►sii be made b an individuei Servicing Operator (PumPeri. master Plu�rnber, fAw tar Plumber pgst icfed Sewer. POWTS frye r+ PONfiS ' . T idacrtify any cracks or mnk irr tiorrs inekude s vi:x�i � of the tank(*) to iden l► ant► rn+is or men H etffkW t the leaks. the volume of combin slud wW scum and a disc( for arry back of to duck the affluent levels in the observatran and L° chsdc for any asrrfacs. The d WpWW swfar:e• The prrt+dirrg of trfftuarrt on the ground surface may in�ata a " and g of affkretrt on the ground requires the kmneftft notification of the local raga( t V any one -tlwd IN or more of the tank volwm, the OW combined � of aludgs and scum in arry treaa�t tank eq wmb of in accordance vAth chapter NR 113, yh, (ti entire contents of the tank shall be removed by a Septaga S Operator and Wisconsin AdrnNftft urized components. Pre treatmen AN other aarvices, incfuding brut not fiat W to the sarvicirup of effluent ' rr� or Press units, and wy g at i ntatvais of St 2 months, shO be Pwtwnwd blt a certified POW'TS Maintainw . of any service event. A sswvm* rapott shalt be pnov %d to the local regukvtwy E � rrjn 10 do" of GMw 12JA21 • + i Goulds r. SU L: Effluent Pump NO 3 885 * Ove rioad protection must smooth Operation Sim can be operated continuously 10cally designed for the b e provided in stater unit tuonze avabble as without damage. ioHomes uses, . 400 series a�n option :;� : .. ■ Bearings: Upper and • Farms • Bearings bail bearings w C CM iron Volute lower heavy duty ball bearing • Trailer courts upper and loner, � maximum mnum ellidox . construction. • Schools • sib . 20 toot w Power CObte: Severe duty length (optional rated, off and water resistant. Hospitals leVhs avallabte). ar Um*a*M Sneak SLIM Epoxy seat on motor end • industry Shtgle phase: CAitll W VS. Sit=N - provides secondary moisture • Effluent systems cod f HP — t613 SJTO CARB� g bees. barrier in case of outer *Mt With 115 V or 230 V three � and to prevent oil SPWIFICAT Pmn ltlirg- wlydaing. Fnmp -1 h HP —1413 STO with ■ Sl* Corrostan- raistant � t}- . Assures positive • Solids bare leads' SWWM ling cWti s: Three phase: 'Threaded g Est contaminants design. Loda wt on three and on laly ',• maximum. • !4 $4 HP — 14/4 STO phase models to guard p sL: 2` NPT. with bare teaft On CSA against � damage ' C es: up to 128 GPM. meted models — 20 foot on 80wental reverse rotation. AGENCY LISTINGS ' Tom heaft up to 1 f"t length UM OM S7W T DH. are standard. ai WAftr. FuRy suW in ' A no d own • Mechanical seal: silicon high -grade turbo oil for carbide- rotaiy saatsigco tutrrication and elkient but @ uaaa+ SM tabmwdu carbide - stationary seat 300 FEATMES tram sets VA161M steel metal ■ kqeder Cast iron, semi- ■ Designed for Coathurous Parts. BUN" Viers OM own -clog vWlh pump. Operadw PWM ratings are Trature: out Wines for MOdOrkaf seal Oft the motor mm`s 1134•F {40°C} continuous M BlAnced for recorruner woridng limits, 140 4 ) intermittent. • Farsteners: 300 series WIM FM st nten 80 • CaPafde of MrMft dry 25 sMs:3ea5 without damage to so W sIZF- W SM= componen sc nPAkltl$ Moor 20 sr t 31 011e phase: so • 60"Z 11 � F POP % HP V s So . r r i 15 V. 60 fk 3500 RP1Y1: S Wlif— I H HP. 230 V, 40 6D H 3500 RPM. ro ' -in with 90 ;tic reset. Chu 8 insutallon. s Three phase: 1 • ! HP — t % HP 200 UM 460 V. 60 Hz. 3500 RPM, ° oti 10 t Class 8 insulation. 4o so so 7a eo ao 100 11 120 MOGPM e to lures P+� uvacrrr 30 m3lh ErteclNe May, Ms M Ar EZ1203H '203H . , 4 ,625 0 ,.! ... Ww Iry !i, .T ,!. •v, i.,ij iT • s i si.i • � �.7 rr .7. i *,l id .y *f �• WW •,.. t Roftm 24 Yoid C lr'i is h A O-D- of 4" Pier - 4.623 U inrhrs ss4 vot Snlewall (2 SW vvalit id urge Per lima► ti. = 3.14 • Z.:l� 3 7, 1 8 -84j, = 3. 14 Bottom IR p. D. of Caner CY der - r2.5 des 3.00 VO4d -h_ is A Totat Sail lattr(mee rea °E8'reS� of cea� ,�,y� =�3. I4 • ( 6.2,ir 5.1 St7.F'1` tl.D. pr Zia t k � • .57s = 422 f!' eYMders = 13 irktae, Void vo"aft in uwude crtiaders . 2 • 3, t j 1 • sao . Projected TrescO Area i t2nfA� .901 ft- Sidewall Heigh, 12 in. '2 Void "01— at 2- Sq.Ft. 6o+lcm bctsvecn c7rtiert� 34ie diy 1 Bottom 36 in 3 = = [�inrre • 12igJ @� t = .00 Sq.Ft. I 0.31 S fP +rotnm at outside l tie r n j Ji Projected Tre*c5 dreg : ' bottom ro++�s (t12 of void volumr bttwstn c Og S.09 Sq.Ft. rota, void rot ykrdcn) 0.215 ;' 2 = =0.117 +0.422 +0.90,+ f1.1R' i 0215 O.epg - z c�cftt6 Canons Der fl = 1.163 X 2.,13 = l3Z ,�_ /C n1 git,,41 3 C) ! ( 36 x to s-b EPA Aggregate Trench System EZ12p3H Ring `IFTtfustrial Grow 65 Industrial Pa - 0 kland, TN �8 � �tl � os . o 4 semi FU MWL- Eriza7Fi -.,, m �: t I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND . OWNERSHIP CERTIFICATION FORM Owner/Buyer W/&Y NC P-t P 3A�h -(_j k'tZ Mailing Address q-0 - 7 3 �c'L� ��,1 S I-&krt- 6EO A - fit, t� xA Sv t, t'3 Property Address 2 / 4,kt,3 4L4CILIL2 & 0.16(4 (Verification required from Planning Department for new construction) City/State _ LtJ,y Parcel Identification Number 0 560 - / L�! 7 • - In — Cl J .� , LEGAL DESCRIPTION Properly Location � %., Sc %,, Sec. Z-� , Ti r N -R 3o W, Town of _ y Subdivision fiery Y 1 k- k. n' V t Lot # Certified Survey Map # Volume _ Page # Warranty Deed # - 11q 7 S Volume `Z3 / <3 . Page # 7 (, C Spec house 0 yes> io Lot lines identifiable yes 0 no SYSTEM MAINTENANCE Improper use and maintenanceof 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 pltjmber, 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 18 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification. stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days f the three year expiry ' n dat . AA,y 7 / 0 SFIGNAVW OF APPLICAWf DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the roperty described bove, b ;ofa warranty deed recorded in Register of Deeds Office. > 7 / 3! 1 O 3 §IGNAWRE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office . a copy of the certified survey map if reference is made in the warranty deed . Troy o r �t °rot on BAQine, MN 55434 (612) 7 57 -7568 COQ AREA 3 PARK 9.108 A01MS 46 ♦7M AC f Ac GE - ND , AC � t wpf j , ,; F: ` ,a4?C otr.,KAM W.ESS 1a WOE %1 4 o w 41 42 4 L UL � 1.617 Ac 1.108 KESS ' %T&A)C ( LM 75' •' 4� ' J 4$ wmwm MSt r."2-AC �* T-577 9 AC .131!2' a r � T 39 7 } / ►29 Ac ' 1.ol3 r a3lo AC < 2 1�3 1AC ?° 31 I l000 loan AC AC ' 22 4 . 35 tooa AC I GOLF COUF 1A26 Ac 3 0 g 1 H ~•''•. � !may � � .1s• i � Ac z !d3 . tt c u ua. 1.oAt 29 AC t COMMON v AREA �. E03 i 1 1 7 A �� - 9.0 / h AC,? PARK 1 .8 4 9 Ac ,� J ' f 44 ' ,• 27 , , 57 t 0 $�• n- � ` 1 .220 AC/ 1 �. s�243 AC J i 10 AC f 11007 \ x'000 1.894 AC + � 5 1 Q \ , 1.290 A 17 ,. •oo. 50 - / 108 AC /I e +�se 9 1.018 AC ti : aK . t.00s �� '} � l -�84 AC - GOLF COURSE A. I ! �� a ! Ac 1 17 c4 Teo Ac 98 1 ! = 1. 423 Ac o 9 4aar oo. , -e AC`� f �� 07/28/03 MON 07:37 FAX 715 386 4687 REGISTER OF DEEDS Q 1 1 2 3 10 P 2 9 • • • KATHLEEN H. wALSB REGISTER OF DEEDS STATE PAR OF WISCONSIN FORM 2 - 1998 ST. CROIX CO. w3 WARRANTY DEED RECEIVED FOR RECORD PoNhWmNtaabt 07/11/2003 08e30A)i WARRANT DEED This Deed, mm& between # Trof wn corporation, a Mirunesata Co !cation REC FEE- 11.00 Cnntor, TRANS FEE; 239.70 and Rayne ,, and Karen A. R inb p rn/a r COPY FEE; CC FEES PAGES. i Grantee. CeanWr. for a ve -uable coWdePMn, lonwys and waranp to Cruuee the following daerlead real saute In St. Croix County. Siate of Wisconsin: Lot the Plat of Troy Village } lnodae.wke, Add n the Town of Troy, St. Croix County, ,w i anQ FWLrn A "*" Hiecanain. ayne K. Kar Rip ger 1 Subject to Declarations of Covenants, Conditions and 3 Be Meadows Restrictions for Troy Village, recorded in Vol, 1241, I Page 256, as Doc. No. 559964, and the Declaration of R A T r Fails, TA $0613 Golf C=60 Covenants, Conditions and Eaa9mente, "05-10(4-11 I recorded in Vol. 1241, Page 301, as Doc. No. 559969, all as aPPaaring in the office of the Register of Deeds 040 - 1247 - 20-000 for St. Croix County, Wisconsin, and such other i'�+a Idenfifamd"^ N~ "4 Eaeements, restrictions and reservations of record, This is not n / or in use# and the mBuyer" obligations contained in (a) (is not) the Purchase Agreement for this lot. II r I Exceptions W warrantos: Dated shit 3rd d of .lulu 2003 it • Charles S. Cook President Troy Development Corporation li (SEAL) (SFJ1! ) AUTHENTICATION ACKNOWLEDCMENT ! Slgnaturels) Minnesata ;f State of WivCV1,a ,r, y �. ll Anoka li C��Y authandured tett day of Personally Came before me tnta — 3rd day of ,. ribs S. Cook. prealdennt above nomad i — 20L Development Corporation 1 T= MEMBER STATE BAR OF WISCON5IN W I I Qf IIoL ,ne known W bo the person _ who executed the (ongoi '1 wAhodm by 5]'08.06. Wis. Statta lttsl umattt and ackswwledge UN some. !i r �i TNIS INS - MUM ENT WAS OAAMD eY TROY DEVEUN14MT CORPORATION N •RI A. Johnson Notary PuWk, Sw►eLWk.aalr Count Minn. Charles S. COOK, President My caromnsalon is Permanent. Of nor, suta expiration date; �rI (S ) may be euiherYlcateQ or aeknowledged, Ban ate not Jd11us_iy 31 -2006 I L • Nun. ertw.a 04-NM a, —y t,p,eas..., d ryp.d r yrkd.d a.br WV ak .— IU A JOHNSON WA%"NTY am STATE & W WOCONsix IIOT4M fGaM N.. 2 - PON W � W4 i r - ■ RECEIVED • s -%N 0 8 2003 Safety and Buildings Division County -0 1 X W�G O�FFCE 201 W. Washington Ave., P.O. Box 7162 # I Madison, WI 53 707 - 7162 Site Address Department of Commerce Sanitary Permit Application Sanitary �-zo Number f In accord with Comm 83.21, Wis. Adm. Code, personal information you provide Check if Revision may be used for secon dary u ses Privacy Law, s15.04(1)(m) I. Application Information - Please Print All rate Plan I.D. Nu Property Owner's Nwe 5 4 y r� Parcel Num S C h L eT 2, o - - 20 - Oun Property Owner's Mailing ress Pro lion b e e St (1�t S vct e 1 00 s Rfyi 'k;S T ;?0 N, R 2 0 L V City, State Zip Code Phone Number Number �� Block Number Subdivision Name CSM Number A T+6 y vt•1 r age II. Type of Building (Check all that appl („/ Q' w ` 0 Ciry K I or 2 Family Dwelling - Number of Bedrooms ( t 0 Village • Public /Commerci, cribe Use O �Townshi • State Owned (\ Nearest Road n U � U L, S a v III. Type of Permit: (Check only one box on 'ne A. bering is for ' rual u e plicable. A. 11lr New 2 ❑ Replacement System 3 0 Replace of 60 ttion to Fu e System Tank Ord Exi g System / B OCheck if Sanitary Permit Previously Issued Permit Number Dat / IV. Type of POWT System: (Check all that apply. Numbe ' r internal use. plow M 44 0 Non - Pressurized In -Ground 21 1$Mound 4 Sand Filter etla 22 ❑ Pressurized In- Ground 41 Holding Tank 48 gle Pass 45 0 At -Grade 46 OAerobic Treatme nit 49 lating i V. Dis r glffreatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Ar Soil Application Percolation Rate El ° Et Required Proposed 2 0 Rate(Gals./Days /Sq.Ft.) (Min./Inch) �o� Ga� �� l q•3 VI. Tank Info Capacity in Totaff Number Manufacturer Prefab Site Fiber Plastic Gallons Ga of Tanks oncrete onstruc Glass New Existing 'ranks Tanks Septic or Holding Tank f a Q V A 00 1e S (i f .1 C Dosing Chamber 00 VII. Responsibility Statement - I e undersigned, assume responsibility for installation of the POWTS shown on attached plans. Plumber's Name (Print) Fi s Signatu J MP /MPRS Number X7 h' Number U 1R W; 3o7 -t 6 o Plumber Address (Street, Ci tare, Zip Code)) !1t (7 D v 63 ISe e._ / & Val ee tits t 0 VIII. Coun fDe ent Use Onl Disapproved =Sani ee lodes Gr oundwater Issued Iss ' g t Signatuue o Stamps) Approved 0 Owner Given Initial Adverse ��_ Determination IX. Conditions of Approval/Reasons for DisappR o ffal � A g n Pe Gt � �- �t3v�S � V✓�aN> _ .�C.w`�'� S � S 12.t'ti d� P-41 1'�brr �y�^ - ,'�"" �0'til GZ�f � • , : �AA �.� � .. � x Q o 0- yewn. y v C^ � 0 1 � ♦ J' .J y. C v p` � 9r (OTC r • — = 86� 7' n Do /rhrgi$ruk Ece (oo.o ^^ pw►r,i y ! or ^ CY \� cy � f{c�e Lot �� 4• r,. �. �, aarMaa *'g � �, : '.� _ � %�`�` � t MY �' 9 . t t S� Safety and Buildings 401 PILOT CT STE C ` WAUKESHA WI 53188 -2439 TOD #: (808) 2848777 �scans�n WWW.commeroe.state.wi.us/sb Department of Commerce www.wisconsin.gov James E. Doyle, Governor January 07, 2003 CUST ID No.221073 ATTN: POWTS Inspector DARRELL K HUBBELL ZONING OFFICE HUBBELL EXCAVATING INC ST CROIX COUNTY SPIA N6490 US HIGHWAY 63 ST 1101 CARMICHAEL RD BELDENVILLE WI 54003 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 01/07/2005 Transaction ID No. 824954 SITE• Site ID No. 654592 Troy Development Corporation Please refer to both identification numbers, dsay Road above, in all correspondence with the agency. To of Troy, 54022 St Cro ounty SE1 /4, 4, S24, T28N, R20W Lot: 32, Sub 'sion: Troy Village FOR: Description: Moun Bedroom Object Type: POWT tern Regulated Object ID No.: 886713 r The submittal described above h been reviewed for conformance th lic isconsin Administrati and Wisconsin Statutes. The sub 1 has been CONDITIONA ' AP The owner, as de chapter 101.01(10), Wisconsin Statut is responsible for co lance with a ode requirements. The following conditions shall be met d constructio installation and prior t. This system is to be constructed and located in cord a with the enclosed appro ith the " d Component Manual for Private Onsite Wastewate atment Systems" SBD- 10691- 1) and the " es Distribution Component Manual for Private Onsit tewater Treatment Systems" SB 0706 -P (N 01) NOTE: Per contours provided and the indica i location o roposed mound, this site is slig y concave with a 4% deflection. The mound was not design to account for the ection, and the cell length will need to be increased to 86.7 feet. ( This does not eff the remainder of the de except for the overall length.) In the event this soil absorption syste or any of its component parts malfu 'ons so as to create a health hazard, the property owner must follow th ontingency plan as described in the approv lans. In addition, the owner must comply with the operation, intenance and monitoring duties as described in ction VIII of the mound component manual. A copy of s information must be given to the owner upon comp lion of the project. Maintenance informatio ust be given to the owner of the tank explaining that eriodic le tl lter is required. Access to th lt for cleaning must be provided per Comm 84 product prov A Sanitary Permit must be obtained from the county where this project is located in danc� requirements of Sec. 145.135 and 145.19, Wis. Stats. �} Inspection of the private sewage system installation is required. Arrangements for inspectior'ohall be made with the de §ignated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. - �� �. .� •� .� ,� f 'x � �� �� F � .4 " � �.. �� �t . ti i DARRELL K HUBBELL Page 2 1/7103 A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83. ) A POWTS that is not maintained in accordance with the approved management plan s required unde Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The er is responsible for submitting a maintenance verification report ac ble to the county for maintenan cking purposes. Reports shall be submitted at intervals appro to for the component(s) utilized in POWTS. In granting this approval the Divisi of Safety & Buildings reserves the right to r ire changes or additions should conditions arise making them ssary for code compliance. As per sta is 101.12(2) , nothing in this review shall relieve the designer of the re nsibility for designing a safe bui g, structure, or component. Inquiries concerning this correspondence ma made to me at the telep a number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this r to the o and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Julia A Lewis - Osbome POWTS Reviewer 2 , Integrated Services SMART code. 7b3 (262) 548 -8638, Fax: (262) 548 -8614 jlewis @commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, 15) 726 -2544 RESIDENTIAL APPLICATION MOUND SYSTEM 600 GPD INDEX AND TITLE SHEET PROJECT TROY DEVELOPMENT CORP OWNER TROY DEVELOPMENT CORP ADDRESS 11800 ABERDEEN ST NE SUITE 100 BLAINE MN 55449 LEGAL DESCRIPTION SE1 /4 NE1 /4 S 24 T 28 N R 20 W TOWNSHIP TROY COUNTY ST CROIX SUBDIVISION NAM OY VILLAGE LOT NO, 32 PARCEL I.D. 040- -20 -000 6 0sl is INDEX AND TITLE SH T PA 1 R ZQOZ CROSS SECTION AND VIEW P E2 SEC LATERAL DETAILS AGE 3,U PUMP & TANK DETAIL PAGE 4 PUMP CURVE CHART PAGE 5 PLOT PLAN PAGE 6 MAINTENCE PLAN PAGE 7 DESIGNER DARRELL HUBBE LICENSE N ER 221073 SIGNATURE 0 PHON 715 273 -6360 DATE 12/10/02 MOUND SBD- 10691 -P (N.01/01 PRESSURE SBD - 10706 -P (R /01 �O J t `� Pa Ol e ( OBSERVATION TUBE TOP SOIL OR CAP DISTRIBUTION FABRIC LATERAL ASTC,� C ?? IoN.3 <<e S?nd FILL TOPSOIL _. :_�:...�:__ I O2.s tp MUE SLOPE 1 /2" AGGREGATE BASAL PLOWED PIPE TO ABSORPTION AREA AREA LAYER PUMP Linear L. cling Rate= GPU /L.PI FT Cr , s I't I7es:��n I -o6 'tng Rate= I GVD /5Q F-P L; I'A Ft A 7 Ft I� Ft S6 Ft 1, 1 08 rt G 1• t I �� l�t Ft x L s t J 7 Ft. PIPE PUMP 1a,;P:rvatirjn Pipe � � B K OL fie Al - - -- - - - - - - - - - - - =-� - -- - - - - - -- - - - -- W ' DISTRIB ION ABSORPTION Q - LATE Bed Of ; 2y A.8 elate n n Ob,gerV - 1-Jor P ipe La eraL `x °I" <crat'c 116 L Cross Section and Plan View of Mound System on a Sloping Site. Led For `1 hp Asorptlon !? i'ea. Faye. 30 {7 01stribution Pipe Detail For A Four Lateral Network TUK14 - U P Position Of Force Main P A LL E SS Buy, PVC Distribution Pipe P X--.,Holes Equal Spaced PVC ifold Pipe On Bottom �-X S 1�X t * Last Hole u l d Be N To Turn - u P y P qa Ft. Ft. X 5 Inches 2,W x L( if ,, L'S' X Ll ( _ /` 1�/?�? Y �/ � hes Hole Oiamete Inch Lateral Diameter •2S' Inch(es; Manifold Diameter Inches Force Main Diameter Inches I Holes Per Pipe y Invert Elevation Of Laterals 1 3 Ft. ` 7 SEPTIC TANS E PUMP CHAMBER CROSS SECTION AND SPECIFICA a CI VENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF ' 2 5 ` FROM DOOR, WINDOW OR JUNCTION BOX APPROVED > FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER FINISHED GRADE-/ WARNING LABEL FIN �� 4" MIN (:�µ�n. Zy .'Slo��ec 94 %, -L. a85ERW►��onl s. b � 18" 71N . PIPE �:� �g rn+N• INLET 1 - GAS- , 1 \� J WATER TIGHT SEALS TIGHT, �/APPRO A SEAL JOI WITH FILTER _ i _ !, ALM OVED PIPE APPROVED _Zoelle} 17o -oa?,f B ON ONTO PIPE 3' – f SOLID SOIL ONTO SOLID C 1 ' SOIL PUMP OFF ELEV . q0—?FT 1 OFF D ' APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE S TANK MANUFACTURER w,•esek C}ete NUMBER ES PER DAY: GA DOSE LUME INCLUDING 1 2 o .04 #to,%f.++ax TANK SIZES: SEPTIC a�� GAL. FLOWBACK: GAL. DOSE UD —' ACITIES: A = 21 INCHES = Y T GAL. ALARM MANUFACTURER: MODEL NUMBER: B = 2 INCHES = � SWITCH TYPE: ,%erei,rr C = INCHES = (� �� GAL. PUMP MANUFACTURER: 20elter MODEL NUMBER: 15 at D = g INCHES = �7g GAL. SWITCH TYPE: a A me I REQUIRED DISCHARGE RATE `/ GPM PUMP & ALA WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BET N PUMP OFF AND DIST IPE • 2 G FEET G4 FEET + MINIMUM NETWORK SUPP PRESSURE X �'� - S FEET + 50 FEET FORCE N X 3, FT/ 100 FT. A DYNAMIC HEAD • _ . �o • 7& FEET INTERNAL DIMENSIO OF PUMP TANK: LENGTH WIDTH IAMETER LIQUID .2y ykc 'hcti SIGNED: _ LICENSE NUMBER: DATE: � /eB 1 i m yt: y No TOTAL. DYNAMIC IlEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE FFFLUENT Ali[) DL.WAfFkINC MODEL 152 153 -- .- - - - - -- - - " - - -- - - — -- W Lj MODEL 152 153 50 -- - — - -- - -- - - - -- - - -- - - -- Feet Meters Gal. Liters Gal. Liters 153 - 5 1.5 - 69 - 261 7 .7 - 291 12 40 152 10 - 3.1 -_ 61 -- - 2.31 70 - 265 0 15 4.6 `.i3 201 61 231 20 6.1 - 44 167_ - '�2 197 30- - - - - 7.6 34 129 42 159 2( ?s 30 9.1 23 87 33 - 125 _ _ J l0 - - -3F, -- _ .10.7 -- - -_- - -_- - -.27. _ 85 o - 1 . 7- Lock Valv(': 38.0 1 (11.6m) 44.0 Ft. .4m) 10- 0 - 0 0 60 80 100 GALLO _ LITERS Q 80N 60 240 320 3 27/32 4.5/9 FI-01 R MINUTE — grin CONSULT FACTORY FOR S IAL APPLICATIONS V • Timed dosing panels available. • Electrical alternators, for duplex systems, are available an lied with an alarm. * �r Variable • systems'evei control switches are available for controlling single p •Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. • Over 130 °F. (54 special quotation required. V 1521153 Series 12 1/6­" 3 _ l _ 1521153 MODELS Control Selection _ Model Volts -Ph _ Mode Amps Simplex Duplex — 61i5_Z 115 1 Nan 835 1 2 r BN 152 115 1 — Auto 8.5 _ included 2 or 3 E15 230 1 Non 4.3 1 2 or 3 _ -- 9E152 230 - - 1 — Auto - - 43 — included 2or3 N153 115 i Non A 115 1 Auk 10.5 4lduded 2or3 SELECTION G E153 23o t Non 5.3 1 2 a 3 1. Single piggyback variable level float switch or double variable level float BE153 230 1 Aulo 5.3 Indtxled 2 or 3 switch. Refer to FMO477. e CAUTION 2. See FM0712 for correct model of Electrical Altemalor E -Pak. All installation of controls, protection devices and wiring should b one by a qualified 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be foil d Including the most recent National Electric Cade (NEC) and the Occupational Safety Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the degign of every+&elletpump. r . MAIL TO P.O. 60X 16347. 1 — % 7, Louisville KY 40256 -*T . n f: srxrro X � 3648 RuP1 ✓�Qed L ID `,wwp (502) 779 271 • Y'1900�'� r <a h /hvww,ZO tercom . AIIA /r M. + ' � }` �+ KP FAX (502) 774 362d v 0 I J a (07 Do Not D %S turd L� Q A Feu — 133 Fie (�ku?cri`/ COt tY 4,1 !qd ° 1 4cPe Cor Pa ye Zoe;? FILE tNFORMATIUN SYSTEM SPECIFICATIONS Owner T v Y e ve t-orr -1 enT (or Septic Tank Capacity oZ ©U al ❑ NA permit # Septic Tank Manufacturer L ,. er eo" NA Effluent Filter Manufacturer Zoe t I e r 17 NA DESIGN PARAMETERS fl ❑ NA Number of Bedrooms �� NA Effluent Filter Model J 7 u - u D7$ Pum Tank Capacity Q00 al D NA Number of Commercial Units NA P Estimated now (average) 60 aVda Pump Tank Manufacturer w. cant rerte O NA Design flow (peak), (Estimated x 1.5) Goo al/da Pump Manufacturer Z oe I f e h (3 NA al/da /fiz Pump Model � S 13 NA Soil Application Rate e' NA Monthly average* Pretreatment Unit Influent/Effluent Quality ❑ Sand ./Gravel Filter !a Peat Filter Fats, Oil $ Grease (FOG) 530 mg/L p Mechanical Aeration O Wetland Biochemical Oxygen Demand (BOD Q20 mg /L p Disinfection 0 Other. Total Suspended Solids (TSS) 5150 m9/l- Manufacturer Pretreated Effluent Quality [a NA Monthly average" Dispersal Cells) Biochemical Oxygen Demand (BOD s30 mg /L CI in- ground (gravity) D In -ground (pressurized) <_30 m U At- grade IR Mound /L Total Suspended Solids (TSS) 9 fl Other. Fecal Cofiform (geometric mean) 510' cfu/10oml O Drip-line Maximum Effluent Particle Size Y inch diameter Values typical for domestic (non - commercial) wastewater and septic tank effluent. �* Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Frequency Service Event At least once every 3 fl months ® year(s) (Maximum 3 yrs.) Inspect condition of tank(s) of tank volume Pump out contents of tank(s) When combined sludge and scum squats one -third (Y,) At least once every 3 fl months 10 year(s) (Maximum 3 yrs.) Inspect dispersal cell(s) Clean effluent filter At least once every fl months ® year(s) controls $alarm At least once every 3 E3 months 10 year(s) D NA Insp ect pump, p ump At least once every A months 13 year(s) fl NA Flush laterals and pressure test G S �vetd e f ❑ months O year(s) 0 NA Other At least once suety Other. At least once every E3 months f7 year(s) O NA MAINTENANCE INSTRUCTIONS ells shall be made by an individual carrying one of the following licenses or Inspections of tanks and dispersal c certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer, Septage Servicing Operator. Tank inspections must include a visual inspection of the tanks) to identify any missing or broken hardware, identify any cracks or surface. The dispersal cells) shall s and scum and to check visually Inspected o check theaeffluent levels or ponding of effluent on the g in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent oil 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 eq art disposed of in accordance with ch. NR entire contents of the tank shall be removed by a Septag e Servicing Op erator 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POVVTS components, pretreatment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POVVTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION f the POVVTS check treatment tank(s) for the presence of painting products or oth er For new construction, prior to use o chemicals that may impel of the tank(s) removed by a septagegserve ll l high +c ng operator prior t 9 � concentrations are detected have the conte r I btai t up span not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess ' wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent_ To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMMENT 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 property 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: • 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. R Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. nDDITIONAL COMMENTS pui1 (t av4 M hrGr'Vlej- TOhe WeterwoytC4 by lOm-f Ow ?OWTS INSTALLER POWT MAIN TAINER Name 911RReti j4u13gEl1 IN me Phone - 7 / 5r- _ ; 0 3 -6 1 3 60 1 Phone 5EPTAGE SERVIC OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Agency sr f{ Covny-y 2 okwo Phone Phone 7 /S- 3 96 -t(6g0 This document was drafted by the, staffs of the Green Lake, Marquette and waushara County Zoning and Sanitation agencies. This document meets the minimum requirements of ch. Comm 83.22(2)(b)(%d)&(0 and 83.54(1), (2) B (3), Wisconsin Administrative Code. Use of this document does not guarantee the performance of the POWTS. GMW (2101) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page — of Division of Safety and Buildings _ / °�� pi 3 ro 3 In accordance with Comm 85, Wls. Adm. Code County C4� Attach complete site plan on paper not less than B 112 x 11 Inches in size. Plan must Include. but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 0.90 ' ) Z4 �' `� evi ad by Date Please print all information. Personat;nldrtnaUon you provide may ba usod for secondary purposes (Pnvacy Law, s. 15.14 (1) (m)) I J 3 Property Owner Property Location - TF04 DV )ZLOPnnZIVT C.0 P� S� Zia N>: Ira s 2 T zq N R 20 w Property Owner's Malting Address Lot # Block # Subd, Name or CSM# 11K OD A t;ae b ad 5T E SL'.l 10-0 3 -- - T K01 U I LLAZ:F- City State p Code Phone Number ❑ City ❑Village Town Nearest Road $LAItiE lt/1 5449 '7b3 ?57 -7 68 `Tv-O LING Y RA• New Construction User Residential I Number of bedrooms _�— Code derived design flow rate .—:b — _ -_ GPD El Replacement 1 C3 Pubic or commercial - Describe: -- +�� Parent material ^ QU�,? i j t :1 (Ll_ — Flood Plain elevation if applicaole �` fl General comments Z%q 5r. RN�� �RK and recommendations: MAUN1� �(STt .5 j 5R WD F%L-►— (NW SIT S E ^rI�STt:D) DEC 0 4 2002 0. LOA Dl nlr- PA - r� � �� ZONING OFFICE Boring # IQ Pit Ground surface elev. 10 l)0 1t. Depth to limiting factor _ i^ Sal A icalion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDItP In. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. *Eff#1 *E##2 1 O 3J3 0.5 0.9 Z z o JK 0. 0.9 IZ -1$ v� L 1 -m MFC (1W 0•y 0-10 0 Iq r sll _ 5 ZL -�I 10 49 3 L - 55 A r b 3 1-461 1 t4j j , sc �r a tv - .0 7 �' — L J Boring # ❑ Boring �--� X pi: Ground surface eiev. in 1_ h. Depth to Ilmiti ng factor _3 in• sop Ication Rate Horizon i Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz: Cont. Color. Gr. Sz. Sh. *Eff#1 'Effft2 -5 3f 3 51 ,L r r 0.5 0.9 2 S40 3 +� 3 — I - 0a o . LI 0.6 u- 9 ow 0.N 0. � �� a 0 ' 5 3Z- f'L3 - Z 1 Ul b St{ Z KH '6t 1 _ 7 30k — Z �.-5 Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mg1L ' EMu t #2 = BOD < 30 mg1L and TSS _< 30 mg/L CST Name !Maui (Please Print) Signature CST Number A)A J0 MOLL r< Address —�� ate Evaluation Conducted Telephone Number W'Ivs Io90 R1UE TAL.I~5 wr 54022- i 1 i t Property Owner T� � O UB �p�.SC Parcel ID # _ c x 7_ zo - COO Page .2 of Boring # ❑ Boring 3 Pit Ground surface alev. 1 _ h. Depth to limiting tailor _ na4 Soil don Rate Horizon Depth Dominant Color Redox Description Texture Structure Consiste Roots GPOM in. Munselt Qu. 5z. Cont. Color Gr. Sz. Sh. 'E1 '002 S -� p.s a9 Gt t Z 5 - 3b S I r - 3 Iu - 23 s s6K mEr Zff-m O o - t,J z o & 3 ) (4 � 1 4a i F-1 ❑ Boring Boring # — l ❑Pit Ground surface elev. _. h. Depth to limiting !actor — In. Sill lion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 'Efi#2 I � f i t {T � Boring # ❑ Boring h I -- U F1 pit Ground surface elev. __ ft. Dept to kniting factor. in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i i Effluent #1 = BOO, > 30 1220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, 5 30 mg/L and TSS < 30 mg/L 4 The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264.8777. sa0 e3w tx.erool i i P�Of PLAN PRO!' MOdvi : Tkoy o"ejxPMel"T �E ND. /�° 7f0 xcc�r wffexs N�,p 5� OF H� E Sic .2 iP - a5 MT--/J Tzgn� w S c � Ar W .3T. 00 � 00 E 03T 1 co FI- 50R- MNG W/ PACka NO COMM 83 5EOACK PRO LEM5 ! AC AC I I J y � D 01. i 3' �oo.Od t � i 9 � x 2.4 sin Cyr jo d� A�NJ PYZ' ZZy9.5 z DA9: 1 + -- 2-1 - p2 I � Dec 04 02 O8:O5a p•2 ST QOU COVWY SllMC TANK CS AGRBBNIBNT AM . OWE CWTI E&TIOrr MRM Mu ft Address t 3C - 'ICk fln�&,� malt Aftew (Verif =t= negmnod ft ex Nnonfog DVwbma( Ser sty 152_ Parcel Id�etttificatiati N=ber o o _._...� All 11WEAS '—� Pmpeiiy Loption Y., '/•. Sec- T- R�_ W, Taco of I� Subdi vision ✓; tot # C rdfied Swwy MAp # _ Volume _ Page # 3 Wwmwtgi Lead # . 9 Vohmae Z Oy # � I Spec Lome ❑ yeti �tio tot lines klond&we oyes 0 no I �smdoeof7eeraapb�ss�emoa�nldrea�tsnit�pcamaa�ae�aea�laa���ea .P�opaa omads.of{ g *W*o septic taalcnvety & so yew a soomr, if aeededby a lknowd1 w pip Wbst ym pat isle the gatsm an affect go thoo too of do septic talc as a a=wsent atepe m the wants vxpoW vjdm no ' V edy a m aa nees to sdm * to St: Co k Zoning Dopottnw a corffiondon how. sped by de avant and by a �P��'��P�P�aa lieaer edpamapeevQit} iapttat (I}llaaara4awss0aa►ieedf�pold ap�am is is pauper cpessW� oaodifion sadVar ('Z) agar itu�pedim ml pampialp Ctf aooeta�uy),tbe septic tseic is 1gs Snn 113 fafi of s6adpe. Uwe, the ondeea ped have mead do abow tagsueaoeata sad agm a to tosataba Ow tni►ves amps ftwmt sys M wid So ad iock buab6 as set by Depasmeantof Cou mme and the DepactmeatofNdwd Rmmnn %SWo of Wiaoemde. CaeMmtion =mums us= bas been asaidaioed amat be comepleted and foals St. Con Com ly zcoiap t] MW ta 30 stcw a� OATE ocl�rr�cw�rorr I (we) *at* dat st Adwaeats an dis tame era flue to de best of nW (oar) bwwbadpe. I (%e) am (we de Owaa(s) of r by vbtm of a wansnty deed mecwtded in R of Doeda Offioo. Zi /� LE& 0 WQNA7X= OF APPLICANT DATE "00" Any fiftwafin del is ally aeeou is the astatypenamt b ft eev dm d by go Zmia6 Depet=i' •* Iaehds wtd dta appUcadoa: a abmpad wm=vty deed fmm the RLpiatOt Of Deeds office a COPY of the aetdw siav oy map if nhwnoa is mods in the waormry deed k , FROM TO Barrington Homes In 12/04/2002 6:59 AM Page 2 J 2 0 4 6 P 3 2 1 6c36.37PJ KATHLEEN H. WALSH REGISTER OF DEEDS STATE BAR OF WISCONSIN FORM 2 - 1998 ST. CROIR CO., WI WARRANTY DEED RECEIVED FOR RECORD txcumentNmoe 11/14/2002 08:30AM EXEMPT # This Deed, made between REC FEE: 11.00 roy Dwmlo nt Corporation, a Minnesota Corpor TRANS FEE: 239.70 COPY FEE: F rederick Sand Sc_ hlet_z, Grantor, CERT COPY FEE: II �� husband and wife PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate In St. Croix County, State of Wisconsin: RecuomU Area _ -- - — Lot 32 of the Plat of Troy Village 1st _ __ - . -- __ — _ - _-_ _ __. . ii ' Name and Return Adores$ Addition in the Town of Troy, St. Croix County, �! Wisconsin. Frederick & Sandra Schletz i� Subject to Declarations of Covenants, Conditions and 1302 Birch Drive Restrictions for Troy Village, recorded in Vol. 1241, Hudson, WI 54016 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, j all as appearing in the office of the Register of Deeds 0 40-1247 -20 -000 Parcel loentitieation Numoee (PINT for St. Croix County, Wisconsin, and such other li easements, restrictions and reservations of record, This is not homestead property or in use, and the "Buyer" obligations contained in ps)(isnoq the Purchase Agreement for this lot. i 1� Ii l II Exceptions to warranties: Dated this 7th day of November 2002 ,O � li f vP ° ` r EAL i (SEAL) (s ) I Charles S. Cook, President Troy Development Corporation (SEAL) (SEAL) j j. AUTHENTICATION ACKNOWLEDGMENT I Signature (s) Minnesota State of Wtacor.S+rr, ss. Anoka Couruy authenticated this day of Personally came before me this / t day of 1I November 20 � named !I Charles S. Cook, President Troy Development Corporation I' TITLE: MEMBER STATE BAR OF WISCONSIN (o 'j (1f not, me known to be the person ` who executed the foregoing J authorized by 5706.06. Wis. Slats.) instrument and acknowledge the same. THIS INSTRUMENT WAS ORAFTEO BY 4 TROY DEVELOPMENT CORPORATION R ick A. Johnson i Notary Public, Swa- ef-W"oRaiwAnoka County, Minn. ') Charles S. Cook, President My commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not January 31 2006 ,) necessary) I• • Names of pequra signing In my upaoiy mum be Typed or primed below ttKlr sign• ■ �� STATE BAR OF WISCONSIN w.aconm ttror ar Co.. ino.`� WARRANTY OEEO FORM N... 2 - 1996 Hit:!' ":. .rv. Ma . Wh. I 7 - " d`• , 1.568 ACRES io 00o 0 UL e N 11O1 49343 S.F. 1 1.133 ACRES C77 71513 ACRES of ji 0 S � � O 6 ? 2 3.47' Q� ✓�.,� , 411 g • 42 r s W 48259 S.F a . , 7041 S.F. s 4g 4 z 1.617 ACRES § 0 1.108 AC g g h 6338 S.F. $ 68670 i m e ( ' r 1 Q .064 ACRES Q ^ 1.577 `� $s N 84'00' 00" Wo:.7 ZI 2 -__ 71514 S.F. 2 1.642 ACRES C l R , 6 r 1_ 1.69 _ 80 S0' S G - -�- �N 8 4 . 00' 00" - W 292.19• / �, 84.00' 00 " E 280. r- -- 2 H s9�q�,, � X0.24' b3�r p °00' 0o� $ 2.03 32 1 2 33 S ^ 44107 S.F. 56237 F. / / 1.013 ACRES' 1 2 J' vi r v. 1.291 ACRES 0) r 1 ' S800, 0' r ` < p � ?40 5661, /1.300 E 144 O S.F , 28 7 31 ' N 1 V 3.310 ACRES " ( N S r i 43560 S .F . oc 1 ce 1 aDc� o 34 1.000 ACRESr a � ' 2 4 1-49 , n 1 1 45201 SF. �c co ' m 1.038 ACRES n S 3 Ig r . , �°oo' 1. N r �o ` •.� 1 al 00 0 0•' E 3 240.0 2 0 E $ $ �° 43738 S.I 1 �I . I 1 1 73 23' ' L 1 $ g ' - 1.004 All Sao OD zl 30 1 o N r e , �° .�,a �� . �, z, $ 0446 5 S .F. o No � ti ' 23 ab . 1 ` , I Q e �v 53539 SF. I ' 2 ' •g s ?' f 1 `i I ,•� 111.026 ACRES o p v� 1.229 ACRES► S I 800 N � •• cnI N 6 25200,300..E e 0p � ' IlRlff i 23 1 " N 80 � r 54287 S.F. w y 109 141 SF. •''•• r A / " 240.00. 1.246 ACRES 2.506 36 q N 89°00' 29" W 1' •. ' v 46824 S.F. ►•i Z ! r 353.34' / h - ' � N o , / / / S A 1.075 ACRES 2 9 r J ;� 2 6. 00 00 ' ry ° 57187 S.F. 2 2 • 1.313 ACRES 24 5040 g S.F. h ? / /. / v /43756 S.F. 1.'Lb7 ACRES 4, '�� / / / / .k 1.005 ACRES / 4 p ryh Q ,! , 2� , 4 28 °00' 00" W 1 �' °Op goy 2 8 / F �/ �! 10 !ti 1 53922 S.F / i •. 66.00 �a9e krygh 1.238 ACRE �y / / ��• •• .• Z lC / N 89 e 43 56 " E �. 9• / 6 e'ti pp (TO RADIUS POINT) S 62 06.61 4,, W t� �y �� pp., fi r'° �1 'cP / 25 bt ti k 2 3 ' 4 57 S.F. h 00,01 .� 53160 SF. / , t�, 1.220 ACRE EASEMENT FOR TIM If \M � w�. w. r ww w . w ` . .QA f.� � � �• /_. _ O•.��•�..._.. Wjsdi ,nsa+ oeoar"rit of industry. SOIL AND SITE EVALUATION REPORT Page 1 of 3_ i�" bar and Human Relations Isagn of Satery 3 Bwiddngs in accord with ILHR 83.05. `Nis-Adm. Code COUNTY kts,Q Attach complete site plan on paper not leas than 8 1/2 x 11 inches in size. Plan must include, but ST. CROIX not limited to vertical and horizontal reference point (8M), direction and % of slope, scale or PARCEL I.O. r< dimensioned, north arrow, and location and distance to nearest r 0 - /JA q APPLICANT INFO RMATION- PLEASE PRINT AL 0. NA'(i N' I DATE t z3 d3 PROPERTY OWNER: r :' n PR LOCATION E 2S 24T 128 NR 20 W TOM RUEMMELE &JOHN AND BARB RU /!` �E�(% Ova u /4W 1 /2S 19T 29 NR 19 44N) W PROPERTY OWNER':S MAILING ADDRESS L SUM NAME OR CSM is 260 COUNTY ROAD F 1 3 f TROY VILLAGE CITY, STATE ZIP CODE P UMBER CpO ° CITY.- ILLAGE OWN NEAREST ROAD HUDSON W 54016 (7 N TRO 1 5r 142aJA �Q New Cortstnxxiart use (X ] Residential / Nu ( I Addition to existing building j J Replacement I J Public or commercial d Code derived daffy flow 600 gpd Recommended design loading rate 4* 4 ed. gpolft trench. gpo1lt Absorption area required OD bed. ft o french, 9 Maximum design loading rate D. S" bed. gpd/ft D.G trench, gwR Reoommended infiltration surface eievation(s) BY DESIGNER ft (as referred to site plan benchmark) Additional design / site considerations 54f E A/v 7`-5 ©^l A-Mnre 3 Parent material /" 'e 55 —T�l ApbLa/H Rood plain elevation. if applicable N/A ft S Suitable for System CONVENT L MOUND I NGROUNO PRESSURE AT -GRADE SYSTEM IN FILL HOLD TANK U- Unsuitable for system I❑ S ZU I Cgs O U I ❑ S IffU I❑ S HU I ❑ S (�U ❑ S U SOIL DESCRIPTION REPORT 1� Horizon Depth Dominant Color Moines Texture Structure C Roots GPD /ft in Munsell Qu. Sz. Com Color Gr. Sz. Sh. Bed ITrerxtt Boring r A b -12 I10YR 3/2 I - -- sl 2m -csbk I mfr cw 2vf -f 0.5 0.6 553`': B1 I12- 27I10YR 4/3 1 - -- sl 2 Ground - B2 127 3 . Y 4 elev. B3 39 52I10YR 4/4 If 1f 5YR 4/6 sil 1 2mabk mfr cs 1 1 vf - -- - -- 922..9tt. R 52- 56I10YR 8/6 1 - -- lmst - -- I - -- I - -- - -- --- - -- Death to limiting t ta3 Remarks: Boring # A 0 -8 10YR 3/2 I - -- s1 2msbk mfr as 2vf -� 0.5 0.6 ;554;:*' B1 8 -15 10YR 4/3 - -- sl 2msbk mvfr cw 2vf 0.5 0.6 B2 15 -42 10YR 4/6 - -- sil 2mabk mfr cs 2vf 0.5 0.6 Ground - 9 B3 42 49 7.5YR 4/6 f2f 10YR 6/8 sl lcsbk mfr cs lvf - -- - -- R 49 -52 1OYR 8/6 - -- lmst - -- - -- - -- - -- - -- --- Oepth to I limiting factor 1 I Remarks: ENsomr — Pleas e Pritt jAMES '0. WS (715) 425 -7631 OGDEN ENGINEERING CO„ 113 WEST WALNUT ST., RIVER FALLS. WI 54022 e 3 Date: lb 9 CST CSTM03988 PROPEFtT'rOWNER SOIL OESCRIPTION REPORT Page _Lot 3 PARCEL I.O. a Oeptn Dominant Color Moines Texture Structure GPOM4 Honzon CI ) in Munsi I L Sz. Cont. Cow I Gr. Sz. Sh. I aso Twvi Boring Al A 0 -12 10YR 4/3 - -- it msbk fr 2vf- 0.5 :0.6 MWR r, - 9 8> 1 12 -19 LOYR 5/3 sil 2msbk mfr cw lvf 0.50.6 21 1 L9 10YR 5/6 - -- sil 1 2m bk Ground ew. 22 26 42 10YR 5/6 fif 5YR 5/8 sil 1 2msbk mfr cs lvf - -- - -- 93 It 42 -45 7.5YR 4/4 - -- scl 1csbk m If: i cs lvf - -- - -- Oe;M to limiting R 45 -48 10YR 8/3 - -- -- -- °- -° °- -° factor 26" Remarks: Bonng # :A I I I Ground e1w. ft. Depth to I I li nnting I factor Remarks: ` Boring x I I I I I Ground eiev. It. Depth to limiting + � factor ' Remarks: Bonng # Ground elev. ft Depth to limrong faCt<3t I Remarks: S6o- a=R.G&= PAGE 3 OF 3 SITE PLAN NOTES: PROVIDE MINIMUM OF L' SAND BETWEEN BOTTOM OF BED AND EXISTING GROUND. MOUND TO BE A MINIMUM OF: 25' FROM DWELLING; 50' FROM WELL; 5' FROM LOT LINE. ST SCALE: 1" = 40' /o ` lvipE v9 /G / Ty 0 or- SS¢ E�sE�E�T i -.— mm � 'I s c o t � El V 0 I J Z-° 7 �-� OGDEN ENGINEERING CO. JAMES FILKINS, CSTM03988 Civil Engineers & Land Surveyors 113 W. Walnut St. River Falls, WI 54022 DATE: f — k e I Zf 7 (715) 425 -7631 wiscanstn OaPartrsMnt of Industry, SOIL AND SITE EVALUATION REPORT Page Lat_ I Labor and HumantiOns s 8w Division of sat•ty ng to accord with IL,HR 83.05. Wis. Adm. Code , COUNTY OIX Attach complete site plan on paper not less than 8 1/2 x 1 e i s . an must include, but PARCEL ST. CR R � not limited to vertical and horizontal reference point ( e�ti Ind 'ye pe, scale or dimensioned, north arrow, and location and distant t l est roa ' <� APPLICANT INFORIIAATION- PLEASE PRI L INMIBf��N REVIEWED BY DATE PROPERTY OWNER: P LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE &JOHN AND BARB 4l ' 3 199 G I 14W 1/2.S 19T 29 NR 19 -64 W PROPERTY OWNER':S MAILING ADDRESS -. COUNTY P il * SU80. NAME OR CSM 9 260 COUNTY ROAD F TROY VILLAGE CITY, STATE ZIP CODE P _ EA ILLAGE MrOWN NEAREST ROAD HUDSON WISCQNSTN 54016 bl Y S 4,jo 1 4PPJA Y New Con nctian Use �K I Residential / Number of bedrooms 4 { ( Addition to existing Wilding L I Replacement ( ( Public or commercial describe Code derived d adr no 600 gpd Recommended design loading rate 4 bed, gpolft —` trench. gpdm Absorption area required O0 bed. ft -' 5210 trench, 9 Maximum design loading rate D. S bed. gpdttt 4 G trench, golft Recommended intiittrabon surface elevation(s) BY DESIGNER ft (as referred to site plan benchmark) Additional design I site considerations 5' No TeS y^/ .ni b 3 Parent material 0 '/ G A�;b ,0 i T6 Rood plain elevation, it applicable N/A ft �� =2u i rable Suitable for Sy stem CONVENTIONAL MOUND IN1iROUNO PRESSURE SYSTEM IN FILL ILL HOLD TANK for system I Q s �U ICK S a U ❑ S t$u Q S HU � Q S wu C3 S U SOIL DESCRIPTION REPORT Honzon Depth Dominant Color Mottles Texture Stru=re C GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITrertrit Boring 9 A b -12 I10YR 3/2 j - -- I sl 12m -csbk I mfr I cw 2vf -f 0.5 0.6 553` B1 12 -27 10YR 4/3 - -- Isl 2c 82 27 -39 Y 4 I ( I- I Ground elev. B3 139 -52 10YR 4/4 i f 1f 5YR 4/6 sit 1 2mabk mfr I cs 1vf - -- - -- 922..OIt. R 52 - 56I10YR 8/6 - -- Imst I - -- I - -- --- --- --- - -- Oeoth to limiting factor Remarks: Boring # A 0 -8 10YR 3/2 I - -- sl 2msbk mfr as 2vf -� 0.5:0.6 X554::1 B1 8 -15 10YR 4/3 - -- sl 2msbk mvfr cw 2vf 0.5 i 0.6 B2 15 -42 10YR 4/6 - -- sil 2mabk mfr cs 2vf 0.5 0.6 Ground 9 dell. �, B3 42 -49 7.5YR 4/6 f2f lOYR 6/8 sl lcsbk mfr cs lvf - -- - -- R 1 49-52 10YR 8/6 - -- lmst - -- - -- - -- - -- - -- - -- Depth to limtbng fa Rema rim - FNa Pnnt jAt*S D �q� P (715) 425 -7631 OGDEN ENGINEERING CO., 113 WEST WALNUT ST.. RIVER FALLS. WI 54022 Dam 7 CSTM03988 I PatJPEAT'rOWNER SOIL OESCRIPTION REPORT Paqe m ot _3 PARCEL 1.0. f Ortn 1 0ominant Color Mottles Structure 1 C st au my � (Texture Im1► Roats Horizon in. Munsell a u. Sz Coat Color Gr. Sz. Sh. Bea 1 Boring # A 0 -12 10YR 4/3 - -- it msbk fr 9w 2vf 0.5:0.6 •k, k 1 98 l 12 -19 lOYR 5/3 - -- Isil 12msb mfr cw lv£ 0.5 21 19 -26 lOYR 5/6 - -- 12msbk Ground ro 22 26 -42 lOYR 5/6 I fIf 5YR 5/8 sil 2msbk mfr cs lvf -- - -- �93 ft 3 42 -45 7.5YR 4/4 - -- scl lcsbk Wi cs lvf - -- - -- L Depth to limiting R 45 -48 l OYR 8/3 - -- -- " -° '° --- -° factor 26" Remarks: Bonng # I I I I I I I z I Ground elev. ft. Depth to limiting factor Remarks: Boring Ground elev. ff ` lt. I i I Depth to I limiting j factor Remarks: Boring # Ground elay. ft Depth to IirrnOrg ta= Remarks: Sap.aZ 111.0s= PAGE 3OF3 SITE PLAN 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. SCALE: 1 " = 40' sS - th --o V 0 1 G° 7 3/ • OGDEN ENGINEERING CO. JAMES EVILKINS, CSTM03988 Civil Engineers & Land Surveyors / 113 W. Walnut St. River Falls, WI 54022 DATE: ¢ ( 1 ° / 7 (715) 425 -7631