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HomeMy WebLinkAbout040-1247-40-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety anO Builing Division • j INSPECTION REPORT sanitary Permit No: 420715 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: Troy Development Cor oration I Troy Township 040 - 1247 -40 -000 CST BM Elev: Ins p. BM Elev: BM escri tioni Section/Town /Range /Map No: • 3 /. O 131 OS � - 24.28.20.1276 TANK INFORMATION ELEVATION DAT TYPE MANUFACTURER CPyPACITY STAT N BS HI FS ELEV. Z 63 r 6 a 4 00 Septic / 1 Be nc mar Z ,(�,- 937• / OC Dosing p CID Alt. BM Aeratio U Bid . Sew e Yd .. D 2n 9Z3. 'g' Holding St/Ht Inlet SU /q, - S � TANK SETBACK INFORMATION TANK TO WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic \ `� D 4 S C Dt Bottom Dosing py� eader /Man. d T•90 9 32• Aeration i Dist. Pipe AM 1 S •gy � Holding Bot. System 3/• 1 9 ro Final Gra0e - t PUMP /SIPHON INFORMATION $ Manufacturer Demand St Cove / O S GPM �� Model Number -R,J 93/-03 TDH Lift Friction Loss System Head C S ST Forcemain Lengt O I Dia. Dist. t � We ' Q �� . y q* . 1 a SOIL ABSORPTION SYSTEM , 2 ?, 203 BEDITRENCH Width Length No. Of Trenches PIT DIMENSI NS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 8 / Q SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM ACHI Manufa r: INFORMATION Type Of System: CHA OR "` cz / odel Num DISTRIBUTION SYSTEM Header /Manifold IDistribution x Hole Size /l x Hole Spacing Vent to Air Intake � r � 2 1` Pipe(s) . ZJ 4 1 � r 3 . D � � v fl Length Dia Length Dial Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil /_ 0 Yes No ] Yes � No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1:�/ 2 t! f' Inspection #2:�i /Z Location: 275 St Annes Pkwy River Falls, WI 54022 (SE 1/4 NE 1/4 24 T28N R20W) Troy Village Lot 3 � Parcel No�24.2�8.�20.12�76 �j / 1.) Alt BM Description = ST% cova _ /� ed_L� � � - /� �Lu�t'c 2.) Bldg sewer length -5 7' WA � 1 7SIG�lc � 4% ret +e-( - * •Kv,� �IG�tG/1C� � 1 �cG�v kL � /G �� ir/ - amount of cover = , �J�•Cp Z, Plan revision Required? ; --] Yes No q �I Use other side for additional information. L_ SBD -6710 (R.3/97) Date Insepctor's Signature Cent. No. Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 N visconsin Madison, WI 53707 - 7162 Site Address ,A� _, J Department of Commerce 75 S� AA Sanitary Permit App Ca E I V E D Sanitary Permit Number / In accord with Comm 83.21, Wis. Adm. Code, perso information you provide Check if Revision �4 Lo ` may be used for second purposes Privacy w, s15.040)(m) I. Application Information - Please Print All Information State Plan I.D. Number Q 41` Property Owner's Name ST. CROIX COUNTY Parc el Num`ber�! d D-0 Dg vew P k-k-4 i-1 C NING OFFICE 0 10 - Coo Property Owner's Mailing A ddress P Location (2, o II gao hi c d "o Jt 4 � f /Qd dF kNF S City, State Zip Code Phone Number Lot Numbe� Block Number Subdivision CSA4 plumber A( SSL( q 7 Qo L. 14610- II. Type of Building (Check all that apply.) 4✓ f ❑ City 0 1 or 2 Family Dwelling - Number of Bedrooms ❑ Village ❑ Public /Commercial - cribe Use ELTownshi rho J ❑ State Owned l� NJ �/ 7.5 Nearest Road / S r AAlNG s P11 III. Type of Permit: (Check only one box on line A. Numbering is for internal use.) (Complete line B, if applicable.) A. 1 New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use System Tank Only Existing System B. OCheck if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of POWT System: (Check all that apps Numbering is for internal use.) 44 13 Non - Pressurized In- Ground 21 ld Mound � 7- So 147 ❑ Sand Filter 50 13 Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑Other c V. Dispersal/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Applicati Percolation to System Elevation inal Grade Required Proposed Rate(Gals. /Days /Sq.Ft.) (Min. /Inch) Elevation 00 Goo I;oo 4 �, ,� o'i� 0 - `732.17 133. g.? VI. Tank Info Capacity in Total N mber Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank O O MOO Co DosingChatnber 00 ©U ' �o� 0U I VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) be r's Signatu a MP /MPRS Number Business Phone Number RRrz1/ U613F1 r��� a� �a�3 71 5 - ? a� -l� � a Plumber's Address (Street, City, State, Zip Code tY P ) N 6 g q o 63 e en u, e S 0V 3 VIII. Coutity/Department Use Onl ::: Eg Disapproved Sanitary Permit Fee (' ludes Groundwater Da Issu I g n tur Stamps) ❑ / App,oved Determination Initial Adverse Surcharge urcharge Fee) 2 � � . Conditions of Approval/Reasons for Disapproval t riAeA �' .sz � �s� dine_ C��w,•� Wit, sGGtodcc,Q¢_ t.,� �,,, , '`�'' Attach complete plans (tn the Co ty only) for th ystem on Pa root less than 81 2 11 inch in - 3 ✓ -t 1.�.�s�,f!bl�cf�.� �- L�Yw�- �'3.5�3 -/, / Q�. Ua���c� �-n • j f G o 7 PLO T Pt 0 to 33 O f32' SLwc n r i �• 6 �q2 o Qc Yo _ � ` ASS ARG_A M '� M b w I iS po � rb T V SN O SI � ° y LO T I L 3s 1 S 1: No' O�' Wet to b e. 4-F LeuSfi So Fkom P1604 4md �S� FkOw be dove To Pf��c� -t' ppv�rt, �►� a� S vt'd ct ww ter. Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 N visconsin www.commerce.st.ussb www.wisconssconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary February 21, 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 -� W PLAN APPROVAL EXPIRES: 02/21/2005 Identification Numbers Transaction ID No. 841739 SITE: Site ID No. 656004 Tom Ruemmele / John & Barb Ruemmele Please refer to both identification numbers, St Armes Pkwy above, in all correspondence with the agency. Town of Troy St Croix County SE1 /4, NE1 /4, S24, T28N, R20W Lot: 34, FOR: Description: Four Bedroom Mound System Object Type: P ys egu ate sect ID No.: 892703 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: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /O1) COnd! and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION APPS 2.0" SBD- 10706 -P (N.01 /01). DE PM" • -Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. OF CtACI Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal ( are prohibited. SEE CORRI • Comm 83.44(6)(a)2.The orientation of the cell is to follow parallel to the.surface grade contours on sloping sites. The upper effective edge of the cell is to follow the 931.5 foot contour. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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)(d), Wis. Stat DARRELL K HUBBELL Page 2 2/21/03 • 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 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 83.52(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. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. 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. 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 "7 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer 1I , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4 :30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 � TITLE SHEET RESIDENTIAL APPLICATION MOUND SYSTEM .600 GPD PROJECT T OWNER ADDRESS 260 CO RD F HUDSON WI 54016 LEGAL DESCRIPTION E 4l2s 24 t 28 N R20 W GOVT LOT 1/4 w 1/2s 19 T29 N R 19 W TOWNSHIP TROY COUNTY ST CROIX SUBDIVISION NAME TROY VILLAGE LOT NO 34 PARCEL ID c yc / < y % —16 INDEX AND TITLE SHEET PAGE 1 CROSS SECTION AND PLAN VIEW PAGE 2 LATERAL DETAIL PAGE 3 iUnally PUMP & TANK DETAIL PAGE 4 ���� PUMP CURVE CHART PAGE 5 RI 01 PI AN PAGE 6 OF CQNNERCE MAINTENCE PLAN AGE 7o ftf?fNGS ONDEN DESIGNER DARRELL HUBBELL LICENSE NO 221073 SIGNATURE 0��Yf��'� PHONE 715 273 -6360 DATE 2/2/2003 MOUND SBD- 10691 -P (N.01/01) PRESSURE SBD - 10706 -P (R.01 101) OBSERVATION TUBE TOP SOIL OR CAP DISTRIBUTION FABRIC LATERAL 9 92 ASTIPr C ? cev- Spnd FILL TOPSOIL ,, - _ _.,�., . -_ _ . _ , 3.7 .ter F :.��: x, r.,,- :.� - s, a;. C V — _ % SLOPE " 1 AGGREGATE BASAL PLOWED PIPE TO ABSORPTION AREA AREA L AYER PUMP Linr��ar. Loading Ra.te= S OPO!LN r'1' L) , 6 6 j.t 0;NChe5 F'. � � h„� e VI ' E .9 8 - t 11. g ,rncktS F "0( A g Ft K 0 t b 7S t L RS I i, .S rt 1 10 Ft w Ft x _I _ Ft J 7 Ft PIPE TO PUMP Observation ;,i11 � B 1I - K A -- -- - - - - -- - -_ - _ - - - -- W DISTRIBUTION - ABSORPTION, AREA 'LATERAL 13ed 2 Aggregate 1 taL'•:�ervat Pipe Lr1ret -�L <^,rurart'�rl J/, (- e # i L Cross Section and Plan View of g Mound System on a Sloping Site. a. bed For The- Asot•ction :.Cfa) s Ore gP>"bweJ A ffic 3 8 a ) Tit l•t: Ptah l,Mwai Milli tool MUM Y �iQ aQ Last Hole Should Be Next To T ubn - P 3� -2sFt. S 3 Ft v' X 3 - �, ► s , ne"r�s 0 Inches pp. 0 �vLPS�SySte✓�� Y inches Hole Diameter • 125 Inch Lateral Diameter lnch(es; Manifold Diameter Inches Farce Main Diameter 0 � Inches i Holes Per Pipe 1 )Pert Elevation Of Laterals Ft. SEPTIC TANK & PUMP CHAMBER CROSS SECTION HNU Pa y� y aP 7 4 " Cl VENT PIPE 12" MIN. ABOVE GRADE & WEATHERPROOF ?:25 FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE V WITH CONDUIT MANHOLE COVER W/ PADLOCK & FINISHED GRADE- WARNING LABEL 6 Eit n . 7 _ _— 4 " MIN. 2y 3. D. lJ. "Sfor,ncct 18 " IN. y„ C. 2. QB�EEtW►Troti! „ WE , t8 MtN• INLET ,, 1 WATER TIGHT SEALS � GAS- � TIGHT- � \IAPPROVED FILTER — A SEAL JOINTS WITH I ALM APPROVED PIPE APPROVED 'ZDelte oo - oog B t ON 3' ONTO PIPE 3' `T_ SOLID SOIL ONTO SOLID C I SOIL PUMP OFF ELEV . �J�t{FT . --- OFF D 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE CUhCl NUMBER DOSES PER DAY: S TANK MANUFACTURER: Wt• e5er -- TANK SIZES SEPTIC /&900 GAL. DOSE VOLUME INCLUDING DOSE 0 GAL. 1`a0Jai ~ FLOWBACK 1 35.t/L/ GAL. 77 y at FcoWda.cK ALARM MANUFACTURER: _ l' w►•►�'c5 C�PAC TIES: A = a INCHES = _ Yyq. g GAL. MODEL NUMBER: B = 2 INCHES = Vq.5 GAL. SWITCH TYPE: ywertuhy PUMP MANUFACTURER Zoerlo- _ C = 6 INCHES = 1 33,g V GAL. MODEL NUMBER:. D = g INCHES = I7_ 7.1 GAL. SWITCH TYPE: r�ec�iu.,tCaL FLgu REQUIRED DISCHARGE RATE 5 ; -1 GPM PUMP E ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE 10,A7 , LET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . .S"x _ �.S FEET + (po FEET FORCEMAIN X FT /100 FT. FRICTION FACTOR "2, FEET n .IA/ TOTAL DYNAMIC HEAD = �_q,__7__.. INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH DIAMETER a?� �y Cffllla�+S�hLi► LIQUID TH G �� clIGNED: LICENSE NUMBER: DATE: 1 /BH P4ye _S oe 7 HEAD CAPACITY CURVE � MIN T �PAClrxl MODEL 15 2/153 i-FFI_UFNT AND DEWAIERmIC w w WDt l_ I { 52 1 S.3 Fe et 50 - -- P.heterS !iQl, triers Col. [i1r'r� __ j 153 -- ---- 7 - - - -- - -- -- - - -- - - - - -�- - --- =` 1. ti 69 6i 77 i 2`jl 12- 40 - -- -- 152 1 0 3.1 n 1 2 7r J -- 1 J 6 - S � 4. -}�— -; lill t 1 I 231 cv 30 2+ F.1 ) 44 f z f 25 '.b 34 � 129 42 5a } 4 7 40� - f uL:k rI e. z I F it. (i1.6m)144.t. (1;.4m?� I - - - - -L — 0145M a 20 sp 80 100 CALL LITERS - o as 240 320 1. t 1/4 FLOW PER MINUTE 2' /- �- --- 4 5/8 FACTORY FOR SPECIAL APPLICATIONS � -' ",�` _ ���, 3 27/32 . • Timed dosing panels available. CC • Electrical alternators, for duplex systems, are available and supplied with 0 an alarm. 3 ;21/31,: • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. _ • Sealed Owik -Box available for outdoor installations. See F101420. • Over 130 °F. (54 °C.) special quotation required. 0_7 i 1521153 SeriL s 752!153 MODELS Control Se _ Model Volts Ph Mode Amps Sim ex Du lex t 1 r N152 115 1+ Nan 8 5 2or3 _ _ 8N152 A 85 trsduded - - _ 2o r3 - -- E152 230 1 43 - i — 2 or 3 } - -- — - — -� - BE152! 2.30__ 1 Auta 43 Included - s�oea 4153 1 115 _ 1 + tdon 105 _ 1 - 2or3_ - � B 115 1 Auto 105 fnchided 2or3 I E153 ? 230 1 I - Non — 53 1 2 o 3 1 SELECTION GUIDE L 230 1 Auto 53 t Included 2 1. le ._ or3 � � Piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. O CAUTION All installation of controls, protection devices and wiring should be done by a qualified 2. See FM0712 for correct model of Electrical Altemator E -Pak. licensed elaMrician. All electrical and safety cones should be followed including the mast 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) recent National k fecfric Ca *1{ (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO. P.O. BOX 16347 - — 17 l Lorusvdle, KY 40256.0347 _ — j��� StNP TO. 3649 Cone Rift Road ma rudkturm of. . u ry LOWvft KY 40211 -1961 hf4P: 1/www.zoe11ecc0m (SM 778 - 2731.1(800) In~ �/�`� PMAW SNCE' �ffjg — ___ -- -_— FAX (502) 774 -3624 Page G 0f 7 PLO P L ai► � I T 3 3 0 f32 • ape- r3 , 12 17 a CC o „ rye a M � �o'f This to ( 4 vy oy L0T LET 3s f r.✓ei i 7v b q fi Leu S f Su' Fko-n rh6ul qmc( pwf5 -, L,N� �had� � on v p5 i.6he TO d&Ae ♦wmcenaznoeparmwntofInoustry• SOIL AND SITE EVALUATION REPORT Page 1 ofd_ labor and Human Plosion OiVissg:- 3 Bwlkngs in accord with ILHR 83.05, WIS. Adm. Code COUNTY Attach complete site plan an paper not Is than 8 //2 I'r h a 4� Plan must include, but ST. CROIX not limited to vertical and horizontal reference poi IJct o mid v slope, scale or PARCEL 1.0.# dimensioned, north arrow, and location and list t eara oad. ' Fa' y7 YO C 6 APPLICANT INFORMATION- PLEASE P ALL�fEgq TIO IREV D BY DA Z3 �3 PROPERTY OWNER: Q �AOP EIMLOCA110N N E MS1 24T 298 NR 20 E W TOM RUEMMELE & JOHN AND B EMME 1 3 1997 . LOT 1 14W 1/2S 19T 29 1 _&(40 PROPERTY OWNEIT:S MAILING ADDRESS COUNTY if -BtBClE,It SU80. NAME OR CSM >e 260 COUNTY ROAD F / 4 TROY VILLAGE CITY, STATE ZIP CODE NUMBER ILLAGE OWN NEAREST ROAD HUDSON W 54016 OY E M ttLWAY (1 New Constrtktian Use (X I Residential / Number of s 4 ( I Addition to existing building L I Replacement I I Public or commercial describe Cade derived daily flow 600 gpd Recommended design loading rate O. 4 bed, gpolft trench, gpolft Absorption area required 00 bed, ft Soo trench, ft Maximum design loading rate O. S bed, gpolft O. L trench, gpd/ft Recommended infiltration stutace elevations) BY DESIGNER ft (as referred to site plan benchmark) Additional design / site considerations a" 1tM,; - e S 4/ 1 3 P serial G o 0s s T /!,G G1o4 v,GO/TE Flood plain elevation, if applicable N/A It $ Suitable for system CONVENTIONAL MOUND IN GROUND PRESSURE lI AT -GRADE SYSTEM IN FILL HOLDING TANK U- UnsWtable for system 1 Q S ® U �"S U I C3 ICU I Q S wU I ❑ S E T I ❑ S OIL OESCRIPTION REPORT �e�R l 2�° Boring # Horizon Depth +Dominant Color Mottles Texture Structure COMMON= jBiouvoy Roots /tt in. I Munsell Clu. Sz. Com Color Gr. Sz. Sh. Bed mrcn A 0 -12 lOYR 4/3 --- sil 2msbk mfr cw 2vf- 10.6 .93 B1 i Ground B2 5 -36 lOYR 5/6 - -- sil 3msbk mfi cw lvf 0.5 10.6 slay. I 9 sit. B3 36 -43 7.5 YR 4/4 - -- scl csbk mfi cs lvf 0.2 0.3 Depth to ` R 3 - 46 10YR 8/3 - -- lms t --- --- -- - -- --- limiting factor 43" Remarks: S, uc 4- 12 Boring # A 0 -8 lOYR 4/3 - -- sil 2msbk Lfr as 2vf 0.5 0.6 vs V3 104i':` B1 8 -28 40YR 5/6 sit 1 2msbk mfr cw lvf 0. ) 0.6 B2 d 10YR 4/4 f2f 10YR 3/4 sl 2csbk mfr cw lvf --- --- Ground elev. B3 48 -66 7.5 YR 4/4 __ gsl lcsbk mvfr cs lvf - -- - -- 92 ft. R 66 -70 10YR 8 --- lmst -- --- --- ` - -- Depth to limiting la4t " Remarks: F Signawe MT n� -'Aeae Print jAMES 0. FILKINS � (715) 425 -7831 OGDEN ENGINEERING CC, 113 WEST WALNUT ST.. RIVED FALLS, WI 54022 Daa: �l / Q Number. ° CSTM03988 PROPEMY0'WNER SOIL OESCRIPTION REPORT Page 2 of 3_ PARCEL I.o. >< C f Depth I Dominant Color I des (Texture I Structure I H ar+zon in Munsell Qu. Sz. ont. Color Gr. Sz. Sh. T Boring # A 0 - 6 10YR 4/3 - -- sil 2f —msbk mfr as 2v — 0 :192 B1 6 - 10YR 5/6 - -- i 2 cw lvf 0.5 0.6 f;. B21 8 -34 10YR 4/6 - -- lcsb mfr aw 1vf 0.4 -0.5 Ground elev. B22 34 41 10YR 4/6 f1d 10YR 3/4 sl lcsbk mfr cw 1 1vf - -- - -- 9 R 41 -50 10YR 8/3 -- - -- -- - -- - -- Depth to - -- limiting i factor Remarks: Boring # Ground elev. ft. Depth to limrong f actor Remarks: Boring I I I I Ground elev. It. I I Depth to limiting factor Remarks: Boring # Ground OW. ft Depth to Iimiting facer Remarks: SBD.a�701R.OttilDZ! PAGE 3OF3 n or 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. 3 � z� W ❑ o G °T �`� ❑ SCALE. 1 = 40 OGDEN ENGINEERING CO. JAMS D. FILKINS, CSTM03988 Civil Engineers & Land Surveyors 113 W. Walnut St. River Falls. WI 54022 DATE: l ° /� 7 -- (715) 425 -7631 POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION �� �(�� SYSTEM SPECIFICATIONS Owner 7'oma, 14461 Septic Tank Capacity /R Op gal ❑ NA Permit # Septic Tank Manufacturer y Conclete❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Zoe [3 NA Number of Bedrooms 100gpd/bedroom `/ ❑ NA Effluent Filter Model /7 - D p 7 ❑ NA Number of Commercial Units CO NA Pump Tank Capacity o p gal E] NA Estimated flow (average)* N a0 gal /day Pump Tank Manufacturer W C . - Cltc r-1 NA Design flow (peak), estimated x 1.5* Gp p gallday Pump Manufacturer Z o t i ey ❑ NA Soil Application Rate ,$ gal/day Pump Model 9. ❑ NA ' y Pretreatment Unit la NA Influent/Effluent Quality (NA❑) Monthly Average ** ❑ Sand/Gravel Filter ❑ Peat Filter Fats. Oil & Grease (FOG) < 30 mg/L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) < 220 mg/L ❑ Disinfection ❑ Other: Total Suspended Solids (TSS) Manufacturer: Mo del: 5 250 mg/L Pretreated Effluent Quality ❑ Monthly Average * ** Dispersal Cell(s) Biochemical Oxygen Demand (BODs) < 30 m [I In-ground (gravity) ;3-In-ground-(pressurized) �" ❑ At -grade (M Mound Total Suspended Solids (TSS) < 30 mg/L ❑ Drip -line Fecal Coliform (geometric mean) < 1 O ❑ Leaching Chamber Manufacturer NA Maximum Effluent Particle Size 1/8 inch diameter Model Approval Stipulation *Wastewater Flow Verification on and calculations: Soil Application Rate gpd/WArea Req. ft (Other than bedroom based) Absorption Area Credit per unit ft Minimum Number of Chambers ❑ Aggregate Desi Flow/Loading Rate= ft min * * Values typical for domestic (non - commercial wastewater Materials: all materials must comply with W1 Adm. Code and septic tank effluent. COMM84 and be installed per manufacturers specifications ** *Values typical for pretreated wastewater. and approval letters. DESIGN CRITER ❑ "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.al.1990) ❑ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ❑ "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 ❑ "Design of Conventional Soil Absorption Trenches and Beds ". R.J. Otis - ASAE Publications 5 -77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems ". EPA 625/1 -80 -012 October 1980 ❑ SBD - 10570 -P (8.6/99) "At -Grade Component Manual Using Pressure Distribution" ❑ SBD - 10567 -P (8.6/99) "In Ground Absorption Component Manual" ❑ SBD - 10705 -P (N.01101) "In Ground Soil Absorption Component Manual" Version 2.0 Cl SBD - 10628 -P (N.6/99) "Recirculating Sand Filter System Component Manual" [3 SBD - 10656 -P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ❑ SBD - 10572 -P (8.6/99) "Mound Component Manual" ® SBD - 10691 -P (N.01 101) "Mound Component Manual" Version 2.0 ❑ SBD - 10595 -P (8.6/99) "Single Pass Sand Filter Component Manual" ❑ SBD - 10657 -P (11.6/99) "Drip -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 Effluent Dispersal Component Manual for Multi -flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Eve nt Service Frequency Insp condition of tank(s) At least once every ❑ months 19 year(s) (Maximum 3 rs. Pump out contents of tank(s) When combined sludge and scum equals one -third (1/3) of tank volume Inspect dispersal cell( At least once every 3 ❑ months ® year(s) (Maximum 3 yrs.) Clean effluent filter S At least once every ❑ months ® year(s) Inspect pum pump contr & alarm At least once every ( ❑ months ® year(s) ❑ NA Flush lateral and pressure testWhen N " At least once every ❑ months ❑ year(s) ❑ NA Valves At least once every ❑ months ❑ year(s) ❑ NA Other: At least once every ❑ months ❑ year(s) ❑ NA Page-7—of- � 1 to 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. REPORTS 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: ❑ 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. 11Th ' e has of been ev ated to identify a suitab repla nt az pon fa' of the an tion b p o ed t ocat sui lace t a ea. no ceme a is ava le a holding tank may be install as a las esort t lace the ' PO 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 owr Mat•jj fiu t , ri¢- and PumPe Tv be o(e ted- wl'hed ar rrrirP oe ;hsn 14t.•6h POWTS INSTALLER POWTS MAINTAINER Name pA RR r_ o N uOV 11 I Name Phone 7 <$r - $ 47 - U Phone er) LOCAL REGULATORY AUTHORITY SEPTAGE SERVICING OPERATOR (Pump Name Agency St Choi � co��f Z oh�'h Phone Phone 7 - q Iry KAWPDATMEMPOWTS OWNER'S MANUAL.doc Page 1 of I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM ?wner/Buyer Troy Development Corporation &iling Address 11800 Aberdeen Street. N.E. , Suite 100 Blaine, M 55449 ' roperty Address . (Verification required from Planning Department for new tructio :ity /Slate T r o y, W i s c o n s i n Parcel Identification Number 'Y o- 4 7 ,EOAL (DESCRIPTION ' mperty Location _ l <, N E Y4, Sec. T W; rTown of W bdivlst oII - -t " Lot # . ::ertjfied Survey Map # Volume . Page # Warranty Deed # �° 3 Volume Page # ipec house U yes P(no Lot lines identifiable yes 0 no ,YSTEM MAINT NANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance :onsists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system xn 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 nastcrplumber, journeymanplumber, restrictedplumber or a howsedpumper verifying that (I) the on site wastewater disposal system s in proper operating condition and/or (2) after inspection and pumping. (if necessary), the septic tank is less than 1/3 full of sludge. 1we, the undersigned have read. the.above requirements and agree to maintain the private sewage disposal system with the standards xt forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification :feting that your septic system has been maintained must be completed and returned to the St. Croix County Zo ning Office within 3t} lays of three year expiration date. 31GNATURE OF APPLICANT DATE t)WNER 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 fhe property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE **# Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.""" «� Include with this application. a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the - warranty deed S'I'ATF. RAR OF'VISC'ONSIN FORM 1 . 1982 / ` i i99�.� WARRANTY DEED Document No. :.'. •� 1 .ST C This Deed, made between' Ruemmele and Barbara A Rucm , his wife and Thomas ]• ��� and L Ruetnmels h1;L�Yifg�_ - _ _ 'MAY 2 7 .09 t Grantor, j 3 :15 PIA and -- ----- `.1ktl.... i+F t r`�.� Trov vetonm,; t rorooratiun - - - (�w'f U � — , Grantee, Thie,pece reserved fa necordfM Deu Witnesseth, That the said Grantor, f a va luable consideration _ NAME AND RETURN ADDRE conveys to Grantee the following described real estate in _ _Sr Croix County �� County, State of Wisconsin: (Parcel Identification Number) Lots 1 throw 45, Lots 47 through 65 and Lots 68 through 70 of the Plat of Troy Village, St. Croix County, Wisconsin and that portion of Qutlot 8 of the Plat of Troy Village described on Exhibit A attached hereto, and A 5 "Ei Outlots I and 3 to the Plat of Troy Village, St. Croix County, Wisconsin'`!"""'' A portion of the above described property is homestead pro of the Grantors, John 1. Ruemmele and Barbara A. Ruemmele. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And cantors warrants that the tide is gad. indefeasible in fee simple and free and clear of encumbrances except easements, covenants, restrictions and highway rights of way of record and will warrant and defend the same. 1 Z J day of Dated this — (SEAL) (SEAL) fh� + 1 - - .�-2_ / �� �--- �--F --- t'�-- •..-�- .(SEAL) �i jai rlL�G (SEAL) �� s L — 1- e � • • Nell L. Ruemmele s 14— hnra A. R uemme — t S I . rat 1?4tFar ?55 EXHIBIT A A parcel of land located in the SE -1/4 of the SW -1/4, the NE -114 of the SW -1/4 and the WV- 114 of the SW -1/4 of Section 19, T28N, R19W, Town of Troy, St. Croix County, Wisconsin, described as follows: Commencing at the South 1/4 corner of said Section 19; thence 10019'39 "E (assumed bearings referenced to the North -South 1/4 Section line of said Section 19 which bears N 0019'39 "E ) 1305.22' along said North -South 1/4 Section line; thence N89 -*31'29 "W 660.36' to the point of beginning; thence N89o3l'29 "W 637.26' along the North line of Lot 4, Certified Survey Map, Volume 4, Page 993, Document No. 366634; thence S0004'41 "E 298.00' along the West line of said Lot 4; thence N89a33'26 "W 24.04'; thence Northerly 241.84' along a 1533.00' radius curve concave Westerly whose chord bears N04a26'28 0 E 241.58; thence Northwesterly 176.98' along a 433.00' radius curve concave Southwesterly whose chord bears N11o47' 14 "W 175.75'; thence S89o31'29 "E 678.56'; thence S00o14•J7 "W 114.75' to the point of beginning. This parcel contains 1.808 acres, more or less, being 78,756 square feet, more or less. Subject to easements of record. The parcel shown on this document is being added to the parcel shown on the document recorded in Vol. 4, Page 993, Doc. No. 366634, described as Lot 4. Certified Survey Map, to create one parcel, and this transaction is thereby exempt from Chapter l8 of the St. Croix County Land Use Regulations pursuant to Section 18.05(A)(3). I i 1 Z abed Did 8C:b EOOZ /OZ /ZO uI sauzog uogbuTJleg 01 6TLT6bL9TL WOE2 l d l r 2 IL r '00 00 I LP P O W m mtl —•- IL 0 °C d z r _ ~ O i� p u u a � F =8 f� IL z� AA •• .. 1 NL pZ k �$ f J Q , ea•eot 3.00*MVON � �� AV71N1!!Vd S31VNV '1S � Q 1 -,� 1 ski 'tilt' W a of caoN3LIJBU 3t" SJMN39 .. 1 a� � F J ¢ iri p F9l H 1 ON P f 0 ' a 44 Z x p 4 Z0 30dd JNIh31Nns QNVIHINON 6TL160LSTL 8b :10 E00Z /ZZ /Z0 A TROY 4 W' PLAT T -28 -N • R- 20 -19 -W (Landowners) SON'W PAGE 26 See Page 112 For Additional Names. < R20W 19W MAYER RD �s '�y� p Scott ,tr & McBw flubs �1 K RIVER• .I iM A W 1 b T171NER RD z g c t= YMCA tt0a..\ sttrter Of o w ST LAKE `P� — RC 1s h I 3 Caeo- G 199 aoa.. as— °� ^� anus i.c ss T+�wt_ FFF 5 FF ✓ u II 25 FaED R D x4 G ss STAG l tames a iRO e C LEAP RD tf N an 12 LN 155 Wa ^ m & Shirlee I E G �° MK WHISPERING I RI K F tr n.. a INES RD IR 2 I ss I °� OWNS- _ e rsaa +0 200, VALLEY I C _ ' RD 193 C caw r tr ueas - + 14_2 Romld W G.gx o tom_ tr - tr w 40 Paw w ° cc E • Edea AEG Ford o n 8 T`ust tr Q F F�av m m� 13 Schift- arrle[ 56 = 8 ° [m Sams°° tae , + >E 40 28 v o jai 1 G tr I'- E 3ff COVE 3o w , s° W R tr NMI amen & � 13 R VS Woodruff p . T S 63 16 s 139 ]50. F ohn }a ,,, send 46 James& I 60!.. i ' Trust ' tr Rutmmek I MEADOW a 23 u 159 80 DR 120 Ard n F Scott It wen Part ow man sm ltmvar rWp w tr tr LP 40 ' am 40 3 8 I Brenda tr �'t'g rnot Donald i Becker 12 Pmpertles I !t Loo Brown m 120 — _ b �1361 90� i If Alvin i em I n a 11 nea I _ ! 2 i a s` ` s 3 C Stock Cetaohous J q N. j 0 1 I Trust .. I 6 ,0 1�7 W 160, 120 80' EN C \R x.. W �P & i GL ST , ; z ao JousiDe1pl nsonn Gerald ` Gerald 1 CROIX GLENMOtNTRD " as tr� o I = tr I 158 ¢ pppp 1 IVER m �t17Ch assRls —�— 148 I 4 03 01 8 __✓ MM at � lama WBliam a Glenn & I 42 Rebecca w Q I Georgia a Ka�s4tms �4, tr z ,Eubank 1emlifer A I HH g 1 Ay 187' &Heather z RELANDER I `� 35 a ,.ra , Easton 73 DR 1 i . A N ILWA O RD Tr- 3 F Pad a I sm "�$s4 �,�,+ 80 I 40 117 I � ® Rosemary IL- 2 1 . a.a Leroy s 3 Dusetk �WACO amt Bet ty & 80 i .. - s I fm �. 193 ,,, m. _ _ Johnson Jr M w 200 S ILWACO RD 300 400 500 �"- PIERCE CO. Hammond New Richmond '- 577 Davis Street Highways 63,64,46 • t!1 . ti 796 -2323 246 -5186 Roberts 900 N Division St. H udson 00 Seoond Street A Family Tradition Since 1955" 911 s� 749 • �•��•�• 386 -9491 Hudson Hill �111I6� River Falls North River Falls Office 1207 Coulee Road Highway 35 North 129 S. Main Street Lan 3-74 5 5 t -ORPORATUN 425 -6371 River Falls, WI 54022 - �— .dsort South Side Center River Falls South Bus. (715) 425 - 8700 —u»+� Fax_' (715) 425 -0331 f 1920 Crestview Drive 1025 South Main M LS 1 °'"LX 01 Mq — 386-7M 425 -6W RE/ www.edinarbalty.com OPPORTUNE" ,�