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HomeMy WebLinkAbout040-1257-20-000 r Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 463331 0 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)). // (p $ S = T24"- / ,&.# Permit Holder's Name: City Village X Township Parcel Tax No: American Classic Homes I Troy, Town of 040 - 1257 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: Section) /Range /Map No: 1 00. , 6 " fl ( 13 V �V 24.28.20.1365 TANK INFORMATION ELIEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. q. (G d I 00 -v Septic I E 5th_ (� Benchmar l � �.o Dosing Ot70 Alt. BM - S-` `� Q, �d 0:T. 2-T , LID �' S 6 Vl/ 1� -G'LtA Aeration Bldg. Sewer + 1 Holding St/Ht Inlet -ZO t TANK SETBACK INFORMATION St/Ht outlet Z C l �s TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic y /�! 5F / Dt Bottom 2 +a / Dosing > 30 (� 6 I \ ova Header/ n. 2 kT 101rl ` / r� 16Z 3 Aeration J Dist. P' e J 10 �I /03.63 Holding Bot. System Final Grade PUMP /SIPHON INFORMATION eSa'. Q Z Manufacturer Demand P a /o 2 Model Number 19 / 1 TDH U 7L I,% System Heead� TDH Ft Forcemain Length� Dia. Dist.tojetl�/ SOIL ABSORPTION SYST M BED /TRENCH Width ' ngth �/ No. Of Trenches PIT DIME S No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SY EM TO P/ BLDG - WEL LAKE /STREAM L HIN Manufacturer: INFORMATION CHAM OR Typ f System: � � > N Model Number: DISTRIWTI SYSTEM ou+ tGut�h Head /Manifold Distribution / it H e Size Hole Spacing Vent to it Intake !IL {i Pipe(s) L Length_ Dia �' , Spacing �' 3'6 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil f Yes '._ +] No Yes i I No COMMENTS: (Include code discrepencies, persons present, etc.) (( Inspectio #1: �P 0 Inspection #2:�// ��5� Location: 267 St. Anne's Parkway River Falls, WI 54022 (NW 1/4 SE 1/4 24 28 R2 Troy illage 3r Addition Lot Parcel No: 24. 365 + 28.20.1 1.) Alt BM Description = ( *1 (_Wt a0w,6 11 � `2� M 2.) Bldg sewer length = �S �/l ^ t L� 6>'iLt G� - amount of cover = �"1,^^ n U S �('2 + SCR � '�+ o-+ f {yLA ao ?v l dX so w : L� b w So,�Q cStrt/ c �K II c Ste¢ , Plan revision R uired? Yes ",, f Use other side for additional inn formation. Date Insepct s Signature Cert. No. SBD -6710 (R.3/97) /y� s Safety and RWdinp Dii-isim c +y 20l W. w as>3ingoon A Elm ?082 ST. CR OIx N M %M 5 7- C I ?9wtdeer(tobetiUodiabyCa) t)epartment of Commerce CU 333 G �✓� wx 58ai#$ry Permit App ii MAY 4 l� D. N umbcr 2 oord with Comm t:, -al. Win. Ad- c ode, paeoaal i - TRANS. i 0 In ao rmy ur« tfarseoou�tw yPw"Mftvmglxw.:as.nt( CROIXCO �t (if&ffawtd nnavTwgad&m) L in�tt�ldm _ p p� FFI E 26 ST. ANNES PKWY >'y cam'$ xxc Paand E # 105 $ AMERICAN CLASSIC HOMES INC. 040-1257 - hope Otsma's Msifing Address iMPC"V t otaeem P.O. BOX 4143 NW 24 cit3r state TV Cade 13aoueNumba HASTINGS. MN 55003 z 28 o� - N; R } tL Typr of BeadiNg tcbe & all drat awly) I� l art FaWj yD,, tip -- Nw&w r8edroeaea 4 PER SUBMITTED_ HO P LAN _ " t sllf A9umbaa TROY BURNE VILLAGE i� ❑ 3ta�oneod— t)caafbetree K � �_ __ lkxy llyatxgz M.rw ar TROY IIL Type of Pauit. (Cbe& only oat box m line A. Complete Sw $ if appficSbk) - - -- A. In NOW "Mat ❑ ttepbamn a Sys = © Ttvaftrw rttnldiog Tank Rgdsoeasi! Ady odes Ainddanion to U0 kva — B. ❑ Penh am wl 9I Peasit Rcvidon Q or ❑ t?tieeaa 7ta�%$ New lid Ptievioos Ntnaeteraad Hate baoed Befose Eapiratim — — rtaatdur Owns 463331 IV. DIPLe or PQWI ram& ev that WNW 0 Na, — Plaenrized &-G o 0 Mmwd_> 24 uL oFmft to soil XI &Iamd < 24 JiM fw* k wd 0 :!Z� IJ Spa true saes tither E1 c wataea D lkereeriud tmC3reend Ll Hoig Tanis tau F+lter n Aaebic Tteaperailtlat C Roaadat:ag eared Filler ❑ z Rya • Media Irdw IlL G Drip i.iaee 110MVmM ❑ C6a (willikip Co J r ! < • 9 �� V. cextmaatt Ayes ju*w oatian LA A -100 EFFLUENT FILTER nesiv Flog (Bpd} Detiga Sul? Alas Dispesai Mae Rawuod (9) Depaad Area l4oposed a) tali 600 .6 / 0 5a 1000 1477.80 G I( 1 02.12 Z . t 7 VL IN& Info y in reset 9Sam�her a fa.adwww - _» Sit their Piratic ' ofiiarita /tom' �► cASnxele I atatrtac�at (; Trots [ Tanks YESj 1250 1 WIESER X Ambit Tmom r. t.teit -- ------- - - - - -- "�""- ""'"�°` - YES ' 1 WIESER X VIL Re "wasibAity Stskitweat- 1.8w iftnilredai raawa rworomillbg for in .rae x7wrs.... m e w mah rasa ylM& Plumber's Name {Pried) Pteaiber's afl'1M1'Iis N.®ba iiasieexs Plnrae t+Beeber TODD FEATHERSTONE 242514 _ __ 15 381 -1704 Plumber's Ad&vw (Sweet. CAI. Statc, ? P.O. BOX 467 HUDSON WI 54015 DATE SIGNED MAY 25, 2005 Pkani( Fee (acm" (imoatdwow ware isaaerl g } � g fer 6.00 5 Z7 UL CondiuiiM or AppmnMeaseft for i iwffawwal SYSTEM OWNER: 1. Septic tank, effluent filter and dispersal cell must all o. services / maint ained as per management plan provided by plumber. 2. AN setback requirements must be maintained n psr appk" code I wdinant es. Aft&tralktepaml4rie ) ire tliesy wxrrpawa4tarslie . ttt11 a ttt.ai . isafas •� X928.5 i - �X 926.4 A Nu X X9.4 )(924.6 a r i X 930.7 838 :6 Q \ 933 X ` 934.3X X 7 16.9 X .8 j x 934.2 x 934. � �. X 933 � , ✓'.x X �• �' J q 9931.1 ti X - . X d� X 4.7 �Q X 2 X927.8 6.7 � • 924.3 \ X8.2 .3 � 925.3 S RG T ,Bi►7 o� °G .STS O�f Friday, May 06, 2005.max CO Friday, May 06, 2005 (2). max 04/19/2005 08:11 6514393417 AMER U- A'b51L HUMLb rant r�3� ow Apr id 05 62ilOp Steel's Soil Sevice Inn. 715 - 684 -3449 p.4 STEWS SOIL SERVICE INC. 3 of 3 David J. StW Amwicnn Classic Homes 994 200 ' St. CST FOWTSM WWI /4,9E1/4,9XT28W,1t26W Baldwin, w15'4002 uc. #248956 Town of Troy. St Croix Co. Cell.(715) 760 -0347 Lot, 105 Troy Burne Vubw Fax,(715) 684 -3449 Legend a 1 " -40 1 ♦ - Benchmark Elo. 100.00 ft Top of 3/4" Steel pipe o -Aft Bmxbnark Flo. 100.05 ft Top of 3/4" Steel pipe j — BorMgs Boring Elevations 81= 99.95 ft 82— 99.95 it B3 = 9845 it g 84- 0. ft 4t stir ! � O V i �r 7 , C OPY Friday, May 06, 2005 (2). max Safety and Buildings PO BOX 7162 commerce MADISON WI 53707 - 7162 i scons i n . #: erce. 2648777 www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov I Jim Doyle, Governor Mary P. Burke, Secretary May 19, 2005 CUST ID No.242514 ATTN. • POWTS Inspector TODD C FEATHERSTONE ZONING OFFICE FEATHERSTONE EXCAVATING INC ST CROIX COUNTY SPIA S PO BOX 467 1101 CARMICHAEL RD C01`�, HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 05/19/2007 Transaction ID No. 1136557 SITE• Site ID No. 694872 Troy Burne Village Lot 105 1 Please refer to both identification numbers, Lindsay Rd; Town of Troy, 54022 above, in all correspondencewith the agenc St Croix County NWI /4, SE1 /4, S24, T28N, R20W Lot: 105, Subdivision: Troy Burne Village FOR: Description: new mound for new 4 -bed. residence Zabel filter Object Type: POWTS Component Manual Regulated Object ID No.: 1018584 Revision; Maintenance required; 600 GPD Flow rate; 10 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual, SBD- 10572 -P (8.6/99), Pressure Distribution Component Manual, SBD- 10573- P (8.6/99) 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 section 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, Wisconsin Statutes. 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 publication SBD- 10572- P(R.6/99) "Mound Component Manual for Private Onsite Wastewater Systems ". • This system is to be constructed and located in accordance with the enclosed approved plans and with publication SBD - 10573- P(R.6/99) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems ". • Provide owner with manufacturer's information on filter regarding maintenance. 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 /instal lation/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 section 101.12(2), Wisconsin Statutes, nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. TODD C FEATHERSTONE Page 2 5/19/2005 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 $ 60.00 Fee Received $ 60.00 61 4-�� ` Balance Due $ 0.00 Jea MacCubbin Engineering Consultant, Integrated Services WSMART code: 7633' (608) 266 -0955, Fax: (608) 264-8795, M - F: 700 am - 330 pm jmaccubbin @commerce.state.wi.us cc: Leroy Jans , Wastewater Specialist, 715 Y kY P� , ( ) 726 -2544 Prev. Approved Trans ID No. 1 pp 108125 i r , MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE, r� �, •�� r� Project Name: AMERICAN CLASSIC HOMES LO T 106 - r , r . Owner's Name: AMERICAN CLASSIC HOMES Owner's Address: P.O. BOX 4143 - t HASTING, MN 55003 Legal Description: NW1 /4 SE1 /4 S24 T28N R20W i Township. TROY �AF & 'EE.D G$ D►'V County: ST. CROIX COUNTY Subdivision Name: TROY BURNE VILLAGE Lot Number: 105 Block Number: - - -- Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Soil Test Page 9 Soil Test Page 10 Plot Plan Page 11 POWTS Application Page 12 POWTS Mgmnt Plan Designer: TODD FEATHERSTON License Number: 242514 Date: 04 /27/05 Phone Number: 715- 381 -1704 Signature' Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.11 (05/01) Pagel of 12 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 8344 -3 in -situ sal treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) c oliform of - 36 inches. 600.00 Design Flow (gpd) 8.00 Site Slope ( %) 99.95 Contour Line Elevation (ft) 10.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 90.001 Dispersal Cell Length Along Contour (ft) = 6.67 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) C Center or End Manifold 3.33 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 10.00 ft /orifice 2.00 Forcemain Diameter (in) 80.00 Forcemain Length (ft) Does the forcemain drain back? Y 94.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 13.05 Forcemain Drainback (gal) 7.62 Vertical Lift (ft) 56.36 5x Void Volume (gal) 2.56 Friction Loss (ft) 69.41 Minimum Dose Volume (gal) 13.42 Total Dynamic Head (ft) 39.32 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 x 1.25 x x 2.00 x x 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1250.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) WIESER I Manufacturer gal /in (enter result in cell B49) Information EfflUent Filter Info ion 1000.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 727.83 Dose Tank Volume (gal /in) JAI 00 Fitter Model Number WIESER Manufacturer Project: AMERICAN CLASSIC HOMES LOT 105 Page 2 of 12 Mound Plan View 1110 B : >. J Observation Pipe O �5 A W B .... 3 I .. L Mound Component Dimensions 2 A 6.67 ft E - 3 - 2 - 4 - - 240 in H 1.00 ft K 12.61 ft B 90.00 ft F I 9.25 in z 15.67 ft L 115.23 ft D 26.00 in G 0.50 ft J 8.32 ft W 30.66 ft z 2 Basal Area Available 600.00 (ft) Dispersal Cell Area 2010.69 (ft) 6.67 (gpd /ft) Linear Loading Rate 1 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.89 (ft) - -♦ H G I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft 102.62 Lateral F 4 Dispersal Cell ( ) 102.12 (ft)--► —r k". Invert Dispersal Cell E t Elevation D 3Q F 4 1 4 99.95 (ft) Contour Elevation 8.0 % Site Slope Geotextile Fabric Cover Shading Key $. T — Dispersal Cell See lateral details on 1❑ M Topsoil Cap c rx 1.5 ft Page 4 for number, size, © Subsoil Cap to c 1J 0 l T and spacing of laterals. ASTM C33 Sand w ° F Laterals are equally g Tilled Layer 6 0 0.5 ft Typical Lateral spaced from the - a 5 distribution cell's a� 05 Aggregate C centerline in the 0 A distribution cell (AxB). Project: AMERICAN CLASSIC HOMES LOT 105 Page 3 of 12 c Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical i P s A • = Turn-up w' ba II va Iva or I� x —41<-x121 �12 31 Laterals &force main of PVC Sch 40 cleanoutplug per COW Table 84.30 -5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.05 ft Lateral Length (P) 44.23 ft Orifices per Lateral 15 Lateral Spacing (S) 3.33 ft Orifice Density 10.00 ft /orifice Lateral Flow Rate 9.83 gpm Manifold Length 3.33 ft System Flow Rate 39.32 gpm Manifold Diameter 2.00 in Total Dynamic Head 13.42 ft Forcemain Velocity 4.02 ft/sec Dose Tank Information Locking cover with warning label and locking device and smiled watertight Electrical as per NEC 300 and —► Comm %.28 WAC Disconnect 4 in. min. i Tank component is properly vented y z:: a Alternate ou tlet location Foroemain diameter WIESER Manufacturer_ 2 in. Capacityl 1000.00 Gallons Volume 27.83 gal /inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 19.44 540.97 C B 2.00 55.66 P� ump off e levation (ft) –t C 2.49 69.41 1 95.00 D 12.00 333.96 D Total 1 35.931 1000.00 Dose tank elevation (ft 3" Bedding under tank. 1 94.00 Alarm Manuafacturer ILEVEL Alarm Model Number I LVL1 Pump Manufacturer IZOELLE Pump Model Number 198 Pump Must Deliver 1 39.32 gpm at 13.42 ft TDH Project: AMERICAN CLASSIC HOMES LOT 105 Page 4 of 12 Mound System Maintenance and Operation Specifications Service Providers Name FEATHERSTONE EXC. INC. I Phone 715 - 381 -1704 POWTS Regulator's Name ST. CROIX CO. Phone 715 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1250 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 f: Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frenuencv Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthl Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ..•••••,....,.. .............•, Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: AMERICAN CLASSIC HOMES LOT 105 Page 5 of 12 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may skuugh off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent finer alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds U3 the liquid volume of the tank. if the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the root service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Ptow Tank The pump ( dosing) tank shall be inspected at least once every 3 years. AN switches, alarms, and pumps stall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since sod compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations ( October - February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this instaNatiori. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cling is required to maintain equal distribution within the dispersal call. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic faikxe requiring additional, more frequent monitoring. Corrtiraency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: AMERICAN CLASSIC HOMES LOT 105 Page 6 of 12 HEAD CAPACITY CURVE I W W 1 w MODEL "98° 4 5/8 �{ ' 30 8 _ 25 � 0 3 5/8 r 6 20 O O -f_ —..- C3 ¢ I \ 4 3/16 o 10 — - — 2 5 1 112 - 11 1/2 NPT 0 U.S. GALLONS 10 20 30 40 50 60 70 80 LITERS O 80 160 240 FLOW PER MINUTE i I MODEL 98 60 CYCLE Feet Gallons Meters Liters 5 72 1.5 273 10 61 3.t 231 15 45 4.6 170 12 20 25 6.1 95 1 _ �otk Volyp[ 23' 009971 4 3/16 SKI 102 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Variable level float switches are available for controlling single supplied with an alarm, and three phase systems. • Mechanical alternators, for duplex systems, are available • Double piggyback variable level float switches are available with or without alarm switches. for variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standa all models - Weigh 39 lb s. - ' /z H.P. __ 2. Single piggyback variable level float switch or double piggyback variable level, 98 Serie Control Selection float switch. Refer to FM0477. Model Volts -Ph Mode Amps Simplex Duplex 3. Mechanical atemator 10 -0072 or 10 -0075. M98 115 1 Auto 9.4 1 DTI &7 — 4. See FM0712, for correct model of Electrical Alternator. N98 115 1 Non 9.4 2 or 2 &r, 3 or 4 & 5 S. Control switch 10 -0225 used as a control activator, specify duplex (3) or (4) float D98 230 1 Auto 4.7 1 or 1 & 7 _ 6. Four (4) ho le (4) hhot sys e J -Pak, junction box, for watertight connection or wired - E98 230 1 Non 4.7 2 or 2 & 6 3 or 4 & 5 simplex or duplex operation, 10 - 0002. 7. Two (2) hole J -Pak, for watertight connection or splice. CAUTION For information on additional Zoeller products refer to catalog on Piggyback Variable Level Switches, AR installation of controls, protection devices and wiring should be done by a qualified FM0477; ElectricalAftemator, FM0486; Mechanical Alternator, FM0495;SumpiSewage8aslns, FM0487; licensed electrician. All electrical and safety codes should be followed including the most Single Phase Simplex Pump Control, FMI596; Alarm Systems, FM0732. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor Is engineered into the design of every Zoeller pump. MA& TO: P-0. BOX 16347 � LouisvjHe, KY 40256-0347 ` 9 O L 011")a LouisvNv,KY40211 -1961 Manufacturersol.. SHM T0: 3649 Cane Run Road ID. (502) 778 - 2731.1(900) 928 -PUMP httA:lJwww.zoefler.com FAX (502) 774 - 3624 2 MODEL 98.max 04/19/2005 08:11 6514393417 AMER CLASSIC HOMES PAGE 01104 Rpr 19 05 02:10p Steel's Sail Sevic• Inc. 715 -884 -344 , p.2 SOIL EVALUATION REPORT 3 in a000+dsna te16 Camp n9. W t. Adm. Cade Papa 1 of 3 O at am* WA Bw"w deers son Swvloe. b= Atneh aM plan on peps► net lees th n aX x 11 inches in sine. Plan mewl Cw* St. cmix kciude. but sot - I - lm =a : and hmfmanral rebm oa paht B", d4r' M - I and peroantlope, safe d6rtesNOrre, from( sraa. end Www � aMtr�oe a nano( road. �D� W t,lnlsrpdrltam L Revhwed oste Pereuret kamm son Yoe p ow map as used for ssoondrfrpumom (Pdvw uw, a l&04 M dap Pmpst-v fJmw Piamly Loosion Anorbert Chrelu delves GOWL tat ne ~M, SEiM, 524. T29N. R20W PropertyOwasNelfeM gAd&aw LM# I Bloak♦ Subd.NeonorC810 46 Near EnOWW Pkft (brie 200 _ _ 105 na T MY B V � - Cw, 96ie Tip Coda Phone Number U tr U ~ L Trim Nearest Rob 9ltpwabr MN I 56082 1 651-246-3871 Troy St. Mmes P N Nam cal ouvaon . f4— U ReefrlsrlMd J Number ar bedroom. 4 Code derdred de"P fbiw rate am GPO n RepMvorrasi+t I I Pubic or oonvnrarotsl Oesaips fM pnwlt trtslsrfal SIKIt fledMllent offer Ftatdunad Iirn NEone. Hood plsln elenafi0a, 9 sppnaebie n o _ 1L cieaeral aerstrteftee ffourd deeiQr sysiwn afvalbry 1021f14 based on aawaal6re elevartbet 102.1t1R and soft 4 ps (Xl PK t3rovatd svalaoa Gov. 99.95 ft Depth b lfnrMirw 11ec1or 20 in. Appfoefion fiefs maim Depth owwwoomor tteeforeDescription Tistam Sbrdwe CWWWWOM gmrdary Reoh GPDIn' in, douses C" ss. Cast. Color Or. 8z Sh. -anr •sofa 1 .0.9 W rr3/2 rxxle s9 2M$bk frill• Cs if .6 .8 2 9-20 - 18WV4 norm sift 2rrtstbk mk CS na .4 .6 3 20 - 10yr8/2 fired knesWM in y na no na .0 .0 Q u smim 2 Barfep a (`q ivlt Graervd sutlsm elw. 99.95 R Depth to WrArg factor ll3 _ tn. fN Rob 1 kotm Dep& Ooa+6aet Color Redcw Deealp/sn Tauum S&w* a, Conekl6rim Boundary Roots GF11 " --.-- WL wk w m OAL SL Cont. Cafor of. Sr_ Sh. 'Evil IMMM 1 0-10 1OW312 none sd 2msbk mfr CS if .6 .8 2 20 10yrW2 Fradured Inestm na re na na .0 .0 ElOusnt a =900 alt � 22D mQIL and TSS > 3n a 160 - C- Illaent #2 = BOD =30 `30 1walL end TSS _ mprL CST Nan (Pfau P ,- 1 248M Ad*sm sfeda f3r111 s«dce - Deft J!"tau M Cetrduoted Telsphons Number 994 200691 esld&*% w --4= 4M6Q= 715 -70p.0347 Friday, May 06, 2005 (2). max 04/19/2005 06:11 6514393417 AMER CLASSIC HOMES PAGE 02/04 Rpr is 05 d2:10p Steel's Soil Sevice Inc. 715 -664 -3448 p.3 Px wv owm AmLer Homes AarcM ro t: __ ._ pigs _ ! — at 3 F i t r3oentp s I I ewft L � ,. i t (Xj pt Gnum awsm ow. 16 W SON A001bol,a R.e. Ho1Gon DwM Daetwnt color Re t owwpion T04 M obuch t1 CWAMOM BOi wwY ROOK QpDw hL Mutad Ott. SE Cant CObr Or. SL Sh. 'fit 'E02 1 0-10 10yr3/2 nose 51 2msbk mff cs if .6 .8 2 10-16 1*W4 none Sid 2mft mfr a ns .4 .6 3 16 loyrW hicbmW kyNtom na no oe re .0 .0 gam* fl wt GmwA tto(*= a*v_ ._... a DaM a *NOV factor &L W AWkWon M~ Dopm omwwtt c w iiadmt DftwWon Teom ftudm Cwdkwnw Dounfty Roo* Gpwr in. munew Ou. Sz cant Color Or. Sz Sh. . _ F n oroww wft alay. — ft Dopo * t aN o factor in. SWAppftaftn Mtxtxort Osplh Dominfrd color t7A&M Oeea"on Tessa Sh icbm p 1. BttnKwY RoaAs Gpow +�. Muni" ou. Sz CO* Corot Gr. ft Sh. 'r10 _ � 30 <220 wglt and T$S >30 < 1Q0 a10A ' Eft wd 62 800 130 and TSS < ot9d. 30 mpA. Tie of Co"erec it ae eqw a0poiwv* service pmidw unit mp* w. iryou now aesiahutea to coops smiew or eocd nuletittl in an agtxnate former, pleat aoou" the do wunew at 608 or - nY 608-2644M7, s�s�uraoaest ttfeets � gmkre.lhe Friday, May 06, 2005 (2). max 04/19/2005 06:11 6514393417 AMER CLASSIC HAS PAGE 03(04 Apr 19 05 02:10p Steel's Sail Sevice Inc. 715 -684 -3449 p.4 STEEL'S SOIL SERVICE INC 3 of 3 David J. Steel American Classic Homes 994 2W St. CST POWTSM NWt /4,SEI/4.324,T28N.R20W Bsldwin, WI 54402 1k. #248956 Town of Troy. St Croix Co. Cell.(715) 760 -0347 Lot, 105 Troy Bww Village Fsx.(715) 6843449 legend a 1 = 40 A, — Benchmark M& 100.00 ft Top of 3/4 Soeel pipe e — AN Benchmark Ele. 100.05 R Top of 3/4 Steel pipe i = Borings Bmft Ekvadons 131 = 99.95 1t B2 - 99.95 R q B3 = 98A5 It � 4� SFr • <�°„r� i5a' �t z J O M O� a s c � C1 7. i 1` �Sy' 7' Z. Friday, May 06, 2005 (2). max x sQ9s x 9QS.a . 1av � v -- o y x 924.6 x 930.7 833;6 a Q f, 933 x .� 934.3X x 927 1 6.9 \ X X 934.2 ` (�, v A X 934. x 933 � r - X X 931.1 4 Q� ( X 4.7 X 0 off; - - - - -- - -- X 927.8 6.7 824.3 \ 428.2 \ .3 !t� 9125.3 ,\ #!► t�/ -. �G,- �9, q�' AP �j �"�r�S ice/✓ �a` I j3� l ' �O°' ° ® 1/ -T,Bfi Friday, May 06, 2005.max Friday, May 06, 2005 (2).max ' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 1 of 2 FE.E INFORMATION SYSTEM SPECIFICATIONS Owner AMERICAN CLASSIC HOMES Septic Tank Capacity 1 250 D NA Pemh # Septic Tank M MESER D NA DESIGN PARAMETERS Effluent Filter Manufftur 0 NA Number of Bedrooms 4 O NA Effluent Filter Mode! 13 NA Number of Public Facility Units 0 NA Pump Tank Capacity a l 13 NA Estimated flow favors") g al/day Pump Tank Manufacturer 0 NA WOO Design flow (peak), (Estimated x 1.5) g al/dav Pump Manufacturer ZOELLER 0 NA Soll Application Rate gal/day/ft! Pump Model O NA Stw4W Infiuent/Effluent Quality Monthly average" Pretreatment Unit A Fats, Oil S Grease (FOG) 530 mg/L O Sand/Gravel Filter D Peat Filter Biochemical Oxygen Demand (1300 5220 mg/L O NA D Mechanical Aeration 0 Wetland Total Suspended Solids (TSS) 5150 mg/L D Disinfection D Other. Pretreated Effluent Quality Monthly average Dispersal Ce0(s) DNA Biochemical Oxygen Demand (BOD 530 mg& D In- Ground (gravity) D In -Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L D NA D At - Grade D Mound r Fecal Coliform (geometric mean) 510` cfu /100m1 0 Drip -Line 13 Other Maximum Effluent Particle Size Y in dia. 0 NA Other: XNA Other: J1WA Other: 4NA "Values typical for donooft wenowsw and septic tw* effluent. NA MAINTENANCE SCHEDULE Service Event Service Frequency inspect condition of tatkis) At least once every: 3 D months) 0 NA � carts) Pump out contents of tank(s) When combined sludge and scum equals one -third (4) of tank volume D NA Inspect dispersal coots) At least once every: 3 D e gj(s) DNA D month(s) 0 NA Clean effluent filter At least once every: 1-2 earts) Inspect pump, pump controls A alarm At least once every: D year(s) ❑ � (s) p NA Flush laterals and pressure test At least once every: D month(s) O NA 0 year(a) Other: At least once every: 0 rnonth(s) *NA 0 earls) Other: ULNA MAINTENANCE INSTRUCTiONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer, Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground sturface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any pondft of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a fading condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shat) be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. AN other services, inckiding but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. } A service report shall be provided to the local regulatory authority within 10 days of co n fletion of any service event. am (4/01) 3 Page 2 of 2 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(a) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(&). if high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cells) 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 Septege 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; most scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shag be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: e All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. e The contents of all tanks and pits shall be removed and properly disposed of by a Septags Servicing Operator- * After pimping, 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 foWwiag 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 Imes and wells. Failure to protect the replacement area wig 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. 0 A suitable replacement area is not available due to setback and /or soil limitations. Bening advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. NSk evalu ion mu t O Mound and at -grade soil absorption systems may be reconstructed an place following removal of the biomet at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < < WAFWM> > 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. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAiNER Name �� Name F T Phone _Z Phone 71 SEPTAGE SERYRCING OPERATOR !PUMPER) LOCAL REGULATORY AUTHORITY Name PINKY'S Name ST. CROIX CO. Phone 651 - 436 - 5788 Phone 1, 715 - 3 - 46�80 , This document was drafted In compliiame with chapter Comm 83.22{21(blil Iid1KIfI and 83.54111, (21 b (3), Wisconsin Administrative Code. 2 V APPLICATION FOR REVIEW - Compleft all pages- Safe a Suldi� Division NOTE: Paaonai hwnmNon you provide may be urea for PflWT Bureau of k0grated Services teary augmm {Privacy Law s. 15.04(1xm). StatcJ For plan status, check ourw4bsite at bo://www commerce stare. wi. us /SWISS- DivReviewStatus5Mb.h mI Several counties have been delegated certain sufftority to review plans in Neu of cownerce. For a current 961 of time cow" and their delegation check our websile at http: /fwww. commerce . state .wi.usMS8- POwtsProgramh1mI. 1. ProJeet isfon matlon - Fill In all known information. Coniirmalion of assigrenera to a reviewer. ProjectiSke Nam TROY BURNE VILLAGE Transaction ID: Location. Number Street of project (ii unknown, inditlad nearest roam) Previous Related Tram. 1D: LINDSAY ROAD Estimated CompledonDate: L ,: NW1 14, SE1 /4 S24, T28N, R20W Assigned Roviewor: county ST. CROIX () cit {) wisp (4Town of TROY Assigned afte: iW 10 your *Moe of stroke feiow 2. After plain we rwAs wad, please: (dtac t all that apply) thew My, itslrw■rd. LaCrosse. Madison, Shawano, Ntaukeehs qN arstonbr 1, 2 (circle nurnber)' Requea pony will pick up NOTE: We msem the right to ro dbbibrae plans to Moo plans to customer 4 tr (ands n~- ano tim oieoe b needed to reasonably balance `Rehm to uslorner number from below tk c ' 3. Complete the iollowirq nos irdornurtion. U Nlna do drecB boXne when 1680106er, or or ngrr Wit party Is 11he same to avoid epaatlrrp Info,"I'll a Desillnar Ndoenallon (Customer 1) Commerce Odw Plem" "Wxy (C s mar 2 Commerce First Dane Last Name customer Number First Name cast Name GMianer Number TODD FEATHERSTONE 242514 FEATHERSTONE EXCAVATING, INC. AMERICAN CAN CLASSIC HOMES, INC. PO BOX 467 145 NEW ENGLAND PLACE SUITE 200 ) HUDSON, WI 54016 mate () HTILLWATER, MN 55082 Phone Number (area code) Fax or Internet cal phone Phone Number (area cods) Fax or fckiemet cog phone (715) 381 -1704 (715) 386 -6885 (651) 351 -0995 (651 439 - 3417 Check others 9 apple" Cbsdk otters if appanbia ( ) ( A) Owner 4. Infonntatlon and Plan SubmkW Chests. P&M scheduling is not available. Plans will be assigned to s reviewer abler receipt of plans. N you select a specific ofte your estimated eanpWori dale may be considerably greater than what would be possible In another ofte. Submftfa b nec owed without a specific office indicated on the form may be asalgnad to offices other than the reoemng of6Ce depending on revieww availability. To obtain a sufxnftl dmd&d call the maladd order wit at 606- 286-1S1S or one of the full service offices fwd below. You w akiLts"cal earls one ta. wLus. . Madison UM Hayward S&BD LaCrosaa Shawano SM amendaySM Waukaaha S&B0 201 W Washington Ave 10541N Ranch Rd 4003 N Kinney 1340 E Green Bay 2331 San Luk Place 141 NW Barstow St 53703 Hayward Wi 54943 Coulee Rd Shawano Wl 54165 Grow Bay, Wl 54304 a Floor PO Box 7162 7154834 -4870 la0asse WI 64801- 715-524-3826 920- 492 -6801 Waukesha WI 53189 - Madam Wi 53707-7162 For 715 -634 -5150 1831 Fax 715 - 5243633 FAX: 520- 4923604 3789 6084963151 F-mat WB- 78"334 Ernst Ernat PIsrSCeduk@ 262.648-WW Fax: 608.267 -9566 PiarftheduleQ Fax W8- 785.9330 PlanSdwdul@Q comntera.atele.wLus For 262- 548.8614 TOO 606- 264-6777 oorturmoe state.wi.us F_mW: oanrnores sdbe wi.us Emd: PlenScheduteo Ensile Plartidted PlanScheduleQ commerpe.stale.vAus commeme.stabe.wLus cortm ems slate A.us MAKE CHECKS PAYABLE TO DEPT OF COMMERCE TOTAL AMOUNT DUE S Attach chock trwia RrA w Code 7633 58D406T7 (10.12103) Tlaa FORM 18 VALID ONLY FROM 01910119003 to 01101!9006 FOR THE MOST CURRENT APPLICATION, CHECK OUR WESStTE AT www.comnmoe *fat vAustSO 38-DkFomu/POWrS 1 N M R r r e a= IL Is m I z n, W vv 7p av rrN V � C O qM = 3 qq a ti Z � Q a a g 8 ( r y n a - NCM N a;8 mm .L LL �Y I ca LL o W CLLL� f ~ y _ Z m A/...w. hwh ^hw.h �yhhhhh � Y �. � � �vvvVW(vvIVVVYVY C VVYYVV 4 r t� ,,VV D REC �EVAL ATION REPORT #1655 Departmen V eoE - nq Q in actor with omm 85, Wis. Adm. Code Page 1 of 3 Division of 3S 0lf dirr 1 $ 2� Steel's Soil Service, Inc. PpR County Attach complete site plan on paper no less than 8% x size. Ian must St. Croix include, but not limited to: vertical and rizon ction and percent slope, scale or dimensions, no arrow' istance to nearest road. Parcel I.D. 0 d — Please print nation. Revie d By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). dS Property Owner Property Location American Classic Homes Govt. Lot na NW1 /4, SE1 /4, S24, T28N, R20W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 45 New England Place Suite 200 105 na Troy Bume Village City State Zip Code Phone Number City ❑ Village ❑ Town Nearest Road Stillwater MN 1 55082 1 651 - 248 - 3871 Troy I St. Annes Parkwa New Construction Use: ❑ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe na Parent material Silty sediment over Fractured limestone. Flood plain elevation, if applicable na ft. General comments Mound design, system elevation 102.15ft based on contourline elevation 102.15ft. // T �� // 9 Ys f� ! and recommendations: El Borin F g Boring # 9 Pit Ground surface elev. 99.95 ft. Depth to limiting factor 20 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#f I 4Eff#2 1 0 -9 10yr3 /2 none SO 2msbk mfr cs if .6 .8 2 9 -20 10yr4/4 none SO 2msbk mfr cs na .4 .6 3 20 10yr8/2 Fractured imestoni na na na na .0 .0 2 ] F Boring # F1 Boring Pit Ground surface elev. 99.95 ft. Depth to limiting factor 10 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0 -10 10yr3/2 none SO 2msbk mfr cs if .6 .8 2 10 10yr8/2 Fractured .imestoni na na na na .0 .0 I Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 g/L ' Effluent #2 = BOD < 30 mg /L and TSS <_30 mg/L CST Name (Please Print) Signature CST Number David J. Steel - 248956 Address Steel's Soil Service, Inc. - Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 4/16/2005 715- 760 -0347 SBD -8330 (R- 07100) Property Owner American Classic Homes Parcel ID # Page 2 of 3 3] Boring # El Boring Pit Ground surface elev. 98.05 ft. Depth to limiting factor 16 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff #1 *Eff#2 1 0 -10 10yr3 /2 none SO 2msbk mfr cs if .6 .8 2 10 -16 10yr4 /4 none sicl 2msbk mfr cs na .4 .6 3 16 10yr8 /2 Fractured imeston na na na na .0 .0 F-1 Boring # El Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fts in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 <150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS <30 mg /L 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. SBD -8330 (R.07 /00) Steel's Soil Service, Inc. STEEL'S SOIL SERVICE INC 3 of 3 David J. Steel American Classic Homes 994 200 St. CST- POWTSM NW1 /4,SE1/4,S24,T28N,R20W Baldwin, WI 54002 Lic. #248956 Town of Troy, St Croix Co. Cell.(715) 760 -0347 Lot, 105 Troy Burne Village Fax.(715) 684 -3449 Legend N 1 = 40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4 Steel pipe • = Alt Benchmark Ele. 100.05 ft Top of 3/4" Steel pipe 1 = Borings Boring Elevations B l = 99.95 ft B2 = 99.95 ft B3 = 98.05 ft B4 = 0.0 ft �o 1 a� 0 C, 13 z, 7 , M S�)Gt �-/ ` 6 f 0 I� i I (� o 1 R9 1 A P ik ol 25.0 — 25.0 : O ... e, 1414 Q A �� Pam Quinn From: Jansky, Leroy [Ijansky @commerce.state.wi.us] Sent: Friday, April 15, 2005 4:33 PM To: Pam Quinn Subject: RE: On -site needed ?? If there is 8 inches of "soil" over the bedrock and no redox features from 8 inches down to the bedrock contact it is not an A + <4 site. The minimum amount of suitable soil is 6 inches. You may verify and review the report at the county level. I would recommend a long and narrow mound same as for an A +<4 site. - - - -- original Message - - - -- From: Pam Quinn [ mailto :PamQ @CO.Saint- Croix.WI.US] Sent: Friday, April 15, 2005 8:38 AM To: Leroy Jansky (E -mail) Lo Subject: On -site needed ?? 4l Dave Steel called to notify us he found another site in Tro Village, 2 lots down from one you looked at last year, where he has 8 or more of unmottled soil over bedrock. Does he need you to bless the site or are we allowed to document similar conditions that were approved nearby ?? Kevin thought you might have to approve because it's not an A +4" situation. Thanks, I will let Dave know your response Pamela Quinn, Zoning Specialist St. Croix Co. Zoning Dept. pamq @co.saint- croix.wi.us 1 o� h c a a 0 w � I 0 o e o N (D co N a y ; d Z Q) c c o LL o L Q I N o W Z o �y In i. O 2 v E o v N a m N co Z N N d O Z $I a g 9 ii H r �' E c I O O O E E o � m 1� N ti�pp N • N U � C N C a I O o 0 0 Z Z O .. Q � M H .. ti }� ° LL $' 01 ° mil — _ �' 4 N ` > > Q. L 0 to to VJ �I f0 I LL • 4j aaaa a c LO tq J V Q N ff Z _ _ N ° — m r ) n (Q I O O N N C r.+ O U) w N O aCO O N c E U c O LO O O ( 0 7 c� N �^ r co H C M Qf N r.i N T d « E O y cc • 7' O N H Q 't O Z C a t ii E d m a CL L; a • d ._ m � e E c c w t A c ao ovic� Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division t INSPECTION REPORT Sanitary Permit No: 463331 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: American Classic Homes I Troy, Town of 040- 1257 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 24.28.20.1365 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding SUHt Inlet I TANK SETBACK INFORMATION SUHt O et TANK TO P/L WELL BLDG. \ o Air Intake ROAD Dt et Septic 15t Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head T Ft Forcemain Length Dia. Disttell SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIO No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM \CMBER HING Manufacturer: INFORMATION OR Type Of System: NIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distr' tion x Hole Size x e Spacing Vent to Air Intake Pip ) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Moun Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No i - =j Yes J1 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Insp ction #2: Location: 267 St. Anne's Parkway River Falls, WI 54022 (NW 1/4 SE 1/4 24 T28N R20W) Troy Village 3rd Addition Lot Parcel No: 24.28.20.1365 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes I � No r Use other side for additional information. Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) 201 W. Washington Ave., P.U. Dox 7082 ST. CROIX Nlacliusti, W 1 537 {)7 - 7 {)K2 Sanitary Permit Number (to he filled in by Co.) NVisconsin Department o f Commerce j (b08) ql0 3331 r , - �E 11 Sfa Plan I.D. Number Sanity PernAt -A i n e�' in aeoord with C<vn m 83.21. Wis. Adm Code„ t u Provide may be used for smmdary purposes Privacy Law, s m) 9 d / J f i, e s (if different than mailing address) I. Application Informatko - Please Print All Information r,267 ST. ANNES PKWY > ZONING OFF 'r- Pn4k rty Owner'g Name Lot # 05 Block # AMERICAN CLASSIC HOMES, INC. o - 125�'2o - oao� 1365)� - ' Property 0mict's Mailing Adck"S Property i. ovation P.O. BOX 4143 _. _ NW iiti SE stit�i City, State Zip Code Phone Number HASTING MN 1 55003 1 651-351-0995 28 20 r tine) IL Type of Building (check all that apply) - I or 2 Family Dwelling Numbexd'Bedrooms. 4 PER SUBMITTED HOUSE PLAN Subdivision N CSI I Number , P`ubl ;cCoimnercial _Pyescribct,se TR BU VILLAGE - -� N ❑ State (mot - u ;t>c Ilse - -- - Ue _� ]village Dkovatsnip of TROY Iii. Type of Permit: (Check only (rma Im an line A. Complete line B if applicable) A- Pi New System H Replammlft S ❑ Treatrrte Molding Tank Replac entent E)n!y I -S (Ajw Modification to Existing SyAcrn B. F] Petrnit Rmwai El Permit Revision Change of U Permit 1'ran New List Previous Permit Number and Date Issued More Expuation Y t weer IV. T e of POW'M S tern: _( 'heck all that app! a. Nrxi – Prc_ccee €ved fri-fircxind 24 L . afsuitahle sail �� < 24 i f suitable soil U Ai -Grade I 18 ingle Pass Sand Filter comt,ucted wetland U Iressurved In4;.ind U fPoldirg'rank U P-Ntnr I A.Y kw Treatrnent I ink ❑ Recira.latiog sand Filter ❑ Real wlatutg Syr dvA Media Filter ❑ Leadiing Chin iJ Drip l irte FIXA-lessgip. ❑ (ktier (explain) i V. DispersalITmatment Area Infortnation: ro 'for� 0 _ Design Flow (gpd) Design Soil Application Plate( Dispersal Ar ired (, Djjxrsid Area Pruposecl ) System Elcvatian 600 .5 0.D 1200 ofl CJ 1477.80 ��� y� / 115.67 Vt- Tank Infa Catxa'ity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallo Galkwei of I units dp Concrete Constructed Glass Pdew Exastr� c� M Tanks Tanks 4 1 'e[A`c`" YES 12 50 1 - I E -- - WIESER X mcn Aerobic Treaft 1lnit - -- . -- - - - -- - n m i ' TChAmhor YES 1000 WIESER X ' VIL Responsibility Stawnwrit- t, the mwe --n-mo fo r hstmoom a orthe FOWL s a P"' Plumber's Name (Print) Plumber's re 1MPRS Number limners Phorie Number TODD FEATHERSTONE 242514 15) 381-1704 _ — - - -- _. - -. - ..._...- P'lumber's Adelrxw (Street, City, State, L.ip ) P.O. BO 467 HUDSON, WI 54 6 DATE SIGNED j V ,( IIL Coup !De a rtment Use Onl VX aPlrovixl �Sanitary Perrinr Fee ( includes Groulml VaYer Nate Issued r inn atwr, (N Su charge Fee) 1 IX. Conditions o prov ! SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attacb t:mWk4e lL� (to UW UW Mty "*) for the systepl Ilk Roes la AM.CL.105.max ` - Safetv and Buildings s o ` 'a r! � �4E�c r / io L b c Off' y Safety and Buildings PO BOX 7162 r commerceml.gov MADISON WI 53707 -7162 TDD #: (608) 264 -8777 www.commerce.wi.gov /sb/ isconsin www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary February 16, 2005 CUST ID No.242514 ATTN: POWTS Inspector TODD C FEATHERSTONE ZONING OFFICE FEATHERSTONE EXCAVATING INC ST CROIX COUNTY SPIA PO BOX 467 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/16/2007 Identification Numbers Transaction ID No. 1108125 SITE: Site ID No. 694872 Troy Burne Village Lot 105 Please refer to both identification numbers, Lindsay Rd above, in all correspondence with the a en IZdIdon Town of Troy, 54022 St Croix County APPR" NW1/4, SE1 /4, S24, T28N, R20W il DEPARTMENT of c( I Lot: 105, Subdivision: Troy Burne Village 4SEF ISioN OF SAFETYARi. FOR: Description: new construction 4 bed. mound Object Type: POWTS Component Manual Regulated Object ID No.: 1004535 CORRESPOt• Maintenance required; 600 GPD Flow rate; 28 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual, SBD- 10572 -P (8.6/99), Pressure Distribution Component Manual, SBD- 10573 -P (8.6/99); Zabel Filter 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 section 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per section 145.06, Wisconsin Statutes. 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 publication SBD- 10572- P(R.6/99) "Mound Component Manual for Private Onsite Wastewater Systems ". • The pressure network is to be constructed in accordance with publications SBD- 10573- P(R.6/99) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". • This system is to be constructed and located in accordance with the enclosed approved plans and with publication SBD - 10573- P(R.6/99) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems ". 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. TODD C FEATHERSTONE Page 2 2/16/2005 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 section 101.12(2), Wisconsin Statutes , 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 Fee Received $ 175.00 Balance Due $ 0.00 Jean M. cCubbin Engineer'mg Consultant, Integrated Services WSMART'code: 7633 (608) 266 -0955, Fax: (608) 264-8795, M - F: 700 am - 330 pm jmaccubbin@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 r MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: AMERICAN CLASSIC HOMES Owner's Address: P.O. BOX 4143 HASTING, MN 55003 Legal Description: NW1 /4 SE1 /4 S24 T28N R20W �l�y Township: TROY a County: ST. CROIX COUNTY Subdivision Name: TROY BURNE VILLAGE r Lot Number: 105 Block Number: ------ - - - - -- Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry F _ Y & o` �i Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Soil Test Page 9 Soil Test Page 1W PIot Plan Page 13-14 POWTS Application Page POWTS Mgmnt Plan Designer: TODD FEATHERSTON License Number: 242514 Date: 02/10/05 Phone Number: 715 - 381 -1704 — 0:41 R Signature: 0'1�5�� Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.11 (05/01) Page 1 of 12 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) TaMNe 8344 -3 in-situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 600.00 Design Flow (gpd) 8.00 Site Slope ( %) 115.00 Contour Line Elevation (ft) 28.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd/ft) Distribution Cell Information 90.001 Dispersal Cell Length Along Contour (ft) = 6.67 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) C Center or End Manifold 3.33 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 10.00 ft /orifice 2.00 Forcemain Diameter (in) 120.00 Forcemain Length (ft) Does the forcemain drain back? I 103"0 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 19.57 Forcemain Drainback (gal) 12.17 Vertical Lift (ft) 56.36 5x Void Volume (gal) 2.67 Friction Loss (ft) 75.93 Minimum Dose Volume (gal) 19.38 Total Dynamic Head (ft) 32.31 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x 1.25 x x 2.00 x 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1250.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) WIESER IManufacturer gal /in (enter result in cell B49) Information Effluent Folter Info ion 1000.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 727.83 Dose Tank Volume (gal/in) IA100 Filter Model Number WIESER Manufacturer Project: AMERICAN CLASSIC HOMES LOT 105 Page 2 of 12 I Mound Plan View T . 1/10 B :::: J Observation Pipe T O A W ........... B ❑ I 3 Mound Component Dimensions A 6.67 ft E 14.40 in H ffaft ft K 8.11 ft B 90.00 ft F 9.25 in 1 ft L 106.23 ft D 8.00 in G 0.50 ft J ft W 21.11 600.00 (ft Dispersal Cell Area 1 1477.80 (ft) Basal Area Available 6.67 (gpd /ft) Linear Loading Rate 1 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 117.44 (ft) —♦ ♦ H ( F Dispersal Cell 116.17 (ft) Lateral 115.67 (ft) Dispersal Cell] t Elevation E D : Q l a 4 115.00 (ft) Contour Elevation 8.0 °!° Site Slope Geotextile Fabric Cover Shading Key d �.— Dispersal Cell See lateral details on 1❑ Topsoil Cap c ° 1.5 ft � Page 4 for number, size, 4 © Subsoil Cap w Q L1 and spacing of laterals. © ASTM C33 Sand R ° f F Laterals are equally ®0 Tilled Layer = y 0.5 ft Typical Lateral spaced from the n5 ❑ Aggregate v c s[ l I distribution cups } +� centerline in the A distribution cell (AxB). Project: AMERICAN CLASSIC HOMES LOT 105 Page 3 of 12 I ` Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical P •= Turn -up w'ball valve or 4�2 La terals & force main of PVC Sch 40 clean out pl u g per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.05 ft Lateral Length (P) 44.23 ft Orifices per Lateral 15 Lateral Spacing (S) 3.33 ft Orifice Density 10.00 ft /orifice Lateral Flow Rate 8.08 gpm Manifold Length 3.33 ft System Flow Rate 32.31 gpm Manifold Diameter 2.00 in Total Dynamic Head 19.38 ft Forcemain Velocity 3.30 ft/sec I Dose Tank Info rmation Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and --� Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented E-- Alternate outlet location Forcemain diameter WIESER Manufacturer ...... 2 in. Ca acit 1000.00 Gallons Volume 27.83 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 19.20 534.45 B 2.00 55.66 C P ump off e levation (ft) C 2.73 75.93 � 104.00 D 12 00 333.96 D Total _ 35.93 1000.00 Dose tank elevation (ft) 3" Bedding un er tank. 1 103.00 Alarm Manuafacturer ;LEVEL Alarm Model Number LVL1 Pump Manufacturer ZOELLER Pump Model Number' 152 Pump Must Deliver 32.31 gpm at 19.38 ft TDH Project: AMERICAN CLASSIC HOMES LOT 105 Page 4 of 12 Mound Svstem Maintenance and Operation Specifications Service Provider's Name FEATHERSTONE EXC. INC. Phone 715 - 381 -1704 POWTS Regulator's Name ST. CROIX CO. Phone 715 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft 2 Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished .. Grade 6 -8" Diameter Lawn / Threaded Cleanout Sprinkler Valve B ....... Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: AMERICAN CLASSIC HOMES LOT 105 Page 5 of 12 Mound System Maintenance and Operation Specifications Service Provider's Name FE ATHERSTONE EXC. INC. Phone 715 - 381 -1704 POWTS Regulator's Name ST. CROIX CO. Phone 715 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft' Maximum FOG 30 mg /L Type of Wastewaterl Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ............... Grade v1 6 -8" Diameter Lawn _ Threaded Cleanout Sprinkler Valve Box Plug r Ball Valve u o Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: AMERICAN CLASSIC HOMES LOT 105 Page 5 of 12 HEAD CAPACITY CURVE MOM 152 Lj 50- %1� I ]i 11 L t Is 77 ? i 12- 40 2�� A) 2!5 - - - 15 Lj �4 2 20 - C) 4- )j44 L 3,411) 014508 20 40 60 80 100 GALLONS LITERS 0 80 160 240 320 FLOW PER MINUTE `7i�2 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • 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 Qwik-Box available for outdoor installations. See FIVI1420. Over 130'1 =. (54'C.) special quotation required. 152153 Series ISVI53 MODEL tral Selxtlqn Vodel�Volts-llh Mode Slm*x An" Duplex _N152 T 115 I Non 8.5 1 2o(3 13NI52115 I Auto 8.5 Included 2or3 _E152 230 1 Non 43 1 2813 SK2064 I BE152 230 1 Auto kided 2or3 N153 1 15 1 Non -- 105 -- BN153' 115 1 Auto 105 Included 2or3 SELECTION GUIDE ; �153 1230 1 Nan 53 1 3 L_13t153L230 I Auto �of 1. Sin piggy ick variable level float switch or double piggyback variable level float syAtch. Refer to FM0477. o CAUTION 2, See FMO712 or correct model of Electrical Alternator E-Pak. All Installation of controls, protection devices and wiring should be done b a qualified licensed electrician. All electrical and safety codes should be followed including the most 3. Variable level ;ontrol switch 10-0225 used as a control activator, specify duplex 13) recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float sy am. RESERVE POWERED DES113N For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. it T" 0 80" 3 Manufacturers of. . SHIP TO: 3649 Cone Run Ro id toutsvNe, KY 49211-196, (5Q) 778-2731 - (800) 928-Pt UP ht(p.'11Www.zoe11er.cam kv / FAX(W) 774-3624 (P Copyright 2000 Zoeller Co. All rights res T ed. J1I1 -17 -2003 04:45 - COhfT I NENTPL DULP CORD 763 M 2532 P. 01103 = �. tNiezrmb DepaMlentofComMeM SOIL AND SITE EVALUATION page 1 of ,_ 3 .Uiv&n of Sa(et)r and Buldirw in accord with Comm 83.05, VAs. Adm. Code EWAMWMUW 1w { Attach rrompMe ob pMn on paper not lees than'► 834 x t 1 whas in size. Plea flrrtast My Cou hakrde, but not united to: vw&W and hurl mftl fefere noe posrt (W, dkeotlon and perrxrd slope, Swk of crM»e wxm, n0M arrow, and location and &W nae to nearest food. Panel I.D.# APPLICANT INFORMATION - PleSSe Prlat all krfbrraation. pvwww int4,,w&n yw pro mw be u wd for sacandiry WAVOW (PfW1 lair, L 15-CK (i) (ro))- Pmpwv Owner P rcparly Locator Contine laeveloittuent Govt. Lot NW 114 SE U4 t3 24 T 28 KR 2 W __......_.,. Lot p I i3lodc �! Subd. Name or MW f�roperiy Qwrrar's AAaiinp Address _ Tt!d r��tt Vi)18g�e 12301 Central Avenue_ NE, Su 230 1 os _ Stye Zip Cove Phowiumw n G ❑ Vilfaes ®Town Nearest Road M liS MN 55434 Troy I U" Rood fA New Cnt►strtic6ort Use P7 Residential I Nutter of bedrooms 4 E]Add�lott to existirt9 tad A Rt tlatx?ment {_j Pubic or conxrterdw describe ode tDeriwd daily im 600 gpd Recommenced design bading role i •2 tx'rd, gpoll- 1.2 - -�"d'• t b fwvrr area required 540 bed, 500 trench, lP Maximum design loading rate 1.2 tied, �dIR� 1.2 b ench, OW Recommended irdiftrakil surFam e1e1+J{s) ByDmdo= ft (as referred b site plant bed Additional design I site vonsideraiars Parent rnaleriai Laws am Sod Flood n elevation, tf ft SeSuifable for system (ofnrenti�.s Mound ( :. ^. Grr;: Pate AT de Syslew. kn F: )'�k U=Unswwk for sysfem ❑ s M U ®S ❑ U I ❑ S M U ❑ s ®u f� 5 ®U 6 s §g U L -- WMIPTION REPOR Horizon E DwWnantC*r Movies Terdure S`trueture 9wrdwy Roots j - -- .GPDAI° ^ -- BWng# in, Munsell O, w SL Cut Color Cyr. S� Sh. Bed Tnerxtt ail 2tnsbk mfr ow 2f .5 .6 I 0 M16!2 - :. . 2 7 -31 10yr4/4 - sit Zmsblc mfr cw if S 6 Ground -3 10yr8/3 - BEDRX - - - - deY 112-77 ft Depthta 31 l Remarks' 1 0-10 10yr3/2 f I 2 10-26 1 1".!4 m s:t 2msbk cw if 5 Ground _ - - - - 3 26-3 t 10yrgl3 BEDitX� — - y - dEY -- 114.SD R ID _ ... - g ........... Imag fadw Remarks: CgT Name (Please Print) Tefeptcne No. Thaws C. Nohow 715- 246.2454 Address �vaoamxa>ea1 By Design Date CST Number Rer# 12lZ4NB 227387 82 1432120th Seteet New Rid, Wl 54017 l I JLIN -17 -2003 04:46 •CONTINENTAL AULP CORP 763 75? 2532 ¢•02/03 SOIL DESCRIPTION REPORT .r 12 1 Pages PROPERTY OWER _- Dominant Cda Moues re re � I GPDAP Horizon !Depth exture I ��� Boundary I Roofs -. _.. _... -- 1 in Munseu Ou. Sz. Cont Color T Gr. SL Sh. I Bed : Trench 1 0-9 10yr312 2msbk mfr cw 2f 5 6 2 R -2$ 10yr4 /4 - 2tnsbk rnfr ow if S .6 Ground 2msbk n>vfir _ S' .6 elev 3 28-334 _7. ..., ..._ _ .... _ MIM lkrffiv DeRih to � _ Remarks• I Ground - elev 1 � ! i Remarks: ..... _...... _. _ Ground elev a...... - -- to fimRin faQor l .... , F7 _� ,_ •..�... _ _.r. Ground wv Remarks• �� 9 JUN -17 -2003 04:46 CONTINENTAL D kP CORP 763 757 2532 P.03/03 IASI Mvu 6rTO" NflW TROY BURM VILLAGE —Lot „ NW y. SE r, sEc noN 24 'r 28 N. R. 20 W Troy Township, St Croix County, WbmRsiu Page 3 v a r 1!d• b�3 = g� 5 SCALE 1"-40 Tam Nelson BM 1. SE LOT CORNER TOP OF IRON PIPE ELEV. 10W 227397 BM 2. NE LOT CORNER TOP OF IRON PIPE EL"- 9$.94' TOTAL P.03 i ooe T N a \wets -.00 oor000� � a � 0 -c �/>12 �'E' L, �7^ G.�.✓i/� ��� oF�TiQd�-- Y /i0L` "—'�.. / fA'� ,JE Low" ca y N . Y � i 3 . .1 4 va HIV � rp v isconsin APPLICATION FOR REVIEW - Complete all PO TS Safety & B u d gs Division NOTE: Personal information you provide may be used for Bureau of Integrated Services secondary purposes [Privacy Law s. 15.04(1)(m), Stats.] For plan status, check our website at http• / /www commerce. state. wi. us/ SB /SB- DivReviewStatusSearch.html Several counties have been delegated certain authority to review plans In lieu of Commerce. For a current list of those counties and their delegation check our website at http: //www.commerce. state .wi.us /SB/SB- PowtsProgram.html. 1. Project Information - Fill In all known Information. Confirmation of assignment to a reviewer. Project/Site Name TROY BURNE VILLAGE Transaction ID: Location, Number $ Street of project (if unknown, indicated nearest road) Previous Related Trans. ID: LINDSAY ROAD Estimated Completion Date: Legal Description: NW1 /4, SE1 /4, S24, T28N, R20W Assigned Reviewer: County ST. CROIX ( ) City ( )village (Town of TROY Assigned Office: Mail to your office of choke below: 2. After plans are reviewed, please: (check all that apply) Green Bay, Hayward, LaCrosse, Madison, Shawano, Waukesha _ _Gail customer 1, 2 (circle number)` r Requesting party will pick up NOTE: We reserve the right to re- distribute plans to Mail plans to custom (circle number)* another office if needed to reasonably balance *Refers to customer number from below tumarowtd tip' 3. Complete the following designedawner /requesting information. Utilize the check boxes when designer, owner or requesting party Is the some to avoid repeating Information. Designer Information (Customer 1) Commerce Other Please Specify (Customer 2) Commerce First Name Last Name Customer Number First Name Last Name Customer Number TODD FEATHERSTONE 242514 Cam an Name Cam n Name F?Xf HERSTONE EXCAVATING, INC. AI�J{RICAN CLASSIC HOMES, INC. A PO BOX 467 A 145 NEW ENGLAND PLACE SUITE 200 city state zip +4 (9digits) Ci state Zip +4 (9digits) HUDSON, WI 54016STILLWATER, MN 55082 Phone Number (area code Fax or Irdeet cee phone Phone Number (area code) Fax or Internet cell phone (7151381 m (715) 386 -6885 (651) 351 -0995 (651) 439 -3417 Check others if applicable C ck others if applicable ( ) Owner () Owner 4. Information and Plan Submittal Checklists. POI/VfS scheduling is not available. Plans will be assigned to a reviewer after receipt of plans. If you select a specific office your estimated completion date may be considerably greater than what would be possible in another office. Submittals received without a specific office indicated on the form may be assigned to offices other than the receiving office depending on reviewer availability. To obtain a submittal checklist call the material order unit at 608 -266 -1818 or one of the full service offices listed below. You may email - technical code questions to powdstme tate.wi.us. Madison S&BD Hayward S&BD LaCrosse S&BD. Shawano S&BD Green Bay S&BD Waukesha S&BD 201 W Washington Ave 10541N Ranch Rd 4003 N Kinney 1340 E Green Bay 2331 San Luis Place 141 NW Barstow St 53703 Hayward WI 54843 Coulee Rd Shawano WI 54166 Green Bay, WI 54304 4`" Floor PO Box 7162 715 - 634 -4870 LaCrosse WI 54601- 715 - 524 -3626 920 - 492 -5601 Waukesha WI 53188 - Madison WI 53707 -7162 Fax: 715-834 -5150 1831 Fax: 715-524-3633 FAX: 920 -492 -5604 3789 608- 266 -3151 Email: 608 -785 -9334 Email: Email: PlanSchedule@ 262- 548-8600 Fax: 608- 267 -9566 PlanSchedule@ Fax; 608- 785-9330 PlanScheduleQ commeme.state.wi.us Fax: 262- 548 -8614 TDD 608 - 264 -8777 commerce.state.wi.us Email: conmeree.state.wi.us Email: PlanSchedule@ Email: PlanSchedule(M ManSchedut*Q commerce.state.wi.us commerce.state.wi.us commerce.state.wi.us MAKE CHECKS PAYABLE TO DEPT OF COMMERCE TOTAL AMOUNT DUE $ Attach check here Review Code 7633 SBD -10577 (R. 121`03) THI3 FORM IS VALID ONLY FROM 01201/2003 to 01/0112005 FOR THE MOST CURRENT APPLICATION, CHECK OUR WESSITE AT vwvw.commerce. state .wl.usrSB /SB- DivForms/POWTS O O Cl 0 o L6 L6 LU r pp o `Q!pO O O p O N "S$p p O 0 OO OO g Op S x_0 O O O 6fZ A N P• ( O� O co to to y W �'') N NN �. '� O ,p and H�jH�g �m N c a M O o °o a Ow U a rn w Cw N O • ` a`+ •� to � En Em a3 m A n °- 0 go a U 0 CL ui cm�a tea? 1 ° mm0 'o. ° p C Cl. y L t n vc yy a c w a a �' E co � ao c m a c° o H m $ o to ^ y ue wp .m. ° a E o y�o o a� O�- w m mww C 2d o d d p 88 c u4 G N W ZS $$ �� C� Z H W c? �� �p c T � 0 = W o d c_ E ° $e„n E m �° 3 v c"'c"fi =° m t '' m W L� V m w� 1 r ° 7 C Ol --S g1 Q 0 I« C OQ w 1 y W U� �N S SO m C gi 0 0 m p OC o W OO O w Q O r c*i `) 00 E O (M w y +n ui CD S 2 3 �ci iti ai Z a F - E t9 T 000 goo a y li.. y y LL m V- N LL n u IL C O t0 A C ~ � 6 p c m C W C t y �0 c 30 0 c 30 c0 c yy 0 y ' m Oc, y N ' q wN y m CL C E g' a' c� t 8' 5 a U' 8 C 8 c 0 g 4 a m i° m w— y > s &L �- o E v am to Z Z mm S c w d c C ° n tb S .. vi a 1p omsq Im� r O ^ (� -- �� Q o�a d =�� 'R o0 m a a '° Z az z m a �aNNriN m CC m a; u° ti4 a ��� °SSA M CC w� adg o�c °mmg gii a E� m R m i 4 � d � Sai a y � y u a o c li co m N N U >> 1. a E a m > R cc d a� I - S �� c 'Z �o o� E ro 10 �U r o c CL v E E c ° mV � °"�Em ��2mm ° o C T ` m 5 m tp c c m �• w ao= c r v 0'C t a o m �o'r��? 6 LL y L _a ?c ° c a m Il J o WOEm�cc� ps to mc• o5 mg c a $ g Em�m•iuw a a - 5 c a �U a =ZIf c cmr� c ° c v a m Xv O c £ m E� c -dg ..-.9 -.9-. c a0.. '= E c $ O m @ m Ya > > 10 C '9 i� b (n w mcgccOa? a3 m m o cg E av nam� N c 3� Q o o Ti x g d g 00 ca o 4 E ° Q�t7• �� m a` � = 2 h ❑ m r Cl. m e � f v m cc�$ UV OEE a� In9m' cmmp w m c ° ° C� >'� �• •LL ° y..g io ma 7 �m c . a ENw 1- c R m c U °8 Sa. a - L 0�G ��oL'oao.290 cam o m W E * crow �����aaIxgco ZaIL�U o �$ x m g /f� v N ❑ ❑ a M ❑ z z f POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 1 of 2 _ FILE INFORMATION SYSTEM SPECIFICATIONS Owner AMERICAN CLASSIC HOMES Septic Tank Capacity 1250 ga l E3 NA Permit # 333 / Septic Tank Manufactur%VIESER C3 NA DESIGN PARAMETERS Effluent Filter ManufectugEL ❑ NA Number of Bedrooms 4 ❑ NA Effluent Filter Model A100 O NA Number of Public Facility Units NA Pump Tank Capacity 1000 gal O NA Estimated flow (average) 400 gal /day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) 600 gal/day Pump Manufacturer ZOELLER ❑ NA Soil Application Rate . 5 al /da /ftz Pump Model 152 ❑ NA Stud Influent /Eff luent Quality Monthly average" Pretreatment Unit J" Fats, Oil & Grease (FOG) 530 mg /L O Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids ITSS) 5150 mg /L O Disinfection ❑Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L O In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L O NA O At - Grade ❑ Mound Fecal Coliform igeometric mean) 510' cfu /t00ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ANA Other; WINA Other .ANA "V"s typical for domestic Wastewater and septic tank efikwit. Other: NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 month ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume O NA Inspect dispersal cell yerls) s) At least once every: 3 ❑ mo nth ar(s) ) ❑ NA Clean effluent filter At least once every: 1 -2 51�y ar(s)(s) ❑ NA ❑ month(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ year(s) Flush laterals and pressure test At least once every: 0 yesr(s)(s) O NA Other: ❑ month(s) 4*NA At least once every: ❑ ear(s) Other: 44 NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tanks) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. 3 A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW 14/01) Page 2 of 2 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal ceil(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. ABANDONMENT 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 chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: � 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. NR evaluation mus a pe r t o e r p a ❑ 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 ANWOR 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 POWTS INSTALLER POWTS MAINTAINER i Name �,l�j Name FEATHERST Phone 7 r ?©r(� Phone 715- 381 -1704 E SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name PINKY'S NamE715'-386-46 ROIX CO. Phone 651 - 436 -5788 Phon This document was drafted in compliance with chapter Comm 83.22(2)(b)0)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. �� 141 t Wisconsin Department of Commerce SOIL AND SITE EVALUATION Pag 1 of 3 Division of Safety and Buildings in accord vvith Comm 83,05; ' (Vi . V .) . -� Emdronmeatal By Design i..�i Attach complete site plan on paper not less than 8%: x 11 inches in size. Pt tip, County include, but not limited to: vertical and horizontal reference point (BM), fir 'eQ Ofid St. Croix percent slope, scale or dimensions, north arrow, and location and distan tb eares C(� I!,..��i` ED Parcell.D.# APPLICANT INFORMATION - Please print all inform Personal information you provide may be used for secondary purposes (Privacy 15.04 I Qn) (ieV B D `rs�i Property Owner Property k 28 ~ t CXXI Continental Develop 28 /SE 1/4 S 24 T N,R 20 W Property Owner's Mailing Address I Block # �' I S� Name or CSM# � 12301 Central Avenue NE, Suite 230 L16 " \ Troy Vitt e City State Zip Code PhoneNumbern, a Town Nearest Read Minneapolis MN 55434 Troy Lindsay Road IM New Construction Use: Residential / Number of bedrooms 4 ❑ Addition to existing building Replacement 0 Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate 1.2 bed, gpd/ t 1.2 trench, gpdff Absorption area required 500 bed, f 2 500 trench,, W Maximum design loading rate 1.2 bed, gpdff 1.2 tr ench, gpolft? Recommended infiltration surface elevation(s) 117.25' ft (as referred to site plan benchmar Additional design / site consideration Parent material Loess over Bed Rock Flood plain elevation, if applicable It S= Suitable for system I Conventional I Mound In - Ground Pressure AT - Grade I System Fill Holding Tank U= Unsuitable for system I 08 0 u ( ® S❑ u i ❑ S® u ❑ S M u + cis M U i ❑ S® u SOIL. DESCRIPTION REPORT Horizon �Pth I Dominant Color I MottiE:s , Texture I Structure IConsisten Bound Roots GPD/ff Boring# in. Munse6 Qu. Sz. Cunt Color Gr. Sz. Sh. Bed ? Trench Z I I 0-7 I 10yr3/2 I - I sit I 2msbk I mfr I M 2f I .5 ; t; 2 7 -31 1Oyr4 /4 - sil 2msbk mfr I cw if I .5 ! 6 Ground 3 31 -36 10yr8 /3 elev BEDRXJ - - - - - - 112.77 ft Depth to limiting factor I I I i I I I I I 31 Remarks: ...:...:....:.....:..:...: 2 1 + 0 -10 I 10yr3 /2 I - sil ! 2msbk mfr I cw I 2f I .5 .6 I - � 10-26 1 4, 4 sit 2msbk mfr cw If .5 6 Oyr Ground 3 26 -31 1 8/3 BEDRX - - - - - - ei @V I I I I I I I 114.60 ft Depth to limiting I I I I I I I I factor 26 I I I I I i J I I Remarks: T P Telephone CS Name (Please Print) Signature: epho e No. Thomas C. Nclson 715 -246-2454 Address EnvirOinmental By Deli Date CST Number Ref # 1432 120th Street, New Richmond, WI 54017 12/29/98 227387 82 r PROPtRTY O WNER: Continental Develapm6t SOIL DESCRIPTION REPORT ® Page 2 of 3 PARCEL I.D.# Environmental By Desion Horizon Depth Dominant Color Motfi(s Texture structure nsisten Boundary Roots GPD/fF ll Qu. Sz. Cont C01or I Gr. Sz. Sh. in. I Munse Bed ?Trench 1 0 -8 10yr3/2 - sil 2msbk mfr Cw 2f .5 ; .6 ` 2 8 -28 10yr4/4 - sil 2msbk mfr Cw if .5 .6 Ground elev 3 28 -33 7.5yr4/4 - ( s 1 I 2m + mvfr - - 5 ! 6 i i 6.24 ft I I I Depth to limiting factor 28 Remarks: I I i I i I I I I I I I I I I I Ground elev I I I i I I I I Depth to limiting factor I Remarks: Ground i 1 I I I I I I I elev T� I I I I I I I I I Depth to limiting factor I I I I I I Remarks: Ground elev I I I Depth to limiting factor I I I I I I I I I Remarks: ' ENVI 6Y 0[5 1432120 STREET, NEW RKYAOND, W400M 051 SALVO RIO"$ NELSON 7?5146- ?4�4 TROY BURNE VILLAGE —Lot NWY SE V4, SECTION 24 T 28 N, R 20 W Troy Township, St. Croix County, , Wisconsin Page 3 v s �3 �2 SCALE 1" =40 Tom Nelson BM 1. SE LOT CORNER TOP OF IRON PIPE ELEV. 100' 227387 BM 2. NE LOT CORNER TOP OF IRON PIPE ELEV. 98.94' � R p ERV 1932120 STREET, NEW OWN, WiS09M IA57 WE) 6YTi10"v NELSON 715-196-1959 TOM NELSON 5011 TE51 Q 117367- - -RE M QU SANi MAN U713 Troy Village — Lot " NVVY4 SE %4, SECTION 24 T 28 N, R 20 W Troy Township, St. Croix County, Wisconsin Page j Fro M Lj 7 7X{ 7 �d h'�pg v� SCALE 1 =40 Tom NeIrn BM.1 SE lot corner top of iron pipe Elev 100' / BM. 2 NE lot corner top of iron pipe ELEV 98.94' �/`' t y ; � • Comm 83.23 WTSCONSM ADS INISTRAFIVE COAL 38 Unofficial Text (See Ptintoi ,'oluroe), Current through date and Register =hooiv on Title Page. � � N Ct O O Ci~ � i1� U� to 0 CA- r 17) ry ---4 1 ' 0 E H O 4) li Lt_ Lt~ O q + - V) CIL O t� Lu j � O Q w L IL `w > O O C? C LL i O +— C1 u U -C 3t G> (n G U3 t.n cn O L � a3 U) f A E _ o a cn W o e i, ]'rt -O,A VOIlP *JC fir Register Troy Obveibpmont' Cbr;mra "oH" 12JUI Central Avenue NE Blaine, MN 55434 (612) 757 -7568 OUTLOT 3 COMMON AREA — PARK 9.408 ACRES 4.1W AC cli m N 1.223 AC 1.S a IJ LEGEND 0 1.1 AC 1.642 � F- UTILITY EASEMENT, 10' WOE �o .7 .9 1 — UNLESS OTHERWISE SHOWN. ......_._....._ ............. DRAINAGE EASEMENT. 10' WIDE �� 41 42� �. 2 47 h 1.. A"� UNLESS OTHERWISE SHOWN. 105 C 4S 617 AC 1 BUILDING SETBACK LINE. 75' n 40 J 064 A ,� 7.577 .+C — — — UNLESS OTHERWISE SHOWN. 1.642 AC so. 1014 B CV J , 1.0, �A� a /1.291 N i► 3.310 AC 8 � .0 34 A ao I4�. 1.038 AC ' N GOLF COUR 2+0.00 11 A +v f 0 ! ••. A° J� I Z '" 1.02q AC 8 1 3 0 C �, •• <Z n N 'IT' N� N 38•. J� ►-: 323.36• 9 24Q 2426�AC' ''••./ N 1.075 AC ~ cNV 2.506 AC h � 2 C 45' 259.05• , �. ?� 1.313 •2?` - J � Oj, 1 w' {rte 10 .' '!� ," �, �1 24AC OUTLOT 12 N o ,r 1.o AC 1. 7 AC ti� 28 ° ro. COMMON AREA— N ry 1 03 ti ,649 AC 1138 A tyr PARK 9.044 Ac 0 5 5 . �QPi1Ol Ac - , 27 •` 1•Z37 AC,, 102 �,9. �? 1.220 AC/ 2 Q 1.340 1O6 'l � ,� / O i 7 eo .67. , ,,�,2 43 AC /26 h N 5 $ 107 O� 1 1 700 C . 1.694 AC, i N 1.29C N 2.101AC of a 3I; 300 q Qv � J s4� hOh 30• i 1.540�r 18 � J ro• °+ 9• 0f3 4 317.71• 7�. 1. C lb 100 00' ~ ° 1.039 AC a Ac 20 4 r 1.811 109 JBe eJ 1 p 1.048 AC 300.81 15.8 1 AC 111 99 off `� .1 1 GOLF COURSE 7 N 2 1e 1. C� •1•. 01 o h 1 7 Ac. 2.760 C _ C AC ip 1.425 AC $ N 1.004 A ••• } I ^ ` 1 1.632 AC %•., y � � 56 a From: To: INC. AMERICAN CLASSIC HOMES Date: 2/18/2005 Time: 9:09:06 AM Page 2 of 2 r . SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION WNEILSH P CERTII'ICAT N FORM Owncr/Auycr AMERICAN CLASSIC HOMES INC. Mailing Address P.O. BOX 4143 HASTINGS, MN 55003 Property Address 267 ST. ANNES PARKWAY (Verification required froze Planning Department for new aonWUCfioa) City&"Ute HUDSON, WI 54016 Parcel Identification Number ,; O LEGAL DESCRII n0N P ro p er t y Location NW �/, SE %, Soo. 2L ___ . T 28 N R 20 W. Town of TROY Sub&gon TROY BURNE VILLAGE . Lot # 1 05 X CWW wd SwrM Map # - volum . Page # xww=A7' Dtxd # .,7�CZ � - Votmme Page # ��• Spec boam 13 yes D no Lot tines identifiable yes ❑. no OEM MAi1 ENA= . lnegwVwweandswintmuncea�fyowup6asysumeonld sawkio its. c ecnfa u x1oLaadlewasmahapermaiaDeatoe consisb of pmatpi>og out dw sq tie too emy ftw yea at sonnet; fftmeded by a iioensed pttaapea W6rt you pet into tae 9d= can adfa:t the fLmeti a of *A mptic !tole as a beatmemt stop in ft wrasbe digwd syda= 1111e peopedy own& agrees to sabmit U. Depa wads oeati5catioa fcan. aped by the own ad by & m: stIII oacl w jamaeymmphm >saesmcftdplmmbworal mawdpamparvcnfyi dW(I)&Cen- 0M d'w— 'sys0aa is in paopa operating eanfitka andlor (2) atler iesl eGiaa and pmgft. Cif moessuy), the septic task is kas elan 1/3 #ell of dodge. Uwe, fee smdamkwd have read the &bore requmcmeubadagmew mxb t k the pavatic sewage disposal system with dw standwh at fwk hadtt,'as ad by die Dgmbn W of Cammwe and dre Depubmmt of N&WW Rasp tee State of Wbewsi L stating thst yen• septic syssem Las boa maintained must be completed sad zetazpcd to the 09ia writl3a 30 days-of the throe year expiration dab- - { 1 SIGNALS OF APPEXANT DATE O�V, NF.R��'�I�CA1'xON I (we) caettify that all statements on this farm are t= to the best of my (oar) kwwrlcdg& I (we) am (are) the owner(s) of =Zi4d above. by virtue of a warranty deed tecotdod in Register of Dads Office. %MVM CANT DATE i*•sa• My tafetmation fast is mjs rcpr=aodtod map result to file samfary pam>tt bang touched by the Z4nmg DepartmaL st..tt •* lndade with this applieatbw a stunped warranty deed finer the Register of Deeds office a copy of the certified survey map if tefemwe is wAde in the warmaty dad AM.CL.105.max I R 2 6 9 9 P 4 8 6 78Qt460 lk STATE BAR OF WISCONSIN FORM 2 - 1998 R E G I N. D REGISSTT ER OF DE H. EDS EDS WARRANTY DEED ST. CROIX Co.. MI DocuunentNumber RECEIVED FOR RECORD 11/19/2004 11:20AN 11! This Deed, made between WARRANTY DEED Troy t Corporation EIlEIPT t Il Grantor, REC FEE: 11.00 and mer can cl assic Homes, L C TRANS FEE: 419.70 COPY FEE: CC FEE: P Grantee. AGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following �! described real eatete In St • Croix County, State of Wisconsin: Lo 105 of the Plat of T roy Villa 3rd kq Add in the Town of Troy, St. roix County, Name erW Return Addne. r Wisconsin. erica assiC Hol s, LLC ' 0 ghl and Dr' li as 033 Subject to Declarations of Covenants, Conditions and ^�—, Restrictions for Troy Village, recorded in Vol. 1241,1 V"l� Page 256, as Doc. No. 559964, and the Declaration of Golf Course, Covenants, Conditions and Easements, recorded in Vol. 1241, Page 302, as Doc. No. 559969, 040 - 1257 -20 -000 all as appearing in the office of the Register of Deeds i, for St. Croix County, Wisconsin, and such other Parcel Identification Number (PIN) easements, restrictions and reservations of record, This i s not homestead property. or in use, and the 11 8uyern obligations contained in (is) (it not) (I the Purchase Agreement for this lot. y ii ii f; Exceptions to warranties: s Dated this 18th day of November 2004 (SEAL) CAAL) Ric hard Halu tzo Vic Presid j Troy Development Corporation i) (SEAL) (SEAL) lI AUTHENTICATION ACKNOWLEDGMENT I� Signature(s) Minnesota ! State of VV+&CVna•trt, Anoka Coun,� as. authenticated this day of �OVefllbetarrte 20 before me this . th day of the above named R ichard a uptzok, Vice- President Troy Deveio>atent Corporation r TITLE: MEMBER STATE BAR OF WISCONSIN to i t (If not. me known to be the perm who executed the foregoing 4 authorized by 5706.06, Ms. Stats.) "tnunent and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY hmA 4 TROY DEVELOPMENT CORPORATION ' QPS�LL� --F Notary Public, State is; AfteogelwAnok a County, Minn. Charles S. Cools, President My commission is permanent. Of not, state expiration date: !� (Signatures may be authenticated or acknowledged. Both are not Q �� (J 13�-� ( 45aq - ) necessary,) I' a l I` • Namr of pawns slznbv In any apulty must be typed ar printed below their signeture. STATE BAR OF WISCONSIN Wleaanaln L.,W flank ou.. k.. WARRANTY DEED FORM No. 2 — 1998 raweukee. Aft DAVID F. LAMERS NOTARY PUBLIC - MRMIESOTA My CaaNlkabn ftki a Jan. 31.2009 AL t jr U0 , 2 4 3 A ( W R Et'S A 4 n o A e 4 F nov ua vo vu. , - r. -- - - - 19001 11/03/0 86 HON 16:15 FAX 715 3 4688 ' ` ST_C CO ZONING ED LAND AW 259AW 38 104 1.055 ACRES �., 45.975 g 103 1.649 AGES r 71 A28 S.F. '�- 41� ' / 105 -lr_l `q .201 P► S ' .�, a 102 ^ y 1.340 ACRES 58.390 S,F. � ' QD' 12�136 �At.RES �� ,3e•• /�4 ,y� 54.128 S.F. r - " 1 4. d 3i 1.000 ACRES / %� _ 43.562 SF_ Q 107 ti*� . , 1.Mo ACRES S / 56.649 SF_ 113 NW--S / w � 1.02C ACRE / �o2�r/ 44.574 S.F. ' 108 1.385 ACRES c 60,310 S -F. 8 N co / , I J 1459 ACRES I / 46.122 S.F. 109 1.581 ACRE �'. 68.854 S.F. !1 TROY RI IRNF FOR AM (:I max >CRES S.f ' o a / L .201 ES , �► 52, 8 S.F F. • ? k h � 106 1.243 ACRES , 54,128 S.F. 1.000 ACRES • 43,562 S.F. 107 )0 ACRES e t a °'„ i Mound Plan View '> 1 /10 B » ....... . »' .... ....> < J observaaon Pipe s❑:::::: :: 'l ::: :::::::::::.....:::: = — l K: T A w a' . ..... .......... . ....... ............................. B . ::.. .. I 3 :..❑ .::::::::::::::::::::::::: ::::::::::::::::::::::::::::::: ::.......::::::::::::::::. ....... 0 L Mound Component Dimensions Al 6.67 ft E 38.60 in H 1.00 ft K 13.41 ft B 90.00 ft F 9.25 in I 25.99 ft L 116.83 ft D 26.00 in G 0.50 ft J 6.97 ft w 39.62 ft 600.00 (ft) Dispersal Celt Area 1 2938.70 (ft Basal Area Available 6.67 (gpd/ft) Linear Loading Rate 1 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.89 (ft) ----► 2 G t H H„ j F w, Dispersal cell 102.62 (ft) Lateral 1 ` --►• — _ 102.12 Invert (ft) Dispersal Cell '�.:...�] :.....:.:.......... Elevation E D 99.95 (ft) Contour Elevation 16.0 % Site Slope Geotextile Fabric Cover Shading Key $, t Dispersal Cell See lateral details on 1❑ Topsoil Cap = Subsoil Cap .4 1.5 ft Page 4 for number, size, a 5 sp acing of laterals. ❑ � and ASTM C33 Sand —°o F Laterals are equally Tilled Layer • 0.5 ft Typical Lateral spaced from the 5 Ag e 5 " distribution cell's 0 ❑ ��`�`� � 1 centerline in the —' A — distribution cell (A) B). Project: AMERICAN CLASSIC HOMES LOT 105 Page 3 of 12