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040-1257-50-000
0 �{ 2 3 0 0 I � 0 0 cD N CO o O v N a C �, co O 3 - bj CD Q' o St tl ° M m Cn ZD I m � D CD CL 000; V J 7 O V N I O N NO ! r W co � a M CD a) .a 7 CA (A �_ 0 A c 0 @ 0 p � A O Q, C W (D O EL 3 cn z (D y I p c A N (D e y O O z N A W 00 z C !T N 3 m ° I � � A I 58 m03 6 "98 D Gl cD O.O p �p to � a C �G fA O I y a y y d C d a j' W 01 C m 0 co 0 � cD x E °:a m� z a O W cD 4l 7 O V! CAD O 06 InD `C ( �5 D 'i u v a ,mv i i fD � °°�MSr - Ch ' u, y 7. Q m � chi 0 2 ?g v O F y Zj yCIO 33 00 0 8 CD A m °.:0 3 m r- CD y = - =r d � � � 0 its 5 m cD .8cc ' T)• Novm ^^ � tt W y M5,04 d m 5 N v 7 <; < g `� n ;o g co -8 0 CD a c y cn c t x �� o y py 0a � n y n� N CD CD 0 �� �Sa coo 06 °o N m @ a m , o 0 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division Sa nitary Permit No: � ry INSPECTION REPORT 7 43021 0 ATTACH TO PERMIT) 'GENERAL INFORMATION ( State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, 05.04 (1)(m)). Permit Holders Name: City Village X Township Parcel Tax No: Troy Development Corporation I ro Township 040- 1257 -50 -000 CST BM Elev: Insp. BM Elev: IBM Description: f — Section/Town/Range /Map No: / 00 . 0 I ff'(3 Z 24.28.20.1368 TANK INFORMATION ELEVJff1ON DATA TYPE MANUFACTURER CAPACITY STATION Bye H FS ELEV. 1 o il - f Septic !nS J CJ BerighTMIT A j KI 31n 1 f'O ! /0 Dosi g Alt. BM 7 • �� A ration Bldg. j.61/ 7)n �S� 0 *7- 2 J Holding St/Ht Inl 3. S Ht Outlet TANK SETBACK INFORMATION Yy r>7 lr, 5 3 . `l , /-Z, t t TANK TO P L � WELL BLDG. Vent to Air Intake ROAD Dt Inlet � t o Jf L v � 03 4""` A J4 � Dt Bottom 0 Septic � 2�` ' � Aeration Dist. Pip ! �6 j Holding B at. SY =tem- • n PUMP /SIPHON INFORMATION U�d� /?'I.P� ( Final Grade Manufacturer Demand St Cover GPM �` !� rZ r � J`"Z d •! 7 T Model Number �j / 3q 5Z �' {� No -7 z TDH Lif Friction Loss System Head TDB - Ft J , ( 'W4- Forcemain j Ljng% , -i Dia. // I DIk.toWell ' t j LT n�6tl I J SOIL ABSORPTION SYSTEM Z 4 ; % BED/TRENCH Width Length No. Of Trenc s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS % 0 SETBACK SYSTEM TO P/L BLDG WEL LAKE /STREAM CHING Manufacturer. INFORMATION CRAM Type Of ystem'. � IT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution y x ole Size I x Hole Spacing ent to Air Intake ork if Pipes) '1 z L Dia Length Dia 2� Spacing ?i I l SOIL COVER x Pressure Systems Only xx Mound Or At - Gr de Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes FX No Fft� Yes ® No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:b! o b Insi3ecti n#2: / o / k Location: 261 St. Anne's Parlway Hudson WI 54016 1/4 SE 1/4 24 T28N NW R20W Troy Village e d Zd'tion Lot 08 Parcel No: 24.28.20.1368 ( ) / . 1. Alt BM Description / p,�.p,y� W 2ti f nw r4++ P s. I� ems " /• N 2.) Bldg sewer length - % t' �Q�v�.Q� �J 2 = �b aJ' l� 7 O � 0 1 amount of cover - CVW &e - qZ 1 &0 eG.S +b f- goW , 54 SoU-Wr O� N 0 k P/ � - 133— bt 40 1 ,pus + o 2 'o �Jo P ff Plan revision Required? FAI Yes No Use other side for additional information. Date / � Insepctor's 5 nature O� i �/ , j1�er~ No SBD -6710 (R.3197) (� `fh� -- �i��7�7�(1� � d�lc.+�� �OL��.6 „ �l_.. /� `f���� ENV IRONAERTA L 1 4 1432 120' STREET, NEW RICHMOND, WISCONSIN 715- 246 -2454 Tom Nelson Certified Soil Tester 227387 -- Registered Sanitarian SR00713 TROY VILLAGE — Lot NW %4 , SE % a, SECTION 24 T 28 N, R 20 W Troy Township, St. Croix County, Wisconsin Page 3 ✓ i�� rs � 1 t � I 1S'Well set be, C,;< 1 r 1 S „ _ 2 C� SCALE 1 -40 Tom N n BM 1. Top of iron pipe NW lot corner ELEV 100 BM 2. Ground surface next to T post ELEV 96.01' BM 3. Top of spike w/ yellow ribbon Elev 98.62' • Cl) 0 J � T k / k � 2 t o 3 CD ¢ f 0 CD ° % $ / / k g E E I E E g g 0 © >' t�2 OL 0 � 0 co \ �§ � 0 \ � 2 0 � o o o k CD � - Err § § § § / ■ ®E « ¥ A 0 CJ § P a cl % 2 E 0 0 « 0 0 7 § § o , 7 0 0 E B \ c k i� §o ■ z �j) k i CL § z Z £ � I §E ƒ ° =\o£ �q@k /n§k a, c] x c o ƒ o \$CA.a : ) E /2$c CD A UU� \& a0 22; °a @f 42cr§e ` 0 CD _,]= 2 ƒt0 0 ��K� M. /2 ; [ K (�('D §j= 9 co a goc� Ci �E IE( o 0 3 a03 2 m % k � I / � ID § _o Satety Arid Buildings Division county V i n 201 W. Washington Ave,, P.O, Box 7082 ST. CROIX �� I Madi wen, W l 53707-7082 Sanitary Permit Number (to be filled in by Co.) ` � f }epartment o1 Commerce W as (608) 261-6546 x(30 01I State Plan I.D. Number Sanitary Permit Application In accord with C°orum 83.21. Wis. Aden. code, personal information you provide -! p (p := may be nett for s'twondary purpose Pnvaty taw, ATqect Address (if different than nailing address) L Application Informative — Pieasc Print Ali Information - - j S7• �� S�! Property Owner's Name - - - , 1 be t 108 - Dev &L oP �-c- -N i CARP. t _ I ET -s - o- �� • i3`8 Property C wma's Mailing. Addfm � Pt ope�y Location P.O. BOX 4143 NV1f y; SE ,, serti<>Ei 24 city, Stag: Zip Code Pbdrie Number HASTING MN 55033 651= 351 -0995 " T 28' N; R 20 w ) or IL Type of Building (check all that apply) 14 1 or 2 pamily Dwelling - Number d' Bedrooms 4 3ubdi ,.ion Name CSM Number n U Publiecolumcteiat -- l)msctibr ( 1 �'� TROY VILLAG = 3 rl - - (p. 37 - , ❑ state owned - tied crib- i lsc ❑c' Uvil - LET of TROY IL QY owttid►tp _ _ .o III. Type of Permit: (Check only one Mix on line A. Complete line B if applicoble) — - - A- New System ❑ Rvpibaearicut System U Trealureair/lioiding Tank Replacement ent only ❑ Odw Modification to Existing System $. ❑ Permit Renewal ❑ rertrid Revision ❑ Change of U Permit Transfer to New Ust Previous Permit Number and Dale Issued Before Expiration Pluxubw Owner IV. i s ; ,. of POWTS kys all that appW i U Non U Mound < 24 in. of suitable soil ❑ Al -Grade H Single Pass SwW Fitter constructed wetla.d ❑ PmmwL,ed In-(hw d H Iloldg , rank ❑ Peat Filter f l Aerobic Tm tm.* unit ❑ Recirculating sand Filler ❑ Rerirncinting SynthiAie l4iedix Firer n t Faching Chamber n Drip dine t l Gravel - less Pipe; ❑ 0dier (explain) V. Dispersal7freatment Area Information_ Design Flow (gpd) Design soil AMhcaaion Rate(gpdaf) Dispersal Area Required (9t) Dispersal Area Proposed (s6 System Elevation 600 .5 1200 855 98.42 VL Tank Info Ci1v in Total Number Manufacturer Prefab Site Steel Fiber plastic Gaiions Galkwn OfIini Conerde constructed (Hass New ExSGA &�gg A- a �� Turks Tmi Septic or Holding Twik X 1250 1 WIESER X A.-bie Treaarnent Linil rinsing e7h mac, X 1000 1 WIESER X VII. Responsibility Statereent- 1, die umkrxip ned, meu oe respumikilky for haftillbillm of tie Wyyf S abown es the attsched rimm Plumber's Name (Print) Pkunfixr'. MP /MPkS Number i}�irrms Phe ie Number TODD FEATHERSTONE 242514 71 - 381 -1704 Plumber's Address (Stred, City, State, L '.ode) P.O. BO 467 H UDSON, WI 5401 VIIL Coup fDe arUncsit Use Only - -- XAppro,ed U Disapproved Sandary Permit Fee (includes Groundwater Date Isseiedi 19sui5Agcr1J Signature (N Stamps) Surcharge Fee) �-y� 11 O uer Given Reason for Denial 3. v — M Conditions of Approval/Reasons for Disapproval � �(,,,� � - .Vtacm plea tilt ute earls ady) tar the sysieoa en tiu�r iraa.tess try std >< Il:trcchcs im � "40 ArIY4 � y es y t 0 0 Go 41 14L ,�'' 1 A 1 r r I� Ka i � - " �� r / � � O/ i y► a r 7. e s I z- 1 `J i A Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 isconsin www. w ww.commerce.s tate. wi. us/sb wisconin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary July 24, 2003 CUST ID No.242514 ATTN: POWTS Inspector TODD C FEATHERSTONE ZONING OFFICE FEATHERSTONE EXCAVATING INC ST CROIX COUNTY SPIA 368 TOWER RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/24/2005 Identification Numbers Transaction ID No. 889196 SITE: Site ID No. 662483 American Classic Homes - Dwelling Please refer to both identification numbers, Lindsay Rd L above, in all correspondence with the agency. Town of Troy, St Croix County NW1 /4, SE1 /4, S24, T28N, R20W Lot: 108, Subdivision: Troy Burne Village FOR: Description: New Mound System / 600 gpd Object Type: POWT System Regulated Object ID No.: 913188 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. 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. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address P ®. on this letterhead. COndi The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the A installation, operation or maintenance of the POWTS. DEPA NT DIVlsl Sincerely, Fee Required $ 175.00 / Fee Received $ 175.00 S E CORRE; ✓ Balance Due $ 0.00 r � , er E agel POWTS Plan Revi er II , Integrated Services WiSMART code: 7633 (608)266-2889, M - F, 0630 - 1500 Hrs pepagel@conunerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 ill MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: AMERICAN CLASSIC HOMES Owner's Name: AMERICAN CLASSIC HOMES Owner's Address: P.O. BOX 4143 HASTINGS, MN 55033 Legal Description: GOVT. LOT NW1 /4 SE1 /4 S24 T28N R20W Township: TROY County: ST. CROIX Subdivision Name: TROY BURNE VILLAGE c /C Lot Number: 108 Block Number: ----------- -- REC O v GD Parcel I.D. Number: 040- 1257 -50 -000 JUL -I 1 2,003 Plan Transaction No.: S,4FETX & BLEIGS DIV 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 V V r 3. Page I I ves POWTS App. For Review t10z Page le.# WTS Owner's Manual /Mgmnt ul j.1� Designer: TODD FEATHERSTON License Number: 242514 of Date: 07/07/03 Phone Number: 715- 381 -1704 FY Q M f Signature: ' CF 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 83 -44 -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) 6.00 Site Slope ( %) 97.50 Contour Line Elevation (ft) 25.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 95.001 Dispersal Cell Length Along Contour (ft) = 6.32 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/fl?) 1 I Influent Wastewater Quality (1 or 2) Are the laterals the highest oint in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) C Center or End Manifold 3.16 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) = 9.38 ft /orifice 2.00 Forcemain Diameter (in) r 100.00 Forcemain Length (ft) Does the forcemain drain back? Y F 84.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) ✓' 13.92 Vertical Lift (ft) 59.65 5x Void Volume (gal) 2.51 Friction Loss (ft) 75.96 Minimum Dose Volume (gal) 20.97 Total Dynamic Head (ft) 34.46 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection RECEIVED in. dia. options choice in. dia, options choice AK 2 4 0.75 1.25 x 1. Q0 1.50 xFiklf y 1.25 x x 2.00 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information [f5 .00 Total Tank Capacity (gal) 1250.00 Septic Tank Capacity (gal) .00 Total Working Liquid Depth (in) WIESER Manufacturer .00 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter information 1000.00 Dose Tank Capacity (gal) JZabel 11 Filter Manufacturer 27.831 Dose Tank Volume (gal /in) IA100 I Filter Model Number WIESER Manufacturer Project: AMERICAN CLASSIC HOMES Page 2 of 12 Mound Plan View 1 /10 B n . J Observation Pipe : ::: — 1 K T ::: A W — ; ,..., I 3 >: «:< :. . .::.::::::: ................. . ❑ ...... L Mound Component Dimensions A 6.32 ft E 15.55 in H 1.00 ft K gift ft B 95.00 ft F 9.25 in z 9.39 ft L ft D 11.00 in G 0.50 ft J 5.56 ft W 600.00 (ft Dispersal Cell Area 1 1492.00 (ft Basal Area Available 6.32 (gpd /ft) Linear Loading Rate 1 9.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.19 (ft) ► -: G I " F ...r 98.92 (ft) L a tera l I _ Dispersal .Cell atera 98.42 (ft)� Invert Dispersal Cell ...,.Q ..:.:.:.:.:.:.:.:. D Elevation ❑ :.::::::::::::::::::::::::.. Q 97.50 (ft) Contour Elevation 6.0 % Site Slope Geotextile Fabric Cover Shading Key m �, I — Dispersal Cell See lateral details on ❑ _Topsoil Cap CL c 1.5 ft :.::::.:;:;:.;;•:::;:.;:.;:<:::;:::, ::.:;;•::::::.;.,:.:;;::.::.;;: Page 4 for number, size, Q ; Subsoil Cap w o ::❑ .:.:.:. # : .. .::. : :: ?:';:`:: and spacing of laterals. �a Laterals are equally ASTM C33 Sand ;:i;:;::::::;•. •;. ::::;•:;_:;;,:;. F Tilled Layer c 0.5 ft Typical Lateral spaced from the 5 Aggregate 5 :: distribution cell's ❑ ❑ 0 centerline in the A _`` :' :�� distribution cell (AxB). Project: AMERICAN CLASSIC HOMES Page 3 of 12 • 1 t Center Connection Lateral Layout Daigram Force main connection via tee or dross to manifold at any point. Laterals are identical J P 5 •= Turn -up wlball valve or I{ X — +-x02 I x1241 Laterals & force main of PVC Sch 40 al ea n out pl u g per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. 5�3 � Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.02 ft Lateral Length (P) 46.81 ft Orifices per Lateral 16 Lateral Spacing (S) 3.16 ft Orifice Density 9.38 ft /orifice Lateral Flow Rate 8.62 gpm Manifold Length 3.16 ft System Flow Rate 34.46 gpm Manifold Diameter 2.00 in Total Dynamic Head 20.97 ft Forcemain Velocity 3.52 ft/sec Dose Tank Information Locking cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and - 0 Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented LForcemain Alternate outlet ocation diameter WIESER Manufacturer 2 in. Capacityl 1250.00 Gallons Volume 53.00 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 8.15 432.04 B 2.00 106.00 C P ump off e levation (ft) C 1.43 75.96 1 85.00 D 12.00 636.00 D Total 23.581 1250.00 ' D� ose tank elevation (ft) 3" Bedding un er tank. 84.00 Alarm Manuafacturer LEVEL Alarm Model Number LVL1 Pump Manufacturer ZOELLER Pump Model Number 152 Pump Must Deliver I 34.46 gpm at 20.97 ft TDH Project: AMERICAN CLASSIC HOMES Page 4 of 12 Mound System Maintenance and Operation Specifications Service Provider's Name FEATHERSTONE EXCAVATING, INC Phone 715 - 381 -1704 POWTS Regulator's Name ST. CROIX COUNTY Phone 715 - 386 -4680 Sy tem 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 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 month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 ears 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 .. ...... • •_........... ............... .... / .... ......... I " .. �.. Grade v1 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 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 subj 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 tan shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assesse 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 a made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filtei shall be serviced if the alarm is activated continuously, Intermittent filter 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 1/3 the liquid volume of the tan the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the ne) 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 used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall 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 seed 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 soil compaction may hinder aeration of the infiltrative surface within the mound and sr compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mule as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOPI50 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 I Ct ctu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specifif in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flus 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 cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any le• above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency 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 pro operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repair 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 its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and re 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 Page 6 of 10 �7 - 1 . �-E.AUVCA' -p%CI` HEAD CAPACITY CURVE = f_,_I_AI A \� '_1,4 V; MODEL 152/153 - _ . ___ Cr UJ �Iw 50 le—, Gal L !o 153 — -- ,, I 29, j 12 6 f 231 /d 152 �- - -- -- -- — — o 1.5 ➢0; 61 73' LU r 14 167 J> 19 c, 30 - -- a a 8 - �i i 129 j I'a z 0 20 o , 4 -- — - 1d - -- I 014509 1 0 20 3 , ( 40 60 80 100 GALLONS ``�� � _ —I C' `1 LITERS 0 80 160 240 320 F' ►� -.:' FLOW PER MINUTE 1 3 2 CONSULT FACTORY FOR SPECIAL APPLICATIONS�`�'' • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with p l i an alarm. , ___ —' • Variable level control switches are available for controlling single phase systems. i • Double piggyback variable level float switches are available for variable level long and short cycle controls. t • Sealed Qwik -Box available for outdoor installations. See FM1420. _'" ; • Over 130 °F. (54 °C.) special quotation required. 1521153 Series �h _7521153 MODELS _��_ _ Control Selectio Model Volts•Ph I Mode _ _Amps Simplex D__uplex _N152 115 _ 1 Non 8.5 1 2or3 BN152_115 1 Auto 8.5 Included 2or' T — i � SK2� .__ . 1 E152 230 1 Non 4,3 1 2 or 3 f BE152 230 1 Auto 4.3 Included 2or 3_ N 153 115 1 _ on 10.5 1 2 or3 _ 8N153 i 115 1 Auto , 10.5 1 Include 2 o 3 SELECTION GUIDE E 153 230 1 Non 5.3 i 1 2 or 3 BE153 230 1 f Auto �5 incl i 2 or 3 1. Single piggyh ick variable level float switch or double piggyback variable level float switch. Refer to FM0477. o CAUTION 2. See FM0712 or correct model of Electrical Altemator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level ontrol switch 10 -0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float sy em. RESERVE POWERED DESI N For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAlL T0: P.O. BOX 1634 LouisvAle. KY 40256 -0341 Manufacturers of SHIP T0: 3649 Cane Run R d Louisville, KY 40211 Puasas • 57,vcE INW PUMP !O. (22) 778 - 2731.1 (800) 928-P MP http:!lwww,zoeiler.com FAX (502) 774 -3624 © Copyright 2000 Zoeller Co. All rights res ed. 07 /22/0 3 TCiE 12:12 FAX 715 386 4686 ST CRX CO ZONING z 001 Wisoonsin Department ofCommeroe SOIL AND SITE EV AL UATION Page 1 of 3 Division at Safely and Buildings in accord with Comm 83 -05, Wis. Adm: lCode awon m l By Riga Attach complete site plan on paper not Was than 8% x 11 inches in size- Plan must" County c � include, but not kniiad to: vert+ced and hwtvw tal reference point (BM), direction and ;` percent slope, Scale or dlmenrAns, north anew, and loca&n and d rstanoo to �P to pg al D. APPLICANT 114FORMAMN - Please Print alf ir:ir drmatfo ;� Dj Persand in CH.. & i0n Yeu Pm' n'ay be used rnr eem ndery purPOSM (PriyaOY LAW. Property Owner P ' Loeat W CA()0( Continen Dcvelopmelnt _ t,Ul tM 1/4 74 S 24 . T 28 N,R 20 W Property Owners Malling Address or 0 S M# 1 230 t Centr Avenue N Suite 230 _ Tra Village cit State Zip Code PhonaNumber El ck a Town Nearest Minn olis MN 55434 1 °�` Lindy Road New C="ction Use= ryj Residential 1 Number of bedrooms 4 ❑Addition to existing budding Replacement ❑ Public or commercial describe Code derived daily Pow 600 gpd Recommended design luarlrng rate 1.2 bed, gPdlfP 1 2 bench. gpdW Absvr Lion area required 500 bed, if 500 trench, W Ma)dmum design loading rate 1.2 bed, gpdr 1 .2 tr ench, gpdAF Recommended infiWation surface eleva lions) 98, ft (as referred to site plan benchmar Additional design I site considerations Parent material Wti as- over BW Rock Flood" elevation, ti icalble ft S= Suitable for system Conventional Mound In -Ground pressure AT-Grade System in Fill molding Tank U= Unsuitable for system ❑ S E u ® S cl a ❑ S NU ❑ s M U ❑ S ®u ❑ S E u SOIL DESCRIPTION REPORT Npth Borin F Domirrat Color Mottles Texture ;Consisten Boundary Roots eedrenc h 9* Munsell OU. Sz Cont. Color Cf. Sz. Sh. 1Oyr3 /3 - ; sir 2msbk mfr cw 2f 5-6 t0yr4 /4 ail 2msbk mfr' cw if 5 ,F Gro Ground _ 3 25 -3 10yr8 /3 ,BED'RX �T 96.43 ft Depth to - faoto ---� 25 Remarks: 1 0-7 10yf3/3 - sil 2rnsbk mfr cw 2f 5 ; 6 7 -25 10yr4 /4 - ail 2msbk mfr I cw 1f 5 i .6 T Ground 3 25 -32 10yr8 13 - BEDRX - - r - - elev 97 .18 ft Depth to ._ - J U 2 4 limiting factor 25 - -'- CST Nam (Please Print) Signature; Telephone No. Thomas C. Nctson 715- 246-2454 Address Date CST Number Ref # 1432 120th Sbnwt New Richmond, Wf 54017 12/29/98 227387 82 07 %22!03 TtiE 12:13 FAX 715 386 4686 ST CRX CO ZONING 002 �_ o „ i t a ._ SOIL. DESCRIPTION REPQRT 82 �� 3 By Design PRorwm PARCELI - GPUM Horizon ^D "th DomtnantColor Mottles Texture $bruGture � Onsistqnct:9oundary Roots —r-- in. Munself Qu. Sz C Ont Color Gr. Sz. Sh. Bed ! Tr>er1Ch 1 Qyr313 - sil 2msbk mfr cw 2f...T_ — 1 414 2msbk ow if 5 .6 2 7 -30 Oyr OW Grou nd 3 30 -36 7-5yr4/6 - is 2msbk mvfr cw 7 S 92.59 ft 4 36-40 1 oy r8 /3 - BEDRX to l limiting factor as -- ---r_= }—� Remarks: GtOUnti ^ � Depth In ' limiting fac6or l � Remarks: Ground Depth to W . limiting - � Remarks: _. Ground elev 1 ,. Depth to limning factor Remarks: —.�. - -- -— r - O op eft ��y j oolz 1 t" a,r �� ``• ` 7 4 / fj 41L rU J � I - 07122/03 TUE 12:13 FAX 715 396 4686 ST CRX CO ZONING 16 003 EN R N D 1932 t2�" STREET NEW M914000, WNW wsz 5" 4Y7WA* MW TROY BURNE VILLAGE — Lot " NW `l. SE L /+, SECTION 24 T 28 N, R 20 W Troy Township, St. Croix County, Wisconsin page 3 I o. erg. SCALE 1„ =40 Tom NeLsaon BSI 1. LOT CORNER TOP OF IRON PIPE ELEV. 100' 227387 BSI 2. w [ . r,, r_�'ac? � X � ?. sr � I 1 1 � • P y {. � ,.'S y .5�. 7� .. p� F �`��x .` .. t�� 1 i ��)` °! � ♦j °► �' Y {try - } �' "' ! ♦a.4: �1 t �� ��' � '� I -' z. �• ice:. . I .,' , � . . r X � a • Z 3 A V4 awwwv now e _ _ •'°I4 � + ' � o N �4g Sr r li t cm y A WIL lam. •iiAmmifahbW-A" j -r 4 - ~ _ Thursday, July 17, 2003 (9)-max � APPLICATION FOR REVIEW pOS , - Complete all pages- Solely & Buildings Division { } Check if confirmation is Desire& { } faxed, {) trailed Bureau of Integrated Services 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:lAvww.eommerce state.wi.uslSBlSB- PowtsRrogram.hbnf. NOTE: Personal information you provide may be used for secondary Confirmation of assignment to a reviewer. purposes [Pri vacy Law s- 15.04(1)(m), Stars -j 1. Private Sewam Submittal 2. Type of Submittal* System Type ( X) New Previous Related Trans. ID: ( ) Soil Saturation ( )Revision Estimated Completion Date: Dd errnination Report { ) Interpretive ( ) RepWwnent Assigned RevWvver. DaIwminabora f Addih ( POWTS System ( ) Petifim (attach form S813-91W) Assi : ( ) At rude ( ) Expakrrorat, approvals - _ _ ( ) Holding Tank Circle your choice or offices below: ( ) Nonpressurized In- ( ) Conipmmt Manual (IrdWe each Ground component manual name, # and 1. Next available appointment in arty office, 2 Careen Bay, 3. Hayward, { ) pressurized irr, date on title page of plan) 4. LaCrosse, 5. Madison T. Shawano, 7. Waukesha Ground ( ) tndNridual Site Design ( X) Mound ( ) Aerobic Treatment Unit 3. Project tr iformation - Fit in all Wiown information. ( ) Sand F',Itef ProjedlSite Name AMERICAN CLASSIC HOMES py - r?•�E' �� —$'" Pam Location, Number & Street of Project {if unknown, indicated nearest road) LINDSAY ROAD ,_„recirculating GOVT LOT NW1 /4 SE1 /4 S24 T28 N R20W ( ) Constructed Welland Legal Description ( } Drip tine county ST. CROIX vwago Town of TROY ( ) Other: Building Type {check aw): 4. After plans are reviewed, please: (check all that apply) ( ) Dwelling, t or 2 lan ky X Cam custome02, 3, 4 (circle nung y 'Defers to customer number from below { ) PublidCommercial " Requesting p ny will pick up Bulking State - carted Building Mail plans to customer 1, 2, 3, 4 (circle number)` € ) Gallons per flay b Complete the "owwM designer/orvnerh+equesfing irrbrmafion. Utilize the cheek boxes when desrgnw owner or requesting patty is the sarne to avoid repeating information. Designer Information Custorer i Mail To Part if different th an designer #Customer 3 Fast Name Last Name Gustnmer Number Fast Name Last Name c ustomer Number TODD FEATHERSTONE 242514 Company Name Company Name FEATHERSTONE EXCAVATING, INC. Address Address P.Q. BOX 467 City State Zip+4 (9digits) City State Zip+4 (9digits) HUDSON, WI 54016 Phone Number (area code) Fax or Internet cum ptu" Phan Number (areal code) Fax or Mtemet 715 - 381 -1704 715 - 386 -6885 612- 366 -4100 Check others il' applcable Check others it applicable ( 2 a owner Owner Intomaation (Customer 2) O Pleases Customer 4) First Name Last Name Customer Number First Name Last Name Customer Number AMERICAN CLASSIC HOMES Company Name Company Name AMERICAN CLASSIC HOMES Address Address P.O- BOX 4143 City State Zip+4 (9digds) city State Zip+4 (9dVils) HASTINGS, MN 55033 Phone Number (area code) Fax or Internet Phone Number (area code) Fax or Intemel 651 - 351 -0995 651 - 439 -3417 Check others if applicable (khan To) Check others 4 applicable ( ) Other ( ) t]ther MAKE CHIWK5 PAYABLE TO DEPT OF COMMERCE TOTAL AMOUNT DUE $ 175.00 Attach check here Re~ code 703 G. Plan Review, Fees for Private Onsite Wastewater Treatment Systems Type of Project (CIRCLE THE APPROPRIATE FEE BELOW) FEE 1. All &e thwit components are previously approved under s. Comm 84.10 (2) or (3): Design VVdW Wdter flew ul 0=;X0PUUW 3yblern: 1,000 gpd or less ..................... ... .................. . • -- ....... - -. _.. _. - $175.00 1,001 - 2,000 gpd ...... -- • ....................... .•- ..................... $225.00 2,001 - 5,000 gpd ....................... ........ ............................... $275.00 greater than 5,00 gpd ............ ....................... ......... •-- --.. -_ ----- ------ --- -- --- - -- -_- $300.00 plus $0.05 for each gallon over 5000 gpd 2. One or more treatment components are not previously approved under s. Comm 84.10 (2) or (3): (Individual site dea;grddoviartion from component manuals ad use of componwts vAliout product approva4: Design Wastewater flow of the proposed system: i 1 Wd or less ........... ............................ ........................5300.00 1 ,001- 2,000gpd .............. ............ ............... ................... .................$400.00 2,001 — 5,0W gpd VM 00 greater than 5,000 gpd .. ............................... .......................... ........................5500.00 plus $0.05 for each gallon over 5000 gpd HOLOM TANKS ONLY 3. Holding tanks previously approved under s. Comm 84.10 (2) (3 Design wastewater flow of the proposed system: 5,000 gpd or less ................................. ............................... ............... ....... ...$60.00 5,0W — 10,000 gpd ..................... .......... ............................... ........................$100.00 greater than 10,000 gpd ......................... ............................... ........................$150.00 4. Holding lar" NOT previously apprrrvW WXkf 6. Comm 54.10 (2) ut (3) acrd sAe c,v"ui:tW tanks Design wastewater flow of the proposed system: 5,000 gpd or less. ........ ... ... . ...... ........................$120.00 5,001 - 10,000 gpd ........................................ ........................: .....$200.00 greater than 10,000 gpd ................. ............................... . .. . .. ............ ....$300.00 Experimental System (addlllonal one time fee) ..................................... ............................... $300.00 Reftow to Approved Plan ............................. .................... . ........... ............ -- .............. Petition for Variance (tnclyde form SBD-• 9890) .................................................... 5225.00 . Revisiontoa a Pefifion for Variance ... ... ___ ............. ....................... ...E7S00 Soil Saturation Determination Report — Per Shoo (other than a proposed subdivision) ............. .....$100.00 Interpretive Determination Report .................................................. ............................... ....3100.00 175.00 Subtotal ............ ..................... Priority Review: Enter same amount as subtat al ... ............................... Prior approval (rare a sedion chief is mitered for a pprinrdy review. If approval is granted, the priority will be reviewed within 6 days of receipit. Enter TOTAL (rounded to the nearest dollar) here $ 175.00 and on bottom of FRONT PAGE Note: Fees are pursuant to Ch- Comm 2 and are subject to change annually; please contact any of the offices listed below for the most recent copy of this form. Comm 2 provides for a partial fee refund if a plan action has not been taken within the 15 days of receipt of all required information. T. Appaoiatment, Schs "rig preformation, and Plan Submittal Checklists. POWTS scheduling is root available. Plans will be assigned to a review after receipt or plans. If you v ish to recehre confirmation of the assigned reviewer and estimated completion date please check the box in the upper right comer of the front page. Also note in the same location that you can designate a specific office for review. If you select a specific office your estimated completion date may be considerably greater Won VOW would be possible in another off ice. Submittals received without a specific office IndtalAd On the form may be assigned to offices other th an the receiving office depending on reviewer availability _ To obtain a subs clwidist cad the malorlal order untt at 800 - 266.181 8 or one of the full service offices listed bek w. You Firer email rechntcal code questions to wt onwnerce.state -wi.us Madison S&SD Hayward Sa80 LaCrosse S&80. Shawano SAM Green Bay S&M Waukesha S&SO 201 W Washington Ave 10541 N Ranch Rd 4003 N "mey 1340 E Green Bay 2331 San Leas Piece 401 Pilot Court 537()3 Hayward Wr 54543 Coulee lid Shawano WI 54156 Green Bay. WI 54304 Waukesha WI 53158 PO Box 7162 715-634 -4670 LaCrosse Ail S 601- 715 - 5243626 920-492- 5601 262- 548 -81300 Madison WI 53707 -7162 Fax 715 -634 -5150 1831 Fwr- 715-524 -3633 FAX: 920-402 -5604 Faar. 262 - 54&&14 W8- 266.3151 Email: 108. 785-9334 Email: Email PlanSchedute@ Email PtanScheduie@ Fax: 608267 -95W Planscheduio@ Fax: 6W785 -0330 PlanSeheduleCb conrnrerce.statemWe commerce.etate.wime TDD 6013- 264-8777 commerce.state.wi.us Email: cornmerce.stale.wims Emil: PlanSc hedule@ PtanScheduh* eorrrrieree_sthte -M -us commerce.state.wims It a POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pa 1 of 2 F)icE )fyFOFIM TION SYSTEM SPECIFICATIONS Ovuner AMERICAN CLASSIC HOMES Septic Tank Capacity a l ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacture ❑ NA Number of Bedrooms 4 ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity al ❑ NA Estimated flow (average) g al/da y Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer ZOELLER ❑ NA Soil Application Rate .5 gal/day/ft" Pump Model ❑ NA StOP4*4 Influent /Effluent Quality Monthly average" Pretreatment Unit J"A Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel filter ❑ Peat Filter Biochemical Oxygen Demand IBOD 5220 mg /L ❑ NA 13 Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD :530 mg /L ❑ In Ground (gravity) ❑ In Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade X❑ Mound Fecal Coliform (geometric mean) 510 Cfu /1OOml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: �KNA Other: WNA Other: 4NA "Values typical for domestic wastewater and septic tank effluent, Other' A�rNA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tankls) At least once every- ❑ month(s) ' .5 l� earls) (Maximum 3 years) ❑ NA Pump out contents of tankls) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA years) Clean effluent filter At least once every: ❑ month(s) ❑ NA 51:�year(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) 13 NA 13 year(s) Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: ❑ monthis) At least once every: ❑ year(s) 4KNA Other: cW-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 tankls) 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. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) Page 2 of 2 tTA AND OPERATION For, new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that May impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of 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 cel((sl 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 —A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Named Name FEATHERST Phone �l ?©1-101 Phone 715 - 381 -17 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name PINKY'S Name ST. CROIX C OUNTY Phone 651- 436 -5788 Phone 715 -3 This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.5411), (2) & (3), Wisconsin Administrative Code. • . ' f •� . 4 >> . , �� w' -� , �� � \``�` ���``�� �� Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 Division.ofSafi;jani9 Buildings in accord with Comm 83.05, Wis. Adm. Gods ' Environmental Ey Design Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County , include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to ngarest roa — - n � , Parcel 1, I».4� APPLICANT INFORMATION - Please print all inforntatra Re wed B Da Personal WFonmMon you provide may be used for secondary pub (Privacy Laws 1 (1) r1 Y Property Owner tom rty Locato COX Continental Development of wrOi.l9 , 1 /4 &I '%4 S 24 T 28 N,R 20 W Property Owner's Mailing Address IN I u c or CSM# 12301 Central Avenue NE Suite 230 TMIM Village city State Zip Code PhoneNumber u City Vllfa6e Town Nearest Fbad Minneapolis MN 55434 MY Lindsay Road yl New Construction Use Residential / Number of bedrooms 4 Addition to existing building ❑ Replacement Public or commercial describe Code Derived daily flow 604 gpd Recommended design loading rate 1.2 bed, gpolft 1.2 trench, gpdffls Absorption area required 500 bed, fly 500 trench, ft? Maximum design loading rate 1 . 2 bed, gpd/W 1,2 tr ench, gpdfft Recommended infiltration surface elevation(s) 98' It (as referred to site plan benchmar Additional design / site consideration Parent material Loess over Bed Rock Flood plain elevation, if applicable ft S= Suitable for s y s tem I Conventional I Mound I In - Ground Pressure I AT - Grade System in F11I I Holding Tank U= Unsuitable for system ❑ S N U N S 1 U f ❑ S N U ❑ S N U [IS N u I ❑ S N U SOIL DESCRIPTION REPORT - um Depth Dominant Color Mottles Structure PD/f ! goring# Horizon in I Muflseii I Qu. Sz. Cant Color ' Texture I Sz. Sh. (Consiste Boundary I Roots I Bad Trench 1 I ii -7 1 10yr3T_3 I - I sil I 2msbk I mfr I cw + 2f I 5 G 2 7 -25 10yr4/4 - sil I 2msbk mfr cw if 5 6 , 5/ Ground 3 25 -30 10yr8 /3 , - �BEDRX J - - - - I - - --- elev I I I I 96.43 ft Depth to limiting factor I I 1 25 t. Remarks: 2 1 0 -7 10yr3 /3 - sil 2msbk mfr cw 2f 5 6 . S 2 1 7 -25 I 10yr4/4 - 1 sil 1 2msbk I mfr I cw if I .5 .6 J Ground 3 25 -32 10yr8 /3 I - I BEDRX I I - I elev 97.88 tl Depth to limiting 1 I 1 I I I I I 1 factor I I 1 1 I I 1 Remarks: CST Name (Please Print) Signature: Telephone No. Thomas C. Nelson �� �`` 715-246-2454 Address Enviromnental BY Sn Date CST Number Ref# 1432 120th Street, New Richmond, W1 54017 12/29/98 227387 82 PROPERTY OWNER: Continental Development SOIL DESCRIPTION REPORT ® Page 2 of 3 PARCEL LYA k Environmental By Desi Depth Dominant Color Mottles Structure GPD/fF Horizon in Munsell i Qu. Sz. Cont. Color Texture Qr. Sz. Sh. consistence Boundary Roots Bed Trench 1 0 -7 10yr3 /3 - sit 2msbk mfr cw 2f .5 .6 2 7 -30 10yr4 /4 � - I Sit 2msbk mfr , c w i f 3 ' .6 )^ Ground elev 3 30 -36 7.5yr4/6 - is 2msbk mvfr cw - ? 8 . �- 92.51 ft 4 1 36-40 1 10yr8/3 - BEDRX - - - - - - Depth to limiting factor 36 Remarks: Ground elev Depth to I I limiting I I factor Remarks: Ground i i i i i i i i elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor i Remarks: ENVI"PONAERTA �Y 0[51 1422120'm STREET, NEW PKAOND, Wi ORI N IN 5AVO 6y 110 NE�soN ?l5 146 -1459 TROY BURNE VILLAGE —Lot NW' /4 SE Y4, SECTION 24 T 28 N, R 20 W Troy Township, St. Croix County, Wisconsin Page 3 O VII\ A r� S l 1 acne. SCALE 1" °40 Tom Nelson BM 1. LOT CORNER TOP OF IRON PIPE ELEV. 100' 227387 BM 2. VqVl� Sar4acf neXf 'T posf Grn 3 T u p v� S Pi K e w1 4 { llo w rAbon [KViP0KA[RTAL �Y Of5i6K 1432 120' STREET, NEW RICHMOND, WISCONSIN 715 -246 -2454 Tom Nelson Certified Soil Tester 227387 -- Registered Sanitarian SR00713 TROY VILLAGE — Lot f NWV4 , SEV4, SECTION 24 T 28 N, R 20 W Troy Township, St. Croix County, Wisconsin Page 3 L 2S W ell se ba ck fi�C'L �� A w 5 ' 3 S SCALE 1" =40 Tom N on P PP BM 1. To of iron pipe NW lot corner ELEV 100 � BM 2. Ground surface next to T Pa st ELEV 96.01' BM 3. Top of spike w/ yellow ribbon Elev 98.62' f ,•;� 4:omm 83.23 tV(tiCC7NSfN ADNINfSTRAH%E CODE 38 Unofficial Text fty °� L'r�ute<3 �'ninr.,r . ur rant thrut,j!h dace anr! t {e,,i.ic, shown on'rille Page. CL i 1] U r •� t ,f ,.,.� j� e1► „ r ar LL. tia N O ,t _ W Cl w 3 n cu o d CIO �� d -C O M` � O ki u 3C O O 06 U 0 C O See ?n�[d Vatus:...x iteti,�r� S From: To: KEVIN Date: 8/12/2003 Time: 2:40:00 PM Page 2 of 2 JU 3 20:26 CONTINENTAL DVLP CDRRP 763 757 2532 P.01i01 tIT CROIX COUNTY SWnC TANK MAIN'I'E "CE AGREEM "T AND OVIN�'.� W CLxTJHCA -n0N FORM Oo MA3uyer Troy Devel o ment C r 1Vldit A &m 11800 Aberdeen Street N. E. 5 e Blaine M _ CCAAO Propaty Address (Ycrificationroqukvd f>oom Pk=W DepUUPWt caY /State Troy, Wisconsin Parcel. Identification Number 0q0 1/ 2.,5 7 (� XgA 4� PcopatY Location .._ ._ VA. V.S. Sec. _ T g LN R2-- W. Town of Lot # Subdivision --T4jL CesWed Survey MAP # Volume , Page # l `sW► N- Warranty Deed ' ' Volume Page # Spec bouse 13 yes C] no Lot lines ide ndfiable G yt;S 0 no tailut:e to humus washes- Proper ime candsts etas cad Hof yost<ae�ptie system caald resale in its pt taro � ry of pu o g out 81e st ptie l tank every tbtm Maus or wo0a- if needed by a lic=wd Pint � Y" Put can affam the functim of the septic tank as a treatment stage in the w"Im dispotnl SY52""L to submit to St. Cmm Zoning Departmad a ou ncation form, aped by dw owner and by a y p �� r�dq+ed plumber er a liomsed pamper vC1t� tlM (1) the on-d4s vrasWv WrdispoW r"Y+b is i n, opasting conditiCCondition "Of (2) crest iaapea6o n and p�+Pft ( If neces guy), dw septic tank is Ion tban 113 full of sludge- . s s pt�oper � � the sdadssds ywc, the umdea4 wd have cvad the above � cad. ag:ee to mahtmin the pdv+m sewage disposal tioa sex Lomb, b as by Of sled the of Natutral P-950=0416 Guufle� . so ft **t YMU c text has been maintained be completed and tetamed to the SL Ctoix County Zoning t3�cc within 30 days of the thtva year expiration date. �j�Vj Q�,3 _ ' �� DATE SLGNICIVRE OF APPLI CANT OWNEIit C$RTIFI IL- ki I (we) Certify that al! statemoata on this tarn are hue to the best of my (our) knowledge. I (we) sue () O°PnslKs of the; property deacn'bod above, by virtue of a warranty deed moor&d in Resister of Deeds Office- FATS SIGNATURE OF APPLICANT -7 � 00 Any info s %tion that is uig q presented may watt[ in the "Wtuy pmt being revoked by the Zoning D t. a�a•�� 04 bclude with this applicstloa: a stamped warranty dood from the Register of Deeds of&'4 a copy of the certified survey [sup if tefecvvice Is mado in the watsanty decd MTAL P. 01, From: To: KEVIN Date: 8112/2003 Time: 2:40:00 PM Page 1 of 2 FACSIMILE COVER PAGE To: IO W KEVIN From Sent : 8/12/2003 at 2:40:00 PM Pages : 2 (including Cover) Subject : THIS IS FOR LOT 108 AKA AMERICAN CLASSICS, TROY DEVELOPMENT AND CHARLES COOK. N .... 1/4 SE C T2 R 2 / st�z� _ ls.F ' UNPLAT TED _LAND 104 1.055 45,975 103 o 1.649 ACRES ' / 71,828 S.F. X0 0. 6� r 105 AC 102 � /� /.� •, 52.329 SF. 1.340 ACMES / / 58,390 S.F. l o o , / 106 , 1.243 AS i /� 54,128 S.F. C) + Iddod ourLor 12 / �, /J p 9.044 ACAS , A: 1 393.968 S.F. 2.1 10 ACRE / / �� 1.300 ACRES , 4 43 . 5 6 Q = �1 91,627 S.F, , 1 $ S.F. Nw -c-d „ 113 / N 1.026 ACRE C tio• w Z�c! i� 6 �q ''� -_ � � ' [ 44,674 S,F, fl I qt . 108 1.385 A CRE / 60,3 io s F. S h h \ 100 100' 112 t , 1.059 AC;iE; i S.F. I ACRES 78,868 t 4E, 122 S F. r / \ / '� / N e5*W 00' E 3.3 ' i 109 e • mac ''/ / / ` ( \ 1.581 ACRES I t 68,854 S.F. 11 1 1 '\ 1.009 ACRES / Q / /• 1 � 43,946 S.F./ , / � / s 9 CRES � 1.401 A CRES ` \ ' ' 1` ' 8 ?. 61 \ ti 02 . 9 S.F, \ 110 000 ACRES / S - F. OF sEmn ELEV, i d / z \ �� b. `• V / / 2.760 AO I ?" ♦ w 1 �• >. 4 / 1 20,223 ! 6 f 98 1.3819 7 1 —• � A CRES 1.425 ACRES g 60,148 S.F. 96 • Z94D � ' 62,066 S.F. 1 : 1.006 ACRES TOOK 07 / 43,824 S.F. t 1 1.f;0.4 ^ ' . PONT OF I 1 43,742 S.F. S /� �, ' 11 8 BEGfi*', X 1 1 . I , Al 1 1 f 9e.» j_ .632 ACRES ti / 71,083 S F. 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