HomeMy WebLinkAbout040-1291-60-000 W iAonsin Department of CfV7merce County:
Safely and Building Division PRIVATE SEWAGE SYSTEM St. Croix
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 453023 0
GENERAL INFORMATION State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. � m
Permit Holder's Name: City Village X Township Parcel Tax No:
Troy Development Cor oration Troy Township 040- 1291 -60 -000
CST BM Elev: Insp. BM Elev: BM D ti on: r Section/Town(Range /Map No'.
6 ��Y1 ' 24.28.20.1663
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic /ao ` 1 Ben�hmar - Z ��s g� - OU
Dosing V Alt. BM
Aeration /0, Bldg. Sewer
rtSerrs ! D O 5� Z
Holding St t Inlet
TANK SETBACK INFORMATION S t Outlet_ c� 1 74 g'
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD DtIr
�
�
Septic N � / y f s , Dt Bottom
Dosing yJ lD Heade /Man. g
g �Aiw.2 cc/y ( 1 1z
Aeration Dist. Pipe 1 g
2 - 3S
Holding Bot. System 1 q .'L
Final Grade
PUMP /SIPHON INFORMATION $- v
Manufacturer Demand St Cove
Model Numb
TDH Lift Friction Loss 'tem Head TDH Ft
Forcemain L Dia. Dist. to Well
SOIL ABSORPTION SYSTEM _ (
BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS ? / Z� �'
SETBACK SYSTEM TO P/L BLDG WE L LAKE /STREAM = UBER Ma ctur r
INFORMATION r /�
Ty Of System: n
((/"„( 1 I Model Number
DISTRIBUTION SYSTEM
Heade anifoY 3o Distribution x Hole Size I x Hole Spacing Vent to Air Intake
N
Pipe(s) / 2 - U4 —7 ��"
Length Dia Length Dia Spacing
sb
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
BedlTrench Center ) 3 ���yy� Bed/Trench Edges Topsoil i
�lJ O • Yes No Yes 1N,
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:/ / /O Inspection #2: / /
Location: 321 Lindsay 1 Road Hudson, WI 54016 (SE 1/4 SE 1/4 24 T28N R20W) Troy , Village 5th Addition Lot 1,3/5 Parcel No: 24.28.20.1663
1.) Alt BM Description=
2.) Bldg sewer length = ►1 +I-
- amount of cover
Plan revision Required? � !Yes I No
Use other side for additio al information.
SBD -6710 (R.3/97) � U� r L30{lW v Date Insepctor's rture Cert. No.
�r 7V l f � `
I
` Safety and Buildin County
201 W Washington A e., P. x 7082 nary P it Number (to be Sued in by Co.)
Madison, WI 5 07-7082
�sconsin (608) 261 6 53 023
Department of Commerce 7 P Number _
��
Sanitary Permit App lication
mforrmtton you pro de N�
in accord,.iLh Comm $3.21. mss. Adm. Code, peso Z�' o'ect Address (if diffa=[ [hart 1' 8 address)
may be used for secondary purposes Privacy law, 515.04(l)(m) 3 Z I u D S Q P
I. Application Information — Please Print All Information V0 _
Parcel # Lot # Bieck-N^
Property owner's Name
r / Property Location
Property Owner's iling Address
—rF— ' /.,5�g%., Section
2
City, State Zip Code Phone Number
` < f �inc
/ T N; R E W
Z, 0,,P2eF0wwjy f Building (check all that 9PP subdivision Name CSM Num_bet
Dwelling — Number of Bedrooms — S/
❑ PubliaCommercial — Describe Use LA ' s ' t
❑City it of
❑ S tau Owned — Desenbe Use
III. Type of Permit: (Cheek only one box on Une Complete line B if applicable)
A. w System Replacement System
Trelitmenr/Holding Tank Replacement Only ❑ Other Modification to Existing System
❑
B. ❑ Permit Rmewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New
List Previous Permit Number and Date Issued
Before Expiration Plumber Owner
IV. P C of POWTS System: Check all that a 1 6 S
on— pressurized in -Ground [I Mound > 24 in. of suitable soil ❑Mound <24 in. of suitable soil [3 Crr
At- ade ❑Single Pass Sand Filter ❑
Constructed Wetland ❑ Pressurized ln-Ground ® Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Racirculaff.g Sand Filter '
Recirculating Synthetic Media Filter hin Chamber
❑ Drip Line ❑ Gravel -less Other (explain
V. Dis ersal/Trestmeat Area I formation: S 1 Area Propos (sf) System Elevation
Design flu Deign Soil Application RateWast) Dispersal Area Required (st) lx
l 9 t S. �.
Ca in Total Numbs O M ufacduer Prefab
VL Tank Info Site Steal t Plastic
n Concrete C cted Gass
Gallons Gallons of Units
New I Existing
Tanks Tanks
Septic or Holding Tank Z
Aerobic Traw —at Unit
DosiaL Chamber
VIL Responsibility Statem t 1, the unde oed. assume responsibility for installarion of P S shown on the attached plans. 1 `
Pd a Name (print) P i s Si gtisuure ��C �J fiusi Phone Numb "6—
Plumdre eet City, State, Zip
� }
1Q/
VIII. CouatyADepart ment Use Onl
roved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued ssui Agent Signature o Stamps)
APP Surcharge Fee)
r _
C3 Owner Given Reason for Denial
2 5�
I
IX. Conditions of ApprovaURessons for Disapproval 3) �,Q y v�p,. _ _ b C
SYSTEM OWNER;
1 Septic tank, effluent filter and
dispersal cell must all be serviced I maintained G,n�a•��S n �.�� r �p i ,
as per management plan provided by plumber. V'
2. All setback requirements must be maintained
as per applicable code /ordinances
Attathtompkte pleas (to the County only) for the system an paper not less than Ell2 1111 lathes In size
SBD -6398 (R. 08102)
PLOT PLAN
PROJECT Trov Development Coro. ADD SS 11800 Aberdeen St. NE #100 Blaine Mn 55434
SE I/4 SE 1 /4S 24 /T N /R 0 W TOWN Troy COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE3/9/04 BEDROOM 5
CONVENTIONAL )00( IN -GR ND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000/630 LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1119 # of chambers 36
BENCHMARK V.R.P. Top of 1 " iron pipes ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE O WELL * H. R. P. Same as Benchmark
Vent
SYSTEM ELEVATION 886.6/886.2 3' below grade
ALo Standard Biodiffuser
Leaching Chamber
with 3 1. 1 ft2 of Area
Plans Desi gned Using y
Grade at System Elevation Conventional Powts yr
34" Manual Version 2.0 L
130' Property Line ,f b
Well is to meet all
setbacks required by
Benchmark location is unknown WDNR 3(1010
based on plot plan, also no
alternate benchmark was 100'
provided as per county code!
Contours and exact system
location will be determined at
time of installation, V`
100' due to lack of resonable
contours and undefined
slopes B -B
l•
-C 75 '
To be >5 from
Vents 2 -3' X 113' Cells property line
b , 25' with >3' Spacing
l 300'
i B -A Property
V Line
�
Combo septic tank
24P os
Bedroom
300' Property Line House
Lindsay Road
r���
PLOT PLAN
PROJECT Trov Development Coro. l ADD SS 11800 Aberdeen St. NE #100 Blaine Mn 55434
SE 1/4 SE 1 /4S 24 ANDPRESSURE : 0 W TOWN Troy COUNTY ST. CROIX
i
MPRS Shaun Bird 226900 DATE 3/9/04 BEDROOM 5
CONVENTIONAL XXX IN -G CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000/630 LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1119 # of chambers 36
IL BENCHMARK V.R.P. Top of 1 " iron pipes ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
Vent
SYSTEM ELEVATION 886.6/886.2 3' b elow qrade
>6 Standard Biodiffuser
of Cover
Leaching Chamber
with 3 1. 1 ft2 of Area
6' Long 11 " Plans Designed Using 5
Grade at System Elevation Conventional Powts
34 Manual Version 2.0
5�
130' Property Line
Well is to meet all �n't
setbacks required by
Benchmark location is unknown WDNR / d on plot plan, , also no
o �o`� '
, (i
ba s � s
alternate benchmark was
provided as per county code!
100
Contours and exact system
location will be determined at
time of installation, Vents
100' due to lack of resonable
contours and undefined
slopes B -B
-C 75'
To be >5 , from
Vents 2 -3' X 113' Cells property line
25' with >3' Spacing
300'
B -A Property
25' Line
Combo septic tank
20'
ro 5
Bedroom
300' Property Line House
Lindsay Road
Wisconsin Department of Commerce SOIL EVALUATION REPORT Pape -_ L 3
DMabn of Safety and Buildings
In accordance with Comm 85, Wis. Adm, Code
Attach complete site plan on paper not less than 8 112 x 11 Inches In size. Plan must County - 'r X01 V
Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel 1,0,
percent slope, scale or dimensions, north arrow, and location and distance to nearest road, N I Z9 1 -- Go - 000
plaase print all Information. R swed by Dato
Personal Information you Dravida may be used for secondary purposes (Privacy law. a. 15.0 (1) imp.
�0
Property Owner Property location
00,A) -1 1 rJ L J 1 A V-- t- \)I-LC 4' U47 CC *t-e• SC 114 5iE 114 S 2� T �Z$ N R E W
Property owners Msliktg Address Lot # Block 0 Subd. Name or CSM#
I i 9 01D A ( - - tom: C. L - t� )'I v� • r 1, E . S U t t E. 102 135 '[ I:CO\I
city State zip Coco Phone Number ❑ City E] MIlage A Town Nearest Road
A I 5`D 44 ( )75 7- '754gV 'T KO X�, QAI;
New Constnrclson User( Resldenbal / Number of bedrooms _ Code derived d,,Ig, Row rate QQ GPD
❑ Replacement ❑ Public or commercial • Describe: - -7 - »-
Parent material 0th `j W 'A ` t t Ilood Plain elevation if applice a ^�� - _ -.-. R•
General cornMents
and recommendations: Co>J UE/JTIpr�A L `it2> OCT 1 4 2002
0.7 t._oAOtf�r, R��6
ST. CROIX COUNTY
OFFICE
❑ Boring
Boring # )u{ Pit Ground surface elev. _ $ UAP— ft. Depth to Ilmking factor ::Z� in. Soil ical)on ate
Horizon Depth Dorrdnant Color Redox Description Texture Structure Consistence Boundary Roots
In. Munsell Qu. Sz. Cont. Color r. Sz. Sh. •Eff#1 'Etf#2
>1
Z n - IQ Ip K- ?-A _ !. z _�_ab rn Zrh
3 r0 -rZ OV y S f.
�-
5 ► - ra vrc y 5 z-
(� 3Z - — PA
7 0 �
❑ Boring (+a O L 40 G C. eo n & ft. Depth to limiting radar _ in.
pit Ground surfRCe elev. _"1 Soil Ilcatlar Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fr
in. Muncell Qu. Sz. Cont. Color Gr. Sz. Sh. •041 'EfIN2
I - (o RZ I L f bi s(Y 1\F(- rYX D"s 0.
0\Ave -' S 0 r+\ 5
3
rI
�O Z X15
t6 `(
• Ettluenl itt BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 s BOD 30 mg1L and TSS' 30 mglL
CST Name (Please Print) Signature CST Number
.1 F! t_I sr l- r. fo ZZ 4$3Z-
Address J ate Evaluation Conducted Telephone Number
W9115 I.Qo��A�e, RIVE f t15 WT 5402Z p9 -oz - oz— L y�.b -1"17S
Z
propwtyOmner S4_N 1 1 r l� �Tff�L 1� VEL Parent 10 0 QHO Peq"
Bortrq a 141 Pit around auAuon ntay. t • $ A. Wqd+ to tfrnlW)q low ton Rata
Horizon Deptn Don)InantCobr RadgaOuvlptlon Tatdtw 8ltKitn Conalaier" 8oundey Roots ,FOftI E
In. Mundell Qu. Sz. Cont. Cow
0 -l� IO Rat -- X11 _m-5b m4{ - cb 34•m 0. 0,8 •��
M 0. rn� t^
s bs -f o. J.z
3 Jb 7. � - �
y ?? 10 y �-
S 2q 3 QY' Phs l Gt'�
_9 3
El °
M h.
❑Pit Ground turtnu e1ay. � A. DaWh to nrnhhp Ucta 5d non Rats
Taxwm Structure Consialenu Boundary Roots GPM Houton Depth Dominant Color Redox D"cAptlon •t:fntt •E1102
In, Munsol Ou, Si. Cont. Color Qr. Si. SK
[) � I n
SO' � ❑ pit
Ground awtua a►ay. -,-__, _._ n. Depth to slmittnp factor g tJon Rata
El Cakuncn 89undery Roots G
Horitcn Dapm Dominant Col Redox Doswipaw Texture we u
'Eltlli 'EtWl
In. Munsell Du. St, Cont. Color
Gr. St. SK „
I ,
EftwN RI Soo 3o : S 220 m.WL and TSS 2, 30 ISO MV& ' Ellhwd R2 " BOD, c 30 myL and TSS 130 fr9k
The I)cpartment of Commerce is an equal opportunity service provider and employer. If you need ■asistance to acct ss scrvlcel or
need material in an ahcrnate format, pleuc contact the departmenl at 64!!•266-315 or TTY 608
faPl)>+iR.�M)
t
k • PLOT PLM
PAGES 3
-10
Coo i�NTA L l - tNi -
Q • " :r ROM I
Oil EIrT
T24N ZO
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' No CO MM 85 %Va PRODLEM5
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o + lie
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7,3
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2-4 SIGit D Of
224 8 Z
plHi�f �1r DK.,. VAfE: aQ- p,� -o
Wisconsin Department
Relations Industry
Labor and Human SOIL AND SITE EVALUATION. - REPORT Page I of
Didion of Safety B.Buildings in accord with ILHR 83.05, Wig. -Adm. Code
'A COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. plan must include fit`',,` ST ' C-'% Lx
not limited to vertical and horizontal reference point (BM), direction and %' f slope, scale or PARCEL I.D. If l,u r
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION'' """D BY _ DATE
PROPERTY OWNER: PROPERTY LOCATION
CO U�T1 1J -- EAR S
� L�l.U� w► T �►� 1/4 ,' 1/24
PROPERTY OWNER':S MAILING ADDRESS • LOT# BLOCK # SUBI)-N�AME OR CSM #
\Z3 �EhTCR1tt Aug N.e . *t 1.3 \Z.y — - t 63 y VLu_ftGE JAM t) .
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE RrOWN ' NEAREST ROAD
e Lrn ru N ss 43y ( ) T1z -opt Ltnms>°� -t
[XI New Construction Use Residential / Number of bedrooms y [ J AdditiQn to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow 0 gpd Recommended design loading rate — bed,
9 9 gpd/ft • 8 trench, gpolft
Absorption area required 8 S$ bed, ft - )SD trench, ft Maximum design loading rate •'1 bed, gpd /ft $ trench, gpd/ft
Recommended infiltration surface elevation(s) aoT>c1 112�UCF#�S� (as referred to site plan benchmark)
Additional design / site considerations S� - M 1 hl ST LLQTZ Cyv L� frGE 26 ,
Parent material LO 14—SS oU �XVC_ GL tl?r _ OyTwf\-S N ' Flood plain elevation, if applicable N A ft
S = Suitable for system I CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILLJ HOLDING TANK
U = Unsuitable fors stem I N-S O U &S ❑ U I RI S ❑ U aS ❑ U 0 S ❑ U ❑ S Lou
SOIL DESCRIPTION REPORT
�orin 9 # Horizon Depth Dominant Color Mottles Texture Structure Consistence Barrlaryr Roots GPD /ft
. Y in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. I Bed Trerxfi
Z c.�g t� — .S •6
Vn —
'�-
Ground 3 L1S -11 3/ y S g O S m — •- L ��
elev.
8 V-1 ft.
Depth to
limiting
factor
Remarks:
Boring #
o`t� �otitz 3!2 - LM'3 cQ h S .6
h g A
Ground x-11.8 7.S YR �/y - S 6� C) S9 n1 — •l .8
elev.
y ft.
Depth to
limiting
fa ctor �
Remarks:
CST Name: Please Print Phone:
Arthur L. We erer 715 - 425 -0165
egerer Soil Testing & Design Service -P.O. Box 74 River.Falls,WI.54022
Signature -
\ Z4 Date: t I _ CST Number: .
Z.9_� 220254
PROPERTY OWNER C.U►-MQkbA' , bk`l►, SOIL DESCRIPTION REPORT PageZof
PARCEL I.D. # J.Ip) /v G
ri g # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ftif
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh.
.:..: ~: r »,;• Bed Tmn
Z 10 -10 10 `ty 316 - S 1 1 1 S �� t�►1 'F4- �S - • Z
Ground 3 30 - 1Zl - )64Vt 31Y —
elev.
8 30.9 ft.
Depth to
limiting
factor
7
Remarks:
g #
Lz - s l t Zr s ► k 4A
Uj
2 4VL r '
Ground 3 6 - 7 S 1 1 P- 3l Y _ CS Ot Gh O S5 1 �S _ •'1 -�
elev. z -lZ3 10 LiVL VIL , . S F[ G►- CC) sg M't — .� •6
X 3.4 ft.
Depth to
limiting
factor
> L
Remarks:
#
sit a wl s 1) C(A el - • Z z
>> C >'` ►D- o �0'� R 3L
S ZJ vi s 61t Yn`�, 6 S _ • S .
3
Ground -17 - j.S-/l2 V/6 C) S9 m ` cS — •`l •8
elev. 4 1 ')-12) I-S LlR 31 y � C) g
8 9
Depth to
limiting
factor.
Remarks:
3oring #
around —
,lev.
-
)epth to
imiting
actor
Remarks: _
�• PLOT PLAN Page 3 of 3
SCALE 1 "= 50
a
I � LET l"t.S
a
8 N
I
80
I � o
A,
a
Qs' cn
8�1 — tn.8g3• 9'
Ok rQ Lam �zy
e7
11_v_;S•T�tit�= Z:= .. :`TCZ.L.1Ctl�, ��tf-- :3'X- '1_'S� LC�_C�W� ,�,A tC�
�{lGE{ _��'(1?l�Liy- S�t�� vtN��TR- �'Yre- 1�- Lt3N1Zs • ��
9.9 - Z9.-- k
715 ) 425 -w 65
CST Signature Date Signed Telephone No. CST #
Wi sconsin and H uma n Rel uPa In dustr y ,
La bor and H SOIL AND SITE EVALUATION REPORT Page I of 3
Rel
D' ision of Safety ? Buildings
in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. L,v 6
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY _ DATE
PROPERTY OWNER: PROPERTY LOCATION
C.b 1 - 3- TL VJ r._1CV1 :WN ( ?ZrL . —6 Gkq. 6(;; S E 114 SE 1/4,S14 T Z`d ,N,R Z•0 E ( W
PROPERTY OWNER':S MAILING ADDRESS. LOT # BLOCK # SUBD. NAME OR CSM #
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [MOWN ' NEAREST ROAD
a �n-t r�, , wl ry Ss q &q ( ) TQ-oY W K-)Srwt �f�p
(XI New Construction Use [aQ Residential / Number of bedrooms y (j Addition to existing building
j J Replacement (J Public or commercial describe
Code derived daily flow b o 0 gpd Recommended design loading rate - bed,
9 9 gpd/ft • Q, trench, gpd/ft
Absorption area required 8SV bed, ft - )Sb trench, ft Maximum design loading rate •-) bed, gpd/ft • $ trench, gpd/ft
Recommended infiltration surface elevation(s) &Tl4 ft (as referred to site plan benchmark)
Additional design I site considerations SQ:t ) ZQ71E - TIZ I hJ STit'LL'ef OKj 1;�frc�� 3 ,
Parent material LO \�SS oU kllc GUrSeat't' 0 N' Flood plain elevation, if applicable tJ A ft
S = Suitable for system I CONVENTIONAL I 11 MOUND IN- GROUND PRESSURE I AT -GRADE I SYSTEM IN FILL I HOLDING TANK
U =Unsuitable fors stem ELS ❑ U ELS U ® S El U CAS 11 I-] El U 0 S U S 0a:
SOIL DESCRIPTION REPORT
ttl
M
l
th Dominant Color oes Structure /ft
Boring # Horizon De I I (Texture I IConsistence lBcu chary Roots GPD
in. Munsell Cu. Sz. Cont Color Gr. Sz. Sh. Bed ITrexh
::x I o -f l 1 Z
q Ah D b H 3 AS
4.
fi
I b - 4.S lU'1, � SrI Zr� S6 Vn'Fb- �g - . .b
Ground 3 Lis -11 S if O S y,. - •Z • ��
elev.
ft.
Depth to
limiting
factor
.>
Remarks:
BZ iing #
l0`1lz 31Z - S1 ZwtSbk L`Q n C - S •�
$ Z t V -28 . -.S`1 fZ31F
Ground 3.S YR y _ S d 6� c) 9 it1 - •� (.6
elev.
� i 3.y It
Depth to
limiting
factor y
? lf8
Remarks:
CST Name. Please Print Phone:
Arthur L. We erer
715 - 425 -0165
dress:
egerer So'1 Testing & Design Service — P.O. Box 74 River.Falls,WI. 54022
Signature: - -
°! 220254
\ 2.4 Date: Z CST Number: .
• - �I- 9 -�
A
PROPERTY OWNER CUh'MWeA3110. bPV - SOIL DESCRIPTION REPORT Page?fof
PARCEL I.D. # _ � AJV�) /y C,
ri Depth Dominant Color Mottles Structure GPD /ft"
g # Horizon Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITten
0 -10 1p Z 31L s l` 3 `Fa -�
Z
10- LO -tV - . 3/6 - S I I � r1 S �� WL �I C S - • Z • -
Ground 3 30 - Vv) 7.S HR• 31Y - S G>^ U Sg
elev.
8 40.9 ft.
Depth to
limiting
factor
7 1Z1 " I
Remarks:
ripg #
c) _� 0 X0\--1 \z 3 Lz - s L t - LM s d sh ew - , s _
:• 2
h t:::; <: : : ,: : » >; S �lz a S CI•v _ S - la
Ground 3 -SZ S y R JL y �G6 O S9
elev. Z -L� 1% 4 VL Ylf, � S £1 G►- 0 sg Y� � •-� .f3
g g3.4 ft. _
Depth to
limiting
factor i
,
i
Remarks:
..# 3 1z — SI awl 033 z �RStiI 0 -L j • 2_ � -?
'> c € } Z LD -3e Lp fZ 3!6 s i I s bra Yn'h e S • s .
<::...
Ground VA C) S1 -�T -16
elev. ').StilZ3/
8
Depth to
limiting
factor , -T-
> l Zl ' 1 1 1
Remarks:
3oring #
around
;lev. '
ft. -
)eplh to
imiting
actor
Remarks: _
PLOT PLAN page 3 of 3
SC ALE so
CALE 1 „=
Qom- LTL.B ON �
� 1
r � a' nor Ct_S
r
f 0
� r v
O �
Brt- �t.M3•�19' � �a�
o "tt
-o/
DoT V”
kj ST
z9�
0 19- ZR -1 Z�
l- tai -� � ZZ ozsy
(71 ) 42� -0
CST Signature co, Date Signed Telephone No. CST #
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extend the maintenance interval of the filter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
ncy Plan
t n #1. If ystem fails, determine cause of failure, use alternate area and install new
tested replacement area.
Option #2. Install system at a lower elevation, by removing chambers, removing biomat,
and install new system.
Option #3. No adequate area is suitable for replacement area, and system elevation
cannont be lowered. Install holding tank as last resort.
3. Replace any other failing components as needed.
Plumber: Shaun Bird 715 - 246 -4516
St. Croix County Zoning 715 - 386 -4680
Pumper Tom Mondor 715 - 246 -5148
Shaun Bird #226900
MAR -08 -2004 02:25 CONTINENTAL DVLP CORP 763 757 2532 P.02i02
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNME11P CERTIFICATION FORM
OwnerBuyer :LO
56y�
r
IVIaiUng Address fYl/Y
Property Address sa ,
(Verification =Vftvrfr0m PWWng T]gmtnmt for new eonstiuctim)
City/State _.Tl.2j5e- , Parcel, Identification Number _ Oq - 1,2 G 1 - (0 - 000
(. l 3)
LT GAL DESCRIPTION
` � F %, Sec. Y . T 8 N 12,..? 0 WTown of
, Ta
Property Location %.J .—
Subdivision. % ~ v� a ¢„ Lot # / 3 5 _
Certified Survey Map # _ Volume -.J. Page #
W.nty Deed # �/ �/ ---- , Volume Page # 0 3
Spec pause 0 yes 0 no Lot lines identifiable P yes C] no
'EM M43T1MANCE
Tuppperuse slid umintenanceof year septic systemoouid rm h in its y=matum failure to bandlownstos. Propermmnlanance
ooea s of ptnmping out the septic tank Cvrry throe years or sooner. if needed by a licensed pumper. What you lA into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system_
The p mpedy owner apm to submit to St. CAM= Zoning Dgmfteent a onuffcatm form, signed by the owner and by a
mas plan y jammeymanplumbaS rest nc Wplumberar a lieeasedptnnper verifying that (I) Ste one vrastevvatecdisposai system
is in peeper operating condition and/or (2) affix inspection and pumping Cif necessary), the septic tank is less tltaa In full of sludge.
We, die undersigned bane read the above regmrem=s and agree to maintain the private sewage disposal system'witb. the standards
stet W16 herein, as sot by the Department of C tntnetce and the Department of Natural Resources. State of Rliscomi& Cuti
abft 69 your septic system has been maiztsined must be compided and returned to the St. Oak Comity Zflning Offiiee with 30
days of the ttaee year expiration date.
fC=-V-10 3 /S'/Ofl
S03HATURE OF ,APPLICANT DATE
O RIMCA1'i<a
vvlv�R c� _ _x
I (we) on ify that all saateniems on abis fleas are tote to die best o9my (our) knovtledge. I (we) am, (ate) the owner(s) of
else property dwaibed above; by virtue of a warmaty deed recorded is Register of Deeds Office.
&`� 3 I x'1
SIGNATURE OF APPLICANT DATE
4 «"" Any khranat ion that is mis t+epresented mq result in the sanitary pexmit being revoked by itie Zoning DeperW t.
** lfn+elade wlW this applmdou: a stamped wausaty► dtxd from the kcgiste r of Deeds office
a Copy of the carti5ed sm"y map if rcfcvmm is made in the waaamy deed
TOTAL P.02
U 1898P 037 1 S
s STATE BAR OF WISCONSIN FORM I- 1998 6 7 9 9 5 4
WARRANTY DEED RAG ST R H. DE ALSH
Document Number ST. CROIX Co.? VI
!I
-_. RECEIVED FOR RECORD
This Deed, made between John J. Rnpmmplp and Rarh^r^ A 05 -24 -2002 9;30 AN
Rupmmplp hia cifp and Thnm^ra f Rijammple '[yell T
Rttpmmplp hiv wifp MVWIM DEED
11
- - -- Grantor.
and REC FEE:
TRANS FEE; 15.00
Troy Developm n f7ornnrartnn COPY FEE:
CERT COPY FEE:
-- - -- Grantee. i PAGES: 3
Grantor, for a valuable consideration, conveys to Grantee the following
described real estate in _ St. Crn ix County, State of Wisconsin
(the 'Property ): Recurdiry a; ea
Name and Return Address
He ciid 5 Cari, S.C.
12
ov
Hosford St., Suite 106
P. Box 125
H dson, WI 54016
See attached Exhibit "A" 0 - 1251 -60; 040 - 1251 -90
Parcel Identification Number (PIN)
This homestead property.
(is) (is not)
This deed is given in partial satisfaction of a certain Land Contract dated May 20, 1997
and recorded on May 27, 1997 in Volume 1241, Page 331 -332 as Document No. 559970, as
amended by Amendment: dated April 1 1998 and recorded April 6, 1998 in Volume
1312, page 326 as Document No. 576565 and amended by Amendment dated January 12, 1999
and recorded January 14, 1999 in Volume 1395, page 458, as Document No. 595728 and
amended by Amendment dated i'�If f' /S , 2002 and recorded 2002 in Volume
MR page 3 — , as Document No. (07i9c)S3
Together with all appurtenant rights, title and interests.
Grantor warrants that the title to the Property is good. Indefeasible in fee simple and free and clear of encumbrances except
Dated this day of _ 7007 -
(SEAL) (SEAL)
Joh J. Ruemmele Thomas J. Ruemmele
(SEAL)
(SEAL)
+ Barbara A. Ruemmele Nell L. Ruemmele
AUTHENTICATION ACKNOWLEDGMENT
Signature(s)
State of Wisconsin, 1I
} ss.
.�T �fGV1Y Count
authenticated this day of Persona11 came before me this / s day of
�20 the above named
TITLE: MEMBER STATE BAR OF WISCONSIN to
(If not, me known to be the person !�:_ who executed the foregoing
authorized by 5706.06, Wis. Scats.) instrument and acknowledge the saris .
THIS INSTRUMENT WAS DRAFTED BY 'L• , s
' tt[. 0 J 4' r
Heywood S Cari, S.C., 1200 Hosford St., !. s
� "'��' 1. — ^ .• a 1.� .•
Suite 106, P.O. Box 125, Hudson, WI 5401 Notary Public, State of Wisconsin
My co mission Is permanent. (if not, state expiration d te:
(Signatures may be authenticated or acknowledged. Both are not •)
necessary)
_.. ._ ..............
• Names of persons signing In any upadry must be typed or printed below their signutun.
WARRANTY DEED STATE BAR OF WISCONSIN ftswi sm Lop Slant, Co.. atc.
FORM No. t - 1999 Milwaukee, Wis.
V 1898P 038
Dated this o�o`l� day of May, 2002.
Alk
mas J ele, Grantor
��.. and sworn before me
�S jey of May, 2002.
~.` V. a
No P Ik 'State of W*isrponsin
14 , ion expires '7 /? AZ
Dated this ' day of May, 2002.
Nell L. Ruernmele
Suhmokso and swom before me
a W of May, 2002.
#'^ s gf�ry Pdbt',c, State of Wi J
*s yi
� �ongnf! - Mon expiresV o
O NSt N
w
U 1898P 039
OGDEN ENGINEERING COMPANY INC JAMES " fes*n FILKINS
� P.rolesstonal Engineer
Cit'i( Fngineeritrfi arrd Lahr( SurveqbW S ofutfons Crtrre 1971 Reoste CerNRan Sunt ser
113 West Walnut Street, River Falls, Wisconsin 54022
Telephone (715)425.7631 Fax (115)425.7965 Email: ogden0spacestar.net DANIEL P. KUGEL
Certified Sol Tester
FRANCIS H. OGDEN
Professional Er>Slineer
DESCRIPTION OF LANDS INCLUDED IN TROY VILLAGE Registered Land Surveyor
FIFTH ADDITION FOR LAND CONTRACT RELEASE
A parcel of land located in the Southwest 114 of the Southeast 114, the Northeast 1/4 of the
Southeast 1/4 and the Southeast 1/4 of the Southeast 1/4 of Section 24, T28N, R20W, and the
Northwest 114 of the Southwest 114 and the Southwest 1/4 of the Southwest 1/4 of Section 19,
T28N, RI 9W, all in the Town of Troy, County of St. Croix and State of Wisconsin, being part
of Outlot 9 of the Plat of Troy Village, described as follows: Commencing at the Southeast
corner of said Section 24; thence N00 °47' 16 "E (Bearings referenced to the South line of said
Southeast 1/4 of Section 24, assumed to bear N88 °57' 16 "W) 33.00' to the point of beginning;
thence N88 °57' 16 "W 456.53' along the North right -of -way line of Plainview Drive; thence
Westerly 197.04' along a 2967.00' radius curve concave Northerly whose chord bears
N87 0 03'07 ".0" W 197.00' along said right -of -way line; thence N85 °08'58 "W 102.06' along
said right -of -way line; thence N40 0 00'00 "E 117.71'; thence Northwesterly 105.68' along a
333.00' radius curve concave Northeasterly whose chord bears N39 °33'45.5 "W 105.24'; thence
N30 °28' 14 "W 149.34'; thence Southwesterly 205.00' along a 433.00' radius curve concave
Northwesterly whose chord bears S77 °28' 10.5 "W 203.18'; thence N88 °57'40 "W 349.38';
thence Northwesterly 413.15' along a 433.00' radius curve concave Northeasterly whose chord
bears N61 °37'35.5 "W 397.65'; thence N34 °17'3 1 "W 201.49' along a Westerly line of the Plat
of Troy Village; thence Northerly 352.84' along a 433.00' radius curve concave Easterly whose
chord bears N10 °56'52.0 "W 343.16' along said Westerly line; thence S77 °36' 12 "E 66.00'
along a South line of the Plat of Troy Village Third Addition; thence Northerly 40.09' along a
367.00' radius curve concave Easterly whose chord bears N15 °31'34.0 "E 40.07' along the
Easterly right -of -way line of Lindsay Road; thence S74 °00'00 "E 362.92' along a South line of
the Plat of Troy Village Third Addition; thence S43 °43'25 "W 191.80' along a Westerly line of
Outlot 2 of the Plat of Troy Village; thence S38 °39'04 "E 198.50' along a Southerly line of said
Outlot 2; thence S73 °00'00 "E 354.73' along said Southerly line; thence N4 1'00"00"E 788.00'
along an Easterly line of said Outlot 2; thence N33 °00'00 "E 781.00' along said Easterly line;
thence S57 °00'00 "E 330,00' along a Southerly line of said Outlot 2; thence S33 °00'00 "W
100.06' along the Northwesterly right -of -way line of Lindsay Road; thence S57 0 00'00 "E 66.00'
along a Southerly line of said Plat of Troy Village; thence S33 °00'00 "W 622.41'; thence
Southwesterly 172.16' along a 1233.00' radius curve concave Northwesterly whose chord bears
S37 0 00'00.0 "W 172.02'; thence S4 1'00'00"W 487.13'; thence Southwesterly 107.00' along a
433.00' radius curve concave Northwesterly whose chord bears S48 °04'45.5 "W 106.73'; thence
S30 °28' 14 "E 149.34'; thence Southeasterly 274.94' along a 267.00' radius curve concave
Northeasterly whose chord bears S59 "58' 14.0 "E 262.95 "; thence S89 °28' 14 "E 1277.69';
thence S00 °3 1'46 "W 96.00' along the West line of the Plat of Troy Village Fourth addition;
thence N89 °28' 14 "W 815.06' along said North right -of -way line of Plainview Drive to the
point of beginning. Subject to all easements and restrictions of record.
I certify that this description is correct to the best of my knowledge and belief.
Dated: May 13, 2002 yJesD
S -2246 96 -2179
JAMES D.
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