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Home My WebLink About040-1328-12-000Wisconsin Department or Commerce Safety and Budding Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Pnvacy Law. s 15.04 (1)(m)) Daniel TANK INFORMATION TYPE MANUF CURER CAPACITY Septic Dosing Aeration �g tV TANK SETBACK INF41 ORMATION L-&,4'Q • f �An: _ .l TANK TO P/L ` rJ WELL BLDG. Vent to Air Intelm . ROAD Septic 0f Dosing Aeration Holding PUMP/SIPHON INPORMATION M nufacturer Demand PM M el Number TO Lift Friction Los System Head TDH Ft For main Length 0 Dist. to Well SOIL ABSORPTION SYSTEM TOWN OF TROY ELEVATION DATA ONE, r. . ,Mmm � i fib .r r M-= XA — EN.EW •� IrAuRVII� •_ --=� • • --m_ :. --=0 BEDlTRENCH DIMENSIONS Width �� ✓✓✓TO Len Ih I O No Of TreIMENSIONS _7 PIT D No. Of pits Inside ia. Liquid Depth SETBACK INFORMATION SYSTEM JPILI JBLDG WELL LAKE/STREAM LEACHING CHAMBER OR LINIT a r TY OSystem J ^' 1 v-4_S ' umber DISTRIBUTION SYSTEM Header/Manifold , l I Distribution Pipes) x Hole Sae x Hole Spacing Vent to Air Intake Length Die nw Length Dia Spacing JVIL I.VYCR �NAx Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over 1 Depth Over Depth of aded�Sodded Mulched BedrTrench Center ✓ /1 —( BedRrench Edges To 1 _ s No . Yes _ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #11:I�r131� Inspection #2 Location: 384 BELLA CT I.) Alt BM Description P#v��rt1 2-) Bldg sewer length =A r jj, amount of cover =Vol (('*N✓e S�OM.�-OttKoh V iFp10,91j)y�tw Plan revision Required? eL N Use other side for additio `form SBD-6710 (R.3197) Date �,ecArrs&anvi__ Cent No CsrS �aUA 1.5 Stthl-ao�a —3 10 d' 4 Industry Services Division 4822 Way County �i J /— �g Madison Yards Madison, WI 53705 Sanitary Permit Number (to be filled in by Co.) `f 1� P.O. Box 7162 Madison, WI53707707-7162 ppT fiaRry P rmit Application Slate Transaction Number In accentsLwithS 383.21(2), Wis m. Cod submission of this form to the appropriate iis required ini Projec Address(ifdiffe-entthanmailingeddrem) 8eat Lt{iYoI Application forms for state -ow the Depart a 4(l)(mPersonal information you provide may be used or secondaryru "ivac law, a. IS.t)4 I m), Sla4. VK 1 �/i-- I. A licat ormatlen f. -Please nt All nfbrmatlon Property Owner's Name Parcel e Oq Property Owners Mailing Address P rry do Vt. Lot Citp.y, State _ Zip Code Phone Number Sectio r w 1pe of Building (check 91114at aPP1y). II q Subdivision N//e / 2 Family Dwelling - Number of Bedrooms Blocks �ublicJCommeroisl - Describe Use /Jt�..o City of State Owned - Describe Use illage of CSM Number own of 111. Type ofPOWTS •Permit: (Check either "New" or "Replacement" and other applicable on Une A'. Check one box, Nnell. Complete line C If a 7leab .)I A. ew System --I_ []Replacement System []other Modification to Existing System (explain) OAdditional Pretreatment Unit (explain) e B' Dolding Tank In Ground O41-G de M�tnd Individual Site Design Other Type (explain) conventions v ZT; C• Renewal Before Revision nge of Plumber Orranafer to New Owner tat Previous Permit Expiration IV. VispersalfIFTeal pirent Area and Tank Infornumonr Desijo Flow (gpd) 0 Design Soil Application a af) Dispersal Area Required Dispersal Area P Systen Elevat' a S;7S& . O 1. s- Tank Information Capacity in Gallons Total Gallons N of Units Man racurfer t�/,I i �1 1, ��gttt U New Tanks Existing Tanks t F! r y N , w� o N Septic a Holding Tank Dosing Chamber � O V. Responsibility Statement- It the undersigned, s =Sponglbtllty for 4nstallatloa_ofthe PUWTS shown an the attached pla P umber's Name (Print Power's Signature MMP7/M7PRS Number Business Phone N ber f Plumber's Addmsa (Street, City, State, Zip L! � 2-1 V1. Count lD artmentl7ae only Approved O Disapproved Permit Fee Date uedIssuing Agent Si re 'f k (5 ❑ Owner Given Reason for Denial 7,J , / D `— CondiSTEM f rRovaVReasons for Disapproval I. Septic tank, effluent filter and dispersal ran must hLRO&SAlittillit as per man"I'mant P 1 ✓m ht r ie�A vs pan Provided by I rbem t Atl setback requirements must be nlairdairtatl W 44C-7 as aappicala Attach to complete plans for the system'dull submit to the County only o paper not less Ihang 111 a 11 Inch" la Wn SBD-6398 (R. 03121) 0-F %�Sd W, � I I System PLOT PLAN PROJECT Daniel Toraersen ADDRESS 139 Wisconsin 35 Suite #2 River Falls Wi 54022 SE 1/4 NW 1/4S 15 /T N/R 19 W TOWN Troy COUNTY ST.CROIX SYSTEM ELEVATION 4.5' b Qrade DATE 10/8/22 BEDROOM 4 CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPT ANK SIZE 1200 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 IL BENCHMARK V.R.P. Top of wood stake ASSUME ELEVATION 94.80' Filter Lifetime Filter [--]BOREHOLE O WELL IH.R.P. same as benchmark 2-3' X 90' cells with >3' spacing 272' Property Line 100, KI Vents -1 B.M. #2 i :1 60' T 90, 70' 17% Slope 5' 94' 40' 10, 98, B-3 Pro 4 Bedroom House 292' Property Line DGnade \ >6„ick4 Standard of Coveraching Chamber h 20.0 ft2 of Area f A2/pair of end caps 4' Lon at System Elevation "c>rv,7n DEC 2 8 2022 St Croix County � 0, Bella Court System PLOT PLAN PROJECT Daniel Toraersen ADDRESS 139 Wisconsin 35 Suite #2 River Falls Wi 54022 SE 1/4 NW 1/4S 15 /T 29 N/R 19 W TOWN Troy COUNTY ST.CROIX SYSTEM ELEVATION 93.0/91.5 4.5' below qrade 10/8/22 BEDROOM 4 DATE — CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 BENCHMARK V.R.P. Top of wood stake ASSUME ELEVATION 94.80' Filter Lifetime Filter ❑ BOREHOLE O WELL 'H.R.P. same as benchmark 272' Property Line 90' I N f/ ( 70 /0000 94' 35 t00' 10' 2-3' X 90' cells with >3' spacing 98, B-3 292' Property Line 40' 25'\�l ALona — DOSE TANK SIZE # of chambers 44 B-1 B.M. #2 3 Vents 1 f 7% Slope Pro 4 Bedroom House Quick4 Standard Leaching Chamber with 20.0 ft2 of Area 6.6ft^2/pair of end caps ,-Grade at System pe Bella Court System PLOT PLAN PROJECT Daniel Toraersen ADDRESS 139 Wisconsin 35 Suite #2 River Falls Wi 54022 SE 1/4 NW 1/4S 15 /T 29 N/R 19 W TOWN Troy COUNTY ST.CROIX SYSTEM ELEVATION 93.0/91.5 4.5' below prade DATE 10/8/22 BEDROOM 4 CONVENTIONAL )00( CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 16 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 BENCHMARK V.R.P. Top of wood stake ASSUME ELEVATION 94.80' Filter Lifetime Filter ❑ BOREHOLE O WELL .H.R.P. same as benchmark ��'COPY 272' Property Line M 35 / 70' 94' 100, 10, 2-3' X 90' cells with >3' spacing 98, B-3 292' Property Line \ >6" of Cover n B-1 B.Mf#2 i 3 Vents 8 ..A 7% Slope 40' 25YPro 4 Bedroom House Vent \ / Quick4 Standard Leaching Chamber with 20.0 ft2 of Area 6.6ft" 2/pair of end caps 12" Grade at System�le� Bella Court , 1IC p P Y Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 10/8/22 Owner:Daniel Torgersen Location SE1/4 NW1/4 S 15 T29 N,R 19W Lot 12 Bella Court Used: In -ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintance an ontigency Plan 7. Filter Cross S n Signature License nhm6er #226900 Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 6.6ft^2 pair of end plates Typical Installation Vent Grade 4" f�'30/34 Septic Tank 5' Long, 1 _ 5' Grade at System Elevation Spacing 5' 5' To be >1' above grade Finish grade elevation 97.5' ,Vent at System Elevation 2-3' X 90' Cells Same on other end Observation tubeNent At end of cell A B 22 chambers per cell System elevations: A 93.0 B 91.5 ST. CRC) j� Office NTY SANITARY SYSTEM Filec _ t''l:;r•nrtsii. e Use Only OWNERSHIP/ADDRESS FORM Created212021 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. If you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. OWNER/BUYER INFORMATION Owner/Buyer ,4�&A ; JU Mailing Address 137 City/State/Zip Phone Number (required) Email Address (required) Parcel Identification Number (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location � Y4 , '/a , Sec. Z-S.— T 22N R/W, Town of � - Z Subdivision Plat: U % i i Lot # Certified Survey Map # "/ , Volume , Page # " ty �/ l� % ( ) r Warranty Deed # � as before 2006 Volume Number of bedrooms _ Spec houseAl'yes*o OFFICE USE ONLY Page # Lot lines identifiable yes O no New Property Address 3yj-/ &A, 6T (Verification of new address required from Community Development Department for new construction.) (Staff Initials) 13 Z Z (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and o copy of the certified survey map if reference is made in the warranty deed. Community Development Department - Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd(a)sccwi.aov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.gov POWTS OWNER'S MANUAL. & MANAGEMENT PLAN Page _ of ILE INFORMATION �t Owner - Permit # DESIGN PARAMETERS Number of Bedrooms ❑ NA Number of Public Facility Unitsjktq j Estimated flow (average) 1 4160 SaUday I Design flow (peak), (Estimated x 1.5) cigaUda Soil Application Rate I aUda /ffZ I Standard Influent/Effluent Quality Monthly average" Fats; Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BOD5) 5220 mg/L C7 NA Total Suspended Solids (TSS) Pretreated Effluent Quality 5150 mg/L Monthly average Biochemical Oxygen Demand (BODE) 530 mg/L Total Suspended Solids (TSS) 530 mg/L _ Fecal Colifonn (geometric mean) 510cfu/100ml Maximum Effluent Particle Size X in dia, ❑ NA Other. NA "Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank Capacity get 0 NA Septic Tank Manufacturer lCirCS�/' ❑NA Effluent Filter Manufacturer ( ❑ NA Effluent Filter Model ❑ NA Pump Tank Capacity I NA Pump Tank Manufacturer NA Pump Manufacturer NA Pump Model NA Pretreatment Unit NA ❑ Sand/Gravel Filter ❑ Peat Filter ❑ Mechanical Aeration ❑ Wetland ❑ Disinfection ❑ Other. DI areal Cell(s) G NA 4a-Ground (gravity) ❑ In -Ground (pressurized) O At -Grade ❑ Mound ❑ Drip -Line ❑ Other: Other. ❑ NA Other: ❑ NA Other. ❑ NA Service Event Service Frequency Inspect condition of tank(s) At least once every: '3 month(s) (Maximum 3 years) ears ❑ NA' Pump out contents of tank(s) When combined sludge and scum equals one-third (is) of tank volume _ ❑ NA Inspect dispersal oella _. () At least once eve R month(s) year(s) (Maximum 3 years) ❑ NA ffl❑ Olean effluent filter _ry' At least once every: ❑ month( ,, Myes ar()) NA aspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ years) ❑ NA 19ush laterals and pressure test At least once every: _ ❑ month(s) ❑ year(s) _ ❑ NA 7ther. _ At least once every: ❑ month(s) ❑ year(s) ❑ NA [her �----- -- Q NA MAINTENANCE INSTRUCTIONS linspections 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 surface. The dispersal cell(s) shall be visually Inspected to check the effluent levels in the observation pipes wind to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing cnnditjon and requires the immediate notification of the local Pgulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (%) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of !n 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, land any servicing at Intervals of 512 months, shall be performed by a certified POWS Maintainer. I4 service report shall be provided to the local regulatory authority° within 110 days of completion of any service event. Page _, of _, START UP 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 thh tank(e) removed by a septage servicing operator prior to use. System start up shall not occur when soil condltlons are frozen at the Infiltrative surfaCe. During power outages pump tanks may no above normal hlghwater levels. When power is restored the excess wastewater will by discharged to the dispersal cell(s) In one large dose, overloading the cell(s) and may result In the backup or surface discharge of affluent. 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 whhln the pump tank. Do not drive or park yshides 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 POVIVT$: 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 producgs; 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 prope(ly and safety 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 property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to pmvlde a Code compiistnt replacement system: —J A sultable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systelm. ha replacement area should be protected from disturbance and Compaction and should not be Infringed upon by requhled 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 ruled In effect at that time. A suitable replacement area is not available due to setback and/or soil limitations. Baring 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 she 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 TANI r UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O� A PERSON FROM THE INTERIOR OF A TANK MAY BE DIirFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name 7 Phone SEPTAr3F SFRMCINIn nPFRATno rot MCCOV Name Phone '1 POWTS MAINTAINER Name Phone �J — N LOCAL REGULATORY AUTHORITY This document was drafted In 0omP6anw with Chapter SPa 383.22(2)(b)(%d)S(t) and 383,54(1), (2) 3 (3), Wisconsin Administrative Code. 31 20140048A SECTION A -A 1721 0- Wisconsin Department of Safety and Professional Services Division of Industry Services Page 1 of 2 SOIL EVALUATION REPORT In accordance with SPS 385. Wis. Adm. Code County ST Croix Attach complete Me 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 percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. Pending (Current: 040-1061-20-000) Please print all information. Reviewed by I Date Property Owner Property Location: Ash Properties Govt. Lot: SE '% NW 'h S 15 T 29 N R 19 W Property Address Lot # Block # Subd. Name or CSM# TBD Bella CT 12 1 1 Vistas of ST Croix (pending plat) City State Zip Code Phone Number ❑ City ❑ Village [j Town Nearest Road Hudson JWI 154016 1 1 Troy Bella CT (proposed road) ® New Construction Use: (@ Residential / Numberof bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial — Describe: _ Parent material Loamy drift over sandy/gravelly outwash (Burkhardt-Sattre) Floodplain elevation If applicable NA ft. General Comments and recommendations: so and site evaluadon ter proposed View or ST Croix pltl. I.F . >W (Ob8mation exlem) Ingound'cary Owwr trenches w1U n.7gpdM badkV ratepouWk at 35' mk*mm depth. 1❑ Boring # ElBoring 92.00 ft. Depth to limiting Pit Ground surface elev. ding factor in. Cnil Annlirntinn r7ato Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 -Ef#2 1 0-10 10YR 3/3 1 1msbk dsh cs 3m-vf 0.4 0.6 s n5s6% MM.n 10-21 1 OYR 3/6 grs Dsg loose cw 2f-vf 0.7a 1.6a 3 (s+ox grew) 21-33 10YR 4/6 grs-s Osg loose gw 1 f-vf 0.7a 1.6a 4 (5% rock) 33-44 10YR 5/6 s Osg loose cw I 1vf 0.7a 1.6a 5 (s-10%roaq 44-96 10YR 5/4 cos Osg loose 0.7a 1.68 2 ] Boring # ❑ Boring M Pit Ground surface elev. 91.00 ft. Depth to limiting factor >96 in. CNI Arvdiratinn Rntu Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fe 'Eff#1 'Eff#2 1 (5-10%roCk) 0-11 10YR 3/3 - 1 2fsbk ds gs 2m-vf 0.6 0.8 2 11-26 10YR 4/4 1 2f-mabk mfr gw im-vf 0.6 0.8 3 26-35 7.5YR 4/4 sl 1msbk mvfr cvv 1f-vf 0.4 0.7 4 (5% rock) 35-66 10YR 416 Cos Osg loose cw if-vf 0.7a 1.6a 5 66-96 10YR 5/4 s Osg loose 0.7a 1.6a CST Name (Please Print) Signature CST Number Ryan Bechel SP-111500001 Address Date Evaluation Conducted Telephone Number 779 Spring Creek RD S. Red Wing, MN 55066 06/1521 (651) 327-0074 con ee �n ionu�ai 3] Boring # ❑ Boring 0 Pit Ground surface elev.97.50 ft. Depth to limiting factor >96 in. Snit Andicatien Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDlFt2 •Ef#1 'ER#2 1 0-10 1 OYR 3/3 1 2fsbk mvfr gs 3m-vf 0.6 0.8 sno-,sxyn�s 10.15 10YR 3/6 grls Osg loose cw 2m-vf 0.7a 1.6a 3 15-25 10YR 416 s Osg loose cw 1 f-vf 0.7a 1.6a 4 25-96 10YR 5/4 s-cos 059 loose 1 f-vf 0.7a 1.6a 4 ] Boring # ❑ Boring ❑ Pit Ground surface elev. Depth to limiting factor _ in. SMI ArvA" ton Rale Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. Soil Aodication Rate Effluent #1 = BOO, > 30 5 220 mg/L and TSS > 30 5 150 mg1L ' Effluent 02 - BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L Designer. Ryon Bechal Carta W Sol Taller: SP-11150DOM Designer of Enowering Systems: D 2253-7 ADVANCED F NVIEaNMENTAL — / ,,y r 12 ,Aj firms O Benchmark SYSTEM NOTES Drawn ere >f001l from _ system Septic Tank: or Sod Boring T . --- SCALE F20' 0' Pump Tank: 11 STA: \\ Solend tie eviudm for prapaed YMas d ST Cm pla angwd'camenlow Yalrlrs we 0 7fpdA' baring rain points at 35' daps .010 b reatifm =>96' IaWenv+tm eea+1 Cmxr=%l10 Slope • t1% I Distribution: L i **Well to be located >25ft from septic tank(s) and >50ft from soil treatment area** _ 13 carload ssatmam This elan has sun a Ig and w hmall In smdas wits as.. and Lend codes. The ad baobrst as.m, must mmulls paaaeaad fnxn seaabaN. atl/ar amo.cllan arc. and sIW combuoEmL No lssasrtr 5 WM WX 7!L4 Sallie ILL 0011"M 70 PJhC" 14UWXMY as -m must be papey ffo*6*ad. Rhea awn germ'. rrv.gnrrt Las far tianlasam an papa cal a a LOCATION IMP (not t. sode) 10 19 1a r. PREPARED FOR: Ash AnVertla i Site Address - TBO tide CT tkedse4 WI %016 PID: TBD (Pending Wst) t1.19 Aces Legal: Lot 12 Vistas of ST Croix SE1/4NW1 4 S15 T29N R1 W Town of of T� Scab: 1' - 40' Dstte 610421 =EET ..ea��sTORGERSEN'd' �susa n�noca oll N iI I IIII. FEM I� n MRGERSEN ,.o....... im it u•mun wwar wuwi* H >• H •� ______ • r Hr rr rr F-I H r--------------, 'E--- -g -s ---"J • I I 1 1 1 � I I I I y ❑ I `, w r j i V y BEDROOM ; s 1 IHBid�vW • 1 i �7 I I a'rx»'a I it � • 1 ® 1'1 I 1 1 tj --------------------- --------- x i i------ • J ___________________ HOil1Ty i r Of I 1 1'I 1 I % I I na�v~� I I 11 1.1 I I I IL I1 I -I I'1 1 li I.I �GARAGE I1 1 1 1 1 I I `---------------- 1 1 I I I I 5 ------------------ 1 1 I I I 1 I.I I 1 w DATE' 10/4/2022 SOME: 3 N a-r m.xr ram Ix 1 1 1 I Itl �� rxx �I q x -�• •••� I x x n I •i i- i �\xr ti ` Lr � xv I11�jjxl I I - • I � ~ IL y l x I »xr •O"'�'%x mar %jai// ------------------- Y :_ --- x � I •1 1 � • I� 1. ' f.N / I ♦ �. / 1 ♦ Y / 1 W xpppp{ I N � •.N I I / I I W �cc v '-f 7.___ / T^'• ram'..' Q.'y r i [$.~ L I r --- PORCH I I QllAlbf. I . 1 Ma%rd I 1 ` J �4x i--------- i iG I malls I 1 1 1 I i 1 I I PAP41 r - + N r a r ral%nmauoen ewll% WiE: Iav:oi: swn. A-4 WNSHIP 28 NORTH, RANGE 19 WEST, I UWN Ur I KU Y , J 1. UMUTA I,UUIV I i VVIQvv1vv11'4. M I� EXCEPTION TO DESIGN STANDARDS Exceptions to design standards appr< 135-6 G. 4. Shared driveway lots 3 v v 135-6 G. S. Average lot depth to w iz 135-6 G. 7. Lots maintain 132' wide W and 19-23. jOUTLOT 3 135-6 G. 9a. All lots street setback t OPEN SPACE � W N87'18'49,,w 135-6 G. 9c. Side setback reduced t. 1,091,764 SQ. FT. ' 3 73.61' N87018'49"W 325 22' minimum distance of 5 25.063ACRE5 5513°w'22%'��o \_\\ and 27/28. 2a a5 f t0 5h966,a I 65 OUTLOT 3 Vj045I4 \ \ �� OPEN SPACE I \ i; \ 11 ° 1,091,764 SQ. FT. o p 1'ti �� 53,218 SQ. FT. ' 15.063 ACRES DRAINAGE h ~p9 a� 1.222 ACRES EASEMENT �p ry�0 I i \4rL L.B.O. = 920.0 \ ",� '01•W 20i s79�02 N �pti 12 �. 10 1 i I _49,107 SQ. FT. \ . 51,855 S _1. 1271.190 ACRES L.B.O.ACRES \ L.B.O. = 917.7 10,E 1p' .B.O. = 920.0 �='� O R A Ln y %0 E A S ON 4E5 I g h'1~ bti OPT' 1'S�, / o .•� 17.7 Z h 51 SS, ti �e• J / 131 FT IS 48,281 SQ. . I . / 9 J s M �ti• / ,f o� 0y 1.208 ACRE5 L.B.O. = 917.7 ^ I 47,9635Q. FT. \ ' 1.101 ACRES L.B.O. = 920.0 \ Ak ♦ • — / 33QSS N79.40'42"W 248.14' 14 - 46,593SO. FT. 1.070 ACRES �� O \ 8 i �`rO 4j L.B.O. = 917.7 > Y�� / 52,119 SQ. FT. / ^I,., A._ \ . :b t ,.1%n�� \ 1.196 ACRES / CS-r a 6a i -a l Wisconsin Depsional S rvices Page 1 of 2 Division ofIndu �l tip1` SOIL EVALUATION REPORT 38q otv/a of d oewithSPS385.Wis. Adm. Code County Attach complete site p n on paper riot 1 inches in size. Plan must include, ST CroixoO but not limited to: venic I and hot 0 Y point (BM), direction and percent slope. Parcel I.D. 04 O— 13 Zp' 12— 000 scale or dimensions, a tion and distance to nearest road. Please print all Information. Revi by �� ,D'a ' Personal information you provide may be used for seconds u ses Priva Law, s. 15-04 1 m n Property Owner Property Location: Ash Properties Govt. Lot: SE NW % S 15 T 29 N R 19 W Property Address Lot 0 Block s Subd. Name or CSMS TBD Bella CT 12 1 1 Vistas of ST Croix City State Zip Code Phone Number ❑ City ❑ Village M Town Nearest Road Hudson JWI 154016 1 Troy Bella CT (proposed road) New Construction Use: @N Residential/Number of bedrooms 4 Code derived design now rate 600 GPD ❑ Replacement ❑ Public or commercial — Describe: — Parent material Loamy drift over sandy/gravelly outwash (Burkhardt -Satire) Floodplain elevation if applicable NA ft. ZO i1-4.. X General comments and recommendations: SO 0-0 $ft rrvskntlon fof propomd Vistas a sr Croix plat. LF . >W (obwfvatlon extant) ingrwnd'oonwn 10nN' ftnChp with 0.79pM12 boding rate posalda at 35- minimum dapol. F 1-1130rif1g * ❑ Boring 0 Pit Ground surface elev. 92•00 ft. Depth to limiting factor '96 in. .-nit Molicatim Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh Consistence Boundary Roots GPD/Ft2 •EBst 'Et1s2 1 0-10 1OYR 3/3 1 imsbk dsh a 3m-vf 0.4 0.6 2 (1sn%awvi) 10-21 1OYR 316 grs Osg loose cw 2f-vf 0.7a 1.6a 3(5-10%(t<a1W) 2133 1OYR 4/6 - grs-s Gag loose gw If-vf 0.7s 1.6a 4 (5% rock) 1 33-" 1 OYR 5/6 s Osg loose cw 1 of 0.7a 1.6a 5 (5-10% rock) 1 OYR 5/4 cos Osg loose 0.7a 1.6a n M ❑❑ Boring 2 — Bon • El Pit Ground surface elev. 91 ft. Depth to limiting factor '903 in. Gil Annlir•.fi. Rnta Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eftl 'Effs2 1 (5.10%rock) 0-11 10YR 313 - 1 2fsbk ds gs 2m-vf 0.6 0.8 2 11-26 1OYR 414 1 2f-mabk mtr gw 1m-vf 0.6 0.8 3 2635 7.5YR 4/4 sl 1 msbk mvfr rw 1f-vf 0.4 0.7 4 (5% rock) 1 OYR 416 cos Osg loose cW 1 f-vf 0.7a 1.6a 5 66-96 1 1 OYR 514 s Osg loose 0.7a 1.6a _ -..-.n-I rvr - - -rr-.. .. CST Name (Please Print) ---- ...__..-.._ _ Signature CST Number Ryan Bechel 5J4SP-1115110001 Address Date Evaluation Conducted Telephone Number 779 Spring Creak RD S, Red Wing, MN 55066 06/15/21 (651) 327 0074 con soon aonxa•G% aBoring # QA k R ❑ Boring M Pit Ground surface elev. 97.50 ft Depth to limiting factor >96 in. Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft= 'Efl#1 'Elf#2 1 0-10 10YR 313 - I 2fsbk mvfr gs 3m-vf 0.6 0.8 2(10-15%W�) 10-15 10YR3/6 - grls Osg loose cw 2m-vf 0.7a 1.6a 3 15-25 10YR 416 - s Osg loose rw 1f-vf 0.7a 1.6a 4 25-96 10YR 5/4 - s-cos Osg loose 1f-vf 0.7a 1.6a Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor_ in. Horizon Depth In. Dominant Color Munsell Redox Description Gu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz 'Eff#1 'Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. e-1 e....r..e.:..., o�e Tin Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 s 150 mg/L ' Effluent #2 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L aBoring # ❑ Boring.. - .. -. _ .. M Pit Ground surface elev. 97.50 ft. Depth to limiting factor >96 in. Snll AnnlirMinn f7afo Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz 'Eff#1 'Eff#2 1 0-10 1 OYR 3/3 - I 2fsbk mvfr gs 3m-vf 0.6 0.6 2 (10-15xvY•n 10-15 1 OYR 3/6 - grls Osg loose rw 2m-vf 0.7a 1.6a 3 15-25 1OYR 4/6 - s Osg loose cw 1f-vf 0.7a 1.68 4 25-96 10YR 514 - s-Cos Osg loose 1f--vf 0.7a 1.6a AT F4 Boring # Boring Pit Ground surface elev. Kh ) R. Depth to limiting facto in. Snil Annliraam Ra}o MW we 4 MMPIMM RIM WaMRM�E= � l-WMY}A ► ' E�� III f�_� �- Boring # ❑ Boring ! ❑ Pit Ground surface elev. ft. Depth to limiting factor_ In. Snil Annlirofim Rnfa Effluent #1 = BOD, > 305 220 mg/L and TSS > 305 150 mg/L ' Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5150 mg/L Designer. Ryon Bechd Certified Soil Tesler: SP-111500DOI Designer of Engineering Systemr. 0 2263-7 BM1 = 100.00 (926.99 MSL) Top of 1" PVC pipe ^1a (23" above grade) BM2 = 94.80 (921.79 MSL) Top of 1"x2" stake by marked wooden lathe (6" above grade) C� �P Rp o5Pti ^lea ADVANCED J o � O 1� \'o / O 1 a e CP �0 12 **Well to be located >25ft from septic tank(s) and >50ft 'All property fines not O Benoringrk _ _. _ S1'ST EN NOT 4:S drawn are >100R from ` Sal Bong Ten4: &e I SCALE 20' 0, 40. Pump Tank: 11 -- \ from soil treatment area** �r 13 1 1), SI3Mrrnrt: lip aJlaOnn is brain daMP and avekrabC In a.sadaM ban SWA aM toed eodm. Tm 90 traalnmt sae rngt ranoler polaetvd ham dirlueara ana/« aamPartm .alon rile ollr mm6aaWn. rao IaaatI111Y IS tae0[ LINT n6 s sum %%L cownNiE m nI11C m Sammy. %oiern w,.* at t.a0ab a *oe, mwim Yam, p tan•. mm"a w clan tar Inlamotm an wow oar, am STA: Sal and ste .rayon for proposed Vistas of ST Goa Pat JngotM%"ernamr benches van 0 lgpdt Waring rate pomble at 35' deoh ueo to resindron (00servalm eded) M.lrihutwn: LOCATION MAP (nat to Seam) PPtM Il 11 10 19 33 / 9 le / 31 9 1 7 S 1 6 1 PR6PARKD FOR: Ash Propartles Teo M CT Hudson. WI54016 PIO: TOO (Peadkg plat) *1.19 Acres LepaC Lot 12 Vistas of ST Croix SE 1 /4 NW 1�4 S15 T29N R1 W Town of Troy Scale: r = 4W Date: 6/15/21 COUNTY PUT OF: VISTAS OF ST CROIX .. PREUMINARY PLAT Tr .w O 1. xw 1w.1O 1. xL rw[Y.K. rw.r111 rMR.wa rlf MM . .w PMffi llE 9Y Tw(Y NN Tw wIO VMiCi FrE Bwuff TE rE wOF BFCft1r T! IbwMSM M NORM RMaE 19t! RfsT IOYI.Of TROY sl CF8%CdNTY W9Cdlal vi�v\,- \\\ �.`,�j", ,(,, / it \ C. + :a r\ -i r ; 4�a.1.YRr� lxwly.. �•�.-Y Y. H.��r.M X.. W \wy..IryY..1 •�'wr�•H.Yv./1'1X ..m rrww`r.rrly. ♦vfw-rr.• .I \ -4� _�"•�; ��}`.'""%ham±.;i':" '`F. ZZ COUN PUT OF: r: -• �- —•--� VISTAS OF ST CROIX PRELIMINARY PLAT pM �„'�'N Its ltv lwnrlr Nww wnrat>E NE Iw or Ills va v.P.ala>Kiuvnr. Mlt to n..,....r �isN�aiN.'�wpiav s%'m�wN�orl a•.n awamu nwico Iw a'L � I•..✓ � _ 1 ICT�� .'`_2 ` is __ ��y`~�� _i i/ � a♦.\ a .—.— �h♦� 6� F� �.tgra♦ia \\a ��S' 71 r- 1 4 • J T K"��i i—��/ �//Jj/iW,� `� ' .0 N� t / _ !/ / •lam S� `♦' �.!y�; J wti �, I v' r` ;• � .� � ; >, _ _ y /! fir! ;;,%' „y;;a � E � •. � t ♦, I JL� 't `a�. n I__� i 1 �'_ � �� /.a i ,' PIIiI� ♦, t' al a 1�1^i` a' v:\ �' 1' 11 �11 \ ti��1 L_1� ,• Rff'T+21iY�♦♦ �+� i (! a//t''��`��\\ 'y.xi a�jl • \I /� 1��ji�l' a , l l ./ _ 1♦ ♦ f }\ f � /) / ..• 1 •. n��.. I11 I,IN 7 TI r..1 / r at..a Y t � ^ w iM�i r�w~rr.. +winr.r+r�u •+«.. r� c /1'1j;1(�� x � i• /•(f // I I •17,1 al 1,11{ti ♦ \\♦a. . ti / ..1 1.........�......r.�+e..,�... i ! ,V % a / irriiw iw.w ix.'.'«nu.�lrr. 0% notantonr ' F ♦ � : ./ , � ':'� ' .1 h � I slrwwrw� 4. ti-! ,- 1� 14 �•� y a f f�11,♦li �l ; «I•lw1Ya r. wrrN urr w ; '`k' ✓ � � r 1� %' 11 fi liir' r low ♦ 1 � rwrr wwrww `. r wrw Vfrllrw Y�'�' I I ' �_ rA•/btru.h.IfM �{ I I I I / / / /. / 1 f1 fr�l �' ' �!6 —?� sr�rrrr�.Nra'` . / rn�r�.rrrw rrar ' COW' i!/��'%� /•y�� / � ..w�u...lw� � •�—�_.iillaL _-g�t `� � tr,rt.rNrt�.rr.0 �- v (�(�v�) v • � ' 1 "4;'�''/ir \a 'Y • 1'w �:w. bit�t�� ... e r rrrwrll. uwr usvrvt'/ "' ' • \ , a I O� �u • / a F r. r..w Nne•c �, /��-, `.p� \.`♦♦♦\♦ \� l ` t �i;'�' rl Y 1 IK61D I .a_IsaN..�w.; ++s x -- Irlt►.r�i�vrrtrrrrwwN.s iJF/ f- a �`}`. _••"As�. f,_ • 1 <... � � .ure�.wae l'f3�3:.� ..an a rt:ru•tr.rtwar '/ 1:e_r ''S�`'-%Y`.'c. c,t s':= �' •` �� ! • wai.i' .n.« r tv rrtr.r..tratc �% �••+ _ r.fMlYtr•r♦..fMlNrt J i \,w� -_?_ /\/' Is.:'•eYp ]rrT r. Ta.r«r..' rrVVl.tr.r.firNw J \ y �� _ ��l 1 F Na�•g r w.u.►w•Ir..rv..•rr.wr.wmr. ! O «>..r.. w.«.w �'— �.I r.'r.e.wrremns•• S 2 •�t�V Vrr.�r..flltrwv , , ) iJ.. W..00 YTi ..i. MVI. y� �rrvrri.rifiW luirlYtr. _ -_-¢I __ _ _ •�1 e.ra m•a ®i m.owm.•'i'u �S M rr rrrn.a M� � , j1 � ...�•v.�.•w w q q r N�P'lrr.tr.r/111{Nt.t y; r i.tr�rw.rlr Klllrl...rw \•��„� • All Irnw.rrw.rti�r�.lnn�. ' ate♦ � ,/1 'I ILL 1y JJ JI W �.N•t10.10.�) 2 upovams 51CouN645439 • C�c nr NO. STATE SANITARY PERMIT 3eL1 &14 6*- DP&�Sf EWAL PREVJ9i75WU.`� PLUMBER S/'l IM S Ned LIC.# Z t4 TOWN OF SEC _9T N, R E AND OR LOT /Z BLOCK V, SUBDIVISION ZOxI CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permlt is to allow installation of the private sewage system described In the permit. (b) The approval of the sanitary permit Is based on regulations in force on the date of approvaL (c) The sanitary permit Is valid and may be renewed for a specified period. (d) Changed regulations will not Impair the validity of ■ sanitary permit. (e) Renewal of the sanitary permit will be based on regulations In force at the time renewal is sought, and that changed regulations may Impede renewal. (f) The sanitary permit is transferable. History: 1977 c.168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. AUT ORI El ISSUING OFFICER -DATE Zz T IS PERMIT EXPIRES ZO UNLESS RENEWH ED BE O THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R11/20)