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HomeMy WebLinkAbout040-1021-90-000 ST. CROIX COUNTY ZONING DEPARTMENYZ 9 AS BUILT SANITARY REPORT p r 4 M O ;? Owner - Property Address 40 - 7 - r D c)F C P.-.!) A � 1x99 City /State H J 0,5 o tit w ►. r_ - ' s.1 oaax 1� U X' y , 770W4 G 0FFi� J Legal Description: Lot - 7 Block Subdivision/CSM # 1 /4 �5 y) 1 /4, Sec. . T N -R]W, Town of !r: FCC Y PIN # Q E�TIC TANK�DOSE CHAMBER -- HOLDING TANK INFORMATION: Z Welfl o t P/L Tank manufacturer !A F_ Size ST/PC 140 Setback from: House Pump manufacturer .--- Model ...._ Alarm location .-- (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location --- SOIL ABSORPTION SYSTEM Type of system: V4 e N Width Length Number of Trenches Z° Setback from: House '%I r Well / 3 0 - t - p/L 0- 0 , Vent to fresh air intake ELEVATIONS Description of benchmark I r r ? / / Elevation / ���Q I „ Description of alternate benchmark f' E3 I�/ CI J �1'I t 4c Elevation l oD. -dr Building Sewer ST/HT Inlet ST Outlet PC Inlet PC Bottom Header/Manifold 10,41 " r f Z° S Top of ST/PC Manhole Cover 7. Distribution Lines O ion = � 7 1 0 ( ) l ° X E- 9 Z 1 ° r ( ) Bottom of System( ) // � � O �� 9 7 ( ) Final Grade Date of installation 1301 Mrmit number 3 S'3 Q Z. State plan number . Plumber's sig ature License number .Z e C . Dates/ Inspector - �M�tti• Complete plot plan Or NOTICE: Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. w D(ZI I PLAN VIEW WE L (Na r YfT /NS7iy«�Q, ZT f ff�s a� x sb i 0 o J30t - 7a�,vc NE S 3 K 7T /L C A l - I 7 D.YN. I of I I T oM Pl P'E' 61s mo, • INDICATE NORTH ARROW (No SexLE) F ' Wisconsin Department of Commerce Safety'and Buildings Division PRIVATE SEWAGE SYSTEM Count y INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 353202 Permit Holder's Name: []City ❑ Village EkTown of: State Plan ID No.: Town Tro CST UM Elev..- Insp. BM Elev.: BM Description: PA Parcel Tax No.: O . a Yev. swdL TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic O Benchmar A �,DL (o3•oZ a0, p 0. Dosing .2. ys oo. Aeration Bldg. Sewer 7. 12 - S. qlD Holding St/ Ht Inlet 6. 3 , -7Z TANK SETBACK INFORMATION St /Ht Outlet , (o .3� TANK TO P/ L WELL BLDG. Air i to ntake ROAD ir Septic D' 2`4 NA Dosin NA Header /Man. g q,1.S3 Aeration NA Dist. Pie [�' p qZ,o Z Holding Bot. System 2.3 �, Co 6 PUMP / SIPHON INFORMATION Final Grade (,,$2 cfG.Zo St covel Manufactu nd 9 X8.12 Model Number GPM TDH Lift Fri S stem TDH Ft Forcemai Length Dia. To well SO BSORPTION SYSTEM l RENO Width ( Leng t No Of T enches PIT No. Of Pits Inside Dia. Liquid Depth DIjM 5 aZ � DIMENSION SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manu ct er: SETBACK � � INFORMATION Type Of O - / Model Number: System: ��-" CHAMBER M OR UNIT - DISTRIBUTION SYSTEM Header ! yanifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Lengt Dia. L gth Dia. Spacing lG 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 t Bed I Tre Ce Bed / Trench Edges Topsoil Yes ❑ No J Yes ❑ N 11 TrI. nil 'L'6CRtibIIN4� 1� t e wRrmmr%,teZ1foln 5 T28N -R19W) - 1.) Alt BM Description T 2.) Bldg sewer length = 21, a � z - amount of cover= Plan revision required? ❑ Yes No Use other side for additional informat ion. SBD -6710 (R.3/97) Date Inspector's Signature Cert No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: �_ T4 t P w t ( 3 I I t 3 a Safety and Buildings Division - SANITARY PERIT A ION 201 W. Washington Avenue Wisconsin r d with IL O Box 7302 In acco 7�83 �i. d�rj,ci e % Madison, WI - 02 Department of Commerce • Attach complete plans (to the county copy only) for th on #* of l ess Goun than 8 112 x 11 inches in size. • See reverse side for instructions for completing this ap Flt- btioiq ` St to Sanitary Permit Nufn Personal information ou p rovide may be used for second y p y purposes t ST n, _9 Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. T '204%v I UA 1 7 - ', ate Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT AL j F R Propert y Owner Name r �o a n r . Tvl yen - S rY► /r1' /LEER /4 /4, S S T 2 �, N, R 19 E (o w Property Owner's Mailing Address Lo er 4 Block Number Ro e, - City, State Zip Code Phone Number Subdivision Name or CSM Number o t �/ (35(.)z7 p r O FhN I1. TYPE OF BUILDING: (check one) ❑ State Owned 'tr Nearest Road b Public 1 or 2 Family Dwelling - No. of bedrooms ° Town oF RO U;F_ D. 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) Q 1❑ Apartment / Condo o y,9 - j D Z l '7 d �d{� 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales / Repairs 11 ❑ Restaurant / Bar / Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. % New 2 ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an System ________System ----------- Tank Only -------------- Existing System ________ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 []Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench LEAcb 22 ❑ In- Ground Pressure r i 42 ❑ Pit Privy 13 Seepage Pit W //} F10 - AA TOP , Q - S - S , )( 75 43 ❑ Vault Privy 14 ❑System -In -Fill 311$ SQ 'FT SIDE wlµbE,L CNp mB>_p_ -? z , (-T` 6 � VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7. Final Grade / Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation (O0d 7500 1&3 • 8 90. Feet CIS,.7 Feet VII Capacit . TANK in gallo s Total # of Prefab. Site Fiber- Exper_ INFORMATION Gallons Tanks Manufacturers Name Concrete con- steel glass Plastic App New Existing strutted Tanks Tanks 9 �ZS�� N SQ- ❑ ❑ ❑ 11 El r Holdin Tank Lift Pump Tank /Siphon Chamber ❑ ❑ 1 ❑ ❑ ❑ ❑ VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Sta ps) MP /MPRSW No.: Business Phone Number: InI&E �!-` OONE LL ►?�'Q zz s�o 3 G• 3 �, - ,� Plumber's Address (Street, City, State, Zip Code): 070 il.) I(TP' P_k O off. M t-v © m W yo l IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved anitary Permit Fee (includes Groundwatef ate ssue Issuing Agent Sign ture (No Stamps) t: Approved [] Surcharge Fee) Owner Given Initial - �� Adverse Determination �`�`� . l�'9 l X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS - 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the ` county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608- 266 -3151. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. I 5 w� :5 c S` T. / z 8'A K N /y � ry LE.. 7o r A) Al 6 IF T ft0 - ° 3E D TA ST. dL/- 7 1 M E 6 o L aa��sG 'c•'sPtlr �ZJ t ) 30x 15 14 .✓' f/& 4L PofloM PIPE C 4 Wisconsin Department of Commerce SOIL AND SITE EV T11 ®N'� ':` " Page 1 of 3 DivLsipn of Safety and Buildings `�_ in accord with Comm 83.0 m. Code t� A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8' /z x 11 inches in size. Plan r, j ! : ounty include, but riot limited to: vertical and horizontal reference point (BM), direction ,` ✓ St. Croix percent slope, scale or dirnemsions, north arrow, and location and distance to ; r,• w .. Parcel I.Q.# 040- 1021 -90 -000 APPLICANT INFORMATION - Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 1 (}4477 (m)). IQ viewied By n� Da Property Owner Pro djit a GOp Kath B. Tul en, Bu er: Sam Miller Govt L % NE 1/4 SW 4 S 5 T 28 N,R 19 W Property Owner's Mailing Address Lot # of k $u or CSM# 404 Coun Road F prop. 7 Proposed Plat Of Frontier City State Zip Code PhoneNumber City ❑Village Town Nearest Road Hudson Wl 54016 roy J Tower Road E New Construction Use: Residential / Number of bedrooms 4 ❑Addition to existing building Fj Replacement Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate .7 bed, gpdKF .8 trench, gpd/ft" Absorption area required 857 bed, ft? 750 trench, ftz Maximum design loading rate .7 bed, gpolftz .8 trench, gpd/fP Recommended infiltration surface elevation(s) 90.75' ft (as referred to site plan benchmark) Additional design I site consideration Install trenches using high capacity infiltrators. Parent material Outwash s & gr. Flood pW n elevation, if applica NA ft S for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system M S❑ U M S❑ u 21 S❑ U ❑ S❑ U MS LI U ❑ S N U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring# Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz Consistence Boundary Roots Bed i Trench 1 1 0 -8 10yr4/2 None sl 2 fcr dsh cs 2f 0.5 0.6 2 8 -15 1Oyr4 /4 None is Osg dl cs if 0.7 0.8 Ground 3 15 -40 1Oyr5 /4 None s Osg dl aw - 0.7 0.8 elev _ — i 96.15' ft 4 40 -78 10yr6f4 None 91 Osg _ dl cw 0.7 0.8 -f Depth to 5 78 -128 I Oyr6l4 None s Osg dl 0.7 0.8 limiting factor >128' — - - — Remarks: Horizon #4 contains approximatley 10% cobbles. 2 1 0 -8 1Oyr /2 None sl 2fcr ds h cs 2f 0.5 0.6 2 8 -20 1 Oy r4l4 None gr.ls Osg d l cs if 0.7 0.8 Ground 3 20 - 60 1Oyr5 /4 None s Osg dl aw - 0.7 0.8 elev _ 96.10' ft 4 60 -125 1Oyr6/4 None s &gr. Osg dl cw - 0.7 0.8 Depth to limiting factor >1 Remarks: CST Name (Please Print) Sign e: Telephone No. James K. Thompson 715- 248 -7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, 54020 10/28/99 3602 1118 I PROPERI Y OWNER: B. Tulgmn, Buyer s— Mill SOIL DESCRIPTION REPORT ,,,s Page 2 of 3 PARCEL LD.# 040 -1021- 90-000 AC.E. Soil & Site Evaluations Horizon Depth Dominant Color MotAes Texture Structure sistence Boundary Roots GPDtft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -12 1Oyr4 /2 None sl 2fcr dsh cs 2f 0.5 0.6 2 12 -24 1Oyr4 /4 None is Osg dl CS if 0.7 i 0.8 Ground elev 3 24 -51 10yr5/4 None s Osg d] aw - 0.7 0.8 94.74' ft 4 51 -86 1 Oyr6 /4 None s &gr. Osg dl cw - 0.7 0.8 Depth to 5 86 -127 1 Oy r6 /4 No s Osg dl - - 0.7 0.8 limiting -- - - -- -- - -- factor >127' Remarks: Horizon #4 contains approxitnatle 10 cobb 4 1 0 -14 1Oyr4/2 _ None A 2f dsh cs 2f 0.5 0.6 2 14 -30 1 Oyr4 /4 None gr.ls Osg dl cs I f 0.7 0.8 Ground elev 3 30 -60 10yr5 /4 None s Osg dl aw - 0.7 ! 0.8 93.21' ft 4 60 -98 1 Oyr6 /4 None s &gr. Osg dl cw - 0.7 0. Depth to 5 98 -112 1 Oyr6 /4 None s Osg dl - - 0.7 0.8 limiting _ factor >112 Remarks: 5 1 0 -12 1Oyr4/2 None sl 2fcr dsh cS 2f 0.5 0.6 2 12 -34 1 Oyr4 /4 None is Osg dl cS 1 f 0.7 0.8 Ground elev 3 34 -58 10yr5 /4 None s Osg dl aw - 0.7 0. 8 93.35' ft 4 58 -82 1 Oyr6 /4 None s &gr. Osg dl cw - 0.7 0.8 Depth to 5 82 -115 1 Oyr6 /4 None s Osg dl - - 0.7 0.8 limiting _ factor >115' Remarks: Ground elev Depth to limiting factor Remarks: �2o«d ■ � � oar � p`'E • Fla &aeon .:cam, eoe J , 9radc a{ bu�rdz ' s�bc = 9q a _ _ 00 d/lacox AwAsa c /0 q Co. Qd .` "0 /. s5fo /6 Lot 7 o,F' P�e�oo�scd low yG �7' off' iron b'Gr' - AE!'s/ sly, Sec. T.28�, 8S Q. /q w,, � ■ S�. GI'oiX eb coa- - p p � f° 3 L to v ; i ■ ,a. a } d2 Y c Otto" le o SYSTEM ELEVATION AND SIZING CALCULATIONS Below Grade Chamber Soil Absorption Systems Permit Number 11/1/99 Date x °x" Gravity Distribution only 1 Pressure Distribution I 3 ft Suitable Soil , Note 1: Bury depth as per manufacturer 18 in Chamber Height 2 8 ft Maximum Bury Depth 3 600 gpd Estimated Daily Peak Flow d /ft t 750.0 ft Code SAS Size 0.80 9P Wastewater Infiltration Rate 40 % Down Sizing Credit 300.0 ft Reduction (-) 450.0 ft Min. SAS Size 90.75 1 ft Proposed SAS Elevation Soil Surface Acceptable Finished Grade EL 4 (ft) Boring Grade Limitation SAS E levation (ft) System Minimum Maximum Number Elevation (ft) Depth (in) Lowest Highest Elevation? 93.75 100.25 1 96.15 128 88.48 1 93.98 Yes 2 96.10 125 88.68 93.93 Yes 3 94.74 127 87.16 92.57 Yes 1. Depth of suitable soil required below the infiltrative surface for treatment. 2. Total height of chamber in inches. 3. Maximum bury depth as per manufacturer's recommendations. 4. Based on chosen system elevation, and chamber height. Top of chamber is equivalent to top of aggregate. The addition of fill for cover or the reduction of finished grade may be required to meet minimum or maximum code standards. SBD- 10553 -E (R.05/98) C 7 � 'T• 0 m x %e �p 3 m w c- -1* p Er z a m a Jr In ` Q c 0 ~•' !" IL OQ•1 O • : :`, a �f a •+ ^ k A �Q d n j y 3 m o. m v° ®® ® C-b ® ®® z .. A co =oO `DOmm w e �m � 3� a r co � w� Q cr , ( 5 A , m cD s o n X CD m o c� w w a- (D N d x cn W =r (D of tT •� w N N rn x Q- cD CD a 3 3 x 02 T. `< N . Q ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer -+ Mailing Address B 4 X /_7 Property Address C7 LAJ (Verification required from Planning Department for new construction) "" City/State k y D :SO N W 1 Parcel Identification Number LEGAL DESCRIPTION Property Location N E: %., `^ %., Sec. , T. kk -R�, Town of rr 43ubdivision ?1CQA kP4) til l F 12— , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # , Volume q Z— Page # Spec house I0 yes 0 no Lot lines identifiableX yes 0 no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes, Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to St. Croix County Zoning Office within 30 days of the d9c year expirati n date. la / OF KPPLICANT DATE =: OWNER CERTIFICATION - we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of described above, by v' a of a warranty deed recorded in Register of Deeds Office. GN TURE OF PI,ICANT DATE * * * * ** Any information that is miS- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** n: a s tamped warranty deed from the Re gister of Deeds office Include with this applicatio s p ty g .a copy of the certified survey map if reference is made in the warranty deed voi.1442PAGE 42 STATE BAR OF WISCONSIN FORM 2.1998 �p6841 WARRANTY DRED KATHLEEN H. WALSH REGISTER OF DEEDS This Deed, made between Kathryn B. Tuleren. and Ferris — ST. CROIX CO., WI R nn g ran_cifn n A t„aby;jrl RECEIVED FOR RECORD Grantor, conveys and warrants to 07 -14 -1999 11:00 gM Sam E Miller, a single ners2n WiRRRNTY DEED EXEWT I Grantee. CERT COPY FEE: Grantor, for a valuable consideration, conveys and warrants to Grantee COPY TRMSF FEE: 2228.10 the following described real estate in St. Croix County, State of MS DIMO FEE: 22 Wisconsin CTbe "Property "): Recording Area Name and Return Address i 001022 -10: 040-1022-30:040-1021-90'. 040.1o29- 20:040 - 1028 -70 Parcel Identification Number (PIN) This is not homestead Property. (See Attached Exhibit "A ") Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any Dated this 13th day of July, 1999. . Kathryn B. ulgren y Ferris R, Tulgren AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. authenticated this _ day of St. Croix County ) Personally came before me this 13 day of July, 1994, the above named Kathryn B. Tulsrcn. and Ferris R. Tulgeen, wife mid to TITLE: MEMBER STATE BAR OF WISCONSIN (If not me ttown t the per (s) who executed the foregoing authorized by § 706.06, Wis. Stats.) instrul ge the same. ` THIS INSTRUMENT WAS DRAFTED BY Attorney Kristin Ogland ' Hudson, WI 54016 N blic, State of Wisconsin (Signaaues may be authenticated or acknowledged. Both are not My Commissio is neat. If not, state expiration date: rKassary) /I f r d $reada Poulin Notary Public State of Wisconsin -N ames of persona signing in any capacity should be typed is printed below their sigrntura WARRANTY DUD VATIC RAR OF wISCOHM WORM Ns. s • toss "F~11ON PROFESSIONALS COMPANY FOND PV LAC, lM 800-0663071 d voL 1442PAGE 43 EXHIBIT "A" That certain parcel of land located in the NE /. of SE % of Section 6 and in the NW' /. of SW' /, and the NE Y. of SW' /. of Section 5, ALL in Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin more fully described as follows: Beginning at the West quarter comer of said Section 5; thence N87 0 51'08 "E (recorded bearing on the East -West quarter line of said Section 5) a distance of 2342.24 feet; thence S00 0 13'24 "E, 854.00 feet; thence N87 0 51'08 "E, 288.00 feet to a point on the East line of said NE % of SW' /.; thence along said East line, S00 3'24"E, 466.08 feet to the SE corner of said NE % of SW Y+; thence along the South line of said NE % of SW' /. and the South line of said NW % of SW %, S87 054'54 "W, 2372.41 feet; thence N00 0 30'28 "E, 170.48 feet; thence S87 0 54'54 "W, 273.91 feet to the monumented West line of said NW' /, of SW' /,; thence along said West line, N00 0 30'28 "E (recorded as N01 0 32'36 "E), 941.26 feet; thence N64 0 57'47 "W (recorded as N63 0 54'50 "W), 458.40 feet to the North line of said NE Y. of SE /. of Section 6; thence along said North line, N88 3"E recorded as S88 9"E and N89 0 24'42 "E), 416.69 feet (recorded as25'/. rods) to the Point of Beginning. i T TOWN OF TR-2-1� cc 0 ao ti v. 7 NE l/4 SW 114 7 183.70 � O ti 73A N 73B 208.70' � I I BENCHMARKS: PROPOSED- 24 SINGLE FAMILY DWELLING LOTS ' TOP NUT HYDRANT AT INTERSECTION OF O'NEIL AND TOWER ROADg 922.84' LOCATION SKETCH �S COMM,TTEE TOP NUT HYDRANT NEAR QUARRY ENTRANCE 885.00' NOTE: SOU*IKST 1/4 OF SEC. S. T28K. 1116 eWER - BEARINGS ARE REFERENCED TO THE EAST -WEST 1/4 LINE OF ' SAM E. MILLER MINIMUM PERFORMANCE STANDARDS: SECTION 5. T 28N, R 12W ' - ' EYING MILLER HOMES RECORDED BEARING N87'51 WE ; PO 80K 151 FRONT SETBACK(TOWER ROAD)- 100 1 22 HUDSON. VA 54018 FRONT SETBACK(PLATTED ROADS)- 150' SIDE SETBACK- SO' MINIMUM LOT REQUIREMENTS sw i SE -S1[ i MIN. 1 ACRE BUILDABLE FRONT SETBACKS MEASURED FROM ROAD R -O -W ' TOTAL AREA= 72.81 ACRES � ' t MINIMUM LOT AREA- 2.5 ACRES ` "' "' L -� CINAL LAND UNPLATTED MINIMUM DENSITY- 1 UNIT PER 3 ACRES BY KA74MYN B. TULGREN P► DENSITY SHOWN- 72.81 /24- 1 UNIT PER 3.03 ACRES vtt/Na[w i s: a 1st t� 3� S[. FL (3,171.[21 x - Row) SAH� 5t(t Vw[t mnn „[r[W ,ort w. 43,65 ADO (72-M [, -ROYQ y, TOWER ROAD R -O-W AND PROPOSED ZONED RmGDM& 5� , cit �aA� ''�� STREET R -O-W WITHIN THE PLAT BOUNDARY NORTH LINE NE 1/4 -SW 1/4 SEC. 5 / SHALL BE DEDICATED TO THE PUBLIC Q TO A 449.92 J* FT _ T co eq 1121283 SF a a -- s,_�-- �_7CS,FT � '" ' °• 16.17 I 1 59 1 2.64 ACR S 1 I I '59 ACRES; 1 m 1 1113137 SF I 1 n 1 114886 S . Z / 12' UTILITY 48ss7 Fr �s.�: ' � O EASEMENT(TYP.) __- Ex O _ V� •1 I ■ r- - * li Iw I - S N E 2.52 ACRES I u 109731 SF I y � (� �' 2.53 ERES / NELBUILD.= 2.48 ACRES I k z '•`IT 2 j+ 1 1 1103 SF / R - -_- 1 0o I 531 ACRES m �J ' NE[ BUILD/= 2.00 ACRES' ;/ °" _ - -J N I i 10 SF �,�! \ // 4 1 j / ,/ j / 510.41 FT N \ 4` ■ 2.51 ACR ,� Et e \ / / L 109368 SF _j 1 + SOT 3 \ \ �� / * NCT`SUILD= 1.25 ACKS - - ; 2. ORES tae ■ 1 9194'SE N BUI�D.= 1.86` / j • ;/ .j� / t I LOT' 9 `�� ry ,LOT 10� i ° i ' j ! 2.53 /ACRES ,, ! �"" �• L / 1104 1 SF / h 12.52 ACRES J N 87 51'08' E :+ �• L \ \ I ry / ET BUILD. = 10952 SF 2 / r Z N 1`2a�ACRE� NET / BUILD.= 2.12 A9RES FT V O I` ie� •♦�, qty ► I I J ! / ,�� �� - - -- ` O 15 ■ f` 109092 SF LOT 1 . �' I L.�z�osg ,�,� L_ �•� �'� / '1.51 ACRES �J v w \• `._ ��� ,'pNN5I,tl1CT DiaVEaN�Y'FOR / �� N I �" - _ _ ■ MIN. DRIVEWAY CULVERT INVERT a".- S4aC N�� BUILD.= j32' ACRES ' -.414 TO BE ., # REMOVED ROAD i 1 Ol T 140 LOT 13 � RA ��y' LOT ,�gse' ■ i JJ N O `1 2.67 ACRES I I ''35 ACRE / N / LOT 12 14 3 ' •\ ! 2.87 ACRES , , / 116j493 SF I 1 NET BUILD.= 1.67'�ES ■ `� �� / 124944 SF J i I KIET BUIL • .= 2.24 AC ( b ES 1 2d (IRMAGE EASara+f • u >` $U.g = -2-5+5• -XCRES pig ; / ---- - - t - - � IL_----- h- - - -- � •'� Bless FT 602.96 FT UNt'S S 87'54'54 W 2372.41 1 T AG TIAL 100 YR. HWE- 84 1.5' Lq_+?u w FUTURE ROAD ROM EASEMMT PIIO.KCT: SKEET NQ . FRONTIER cumer: m PRELIMINARY PLAT f pm t Bnr�a�er6 TOWN OF TROY, W ow MUD. 157 -ammo O �. In e4oze Con6ttucMon M.a.p[. _ .� 715-on-3"1 PRELIMINARY PLAT JN >� TSB -M I I� Wisconsin Department of Commerce SOIL AND SITE - 0 Page I of 3 Division of Safety and Buildings accord with Comm 8 .0 Adm. Code '' AC.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8Y2 x 11 inches in size. Plan r, Countjr, trlclude, but not limited to. vertical and hortzontal reference pant (BR, di ` _ _ St. Croix perrerrt slope, scale or dimemsions, north arrow, and location and distance t nearest r ;PaParcel It.. .# "` , 040 1021 -90 -000 p APPLICANT INFORMATION - Please Tint all infonnat10 Personal information you provide maybe used for secondary purposes (Privacy law. . 15.04 (1) (m)): < h0 %X gew By Date 1 Property Owner rty L �FFl ��° Ka B. Tul en, Buyer: Sam Miller Go Lot NE f( 1/4 S 5 T 28 N,R 19 W Property Owner's Mailing Address Lot # y Bldcefa S Name or CSM# 404 County Road F prop. 7 1 Proposed Plat Of Frontier City State Zip Code Phon r ❑ City ❑ Village ®Town Nearest Road Hudson WI 54016 Troy Tower Road M New Construction Use: ❑ Residential / Number of bedrooms 4 ❑Addition to existing building ❑ Replacement ❑ Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate -7 bed, gpolft .8 trench, gpd/ft Absorption area required 857 bed, tt 750 trench, ft' Maximum design loading rate .7 bed, gpolft .8 trench, gpolft Recommended infiltration surface elevation(s) 90.75' ft (as referred to site plan benchmark) Additional design / site consideration Install tre using high capacity inflitrators. t Parentmaterial outwash s & gr. Flood lain elevation, if a icable NA ft ble for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank itable for system ®S ❑ u ®S ❑ u ®S ❑ u ®S E] u ®S ❑ u ❑ S ® u SOIL DESCRIPTION REPORT Horizon �th Dominant Color Mottles Texture Structure Consisten Boundary Roots GPDftt2 Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -8 1Oyr4/2 None A 2fcr dsh cs 2f 0.5 0.6 2 8 -15 1Oyr4/4 None is Osg dl cs if 0.7 i 0.8 Ground 3 15 - 40 10yr5/4 None s Osg di aw - 0.7 0.8 elev 96.1611 4 40 -78 10yr6 /4 None s &gr. Osg dl cw - 0.7 0.8 Depth to 5 78 -128 10yr6 /4 None s Osg dl - - 0.7 0.8 limiting factor 40 ? >128' Remarks: Horizon #4 contains appmximatley 10% cobbles 2 1 0 -8 10yr4/2 None sl 2fcr dsh cs 2f 0.5 0.6 2 8 -20 10yr4 /4 None gnis Osg dl cs if 0.7 0.8 Ground 3 20 -60 10yr5 /4 None s Osg dl aw - 0.7 0.8 elev 96.10' ft 4 60 -125 10yr6/4 None s &gr. Osg di cw - 0.7 0.8 i Depth to limiting factor >125' cq. z�t 2 Remarks: CST Name (Please Print) Signature: Telephone No. James K. Thompson 715- 248 -7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, Wt 54020 10/28/99 3602 1118 f PROPERTY OWNER: Kathryn B. Tulymn, Buyer: Sam Mill SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL LD.# 040- 1021 - 90.000 A.C.E. Soil & Site Evaluations Horizon Depth Dominant Color Mottles Texture sbu�re sistenoe Boundary Roots GPDIft� M. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 3 1 0 -12 10yr4 /2 None sl 2fcr dsh cs 2f 0.5 0.6 2 12 -24 10yr4 /4 None Is Osg dl cs if 0.7 0.8 Ground elev 3 24 -51 10yr5/4 None s Osg dl aw - 0.7 0.8 94.74' ft 4 51 -86 10yr6/4 None s &gr. Osg dl cw - 0.7 0.8 Dept to 5 86 - 127 1Oyr6/4 None s Osg dl - - 0.7 0.8 limiting factor >1 h 161 � yT•$$ • Remarks: Horizon #4 contains approximatley 10% cobbles. 4 1 0 -14 10yr4 /2 None sl 2fcr dsh rcw 2f 0.5 0.6 2 14 -30 10yr4 /4 N on e gr.1s O sg dl if 0. 0.8 Ground - elev 3 30 -60 10yr5 /4 None s Osg dl - 0.7 0.8 93.21 ft 4 60 -98 1 Oyr6 /4 None s &gr. Osg dl - 0.7 0 .8 Depth to 5 98 -112 1 Oyr6 /4 None s Osg dl - - 0.7 0.8 limiting factor >112 Remarks: 5 1 0 -12 1Oyr4 /2 None A 2fcr dsh cs 2f 0.5 0.6 2 12 -34 1Oyr4/4 None is Osg dl cs if 0.7 0.8 Ground elev 3 34 -58 10yr5/4 None s Osg dl aw - 0.7 0.8 93.35' ft 4 58 -82 10yr6 /4 None s &gr. Osg dl cw - 0.7 0.8 Depth to 5 82 -115 10yr6 /4 None s Osg dl - - 0.7 0.8 limiting factor >115' Remarks: Ground elev Depth to - - - -- limiting factor Remarks: r �3 71 120ad ,; I Olaser ✓A P. Flea -bon . rron p;pc T propased /o$ awn e/' Iou. d S e 99 cn . APPrOx• of 4 bdret ��arye ,8. %uC9re� �estdenc� (10 Go. . 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