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HomeMy WebLinkAbout040-1244-90-000 �o``> ST. CROIX COUNTY ZONING DEPART AS BUILT SANITARY REPORT Owner C - � M � TY �A4J l `OU'Ni T � F` Propert Address city /state f41 sy CAd- dLi4 4 Legal Description: Lot Block Subdivision/CSM # r 3 j& '_ '/, 'h, Sec. I q, T, WN -RJIW, Town of PIN # SEPTIC TANK DOSE CHAMBER HOLDING TANK DIFORMATION : Tank manufacturer .t/QiLer Size ST/PC 12.01 Setback from: House If' � Well Zo P/L 5'0 � Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fi^esh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYS'T'EM Type of system: 0w-44r Width 3 c Lengt>1 7S ' Number of Trenches Setback from: House 3-v' Well 100 P/L J & `Vent to fresh air intake ELEVATIONS Description of benchmark 1�e r� a� S•lar Elevation Description of alternate benchm Elevation - 4 Y - Y f Building Sewer /OzG, >Z(„ ` Inlet ST Outlet `f 4e PC Inlet `�- PC Bottom __-- Header/Manifold Top of ST/PC Manhole Cover Distribution Lines ( ) () ( ) Bottom of System `/ Final Grade O �CO • O O Date of installation .Z 1 161 Permit number plan number 3 Z 77 3 state Plumber's sign ture License number 3 S�/ Date / iA Inspector � ' f L �, Co WIft Plot Phn 'r ~ , � oft 014 OQ 10 room iscon�in Department of Commerce PRIVATE SEWAGE SYSTE y afety and Buildings Division Count INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitarielah 1437 Personal information you provice may be used for secondary purposes [Privacy L&, x.15.04 (1)(m)). 96 ccr UU ut9A06s RdMES [1+RO)] Village El Town of: State Plan ID No.: VVIVLH', L CST BM Elev.:- Insp. BM Elev.: BM Description: c U Parcel �+�, TANK INFORMATION ` I N DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark T.33 10:V 99. Dosing - "101 3 .1[ 0' /a Aeration Bldg. Sewer 7, 24 " , 2, Holding t /2.3ir `15 , -15 TANK SETBACK INFORMATION St u et TANKTO P/L WELL BLDG. Ventto ROAD Dt -W&e Air Intake Septic ) `o NA et Rottom , �6siag NA Header / Man. 2� E. �,� z tF `l 3, Z 4 Aei at'rerl- NA Dist. Pipe � ................. __ i Fft Bot. System 6 �, ob g /, ya, PUMP/ SIPHON INFORMATION Final Grade i Manua mand e5 Model Number GPM TDH LiftIction System TDH Ft m ead F rcemain Length Dia. Dist. To Well ` SOIL ABS PTION SYSTEM REN Width Len s o. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 'f's DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O C : 02 6 i 1 6 d CHAMBER Mod Num er. System: ff-o OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe x Hole Size x Hole Spacing Vent To Air Intake Length Dia - Length ia. Spacing .�3 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No TS' (In lude code discrepancies, persons present, etc.) !°J� _ LOCATION: TROY 19.28.19,SW,SE ..325 ST. ANNES PKWY TROY VILLAGE LOT 9 a , o Plan revision required? J Yes ❑ No �. Use other side for additional information.' 21 19 - �O SBD -6710 (R.3/97) Date Inspector's Signature Cert No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: I g , ; e e a s ; } y E , ; E � i ,. . ,® 1 3 � , q..e.... w, . �. .,. ., , ........ �w .Z._..... .,. ;... v . ......, g ,. ..... ...... gar- . . _ . ... ... ......... _ vc i G ..., ,...._n i e ,. .. . . e. .... P vM1 j t N . ........ ..,,,,.�. ,m ,� ,,... . ,,.e .gyma..... . ... .. e _. . e 3 i , E e t j E 7 { i S � s e E q — Safety and Buildings Division SANITARY PERMIT APPLICATION . 1 E. Washing Ave. Visconsin of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 1/2 x 11 inches in size. �� 1 • See reverse side for instructions for completing this application State Sanitary Permit Number The information you provide may be used by other government agency programs ❑ Check if r to re ious�ication [Privacy Law, s. 15.04 (1) (m)). State Plan I.D. Numbe I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATI N Property O er Name Property ocation &.,�f/4 5 /4, N, R tg E (or� Property Owner's Mailing Addre Lot Numbe Block Number Of l �- Cit State Zip Code Phone Number Subdivision Name or CSM Number 11. TYPE OF BUILDING: (check one) ❑ State Owned C it y Nearest Road ❑ Village Public 1 or 2 Family Dwelling - No. of bedrooms w Town OF III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 Z2. 1 ] 1 ❑ Apartment/ Condo 0 cfc/ — /0-i — fc 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. Q Replacement 3_ Q Replacement of 4. Q Reconnection of 5. Q Repair of an - ______ystem 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 Weepage Trench 22 ❑ In- Ground Pressure r � *�2 E] Pit Privy 13 ❑ Seepage Pit 2'� Y 5 3 ❑ Vault Privy 14 ❑ System -In -Fill Z C — J • Z ✓I v� VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Re% _0 d (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation 7 Feet 7 Feet Ca aclt VII. TANK in allo s Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con- Steel glaze Plastic App New Existing structed Tanks Tanks ptic Tank g ank /Z S'C/ / w e ❑ ❑ ❑ ❑ 11 Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ 1 ❑ ❑ VIII. 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 St p MP /MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Cod �6 l C._"r IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issued Issuing r ignature (No Stamps) Approved []Owner Given Initial �" � s charge Fee) Adverse Determination �Z� O� - /C/ / X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL Rte} OKTRtBUT10N: Original to County. One copy To: Safety & Buildings Division, Owrser, /Mrwber U /15/99 07:52 FAX 651 455 2292 MCDONALD HOMES Q001 �Sr ^NN�f ppA W y Q .F ` W ✓ a r � �, Syr T T j v W i v�.sb ca c 43 � %gg :;.� �•1hrM 1 ter,,..- .� M` }r,-�, ��,._ �b - • F +• —• ,,� ` _ r��� It7;, -•, I ` N47 lud _ SITE PLAN �.:T *.,nmaVt�RS� "��1w�4' a'��f! P •, b'=._:,:'.�r, ^= �::J,�C "'r, L �N'r' i =� =ai_G 4'� -, � ' T:'�:� `�+i • ' q�fr .�r. �!l,�+�' ! :•y— '1.Y,�".0�•p•k ti, � yi•,::.��a�_ � , ! y • . �" �i.�; ..�y;�, y,,,, r jib;. + ,. _ w dr. � � ' .:.... 1:: m.,�. X1'4:! .. •y_ ae + ' .�" > ,yr' c 1 ansk�iR2+',iF¢�t :i Lti.�'7c ^,r _ i.. •� -, .. __ O °� �� `� O �', �}- � � � - _` � �� -- � �� � � � ,� � -� , �� �_ -� �� � V � , e � � �� � i �� v e � �� F� �c � �a �'_°` Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations Division'of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ' COUNTY ` Attach complete paper not less than 81/2 x 11 inches in size. Plan must include but C� PI site plan on P P no PARCEL I.D. # limited to vertical and horizontal reference point BM direction and /o of slope, scale or t po ( ), p , I dimensioned, north arrow, and location and distance to nearest road. 0 O - \--y � - ol 0 APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION RIEWEQBY DATE PROPERTY OWNER: PROPERTY LOCATION t/1c N es�O h `s ©04 #@fi S W 1/4 S E 1 /4,S � 0 1 T Z$ ,N,R 19 E (010 PROPERTY OWNERS MAILING ADDRESS LOT BLOCK # SUBD. NAME OR CSM # T'M01-1 VLLA_hGC CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE EFOWN NEAREST ROAD I"\X_X Sul IF 1+OVr3, ANN ssv0 ( LSO 4SS- S14Z ST• YtTl,1U t -tvL.( New Construction Use K Residential / Number of bedrooms [) Addition to existing building j ] Replacement (] Public or commercial describe Code derived daily flow boo gpd Recommended design loading rate bed, gpd/ft - $ trench, gpd/ft Absorption area required 8 S 8 bed, ft - ) So trench, 11 Maximum design loading rate bed, gpd /0 - S trench, gpd/ft Recommended infiltration surface elevation(s) Q t - S 11 (as referred to site plan benchmark) Additional design / site considerations S 1'-:E �- 3 Parent material Sf KA:5 -! - OQ T I.v -SN Flood plain elevation, if applicable )V 1A It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN RILL HOLDING TANK U = Unsuitable fors stem 0 S ❑ U [3 ❑ U ®S ❑ U ®S ❑ U ❑ S RIJ EIS I� U SOIL DESCRIPTION REPORT ! Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trend z-c t Z I q L b 4 i2 a4 y — S i 1 �Sb1z m'Fh c g — , z - 3 1 Ground 3 2$ tb`-t [L- V/6 S i 1 1 cSb Vrt C - S 1 -Z- •3 0 1 elev ft Sb -w". O 4 R y 16 — S � Sg w, � _ ' - 1 '• ` $ i Depth to limiting v factor s . c t 7 Remarks: Boring # Z z VS -Z$ 1,0 `-142 31 S:it 2 �s�12 1v1`- C S 1 3 28 -`f G t O`1 iZ v C — S i 1 \' e sb1 h1 `F►� CS �- • 3 Ground elev. 4 �l 6 -10 t u R- VA - S o g 4 t'►7 ] or g Depth to , limiting factor a.� ' ?�NI Remarks: NG QF CS T Name.--Please Print Arthur L. We erer Pine 715 - 425 - 5�T egerer Soil iesting & Design Service - P.O. Box 74 River Falls,WI 5 Signature: ® Date: 1 j_2i -_98 CSTNum Z �t PROPERTY OWNER VA-_" Z) vP i � SOIL DESCRIPTION REPORT Page of 3 PARCEL I.D. # 0 4 O - lZ Aq - di: o Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounckvy Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITmrich 3 0 -VI 10 zL z s� \ z S 1�k �-S - , S •d z 13 z6 l b `12 3/ S i l Z.'�Sbk �h c-S ' S • 6 Ground 3 s Z b , -t rZ VA 4�1, elev. a lb•S ft. 4 Sz4 f 0 I 1Z Depth to limiting factor ' ? LL Remarks: Boring # ;� tJ - \� 1 tiZ z 1 Z S i \ Z � s�1 c wt'�r- �S _ S LL y Z 13 2 S 10 �-11Z 3! 6 Y — S 1 Z Sb� 1NI `F�- �g . S _ 3 `•t S;1 C✓gbk. 1M'�F� eS • 2 .3 Ground elev. 56 -loa l O `m y�G - S p s i o ft. rn 1 - .� . t a Depth to limiting 1 factor i Remarks: Boring # , o s t 1 1 wA S b \rr, Yrt` & 1W- R I I *.+r �S — : S_• L 23 -6S 10`1R vfl Ground elev. bS _lzl lo'-tR- VA S o s Irv,� '1 ft. Depth to ? limiting factor ?lZ1 i Remarks: Boring # 13 I Ground elev. ft. Depth to limiting factor Remarks: inn aonNP n�nm . PLOT PLAN Pa 3 of 3 SCALE 1 "= 3'0 ' � 8 �' c3v�+; ► n C1 min Vk-z- Ls A l m �01 d I • r Soti� S1DC1-tP��� � I I ' � i l �` I r I I Bh1 ter l - EL. \- OcU. 0 ' CyV 1yl �Z - QA. V 't v r to I �C..�i'i'c -LC I l S_E 'co gE iPCT` L�S'T` Z.5' �w►„1 `T1�k��S � � I Viv 't—\- S�� 4 I �! LI �J � -3 s •Z t►.,s`rn1.� Z - Mej e-we - s fie!} x 'I s LOJ G w I 4} �GN ip�RC �Yy sI bIP j bM ��� CAA r�e�RS. Qv � 01= - nI-e , -,JC.VreS 'M i3� INT LFU&J . IOU 5' t..pT 9 LoT B g -Z8 -9 42.5 -m65 I4 00576 CST Signature ��= - Date Signed Telephone No. CST # r Wisconsin Deparbent of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labot and Human Relations Division of Safety & Buildings in accord with IL.HR 83.05, Wis. Adm. Code • COUNTY Attach complete site plan on paper not less than 81/2 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. # dimensioned, north arrow, and location and distance to nearest road. 0q0 - x•L ol o JR5 APPLICANT INFORMATION- PLEASE PRINT ALL 11EWEDBY 0 PROPERTY OWNER: PROPERTY LOCATION �1C�0 NJ P'C _vo I OM M e G0=;t9T' S W 1/4 S E 1/4,S1 T ZS ,N,R 1 9 E PROPERTY OWNER:S MAILING ADDRESS LOT I BLOCK # SUED. NAME OR CSM # 6o i S »v� QQ j6- - Ttzo- VILA.-kc c - CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD INV G12oU E 4}p16tR S, wtN SS (3 (6S1) y SS_ S 14 Z ST•'M.1�1 � 5 P ksv�( New Construction Use Residential / Number of bedrooms c f [) Add'itiQn to e xisting building j) Replacement [ ] Public or commercial describe Code derived daily flow buD gpd Recommended design loading rate bed, gpd/ft - $ trench, gpd/ft Absorption area required 8'&S bed, ft -) SD trench, ft Maximum design loading rate bed, gpd/ft '$ trench, gpo1ft Recommended infiltration surface elevation(s) Cl I - S It (as referred to site plan benchmark) Additional design / site considerations S IZDE 1vu`� Onl P"k E 3 Parent material Sim tH - c�,Q T W" Flood plain elevation, if appricabie Y It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN RLL HOLDING TANK U= Unsuitable fors stem 0 S [] U ®S [] U RI S [] U WS [] U ❑ S ICU [] S la U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft I Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Baxldaly Roots Bed ranch + I o -1� l.O' VL- Z-L Z — S1 e S�k Y�`�h CS - - Z •'S Z ►� t o tz / — s 1 �sbk rrt �1- c S - , z 3 1 Ground 3 2$_SL lo`-1 lL ul6 _ S 1 l cs6 m - cS . • 3 °1 .ft. S6 -10, 10 4 RR t/) SS VVI Depth to uniting factor �ttb" Remarks: Boring # I D -lS LD`1R Zt Z 5i I Z� P 1�'�h GS NA • 2 Z Z 1S -2$ tw-az_ 31 s: X * 2 g�1Z m`�1- C-S S 3 28 - & 10 Vic — Si1 ve Sbk Ground elev. 4 q6 -lo t o,I [Z VA - S O g4 ►'n l - ,-► C &S ft. Depth to limiting' factor t0 3 .'Remarks: TName: Please Print Arthur L. We erer Phone 715- 425 -0165 egcrer Soil Testing & Design Service -P.O. Box 74 River Fa11s,WI 54022 Signature: e � $ _ Z � _ 9 Date: ' f _ � f � � CST Numb 0 0 5 7 6 q �t PROMMYOWNER "'QctvRA-b l i 'lZZS SOIL DESCRIPTION REPORT pagQ .Z of 3 PARCEL I.D4 c'40- Ol t Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxiery Roots GPD /ft. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 0 -13 1 ZC Z s� \ Zn1 S Z 13 3! Ground 3 2(. -S 2 0 `i R V/6 elev. Depth to limiting factor E Remarks: Boring # O - It L-f 1i_ y Z 13 Z s 10 `-I >z 31 Y - S '0 Z�sb� >M'F�. �g • S = _ 6 Ground 3 zS-s l b `i fL v/ 6 _ S f 1 c_sbk. >M �� �°-S • 2 l -3 elev. c a.O ft. wt •� i .� Depth to I limiting factor Remarks: Boring # 1 0 -� �o�1t z� z � si l 1 w, sbk rn`F►- � _ , z . 3 1 3 . Z 8 - Z - 3 lZNCL 3! y sit - v - pa vt yn% - C-s Ground 3 i 3.6 S I p - t R v/b elev. bS - tzl lfl LM- VA S o s9 r►'1 •` 9 z ft. Depth to limiting factor 71 Z1 ' I Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: rnn n'"nin nr•nn� PLOT PLA Page 3 of 3 SCALE 1 Li s`�' • 'Ptt� ti Las �•' �°C1�•� -bv� TWZ X*mTs - nmJ;&j�c- fL3 3 3 3 n► - - w cr g ,y cn Sc�tl S1DC1-tpt �; r I I C I I � . F r' i I / I I Bt`1�~1 - �L. �OV•O dV 'top o � ZP��titl ��b I W ct.l. ' . S 0' 4 ELI LJL I Z `-tzej 0-we-'s � qf\e" 3 x �1 S' LUkj G w M HIGH CApftC 1)'V IZMN `oT cl �T 98 -Z8 -q ( 715 ) 4 25 -0169 i4 00576 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry SOIL AND SITE EVALUATION Labor ar.+ai Human Relations Page of bivisien o,i 5afdty and Buildings i i�1 cc ir, a with s. ILHR 83.09, Wis. Adm. Code 4 Attach complete site plan on paper not 4s�N1an 8,3/2 fE 1 inches M N2 Plan must County p include, but not limited to: vertical an { r- _ - ° frontal r �. nt (BM), dir2lction and percent slope, scale or dimensions, h',arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION fllease pdAtAMh:oforma#on. Reviewed by Date Personal information you provide may be us6,d fet seco vacy:taw, s. 15.04 (1) (m)). �'. y�•cT? Property Owner ` , (' Property Location % Uer r I cr K CA 1 Govt. Lot StJ 1/4 n LJ 1/4,S q T1 8 ,N,R 19 Xr(or) W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# L S °r - Tr o U i I CL g - e- city State Zip Code Phone Number ❑ City F-1 Village (I Town Nearest Road rttMQ I LJ1 I SL4 0 17 ( 715 ) .2 y6 - .2 3 j r0 Dr New Construction Use: OgResidentiall / Number of bedrooms L� Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow _( 0_ gpd Recommended design loading rate r '7 bed, gpd/ft - trench, gpd/ft Absorption area required gi bed, ft 50 trench, ft Maximum design loading rate , '7 bed, gpd/ft trench, gpd/ft Recommended infiltration surface elevation(s) 1 9 ' y Z ft (as referred to site plan benchmark) Additional design /site considerations Q r c- J1 c, chi a.t1GrYA J r a c. �- Parent material n 1 0.(1 j Ok Li LS �► Flood plain elevation, if applicabl ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system S❑ U 1�I S U S❑ U Ip s❑ U I ❑ S F u I ❑ S P3 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 0 - Is to IZ 3�2, none ,5 .!o 2 1 b 4 6 i _ 51 In e. S ► 1 )c56K rnt' I i F Ground 3 L{D• h p n -Q- elev �I ft L l 54 - I 1• G ( n on c S` o5 Depth to limiting ; factor 7� n• ' Remarks: Boring # 1 0 I o r'L S AI >1 o n rti s d� M f 2 tj 2 'S- 2 5-11 l u rL 3 h, no n< S I I r^I O 11 F I , r j u (p 3 I I - l (0 7.512C.�b , 8 r on e S Q S f'1 aJ n rc g Ground elev.� ' Depth to limiting factor 1 /o!o in. Remarks: CST Name (Please Print) Signature / Telephone No. rI 1•\ o cam G s �l e l S o r - < q6 ..2 s7 Address Date CST Number I Li I SOIL DESCRIPTION REPORT PROPERTY OWNER Page -- oA - i PARCEL I.D.# Bonn # Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed .Trench 3 1 0,17 1 y tZ 3r2 h 0 t R - 5 1 2 rls k rn 1 T P ,2 ,3" 2 17 /0 110-5 n o Sr 1 1 c. S b K rn Ground 3 �' 9 7. S 7 (o n o n< 1-5 r r i✓ f r elev. cg , eft. 4 y9 - I `� 7, s r Y1 v n' p S r l n •A Depth to limiting ; factor 7n Remarks: Boring # Ground elev. ft. i Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ........................... .......................... 3 ' Ground elev. Depth to , limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW -8330 (R. 08/95) S w y y r) L,, /y s► T 2 N R L j �r L N DO ob U' I L° 6rl t o � v� �" s Ion Co w ,-, C5i two l(VaS wmconSt1 oeparan*nt at industry. SOIL AND SITE EVALUATION REPORT Page L of I •labor and Human A01a OMSMn at Sat" s 6widng3 in accord with ILHR 83.05. Wis. Adm. Cade COUNTY ST. CROIX Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan roust include, but PARCEL 1.0. # not limited to vertical and horizontal reference point (8M), direction and % of slope, scale or dimensioned. north arrow, and location and distance to nearest road. APPLICANT INFORMATION— PLEASE PRI )<, N T1ON REVIEWED BY GATE PROPERTY OWNER: ✓� PROPERTY LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND B U ` GOVT. LOT 11 4W 1 /2S 19T 29 NR 19 44w) W PROPERTY OWNER':S MAILING ADDRESS OT 4 -sweet a SUBO. NAME OR CSM u 260 COUNTY ROAD F 1 9 I TROY VILLAGE CITY, STATE 71P C M PHONE N CITY ILLAGE MrOWN NEAR ST ROAD HUDSON W 540 ! (71 � OY ST ►Tits aZ V\JA 1 1 pQ New Construcoon Use (X J Resid ate u mber of ,� \ 4 ( Addition to existing building j J Replacement (J Public or a \ Code derived daily flow 600 gPd mended design loading rate 0• ¢ bed, gpoltt2 = trends. gpd/It Absorption area required �G bed. ft2 5OD trench, It Maximum design boding rate , S bed, gXVft MMM, gpWt Recommended infiltration surface elevation(s) BY DESIGNER It (as referred to site plan benchmark) Additional design I site considerations leE /Vo TES G'N "%W f 7E 3 Pmt material X55 T�GL Dv Tl�f/fih5f' Flood plain elevation, if appfrcable N/A It HOLDWG TA E SYSTEM IN FILL R $ : suitable for System CONVENTIONAL MOUND IN•GROUNO RESSURE AT-GRADE NK U = Unsuitable for system I D S 211 I F S 0 U 0 S CU I D S XrU I O S yu 0 S 9,U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure C Roots GPO /ft in. Munsell Du. Sz Cont. Color Gr. Sz. Sh. I Bed ITrarldl Bonng # A 0 - 10YR 3/1 - -- 1 12msbk mfr I ci 2vf— 0.5: 0.6 < 2 <= B11 30 -43 lOYR 4/6 - -- Ilfs Ilmsbk mvfr cw 2vf 0.5 0.6 . B12 1 43-51 10YR 4/6 flf 5YR 5/8 lfs lmsbk mvfr Icw - -- Ground 1 OYR 7/2 eley. B2 51 -70 10YR 5/6 Im3d 5YR 5/8 sii 3msbk mfi 1 CW lvf - -- - -- 90 L - Q — 1t. C 70 -80 10YR 6/6 Icld 10YR 3/4 s Osg ml I - -- lvf - -- - -- Depth to limiting tact o r Remarks: Boring # A 0 -9 I10YR 3/2 - -- 1 12m—csbk Imfr Igw 2vf —d 0.5 0.6 :.365:`? B1 9 -20 lOYR 4/3 - -- Isl 2msbk mfr Igw 2vf —d 0.5 0.6 B2 20 -31 10YR 4/6 - -- I sil 2msbk mfr Icw 2vf 0.5 0.6 Ground elev. C1 31 -48 11 0YR 6/6 - -- s Os g ml I as lvf 10.7 0.8 90 it. C2 48 - I 1 0 YR 6/6 flf lOYR 3/4 s Osg ml I - -- lvf -- - -- Depth to limiting factor Remarks: Ne" v--Aew Pmts JAMES 'D. FLKINS Pho (715) 425 -7831 OGDEN ENGINEERING CO.. 113 WEST WALNUT ST.. RIVER FALLS, WI 54022 5grtawn: Oauc ��� CST Nuttrber: CSTM03988 PROPER .gWNER SOIL OESCSIPTION REPORT Page 2 of 3 Depth Dominant Cow I Mantes Texture Structure Qnsrsience r[tafY lBo Roots GPO/ft� Honzon in. Munsell Qu. SZ Coat Color r. Sz. Sh. T Boring # A —9 OYR 3/2 - -- 1 2msbk mfr cw 2vf —f 0.5 0.6 >: 36f Bi 9 -16 OYR 4/4 - -- sil 2msbk mfr gw 2vf —f 0.5 0.6 B2 16 -29 10YR 5/4 - -- sicl 3mabk mfi cw 3vf 0.40.5 Ground —__ aw. C 9 -72 0YR 6/6 - -- s Osg ml lvf 0.7 ' 0.8 90 ft Depth to limrong i Remarks: Boring # .3 s Ground elev. tt. Depth to limning factor Remarks: Boring I I I Ground I efev. Depth to limiting i factor Remarks: Boring # Ground etev. F I I I ft Depth to factor I Remarks: staf�a.osro� PAGE 3OF3 SITE PLAN Z% SioPE ❑ � 3� S SCALE: 1 " = 40' 8- 36 6 GvT 8 Lot" BEiVCs�/y1,¢iz,�� Tom o,c �' Go7' 7 NOTES: PROVIDE MINIMUM OF 1' SAND BETWEEN BOTTOM OF BED AND EXISTING GROUND. MOUND TO BE A MINIMUM OF: 25' FROM DWELLING; 50' FROM WELL; 5' FROM LOT LINE. OGDEN ENGINEERING CO. DAME ILKINS, CSTM03988 Civil Engineers & Land Surveyors 113 W. Walnut St. River Falls, WI 54022 DATE: - 7 (715) 425 -7631 I -_ ST. CROIX COUNTY WISCONSIN ZONING OFFICE I ISO I N mint ST. CROIX COUNTY GOVERNMENT CENTER " " "� 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 November 17, 1997 Wisconsin Department of Commerce Plat Review ATTN: Leroy Jansky Box 8911 Madison, WI 53708 -8911 RE: Onsite soil verification, lots 7, 8, & 9 of Troy Village Subdivision, Sec. 19, Tn. of Troy, St. Croix County, Wisconsin Dear Leroy: I have reviewed the soil reports for the above mentioned lots in Troy Village subdivision filed b Tom P Y 9 � Y Nelson, CSTM #02605 and have conducted onsite soil verifications of those lots. My findings have verified that soil conditions as reported by Mr. Nelson are accurate. The soils located at this site are suitable for subsurface sewage disposal with soil loading rates of 0.7/0.8 GPD /sq.ft. If you have any questions with regard to the above findings, please do not hesitate in contacting our office. Sincer ly, L_ ames K. Thompson Assistant Zoning Administrator cc: Tom Nelson VOL 3 AFFIDAVIT OF CORRECTION TROY VILLAGE REGISTFR'S OFFICE I, James D. Filkins, Registered Land Surveyor, ST. R CR foXPCO.. WI ecord S -2246, hereby certify that the Plat of Troy Village, recorded in Volume 6 of Plats, Page FEB 041998 89, Document No. 559959, St. Croix County 9:30 A M Registry, located in the Town of Troy, St. 06 &,- Croix County, Wisconsin, shows Note No. 5 on Register of Deed Sheet 2 which states "The following Lots must have mound systems: 1 through 10, 15, 16, 18, 19, 21 through 45, 47 through 49, 51 through 55 59 through q , 64 69 and q , 70. 11 This note is hereby changed to read as Francis H. Ogden follows: Ogden Engineering Co. 113 West Walnut St. "The following lots must have mound systems: River Falls, WI 54022 1 through 5, 16, 18, 19, 21 through 45, 47 through 49, 51 through 55, 60 through 64, 69 and 70. Dated this 3 day of B2y�ZY , 1998 Parcel I . D. Number SGo Nk" Ja Filkins S - 224b State of Wisconsin ) �flLKINS = ss . 8.2M County of le r, ) ` R M FALLS, .�� S Personally came before me this day of u , 1998, to me known to be the person who executed the foregoing instrume f and acknowledged the same. � My mm1 ' on Expires 6 - 2 00 / � �NE '�✓� NOTARY ST. CR IX COUNTY 4n, PUBLIC �..� APPROVAL CERTIFICATE .y5� Approved for recording by the St. Croix County Zo fice Date 2 CA wL Vi! FISLin This instrument was drafted by James D. Filkins, Ogden Engineering Co. 113 West Walnut Street, River Falls, Wisconsin 54022 SAFETY & BUILDINGS DIVISION State of Wisconsin Departin merce January 27, 1998 ��' Field Operations Bureau n 1"> 13 East Spruce Street Chippewa Falls, WI 54729 THOMAS C. NELSON P ENVIRONMENTAL BY DESIGN! watx 1J 01 :f 1 1432 120TH STREET 0 r ,c;a ,rf NEW RICHMOND WI 54017 RE: PLAN ID 46517 FEE RECEIVED 80.00 TROY VILLAGE LOT 9 PLAT ID 20751 SW, NW, 19, 29, 19W TOWN OF TROY COUNTY OF ST CROIX MOUND RESTRICTION WAIVER The Department has reviewed the above - referenced submittal. The Department has reviewed the request to waive the restriction on the above referenced property. This request is supported with information that indicates this property is acceptable for development with a below grade soil absorption type private sewage system. Therefore, the Department waives the above mentioned restriction and has no objection to the development of this property provided that the private sewage system is constructed in accordance with the applicable requirements of Chapter Comm 83, Wisconsin Administrative Code. Conditional approval is hereby granted to waive the mound system restriction provided the following condition(s) are met: 1. That the release and waiver of this lot restriction be incorporated into a correction instrument under s. 236.295, Wis. Stats. This should eliminate future questions regarding the restriction on the recorded plat. 2. That land surface area for both an initial and replacement below grade soil absorption system be set aside for use. Said areas shall be at least 50 feet from any well, 25 feet from any habitable building or dwelling or building with a below grade foundation, 5 feet from any lot line, and shall not be within or below a compacted area. This approval does not include review of the design for the proposed private sewage system. All other applicable criteria, as contained in chapter Comm 83, Wisconsin Administrative Code, must be met prior to issuance of the sanitary permit for a project at this site. All permits required by the city, village, township or county shall be obtained prior to installation. SBD -7997 (R.11/96) I SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Commerce January 27, 1996 Lot 9, Troy Village Page 2 of 2 Inquiries should be directed to me at the telephone number listed below. Please refer to the plan number shown above. Sincerely, Leroy Jansky Wastewater Specialist, Senior Ijansky@commerce.state.wi.us E -mail (715) 726 -2549 Fax (715) 726 -2544 Voice CC: DOA - Plat Review St. Croix County Planning and Zoning SBD -7997 (R.11/96) FROM .�: PHOhIE hJO. Feb. 11 1999 0:3:10Ph1 P1 C34/ 1111sq; 14: 4F 17153Al -nI to MANN VALLEY E?r,r; INC, PAQE P, 1 ST CROIX COUNTY' SEPTIC TANX A►rnxBIVANCB AGR,,I WENT AND OWNERSHIP CERTIFICATION FARM Ows WBUyer a ,- r Maililtg AddMs ProPO ttY Address < % (Vsritleatioe required [item pb �tt for new GOAstructj City6tate Parcel Idmtifeabon Number -LL. �� �/ f � �d Property Locatiotr Town of Su bdivisi on [art # C �_. erH[ied Survey Map Volume _ pu # W srr*M Deed #M r (6Z. Volume Sp" houn6 ( Ym 0 no Gat lines ideati0abla _ ItttDroper U" and Ofy-m §Wic sYsicm could rerun is its premahne fa liti V to handle wastes, Proper tua piAw ace ea3o effect the f un ou tlte !!ear>1c eve�yr throe years of soaoer, Jneedeai by r Ucenmd pumper. Whet you put into the system em tank as a trcatdaemt stage in the waste disposal syatern. Tba Prop" ownse am" to mbmk to St. ctoix ZOW22 Depuineat a certiflcstion fo M &$tUPluaibtr,,(ettraeYM2nphMb"x rftUrfctedpWMbat at aticonsedp�aPervettFy%aSthat I the oa site�evsate+k#terdisposa ysteat t3 rA ptePsr operating condition sndlor (2) aim ittapectiaA end Pied (tf agexassary }, thee teak & less titan f!3 Cbll of sludge, Uwe, the undersitned [trees rsad the above re uhamats pirstion to sad set f�, herein. u rat by the t) t of C "Me to ma'n's', the Private " aysterrt with tier: Mandards P* Rte Commerce and Ciro Depazttnet:tofNatwal Resoarees, State of WiscgmkL CerdFtcstion ys of thr Ft t taaintained tttust be compietad and tstumed to the St. Cr oirC Gvaaty Zonis= piflt a wiQtiA 30 x NA APPLICANT DATE -CAM ON 3 oert ry tMt all stn to on th;a form are true to the best of my (our) tr,Aowledge. I (wro) am (are the owner(%) of do ov of a watmry deed recordod is Register of Deeds Office. A A C z- 9 JDA Any ferma that is Otis- represented rosy resutt io the sanitary permit Ewing revoked by ttte Zonft Dcpartxuern. •`•�`• " lrtetnds rrith this appltet+Hon: a stamped Womiaty deed atom the Register of Dft& offioe a COPY Of thG tart W survey MI P ff tcrere= iS made in tip wwwmy dead 02/11/99 15:08 T*/RX N0.8090 P.001 -�. •o VOL 1'� 7EParE480 �`J STATE BAR OF WISCONSIN FORM 2 — 1996 DOCUMENT NO. WARRANTY UEED Tr Development Co rpora] - 6rt - - Minnesota Corp oration, Grantor f1ECISTf: f;" F!kt'E conveys and warrants to p(t� McDonald Homes, Inc., a Minnesota NOV 12 1997 Corporation, Grantee 1:45 ` P.m the following described real estate in S t . Croix County, State of Wisconsin: RETUTIN TO Lot 9 of the Plat of Troy Village in the Town of McDonald Homes, Inc. Troy, St. Croix County, Wisconsin. 6015 Cahill Avenue Subject to Declarations of Covenants, Conditions Inver Grove Heights, MN 55076 and Restrictions for 'Troy Village, recorded in Vol. 1241, Page 256, as Doc. No. 559964, and the Declaration of Golf Course Covenants, Parcel Identification Number (PIN): Conditions and Easements, recorded in Vol. 1211, Page 301, as Doc. No. 559969, all as appearing in the office of the Register of Deeds for St. Croix County, Wisconsin, and such other easements, reservations, restrictions and reservations of record, or in use. TRA�SFER $� FEE This is not __ homesteadproperty. (is) (is not) Exception to Warranlies: Dated this 1 � da of ,,9 J _ (SEAL) (SEAL) Charles S. Co ok_, P Troy Development Corporation (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signalure(s) STATE OF WI80rXX N M i n n e s t o ss. An _ County. authenticated this day of 19 Personal a )a before m this / day of �! _ .19 7 the above named Charles S Co TITLE: MEMBER STATE BAR OF WISCONSIN (If not, _._ _ _ to me known be the person who executed the authorized by § 706.06, Wis. Slats.) foregoing It rumen) an acknowledge the slne. THIS IN ST UMENT VAS DRAFTED BY A EAZU Lh \r`s_ Ka t� M. Coo L LL� �i "K J Notary Public Anoka CounlyYf& MN (Signatures may be aullienticaled or acknowledged. Both are not My Commission is permanent. (II not, state expiration necessary.) J a n u a r 31 dale: — January X4t 2 0 0 .9 Names of poisons signing In any cnpacily should be lypod or pdnled below Ihelr s KATHY M COOK SB2 NIF 00214 WARRANTY DEED STATE BAR OF WISCONSIN lel�ymT >wRlypg�ICguenlll/>lRklQtee Bay, WI 54307 -0208 Form No 2 -- 1998 ANOKA COUNTY MY COMM EXPIRES 1- 31.2000 .-�.� .......�..- ....w�.............. - � 1 1 D N S \ \ N�O vrf } +ry >Nv S / - -�� vt' ;'� '� �'► 1 3 8800 800 .90 p6, o 11 n � S .�q v � 1 g I $ r�i � Aj 0) S ' tz II - -�{ _ \� 24 \ 1 v. 27 8.83' E r 868' 00 _ �. j rr£0 r C J ile 50 S \ 1 4� 8 . :^ �1 ° m N ? 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