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Home My WebLink About040-1246-20-000 ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner7i Property Ad ess City /State / & t r"e 3 Legal De ription: 1 Lot 19 c Block Subdivision/CSM # a I I I c1 S '/4 ( ' /4, Sec. ff Ti?"-R_,Lj`W, Town of SEPTIC TANK — DOSE CHAMBER — HOLDING TANK INFORMATION: Tank manufacturer Lj La--� Size STAW i a Sq- Setback from: House -Q U- We11�,Q P/L Pump manufacturer Model r Alarm location (HOLDING T �--o LY) Setbacks: Servc Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSO TION SYSTEM Type of system: Width /c�- Length / dZ Number of Trenches Setback from: House '47 Well V 2_ P/L I 8L Vent to fresh air intake 3O ELEVATIONS Description of benchmark A) Ali Elevation �- Description of alternate benchmark Elevation Building Sewer ST/HT Inlet /03, 7Y ST Outlet /D 5-32 _ PC Inlet �— PC Bottom �� Header/Manifold /d /, Top of ST/PC Manhole Cover /O Distribution Lines Bottom of System Final Grade Date of installation /0 / 99 Per it number 3Q V 7 State plan number Plumber's s' nature J License number d d 053 Date 9' 01 Inspecto Complete plot plan � 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. PLAN VIEW i � r ' l INDICATE NORTH ARROW Vliwconsinlo partment of Commerce PRIVATE SEWAGE SYSTEM y Safety and Buildings Division Count ST . CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) SanitaryS2r4'11'9: Personal information you provice may be used for secondary purposes (Privacy Lam, s.15.04 (1)(m)]. TRCD C~] Village ❑ Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel TO"-; - 1246 - 20 CSO • C/ I o I NE I C csz�s�r TANK INFORMATION ELEVATION DATA A9900052 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark V 3 Dosing 9, 644 a- 30 o�.b Aeratio Bldg. Sewer 1 4 -(0 Holding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet 4.SZ 3.31 - TANK TO P / L WELL BLDG. Ventto ROAD Air Intake Septic 2-01 g f NA Ut tsottom Dosin osing NA Header / Man. 16 - 3 2 — 1 1 131 . 0 I Aerati NA Dist. Pipe �' 60 ,S�> Holding Bot. System 91- 13' PUMP/ SIPHON INFORMATION Final Grade `•20 0 6 3 M nu rer De Model Number GPM TDH I Lift Frict' ea em TDH Ft F in Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM Width Length f PIT No. Of Pits Inside Dia. Liquid Depth IMEN I N S 1 6D .11 l DIMENSION SETBACK SYSTEM TO P/ L BL G WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type O �� CHAMBER Model Number: System: i a s oZ5 > OR UNIT DISTRIBUTION SYSTEM Header / nifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent Air Intake Lengt Dia Length Dia. Spacing 3 J 4.- SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over TBed pth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed/ Trench Center /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) all plgI LOCATION: TROY 24.28.20,SE,NE 353 LINDSAY ROAD — TROY VILLAGE LOT 22 (9 0 , em" Q a ,41 D see>f //ea -r uck 1 1� 0 - �$ _ Plan revision required? ❑Yes 14 No Use other side for additional information. a l c i l o 5 Z �o SBD -6710 (R.3/97) Date Inspector's Signature Cert No. IWA SANITARY PERMIT APPLICATION 2 01eE an 1 ) Wisco nsin In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Department of Commerce 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. -s ` • See reverse side for instructions for completing this application State sanitary Perit Numbr The information you provide may be used by other government agency programs [] Chec rYZ22-pplication [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATI N Pro pe Owner N e Property Location Slif 1/a N� 1 /a, S T $' , N, E (or W Property O ner's Ma' ing Addres Lot Number Block Number A ,, State Zip ode Phone Number Subdivisi Name or CSM Nu er OL% rn N 30 ( ) II. TYPE B L ING: (check one) ❑ State Owned ❑ it Nearest R ad E] Village El Public Z 1 or 2 Family Dwelling No. of bedrooms Town OF f"o' L III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Numbers) a 2$ A � j 1 ❑ Apartment / Condo — 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. of New 2. ❑ Replacement 3_ ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an Sysstem ________ System Tank Only _____________ y Existing System ______________ g y ___ -____ 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 22 ❑ In- Ground Pressure / r 42 ❑ Pit Privy 13 ❑ Seepage Pit /00 43 ❑ Vault Privy 14 ❑ System -In -Fill 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 Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation p c� ,Da / 0 ) 4 00 1.5 013. Feet 10 Feet VII. TANK in Capacit Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existing structed Tanks Tanks epticT )ASO � Wig .ers El ❑ 1-1 ❑ 1:1 Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: ( t) Plumber's Si at e: No Stamps) MP /MPRSW No.: Business Phone Number: t, Plumber's Address (Street, City, State, Zip ode IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater rff te I ssued Issuing Agent Si ure (No Stamps) kl A roved rcharge Fee) pp E] Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD 6398 �� DISTRIBUTION: Original to County, One copy To: Safety a Buildings Division. owner. phrnbar I �ro tyy� �o-ti �atv - l0'nvJ, 5 S3�f ` — Fr u me 011. 7 - d'-;f# a 3 53 L: n n yl 1' N COrI 5'�a� X 72 537 Cl ; �)Qvrtp- CIS Ot i a� Diu a -pr Z-evR�O pm,0'A co • � ~ ` t � 1 IJ 1.1 V � • fresh All 11 And Opeetrollon PIP• S1� APPror)d Vonl Cap 411 nlmunt 12' AOOra flnol Grada ti • G ADora PIP,s — 4' Core Iron To final Orede Vanl PI I.WrrD llo Or S nth fk Co.atln - Orar2• pprepole Olrbltwllon P PO , - PIP• 0 0 0 —Tae r b' AOprapote can sets PIPe ° Parlor lid Plys below O �Cool 4 Tarrnlnollnp At Balloon Of S"I" �Ir.�•,� I on � • SOIL FILL 0 I , STRIBUT101,1 PIPC ' APPROVED aS`I PETIC COVER 2 " O F 11GGRl;GATE —fi `"�l'1ATERIo%t- OR 9" OF STR/.W OR MARSH KAj a ELEV, OF FE>: -� _� , bY1�' L� OFJL-21�z AGGREGATE OISYRMUTIcim PIPE TO. BE AT LEAST .�� I� AVU AT LEASTm IIJCHCs BUT 1,10 MOKC THA1W 41 uCNCS BELOW FINAL GRADE M1lXU'9l1 M DEPtH OF c m • X /IVATI 1.D FX0M Ot {tGYJgI. blt,NoR WILL BE _ INCHES "MUM 0CF of EACAVATImN FROM e'� TRUE WILL eC INCHES c•� Q LIGCUSC DUMBER: DATE, � , Safety and Buildings Division Field Operations Bureau ' 13 East Spruce Stree Chippewa Falls, Wl 54729 � � Department f C ommerce February /o. 1999 C0STU0No. 594 N ING OFFICE TC DERRICK CONSTRUCT CO |N PO BOX A 11O1 CARM|CHAELRD NEW RICHMOND VV| 54017 —~~�-�- HUDSON VV| 54010 RE: CONDITIONAL CERTIFICATION Identification Numbers Site ID No. 1260 SITE Sl[CROIX COUNTY, TOWN OF TROY Plat Review Perm. File No.: 20751 SE 1/4, NE 1/4, S24, T28N, R20W Please refer to the appropriate LOT 22 TROY VILLAGE SUBDIVISION identification numbers, above, in all correspondence with the agency. DESCRIPTION: MOUND RESTRICTION RELEASE The Department has reviewed the request to release the mound 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 oymbenn is constructed in accordance with the applicable requirements of Chapter Comm 83, Wisconsin Administrative Code. [}undiUmno| certification is hereby made bo waive the mound system restriction for the primary §o8 absorption system on this lot provided the following condition(u) are met: 1.~' The release and waiver cf this lot restriction for the primary soil absorption system should be incorporated into o correction instrument under s. 236.295. Wis. Gtoto. It should be noted that the replacement system is o mound myab»nm. This recommendation will eliminate future questions regarding the restriction on the recorded p|mL 2. Both absorption system onsam are p;ep|anned, and as such no development shall occur inthe pnop|onnod area and development adjacent to the pnep|annod area ohoU meet appropriate setbacks nomn not to jeopardize private sewage system installation. Pursuant toConn87.O4(7) (o) 2..Wis. Adm. Code, any changes to the location or extent of the pnap|onnmd area will require Department review and approval. 3. The mound replacement area is to include a 25-foot setback area down slope of the mound perimeter that, along with the mound area itself shall not be subject to soil compaction or alterat during building construction. 4. The surface water retention area east of the primary soil absorption area ohmU be eliminated/relocated so an not be |eao than 5U feet from the primary soil absorption system. This certification does not include review of the design for the proposed private sewage system. All other applicable criteria, as contained \n chapter Comm 83. Wisconsin Administrative Code, must bm met prior to issuance of the sanitary permit for o project ot this site. All permits required by the city, viUaQa, township or county shall be obtained prior to installation. ~ T L i February 18, 1999 Troy Village Lot 22 Page 2 of 2 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 02/18/99 FEE REQUIRED $ 80.00 FEE RECEIVED $ 80.00 eroy G. nsky, astew Specialist BALANCE DUE $ 0.00 Field Ope ations Bureau (715)726 -2549 Fax (715)726 -2544 Voice Ijansky@commerce.state.wi.us cc: Environmental by Design - Tom Nelson 02/18/1999 11:00 715- 726 -2549 S &B CHIPPEWA FALLS PAGE 02 salety and Buildings Division Field Operations Bureau 13 East Spruce street �� Chippewa Falls, WI 54729 ,sconsin Tommy G. Thompson, Governor Department of Commerce Brenda J. Blanchard, secretary February 18, 1999 CUST ID No. 5949 ATTN. INSPECTOR ZONING OFFICE DERRICK CONSTRUCTION CO INC ST CROIX COUNTY PO BOX A 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 RE: CONDITIONAL CERTIFICATION Identification Numbers SITE ST CROIX COUNTY, TOWN OF TROY Site ID No_ 1260 Plat Review Perm, file No.: 20751 SE 1/4, NE 1/4, 524, T28N, R20W Please refer to the appropriate LOT 22 - TROY VILLAGE SUBDIVISION identification numbers, above, in all DESCRIPTION: MOUND RESTRICTION RELEASE corresp ondence with the agency, The Department has reviewed the request to release the mound 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 certification is hereby made to waive the mound system restriction for the Primary soil lbsorotion system on this lot provided the following condition(s) are met: 1. The release and waiver of this lot restriction for the primary soil absorption system should be incorporated into a correction instrument under s. 236.295, Wis. Stats. It should be noted that the replacement system is a mound system. This recommendation will eliminate future questions regarding the restriction on the recorded plat. 2. Both absorption system areas are preplanned, and as such no development shall occur in the preplanned area and development adjacent to the -preplanned area shall meet appropriate setbacks so as not to jeopardize private sewage system installation. Pursuant to Com 87.04 (7) (a) 2., Wis. Adm. Code, any changes to the location or extent of the preplanned area will require Department review and approval. 3. The mound replacement area is to include a 25 -foot setback area down slope of the mound perimeter that, along with the mound area itself shall not be subject to soil compaction or alteration during building construction. 4. The surface water retention area east of the primary soil absorption area shall be eliminated /relocated so as not be less than 50 feet from the primary soil absorption system. This certification does not include review of the design for the proposed private sewage system. Ail 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. 02/1811999 11:00 715 - 726 -2549 S &B CHIPPEWA FALLS PAGE 01 1 [ February 18, 1999 Troy Village Lot 22 Page 2 of 2 Inquiries conceming this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 02/18/99 FEE REQUIRED $ 80.00 FEE RECEIVED $ 80.00 eroy G. nsky, astew Specialist BALANCE DUE $ 0.00 Field Qpe ations Bureau (715)726 -2549 Fax (715)726 -2544 Voice liansky@commerce.state.wi.us cc: Environmental by Design - Tom Nelson Ppst_h* Fax Note - - -- - - - - -- -- - - - - -- Te 7671 pat L ro pates Z CO✓�pr, rrom , Phone Co x Phone M W. hsin Department of Commerce SOIL AND SITE EVALUATION 3 Divisit n of Safety and Buildings Page of r 86re,.� of Integrated Services in accordance - tL kH3.83.09, Wis. Adm. Code • � � � � ��•\ County Attach complete site plan on paper not less than 8 1/2 x 11 i "I , size PI must include, but not limited to: vertical and horizontal reference BM) , S C✓ 0 i percent slope, scale or dimensions, north arrow, and locat' rrd distan 11 road." Parcel I.D. # X + r APPLICANT INFORMATION - Please print a I ' ormati `' _, j Reviewed by Date Personal information you provide may be used for secondary purpo�A. ivacy Lav(, Pro erty Owner rt olsa ' n [ T (1 ��`- e V 0 G I� of y 1/4 t1�1 1/4,S I� T ;� ,N,R , .&*F) W Property Owner's Mailing Address Lo Block# Subd Name or CSM# Ci State Zip Code Phone Number Ci ty ❑ Village Town Nearest Road ❑ CIO I''9 ti I I ( ) r N New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow (.0 gpd Recommended design loading rate bed, gpd /fF trench, gpd /ft Absorption area required I 100 bed, ft I uUU trench, ft Maximum design loading rate / bed, gpd /f1 RP trench, gpd/ft Recommended infiltration surface elevation(s) ; ( ti ft (as referred to site plan benchmark) Additional design /site considerations A4 a tl o rAe 1 � M Q H n O n S If Parent material ; --f1�1 s' tL `fc, , A ',)Cs 6 S -, ,� Flood plain elevation, if applicable t ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding nu U = Unsuitable for system S❑ U El S U S❑ U ❑ S 4 U ❑ S U ❑ S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Ou. Sz. Cont. Color gg Gr. Sz. Sh. Bed ,Trench � fylS� I', f�Fr C�? Ground elev. �l ' Depth to limiting factor '7 A-5-in. Remarks: Boring # � (� � 61 2. �0�r �� PuSv Cr Ca 5 04 ( e S'8 T Ground Y elev. ro 5 t 1 ft. I ►� Depth to , limiting 4 l factor ( C,. f) t Q( /J !r °� 7, -, ` r ' `� (OD in. Remarks: CST Name (Please Print) Signature Telephone No. Z Tt. - �J / 5' [ 7 Ad ress Date CST Number SOIL DESCRIPTION REPORT PROPERTY OWNER Page of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground elev. o Depth to limiting factor �71Qin. Remarks: Boring # Ground elev. ft. 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 # ......................... Ground elev. ft. Depth to limiting factor in. Remarks: Boring # I Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) E BY DE51 1432 120 STREET, NEW RICHMOND, WISCONSIN 715 -246 -2454 s. Troy Burne Village L0 PAGE 3 SE % NE %, SECTION 19 T 28 N. R 19 W TOWNSHIP TROY COUNTY St. Croix Wisconsin 6� 3 1 6 a5 C acre- SCALE 1" =40' Tom Nelson BM 1. Top of 2" iron pipe, NE lot corner 100' 227387 BM 2. Top of 2" iron pipe, SE lot corner 101.80 ST. CROIX COUNTY WISCONSIN ZONING OFFICE r r r r 11 N g ST. CROIX COUNTY GOVERNMENT CENTER ■� ■�` 1101 Carmichael Road • ' _ Hudson, WI 54016 -7710 ^ z (715) 386 -4680 February 15, 1999 Wisconsin Department of Commerce Plat Review ATTN: Leroy Jansky Box 8911 Madison, WI 53708 -8911 RE: Onsite soil verification, lot 22 of Troy Village Subdivision, Sec. 24, Town of Troy, St. Croix County, Wisconsin Dear Leroy: I have reviewed the soil report for lot 22 in Troy Village Subdivision, filed by Tom Nelson, id #227387 and have conducted an onsite soil verification of this lot in November of 1998. My findings have verified that the soil conditions as reported by Mr. Nelson are accurately described. The soils at these sites are suitable for subsurface sewage disposal with a loading rates of 0.5/0.6 GPD /sq.ft. The tested area will have to be cut to maintain a maximum soil cover of 42 inches over the distribution pipes. If you have any questions regarding this issue, please contact me at the number listed above. Sincerely, e ad 6i4&L�' Rod Eslinger Assistant Zoning Administrator cc: Tom Nelson file a ST. CROIX COUNTY WISCONSIN ZONING OFFICE r r N N p ST. CROIX COUNTY GOVERNMENT CENTER ■ona 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 February 15, 1999 Wisconsin Department of Commerce Plat Review ATTN: Leroy Jansky Box 8911 Madison, Wl 53708 -8911 RE: Onsite soil verification, lot 22 of Troy Village Subdivision, Sec. 24, Town of Troy, St. Croix County, Wisconsin Dear Leroy: I conducted a second onsite on February 9, 1999, to verify that the replacement mound site wasn't disturbed during the grading of Lindsay Road or from the construction of the building pad. The boring was dug between boring 143 and 206 as described by James Filkins dated 4- 10 -97. The soil conditions for this boring were very similar to the borings described by Mr. Filkins. Therefore, we can use this onsite inspection report to justify that the mound replacement site was never disturbed. The following soil description is from my onsite: Horizon Depth Mottles Texture Structure 1 0 -9" none A partially frozen 2 9 -24" none A 2msbk 3 24 -36" none sl 1 csbk 4 36-43" 7.5yr 5/8 sl 1 msbk 5 43" + limestone BR — If you have any questions regarding this issue, please contact me at the number listed above. Sincerely, Rod Esl i nger Assistant Zoning Administrator cc: Tom Nelson file 56b � O 1.3 ' N 80000' 00" E o • , ^ 241.49' 0 �ooxs 00 Q t Q x qt so r o co b d p 0 51c w N �`� Iooxt;o N to S 43738- - • Qo o �p C) 21 s• of C) 0 0 qrm O o 0 S4 N °oo' 001t z 239,15' 0 • o 6k;ldin I Sire des �rtcm gra&EJ so S cj bJLcK a t!� CAS �o r moue tin 5k� 4.61e Soils tR �� e. 4rc4 e� -�- rl ar • p r� Septic s she ?rt�F- d t y Y M Si e, dam, Ne1son 23 fim t NE lob Corner •: 6y D Ls I j h ��.�$7 S 1t- P. 0 JL 00 6 p,CR� cd em z Sc l of N Co imr N N LI ROAD n cn n � T M rn -p 182.00' Il c Z o O O � c z v o 0 rn 25.00' " — -- V1 -a r A 1 0 0 X n N r C �► - W op rn 37.78' C Z tD m µ C OR M r G7 m 182.02' � � r z rn PRojEcr: SITE PLAN FOR: o� WA KIM Q ag 1� ; OWNER: DR. & MRS. YOUNG H u All pT LOCATI LOT 22 -TROY BORNE VILLAGE z0 /zo z 0:S 66. 6 qad 8b6b- 9V SZZ : XPJ NOIlOnaSN00 ADI&Ea w�fconsin oe panment of Industry. SOIL A ND SITE EVALUATION REPORT Page I of I_ Latlsr anb Ki:man Reiauons Bivis+on of Satoty & 8ud in accord with ILHR 83.05. WiS. Adm. Code COUNTY Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but ST. CROIX not limited to vertical and horizontal reference point (8M), direction and % of slope, scale or PARCEL I.O. x dimensioned, north arrow, and location and distance to ne APPLICANT INFORMATION- PLEASE PRIM L FIr AfT REVIEWED BY DATE P ROPERTY OWNER. CEIVED 8kOPERTY LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE &JOHN AND B MME . LOT 114W 1/2S 19T 29 NR 19 -64w) W PROPERTY OWNER':S MAILING ADDRESS BLW( 0 SU80. NAME OR CSM tt 260 COUNTY ROAD F APR 1 3 1997 TROY VILLAGE CITY, STATE DP CODE k �- JHONE NUWf> ax ILLAGE ®TOWN NEAREST ROAD HUDSON 54016 ) Y Lid I pQ New COflStRI= Use (X j Residential / bedrooms ( ] Addition to existing building L I Replacement (I Public or Comm efsai I 1 Code derived daily flow 600 gpd Recommended design loading rate ,bed. gpolft trench. gpollt Absorption area required 1500 bed. ft BOO trench, 9 Maximum design loading rate S bed, gpdM french, gpd1ft Recommended infiffton surface elevations) BY DESIGNER ft (as referred to site plan benchmark) Additional design / site considerations ! 7 Nb :rt5 OA/ /E 3 Pamt matenal Rood plain elevation, if applicable N/A It S - Suitable for System CONVENTIONAL MOUND IN-GROUNO PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U- Unsuitable for stem 0S KU I Ks O U I 0S RU I CIS ®U I 0 S N U O S IC U SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Texture Swcture Consistence 9x� Roots GPO/ft Boring # A 0-7 11 OYR 4/2 I - -- sil 2msbk mfr cs 1 2vf= 0.5 X0.6 �» 206g B1 7 - 25 1OYR 5/6 - -- sil 1 2msbk B21 25 -33 10YR 4/6 - -- sl lcsbk mfr Icw lvf 0.4'0.5 Ground eiev. B22 3 -35 7.5YR 4/4 I - -- sl lcsbk mfr I cs lvf 0.4'0.5 91 ft. R 5 - IOYR 8/3 - -- lmst - -- - -- I - -- -__ ___ -_ Depth to limiting factor 11 Remarks: 9onng # A 0 -13 I1OYR 4/2 ___ l 2 m - csbk _ I mfr I gw 2vf - 0.5 0.6 ".<207':; BI -7 4/3 - -- sil 2msbk I mfr. Icw Ilvf I 0.5 0. B2 27- 43I10YR 5/6 - -- sil 2msbk m L lvf 0.5 0.6 Ground elev. B3 43- 59I10YR 4/6 c2d 7.5YR 3/4 is lcsbk mvfr cw - -- - -- 91 " 7 ft. R 59- 62I10YR 8/3 I--- - -- - -- - -- Depth to - -- - -- linnting i I factor 43" Re Nana —Rene Print JAMES D. FUNS �D (715) 425 -7831 OGDEN ENGINEERING CO, 113 WEST WALNUT ST, RIVER FALLS, WI 54022 ge Oanc ¢ / / / 7 CST Ntr �.- / � C$TM03988 PRaPERTYOWNER SOIL_ OESCRIPTION REPORT Page - at 3_ PAflC'c IA s Depth I Oomrnant Color I wtles Texture I Structure 1 I Rooms GPD/tt Honzon fn. I Munsell Qu. Sz. Cont. cow L Gr. Sz. Sh. I Bed TrerxM Bonng # 2v - y A 0 -17 lOYR 3/1 - -- sil 2 w 1434 B1 17 -36 10YR 5/6 - -- sil 2msbk mfr gw lvf 0.5.0.6 -- of 0.4! 0.5 B21 36 42 lOYR 4/6 sl lcsbk mfr aw 1 Ground elev. B22 42 -66 10YR 4/6 f if 10YR 3/4 sl lcsbk mfr I cw lvf - -- - -- 90 3 ft. R 66 -68 10YR 8/3 - -- lmst - -- - -- - -- - -- --- --- Depth to linn6ng tamor I Remarks: Boring I Ground I elev. ft. OepM to lirrnting factor Remarks: Boring I I I I L Ground I I elev. ft. I I Depth to limiting j ta=r Remarks: Boring # Ground ew. F# ft- Depth to lim" factor I Remarks: 5804=F%.4&= 4 . PAGE 3OF3 SITE PLAN l SCALE: 1" = 40' � 1p 9 -Z° 7 ' v � 0 1 8 2�6 p �aT Zz 1 l �--- /a' c� �0 � Uri�� Y ,B,�iicsfM•;z,e,�, ToP o,� � � GaT , .3 1 NOTES: MO U N ND D TO B A MNUWM OFF: Z5' FROM DWELLING 501 FROM WELL; ; EX IST IN G LINE. MOUD OGDEN ENGINEERING CO. JAMES FILKII S, CSTM03988 Civil Engineers & Land Surveyors 113 W, Walnut St. River Falls, WI 54022 DATE: :/_ l� �� - - (715) 425.7631 vvr scuns+n oe pann+enr of Industry. SOIL AND SITE EVALUATION REPORT Page L of I _tareir and Human Relations .0ivasion of Saloty s 8u,lany3 in accord with ILHR 83.05. Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan mast include, but ST. CROIX not limited to vertical and horizontal reference point ,�dir n w of slope, scale or PARCEL L0, p dimensioned, north arrow, and location and dist / b, neared road. APPLICANT INFO RMAT10N- PLEASE T AL INP�RMATFOM pBY DATE PROPERTY OWNER: _P EM LOCATION E 1/2S 24T 28 NR 20 W TOM RUE14MELE & JOHN AND B RUE • LOT 1 14W 1/2S 19T 29 NR 19 -(«) W PROPERTY OWNFA':S MAILING ADDRESS r sr Ci�prx 2# ('it I SU80. NAME 0R CSM s< 260 COUNTY ROAD F TROY VILLAGE HUDSON W 5401 ) N _ IC C '� l IT ILLAGE OWN NEAREST ROAD 126 o pQ New Conswctiao Use [X J Residennal / Nu 4 [ Addition to existing building j [ Replacement ( Public or commercial d escnbe -- - Code derived d* flow 600 gpd Recommended design loading rate b ed, gpd/It2 = trenW, gpd1ft Absorption area required O0 bed. ft 5 4010 trench. ft Maximum design loading rate S bed, gpd/R D- le trench, g*1t Recommended infiltration surface elevation(s) BY DESIGNER It (as referred to site plan benchmark) Additional design I site considerations `lam W'* i GS !�� 'e 3; Parent material HESS T /GG OLo/�1 /T Flood plain elevation, it applicable N/A It S - Suitable for sjlStt)rr1 CONVENTIONAL MOUND IN- GROUND PRESSIJHE AT GRADE SYSTEM IN FAl HOLDING TANK U . Unsuitable for tem L O S K U I 91 S O U Q S 9 I C S ®U I O S ($U ❑ S IC U SOIL DESCRIPTION REPORT P rizon Depth Dominant Color Mottles Texture SWcture Consistence &u %Uy Roots GPO /ft Boring # A 0-7 I10YR 4/2 ( - -- sil 2msbk mfr cs 2vf- 0.5 X0.6 20 - -- B1 7 -25 lOYR 5/6 sil I2msbk B21 1 25-33 10YR 4/6 - -- sl lcsbk mfr Icw lvf 1 0.4 0.5 Ground elev. B22 3 -35 7.5YR 4/4 I - -- sl lcsbk mfr cs lvf 1 0.410.5 91 tt. 5 -38 10YR 8/3 1 - -- imst - -- - -- Depth to limiting 35 " Remarks: Boring # A 0 -13 110YR 4/2 1 2 _ - -- I I mfr gw 2vf -f 0.5 0.6 >'<207`< B1 (13 -27 �lOYR 4/3 - -- sil 2msbk mfr Icw lvf I 0.5 B2 27 43I10YR 5/6 - -- sil 2msbk mfi ICW lvf 0.5 0.6 Ground elev. B3 43- 59I10YR 4/6 c2d 7.5YR 3/4 is lcsbk mvfr 91 ft. R 59- 62I10YR 8/3 1 - -- lmst - -- I - -- - -- - -- - -- Depth to I - -- i limiting factor 43 1t m Na ncP �- sm Print JAMES . 0. FR1(INS Pl f (715) 425 -7631 OGOEN ENGINEERING CO., 113 WEST WALNUT ST., RIVER FALLS, WI 54022 Signaare _ Oatd;r t4' CST M CSTM03888 PROPERTY OWNER SOIL OESCRIPTION REPORT Page o af _3 PARCI I.C. ii Oeptn Dominant Color ( Nooses Texture Structure I GPO /ft in Munsell Qu. Sz Corn. Color Gr. Sz. Sh. Betl r ivrm Boring # w I2vf- 0 A 1 0 -17 10YR 3/1 - -- sil 2 14 B1 17 -36 10YR 5/6 - -- sil 2msbk mfr I_ gw lvf 0.5° 0.6 B21 36 -42 10YR 4/6 - -- sl lcsbk mfr aw lvf 0.410.5 Ground Slay. B22 42 -66 10YR 4/6 f if 10YR 3/4 sl lcsbk mfr cw f lvf I - -- - -- 90 n R 66 -68 10YR 8/3 - -- lmst - -- - -- - -- - -- - -- --- C"tn to listing �" I I Remarks: Boring # Ground elev. ft. Depth to limiting faCtOr Remarks: Boring .............. .... ... ...... � I I Ground elev. Depth to I limiting factor Remarks: Boring # I i Ground elm. fL 0epth to limiting � I Remarks: SHDa3sOrA.OalDa! PAGE 3OF3 SITE PLAN i ' SCALE: 1 " = 40' g-Zo 7 v � E ❑ 1 8-206 GaT z� 1 NOTES: PROVIDE MINIMUM OF 2' 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. J FILK NS, CSTM03988 Civil Engineers & Land Surveyors 113 W. Walnut St. River Falls, WI 54022 DATE: _mil ��/97 (715) 425 -7631 0211511999 09:46 715- 726 -2549 S &B CHIPPEWA FALLS PAGE 01 r Jansky, Leroy From: Jansky, Leroy Sent: Friday, February 12, 1999 4:46 PM To: 'spirit@frontiernet.net' Subject: Troy Village Lot 22 Comments Tom: I have reviewed the information faxed to me from Cynthia Sutmar on 2/11/99. Generally. the information looks pretty good, however, I do have some questions that you should be able to take care of in short order. My questions /concerns are as follows: 1. What is the surface grade elevation of B -3? You forgot to enter the information on the soil and site evaluation form. 2. Your Munsell soil color notation for 8 -2. Horizon 2, is 10YR 3/5, This is not a standard color notation, please explain. 3. You should really complete the flood plain elevation section. If it does not apply to this site, you may write NA. This acknowledges that you considered /investigated this site limitation. 4, Technically, the name of record for this subdivision is "Troy Village ", not "Troy Bume Village" as indicated on your report. All official documents should be for Troy Village. Advertising etc., can be for Troy Burne Village if the owner wishes. 5. Lot 22 is located in Section 24, T28N, R20W, not Section 19, T28N, R1 9W, as you indicate. S. The area evaluated, in my opinion, is suitable for both a mound and an at -grade system (if not filled), as well as the conventional and in- ground pressure systems as you indicated. 7. You indicate that "this site was graded so as to remove unsuitable soils above ". How is it then, that there appears to be "A" horizon material at each soil boring? Has this site been filled? Was the test completed prior to cutting? Please explain this situation a little better. 8. Please indicate the proposed final grade over the soil absorption system. Unless the site is cut down around B -1 (and maybe B -3) the system will have too much cover over the distribution pipes (max. 3.5 feet) to be code compliant. 9. 1 believe that county zoning office personnel. conducted an onsite soils verification on this lot. Please submit a copy of their report. 10. 1 am not convinced that a mound can be installed as shown. The longest mound dimension must be perpendicular to the direction of slope. Based on the information I have, I believe that the mound. should not be orientated parallel with the west lot line as shown. Rather, it should be rotated east to lie along the land surface contour. Please show the preplanned mound area as would be required to install such a system. The idea of preplanning at this level of detail is to ensure a code compliant site exists for a system. 11. 1 am not completely satisfied with the faxed scale drawings I've received thus far. Apparently, the fax machine automatically reduces the drawings and alters the scale in the process of transmission (probably to put the little header at the top of the page). In the future, where scale drawings are used, originals or same size photo copies must be submitted. Please submit appropriately revised information directly to me in Chippewa Falls. It is possible that your additional information will be received at the same time as the files from Madison, and thus there would be no time delay. If you have any questions please contact me. _ Leroy G. Jansky Post -It' Fax Note 7671 � Wastewater Specialist To F 13 East Spruce Street ESL �°"' JA S Chippewa Falls, WI 54729 ° o M ept , $e► #-1a co. gig 1 . Ljansky @commerce.state.wi.us E -mail Phone# �,,,,,,� (715) 726 -2549 Fax — ZI - Fax Fax N (715) 726 -2544 Voice 4 c a n �,.� o �=- ARti v� �► �t.. T..p . r - es.►rc PAN p i LLRR1l..R I.UIYJII \Vl.11111Y I aV.• I l.J t• - ,��,v � n I iIE)VIIIn 3 N2l ns Ao�.L -Lo : NOUrrso, yiO �� aa ��• — WIN VMH 9NnOk 'SldW *9 '21a �aan►nno = alts 11 j c ' z 2!O � Mold 31IS :M3COad W o � �1Z • �q �ZO'Z$T LL,I U w m > , W rn z m W ° r W .o d oll g O 4t V �.. 0; NOO ui 0 0 1- r d J h- cA 0 ,00•SZ - -- ----- --�( -- - - -- tu 3c Or c O w p Z o o � �ti ` 2•q'q� � o yo f � a ui I- J O1� f o S 100•ZS { _ p Wrt alo v 't 8 Z UJ uj H J Q Z1 I En ch I1eri DGP NM T�Y � r G ad021 A3 SaNII �•� p.oP � S %� (►wrM,ll.� Fh.�«�• Z, q • Z' f b �'!:I 1,�.� b K 1 v' 1�1 � � -�fY �jayi i� UGC 5 � I u� q. ha ✓�� ►`G S 1��,+ ItibR f p,d Mo 1rVc a� co or ,r 6,n 1r & k9 Clap. Divisl fety and Buildings vVIL NIYiV JI I C C YNLVN I IVIY Page of ` m3ureaa ntegrated Services in accordance 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 i e s(ze. PI must County �`••.•' include, but not limited to: vertical and horizontal reference BM), \ / �it • C/ 0 } 1< P ercent slope, scale or dimensions north arrow, and locat' d distant road. �. Parcel I.D. # APPLICANT INFORMATION - Please print a orma � 3 0 1 998 Reviewed by Date Personal information rovide may be used for seconds y ) ( )) ^' You P Y secondary purpo 'vac LamrC� ,� m . Pro arty Owner FRftdp0saj6n '' 11 tnTw Me V1 S o b J c 1/4 117_1/4,S 19 T '�$ ' N,R ' C .64er) W Property Owner's Mailing Ad ress Lo Block# Subd. Name or CSM# 1 11 CQ_rJ1r I A Ven -e �ro Qkrn� U1�� cc� -e Ci State Zip Code Phone Number Nearest Road ) Nearest _� Village V Town k. [� New Construction Use: Residential / Number of bedrooms ' Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow C,00 gpd Recommended design loading rate __ _bed, gpd/ft ! 6 trench, gpd/ft Absorption area required 13. oy bed, n 1 POO trench, n2 Maximum design loading rate / 5 � bed, gpd/!?- � trench, 9Pd/ft Recommended infiltration surface elevation( s) I t1h n (as referred to site plan benchmark) Additional design/site considerations �¢ pla odmt l — Irip�� n S Le Parent material e -b (. uc". San Flood plain elevation, if applicable n Ck— n S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in FlII Holding Tank U = Unsuitable for system S❑ U ❑ S U S❑ U EIS 1J U I ❑ S &O U ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/f1 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench 7,5 r 71Y — S 05c rn Ground O- t( elev. -�l t it• /�� . Depth to limiting factor Remarks: Boring # Ioyr 3/5 — s I r ISb 1< Y�i d r Ct.J --•- . 5. 6 Ground t b elov. - L on 0 o Depth to limiting (• l factor W b n S 0 C 1 S S 0 'r 5 3 7 5 r � I on in. Remarks: CST Name (Please Print) Signature Telephone No. 2 `j�.-.� , q�'� Add less Date CST Number 3 1 S �1 to 0 1 3$7 PROPERTY OWNER av�� ai�o�.nrr i ivm nmrvn 1 � Page ,. PARCEL I.D.# v Boring # Horizon Depth Dominant Color Mottles Texture Structure , in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots 2 V Bed . Trench p_o to � 3 � sl 2fh nrlr e_w -, 5 ; , 6 ~7,!; r 7 — S Os — Ground elev-,O Depth to limiting factor '7110:1n. ; Remarks: Boring # Ground elev. fc ' 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 # 9 I Ground elev. ft. Depth to limiting ; factor ' Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) ENVIg B Y DE51G 1432 120th STREET, NEW RICHMOND, WISCONSIN 715 - 246 -2454 Troy Burne Village PAGE 3 SE '/ NE %, SECTION 19 T 28 N, R 19 W TOWNSHIP TROY COUNTY St. Croix, Wisconsin r � q to L c^ 911 d b..s V r ti SCALE 1" =40' Tom Nelson BM 1. Top of 2" iron pipe, NE lot corner 100' 227387 BM 2. Top of 2" iron pipe, SE lot corner 101.80 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ��e. �? �� d Vl\ Q A Mailing Address / Q30) M 35- Property Address < � I , (Verification required from Planning Department for new construction) City /State t1y�b� Vet Parcel Identification Number LEGAL DESCRIPTION Property Location S 1/4, � i / a, Sec. i i . T 20 N -Rj�_W, Town of Subdivision :77Oy 1UL Lot # . Certified Survey Map # . Volume , Page # _ Warranty Deed # �� , Volume 24 . Page # Spec house IR yes 0 no Lot lines identifiable yes O 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. I/we, 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 the SL Croix County Zoning Office within 30 daylof the three year expiration date. &". .J, d o w j j� l�& /1 SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (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 the' Nro per ty descrbed above, by virtue of a warranty deed recorded in Register of Deeds Office. S, /?&/ SIGNATURE OF APPLICANT DATE • *• *•* Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * *•' *• •• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed • • A!••w•!},u• I • no* • TW ON4 W46 tsetwgo st am t L ys Gnaw. .. +� rt 3: 15 it�t Troy Deve %vtoyo. •." h'" ' Illrshaetoaaee _, Otanbe. W Maaeeah, Tbat the salt crtmlor.l6r t Mrb ooaeideratiott _,_,,,_ „ .rswoatnw+eals eonveys to Great" dw fotlowbeg descnbed MM 61100 w St�4o�snlmry p��,j' County. Stale or Wisconsin: /`' ss..h ideesneatian JVea�aq Lots I thM$h 45, Lots 47 awovo 65 and Lob " *a* TO ordw Plat of Troy Vllhlge. 4: Croix Calory. Wisconsin and dtu portion or ( t or Ilse Plat of T,ov vlltw tea I oa fthlbit A INAC d he c a and 00ints 1 "d 7 to the Plat or TfOy Village, SL Chou Count); Whteoasbt A pornoe of iia +io.a sw.br Norwp� JL• annar /repalrye[b dairsta, Jobe J. Raea�nk sad �oeara A >aatarY W GaaO Topi -* olt sae *Ndff of knadn M aster *avow Mossft Aar Oswm sieyaaY Ibtl tot rW i Vnd, lMdwilN faa �k aai tlta ar rIS a[aaCaatD.rtaal aaetOl �. easemeMS, oovettaaS, Muictlons and Worry roft o(way of wword WA wul %wa t •ar JAW on •aam t�k11A.s ZJ Ore[ UAL) azw t3r/V.i ' U , YI.` .J n �_�.e /J I.t..♦ �� •. ifili�i� a �LLir lY11111111111 AUT'MUMCATiON ACifC1NGWUMMIMT Sienat.nM,) STATL a W4KVt N ewhealiMW this *Y or , l9 _ Coreey + Personally came before me ft _ . day o( — .9 — the above wmed • TI17.V NF ., ATB BAR OF WISCONSII+I W"Uns y S7or,.oi. twh, Sent,) to me lan - to be the person who Mtec ed 68 ravwm ie omme i ad aduhorNa+* Ow ettaJe. TINT M M W WAS MAF!'m sV ]Q4 lama SL P.O.9erz 19; *a••dt ' en 5ADIf wanly Pttblk Cotmty. M►k �iM.we "I be I - emd w were~ &* aw aw my eommiseion is; (if rA aiw wcpieWoa dm . ohaseharla +rwlh•+w def..I.yN a.wwvwt•Arw trw.. •ems 1'NI iIb hllw eeMwW