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HomeMy WebLinkAbout040-1245-60-000 8 J9 ST. CROIX COUNTY ZONING DEPART r AS BUILT SANITARY REPORT R ECEIVF(J �- AV107 V Owner i_0 eJ Q Property Addr ss Q d l l L :;� sr c�,X�98 r City /State Flo j v. /lArJ 5 S-3 Z01V a 0FF � Ce ti Leg ription: Z Lot al esc Block Subdivision/CSM # Sly, t /4 t /4, Sec. 4L TAN -RAW, Town of PIN # Q!!S Q SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION J Tank manufacturer (a l Size ST/PC tae Setback from: House _cZO Well PAL 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: Width hl Length 7pZ Number of Trenches Setback from: House _ (D Well --- P/L r _2� ' Vent to fresh air intake 7o? ELEVATIONS Description of benchmark GIJ Elevation Description of alternate benchmark`s Elevation /O Building Sewer A , 9 r ST/HT Inlet 10 3 - t ST Outlet t0- PC Inlet PC Bottom Header/Manifold g Top of ST/PC Manhole Cover Distribution Lines( ) 99, l ( ) ( ) Bottom of System Final Grade Date of installation -�/7 Permit number 3 a 0.17 7 state plan number Plumber's signature License number a.-&053 - Date L /a? l 9 Inspector Complete plot plan ' Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) SanitarxPrltutlV�: Personal information you provice may be used for secondary purposes [Privacy L s.15.04 (1)(m)). Permit Holder's Name: a Cit Village Town of: State Plan ID No.: TROY DEVELOPMENT TRC�}r CST BM Elev.: Insp. BM Elev.: BM Description: Parcel T ���'= l� 1245 -60 -000 d w TANK INFORMATION ELEVATION DATA A9800468 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. e ti Vv Bench Dosi ng F�, m Aeration Bldg. Sewer Z -� f 06 9� Holding M Inlet S• S/ D �, TANK SETBACK INFORMATION � S Outlet 6, p 2 7 TANK TO P/ L WELL BLDG. Air Intake ROAD Dt Inlet Sepfic > 3p �5 -' NA Dt Bottom Dosing _ A Header / Man. ?', yj Q 1 05 Aerat• n NA Dist. Pipe ld./ 1 � rc c� Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade c/ /p t )- Manufacturer Demand C 3 .?� I o5 G Mo Number GPM T Lift Friction System TDH Ft oss Forcemaln la. Fi Dist. To Well -71 T SO L ABSORPTION SYSTEM B / TRENCH Width 11 / Length, Y No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSI N SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACH NG Manufacturer: - INFORMATION Type CHAMB Model N Syste 'lJ t`i( OR UNIT DISTRIBUTION SYSTEM Header / Manifold f �� Distribution Pipe(s� / , x Hole Size x Hole Spacing Vent To Air Intake Length _ &_ Dia. Length - Dia. Spacing 5 fl - AS - TM Z7 Z C) - f - SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only l � Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed/ Trench Center Bed /Trench Edges Topsoil ❑ Yes E] No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: TROY 19.28.19,SW,NW 258 TROON COURT — TROY VILLAGE LOT 16 qt �� e�x. 444 14, , Plan revision required? ❑ Yes I Use other side for additional information. [L (� Gj�j SBD -6710 (R.3/97) Date Insp ors Signature Cert. No. Safety and Buildings Division SANITARY PERMIT APPLICATION 2 01 E. Washington Ave. Vi sconsin 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. T • See reverse side for instructions for completing this application State Sanitary Permit Nurri The information you provide may be used by other government agency programs ❑ Check if revision to previous application [Privacy Law, s. 15.040)(m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Property Ow er Nam ^ � Pro perty Location 4, $ � 1 T CA- , N, +�P .'t 1PropertyfOVVner'sM inglAddress Lot Numbef Block Number City, State Zip Code Phone Number Subdivision Nape or CSM Numb s ) f` T YPE F BUILDING: (check one) ❑ State Owne 0 it y Nearest R9ad Public 1 or 2 Family Dwelling - No. of bedrooms v ow a n of f`O O 111. BUILDIN USE: (If building type is public, check all that apply) arcel Tax Numbers) 1 ❑ Apartment/ Condo © 4 Q' 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. [4( New 2. [] Replacement 3, ❑ Replacement of 4_ E] 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 110eepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit It X7.2 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORP SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 1 7. Final Grade Required (sq. ft.) Proposed (s q. ft.) (Gals/day /sq. ft.) (Min. /inch) q� Elevation g 5-2 6, f — ! Feet lo Feet Capacity VII. TANK in gallo Total # Of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con Steel glass Plastic App New Existing structed Tanks I Tanks Septic Ta Ing s V ` �` ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber El ❑ 11 11 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for ins Ilation of the onsite sewage system shown on the attached plans. Plumber's Nam et. t) PI ber's Sig ture: Stamps) MP /MPRSW No.: Business Phone Number: Plumber's Address (Street, Cit , St te, Zip�d ): � —1— S 0 ` N IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps) A roved surcharge Fee) �� �t pp ❑ Owner Given Initial t 50 Dort C. 7 � AQo Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD46398 (R. t tom) DISTRIBUTION: Original to county, One copy To: Safety i auidirgs Division, owner. Tkrnbu l I I I I p f r I I I I : IIw I ' I i a I ! I , _L I T Lo pot I i I I , , i � I I i I - 1 I ar I I 1 I _ I I E ' I ! � I I I : I I I i i i 1 r I ' i i i I i i M � .-• C r oSS S �c�'lor� -- -- n ' / OCJt�t)e_4 6Yn IR4 /'l r 17 Is r'Oy ~!yLJ rem-, `BM F(s1A Alt Inlo1► And OD Plp• d J.1 I I�1. V•nl Co flnol.Grad• 20. /2' Apor• PIpP _ 1' Call 1104 To Flnal cr V.nI Pip. Yor rD Ilor Or Srnlh•Ik Cor.rin Lln 2� AYOr.p.l. Or.r Plpo � OIIIrIbYlloe � Plp. 0 0 0 —�- Too c b AiYr.pol• B•n•.IA PIP. ° P.rlorol.d Plp. below o �Co.pllny T•rmlA.Ilny Al Bollom 01 s"J.m Pro p o) P1n..I rs.c -1 �Icv•.� lon �� /� SOIL FILL DISTRIBUTIO1.1 PIPE ` • 'j. APPROVED .s4lJTuc - rIC COVCR 2 " OF ,& G6RE6ATE —�� o - ti _'lAT l = Ftl ^ O 9" of 57R OR HAY .� M ARSN �LEV, OF FEE r °�j L OFlz AGGRCGATE �P �� DIST'RIBUTIOW PIPE TO BE AT LEAST —JZ-7t—_ 1{UGHES BELOW ORIGIIJAL GRADE A►JU AT L-XSTLO IUCHES BUT KIO MORE THAI) y2 ILIC { {E$ BELOW FINAL GRADE PIMIMUM D&QtH OF FXCAVATIOP jfi(or1 oRj6wAL 6RAOF WILL BE � !'UK1MU I►JCHES M o5 Fnl of E ACAVA TIO " FR OM 0 GRn9f- W ILL. B INCHCS SIGLIED: tJ LIGCPJSC LUMBER DATE Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Environmenta By Design Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must URwiewedBy include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. # APPLICANT INFORMATION - Please print all information. 040 - 124:r- 00 Personal information you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). Dad Property Owner Property Location Continental Development Govt. Lot SW 1/4 NW 1/4 S 19 T 28 N,R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 12301 Central Avenue NE, Suite 230 16 - TROY VII,LAGE 1 ST ADDI City State Zip Code PhoneNumber ❑ City ❑ Village ❑Town Nearest Road Minneapohs MN Troy Troon Court ❑ 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, gpd/W .8 trench, gpd/ftz Absorption area required 857 bed, ftz 750 trench, ft' Maximum design loading rate .7 bed, gpd/fl? .8 tr ench, gpd/ft Recommended infiltration surface elevation(s) Initial 98' Alternate 97.75 ft (as referred to site plan benchmar Additional design / site consideration Final grade of initial system to be no greater than 102.33' Parent material loess over glacial till Flood plain elevation, if applicab NA ft S= Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system ®S [I U ® S El U El S ® U E: S ®U EIS ®U ❑ S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft goring# Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ! Trench 2 1 0 -7 10yr3/1 - sit 2mabk mfr cs 2f .5 .6 2 7 -15 10yr3 /3 - sit 2mabk mfr cs 2f .5 .6 Ground 3 15 -32 7.5yr5/6 - s Osg mi cs - 7 8 elev 101.4 ft 4 32 -110" 7.5yr5/4 - s Osg ml - - .7 .8 Depth to limiting factor >110" Remarks: 1 1 0 -48 1Oyr2/2 - sil 2mabk mfr cs 2f .5 .6 2 48 -54 10yr4/6 - sit 2mabk mfr cs if .5 .6 Ground 3 54 -65 10yr5/3 c2d5yr6 /6 sit lmsbk mfi cs - NP' NP elev 103.48 ft 4 65-1201 7.5yr5/4 - s Osg ml; - - 7 8 Depth to limiting factor 54 -65 Remarks: CST Name (Please Print) Signature:_ Telephone No. Thomas C. Nelson 715- 246 -2454 Address Environmental By Design Date CST Number Ref # 1432 120th Street, New Richmond, WI 54017 6/9/98 227387 75 PROPERTY OWNER: Continental Development SOIL DESCRIPTION REPORT 75 PARCEL I.D.# Page 2 of 3 Environmental Bv Desiom Horizon Depth Dominant Color Mottles Structure GPDlft2 in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. onsistence Boundary Roots Bed 'Trench 3 0 -12 10yr2/2 - sil 2mabk mfr cs 2f 5 ; 6 2 12 -38 10yr3/4 - sil 2mabk mfr cs if .5 .6 Ground 1 d elev 3 38 -105 7.5yr5/6 - s Osg ml 7 g 102.4 ft Depth to limiting factor >105„ 43 Remarks: 4 1 0 -28 10yr2 /1 - sit 2mabk mfr cs 2f .5 .6 2 28-47 10yr4 /6 - sil 2mabk mfr cs if .5 .6 Ground elev 3 49 -60 7.5yr4/4 flf5yr6 /6 sil lmsbk mfi cs - NP 103.35 ft 4 60 -120 7.5yr4/6 - s Os ml 8 .7 .8 Depth to limiting factor 49-60 Co Remarks: 5 1 0 -12 10yr3/2 - sit 2mabk mfr cs 2f 5 .6 - 2 12 -27 10yr3/4 - sil 2mabk mfr cs 2f .5 .6 Ground elev 3 27 -96 7.5yr5/6 - s osg ml cs - 7 8 101.34 ft Depth to limiting factor >96 0 Remarks: Ground elev Depth to limiting factor Remarks: FROM STACEYJONESOPKDMFCC &THEVOICECO PHONE NO. : 310 829 2975 JUN. 11 1998 02:21PM P4 BY DESIGN � 143 2 120` STREET, NEW RICHMOND, WISCONSIN 715-246 -2454 PROJECT NAME: TROY VII+L WE DESCRIPTION: SW',, NNE /., SECTION 28 „T28N, R19W TOWNSHIP: TROY COUNTY: ST.CROIX SUBDIVISION: TROY VILLAGE o ' 0 d5 56P ` N Iaz 6s 103 CI t1 Q BI - 1 Q 3 tit , S � n � ►�,, SY51cn �IV S CALE 1 „ -40, Tom Nelson BM 1 NW LOT CORNER ELEVATION 100' BM 2 SW LOT CORNER ELEVATION 105.06 PAGE 3 OF 3 Safety and Buildings Division 13 East Spruce Street Chippewa Falls, WI 54729 isconsin — Tommy G. Thompson, Governor Department of Commerce William J. McCoshen, Secretary September 09, 1098 1 _ ENVIRONMENTAL BY DESIGN CUST ID No. 263197 Sr c i 1432 120TH ST 1� - Z 0 NEW RICHMOND WI 54017 RE: CONDITIONAL CERTIFICATION ction ID No. 143693 SITE: ST CROIX COUNTY, TOWN OF TROY Site ID No. 1260 PleeSi[rafe SW 1/4, NW 1/4, S19, T28N, R20W ::::::::::::: :::::::aso „b�fha�lertti��titor>i ! :.... SUBDIVISION: TROY VILLAGE -LOT: 16 tiii'es ::: rt ursR €r,tritl octet .......................... FOR: DESCRIPTION: RELEASE MOUND RESTRICTION - LOT 16 OBJECT TYPE: POWTS REGULATED OBJECT ID NO.: 420428 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 on this lot provided the following condition(s) are met: , 'the release and waiver of this lot restriction should be incorporated into a correction instrument under s. 236.295, Wis. Stats. This twill eliminate future questions regarding the restriction on the recorded plat. 1000�lwo additional soil borings must be conducted within the proposed system area and the results submitted to the county for review. The results of these soil borings shall be sufficient to allow the proposed systa to be installed at an elevation of 98.0 feet. his is a preplanned soil absorption system area, 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. This certification 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. ST. CROIX COUNTY WISCONSIN f l ZONING OFFICE r. � SFr !: r w r r w ■ w „ ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road F Hudson, WI 54016 -7710 �. _ - — -- -- --- (715) 386 -4680 August 11, 1998 Wisconsin Department of Commerce Plat Review ATTN: Leroy Jansky Box 8911 Madison, WI 53708 -8911 RE: Onsite soil verification, lot s 16 & 69 of Troy Village Subdivision, Sec. 19, Tn. of Troy, St. Croix County, I Wisconsin Dear Leroy: I have reviewed the soil reports for the above mentioned lots in Troy Village Subdivision, filed by Tom Nelson, CSTM #02605 and have conducted an onsite soil verification of those lots. My findings have verified that the 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. incer y, ames K. Thompson Assistant Zoning Administrator cc: Tom Nelson file FROM STACEYJONESOPhDMFCC &THEUOICECO PHONE NO. 310 829 2975 JUN. 11 1998 02:18PM P1 715- 246-2454 Envir onmental b D esig n Fc To: St. Croix Co. Zoning From: Thomas Nelson Fax: 3864686 Pages: ( 4� Phone: 246 -2454 Date: � 06/11 /98 Re: Lot 16 Troy Villag CC_ - ❑ Urgent x For Review 17 Please Comnwnt ❑ Prase Reply ❑ Please Recycle e Comments: Submital for Onsite review. I would like to have an onsite for Monday 151998 --4 //s`, ` l ,tee �r • .� rb- / v — �C d /v v " �Y1 LC{ �C T( U10 FROW STACEYJONESOPhDMFCC &THEVOICECO PHONE NO. : 310 829 2975 JUN. 11 1998 02:19PM P2 Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of -3- Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm, Code Enviroomenlal By Design Attach complete site plan on paper not less than WA x 1 i inches in size. Plan must County include, but not limited to: vertical and horizontal rnference point (BM), direction and St. C roix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D.# APPLICANT INFORMATION - Please print all information. Reviewed By Date P--.W —tiara Y- provide may be used 1- --ndary W p-- (Prtveoy Low, s. 18.04 (1) (m)). Property Owner Property Location Continental Develo meet _ _ _ G ovt. Lot _ SW 1/4 NW 1/ S 19 T 2 NA 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 12301 Centr Avenue NE, Suite 230 _ — 16 - TROY VILLAGE 1 ST ADDITION City State Zip Code PhoneNumber ❑City ❑ Village ®Town Nearest Road Minneapolis MN Troy I Troon Court ® New Construction Use: ® Residential / Number of bedrooms 4 ❑Addition to existing building ❑ Replacement ❑ Public or commercial describe Code Derived daily Clow 600 god Recommended design loading rate 7 bed, gpd/fF -8 trench, gpdC Absorption area required 857 bed, ff 750 trench, fF Maximum design loading rate - bed, gpolff g trench, gpd/fF Recommended infiltration surface elevation(s) Initial 98' Alternate 97.75 ft (as referred to site plan benchmar Additional design / site consideration Final 91'ade of initial system to be no preatcr than 102.33' Parent material mess over glacial till Flood pWn elevation, if applica ble NA R S= Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system CIS ® U CI S ®v I ❑ S ® U ❑ S ® U ❑ s ®u ❑ s ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/fF Boring# Horizon in Munsell Qu. Sz. Cont Color Texture Sz. Consistence Boundary Roots Bad Trench 2 `; 1 0 -7 1 Oyr3 /1 - - - -- _— sil 2mabk n1fr Cs 2f .5 .6• 2 7 -15 10yr3/3 - sit 2mabk mfr cs 2f .5 .6 Ground 3 15 -32 7.5yr5/ s Osg ml cs - 7 8 elev - - -- -- - -- - 101.4 ft 4 32 -11 7.5yr5/4 - s 088 ml - - .7 .8 Depth to - -- - - - - -- limiting factor Remarks: -- -_ -. -- _ - - -- x .:, ; ,•, n. *; 1 0-48 1 / 2 — - - - -- sil 2mabk - mfr cs 2f .5 .6 2 48 -54 1Oyr4 / 6 - sil 2mabk mfr Cs 1f .5 .6 Ground 3 54 -65 10yr5 /3 C2d /6 sil lmsbk mfi cs - .4 .5 elev -- -- -- 103.48 ft ft 4 65 -120 7.5yr5/4 - s Ogg tnl; - - 7 .8 Depth to limiting factor ___ -- _ - - - - -- -- - -- 54-65 Remarks: -- CST Name (Please Print) Signature: Telephone No. _Th omas C. Nelson _ _ _ _ _ 715- 246 -2454 Address Bnviromnental By Design - Date CST Number Ref # 1432 120th Street, New Richmond, WI 34017 6/9/98 MO2605 75 "- FROU : STACEYJONESOPhDMFCC &THEVOICECO PHONE NO. : 310 829 2975 JUN. 11 1998 02:20PM P3 FROPERTYMNER: Continent Dew - -, qt _ _ S OIL DESCRIPTION REPORT s i'ARCELLD#_- j_ Page _2 of 3 -- Environmental By Dexi gn Horizon Depth Dominant Color Texture Structure onsisoence Boundary Roots GPDlftz in. Munsell Qu. Sz. Cont. Color Gr, Sz. r :Trench 3 1 0 - 12 1 Oyr2 /2 - sil 12 -38 10 2mabk _ m fr cs _ 2f .5 .6 2 3 / 4 - ' - Yr A 2mabk mfr cs if .5 .6 Ground elev 3 38 -105 7.5yr5/6 - -- _ - s Osg 7 8 102,11 Depth to - - - limiting — - - - -- - - -- _. factor Remarks: " 4 1 0 -28 10yi2/1 f - sil 2mabk mfr cs 2f 5 6 4 2 28-47 1Oyr4 - A 2mab mfr cs if .5 .6 Ground — - - - -- elev 3 47,60 7.5yr4/4 1 f5yr6 -- sil Imsbk mfi cs - 4 S 103.35 ft 4 60 -120 7 .5yr4/6 _ - - -- s Osg - ml - - 7 8 Depth to — - -- limitino -- -- - -- — factor 47-60 - - - - -- - -'- 1 0 -12 10yr3/2 - sil 2mabk mfr cs 2f 5 .6 2 12 -27 10yr3/4 - ail 2mabk mfr cs 2f .5 .6 Ground - - - -- -- elev 3 27 -96 7.5yr5/6 _- _ - s 038 ml cs - 7 8 101.34 ft -- Depth to -- limiting -- - -- - - -- factor 1 96 - - -- - - -- Remarks: eta Ground — - -- — elev Depth to ._ -- limiting - - - -- - -- — factor Remarks: FROM STACEYJONESOPhDMFCC &THEVOICECO PHONE NO. : 310 829 2975 JUN. 11 1998 02:21PM P4 fl B D �1�1V1 01�J�HIE1�Tfi L SIGN . 1432 120 STREET, NEW RICHMOND, WISCONSIN 715 -246 -2454 PROJECT NAME TROY V=AGE DESCRIPTION: SWY, NW/, SECTION 28 „T28N, R19W TOWNSHIP: TROY COUNTY: ST.CROIX SUBDMSION: TROY VIU AGE D 65 1 swP` N iaz'� 153CJ o 5r Bi ¢� I Q 3 LA , \ SY Sir-n S CALE 1" =40' Tom Nelson BM 1 NW LOT CORNER ELEVATION 100' BM 2 SW LOT CORNER ELEVATION 105.06 PAGE 3 OF 3 I vitwonsin'Jeparumnt of InduSUY. SOIL AND SITE EVALUATION REPORT Page I of I Labor and i-luman RManons Oivws;on of Satsty s 8wldings in accord with ILHR 83.05. Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 e 1 9. Plan must include, but ST. CROIX not limited to vertical and horizontal reference point ` slope, scale or PARCEL I.D. p dimensioned. north arrow, and location and dicta Brest read. APPLICANT INFORMATION- PLEASE P ALL ��T10Nc',, REVIEWED BY DATE PROPERTY OWNER: JROY RTY LOCATION E 1/2S 24T 28 NR 20 W 13 1 LOT 114W 1/2S 19T 29 NR 19 -01 W TOM RUEMMELE & JOHN AND B E9 PROPERTY OWNER':S MAIUNG ADDRESS X �lHr SUED. NAME OR CSM aY 260 COUNTY ROAD F _ COUNTY TROY VI LLAGE OFFIeLp CITY, STATE ZIP CODE NU ILLAGE OWN NEAREST ROAD HUDSON W 54016 - M200-1 CaJ -'r New Construction Use [X J Residential / Number of s 4 [ J Addition to existing btaidin j J Replacement [ J Public or commercial describe ,t Code derived daily flow 600 gpd Recommended design loading rate A 4 - bed. gpolft trench, gpdNt Absorption area required Soo bed. ft 5 2; 0 trench, ft Maximum design loading rate O• S bed, gpd/ft 0' L trench. gpdM Recommended infiltration surface elevations) BY DESIGNER It (as referred to site plan benchmark) Additional design I site considerations SEA o 're5 3 Pmt metenal Hood plain elevation, if applicable N/A h S - Suitable for system CONVENTIONAL MOUND I"ROUND PRESSURE AT -GRADE SYSTEM 1 N . NK FILL HOLONG TA U- Unsuitable for system 0S Hu I ZS O U O S 9U I 1:1 S (ZU I O S fiU I 0S Hu SOIL DESCRIPTION REPORT Horizon Depth Dominant Color I MOON Texture I Sere ConsistenC8jBourt 3y I Roots GPD /ft in. Munsell Du. Sz Cont Color Gr. Sz. Sh. Bad !Tmr Bonn g # A -17 OYR 3/2 - -- sil 2msbk �atfr Icw of -fl 0.5 0.6 43 B1 7 -37 10Ylt .4/6 - -- sil 1 2msbk fr Igw of -f 0.5 0.6 B2 7 -43 � OYR 5/6 - -- S1 2msbk mfr ICS 2vf - 0.5 0.6. Ground eiev. C1 1 43-64 �OYR 5/6 - -- fS uDsg ml 1 9W lvf 0.4 0.5 g gj - ,.5 - It. C2 4 -72 LOYR 5/6 - -- s 10SR M1 Depth to limiting factor .172'1 Remarks: Boring # A 0 -19 lOYR 3/1 - -- sil 2f -msbk mfr cw 2vf 0.5€ 0. T - 3 6 B1 19 -34 lOYR 4/3 - -- sil 2msbk mfr gw 2vf 0.5 0.6 tF B21 34 -43 10YR 5/6 - -- sicl 2msbk mfr cs 2v Ground eiev•* B22 1 43-47 10YR 5/6 flf 5YR 5/8 sicl 2msbk mfr cs 2vf - -- 88 It Depth to - -- C 1 47-72 lOYR 5/6 flf IOYR 3/4 s Osg ml - -- lvf - -- I - -- limiting factor Remarks: *Finiqhpd arnap _ - Fftme:--Ame P" JAME S D. FIU(WS R10f (715) 425 -7831 OGDEN ENGINEERING CO.. 113 WEST WALNUT ST.. RIVER FALLS. WI 54022 Oata u35T Number ' L % f 1 CSTM03988 PR0PER"CYNER SOIL DESCRIPTION REPORT Page m ot _3 PARCF11.0. +� ' Depth Dominant Color ( Mottles I Structure I I GPD/tt Boring # Horizon in Munsell p Sz. Cont- row Texture Gr. Sz. Sh. Cor>s�oenae Bour>d3ry Roots Bed Me= A 0 -14 10YR 3/2 ___ sil 2msbk m _ 435 11 4 -27 LOYR 5/4 - -- sil 2msbk mfr Cs "vf 0.5 10.6 Ground 12 7 -34 LOYR 5/4 flf 5YR 5/8 sil 2msbk mfr Cs of - -- r - -- elev. t 88 ft. 2 4 -49 10YR 5/6 flf 10YR 3/4 s Osg ml gw 2vf - - -. - -- Depth to C 49 -72 10YR 5/6 - -- gs Osg ml - -- lvf - -- - -- limiting tam 9711 _ Remarks: Boring # d Ground elev. tt. Depth to limning ta= Remarks: Boring I I I L Ground elev. It. Oepttt to limiting t arta r i Remarks: Boring # M . Ground elev. ft. Depth to li mrong factor i Remarks: SSG -a=0(F1.01W= PAGE 3OF3 SITE PLAN SCALE: 1 " = 40' \ , EIfSEAIf- 0 ,41 T a / ^/ � o�,e E LE✓ = 888 9/ L o T /S 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. JAME . FILKINS, CSTM03988 Civil Engineers & Land Surveyors DATE: 97 113 W. Walnut St. River Falls, WI 54022 (715) 425 -7631 ' V�r onsln Oepartrf—t of Industry. SOIL AND SITE EVALUATION REPORT Page L of 3 Labor and 'Human Raiauons Oivws,on of safely 3 ewkAngs 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. Flan mtut include, but ST. CROIX PARCEL I.O. x not limited to vertical and horizontal reference point (8M), direction and e, scale or dimensioned, north arrow, and location and distance to nearest ro �+ � � �"" - .- `, St REVIEYVEO BY DATE APPLICANT INFORMATION- PLEASE PRINT ALL IN ION ,` PROPERTY OWNER: / �! ? (9C E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND BARB RUEMME GOVT. LOT 114W 1/2S 19T 29 NR 19 4( W PROPERTY OWNER':S MAILING ADDRESS .- Lolt ' S1.180. NAME OR CSM 9 260 COUNTY ROAD F ; . I , TROY VILLAGE CITY STATE ZIP CODE PHONE N � E OWN NEAREST ROAD HUDSON W 54016 (7 1 ) 8 ()NIN 92oo,J Ca J f2 bQ New Construction Use (X I Residential / Number of ! 6 ( 1 Addition to existing building j ] Replacement ( Public or commercial describe Code derived daily n 600 gpd Re=nmended desgn boding rate 0-4 bed, gpolft trench, gpd/ft Absorption area required 500 bed. ft trench, ft Maximum design bading rate O• S bed. gNM D� t trench, gpditt Remmmended infiltration surtace elevation(s) BY DESIGNER ft (as referred to site plan benchmark) Additional design I site considerations 5EO N , 0 T 'e IPW X915 E 3 Parent material 5 T /GG 1":54rao-soy Rood plain elevation, if applicable N/A ft S Suitable for system CONVEN ZONAL MOUND IN -rMUNO PRESSURE AT -GRADE SYSTEM N FU H=M TANK U Unsuitable for system 1 S NU I Z S ❑ u ❑ S au I ❑ S Z I ❑ S I�U 10 S au SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Horizon in Munsell I Du. Sz Corn Color I Gr. Sz. Sh.' Boring # A -17 OYR 3/2 - -- sil 2msbk mfr Icw of -fl 0.5 0.6 437:;: B1 7 - 37 1 /6 - -- sib 2msbk mfr Igw of - f 0.5 0.6 B2 7 -43 LOYR 5/6 - -- sl 2msbk mfr �cs 2vf -f 0.5 0.6 Ground eiev. C1 3 -64 10YR 5/6 - -- fs l osg ml gw lvf 0.4 0.5 g g l . 5 tt. C2 4 -72 LOYR 5/6 - -- s Os Depth to - -- limiting ! factor 7 2 Remarks: Boring # A 0 -19 l OYR 3/1 - -- sil 2f -msbk mfr cw 2vf 1 0.5 0. x'+36 x B1 19 -34 lOYR 4/3 sil 2msbk mfr gw 2vf 1 0.5 0.6 B21 34 -43 10YR 5/6 - -- sicl 2msbk mfr cs 2v Gmund elev• B22 43 -47 10YR 5/6 flf 5YR 5/8 sicl 2msbk mfr cs 2vf - -- - -- 88 It C 47 -72 lOYR 5/6 flf 10YR 3/4 s Osg iml - -- lvf - -- - -- DOM to limiting factor 43" Remarks: CST Nemt --Ams Pnnt jAMES 'D. FIL KINS PI (715) 425 -7631 OGDEN ENGINEERING CO., 113 WEST WALNUT ST., RIVER FALLS, WI 54022 Signanm 1'"l ' 0 f' 14 7 CS'TM03988 PROPF - *Y OWNER SOIL OESCAIPTION REPORT P.;qe H of _3 PARCEi:iA'S ' Boring # Horizon Depth (Dominant Color I Moores Texture I Structure IcI� Roots GPD /tt-I in. Munsell Gu. Sz. Cont. Color Gr. Sz. Sh. Bed ITrenot L A 0 -14 10YR 3/2 - -- sil 2msbk m fr Aw 435r 11 4 -27 OYR 5/4 - -- sil 2msbk mfr cs of 0.5 10.6 z Ground 12 7 -34 LOYR 5/4 flf 5YR 5/8 sil 2msbk mfr cs 2vf - - - - -- elev. I 88 tt 2 4 -49 10YR 5/6 flf 10YR 3/4 s Osg ml gw 2vf - - -. — -- Depthto C 49 -72 10YR 5/6 - -- gs Osg ml - -- lvf - -- - -- Wiling tam 971 Remarks: Boring # Ground elev. ft. Depth to limning fator Remarks: Boring I I I L Ground eiev. ft Depth to firming factor I Remarks: Boring # I 1 Ground elev. ft Depth to limiting taCtOt I Remarks: 38Da13WFi.OtSleQ1 1 A, PAGE 3OF3 SITE PLAN Z- SCALE: 1 " = 40' e - �3 7 J � Lo T a p h //I/ owe ELE = 888 9/ Z- /S 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; S' FROM LOT LINE. OGDEN ENGINEERING CO. JAMW D. FIL / KINS, CSTM03988 Civil Engineers & Land Surveyors DATE: `f`� °��� 113 W. Walnut St. River Falls, WI 54022 (715) 425 -7631 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer I rod b elfeloowfit Mailing Address �g Property Address n (Verification required from Planning Department for new construction) City /State Parcel Identification Number D 1 -{ o LEGAL DESCRIPTION Property Location C � /., ' /,, Sec. T-2—eN- R - 21LW, Town of r o Subdivision I l a q6 Lot # 1. Certified Survey Map # J Volume , Page # _ Warranty Deed # �J q&3 Volume IA-4—` . Page # g7 Spec house /9 yes O no Lot lines identifiable W 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 masterplumber, journeymanpltimber, 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 the SL Croix County Zoning Office within 30 daysg Lethree ear exp' tion date. C v / Z 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 pr de ribed abo , by virtue of a warranty deed recorded in Register of Deeds Office. mr L! ct 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 .102 Ai r 21� _r 619 S.F. " , 54 s , • 1 300 AC `O 54054 S.F.4 . 1.241 AC 41,4 I 4 6 ?• ' • 2 - w 47� q I E 4 738 S.F. I N 51 1.081 AC 1 004 AC 1056197 S.F.-- 4581 S ' © J� 1.290. AC ' O • 39 , I ,ry 080 �`-, _ 1.052 A( 15 67 S.F. . l I AC ,,x,1.540 18 . 30 .4 Q 5 23 o• >> 0 ' 287 S.F. , . �/' . �•�,,, ' .246 AC • `�' Z' ,• . 1'77.32' • ^ w 2 4 • N i : 46202 S.F. 756 S.F. o> 1.061 AC 5406 SY 005 AC 0 $' 1.24 AC • • , 2p .. 45670 S.F. �• 1.048. AC X 25 F . 518 15 S.F. 57 AC 1.190 AC M oh• GOLF COURSE, :ease,I 4 ,• �,• 51 437ET "S.F. AM ; v 5 S 15 , ON CALEdiN:s FEET �., . 13 j . , • g• ^ 14 44512 t° 1.022 0 I ° 44704 S.F. 1.026 AC i