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HomeMy WebLinkAbout040-1246-40-000 ST. CROIX COUNTY ZONING DEPART T /j AS BUILT SANITARY REPORT 1 RECEIVED T y , Owner d �e vo Property Addr ss r �- 30 -O -' .� ll W 1 1 1999 City/State �a�,,.sz _ �/Y�n a 3z�y s��px ' -,01 99 n• ri Legal Description: Lot � Block ' Subdivision/CSM # t /a EF_ ' /a, Sec..2 T 2 � N -R .lo w, Town of PIN # yd D SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer U1- Size ST/PC Setback from: House ' Well 9 PAL S5 I 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: AOa Width Length Number of Trenches Setback from: House S'9' - Well 7Y. PAL F - Vent to fresh air intake 83 ELEVATIONS Description of benchmark Elevation /� r Description of alternate benchmark Elevation Building Sewer A 9 - 9 , 7 ST/HT Inlet /o 8, ''R ST Outlet f 11, 3 PC Inlet --` �(o PC Bottom Header/Manifold /O7 Top of ST/PC Manhole Cover Distribution Lines Bottom of System Final Grade Date of installation 6 / /0/ f "Per •t number 3 aYd SV State plan number � Plumber's signature License number - -2 x0537 Date (o / / O Inspector -)6.. _ Complete plot plan R 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 $(12 -33 1 INDICATE NORTH ARROW Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar Permit No.: ST. CRO EX Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 324650 Permit Holder's Name: I ❑ City ❑ Village Town of: State Plan ID No.: TROY DEV'T CORP. /DERRICK CON T. TROY CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: a0 00 OCAA cJC►' 040- 1246 -40 -000 TANK INFORMATION ELEVATION DATA 40 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic (,J ZS Benchmark 3 Ig UM `00 Dosing Aeration Bldg. Sewer ,� s �j9 [ Holclin % �D Inlet / 09- i l e TANK SETBACK INFORMATION Ht Outlet S lo - �L TANK TO P/ L WELL BLDG. VeA nuke ROAD 13t > et Septic 4 s/ 3Z / 7L NA Dt m Dosing NA Header / Man. U 9 Aeration NA Dist. Pipe Holding Bot. System 132 1166-60 PUMP/ SIPHON INFORMATION Final Grade y 2 1v9. v 7 Manufacturer Demand �e Model Number GPM TDH I Lift Friction System TDH Ft Forcemain Length Dia. m ead Dist. To well -- SOIL ABSORPTION SYSTEM � BEW TRENCH Width Len th No. Of Trenc es PIT No. Of Pits Inside Dia. Liquid Depth IMEN I N lo Z v DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK _ INFORMATION Type Of Model Number: System: pdt f 4. _ r CHAMBER 'V 4 OR UNIT DISTRIBUTION SYSTEM Header/Manifold a Distribution Pipe() x Hole Size x Hole Spacing Vent To Air Intake Length Dia- y Length 2" Dia. 7 Spacing (� / Z� Z / L Z� �O S 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 COMMENTS: (Include code discrepancies, persons present, etc.) LOCAT TROY 24.28.20,NE,SE 349 LINDSAY ROAD — TROY VILLAGE LOT 24 (6 3T oP 3 S E33 /W B . s;r/ of w�lfdwt O r , 4 o f Gk6to i Plan revision required? ❑ Yes ❑ No Use other side for additional information. (� ( SBD -6710 (R.3/97) Date Inspector's gnature Cert No SANITARY PERMIT APPLICATION Safet E w W ashington Division NViscons In acco r d with IL HR i 1 m. Code P.O. Box 7969 Department of Commerce R 83 05, Wi s . A d Madison, Wl 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 81 /z x 11 inches in size. S • See reverse side for instructions for completing this application State sanitary Permit Number ! .1 The information you provide may be used by other government agency programs E] t p Check if revisio re iX app . [Privacy Law, s. 15.04 (1) (m)). State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N �— Prop y Owner Name Property Loc CEO A S1 S t /a, S T aK, N, R Q 5W) W Property O ner's i ing Addre Lot Number Block Number ao 1 n L4 ity, State Zip Code Phone Number Su Ivisio Na or CSM Numbert S (' Y ctcje II. TYPE IL ING: (check one) ❑ State Owned [] !t( L N arest Road Public 1 or 2 Family Dwelling - No. of bedrooms ° Tow of 'ro S Q 1J i 111. BUILDING USE: (If building type is public, check all that apply) arcel Tax Number(s) 1 ❑ Apartment/ Condo © J4 O — l a\4 b 2 ❑ Assembly Hall 6 Q Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 Q Campground 7 Q Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church / School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 Q 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. g New 2. Q Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an System____ System_____ ________Tan_kOnly 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 Q Specify Type 41 Q Holding Tank 12 Seepage Trench 22 ❑ In- Ground Pressure . 42 ❑ Pit Privy 13 ❑ Seepage Pit �a 7a— 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 6 I I q S 8 5 7 . 7 Feet ! 0 Feet Cap acit y VII. TANK in Total # of Prefab. site Fiber Exper. INFORMATION g allons Gallons Tanks Manufacturers Name concrete Con Steel glass Plastic App New Existin structed T nks Tanks Se tic T1 Ing an `e..C El El El El 1:1 Lift Pump Tank /Siphon Chamber ❑ I ❑ I ❑ ❑ I ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for install of the onsite sewage system shown on the attached plans. Plumber's Name: (Pri Plu is 'gnatur : ( mps) MP /MPRSW No.: Business Phone Number: IL o rs 53 'T t c St 3S Plumber's Address (Street, City, State, Zi Code): (� OSTh ut. 1 V 4 5 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater E Issued Issuing A nt n ture (No Stamps) j�4pp roved Owner Given Initial c, 1ur,hargeFee) r /,7j1� Adverse Determination 6�� X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: (, M V-4- kAAt,, 4t ca r✓tC kAC7642wiY ✓.e c&rl— Retyk vfk2 '7� d���� 17 , SOD& (RA 1196) DISTRIBUTION: Original to County. One copy To: Safety 6 Buildings Division, Owner, Pkmber • _ � �`�-- --,PCB E T rb y j m r �_ C 3 , r 'M1C�,54�� a )ev U.� e�' A � ✓yl r- sw � " � d s 6 IL 75'.00' o ?,5;00• GARx4E p k a RL a Zp� >' p m s s 3o y . ' fr•IA Air Inl•1� And ODlurollon PI • � llf� C � — Approrld Vrnl Coy •'' ►rinlmum 12' Aboro flnoo Grad• 20. 42' Above Plpr _ 4' Case kon To final 014d• Von► Pipe Yaw rA Nor Or Srn►Mlk Cor"ln • Lin V Aryropol• Onr Plp• .. Dlserlbrllon Yly• -� 0 0 o — To : 6' A1or� pal• 0 SM411► Plpo ° Pulorol�d Plpo below o �C61plln9 Torminollnll Al 9ollom Of Sr►lom P�U�o)CD �In 5. _• V C.0J Ion / SOIL FILL 0 I5TRIBUT101.1 PIPE ` • ,r. APPROVED S4)<JPr -TIC COVE 2"o>F AGGREWF- -----�� - v `M11TEWj- O R 9" o f STRAW OR MARSH HAy � L E V. O F '. f°�OFlz -2 ► � Z AGGfLCGATE E� DIS'rRIBUTIOU PIPE TO BE AT L£gST 1 1JCHE5 BELOW ORIGIIJAL GRADE AUU AT LEAS7L0 11JCHES BUT MO MORC THAW 42 INCHES BELOW FIIJAL GRAOC tWVIUM DaPrH OF FXCAVAT100 FXoM OaltWAL 6R11pF- WILL BE _ ' 1'Utl,rl nt o �xcA IN CHES oc P F ATION f 0; 16N CRAPE WILL B � � INCHES SIGA.IEO: LIGE►JSC ►1UMBEM _ - 2E S� 7 DATE: ��'T Wisr7ff.41n Department ofCommerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Environmental BY Design Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County 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. Parcel I.D.# APPLICANT INFORMATION - Please print all information. Rev' wed y Date Personal information you provide may be used for secondary Purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Derrick Construction Co. Inc. Govt. Lot NE 1/4 SE 1/4 S 24 T 28 N,R 20 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1505 Hwy 65 24 Troy Village City State Zip Code PhoneNumber ❑ City ❑ Village ❑Town Nearest Road New Richmond W1 246 -2320 Troy I Lindsay Road ❑ New Construction Use: Z 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/ft .8 trench, gpd/ftz Absorption area required 857 bed, ft 750 trench, fF Maximum design loading rate .7 bed, gpolfF .8 tr ench, gpd/ft Recommended infiltration surface elevation(s) 106.5 ft (as referred to site plan benchmar Additional design/ site consideration Parent material Loess over outwash Flood plain elevation, if applicable ft = Suitable for system Conventional Mound In - Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system ®S El U E] S N U N S Ll El S N U [:1 S N U ❑ S® U S SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPDff Boring# in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 1 1 0 -6 7.5yr5/4 - s Osg ml cs - .7 .8 2 6 -10 10yr4 /6 - sl l mabk mvfr cs - 5 .6 Ground 3 10 -80 7.5yr5 /4 - s Osg ml - - .7 .8 elev 108.22 ft Depth to limiting factor >80 Remarks: 2 1 0 -96 7.5yr5/4* - s Osg ml - - .7 .8 Ground � elev !; , 109.92 ft Depth to �^ r limiting factor r nor >96 Z�y Q F / '~ 1 Remarks: * Banding with s 1 4/4 ti r CST Name (Please Print) Signature: Telephone Thomas C. Nelson '� 715- 246 -2454 Address Environmental By Design Date CST Number Ref # 1432 120th Street, New Richmond, Wl 54017 9/10/98 227387 54 PROPEkTY OWNER: Derriok Construction Co. Inc. SOIL DESCRIPTION REPORT ® Page 2 of 3 PARCEL I.D.# Environmental Bv Desi Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. Bed Trench 3 1 0 -96 7.5yr5/4* - s Osg H - - .7 .8 Ground elev 111.4 ft Depth to limiting factor >96 Remarks: *Banding with s 19yr4/4 Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: ENVIgONMENTRI BY DESIGN 1432 120`b STREET, NEW RICHMOND, WISCONSIN 715 -246 -2454 PROJECT NAME Troy Village to PAGE 3 DESCRIPTION NE Y4 SE %, SECTION 24 T R -2&_ W TOWNSHIP Trov COUNTY St. Croix Wisconsin 2 d� Ba .00 5 acres M N Q 1 f r A4M� SCALE V'= 40' Tom Nelson BM 1. Storm Sewer Cover Elevation 100' 227387 BM 2. Lot Corner Elevation 100.75' Wisconsin Department of Industry SOIL AND SITE EVALUATION Labor and Human Relations Page of Division of Safety and Buildings in accordance with S. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. R rtfusl.'. j County include, but not limited to: vertical and horizontal reference pi BM , di t 6 ~� percent slope, scale or dimensions, north arrow, and location and dista e46tieare� p* # ��l±Y APPLICANT INFORMATION - Please rintall inform ". 1 A "E � Revigwed by Date Personal information you provide may be used for secondary purposes (Privacy Prr \` rty Owner L Propfi�j(�ypration .✓ r r i A T !' .� C_ Q-% �'�'�;`,% Ut l � ;' �� L1 /4,S 2 4 T Z O E (or)(9 Property Owner's Mailing Address �. f_ T Name or CSM# SbS �..� GS ': - �Tro U. e City State Zip Code Phone Number Nearest Road ❑ City ❑Village Town IRi thaa W) t (7l ) 2q G 7 US j r o L! h t�►S'. ► New Construction Use: ❑ Residential / Number of bedrooms Addition to existing building Replacement ❑ Public or commercial - Describe: / v Code derived daily flow tab b gpd Recommended design loading rate # bed, gpd /ft2 • OO trench, gpd /ft Absorption area required BE 7 bed, ft 7So trench, ft Maximum design loading rate •7 bed, gpd /fie a__8 trench, gpd/ft Recommended infiltration surface elevation(s) 0 . ft (as referred to s' a plan benchmark) Additional design /site considerations ( Q c.. r a— Parent material — L o o S S U J L. W L5 h Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system v s El U I VS XU L(S El U I DS X U ❑ S 1Z U I ❑ S Pet SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD /ft Consistence Boundary Roots in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench f~� Ground elev. Depth to limiting ; factor I V Remarks: C 1 Boring # p_ �S — S O s CYI CS Ground elev.,,� Depth to limiting fag.to > in. Remarks: R �' r 4 114 CST Name (Please Print) Signature Telephone No. - T han(,s tlkAso - 7I5 - 4 1, -DA Address � h 6� K Date `' 0- CS 22b7 3 a 7 W I N L. I C�+ V U E BY DE 1432 120`h STREET, NEW RICHMOND, WISCONSIN 715 - 246 -2454 PROJECT NAME Troy Village"' PAGE 3 DESCRIPTION NE % SE %, SECTION 24 T 28 N, R 20 W TOWNSHIP Troy COUNTY St. Croix Wisconsin 2 2 Q6 �a x,0 a cres Q � 5 Q M N 6 'Z C) , 6M Q4M� 5 l� SCALE 1" = 40' Tom Nelson BM 1. Storm Sewer Cover Elevation 100' 227387 BM 2. Lot Corner Elevation 100.75' 1 / Safety and Buildings Division Field Operations Bureau 13 East Spruce Street Chippewa Falls, WI 54729 , sconsin Tommy G. Thompson, Governor Depa o Commerce Philip Edw. Albert, Acting Secretary October 15, 1998 - `,`, ATTN: INSPECTOR THOMAS C. NEI SON CUST ID , , 87 ZONING OFFICE ENVIRONMENTAL BY DESIGN � � '9�� ST CROIX COUNTY 1432 120TH ST ";'� ST CRO 1101 CARMICHAEL RD NEW RICHMOND WI 54017 z'^�CCGOaFICF HUDSON WI 54016 RE: CONDITIONAL CERTIFICATION �'� '` - ' Identification Numbers -r t i �` ransaction ID No. 180512 SITE: ST CROIX COUNTY, TOWN OF TROY Site ID No. 1260 NE 1/4, SE 1/4, S24, T28N, R20W Plat File Number 20751 TROY VILLIAGE -• I_OT 24 Please refer to both identification numbers, above, in all correspondence with the agency. FOR: DESCRIPTION: WAIVE MOUND RESTRICTION OBJECT TYPE: POWTS REGULATED OBJECT ID NO.: 428550 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: 1. The release and waiver of this lot restriction should be incorporated into a correction instrument under s. 236.295, Wis. Stats. This recommendation will eliminate future questions regarding the restriction on the recorded plat. 2. This 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 85.04 (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 i^clulde review of the design far 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. 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 09/30/1998 eroy Jansky, astewa Specialist FEE REQUIRED $ 80.00 Field etations Bureau FEE RECEIVED $ 80.00 (715) 726 -2544 Voice BALANCE DUE $ 0.00 (715) 726 -2549 Fax Ijansky @commerce.state.wi.us cc: Derrick Construction FROM TOMOandOSTRCEYONELSON PHONE NO. 310 829 2975 OCT. 12 1998 02:12PM P4 r o a�s or j t u e' N I ke es • 7, n r ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER _ vo 1101 Carmichael Road " Hudson, WI 54016 -7710 (715) 386 -4680 September 22, 1998 Wisconsin Department of Commerce Plat Review ATTN: Leroy )ansky Box 8911 Madison, WI 53708 -8911 RE: Onsite soil verification, lot 24 of Troy Village Subdivision, Sec. 19, Town of Troy, St. Croix County, Wisconsin Dear Leroy: I have reviewed the soil report for lot 24 in Troy Village Subdivision, filed by Tom Nelson, id #227387 and have verified the soils onsite on September 22, 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 0.7/0.8 GPD /sq.ft. The tested area will require topsoil to be placed on top of the sand horizon. The topsoil was stripped from the site during the golf coarse development. If you have any questions regarding this issue, please contact me at the number listed above. Sincerely, Rod Eslinger Assistant Zoning Administrator cc: Tom Nelson file r Wiscoiisin Dopartrnont of Gonuli cf! SOIL AND SITE EVALUATION Division of Safety and Buildings Page / of Bureau of Integrated Service; in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than H 112 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and S +' Cso 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 Personal mformauon you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location ' f � ck Cam, �yiYC�t iar_ _I n Govt. Lot ►JC�: 1/4 5f I/4,S�,'1 T Zr� , N,R 2d E (or) W Property Owner's Mailing Address Lot # Subd. Nam or CSM# /SOS HL,-, (off Block# 't ✓o V, 11C� <° City State Zip Code Phone Number Nearest Road ❑ City [I village � Town I ` - Z3z o l ry G Imd Su t ?oo c{ ® New Construction Use: ® Residential / Number of bedrooms / _ Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow (,CC' gpd Recommended design loading rate ' bed, gpd/ft 6 trench, gpd/ft Absorption area required bed, n trench, n 2 Maximum design loading rate ' 7 bed, gpd/111 1 trench, gpd/ft Recommended infiltration surface elevation(s) n (as referred to site plan benchmark) Additional design /site considerations Parent material 0 " f v--- s Flood plain elevation, if applicable - n S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ® S El El S El 0S ❑ U ❑X S❑ U El ®U ❑ S ® U SOIL DESCRIPTION REPORT Bolin # Horizon Depth Dominant Color Mottles Structure GPDe 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench Ground elev. n. Depth to limiting factor in. Remarks: 9� P/Ul — `�-A ma k-C e-_3 p , - uol_ GVX.e� , _t� • . Q 63 ,� Ste^ �y G,: + hws1 L�ecsv r,ck4 ' Ihc�z 15 no 4v tl IA 4 t l. a✓La 3v folk Wisconsin Oeparmwnt of Industry. SOIL AND SITE E V A L U A T 1 O N REPO Page 1_ of 3 Labor and Human Relations Division of Satety s Buoidngs 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 must include, but ST. CROIX not limited to vertical and horizontal reference point and % of slope, scale or PARCEL I.D. dimensioned. north arrow, and location and dt In .etEt.FO, APPLICANT INFORMATION — PLEASE ALL�FORM REVIEY�ED 8Y DATE PROPERTY OWNER: I L LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND RU . LOT 1 /4W 1 /2S 19T 29 NR 19 -640 W PROPERTY OWNER':S MAILING ADDRESS -- - x et tic K 0 SUB0. NAME OR CSM x 260 COUNTY ROAD F ST CROIX TROY VILLAGE CITY, STATE ZIP C PHON !�. Y ILLAGE OWN NEAREST ROAD HUDSON W 5401 4 I � TROY L1 ,4Y 7a,44> New Construction Use PC I Residential r(1�o'o' 4 ( J Addition to existing building Replacement ( j Public or commer fxt Code derived daily flow 600 gpd Recommended design loading rate Alf bed. gpd/ft trench, gpdM Absorption area required bed. ft e70 trench, ft Matdmum design loading rate e • S bed. gpd/ft D • 4 trench, gpdjft Recommended infilb swlaca elevation(s) BY DESIGNER ft (as referred to site plan benchmark) Additional design / site considerations S" A/07 ON ^f e7,e 3 Parent material Z'PO55 7 /LL /.y& r4w. Flood plain elevation, if applicable N/A It S = suitable for system I O CONVENTIONAL I MW NO INWGROUNO PRESSURE AT -GRADE SYSTIDA IN FILL HOLOM TANK U= Unsuitable for system S U S O u 0S Kru I Os KU I O s 0 I D s �'u SOIL DESCRIPTION REPORT 9 I Depth I Dominant Color I Mottles ITexture Structure ( j &u Y I GP01 Bonn # Horizon in. Munsell p Sz, Cam Color Gr. Sz. Sh. 10e Roots Bed TrtjrtCt 307 ;' n - -- A 0 -23 10YR 3/2 S1 �2m-c 1 0.510.6 B1 23 -44 IOYR 4/3 - -- S1 2msbk mfr cW 2vf 0.510.6 Ground B2 44 -74 10YR 4/6 c2d 7.5YR 3/4 is osg ml 2W lvf - -I - -- I 89�sft. B3 74 -84 10YR 5/4 ic2f 5YR 5/8 sl lcsbk mfr - -- lvf - Depth to limiting facia 44 11 Remarks: Boring # A 0 -19 11 I - -- I sil 2f— I I 0.5 0 '!.265_'` B1 19 -46 10YR 3/3 I sl 2msbk Ground B2 46 -62 lOYR 5/4 mlf 7.5YR 3/4 sl lcsbk mfr cW lvf ( - -- elev. C 62 -83 10YR 5/6 I mlf 7.5YR 3/4 s osg ml - -- lvf 90 ft. Depth to limiting factor 4 6 " Remarks: CST Name —Plem PIN JAMES D. F"M P u m (715) 425 -7831 OGDEN ENGINEERING CO., 113 WEST WALNUT ST.. RIVER FALLS, WI 54022 S'fgnamrr. Dam f- la $j 7 C MO3988 PRs7PEAnQWNEA SOIL OESCRIPTION REPORT Page Hof _3 PARCEL I.D. t Oepth Oomrnant Color Mottles Structure I ftunmy Roots GPO/ft, Horizon Texture r Z, Sh. C,onsimmice in. Munsell Boring # A 0 -20 10YR 3/2 - -- sl 2m — csbk I mfr I ew 0.5' 0.6 s 08 B1 20 -34 lOYR 4/3 - -- sl 2 — 1vf 0.5 -0.6 B2 34 -77 lOYR 4/6 c2 lOYR 3/4 w 1vf - -- - -- Grotmd elev. B3 77 -87 lOYR 5/4 flf 5YR 5/8 sl 1csbk mfr - -- 1vf - -- - -- 8 99.3 tt. oep to liar ing tam I I 34 Remarks: Boring # I I I ,:ate I Ground elev. ft. I OepM to lirrnhng faC20< I Remarks: Boring I I I Ground elev. tt. Oeptn to limiting I factor Remarks: Boring # I Ground elev. ft Depth to limrfing taut ( Remarks: SaD.8�30tti.081'OZ1 PAGE 3 OF 3 SITE PLAN 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. 1 GaT Z3 �a 1 � � a 7 Q � o -307 Aeon, ��PE Z, T �¢ TY Z. T / SCALE: 1 " = 40' r OGDEN ENGINEERING CO. JAMES DLfILKINS, CSTM03988 Civil Engineers & Land Surveyors DATE: f1 %7 113 V� . Walnut St. 425 River -7631 Falls, WI 54022 wisccnstn Oeparumnt of Industry. SOIL AND SITE EVALUATION REPORT Page I of 3 Labor and Human Ro"oons Oiviston otSat.ry s eW►dings in accord with ILHR 83.05. Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inch B •. Plan must include, but ST. CROIX not limited to vertical and horizontal reference point (8M) 9r pe, scale or PARCEL I.O. # dimensioned, north arrow, and location and distance t ni�r APPLICANT INFORMATION- PLEASE PRIN ry INF *ION �' REVIEWED BY DATE Purn PROPERTY OWNER: PR LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE &JOHN AND BARB A G 1/4W 1/2S 19T 29 NR 19 446"W PROPERTY OWNER':S MAILING ADDRESS ST CRO" LQZT 9LM11"rr 1 SU80. NAME OR CSM a 260 COUNTY ROAD F COUNry TROY VILLAGE CITY, STATE ZIP CODE P G OFFICE ILLAGE QrOWN NEAREST ROAD HUDSON WTSCONSIN 54016 h1 2902 Li�l AY �RoAt7 New Contra cbm Use PC I Residential / Number of ( (Addition to existing budding L I Replacement ( I Public or commercial describe Code derived daily now 600 gPd Recommended design loading rate O. ¢ bed. gpd/ft trench, gpO Absorption area required ADO bed. ft 00 trench, ft Maxantun design loading rate 4• S bed, gpd1ft 0. trench, gpd4l? Recommended infiltration surface elevations) BY DESIGNER h (as referred to site plan benchmark) Additional design / site considerations A- 0 ,,V 3 Parent material Lo�55 d v T�ifS Flood plain elevation, if applicable N/A ft S = Suitable for System CONVENTIONAL ��l NO IN- GROUND PRESSURE AT -GRADE SYST9A IN FILL HOLDING TANK U= Unstutable for sysiem I❑ S Nu I ® S 0 U ❑ S IffU I ❑ S K U I ❑ S Nu I ❑ S ($ SOIL DESCRIPTION REPORT Depth (Dominant Color I Wi mes I I Structure ( I I GPO /ft" Boring # Horizon in. Munsell pu. S C oat c,� Texture Gr. Sz. Sh. 10a eoin�ry Roots Bed ITmncn y A 0 - 23 10YR 3/2 - -- sl 2m mfr 01W luf 1 0.510.6 307; B1 23 -44 10YR 4/3 - -- sl 2msbk mfr cw 2vf 0.510.6 Ground B2 44 -74 10YR 4/6 c2d 7.5YR 3/4 is osg ml gw lv elev. I I 8ajtt. B3 74 -84 10YR 5/4 c2f 5YR 5/8 sl lcsbk mfr - -- lvf - - Depth to Wiling taczor 44 Remarks: Boring # I ___ I sil I I 0.5' 0 A 0 -19 10 2f- 26 >` B1 19 -46 10YR 3/3 sl 2msbk B2 46 -62 10YR 5/4 I mIf 7.5YR 3/4 sl lcsbk I mfr cw 11vf -- - Ground elev. C 62 -83 10YR 5/6 I mlf 7.5YR 3/4 s 1 0SRml - -- 90 ft. I - - -- Depth to limiting factor 46 11 1 Remarks: CST Nunw. Print jAMES 0. FUM RfOn (715) 425 -7831 Addre OGDEN ENGINEERING CO., 113 WEST WALNUT ST.. RIVER FALLS, WI 54022 Signanirr. Data: ¢ / /o �� 7 CST *w CS.M03988 PRCPERTYQWNER SOIL DESCRIPTION REPORT Page mot 3_ PARCEL 1.0. x Dep 0 - -- ot Oominant Caw Moores Texture SUu=fe C GPOitt� Hor izon in Munsell Quo Sz- cont, Gir. Boring # 2m —csbk mfr 0.5:0.6 A 0 -2 10YR 3/2 sl 08 B1 20 -34 1OYR 4/3 - -- S1 2 - lvf 0.5 LO. 6 B2 34 -77 lOYR 4/6 c2p 10YR 3/4 gw I lvf - -- - -- Ground elev. B3 77 -87 10YR 5/4 flf 5YR 5/8 sl lcsbk mfr - -- lvf - -- - -- 899. 3 tL Depth to linifing t 34 11 I Remarks: Boring # Ground elm. ft. Depth to limiting tam Remarks: Boring I I I Ground elev. tt. Depth to lineting factor Remarks: Boring # Ground eiev. tt Depth to Ift" tac�r I I Remarks: S904MMIRAIM111121 PAGE 3 OF 3 SITE PLAN NOTES : PROVIDE MINIMUM NIMU)!i 25EFEROM BOTTOM W ING; 50 FROMWEI -L ;NS G ROUND LOT LINE. MOUND TO BE A MI � GdT Z3 1 � �V / Et_ 16 ✓ _ �8, o z l �pT �o GviO< vT /L i TY EASE�� Z_ d 7 Z� / SCALE: 1 " = 40' OGDEN ENGINEERING CO. DAME FILKINS, CSTM03988 Civil Engineers & Land Surveyors 113 W. Walnut (� 5� 425 - 76315 WI 54022 DATE: ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM &9 Owner/Buyer :D Wd10 Y . Mailing Address ke, ZV 51 3 J. Property Address X R L ' t16L. 4 5a v (Verification required from Planning Department for new construction) Ap City /State Parcel Identification Number D 4 — a� ( E —T� LEGAL DESCRIPTION Property Location V., S 6 '/., Sec. T2,N -R 2 O W, Town of a Subdivision V 1 Lot #. Certified Survey Map # Volume , Page # _ Warranty Deed # 5 -5 0 1 q 1 ? . Volume C_Z . Page # Spec house Xyes O 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, journeymanpl*ber, 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. Itwe, 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 St_ Croix County Zoning Office within 30 days of the three year expiration date. Q 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. g �Jwa/� .5 - C4'r� /6 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 ` ThY Dud, sad! belweNl J� ( � !. 171 WARRAWYOUP ' � IaN41111aw >Swtsseala atd Idtll L �-— +_..�...�� ' — cl<anear • MAY, 2 T 1997 A 3:1 FU Tmy nevel qQU4. - -% . IYNAteltatltae Wltseaellt, Thu the aid Grow, for a raluwh ooroW "ion +w..en..e.stiraeruagtiet weswotttrvw�sosos Conveys to Grantee the following ditatwd red can it S1 Craix Caur,ey County. Store of Wlacondln: Pascal IdmikedwNaaaabet'/ Las t through 43, Lots 47 through 65 sea hats 66 deotto 70 ofthe Plat of Troy Village. 2; Cmie County. Wisconsin and that portion of Osath t S or the Plat of Troy %'Iltage dewibed on Exhibit A attuhed berm. and Oution I and 3 to the Plat of Troy Village, 9t. Croi: County, Wisconsin A Poruoe of iie abov deernbad Poqmtn' .JL ttereerttsd PrlPtrry of ar dstrae, lobe ). lts�erwtde see "b— A armerb (*)(on* Toper -iet IN Old riaeNr tae bsNeemear md 4wommum dtaelt o 6s1!!sft AW r7sesote W&tmtr raw the tide 6 and indefeq" in fee etatyle Std aee tai d im efYihenbie.o.e efter . easetneats, Covenants„ rauiotiom NW highway rkbb of way of rowd OW %dtt %enema ed debd dee eels% pNedltNe 2� day of /1Ay tt► .. !sent.) •'• tsF•+L; • Rat6n A RWjMdj ; Ru.tem.la 1 .4 AUTHBNTICATION ACENOVILapGMBM SianstaMr) dLAkyLkmw STATE Of WISCONSIN jtl.mee 1..'luewwde rL IJ.a t. l,rw.W. t:l'1 N1ae _ a muthesticated this of 1 921_ Cwoty , Personally tame before me this _ . day of !9 the above tamed Till -9 MP F &*m ATE BAR OF WISCONSIN 001 &Abwmd by S>oa tla. Wk. Stets.) to tme kmawm to be the Person wiho eaculed the fategoiom iaatt mmA and acknowltd' the ML THM t1:ST t*AW WAS MA/!M BY . M4 taeamt c_r -- P O Bmr 12e_ Nn W13dmIL Notary Public Cowtty, Wia �+rtswes aa.y M m t nmmw at WANW4 04 tlallt m of My Ctsomifnion is Pttrrsseetlt. Of mt me rOtOipl W dIW aewwty.l � 19 � yaturrp„a�, y,y i +rqe* tww 06"" V id WIND AW yaeM 1�1 a I-MR e.b1e�O 0 S.F. r 6 REVISED; 2 -16 7 AC 1.108 ti , ., 86PSF . J 1.577 .AC ' y GOLF, COURSE 3 44107 56237 S.F. 1.013 A 21\ 1.291 AC 5 619 S.F. AC 31 31 , 45201 S.F. . 43560 Sr. 1:4 I 9 1.038 AC 1.000 A ♦'� 47 22 y N 5 1 tof 2 240. 4 738 S.F. I ry 197 SF.� Y 004 AC � � ' , • � , I ,.. _ : ` ry�670 � 1.290 AC • �4 75 SF. 30 1540 AC 53539 F 9. I °,' . 1.028 AC . 1 1 ( +�- 1.229. 30' 1 86. • 1 23 � � . 3 N 240' • • y 246 AC � 77.32' 146824 S.F. . 1 AC ^ 2 57187 F. •;� - !. 46202 SY O�� �, 1.313 C 24 1.061 AC 20 756 S.F. . _ �' ` 45670 S.F. S.F. �. Q .� / • • • .005 AC ^ Z 1.048 AC ,C `y 28 ••• •••• . 53922 S ' F % o / ��� • .''� X9 7 ?4< 1.238 A 5 51815 S.F. �� ry� ry 8 S.F. • 1.190 AC 57 AC 27 160 S.� ., GOLF COURSE •j• � � 220 A 1 Q� 43721 Sf F. '�.. ` 1.004 AF . �I3799 SF. � �0 2 � 1.694 AC 15 ti SCALE - IN FEET i �5b b i 44 0' 15Q' 300' ?, �.c 50.09 I VOL 1298 PAA76 596458 AFFIDAVIT OF CORRECTION REGISTER OF DEEDS TROY VILLAGE ST. CROIX CO., WI RECEIVED FOR RECORD 01 -25 -1999 3:30 PM I, James D. Filkins, Registered Land Surveyor, AFFIDAVIT S -2246, hereby certify that the Plat of Troy EXEMPT Village, recorded in Volume 6 of Plats, Page CERT COPY FEE: 89, Document No. 559959, St. Croix County COPY FEE: 2.00 Re Registry, located in the Town of Troy, St. TRANSFER' g Y RECORDING FEE: 10.00 Croix County, Wisconsin, shows Note No. 5 on PAGES: 1 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 64, 69 and 70." This note was changed on February 4, 1998, James D. Filkins by an Affidavit of Correction, Volume 1293, Ogden Engineering Co. Page 189, Document No. 572333, to read: 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 �o� 9-. ogo_i }y 9-0 - vvo through 49, 51 through 55, 60 through 64, 69 ��ti6 Of -� j ¢S - vvo and 70." This note is hereby changed again to read: v o - ti-ye o o v G G•Ut 5 O�'-D - 12-t9'30 "The following lots must have mound systems: Parcel I.D. Number 1 through 3, 5, 18, 19, 21, 22, 23, 25 through 45, 47, 48, 51, 52, 54, 55, 60 through 64, 69 and 70." Dated this /G - day of �/¢/VV�iQY , 1999. Jaiffh& D. Fi S-2246 J' O' '�'�','��� °!. FILK S. N &22ae FUVER FALLS. State of Wisconsin ) 4 Q ss .�'9� County of Pierce Personally came before me this day of , 1999, to me known to be the person who executed the foregoing instrumen and acknowledged the same. y Commiss'on Exp'r s ST. CROIX COUNTY Uit�t`°,' APPROVAL CERTIFICATE Approved for recording by the St. Croix County Zoning Office Date /99 This instrument was drafted by James D. Filkins, Ogden Engineering Co. 113 West Walnut Street, River Falls, Wisconsin 54022