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HomeMy WebLinkAbout040-1248-90-000 Q ° �n p vy 0 0. 0 o � c r. 0 0 N � N ' v � I 4� O N Z m c Z LL c Q 3 � v o Z N Z C O Z N m 'o a m N H (� c o I c O z v Z d• C w N Z C O N H I'. CD CL CK N � N N c O a O O o tLo O N Q 4- Z m Z o N C C Z � y C N £ c N -p N O �, O. • w .�+ U O 0 C) X 0 0 I. � /� 3 C C a � a o N N Wes/ � F' ~ �I ° w o 0 rn O O O Z O O • My c d C. a N a <n U C) rn rn N yv m } Cl) Lr) N CO h c N N O N 1� E O N O O 7 � O O O A N O N n co 'a N a R) a) °o cu O O y N C © O O Q OU c c N 0 0 0 0 0 0 Tr o p O d O o O O cb c E y p N N N N L d' N O O O C d N O N N N lye, 0 � '�: N - r m co o cu CL EL i6 EL ., n. T CL ca w . m y c cu E i C 3 3 cu A V a g ;', 0 m o wtsconsin oepararw+nt of Indusw. SOIL AND SITE EVALUATION REPORT Page L of 3_ Lanza and Human Relations Oiv,mon of SatoW s ewidnga in accord with ILHR 83.05. Wis. Adm. Code COON iY 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 (SM), direction % of slope. scale or PARCEL 1.0. # d I T imensioned, north arrow, and location and distance to n road. APPLICANT INFORMATION- PLEASE POINT A INFORMATION 'f REVIEWED BY L DATE PROPERTY OWNER: r t FIVE P LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND BARB R G ai1VLq 1 14W 1/2S 19T 29 NR 19 -+(ail) W PROPERTY OWNER':S MAILING ADDRESS A VR 13 ' WT SUM NAME OR CSM ail 260 COUNTY ROAD F 1 T 7 TRO VILLAGE CITY, STATE ZIP CODE P UMBERCOUNTY ILLAGE OWN NEAREST ROAD HUDSON 54016 (7 �' O T $rr .JAVS a pQ New Construction Use 1 Residential / Number be , ( J Addition to existing building L 1 Replacement ( Public or commercial d Code derived daily now 600 gpd Recanmeraed design Loa, ram O. ¢ bed. gpdrft trench, gpdM Absorption area required 01 bed. ft 00 trench, ft Maxtrnum design loading rate D• S bed. gpdM a,6 trench, gpol(t Recommended infitttabon surface elevations) BY DESIGNER ft (as referred to site plan benchmark) Additional design / site considerations OAl 0 1 W6 E 3 Parent material de0S ? /LL �f"OGo iN/ 7a F►aod plain elevation, if applicable N/A ft MUnst atable system CONv MIONAL MOUNO IN4MUNO PRESSURE AT -GRADE SYST13A IN FILL FI=WG TANK( for tem ❑ S 2'u XS 0 U ❑ S ffU I ❑ S ® U I ❑ S 9 U I ❑ S O U SOIL DESCRIPTION REPORT 9 Oepm 1 0aminaritCoior I Mots I I Structure GPO/tt Bonn # Honzon in. Munsell p $ cam cow Texture Gr. Sz. Sh. I Cor>srMwve 1 8mrMy I Roots Bed ;Trercth 151 €. A 0 - 10 JIOYR 3/3 1 - -- sil 2msbk I mfr aw 2f 0.510.6 B1 10 - 10YR 4/4 - -- sib 2f -msbk mfr cw if 0.510.6 Ground B2 24 -30 10YR 4/4 - -- sl lmsbk mfr cw if 0.410.5 elev. i 92 ft. B3 30 -35 7.5YR 4/4 - -- 1 2msbk mfr I as lvf 0.5 0.6 Depth to R 35 -38 I10YR 8/3 - -- ___ Grtptitg lms t - -- I _ -- _ -- --- _ -- factor 35" 1 Remarks: Boring # Al 0 -12 10YR 3/3 I - -- I sl 1-2msbk mfr cw I2vf — trl 0.5: :;;;168 < A2 12 - 17 IOYR 5/3 - -- sl 1 2msbk mfr as lvf —f1 0.5 0.6 B1 17 -39 IOYR 4/4 - -- sil 3msbk Ground elev. B2 39 -50 10YR 6/4 Ifld 5YR 5/8 is 2msbk mfr 9 35. 1 ft. Depth to ° - B3 0 - 62 7.5YR 4/4 m3d 5YR 5/8 1 3msbk mfi Icw Ilvf " lirrnhn9 R 1 62-66 IOYR 8/3 - -- lm t factO9 tt I - -- - -- 1 - -- - -- Remarks: K Print JAMES D. FIIKINS Phone: (71 S) 425 -7831 OGDEN ENGINEERING CO., 113 WEST WALNUT ST., RIVER FALLS, M 54022 �` 0 `��lo Q7 CST CSTM03988 I - .Pa9PERFY.aWNER SOIL. OESCRIPTION REPORT Page oaf 3 PARCH I.D. x Horizon Oeptn I Oominant Color Moores Texture Structure C GPOM in Munsell Qu. Sz Cons cow Gr. Sz. Sh. Bed Tm ncn Boring # A 0 -17 10YR 3/3 - -- sl 2msbk mfr Lrw 2vf- 0.5 =0 1 .138; B1 17 -25 10YR 5/3 - -- sl 2msbk mfr as Ivf-f 0 _< B2 5 -50 10YR 4/4 - -- si cw if 0.5'0.6 Ground Slew. B3 0 -62 F.5YR 4/4 c3f 5YR 5/8 1 3csbk mfi 8s lvf - -- - -- 9 2,7.0 tt. R 2 -64 OYR 8/3 - -- lmst - -- - -- - -- -- - -- L 0 9po to Gmitirx� la= r Remartcs: Boring # Ground Blew. tt. Oeplttt to limrong l a= Remarks: Boring I I I I I I I I. 1 Ground elev. It. Oeptn to Uniting I I [actor Remarks: Boring # Ground Slew. 000 to IinnOng lamot I Remarft 380�f0(A.0t3rOZ) PAGE 3OF3 SITE PLAN gE,�cHM .4 iz.e -, Tdp aG /" /gait/ ©7 4- 7 0 ■ SCALE: 1 " = 40' 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. ST, ,rg„ OGDEN ENGINEERING CO. JAM ES D. FILKINS, CSTM03988 Civil Engineers & Land Surveyors `a / 7 113 W. Walnut 715) 42'5 -7631 S. WI 54022 DATE ST. CROIX COUNTY ZONING DEPARTMENT _ AS BUILT SANITARY REPORT Owner l Address City /State Legal D cription: Lot Block Subdivision/CSM # d V ICL C. C7 'V+ 5 '/+ dI, Sec. , TAN -R -CW, Town of 'T'� a �. PIN # _ QVQ SEPTIC TANK -- -- DOSE CHAMBER -- HOLDING TANK INFORMATI1 N � f Tank manufacturer (, X" a , Size ST/PC �a Setb*k from: House J9 Well P/L 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 - Length -S 6 Number of Trenches — Setback from: House Well P/L Vent to fresh air intake ELEVATIONS Description of benchmark Elevation /QC� Description of alternate benchmark Elevation Building Sewer ST/HT Inlet / , 2 ST Outlet PC PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines O oj$, ( O - 9d•. r ( ) Bottom of System Final Grade () JAC L () ( ) Date of installation 7 f /9P Permit number �0�6''�S State plan number ---- -- Plumber's signature License number JA D sW Date 7/-47/? Inspector n 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 0. • 1134 .1.61/4•4141 , - INDICATE NORTH ARROW �� Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM r Safety and Buildings Division Count ST. CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary545n)'M Personal information you provice may be used for secondary purposes [Privacy LayA s.15.04 (1)(m)]. Rw.aut /DERRICK CONS -❑ifP" Village [] Town of: State Plan ID No.: C Elevll.� V �LV Insp. BM Elev.: BM Description: Parcel Tax No.: /vo oo' Ad q� � 046— 1,o S — '?0 000 TANK INFORMATION ELEVATION DATA A9800034 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic B �� , "f� :; enchmark o� ��' a. a' a z` o Dosing `* Aeration Bldg. Sewer Holding St/ Ht Inlet 3 j� TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System X51, $ 9'I. PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Lric ti n System TD Ft os H ead Forcemain Lengt Dia. Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS l DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of 7Fi CHAMBER i © All 14 OR UNIT Mode Number: System: '_[.p 30 ' /Do DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing 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 c i " Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) / L � O ) CATION: TROY 24.28.19,SE,NE 290 ST. ANNE'S PARKWAY —TROY VLG LOT 49 Plan revision required? ❑ Yes ❑ No Use other side for additional information. 1 - 2 M ? C A � SBD -6710 (R.3/97) Date I e r Cert No. Vi S and ANITARY PERMIT APPLICATION 2 01 e E. W shin Ave sconsi 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. ` k. • See reverse side for instructions for completing this application State Sanitary Permit Numb 3c 7 &�� The information you provide may be used by other government agency programs ❑ Check if revision to previous application IPrivacy Law, s. 15.04 (1) (m)). State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION Property Owner Name Property Location 2 f t - I D vh2,n o� 1 - 04 r. s� �1 /a Zia,S T ,N,R I)W Prop rty Owner's M fling Address I Lot Number Block Number .r._¢.. 0t7 49 it , State Zip Code Phone Number Subdivisio ame or CSM Numb 4 rn N 1 s ( ) Il. TY F B ILDING: (check one) ❑ State Owned ❑ it age Nearest Road I f Public 1 or Family Dwelling ❑ Vtl - No. of bedrooms Town OF n m4gi 111. BUILDIN U SE: (If building type is public, check all that apply) Parcel Tax Numbers) 1 ❑ Apartment/ Condo CD 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 f4 New 2. E] Replacement 3 ❑ Replacement of 4 E] Reconnection of 5_ [] Repair of an ---- -------- System -- ---- - - - - - -- Tank _Only -------------- Existing System --- ------- Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 []Holding Tank 12 ffseepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 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 / Requir (sq. ft.) Proposed (sq. ft.) (Gals/da /sq. ft.) (Min. /inch) Elevation / vCge� 1 a, ow .,q 9 17-3 Feet W Feet VII. TANK Capacity gallons Total # of Prefab- Site g Fiber- Exper. INFORMATION Gallons Tanks Manufacturer' s Name Concrete Con- Steel glass Plastic App New Existing strutted Ta ks Tanks Septic Tank or Holding Tank X ❑ ❑ Lift Pump Tank /Siphon Chamber 10 ❑ ❑ ❑ ❑ ❑ Vill. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for ins Ilation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) PI ber's Sig atur o Stamps) MftPRSW No.: Business Phone Number: - Po W I i Plumber's Ac dress (Street, City, State Zip Code) L / IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issued Issuing Agent Signature (No Stamps) ® Approved ❑ Surcharge Fee) Owner Given Initial $� /� pad �C, Adverse Determination X. NDITIONS OF APPRO REASONS FOR DISAPPROVAL: "Thos fe. -mit is /syv with Cw?4 dons . GQfircS�ullalion �r4 -r_ iv 1{ia.l S cL4V'r4 bawl mss+ b -c-dtr oLot "/I Mus- -.6� re wtev ej bram+t p la. - t a3 64 et4M,4"jLof rGtorel'al tz .C , 4- � I a 4kt- *r5 f de dA U of I - o -13 Jamr �• I I SBD -8399 (R.11/96) DISTRIBUTION: Original tajounty. 0 , copy To: Safety & Buildings Division. Owne lumber. ��,t.�a /hn 1 ro 0 a OMB ' . v' - a r w I Q� t PAIGE or S �Sten-) f�ItA Alt IM616 A4Q ODrurolion Pips F 1 y S ZY a$A/Qa �APOtorit Vonl Cy — rev — K049YVs� ~ 114dmw It'Aa6r6 ( Credo 7( 20 • t2' Above Plpp 4• Chet 1164 ' To Mel Creto VeAI Plpo %uw Ile Or S mDUk CorerlA It 2' Ar /re /olo Orot PIp6 ' 01 e7111YlloA C� A I /r6let$ 0 4AO4111 Pipe 6 Periaobt Ptpt Oytov i 6 "Co`pt1AI T"'NIIAOliA/ Al 1 Oollow of itrtonr Pru(� o3eD / 1'in..I q�t.ca< . 99 • / ' ; OISTKIt3UY101,1 PIPE SOIL FILL APPROV SY1 PICTIC COVCR • — 1'1ATfR1,% OR V OF STRAW / OR f�ARSN E{qy ELEV. OF / p ?iS FU7_,__. 'bvb$ L "OF l= 21/2 AGGR GATE vo 3 3 I DISTRIbUTIOU PIPE TO SC AT 1�E1157 AIIU AT LCASTLO ItJCHCZ 13th i.10 MOR AN y2E3 t3CLOW ORIGIQA,L CRApC IMCIIES CELOW FI'tJAL GRAOI: i I • I MX'MUM DaPtH O F EXC FX o1'1 oKIGt►,tgL 6R11vg WILL al: � ' J'UKIMVIQ OEPrIt of �XCAv�TImN � - IucHCS r.po 1G111gL WILL 5C _ 1NCHC S � SIGUC.O: - .;LICCtJSC 1 .IUMBEIZ: J --� DATE' `� • SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Commerce February 17, 1998 f -- '� Field Operations Bureau 13 East Spruce Street ?� "'hippewa Falls WI 54729 RON DERRICK DERRICK CONSTRUCTION t~ F 1498 PO BOX A � sT cRoix NEW RICHMOND WI 54017 coup icE �ONWG cp ,rr I'ti RE. PLAN 50383 FEF RECEIVED. 80.00 TROY VILLAGE LOT 49 SE, NE, 24, 28, 20W TOWN OF TROY BOUNTY OF ST CROIX MOUND RESTRICTION WAIVER MODIFICATION The Department has reviewed the above - referenced submittal. The Department has reviewed the request to waive the restriction on the above referenced property. This request is supported with information that indicates this property is acceptable for development with a below grade soil absorption type private sewage system. Therefore, the Department waives the above mentioned restriction and has no objection to the development of this property provided that the private sewage system i constructed in accordance with the applicable requirements of Chapter Comm 83, Wisconsin Administrative Code. Conditional approval is hereby granted to waive the mound system restriction for the initia or primary soil absorption systern provided the following condition(s; are rnet: 1 That the release and waiver of this lot restriction for the initial or primary s absorption system be incorporated into a correction instrument under s. 236.295, Wis. Stats. This should eliminate future questions regarding the restriction on the recorded plat 2 An area on the lot, sufficient for a replacement rriound system, be set aside for future use. The mound replacement area is to include a 25 foot setbar* area down slope of the mound perimeter that r ray not. be subject to compaction o� building construction This approval does not inclucie review of the design fcr 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 thi €; site All permits rewired by the city. village, township or county shall be obtained prior to installation. SBD -7997 (R.11/96) w >s ►, +r SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Commerce February17, 1998 Lot 4.9, Troy Village Page 2 of 2 Inquiries should be directed to me at the telephone number listed below. Please refer to the plan number shown above. Sincerely, Leroy G ansky Wastewater Specialist, Se for liansky@commerce. state. wi. us E -mail (715) 726 -2549 Fax (715) 726 -2544 Voice CC: DOA - Plat Review St. Croix County Planning and Zoning SB1)-7997 (R.11/96) Wisconsin Department of Industry SOIL AND SITE EVALUATION Labor and Human Relations Page of 3 •Fjivision of Safety and Buildings in accordanc , 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 ' n siz e. P(i mus't ';.j `, County L �" include, but not limited to: vertical and horizontal referenc I ,M)! n percent slope, scale or dimensions, north arrow, and loc & nd distan st roan: Parcel I.D. # CEO o �n- JaJ4 APPLICANT INFORMATION - Please print formaY� �' Reviewed by Date Personal information you provide may be used for secondary purp s rivet L Property Owner ecty Location 1. b r"I 1 rl Q 1 Q ( �� J Q� 17 n 'I l) e Lot s C15 1/4 r1 /4,S 19 T 2, ,N,R 1 y (or) W Property Owner's Mailing Address Block# Subd. Name or CSM# i 2 3 O 1 C2 n rc. j R u e ►� 1 ir t City State Zip Code Phone Number ❑ City ❑ Village N Town Nearest Road f (� 1 r1 rl S`/3 ( 612-) g nn e 1 e4 % New Construction Use: 4mi Residential / Number of bedrooms Addition to existing building Replacement ❑ Public or commercial - Describe: 1 Code derived daily flow &00 gpd Recommended design loading rate 0 J bed, gpd/ft r 4 trench, gpd/ft Absorption area required Z2 0 Q bed, ft Lg0 b trench, ft 2 Maximum loading design C g g rate 1 ,� bed, gpd/ft trench, gpd /ft Recommended infiltration surface elevations) � 7 , .7 2 ft (as referred to site plan benchmark) Additional design /site considerations A oT SV M 6Y1 Yl� -0 C-160 �Q?� 5)ops ot pipe rgQ ;Al4 , n ` r' '^ C-`� `� Q M o o Qr P I P t. Parent material Flood plain elevation, if applicable h ' 9. ft K LJ r: u � K Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank Unsuitable for system S ❑ U S ❑ U CK S ❑ U ❑ S X U EIS N U ❑ S KU SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD /ft g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 1 l 0.24 10 IfL 3 r— S 1 r Vr Q Z t7 .. B 2 2-32 u 2 V L5 I rN r rl V T r cab Ground 2 Ib 2 S. 1 ZmSl& ]--,�P a6 — X5:.4 elev. ft. SI 82 7, 5 2 S {, -- - b S h'1 7 8 Depth to limiting factor 0%.. II n r Remarks: O�4 n S o Y �i rN fir .Sa IN 1 ti Y 3/3 re., #_ j Boring # 1 0-4Z r 6 Z p, I,� /Opz a6 3 (,1 - 7,j° iZ 4//( — cs as rn b — , 7 Ground % J jo 7, S IQ ©S /"Z ? i 67 elev. Depth to limiting n _1 t1 "? in. Remarks: 0 644 - OF C IS COAL INL<Otis -5 CQ � p 1 CST Name (Please Print) Signatur Telephone No. �( 0 S n2�S0.1 � '7vs 24L-• 2��1 Address Date CST Number /a -IS -9 2( oS PROPERTY OWNER SOIL DESCRIPTION REPORT Page of PARCEL I.D.# Boring# Horizon Depth Dominant Color Mottles Structure G D/ft2 Texture Consistence Boundary Roots P in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench •1 0: 6 1 atjr z/l . 5/ 1 r7 yc /114, ab �/= , 7 8' 2-1 / S /Ayr^ ,,, 66 - / 7e ;� C Ground Zi-28 10ya Sit/ LS' /r'jclr . 14?,_ Gt{� — r7 "left. 2 I3 /0`I� V/ . 'i ! AMSb� rl 414 46 r iti-834(7,5 7(., Depth to limiting factor >4?in. Remarks:*jj , S Q i n e e7 �� . d) /oy/Z -113 Boring # Ground elev. - ft. Depth to - limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots G!DD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed Trench Boring # ...................... Ground elev. ft. Depth to limiting factor in' Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330(R.08/95) 1 t /� �Z Co Rio f N S L o+ ► 0 I.s - 7 1 i C, c r' c � 6 41 I Cl p9� t�3 52 O� R o+ W66nsin Oerararrrrir of Industry, S AND SITE EVALUATION REPORT Page L of _ I Labor and Human RMauons oiviston of Satery s 6uddtngs in accord with ILHR 83.05. Wis. Adm. Code COLINrY Attach complete site plan on l 4 ess than 1/2 x 1 t i in size. must include, tut ST. CROIX not limited to vertical and horizontal reference point (e p e of slope, scale or PARCEL 1.0. t dimensioned, north arrow, and location and dist�� t ioad, /,S APPLICANT INFORMATION- PLEASE PR L PW O t AT1/ ruE�D 8YDATE 6' - PROPERTY OWNER: ""' ERTY LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND B EMAD 4 LOT 114W 1/2S 19T 29 NR 19 -&(4I W PROPERTY OWNER':S MAILING ADDRESS S r 97 -ab"t 0 SU80. NAME OR CSM x 260 COUNTY ROAD F C F? ' TROY VILLAGE CITY, STATE ZIP CODE ILLAGE OWN NEAREST ROAD HUDSON 54016 =86-Mi OY 5't* AASs P 4WA pQ New Com n,ction Use 9 1 Residential / ( ] Addition to existing building L ] RePlacement ( ] Public or commeraaf describe Code derived daily flow 600 gpd Recommended design loading rate O. ¢ bed, gpd/It trench, gpollt Absorption area required od bed. ft OD trench, ft Maximum design loading rate D• ! bed, gpde D•6 trench, gpdM Recommended infilfton surface elevation(s) BY DESIGNER ft (as referred to site plan benchmark) Additional design / site cortsiderations 5A:�E NO7 CW W 6 ,E 3 Parent material �d�55 7 /LL ,PeGa - Flood plain elevation, if applicable N/A It S - Suitable for system CONVENTIONAL MOl1N0 IN -CMUN0 PREMRE NK AT -GRAOE SMISA IN FILL HOLDM TA U Unsuitable far I❑ S olu I Ns ❑ U ❑ S ICU I❑ S ® U I ❑ S ®'U C3 S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color I Mots I I Structure Ic amaiince l ftinmy I Roots GPO /tt, in. Munseil p Sz, �, Color Texture Gr. Sz. Sh. Bets iTiercm 151 A 0 -10 10YR 3/3 - -- sil 2msbk mfr aw 2f-ml 0.510.6 B1 10 -24 IOYR 4/4 - -- sil 2f -msbk mfr cw if 0.510.6 Ground B2 24 -30 IOYR 4/4 - -- sl lmsbk mfr cw if 0.410.5 92 2 ft. B3 30 -35 7.5YR 4/4 I - -- 1 2msbk mfr as lvf 0.5!0.6 Depth to R 35- 38I10YR 8/3 - -- lmst - -- - -- I___ ___ ___ Owing facto 35" Remarks: Boring # 2vf- 1 0.5 0.6 Al 0 -12 10YR 3/3 - -- Isl (2msbk mfr I cw �! 168 A2 12 - 17 IOYR 5/3 - -- sl 2msbk mfr as lvf - 11 0.5 `0.6 Ground BI 17 - 39 10YR 4/4 - -- sil 3m bk dev. B2 9 35. 1 tt. 39 - IOYR 6/4 Ifld SYR 5/8 is 2msbk mfr Depth to B3 0 -62 7.5YR 4/4 m3d 5YR 5/8 1 3msbk mfi cw Ilvf limiting 2 -66 10YR 8/3 - -- lm t I - -- - -- ___ favor 39 11 Remarks: Fam N JAMES D. FILKINS R10 "' (715) 425 -7831 OGDEN ENGINEERING CO.. 113 WEST WALNUT ST.. RIVER FALLS. WI 54022 Dam / / CST Numbw. PROPERTY OWNER SOIL. DESCRIPTION REPORT Page at 3 PARC& I.D. J! Horizon Depth l OominantColor Mottles Texture Structure Cons�stencel8o��r Roots GP0/tt4 in Munsetl pu. Sz. Cons Color Gr. Sz. Sh. B ed Trercn Boring # A 0 -17 10YR 3/3 - -- sl 2msbk mfr 2vf- 0.5:0. 1 .138 > ; B1 17 -25 10YR 5/3 - -- sl 2msbk mfr l as lv - 0 : B2 5 -50 OYR 4/4 - -- cw if 0.5'0.6 Ground ew. B3 0 -62 . M 4/4 cif 5YR 5/8 1 3csbk mfi gs lvf - -- - -- 9 Zza ft R 2 -64 OYR 8/3 - -- lmst - -- - -- - -- -- - -- Dom to li miting �' I Remarks: Boring # I I GrouM It Dow to limiting Iactar Remarks: Boring z I I I I I I Ground elev. Depth to limiting I I Ia= Remarks: - Boring # Ground eW. It 000 to hmttirg (a= Remarks: S60.C't0(A.oa10M F PAGE 3OF3 SITE PLAN Top uG X07 4- ? D 0 SCALE: 1'' = 40' Go 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. JAM D. FILKINS, CSTM03988 Civil Engineers & Land Surveyors 113 W. Walnut St. River Falls, WI 54022 DATE: }/�.°� (715) 425.7631 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM p ►� (� tv�on,oTr Owner/Buyer I�.oy LTcV nn.� a et �- S Mailing Address o Property Address (Verification required from Planning Department for new construction) City /State 1 4 \ 4k Parcel Identification Number . 6 1 0- LEGAL DESCRIPTION Property Location %4, '/4, Sec. 1 , T I)b N -R W, Town of Subdivision _ 1 ���/ ► -�-A+� ` Lot # a Certified Survey Map # , Volume . Page # Warranty Deed # fi S°1 9.k.0--Z,7 , Volume Page # ZS 4 Spec house A yes ❑ no Lot lines identifiableXyes ❑ 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 wastewater disposal 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 St. Croix County Zoning Office within 30 days of the three year expiration date. 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 perry described abov j by virtue of a warranty deed recorded in Register of Deeds Office. J` &9k., - L //9 / 99 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 -�,f: - 3865-7eU Jan 1- J�>tyy'.r S WARRAKTV UEFU • Document No. QQL. — This Dad, made hetween ST. r.; 1jL'. C '..171 4n J. RHerntrt amd Barba= A, Ruemmyle his wife tad Thomas d. _ k0le kwo Rnentat is and Nell L_ R his with 'MAY, 2 7 J991 Grantor, and 1111 3:15 iM Troy Devbloomant Cotaoralion "YtWa" M fJ.416 It/MMn d �taada _ Grantee, Wltnesseth, That the said Gn nwr, for a valuable consideration .t,,........sa,s.ne. vewa A!O urtlalt ♦eoapa oonveys to Grantee dw following described real stare in t Cat ix County �� " County, State of Wisconsin: (tsatcN ltkeblkstbttNambar) Lots I through 45, Lots 47 through 55 snd lots 64 through 70 of the Plat of Troy Village. S; Croix County, Wisconsin and that portion of ()idol 8 of the Plat of Troy Village described on Exhibit A attached heroto. and � WE R Ohtiots t and 3 to the Plat of Troy Village, St. Croix County, Wisconsin 4 A pontoa of the above desuibed pnA.rrty JL hoaeetsad propety of ttr Qfall'd11, kha !. Rxta�tete acrd Btilsre A Aeasatela {u) (ta sot) Ttletber.itn all and sirotr the heteddmari and sXnmw eats thavow beloaginc Asd rjM" uw sets that the tins is acv indernsibte in fee aunole and au and der of euteumhra i ma exept easetnents, covenants, restrictions and highway rights of way of record MW .tM nNMI end darasd the amts, Dated'th�i_ 2-J dr;of /e/I 19 •. Lf' rsP.AL) (SEAL; I • Barbara A. Ruemmele ' RUMMIC AUTHENTICATION ACR.NOWL91)GMENT Siannarsla) Aft i $I _ _ _d Hsbsro A R�unmde h4� r r _ STNIE OF WISCONSIN 1 Thnmas! atrem..k e� Nd L. RuammW_ 6K ..ire I sa aulheoticaled thia� of - ,19 21 — County ) _ ! b .. -- Personally cafre before me this _ , day of _ . 19 the above named Samu , �' — TITLE N . f1L*oefATF BAR OF 4rISCCMIN tlrncL "anaed by 5706.06. W4. Stab,) to me kam to be the Person who executed the foregoing instrument and acknowedge the Satre. THIS NSTRUMIIW WAS O AFTm BY Hood & Cari, S.C.. S.rrt R QUi _ • 2Q4 j&MM St., P.O. Box 125, Hudson, Wl 34016 Notary Public � County, Wis. Siattetano may M atlhenticiled a Rkttowieddad Rah we mt My crnnmisxion is permanent. (if wk swe expiration date: gran rtMxw dvir* * •a epsh) r.tft e. t"N W 0—w r.. ,....e tw fW1a I1111 aual„��t o- VOL 1.398PAcE476 5'36455 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 5 -2246, hereby certify that the Plat of Troy EXEMPT I Village, recorded in Volume 6 of Plats, Page CERT COPY FEE: 89, Document No. 559959, St. Croix County COPY FEE: 2.00 Registry, located in the Town of Troy, St. RECCOR 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 1- of-o =(} y - 9-v - ova through 49, 51 through 55, 60 through 64, 69 `��Ci6 Ot - /� ¢ - - aao and 70." This note is hereby changed again toG�tr 010- / . � - t0 v uo read: v o- - . 2 , 0 o 0 4 LUf 53 v*a - /2 -t%'30 00 "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 day of :5 ¢ 4116eY , 1999. JaiYh& D. F11kifts 5 -2246 °'. JAMES D. * FILKINS = 8.2248 s U RIVER FALLS. State of Wisconsin ) Q ss. County of Pierce 4ui iy , +nn ;unu��`a Personally came before me this �� day of 1999, to me known to be the person who executed the foregoing instrument-and acknowledged the same. y Commiss'on Exp'r s S ZU •,.�'�` - "r ST. CROIX COUNTY APPROVAL CERTIFICATE Approved for recording by the St. Croix County Zoning Office Date �a.� • 'L S, / 9 9 q This instrument was drafted by James D. Filkins, Ogden Engineering Co. 113 West Walnut Street, River Falls, Wisconsin 54022