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040-1329-64-000 (2)
Wsconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law. s 15.04 (1)(m)I Permit Holder's Name. City Village Township DCCI Investments LLC TOWN OF TROY CST BM Elev. _ _ Insp. BM Elev/ BM Description n /✓1•V.7 TALIV IkICn0UATIAN TYPE Lop/ �p CAPACITY Septic oOa �SO Dosing Aeratio Holdi rAuv 011=712AP1f IIJCnDMATIi1N TANK TO P/L WELL I BLDG. Vent to Air Intake ROAD Septic 3? r ' Dosing 41 Aerat' Hold' PUMP/SOHON INFORMATION Forcemaln ' LengIDO Dia. 11 Dist. to Well 1. rvArA^kl MATA STATION BS HI FS ELEV. Benchmark , / V . O /. Alt BM �� Bldg. Sewer , bg 3r St/HtInlet ru /02c?i--t SUH1 Outlet S f o Z. (o 7 Dt Inlet OB. 37 Dt Bottom //��� (/1dA 4�•0�l Header/Man • A 7- Dist. Pipe 0 S Bot. System al GIF rade `I 1x. 0C;� 2 r coliIei as St Cover �//, rk 2 r� $ 7 oS. t� (Q .39 /old. /0/. $S 7 vIL AD.7Vrcr BE MENSIONS 11v1\ u 1 .a 1 ten' Width / Lenolb / No 0� CC�VJJl PIT DIMENSIONSFLEACHING =PMan. de Dia Liquid Depth SETBACK INFORMATION SYSTEM TO P fL BLDG WELL LAKE/STREAM_AMBER OR UNIT et Type Of Systte�,my.� / Model N Depth Over Depth Over xx Depth of Ira Sesdedlbodded Ns x, m��v �^� _ Bed/Trench Center BedTrench Edges Topsoil Yes n,�uucur�+. nnc nroannt Mr.) Inspection rr1 S/)_51-/7.27— Inspection A27. �2 202.> i C 4,VIt1 a GI\ I v. IIIIGIo` Vwc c.+cycur...a. Y"•""••� �.��_. .. _._ 7 � _ • ai�� L1xat n: 448 FIELDSTONE T 1.) Alt BM Description = L 2.) Bldg sewer length = q . amount of cover 1 'r 3) z.0 I, - rt. yQrSh� K Plan revision Required? [Yes No 0/ s /ZoL � -- / c Use other side for additional informatio ateInsepctors Signature _L87 (R.3 7)s�� � 1�t7�'1' ad f1yt,1,7y1QQ V11,Q�p1t LII �ice_ !h �ft b N. lJ►��^- rn`"� Y-KL44—S f5oi 1 P. S rtistl4_1oGr�oQ r •�a,r„'`tL;. PIS • � 4+t. <-Arill -.4t» - 074 .' County Safety and Buildings Division ST CROIX r FEB 2 2 202 2 1 W. Washington Ave., P.O. Box 7162 Madison, WI 53707-71 2 Sanitary Permit Number (to be filled in by Co.) L'% z 6 1 (` / St Croix County Ll m m u erm>< pplicati Ftbeapmpr�opriatc State Transaction Number In accmdance with SPS 383.21(2), Wis. Aden Code, submission of this form to govemm unit OZZZOO 2.Z I - '( Project Address (if differermt thin nailing address) is required prior to obtaining a sanitary permit. Note: Application forttss for state-owned POWTS are submitted to the Department of Safety and Professional Servies. Personal information you provide may be used for secondary mirposes in accordance with the Privacy Law, s. 15. I m Stats. I ✓ Li8 F e ��s�a n L CT • , 1. Application Information - Please Print AB Information Property Owner's Name Parcel # 040-13aa-�Y-000 DCCIINVESTMENTS LLCYF Property Owner's Mailing Address Property location 1505 HWY 65 PO BOX 445 Govt. Lot NW SE A. Section 17 City, State zip Code Phone Number NEW RICHMOND 154017 (e°eleOnreW T N; R 19 E x Il. Type of Building (check all that apply) I.ot # 1 m 2 Family Dwelling- Number of ms '04r,*161111%yac.-S). 64 Subdivision Name MEADOW RIDGE OF TROY, /S Block# ❑ Public/Commercial - Describe Use ❑ City of ❑ State Owned - Describe Use ❑Village of CSM Number � Town of TROY III. Type of Permit: (Check only one box on Isere A. Complete line B If applicable) A. New System ❑ Replacement System ❑ TreamronUHoldmg Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑Permit Renewal ❑Permit Revision ❑Change of Plumber ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner ! IV. T of POWTS S stetn/Com nent/Device: Check all that apply) e W ❑ Non -Pressurized InGrou d ❑ Pressurized In-Groud ❑ At -Grade ❑ Moumd > 24 in. of suitable soil Motmd < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (exp ') ❑ ttrtent Device (expla') V. Dispersal/Treatment Area Information: O ,a Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal (sf) Proposed sf) System Elevation 750 .6 765 /ZSo 765 TO . /01 So VI. Tank Info Capacity in Gallons Total Gallons # of Units Man ��„�� `I•�-� ,y SgI - YL. New Tanks Existing Tanks 1�17 p y �7 a u'. c SryCc in Holding Tank X 1645 11 WIESER X Dosing Chamber X 1000 1 WIESER X VII. Responsibility Statement- 1, the undersigned, assume responsibility for Installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number PAUL R KOEHLER 225410 715 246 2660 Plumber's Address (Street. City, State, Zip Code) 321 WISCONSIN DRIVE NEW RICHMOND WI Vlll. Coin /Department Use Only Approved Perarit Foe Date Issued 1 Agent kignat S / 2 J5 ZD ❑=ReLwTnfor Denial 7 IX (dons Approv ltppresnl 3) J 11 % , � p S � � / J4't l SYSTEM SYSTEM OW 1. Septic tank, effluent filter and (yst,- nLC p pf 9-�—/ dispersal cell must ¢gherviced / maintained ff as per management plan provided by plumber. 2.All setback requirements must be maintained P as ye, aNy�iwuie �w9l1nka11r171mpe1e planet for tae.yahx and a m tha XY Daly MPx not lax Sjaa a V3�la qzt Q f I 1 n tr /U (�/ OtA P"K SBD-6398 (R. 11/11) m Air .0— awIFUNIMpl- oaljvww* ark oi :31Y v February 17, 2022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-02-17 Plan Review: PWTS-022200221-C PAUL R KOEHLER 321 Wisconsin Dr New Richmond WI 54017 SITE: DCCI EWEST #ff2M LLC LOT 64 Town of TROY St. Croix County Total Amount: $250.00 Description • 750 GPD (5 Bedrooms — New Construction) Maintenance Required DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay http://dsps.vA.gov/programsAndustry-SeMces www.vAsconsin.gov Tony Evers - Governor Dawn Crtm - Secretary condidon ay APPROVED DEFT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Pressure Distribution Component Manual — Ver. 2.0, SBD-10706-p (N.01/01, R 10/12) EZFlow Mound Component Manual — December 2017 Version The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on -site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Divert surface water from all POWTS Areas. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1 /4- inch wire, the site is too wet to prepare. if it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result In pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil er site is l area of the mound must be cut Off available ground level. A larger fill area is necessary when available, the above conditions at litions are encountered, to provide sufficient infiltrative area. Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual andlor owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component pans malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of constructionlinstal lation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats to 1.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Thanks, POWTS Plan Reviewer — Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services email: iim vanderleest(dwisconsin.stov Cell: 608-516-6134 EZFLOW MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: dcci Investments Owner's Name: Owner's Address: 1505 hwy 65 po box 445 new richmond wl Legal Description: SE 1/4 SE1/4 S 17 T 29N R 19W Township: town of troy County st crobc Subdivision Name: meadow ridge of troy Lot Number: 64 Block Number: Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 EZFlow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Condtdon,Iy APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES Designer: paul r koehler License Number: 225410 Date: 02107/®22 Phone Number: 716-246-2660 Signature: Dedred Pursuml to the EZFIow Mound Component Manuel (N. D6103), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for STSAS (01/81) EZRow Mound Version 1.2 (R. 02104) Pagel of 8 I, Lam=Lt SEE CORRESPONDENCE EZFIow Mound and Pressure Distribution Component Design Design Worksheet (r or c) Site Information Residential or Commercial Design Estimated Wastewater Flow (gpd) Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) Site Slope (%) Installation Contour Line Elevation (ft) Depth to Limiting Factor (In) In -situ Soil Application Rate (gpcW) r 500.00 1.50 750.00 14.00 101.75 16.00 0.60 DietrlbuU*n Cell Information 9.00 1 Cell Width (ft) 3.4. 6. 7.9. or 10 Only 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c or e) a Center or End Manifold 3.00 Lateral Spacing (ft) 3 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) 2.00 Forcemain Diameter (In) 40.00 orcemain Length (ft) neide Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 Vertical Lifts ( Friction Loss (ft) 1.01 1.01 16.59 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 x 1.50 x x 2.00 x 3.00 x ruin nt nk Information 1645. a tic Tank Capacity (gal) Manufacturer Note: Sand fIl (D) calculations assume a Table 8344-3 "itu sod treabnent for fecal collmm of « 36 inches. 120.00 Contour Length Available (ft) 85.00 = Dispersal Cell Length (ft) Are the laterals the highest oint In the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 9.11 fe/orifice Does the forcemain drain back? I Y Enter Y or N 52 Forcemain Drainback (gal) 5x Void Voume (gal) Minimum Dose Volume (gal) System Demand (gpm) 82 35 R 80 Manifold Diameter Selection in. dial. options choice 1.25 x 1.50 x 2.00 x x 3.00 Gallonsflnch Calculator (optional) 1776.00 Total Tank Capacity (gal) 41.00 Total Working Liquid Depth (in) 43.321 gaUn (enter result in cell B49) M!k ormation Effluent Fifter Information or Tank Capacity (gal) I polylock Filter Manufacturer Dose Tank Volume (gal/in) 525 FNler Model Number Vvleeer Manufacturer Project: dccl Investments Page 2 of 8 ■ (./� � a�<■ 2 § }cr �a � � E � � �/��: ■ sw �■� ) �## e kC4° -6R % wLLo fm � ■«� �% #$# #q <mo E # § k 0 7 2 � � to [ % k. g � � \ � \. �■ i s m k2 . � « . 0 ° /f k � j\ W■ uOPRAM90 - powi'al,*■ § k� §k ) °@ s LL| CC; k} Lo � �2 � _ CL 00 j ■■uCe 2 End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below •- Turn -up dbeavalva or oleenautplue P Z —% t st Orlllce bossed at z k- x—►I A Yews mm" an owtu eglry spared T s force msb = -*C oll Me tee a noes to mribld a @W polM Laterals a hme emm al term oak ao (par COMM Tarts M." S Orllloaa pdrt up axapt every 3h One poems down for ch sk s. Number of Laterals Lateral Diameter Lateral Length (P) Lateral End (Z) Lateral Spacing (S) Lateral Flow Rate System Flow Rate 1 3 Orifice Diameter In Orifice Spacing (X) ft Orifices per Lateral ft Orifice Density ft Manifold Length gpm Manifold Diameter gpm Forcemain Velocity 1.50 84.22 0.79 3.00 11.53 34.60 Dose Tank Information Electilcal as per NEC 300 and —� Comm 16.28 WAC Ditcorrsect Tank component is property vented Wieser Capacity 1000.00 Volume 27.83 Manufacturer Gallons gaUnch Dimension Inches Gallons A 18.57 516.86 8 2.00 55.60 C 4.36 121.36 D 11.00 306.13 Total 35.93 1000.00 3' Alarm Manufacturer s rombus Alarm Model Number irol Pump Manufacturer ulds Pump Model Number Jep04 --r A i B C Pump Must Deliver 34.60 gpm at 18.59 ft TDH Project: dcci investments 9. 111ft2/ortFlce in Lod ft Oover wM warnlrp lebal and loddrq device, and staled w.e■rom 4 In. m1n. Altemete outlet location Forcemain diameter 2 in. Weep hole or arts- alWan dav4oe e Pumy off elevation (1t) 94.92 Dos. trek devabon R 9a.00 Page 4 of 8 EZFlow Distribution Cell Media Layout r' ®' Distribution Call Cross-section Arrangements Drag appropriate drawing to space below. 6666600" 11 V. � it�1�1V .1111� i� � 1` �����1V ����1 �111V ��1�� �11iv �1ti11� �1�1` 1�1� ��ly 1��> >��l• ® 6' EZFlow Bundle - EZ0601 A, 5 or 10 Foot Lengths ® 12' EZFIow Bundle - EZ1203H, 5 or 10 Foot Lengths 12" EZFlow Bundle EZ1203HP, - 5 or 10 Ft Lengths O 4" Distrfution Pipe With Pressure Lateral Inside 40 Tumup Enclosure — — — — Lateral Distribution Cell Plan View Layout - Typical 9.00 Cell Width - A (ft) 85.00 Call Length - B (ft) Center Connection Lateral Layout Diagram Drag appropriate drawing from felt to space below. Mound System Maintenance and Operation Specifications Service Provider's Name Phone 715-246-2680 POWTS Regulator's Name countryside plumbing Phone System Flow and Load Parameters Design Flow - Peak 750 gpd Maximum Influent Particle Size 1/8 In Estimated Flow -Average 500 gpd Maximum BOD5 220 mg1L Septic Tank Capacity 1645 gal Maximum TSS 150 mg& Soil Absorption Component Size 765 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Septic and Pump TanM Effluent Filter Pump and Controls Alarm Pressure System Mound Other S"ce Freausncv Inspect and/or service once every 3 years Should Inspect and clean at least once every 3 years Test once every 3 years Should test month) Laterals should be flushed and pressure tested every 1.5 years Inspect for ponding and seepage once every 3 yam Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the EZFIow mound component manual. 2. Dispersal cell media conforms to EZFkyw products approved for use with the EZFlow Mound Component Manual approved 6/3/03. EZFlow, media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Finished •..•�•....... Grade ` rt 6-8" Diameter Lawn Sprinkler Valve Box Lateral Ends at Last Orifice Where Variable Length Cleanout Begins EZFlow Media ♦--Distribution Lateral Lateral Turn -up WWI ............... Threaded Cleanout Plug or Ball Valve Lo Sweep 90 or Two 45 ree Vends Same Diane er as Lateral 2.07 Feet Lateral Cleanout Project: dcci Investments Page 6 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated In accordancewhh Comm 82-84 Wis. Adm. Code, and shall maintained In a000rdance with its' cormponent manuals [EZFIow Mound Component manual 61W3 and SSWMP Publication 9.6 (01181)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to fagure must be replaced. Exposed access openings peater than 8-inches In diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48. Scats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet fiher shell be assessed at least once every 3 years by inspection. The ou dst fitter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fifter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may Indicate surge flows or an Impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and skxdge accumulation In the tank. The addition of biologlcel or chemical additives to enhance septic tank performance Is generally not required. However, If such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be Inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verity proper operation. If an effluent filter is Installed within the tank it shall be Inspected and serviced as necessary. Mound and Pressure Dlstrlbution System No trees or shrubs should be planted on tiro mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion end to provide some protection from frost penetration. Traft (other than for vegetative maintenance) on the mound Is not recommended since soil compaction may hinder aeration of the Infllbative surface within the mound and snow compaction In the winter will promote frost penetration. Cold weather Installations (Oclober-February) dilate that the mound be heavily mulched as protection from bw2Jng. Influent quality into the mound system may not exceed 220 mWL Boos, 150 mglL TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODs, 30 mg/L TSS, 10 mg/L FOG, and 104 ctu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified In the permit for this Installation. The pressure distribution system Is provided with a flushing point at the end of each lateral, and It Is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure lest is performed It should be compared to the initial test when the system was installed to determine If orifice clogging has occurred and if orifice cleaning Is required to maintain equal distribution within the dispersal call. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to tins owner, and any levels above 6 inches considered as an Impending hydraulic failure requiring additional, more frequent monitoring. Cgnlinoency Plan If the septic tank or any of Its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. II the mound component fags to accept wastewater or begins to discharge wastewater to the ground surface. It will be repaired or replaced in its' present location by Increasing basal area if toe leakage occurs or by removing biologically dogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition See Page 6 of this plan for the name and telephone number of your kcal POWTS regulator and service provider. Project: dcoi investments Page 7 of 8 W,K aalp ow* +L(- 1sKhw. 4 rp C404 -RAW on p of be�ct+l j.1El,volls'IiP+Er, t�1 r1 (q GOULDS PUMPS APPLICATIONS Specifically designed for the following uses: • Effluent systems Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling mpabpKy: '/: maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge skm: 1'h' WT. • Mechanical seal: carbow roWceramic-stationary, BeOmNpA--N elastomers. • 104°F (4000 continuous 140°F (60'q intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry wd ord damage to components. Motor. • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in owdoad with automatic reset. • EP05 Single phme: 0.5 HP, I IS V or 23GV, 60 H;1550 RPM, built in overload with automatic reset • Power cord: 10 foot standard length, 16/3 SITW with three prong grounding plug. Optional 10 foot length, 16/3 S1TW with three prong grounding plug (standard on EPOS). • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models Include Mechanical Float Switch assembled and preset at the factory. FEATURES ■ EP04 Impeller: Thermoplas- tic semWpen design with Pump out vanes for mechanical seal protection. Submersible Effluent Pump EP04 & EP05 Series ■ EP05 Inwill r. Thermoplas- tic enclosed design for improved perfomrance. ■ Casing and Base: Rugged lherrrnoplastic design provides superior strength and corrosion resistance. ■ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ■ Motor Cover: Thermoplastic cover with integral handle and POW switch attachment points. ■ Power Cable: Severe duty rated oil and water resistant, ■ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING canineSWAbxkAmdgm MOU136 9 cA►Actty Goulds Pumps 0 2003 Gourds Pumps 9397;"`r"" 2003 <& ITT Industries i►.� i ��'� WLP 1645— M R TANK SPECIFICATIONS 12'-2" DIMENSION& g WALL: 3" BOTTOM: 3" COVER: 5" -_ -- MANHOLE: 24" I.D. PRECAST CONCRETE RISER c 1l'�==----- ----------------= C� HEIGHT: 54 1/2" II 4" CAST -A -SEAL 4" CAST -A -SEAL It LENGTH: 12'-2" WIDTH: 7'—D" ajsTomZED TANKS: - BELOW INLET: 43" LIQUID LEVEL: 38" ? I ( WEIGHT: 14.000 LBS. $ E 1 # INLET AND OUTLET: FILTER OR iI I� 4" CAST -A -SEAL BOOT OR EQUAL GASKET m 8 BAFFLE II 8 ; �t INLET AND OUTLET BAFFLE AND FILTER: kl wlscaNsa+. SEE DETAIL /to y g o (OTHER STATES SEE CHART) W LKx11D CAPACITY: 43.32 GAL/IN 1~ x TOP NEW HOLDING TANK: = 9 OUTLET HOLE PLUGGED{ ACTUAL CAPACITY: 1.733 GALLONS 8 LOADING DESIGN: 8'-0" UNSATURATED SOIL Y 5,0 2 (V 8 TANK CAN BE USED AS a K) <� SEPTIC / HOLDING / PUMP OR SIPHON W o I COVER: MIX DESIGN 08 (NO FIBER) W in ---- TANK: MIX DESIGN #10 (STRUCTURAL FIBER) IN T - ---- - - - - - - - - ---- OUTLET FOR CUSTOM TANKS CONTACT WESER CONCRETE I �< �n a I I M 3" r-------------1-�_ REVIEWED BY 0 0. in PUMP PAD REVIEW DATE SIDE VIEW DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: 'HEFT NO. APPROVAL DATE: 1 / OF KS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS PRODUCTS NEEDED BY: / i 4' CAST INLET- 1 tzi- VPUMP2a---�PAD SIDE MEW 40 CAST -A -SEAL WLP1000—MR TANK SPECIFICATIONS DIIENSIONS: ' WALL 2 1/2- 80TTOW: 3- COVER: 5' MANHOLE 24- I.D. PRECAST CONCRETE RISER HEIGHT: 53 1/4- LENGTH: a' —a' WIDTH: 7'-2' BELOW INLET: 42' LIQUID LEVEL: 36' b WEIGHT. 0.790 LBS. INLET AND OUTLET. 4' CAST -A -SEAL BOOT OR EQUAL GASKET g INI ET AND OUTLET BAFFLE AND FILTER. "SCONSIN. SEE DETAIL 010 (OTHER STATES SEE CHART) W � UOLAD CAPACITY: 27.93 GAL/IN LAII HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1.Oa5 GALLONS LOADING DEEM a'-00 UNSATURATED SOIL TANK CAN BE USED AS z d SEPTIC / HOLDING / PUMP OR SIPHON eW COVER: MIX DESIGN /a (N0 FIBER) W �, TANK: MIX DESIGN /10 (STRUCTURAL FIBER) CUSTOMIZED TANKS FOR CUSTOM TANKS CONTACT WIESER CONCRETE b� 8 � U REVELED BY RENEW DATE Q G� DRAWINGS SUBMITTED FOR APPROVAL APPRWO ry' SNEE i NO. APPROVAL DATE: / PRODUCTS MEMO BY: / OF 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILE INFORMATION owner DCCIINVESMENTS Permit / Number of Bedrooms 5 ❑ NA Number of Public Facility Units Q NA Estimated flow (average) 500 aUd Design flow (peak). (Estimated x 1.5) 750 aUd Son Application Rate 6 Standard Influant/Effiuent Quarrty sUd /ft= Monthly e erspe• Fate, Oil & Grease (FOG) S30 mg/L Riochemicel Oxygen Demand (BODs) 5220 mg/L ❑ NA Total Suspended Solids (TSS) 5150 mg& Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) s30 mg/L Total Suspended Solids (TSS) aO mg/L ❑ NA Fecal Conform Igeometric mean) 51(r cfu/100rrJ Maximum Effluent Particle Size Y in dia. ❑ NA Septic Tank Capacity 1 Septic Tank Manufacturer Effluent Ftiter Manufacturer Effluent filter Modal Pump Tank Capacity Pump Tank Manufacturer Pump Manufacturer Pump Model Pretreatment Unit ❑ Sand/Gravd fitter ❑ Mechanical Aeration ❑ Disinfection Dispersal Cai1(s) ❑ inGround Igtavlty) ❑ At -Grade ❑ Drio-L3ne 525 1000 EP04 ❑ Peat Rher ❑ wedand ❑ Other: Page _ ( of Z gal ❑ NA ❑ NA OCK ❑ MA ❑ NA gal ❑ NA :R ❑ NA S ❑ NA ❑ NA ❑ NA ❑ NA ❑ In -Grand Ipretsurind) ❑ Mound ❑ Other. ❑ NA ❑ NA I umar ❑ NA *Values typical for domestic wastewater and septic tank effluent. over: ❑ NA MNTENANCE SCMEDULE Service Event Service Fraquen y Inspect condition of tsnkls) At least once every: 3 mon a►(s) (M�� 3 yes) ❑ NA Pump out contents of tankle) When combined sludge and scum equals one-third (V of tank volume ❑ NA Inspect: dbperad ceN{si At least once every: 3 1x e13 er(ud(st (Maxilmum S yes) ❑ NA Clem effluent fitter Inspect pump, pump controls & alarm Rush letwab and pressure test At least once every: 1.1 At least once every. 3 At best once every: At bast once evary: ❑ NA ❑ NA AS NEEDED ❑ NA 10 NA MAINiHR/WCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the followinglicenses or Masts Plumber, Master Plumber Restricted Sewer; POWTS In certifications. speaw,, POWTS Meintsiner; Septage Servicing Operator. Tank inspections must Include a visual inspection of the tanks) to identify any missing or broken hardware, identify any cracks or bake, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cellls) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum In any tank equals one-third (ys) or more of the tank vol une, the antis contents of the tank shall be removed by a Septage Servicing Operator and disposed of In accordance with chapter NR 113, Wisconsin Administrable Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at Intervals of 512 months, shall be performed by a certified pOWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page Z of Z START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treamnent process and/or damage the dispersal ceills). If high concentrations are detected have the contents of the tankls) removed by a septage servicing operator prior to use. System start up shall not occur when soll conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(&) In one large dose, overloading the cell(s) and may remit In the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal calls. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may Improve the performance and prolong the fife of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; madicstbne; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS falls and/or is permanently taken out of service the following steps shall be taken to insure that the system is property and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shag be disconnected and the abandoned pipe openings sealed. • The contents of ell tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shell be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or -must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot fines and wells. Failure to protect the replacement area will result In the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply whh the rules in effect at that time. ❑ A suitable replacement area is not available due to setback andlor soil limitations. Boling advances In POINTS j� technology a holding tank may be installed as a last resort to replace the failed POWTS. nk slobs' ?9t44ts1TEa OC-InDN Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name COUNTRY SIDE PLG AND HTG I Narne I PAUL R KOEHLER Phone 715-246-2660 1 Phone 715-246-2660 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY/AUTHORITY Name Name S Cr ( 2iYlil� Phone Phone %1 S— 38'Co- (O a This document was drafted in compliance with cNpsar Comm 83.22(2)(b)(1)(d)ddf) and 83.540), (2) a (31, winewein Adn*%WaaW Cods. of" h.70 � ` " �Sallety and of SOIL EVALUATION REPORT it Professional Services in in accordance aCorr"n 85, Wis. Adm. Code I%w• � is AN@* aA Fl A ale plan on paper not Ice than 8% x 11 lrww" in size. plan must �Y kwiltda, IPA rlel1ml d b: vertical and horizontal relarence point (BM), direction and PerearMakpa, nook ordirnensions, north arrow, and location and distance to nearest road. Parcel I D. Pbs" print a!! information. PWaertd talowrseon You porbe mry be Used for ssmdsg tampotr pftKY law, c 1644 (/) tn% Ratrbuad BY #2159 Pao 1 of 3 sc mit Sol Tadig, Ine SL Crobc Date DCCI Invgobnatris, LLC GaR Lol-� NW714, SE114, 517, T29N, R19W Plop" 0wnar6 MM%Addmn -- tat a Block to Slbd Naar or CSW -- - 1505 Ffwy 65 64 1 1Mradow Ridpa Of Ty Uri Stlro ZIP Coda Phone Number ❑ GA' ❑ Vftopa 0 Tow( Mm" Road -- Now Rkhmond I Ulf 1 54017 612-5994244 Troy Meadow Rklp Tni © Now cormirlldbn Use: 17! ROOMMW I Nuntbar of bedrooms 4 Code derived design flow rate 800 GM ❑ Rwbmnaro ❑ Pubio or cmww" - Descdba: - Parent materlW Glacial till over implorm (M.chey Serit�... _ — Flood Polo oWy~, if oppb=bk -- NA - it 3eneral comments Area is Rpdtabla kr a Mound sralem SYMem 4611vMlon Is 102.50 based off the wnkvu (iris eatabfeliad at 100.75. Slope of to "Id recommerdationa: area is 141L. Depth to limiting faclor is 15'. Boring oa❑� Pit Ground surface elev. 94;90 i. o"m to wmtmg factor 24 11 iiiPioalba Norimn D:806 k. DON "Color Redoor DnmWm MuMei Qu. Sz. Corrt Color Tagtaa Strudura Gr. SL Sh. Consistence Boundary ROM (iPdB" 1 0.10 LOy/3 ! rtorte all d Ad rrd LD45 r 2 r 21sbk 2msblc 2mSbk STONE _ mv(r mfr mfr n* l - ' t ai 9w ow _ 21n,2f 2vf 1vf -- 0 6 0.6 0.4 OA OJ?I 06S 0.6 U 2 - 3 10 lti 16-20 _10yr5/3— none 7.SW4/6 rKXW j 20 2, 7 9yrsl5 I none 5 24+ 1pyr6J6 FRAMPM 27 Horizon Boring s D �o m Pi Ground sur(aoe Slay. 97.05 11. Depth Dominant Color Redox Taawn kL Munael Qtr. t?s l,ortt Color j ' Degh toll vkh teceor 811ruch" Gr. 81. aft I I 15 k 5WAppliomillion Rant lnnldoly I40b OPCIOW 'Elwt '®IlR 1 0-8 10yr3/3 name tM 2f W artfr as 2f M Ob 0.0 2 8-15 7.5yIM/6 node lid 211114 t ff* Its 24 0.4 M6 3 15+ 10yr" RtACRWM LDW STOIC - - -.-_ 0.0 U i -a -' _ ••�- _... w -w _ .w nrVr� - Cirakara W • !30 mWL and TSS _30 rrglL CST Mnlr (Pkaaa P** SIplMtaa` or++►+.. CST Numbu Thwin J. StllmiN 227429 Addren SWA SW Turing, Inc Dale t:vnlrralloa CorWuckd 7akplioria Ntanbar 15g6 72nd 8l Now RkAmatd, WI 54017 5l25R021 715.760.197E >• pttn� Prop" owner DCCI IrulieStments, LLC ParoNlDr—_---- - - _!�f Paps 2 of 3 3 Borirp r Boring Pit Grand adece slw..- 101.40 n. Depth to krAbV tect r 19 In. Ha1wn Depth 6L Dominant Color Radouc Description Munaell Qu. Sz. ConL Color T@A n Structure Gr. Sz. Sh. BouWery Roots I IOPDVa' I 'fit 'HYti 1 2 0-7 10yr3/3 -stone 10 W3 rlotte Sol 2rrlgr d 2atihit mvfr as 2vf — mfr pw ' ivT 0.6 0 8 7-10 0.6 0.4 0.8 0.6 3 10-19 10yr4/6 nixie aid 2msbk mar as lvf 4 19+ 10p" FRACTURED LDW STONE — — — OA OA ON" r U*v Pit Grand surtsos elw. 1t Depth to tyrNtinp facto M. 5i AppI0aff0a Horton Depth Damkwd Cow Redw Deau"on Tesdtea I Structure Conal enas! BaeWay i ROM OPOW In. Murteel Qu. SL Cont. Color Gr. Sz. Sh. yt •(� 1 _ � I D BorkV # ❑ Barw Cj Pt Ground eudsoe elev. R Depth to Gniynp factor -- - - yr, FM Application ReAe Horlwn Depth DorN W9 Color I Radon Description I Twaure SMuclure once Boundary I Rose GPO/lP i in.Mururti Qu. Sc Cont. Cola Gr. St Sh. fibs 'ram I Effluent #1 = BOD62-- 30 <- 220 malt. and TSS >30 <-160 mg& ' E18uant 02 - BODa < 30 mg& and TSS <_30 mg& The Department of Commerce is an equal opportunity service provider amd employer. If you need assistance to access novices or need material in an alternate fomta4 please eomted the depettment of 608-266-3131 or TIY 608-264-8777. SBD4310 (a.07M) S&WM Sol TeMIQ 1W CondseW by: Schmitt 3 Sons Excavating, Inc.. Thomas J. Schmitt, CST 227429 SW Valley View Trail Somerset,Wl 54025 Phone: 71 7 1978 nwa,,e i+.. ors ■ Backhoe Pit A Bench Mark 1 Ell.100.00, Top of 2" PVC pipe A Bench Mark 2 Ell.101.83' Top of 2" PVC Pipe Slope- 14% Scale 1"= 00' Contour Line El. 101.75' Ref 2159 Page 3 of 3 Conducted For. Name. DCCI Investments, LLC Address: 1505 Hwy 65 City, State, Zip: New Richmond, W154017 Subdivision: Meadow Ridge of Troy Lot No.: 64 Legal Description: NW1/4 SE1/4 S17 T29N RI9W Township, County: Troy Towasbip, St. Croix County Contour Line Length 100' LT 6 iY /�e11 e* -- - Canty Safety and Buildings Division ST CROIX -c_ 201 W. Washington Ave., P.O. Box7162 Sanitary PumikNumber (Iobe®ledinbyCo.) p7t Madison, WI 53707-7162 Sanitary Permit Application SweTwesectioaNambee In acocrdree with SPS 38321(2), Via. Ada Code, sebmbeioa of thin brm b the appreI governmental unit is tagti , prior to obaioiog a mitary permit. Now Apptieaem lbws: for wtoowned POVIS arc submitted to Piojms Addrem (if I'M mt than awiliog address) the Dapwtmst of Slay and Pvchadooal Sarviea. Peeseral iaicraadoa you provide rtay be used for smmdwy Purposes rnacooedencewilhee Privacy law L I 5Aq 1 s SWa L Applestlim 1l dwmatlor - Pkase Print Al Imforsation Propargr ownw'a Name Htced g DCCI INVESTMENTS LLC hWarly Owosr a Mahn Addrcst Pmpaty Location 15M HWY 65 PO BOX 445 ae.c w NW f< SE K Seabr 17 City. Stm zip Code Pbow Number NEW RICHMOND 54017 T 29 N; R 1e (ef cam) EcrWx 11. Type of BaMal (check al that apply) Lot f 1 or 2 Family Dwetliog - Number of Bedrooms 64 Subdivision Name MEADOW RIDGE OF TROY Block ❑ Pubk)Commw.W - Describe Use ❑ city of ❑ State Owned - Dmdn Use ❑ VMW or tSks Number M Towa of TROY 1U. Type of Pemk: (Check mly acre bw a line A. Cmpkw Mae B N applkabk) A El New System ❑ Replaemmt Sywem ❑ 7beatume0*11cling Tank Repkcemeot Only ❑ Oda Modilatiun to Esirtieg Systam (mgdaia) i. ❑ Permit Raewtl Before avisfim ❑ Persh Rwidoo ❑ Ckaape of n abw ❑ Permit Tn tfa 1D New Owner List Prencam Permit Number and Dab bound IV. TYPO ad POWTS S Chodt d tlat apply) ❑ NaaPrewi bil 110-0rotnd ❑ Ptermitad b-Ground ❑ Aslhade ❑ Mamd > 24 in. of sunable soil IXMamd < 24 is of suitable will ❑ 11 1- Tank ❑ Oder Dspad Component (eaplam) ❑ Pretrameart Device (aapYm) V. DIspereWrirestumt Aron Iafarnad oe: Desilp Flow (tom Design Sail APPwdem Rd(Wdd) Dispenai Arun Required (to Dispaval Am Propaed (d) Syawo Mevatioa 750 .6 765 J765 102.5 VL Tank Info clowity in ToW a of Mamdicum cwima Ganow Unite u INwTaie Rxkft Tanis11 Squicer"sMbST ak X IM 1 WESER X Deana Lbw X 1000 11 WIESER X VU. Sta vaeot- k the assaaw Isr lasbiades of the POW18 shows a tht attached me Pkwbm s Na(Print) newo w's sip a re mp/M S Nombw Brwiams Phune Nambw PAUL R KOEHLER ��,.r0���� 225410 715 246 2660 Phrmbw's Addmn (Sheet, City, Sate. Zip case) 321 WISCONSIN DRIVE NEW RICHMOND WI VID. Conn t Use Only ❑ Approved ❑ Di uppoved PaPee mit Dew loved Irving Agent Si Umv s ❑ Owner Given Ream for Detial EX Conditions of AppnwalfReasoas for Disapproval a1Lea a ewipYw Prr mr ea yrar• as 01000110 Me Cony only a paper M as tar s N r 11 leean rn tlp SBD6393 (R. 11/11) 64 52,106 SQ. FT. 1.196 ACRES N87044140"E 1 \I �I- ,' File #: ST C R �'D�rscorT s SANITARY SYSTEM Office Use Only OWNERSHIP/ADDRESS FORM ceaw2ao2t Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. 4_ y t `- rr +e_ .� tl���i: pn. •a t,� �l'�,' - '`. ;��t� �';N �'i. ,' �,w 1p' `r.'�I' _'S". n' �7j.i c ,{ :l �.. T:a .'� ��i, I�•: •. x. :�,,. �r Owner/Buyer DCCI Land Planners Mailing Address 448 Fieldstone Court City/State/Zip Hudson WI 54016 Phone Number (required) 715-246-2320 Email Address(reauired)sskinner@derrickbuilt.com Parcel Identification Number 040-1329-64-000 (found on the property tax bill) T , rSiEM`"JJ�ee��9y(p Property Location _ 1/4 , _ 1/4 , Sec. _, T _N RW, Town of Troy Subdivision Plat: Meadow Ridge of Troy, 1 st Addition Lot # 64 . Certified Survey Map If , Volume . Page # Warranty Deed # (before 2006)Volume Page # Number of bedrooms 5 Spec house O yes ■ no Lot lines identifiable ■ yes O no New Property Address A— (StakInitials) IELO SYDN E CT On of n address required from Community Development Department for new construction.) 2 17zo Z' (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department — Land Use Division 715-386-4680 St Croix County Government Center 715-245-4250 Fax cddCa sccwi.aov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.00v I II IIIIIII I . 111111111 �, [�;Ir;; ° munVurCC ySei'l!! i. MI IC IC• w t�nl�;II ;CCI;;CC;'`� """�i` IIIIIIIIIII IIIIIIIIIIIII � '�It ttl,ttl:• !'Y!flI1111111111 . '•11°II'll� +r ii• It„It,. -s' le•. ■ `�t r� IIIIIIIIIII II ... a^n.uunnm II %�� - - IIIIIIIIIIIIIIIII II�• IIIIIIIIII """'�';;�';•����� It'llc'lill IIIIIIIIIIIII ism" Illtlllt�l-' IIIIIIIIIIIIIIIIIIIII► ` "�Ire't, loi .1at;i�•�. J .ICIIIIIIIIIIIIII IIIIIIIIIIIILIL!tl`' — J \`lilll It \\ ��1 1111111111111 �,, �tl{1ilt' 111111111�11� it ILI �tllItllttl _ ,t„IIt t,t'r r •e••vrr•r- i 1 GI ICV, ll::Il y � 1■11111/111111111 , I! 11 1[ ItI i 111ccltl,lt,t . IIIIIIIIIIIIII IIIIIII 11 11 11 11 IIIIIIII ,' �IC' . DERRICK HOMES 715-246-2320 THOMPSON RESIDENCEInLOT 64, MEADOW RIDGE OP TROY e w HUDSON. WISCONSIN DERRICK HOMES 7►s-z46-2320 THOMPSON RESIDENCE g N a w LOT 64, MEADOW RIDGE OF TROY HUDSON, WISCONSIN i DERRICK HOMES 715-246-2320 W 1 7 �' THOMPSON RESIDENCE 9 E$a HUDSON. HII S ONSIN GE OR TROY I",, r— IIIIIIIIIIIIIII 1111111111111 " IIIIIIII �ij��f�i�t illliiliit icot 11111111c, IC, IC, IIIIIIIIIIIII I[llt[,lltlttc„l• It„It,tlt. llllllllllll \� „II„Il,tl• I IIIIIII iiiil�il IIIIIIII ���'!'l ItIIiillil, iirriilriilIt ii ii ii it ltlt„I'll t,tltlllt,rt�� ® ttlrttlIltlrttlrtrlrl ICII'll Illlrlllrlrl Itllltrllilrltlrr te1I1ellalltclr �IIII illlilltill rr iin%iIt I '! ►pllllllllllllI' ��������������� 111111 t t 1itl I■ 1 !It r�ltltltltltlrlrlll ,. ,It„tt„It„l !.w Itl atrrl, �ie ie!ii%niia:nw, �9tIIiiII1. IC!r I...I /[,t't, It,Icc.. t.tp 1/ t•.,. It It I. �IIIIIIIII;i I I ;IIIIIIIIIIt l[..1 tl I[„II„Ir y�t�® IOIIIt!r Rrt .�:�. It It 11c ■ �Iltrrlll'I ic Hit lr il,It II'rt —. %c1cor �IIIIII of" u1 IIIIIIIIIIIII — � I,' r ;IIIIll lilt I. I�IIIIIIIIIIIIIIIIIII 9 ° DERRICK HOMES 715-246-2320 THOMPSON RESIDENCE =R LOT 64, MEADOW RIDGE OF TROY �{ n HUDSON. WISCONSIN It��� DERRICK HOMES 915-246-2320 rI THOMPSON RESIDENCELOT 64, �q i a . HUDSON, MII S ONSIN GE OF TROY I 1 � MEADOW RIDGE OF TROY FIRST ADDITI ,I M� ulumNlAAfPMrYf1/fPMNL�MAPMIfO/IPMNI/f. MRfPMNWPMNWIW nnPMNq/1PMNIKPNLl10N 17.71NLAPY,raw of j /-'1.-` vF�D`W YD]Nmalr uoNo i R rn au )I �` I '�• ` JIB `D\E r•r=ON•...r B rm••rrr•rr O E o rwiur wir—�r _y ! YF GUTLOT S :I: .w _ _ _ •r'S�~....--r.r~+srr /-� ... r..._...rr. iI OUTLO7 S I y .. T- / __7 / ` ua r�rc•I.Ir MEADOW RIDGE Of TROY A.a terra � ''�% / .L �:5�..� � 1 �r � } � �`%ice` .�` � .'/ .•/ �I � �� oI � ! � � r—••—,rr•r�i '1 / / � \'•. ,� y / �s .' OI Ic� OI ul—is s l ...r !c \ , / .gym.=•/ /. \ •w Is I.NIN YNI� 1p IDr X It, It rYYn MAN/-.•��� p r igr FITAI Ym_ Im u s 01� 101Y O • IDI Y y / ux • N mnnrw r•In mA. / i �y 1 Olyw 17 S % � Jay ✓ `i uu vuf 94 L.._ � _. J � .•�M ,� �1 ���•.,,nnrrrn R.I.R •/AI•A•I EASONENT c /��y, I , / •mcM1 • .w.R \W �DQ d `Y •br•AIf � . � I - I � � • IN fAff`ff L M � rM1 �I3. I YA•Am• -��7f � Y Y of •A•I WMMM. UNPLATTED LANDS .•bG: �\IIII III II too,-, �11111•` OUTLOT 4 T ys /J i YI Y ��. I / II�M1ISLw I / rR•I.�r. / rrY••Yrl. / . I ._ mRr•— _ I L � rl\.W k a c 1 mN•.Y tI Y/♦Yll VrrlrN /1 �M1 / � NNIINPNT. \\ No�eo•w w—I .N u a m •------- ' . J�rAB.ptle�illC mccR '1 rrs mr I YNM1 iacmamrw••I..rw ••r.r�.m¢w_ O�i(JIO•�•c11,1N1 LOT 3 ►CAT Wi3fEI v GE � Tc�IFS p ss f •. 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Plan must include, but not limited t onzontal reference point (BM), direction and percent slope, scab or dimensions, north arrow, and location and distance to nearest road. Please print all information. Personal iniomradon you provide may be used for secondary purpoees (Privacy Lew, s. 15-04 (1) (m)). County St. Croix Parcel I.D 040— I U-9 -1144 - ODD Revy Date y 7 Property Owner DCCI Investments, LLC Property Location Govt. Lot NW1/4, SE1/4, S17_T29N, R19 Property Owner's Mailing Address 1505 Hwy 65 Lot # Bloclr # Subd. Name a CSAA# 64 Meadow Ridge Of Troy 14* AcWn I City Village 7 Town Nearest Road Troy I Meadow Ridge Trail City Stele zip Code Phone Number New Rkilmond Wt 1 54017 1 612-599.4244 New Construction Use: [7 Residential / Number of bedrooms 4 Code derived design Row rate 600 GPD Cl Replacement ❑ Public or commercial - Describe: Parent material Glacial till over limestone (Ritchey Series) Flood plain elevation, 0 applicable NA ft. General comments Area is suitable for a mound system. System elevation is 102.50 based cif the contour line established at 100.75'. Slope of the and recommendations: area is 14%. Depth to limiting factor is 15'. Boring # Boring Pit Ground surface elev. 94.90 R. Depth to limiting factor 24 in. Snit Application Rate Horizon I Depth j Dominant Color in. Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Consistenco Gr. Sz. Sh. Boundary Roots GPD/It' -EM1 -EM2 1 0-10 10yr3/3 crone sit 2mgr mvfr as 2m,21f 0.6 0.8 2 3 10-16 16-20 10yr5/3 7.5yr4/6 none node sit Sid 2fsbk 2msbk mfr mfr gw 9w 2vf ivf . 0.4 4 0. 0.66 4 20-24 7.5yr5/6 none sd 2rtLsbk mfr as -- 0.4 0.6 5 24+ 10yr6/6 FRACTURED LIME STONE - - - — - 0.0 0.0 ❑ Boring Boring # . Pit Ground surface elev. 97.05 R. Depth to linking factor 15 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox l)eaaipdon Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. &-u airy Rods GPWR' 'EMI -EW2 1 0-8 10yr3/3 none sil 2mgr mvfr as 2f,2vf 0.6 0.8 2 8-15 7.5yr4/6 clone Sid 2msbk mfr as 2vf 0.4 0.6 3 15+ 10yr6/6 FRACTURED LIME STONE - -- 0.0 0.0 Effluent #1 = BODS> 30 < 220 mg& and TSS >30 < 150 mg/L ' Effluent #2 = BOO <3o mgrL ana i ale <_su mgn. CST Name (Please Print) Signature: CST Number Thomas J. Smitt 227429 ch Address Schmitt Soil Toping, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 W2512021 715-760-1978 Sa 330(R07=) Pfopedy Owner DCCI Inveshnents, LLC _ Parcel ID 8 If Page 2 of 3 3 Boring * Pit Ground surface elev. _ 101.40 _ ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDJW 'EIIf1 'E=2 1 2 0-7 7-10 10yr3/3 10yrS/3 none sit 2mgr mvfr as 2vf lvf 0.6 0.8 none Sill 2msbk mfr 9w 0.6 0.8 3 10-19 10yr4/6 none sid 2msbk mfr as lvf 0.4 0.6 4 19+ 10yr6/6 FRACTURED UME STONE — — — 0.0 0.0 Boring Boring a LJ r Pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture I Structure Gr. Sz. Sh. Consistence Boundary Roots GPDW 'E 01 •Ef1/2 D Boring Boring * Pit Ground surface elev. ft. Depth to limiting favor in. Soil Application Rate Horizon i Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. lConsistence Boundary Roots GPDM2 •Eff$l •EIff2 Effluent/1 = BOD5> 30 < 220 mg/L and TSS >30 <150 mg& ' Effluent t2 = BODS < 30 mg/L and TSS < 30 mg& The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format. please contact the department at 608-266-31 S 1 or TTY 608-264-8777. seo-e»o is 07W) S&aM Sol Tesnre, Im. fd Conducted by: Schmitt & Sons Excavating, Inc.. Thomas J. Schmitt, CST 227429 586 Valley View Trail Somerset,Wl 54025 Phone: 715 7 -1978 Sgiw�n N Dam ■ Backhoe Pit (5�9ench Mark 1 El. 100.00: Top of 2" PVC pipe Bench Mark 2 El. 101 85Top of 2" Pipe Slope= 14% Scale 1"= 69 Contour Line El. 101.76' Ref 2159 Page 3 of 3 Conducted For: Name: DCC1 Investments, LLC Address: 1505 Hwy 65 City, State, Zip: New Richmond, WI 54017 Subdivision: Meadow Ridge of Troy Lot No.: 64 Legal Description: NWI/4 SEIM S17 T29N R19W Township, County: Troy Township, St. Croix County Contour Line Length 100' 5%opgalre"m) Irtgo-MOUNTY STATE;; SAffT� OWNER PLUMBE TOWN OF SEC �� ,T N, AND/OR LOT G, � PE M POST NOa 642277 ITARYAERMIT �w9rwc PREVIOXJ� C LIC.# =T411, B OCK _,kSUBDIVISION NO. CHAPTER 145.135 (21sWISCONSIN STATUTES (s) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (1) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221, 1981 e. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. OR17717IASUING OFFICER - DATE ESS RENEWED BEFORE AIN VIEW %Z2 T DATE VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI 1/20) U 2731 P 551 LE►QrZD WAieXAM D>® DOCUUMM NO. TW Doge made between vALLSY LAND COMPANY, a Minnesota carporgemm, amen and DM LAND n AMQM,% I NC, Qraraee Wibaaa G,k That the Grid Grantor convey to Grantee aertsim teal om me in St. amix C,a luty. State f WIWOMIfikklegally degerrbed an Ba uM A here(the "Propago to Together with aII and singular haedittmenb and apptrtt nalm thaamto belonging. .� t 7Bm0m3 KATW,m Q. WALSH RMISM OF inns ST. CGDrz tan., VI R MZMD F= RECM W1402Ns 4110M twat a Rite Fair IS.N � M c 1R, N CC FIZI PAM r 3 Tba convoy== is widna warranty, 4iRPt Grantor cove ants gad represents the Grantor has not made, dome, cmuled or Tax LD.: / •�% d suffered any act or thine whereby the above 42 - deacnbed pauparty or Gay part draeo, now or at any tare heres®er, shall or wry be —900 - nbpa sled, chowd or eaoumbered many manner. and Gra im will watnmt We to the abo Aoscribed Property MM* an persona cLnnnag the same from ar Qeareh Grantor gs a result of any stash got or ddo& Provide4 however, that the convoyguoe baeby made and the ezmanty of Cnantm is Bather hmrbed by and subject to there matter act fa[th an $dhd B baeto. Dated this _ day of Janmuy. 2005. AC NOVILJ bC MZW STATE CMUNTYOF ) SS Personally came before me this day of January, 2005, the above named Guy B. Valley, as President of Valley Land Compsty, Mimaamt corporation, having full authority, to do so and to we known to be the person who executed the foregoing aut unmet and wlmawledged the e, State of mmisaiom ( ): ®lsi� � • �E�-, U 2731 P 552 ,M LEGAL DESCREMOMPLANPUM EXHIT A PARCEL A LQCATEb,.IN T'HE ' SE Y•. QF TEiE -SEA $W.-Y OF THESE SE'A ANb PART OP HE NYV � OF'IjiE 8E %,� NE % OF THE 8E Y4 SW Y. OF THE NE V, AND•THE SE % OF THE NW Y. ALL j. SECTION.17, TOWNSHIP 28 NORM RANGE 18 WEST. TOWN OF TROY, ST. CROIX COUNTY, WIS6ON8IN: BEGINN04G AT'if48 SE CORNER OF SAID SEChCW 17; THENCE "1' V, ALow THE SOUTHLINE OF THE SE % QF , UD SECTRO,N, 228M FEET TO THE WEST LINE OF THE 4 Y+OF BARD SECTION T"MCE N00W4M ALONG'SAID WE8T UNE. 288Q,$6 Ek FEET TO THE CEN OF SAID SECT04 THENCE $88+46'22*, 18,79 FEET, TO A•POINT ON A 14800 FOOT RADIUS CURVE QONCAVE NORTHWE8i y, WHOSE.CENTJM AN" MASURES. iO"1&5T. WHOSE CHORD BEARS N4S°44'30'E AND Eg 28.27 FEET; THMCE NO' tTNERLY Q THE ARC OF S* M CURVE -AM 8OUTHEALY RIGHT OF WAY OF EAST COVE ROAD 28.SO � TO SAID WEST LUG •OF THE SE•Y.; THENCE N00W441E. ALONQ SAID WEST LINE 124.75 FEET; THENCE N80%1'31.'E, 248.4.1 FEET% THENCE S00OW44V. +413.44-FEEI; THENCE N88°51'3M W42.i1 FEET TO THE BEING A POINT O CENTERLINE -OF TOWN •ROAD (TOWN3VALLEY ROAb) {d A. 4MOO F60T RADIUS CURVE, CONCAVE SOUTHWESTERLY WHOSE CENTRAL. ANGLE MEASURES 828'21!', THW WE CHORD BEARS S36043WT AND MEASURES M0.06 MET, THE OE $OUT O&Y ALONG E ARC OF SAID CURVE, 820.76 FEET TO THE EAST LINE OF THE 8E X OF $AID SECTION; THENCE SDlaG7 "W, ALONG SAID EAST LANE lM 26 FEET TO THE PORT OF BEGINNIft _ . EXHIBIT A U 2731 P 553 122704 011305 ou3ats.2 EXCU ONS a. Reservation of May Minnie or mineral rig b to the Sh o of Wisconsin. b. The bmidm& use. MubdiVAkX , zoning and Cwho anmeatsl laws, ordinaacea and regulations (boaI, stdo and fledann applicable is any way to or any extort to the PMpacty or any pat or portion thereof. C. All easements, ooveaants, conditionk rights, rightM-opway, restrictions, reservatious and exceptions, if any, of record. d. Any hen Mriaing out of any government sponsored conservation progntns relating to the property. e. UtWty and drainage ftscments, if any, mat are not of tecor (excluding those granted by Shcer)- f Enmachme nts, if any. g. All real estate taxes and special assessmenta- h. Liens, encumbrances, adverse claims, or other matters which Buyer has creat4 suffered or permitted to wm%w . i. [Intentionally omitted.] J• [Intentionally omitted.] k. A certain conservation easemment given by Grantor and Grantee to the Town of Troy, Wisconsin. EXHIBIT B Kevin Grabau Subject: PLOW--642277--Countryside--DCCI Investments Location: Town of Troy --"RED" Start: Thu 8/25/2022 8:30 AM' End: Thu 8/25/2022 9:30 AM Recurrence: (none) Organizer: Kevin Grabau Categories: POWTS 448 Fieldstone Ct 040-1329-64-000 17.28.19.2364 Scheduled via email with Tim Deyoung 8-23-22--RED