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HomeMy WebLinkAbout0440-1329-63-000Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)], Permit Holder's Name: City Village Township DCCI Land Plan ners(lnvestments) TOWN OF TROY CST BM Elev: r .0 Insp. BM Eley- e)o•0 BM Description tf 1 o P o� 2L3_a1\tUVaZaQ TANK INFORMATION IV ELEVATION DATA TYPE MANUFACTURER w VA 5-2-5-cke� CAPACITY Septic Dosing � �t Aeratio Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic S � � f Dosing L L Aeration do Holdi PUMP/SIPHON INFORMATION 6s, ,eQ Dema Manufacturer GPM 3 �..� Model Number�T TDH Lift Friction Lo System Head Ft TDH 92� �2.� e3 ,ss Forcemain Length Dia. Dist. to Well D 2 PICIW -.Wi]N20le7L1BV'&I0=1M County: St. Croix Sanitary Permit No: 651260 State Plan ID No: PWTS-082301716-C Parcel Tax No: 040-1329-63-000 Section/Town/Range/Map No: 17.28.19.2363 STATION BS HI FS ELEV. Benchmark 5-0 01 q. 50 Alt. BM Bldg. Sewer St/Ht Inlet 102 St/Ht Outlet Dt Inlet Dt Bottom !� 2�, s - Z z f /1 / / Header/Man. 3 fog e �7 Dist. Pipe 2�3 2 `3 1 DZ. ��' Bot. System a S Co1,�S Fi al Grade, v-� c. � 12-e_ r 25C) .. c � Qa St Cover 3-- 43q.s-o D t vs�-� wv- 501 0 go i loim BED TRENCH '-DIMENSIONS Width Length �0 No. Ofa� 3 PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L sf t YD&,[k WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer: Type Of System: q t f Model Number: Ea [fl vas DISTRIBUTION SYSTEM Header/Manifold Distribution w < !� x Hole Size x Hole Spacing Vent to Air Intake © Pipe(s) < �� � I % It / 3Z 366) Length Dia g Length_ Dia Spacing g p g SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No MMEN S: (I clude code iscrepencies, persons present, etc.) Inspection #1: 0 Z p�3 Inspection #2: ���S�ZDZ VJ Z� i f i VIV, V\bl- 'tt-A Q10cation: 444 FIELDSTO T 1.) Alt BM Description = 2.) Bldg sewer length = `� - amount of cover = - f a e- 13 ten, .nl `�'�`''n 1s Plan revision Required? ❑ Yes X No D Use other side for additional information. 2 23 Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) F1 �\ /�7 fEEI ---] I F0 F,�_-= t 7 Departnient of Safety County AUG�` & Professional Services HU U St Croix 16 2023 ,Sani:;try Permit Nui. cr (cry h,, iiI ed in bV Co ) 4r i Industry Services Division S t E IiXy_ n U Comrnu * t it Application ,State'Frarlsa tion NU111ber In accordance with .SPS 393 21(2), Wis Adm Code, suhmts51011 of this torte to the appropria(e governs enial unit S 0S2� D is required prior to obtaining a sanitary permit. Note- Application fori-ris for statc-own. d POWTS are subiliitted to Project Address (if different than mmling adds ; the Department of Safety and Nofessional Services Personal information you provide: may bl- used for scCc ochry puipivw. tr. accoid,an-cc \tinith the Privacy Law. s 15 04(1 �ni), Slats 444 fieldstone St©I`�E' COUCt 1. Application Int'01-oration — Please Print All Information Property ,Ier's Name d. L14N0 L AjVep_S. �TNL Parcel 4___� CCI INVESTMENTS LLC 111 IF Ilk040-1329-63-000 Property Owner's Mailing Address ..--- ....... �. operyocaion 1505 F--I WY 65 PO BOX 445 4 V LIC, w _.. Gov[ Lot City, State Alp Code Phone Number NEW RICHMOND WI 54017 nw v4, se _';a. siv�ciG�: _ �.7,___ 11. Type of Building (check all tl)at apply) / Lot # N R 19 ' ✓ 1 or'AX monnninnn r.rr -rw 01 '-+i nnn.. ® 1 or 2 Family Dwelling — Number of Bedrooms 4 63 Subdivision Name Black m dow ridge -of troy., 0 Public/ComrT�crcial — Describe Use..�. El City of 0 State O%N,ned — Describe Use t.SM Number - � El Villag%- of �d To�tir of TROY 111. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i applicable.) A. �- New Svstem Replac:cment System Ej Other Modification to Existing Syslcm (explain) F1 Additional Pretreatment Unit (explain) I3. Q Holding Tank ElIn-GroundEl At-Giade XJ 41oLi!id L� Individual Site Design {Tthrr'l'ype (�:xplain) (conventional) L 2_(� ---.................. C', F1 Renewal B� C,htint,c oi� i'lu�i�l�e:- "I'raris#c efore L�r Revision , r . to Ne, (�Lc�rrtrr List Previous 1'Lrm;i. lumber and Date Tssut rd ��� , Expiration ` IV. Dis11crsalfFreatntent Area and Tank lntarn'ation: �' . X 70 ���� R12 c-Q � I' Des igri I I�iv (P Ucsign ,St�i l Application Itatc (glJdlsl Dispersal Area required (sf) Dispersal Area Proposed (sf) System Elevation 9� bo0 -0 630 630 101.4 Capacity in k of Manufacturer 1`an#c Information Gallons Gallons units f, ��S (' - — - ----- - ­­- -P------ C New'i'anks Fxist=ngTanks ti u (U n Sq,tic or Ilolding lank WIENER 1200 WIENER x _ -- Dosiiig Chalnbei V- ` I E , ER 800 � WI E S E R X Respoll.sibiliIN Statement— 1, the undersigitcd, assume responsibility for installation of the POWTS sho�%n on the sitached plans. / f> mber's Tv'time (I'i Int) I'ltarrabet's Stgnatur - N4P,,�1PRS Number Bustt css 111io ne Number PAUL R KC�EHLE C001 225410 715 246 2660 )'lt:mber'S Address (Strt��, :rty; State, 711) Cade) 321 WISCC�NSiN DR NEW RICHMaND 54017 V1. Ct�unt/t��partment Use �ni�+ ��Approved f7 a��pruvt PCIIIii, FCCl;tj:�, Issued 1ti:,Nwng Agent Signature use Denial rvonciitiorl t Approv%is IA a� tq1EYSTEM OWNER. w�,r P 1. Septic tank, effluent filter and dispersal cell � i6sLk �n C AD MU st be serviced ! maintained ass per C.����5 pn�,v Id_p� k)c- CI e9S- 14. S r managernent plan provided by plumber. u- fA 1� . All setback requirements must be maintained q a per liable cede / ordinances. P PP C> sr ,attach to complete plans for the system and submit to the County unh, an paper Writ less than S 1/2 x 11 inches in Bile � �� _ ; fl PS E� Mo_�iQ 6._ 98 (R. 03/22) COPY ` Ref 2158 Page 3 of 3 Conducted by: Conducted For: Schmitt & Sons Excavating, Inc.. Name: DCCI Investments, LLC Thomas J. Schmitt, CST 227429 Address: 1585 Hwy 65 586 Malley View Trail City, State, Zip: New Richmond, W154017 SomersetAl 54025 Phone: 71--760-197 Subdivision: Meadow Ridge of Troy Lot No. 63 onto �2 r Legal Description: NW 1 /4 SE 114 S 17 T29N ROW 9w * Baftoe Pit Township, County: Troy Township, St. Croix County * Bench Mark 1 Et. 100.00` Top of 2" PVC pipe d Bench Mark 2 El.101.10" Top of 2" PVC Pips Sion 16% Scale 1"= 60' Contour Line El. 99,35" Contour Line Length 100' . e A Cil L ! p .11 d ; G P"' 1 0 k'� 6� tz-t,,CL Me�eV, i 16clofoc "d w2of�osc� KP AR TR4,C,.V Wisconsin Department of Safety and Professional Services Division of Industry Services{` 4822 Madison Yards Way E :h 7 w' PO Box 7302 Madison, WI 53707 August 16, 2023 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2025-8-16 Plan Review: PWTS-082301716-C Paul Koehler 321 Wisconsin Dr New Richmond, WI SITE: DCCI Investments 444 Fieldstone Ct Troy Township St Croix County NW % SE % S17-T29 — R19W FOR: Phone: 608-266-2112 Web: httg://dsps.wi.gov Email: dsps!u�wisconsin.gov Tony Evers, Governor Dan Hereth, Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES ,�A'wW" Rawlef SEE CORRESPONDENCE Description: 600 GPD — 20" to limiting factor- EZflow Mound Component Manual Ver 12/17 Effluent Filter - Maintenance required. Pressure Distribution Component Manual — Ver. 2.1 (May 2022-2027) 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: Reminders The site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the Mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. Components and soil removed from an existing drain field shall be properly disposed of so that there is no risk to public or environmental health. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • A copy of the approved plans, specifications and this letter shall be on -site during construction and o en to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SPS 353.54(1). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 101.12(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. Sincerely, /TOIV&Y Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715) 634-5124 Joshua.rowlev@wisconsin.gov EZHowe MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Small Commercial Application INDEX AND TITLE PAGE Project Name: dcci investments ---- Brunner Conditionally APPROVED Owner's Name: dcci investments DEPT. OF SAFETY AND PROFESSIONAL ICES Owner's Address: 1505 hwy 65 DIVISION OF INDUSTRY SERVICES new richmond wi 6914 � R4 W+ SEE CORRESPONDENCE Legal Description: nw 114 set/4 s17 t29nr19w Township: Troy County: St Croix Subdivision Name: meadow ridge of tro Lot Number: 63 Block Number: Parcel I.D. Number: 040A 329-63-000 Plan Transaction No.: Pagel 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 Designer: PAUL KOEHLER License Number: MP 225410 Date: 07/26/23 Phone Number: 715-246-2660 Signature: Designed Pursuant to the Uf1ow Mound Component Manual Ver. August 20, 2007, SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01 /81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) EZflow Mound Version 3.0 (R. 3/1/12) Pagel of 8 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 (gpd/ft) 400.00 1.50 600.00 18.00 100.00 20.00 0.60 Distribution Cell Information 9.00 Cell Width (ft) 3 Ik 4 5 6 7$ 9 or 1 fl Qnl 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) (c ore) 1 W Pressure Disribution Information Center or End Manifold Lateral Spacing (ft) Number of Laterals Orifice Diameter (in) (e.g. 0.25) Estimated Orifice Spacing (ft) _ Forcemain Diameter (in) Forcemain Length (ft) Inside Pump Tank Elevation (ft) Forcemain Filter Loss (ft) System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) Total Dynamic Head (ft) e 3 3 0.156 3.50 2.00 40.00 88.00 0.00 4.55 12.92 0.89 18.36 Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 x 1.50 x x 2.00 x 3.00 x Treatment Tank Information 12007001 S tic Tank Capacity (gal) Weiser Concrete Manufacturer 100.00 Contour Length Available (ft) www 70-001 = Dispersal Cell Length (ft) Are the laterals the highest otnt in the distribution Y network? Enter Y or N If N above, enter the elevation (ft) of the highest point. 10.50 ftZ/orifice Does the forcemain drain back? = Y Enter Y or N 6.52 Forcemain Drainback (gal) 94.40 5x Void Volume (gal) 100.93 Minimum Dose Volume (gal) 32.31 System Demand (gpm) Manifold Diameter Selection in. dia. __Options choice 1.25 1.50 x 2.00 x x 3.00 Gallons/Inch Calculator (optional) 867.36 Total Tank Capacity (gal) 22.24 Total Working Liquid Depth (in) 39.00 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) polylock Filter Manufacturer 22.24 Dose Tank Volume (gal/in) 525 Filter Model Number Weiser Concrete Manufacturer Project: dcci investments -- Brunner Page 2 of 8 W Mound Plan View r ` • • ! jj/ • v r - R Y . e ♦ • • • r - - - t r ♦ S w ♦ •, { a 1 'y . t Y f •• ♦• . v T r Y • y a .t . ♦. r .} r r r r � r „ > ♦ v 1 - f > t servafio • Pi IN • w f } Y - •.♦ • t • Y Y) i v. Y ♦ F S s Y Y Y r i) a . • a • a a ♦ F [ A. r A r. w • n a w .. w M r r r .. , #'a S♦sf,: •*{).; f �•i t�Y!#v a�.f fs ftr<` xa/yrr .-.>i ♦.ca�is� ♦••.>w•t)-a.' f -I aa'�f +i f wr. drat° ♦'•'.!".'�# A ♦k ts� % { t ft � A .d * � - tY j + Y r �F �r � �� i" i < � % 4v A {lw •i+ ••♦f• A+ Y w E! !%�• �C Or %r.-x •a ]•[ A J• 4 f ..lbw iF ')t A Nfnr1 YT. y, a !, �i A•, i • Oi. 4 .1. R Y. ) Y ♦ ! ( { w. Y �.. i % 'R' {+A f } Y' y4 Yi/'KS x ins w`{a. •�. li + •g,{ .f'. { ) '♦'yt♦• t••)`';t �FY Yt*�`F, }�. y<�X•sA*%L } afar }.: •V t 4i <x\'.s*i RY-i•Xrl,{)'a y't .[,�•.%Fri ♦1.�fi Y d♦:♦v .: ♦-,.♦*F {. FL si .y yf YY*� • • ♦+ yA•'}� F13 ��♦♦a4 -a•f ..,:Y YPty{•iM1, :.Iw'♦ii<yF'{f}}♦,�. Ryfi.: f•.{Yfw Yaj�i k' t•Ai ,i xpf Y •\•* , k 'ta i�A: }� }• w • s 4• r r Z< !w, • •♦ p i ♦ It' r iff � Y e�R •• ♦�'.4 • ♦,. �t a �;••b % � • y4A �*, {, f %� f. Aj:.•y , Ay a,�►t i''➢Yf[` �+Yff�.r jF � a f:_ wr. �•s ! a f «! • : a < 9 . • Y • � : i - � t �• R } f Y '�%ti -0tr �� .y ♦i aF ...iw# w� F �` �' >•f'#f - �♦.r♦•as r.yi Yf� s ♦♦ fa ♦♦'i!' ' A • +., 1'.. ♦ ,.0.. '. +!. '.! i4., ♦... P � . - R..: '..-:-0 S r3. •. :. 'w o ..♦ ♦ .-♦ ..b-V t • x .Y. ..A 1 a v a � • v .� .. x r A • i r 4 r v • r .v , . • n . • * . • ` a ♦ - r � v v . .. r . ♦ A a • ♦ ♦ { • e [ r ' [ . < .. • • r , • • • • • A . ♦ A w Y' • ♦ ♦ Y a y- t k < • ♦ ♦ R • � i v s B Y 9 ) ♦ ♦ ♦ f ♦ ♦ [ } • - • r. < ! Y [ . r w • w • w ) 4 Y Y. i a♦ a Y 9' f • r e ♦ { 4 ! S • p f w • i f ! i i { • a ♦ t 4 ♦ [ S ! . ' • A a { A 9.00 ft B 70.00 ft D 16.00 in J A I L Mound Component Dimensions E 35.44 in F 12.00 1 in G 0.50 ft 630.00 (ft) Dispersal Cell Area 8.57 (gpd/ft) Linear Loading Rate Finished Grade U H 1.00ft K 12.43ft I 29.04 ft L 94.86 ft J 1 5.52 1 ft W 43.56 1 ft - ----------------- 2663.04 (ft) Basal Area Available 7.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View EZflow Dispersal Area 103.33 (ft) F 101.33 ♦ Dispersal cell Elevation H 101.83 (ft) Lateral Invert Elevation 3 • { ? [ i t a., i ! A < v • - R - - � } t -- - • : • : A { f f � a :. f % ♦ Y Y • 4 • r f f � • � 4 ) • s r • • ) ` r • Y y ,r4 i �'4. [' y. .�"S,, � ! F ♦ [ • • ! F � i a { < 1 ` ♦ i • � } 2 Y A f, 4 t i t • t < Y ^v '"Tw••r•.��„ f Y • ) f i 4 Y ` f { A f 4 y i t ., v r. f i Fr ,. T' f:� i5 _ '� Y # �!. •.t ! l .i k .75 ♦ r-- �.,;.'.. - _ ~ ,d-� r< -�.x,, x t..Y i ���!x� i x .t, � �.i� R:�� .E' A-,>'. ems- -x a �.� '+ ♦ ��. # .. � � �� 3 ) • ��# . 2 �,s .! i^' j f�. ti � � ;� .� � � r ♦� ..� { i ;t. el �'R r! ` r-% k � `y� � � I ,� - y� �: a � -R 1f � _6 .�k e � J k :�;� ,. � �i ..h r - ■ .` � . �; �'i. ; i. ' `3 - .,,� �C. '.v..� #' �.. ^+'•:# �����..,�3, � �° �t+{ °'y' fit`. `ti yw� .c��Y ,w :: � f,.•h ;k' wr" �i,��+ ..� t �� ,h '�I� . # s� :} 's'.�.s:-: #.-ii tt..k', �F a- �� ! .6t ♦ y- ? at 3 .H ;�►- !t s •-� s k ,�; r.t 100.00 (ft) Contour Elevation 18.0 % Site Slope Typical Dispersal Cell Shading Key I pr See Page 5 = Topsoil cap .- a 2 .ram Subsoil Cap c � Q Pp A roved Geotextile Fabric Cover { t -c_�'`;-, •,�.' �L:. - ASTM C33 Sand ,� •° � 2.0 ft y x Tilled Layer �.� �a ♦¢x+:-- eclsf,'ff foie 4RAe..F!# .�:.^;s y�.«R , �:;�;.. +� F I *• Y -- EZflow Media W = F� N r•+ arty.� {,vim t •_ f , •- . x F.� •a;b k.,�s �•, . a•t# a sh% r a♦•i%.•w s�•♦. t�r�'f�tu•♦)L••4y f fe•gt♦ 0 �4F rY � O o<'ft a}♦�.��A+aa-t• •♦_i•+a`F+F�•Y#• �? +♦++++� t± W�I IL A See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: dcci investments ---- Brunner Page 3 of 8 End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below Turn-upve ball valve or- olasnoutpiuq F _ p Z 1 st orifica located of Z If. x -+I All ImenilS Identical, with ar*es equally spaced. Force main connealon via tee or cross to manifold at my point_ Laterals & force main of PVC SGh 40 1 per SPS Table 384 30-6 S Orifices point up except every 51h one points down for drainage. Number of Laterals Lateral Diameter Lateral Length (P) Lateral End (Z) Lateral Spacing (S) Lateral Flow Rate System Flow Rate 3 Orifice Diameter in Orifice Spacing (X) ft Orifices per Lateral ft Orifice Density ft Manifold Length gpm Manifold Diameter gpm Forcemain Velocity 0.156 in ft ft%6fice ft in ft/sec 1.50 3.61 69.30 20 0.70 10.50 6.00 2.00 3.00 10.77 32.31 I 3.30 Dose Tank Information Lockingcover with warning 9 label and locking device and sealed watertight Electrical as per NEC 300 and SPS 3'16.300 WAC Disconnect 4 in. min. Tank component is properly vented Weiser Concrete Ca aci 800.00 Volume 2224 Manufacturer Gallons gal/inch Dimension Inches Gallons A 18.43 409.95 B 2.00 44.48 C 4.54 100.93 D 11.00 244.64 Total 35.97 800.00 1 Alarm Manufacturer isj rombus Alarm Model Number IDS patrol �- Alternate outlet location Forcemain diameter 2 in. 'CIA. A Weep hole or anti - siphon device B C Pump off elevation (ft) 88.92 D Dose tank elevation (it) AdIL PeL Mal3lifargurarl 88.00 Pump Model Number IEP05 ulds �� p Pump Manufacturer o� Pump Must Deliver 32.31 gpm at 1 18.36 ft TDH Note: Switches containing mercury may not be used in this system, Project: dcci investments ---- Brunner Page 4 of 8 EUlowe Distribution Cell Media Layout 1 s.00 Cell Width (ft) 1.50 ISIdewall to Lateral (ft) Distribution Cell Cross-section Arrangements ON 9ftWide V-01 � Component Legend SR1-7A Bundle - 5 ft or 10 ft lengths SR 1-12A or EZ 1201 A in 5 ft or 10 ft lengths SR3-12H or EZ 1201 P or SR3-12H in 5 ft or 10 ft lengths 4" Perforated Distribution Pipe With Pressure Lateral Inside Turnup Enclosure MW _ am Uft Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 9.00 JCell Width - A (ft) 70.00 JCell Length - B (ft) Center Connection Lateral Layout Diagram Cr%rr+gft Unin - 9 ft Wide End Manifold Project: dcci investments ---- Brunner Page 5 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name countryside, elumbing I Phone 715-246-2660 POWTS Regulator's Name 1paul__koehler Phone 1715-246-2660 S stem Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 Igpd Maximum BGDS 220 1mg/L Septic Tank Capacity 1585 gal Maximum TSS 150 mg/L Soil Absorption Component Size 630 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 Jcfu/100 mL Septic and Pump Tank Effluent Fifte: Pump and Controls Alarm Pressure System Mound Other Service Fre uency Inspect and/or service once eve 3 years Inspect and clean as necessa at least once eve-3 ears Test once eve 3 years Should test periodically Laterals should be flushed and ressure tested eve 3 ears Ins ect for ondin and seepage once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the EZflow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, 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. Lateral Turn -up Detail Finished Grade 6-8" Diameter Lawn ` Threaded Cleanout .• al , ' ♦ ` ` Plug or Ball Valve Sprinkler Valve Box n < ' 6 a ♦ • < Lateral Ends at Last Orifice Where ...: Variable Length Cleanout Begins .♦ ♦ i t a 1 a, . a ♦ Y, ♦ ' 4 • t 4+ P ♦ 4 - . .w...w..l..wll♦ . Lon Sweep 90 or Two 45 a ree Bends Sarre Diameter as Lateral Uflow Synthetic Media 1.91 Feet �- Distribution Lateral Lateral Cleanout 01 Project: dcci investments Brunner Page 6 of 8 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis, Adm. Code, and shall maintained in accordance with its' component manuals [EZflow Mound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01I81)) and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383.33,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 failure must be replaced. Exposed access openings greater 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, Stats. 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 filter shall be assessed at least once every 3 years by inspection. The outlet filter 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 filter when removed from its enclosure. If the filter is equipped with an alarm, the filter'tihall 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 as to when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological 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 Wisconsin Department of Commerce. Pumg _T.. The dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. *****No one should ever enter a septic or dose tank since dangerous gases may be ,present that could cause death.**"* Mound and Pressure AIstribution.Systern No trees or shrubs should be planted on the mound. Plantings may be made around the mounds perimeter, and the mound shall be seeded and mulched as necessary to prevent erasion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into. the. mound system may not exceed 220 mg/L BOD., 150 mg/L TSS, and 30 mg1L FOG for septic tank effluent or 30 mg1L 80135, 30 mg/t.. `rSS, 10 mg3L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow spedi d in. the permit far this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommonded that each lateral be flushed of accumulated solids at least once every 3 years. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orif" clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. ContingEncy Plan If the septic tank or any of its components become defeedve 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. If the mound component fails 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 clogged 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 local POWT'S regulator and service provider. Project: dcci investments ---- Brunner Page 7 of 8 Ref 2158 Page 3 of 3 Conducted by: Conducted For: Schmitt & Sons Excavating, Inc.. Name: DCCI Investments, LLC Thomas J. Schmitt, CST 227429 Address: 1585 Hwy 65 586 Malley View Trail City, State, Zip: New Richmond, W154017 SomersetAl 54025 Phone: 71--760-197 Subdivision: Meadow Ridge of Troy Lot No. 63 onto �2 r Legal Description: NW 1 /4 SE 114 S 17 T29N ROW 9w * Baftoe Pit Township, County: Troy Township, St. Croix County * Bench Mark 1 Et. 100.00` Top of 2" PVC pipe d Bench Mark 2 El.101.10" Top of 2" PVC Pips Sion 16% Scale 1"= 60' Contour Line El. 99,35" Contour Line Length 100' A C. il L ! p .11 d ; JOG 1 0 k,� 6� tz-t,,CL Me�eV, i 16clofoc "d fF L 4 w2of�osc� TIY( Inc.c hwvaiions r'n Proust, Drainage Zabel"' & 'r`3�tFctiaf�r�rt t k Div:, ikjri of Pn YIok Ir.c. PL-525 Effluent Filter PL-525 Filter. The PL-525 Filter is rated for 1.0,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the 1'olylok PL-525 has an automatic shut-off ball installed with every filter. Wlien the filter is removed. for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. Features: • Rated for 10,000 GPD (gallons per day). • 525 linear feet of 1 / 16" filtration. • Accepts 4" and 6" SCHD 40 pipe. • Built in gas deflector. • Automatic shut-off ball when filter is removed. • Alarm accessibility. • Accepts PVC extension handle. PL-525 Installation: Ideal for residential and commercial waste flows up to 10,000 gallons per day (GPD). 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. 3. Glue. the filter housing to the 4" or 6" outlet pipe. If the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 5. Replace and secure the septic tank cover. PL-525 Maintenance: The PL-525 Ef fluent Fil tens will operate efficiently f or several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be dope by a certified septic tank pumper or installer. 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL-525 cartridge out of the housing. 5. 1--lose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely irLserted. 7. Replace and secure septic tank cover. Accepts 4" & 6„ SC H l) 40 l�:ipe Outduor Sinartfiltej' �- Alarm PU ylok, Zabel & Best fil tet-s accept the SniariFil(crC) switch and alarm. Extend etc f.ok =" Easily installs into existing tanks, Polylok., Inc. 3 Fairfield Blvd, Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.85.14 www.polytok.com MI<W Wastewater METERS FEET 10 9 30 25 u 6 5 20 4 0 3 10 2 5 CAPACITY MODEL INFORMATION PAGE 3 00 0 Lli V) w < Q I ET V) r-j Ln `7 3" 1 11 i -0 13' - 8 -Ll I 14--------------- kC A S ^7- .- A -'S AL a_ iI 0 14? 10 1 1 0 ij FILTER OR BAFFLE - - - - - - - - - - - - - - - -- 1191=11cl 4" VENT r CL Cl, PUMP PAD ITANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS WLP1200/800-MR TANK SPECIFICATIONS DIMENSIONS: I WALL: 3* BOTTOM: 3" COVER; 6" MANHOLE: 24 Pt I.D. PRECAST CONCRETE RISER HEIGHT: 53" PM r- 71.4 1 3 0- R W D TH: 8'- 0" > BELOW INLET: 41 E LIQUID LEVEL: 36" 0 1 WEIGHT: BOTTOM 14,800 LBS. 0 0 cc COVER 8,170 LBS. --Z, 0 I y INLET AND OUTLET: 0 M o 4" CAST -A --SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: < < WTSCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 33.46 GAL/IN (SEPTIC) 22.24 GAL/IN (PUMP) LOADING DESIGN- 8'-0" UNSATURATED SOIL cy- z TANK CAN BE USED AS: SEPTIC / HOLDING PUMP OR SIPHON Ln M5 C\41 La >- COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WESER CONCRETE REVIEWED BY REVIEW DATE POWTS OWNER'S MANUAL & MANAGEMENT PLAN - Page . Of 2 FILE INFORMATION Owner DCCI INVESTMENTS LLC Permit # DESIGN PARAMFTFRQ Number of Bedrooms 4 ❑ NA Number of Public Facility Units ❑ NA Estimated flow {average) 400 al/da Design flow (peak), (Estimated x 1.5) 600 gal/day Soil Application Rate .6 al/da /ftz Standard Influent:/Effluent Quality Monthly average's Fats, Oil & Grease (FOG) 530 rng/L Biochemical Oxygen Demand (BODE) 5220 mg/L ❑ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BOD.) 530 mg/L Total Suspended Solids (TSS) 530 mg/L ❑ NA Fecal Coliform (geometric mean) 510" cfu/100ml Maximum Effluent Particle Size Ye in dia. ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE SYSTEM SPEC1Fir.AT1nN.q Septic Tank Capacity 1200 gal ❑ NA Septic Tank Manufacturer WIESER ❑ NA Effluent Filter Manufacturer POL LOCK ❑ NA Effluent Fitter Model 525 ❑ NA Pump Tank Capacity 800 gal ❑ NA Pump Tank Manufacturer WI ESER ❑ NA Pump Manufacturer GO U LDS ❑ NA Pump Model Ef 05 ❑ NA Pretreatment Unit ❑ NA ❑ Sand/Caravel Filter 0 Peat Filter ❑ Mechanical Aeration ❑ Wetland Disinfection ❑ Other: Dispersal Cell(s) ❑ NA ❑ In -Ground (gravity) ❑ in -Ground (pressurized) At -Grade 11 Mound ❑ Drip -Line ❑ Other: Other: 0 NA Other: ❑ NA Other: ❑ NA Service Event Service Frequency Inspect condition of tank At least once every: ❑ month(s)s} ❑ ear(s) (Maximum 3 years) ❑ NA Pump out contents of tanks) When combined sludge and scum equals one-third (Y) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ ear(s) ❑ NA Clean effluent filter At least once every: ❑ month(s) year(s) ❑ NA❑ Inspect pump, pump controls & alarm At least once every: ❑ m ❑ yeaarr((s) s) ) ❑ NA Flush laterals and pressure test At least once every: ' ❑ month(s) ❑ year(s) ❑ NA Other: At least once every: ❑ month(s) ❑ year(s) ❑ NA Other: ❑ NA MAINTENANCE INSTRUC11ONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POINTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tanks) to identify any missing or broken hardware, identify any cracks or leaks, 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 cell(s) 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 volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not t'imited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of S12 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 - ?.-of START UP D 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 treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil 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(s) in one large dose, overloading the cell(s) and may result 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 cells. 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 life of the P0V`7S: 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; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine, ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall 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: Q 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 lines 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 with the rules in effect at that time. Q A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ♦ r . rlua o �Ing��snk� ?fZ1D14115rTEMs fb R A1 aN5TA (lG_. ON Q 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. [ < WARNIN G > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDJOR 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 Name COUNTRYSIDE PLUMBING Phone 715 246 2660 POWTS MAINTAINER Name PAUL R KOEHLER Phone 715 246 2660 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name MARCO SEPTIC Dames-, (Yn, p� f Phone 7159282649 Phone --7 1 9�;'-- 3 F{�_ This documBnt was drafted in compliance with chapter Comm 63.22(2) (b)(1)(d)&(f) and 83.540), (2) & (3), Wisconsin Administrative Code. ST. Crzo yN-ry SANITARY SYSTEM File#: Office Use Only OWNERSHIP/ADDRESS FORM c, z/zoz� 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. If you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. Owner/Buyer Tedd & Kim Brunner aQV11'�11�RI�UYER l�IFQRMA'�ION Mailing Address 444 Fieldstone Court City/State/Zip Hudson Wl 54016 Phone Number (required) 715-246-2320 Email Address (required) kbrunner04@comcast.net Parcel Identification Number 040-1329-63-000 (found on the property tax bill) N CIPTION ... . .. Property Location 1/4 , 1/4 , Sec. T N R W, Town of Troy Subdivision Plat: Meadow Ridge of Troy 1st Addition , Lot ## 63 Certified Survey Map # — ,Volume .Page # �S�b �Warranty Deed # �(before 2006)Volume .Page # Number of bedrooms 4 Spec house 0 yes ® no Lot lines identifiable N yes E3 no 0 FICE MSE ONLY. Property Addre w Pr A r qqqFtELs-rD Aj � C-F e ess (Verification of new address required from Community Development Department for new construction.) 611 (/4 23 (Staff Initials) (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 cdd@sccwi.go�v 1101 Carmichael Road, Hudson, WI 54016 www.sccwi. ov U 2731P 551 WAMRANW DEM rk unmt No, Deed made between VALLEY LAND DM LAM PLAMUR& INC., Grantee Vilftessetk That the said Cumtor convgs to Grmfte o taro ml atft in St. C c County, Mate Of Wiscons� iesdly 'bed on Exhibit A bcmto (the "Ptoperto, T090her with all and sivautar h+�+cdi# ixs and alpUUMM belonging. �749�01� a MTMXU Re VALSK REGISM OF DEEPS STs CROIX CM r W1 EZVEP FOR RECORD 6It14I2M 41-no K W&RUDEED . #- BBC FEES 15. TRMS FEE : 10950. 00 CWY FEE: cc FEES PALM S This row is , exempt C toAr covumts d r �cnts the Granter has not made, done, or Tax I.D.: suffered any act ar tang whereby the above- dam-W praperty or my put t f, new or 0. Aso at any time h shall or may be �' a ' w ed, ohmWd or c amubered in any manner, and Graat w %-M title to the abo `bad agist sH c the "mefir+om or thorough Grantor as a resuit of any such act or thing, provided, however, that the conveym2ce hereby ma& the of rsntar is f ntha by and sdbject for those mattaer set forth on 0 B batto. Dated this �day of Jammy, 2005. VALLEY LAND COP"ANY, A M corpo 00 may. STATE 0 COUNTYON,jo SS Personally came before me of January, 2005s the above � Gary B. Vary, as Pfesidennt of Valley Land CZfliiseday Minnesota corporation, having fill authority to do so and to we known to be the person who executed the fom ping insert and selmowledgcd the ti i i 1 i i t 1 .1 t• 1 �: jAO ��.. �/ r U 2731P 552 ,inoe LEGAL DESCREPnON/PLANNERS PARS A * t.oCATEI , IN THE E SE 'l_ OF 1.13 r; ;Y,4 4W :Y4 OF THE, SE '1 ANb FART 01F THE NW V.40FOE- SE V-4 � -NE V & THE S. Y,4 8W Y4 OF THE NE Y.6 AND' THE SE % OF Tk NW 1 1A StCTION'. 179 . TOWNdHIP 28 14ORTH, RANdE 19 WEsT, `OWN OF TROY, St bF�otXb6UNTY, l 4U§IN: BEGINNING AY THE SE CORNER OF tAlD. SEC-hON v; THENCE s§a0§1131 , ALONG �H� touTH LINE OF THE SE l OF "lY SECTIOi, -2629.w' BEET TO THE WE. ST LINE ESP THE SE % OF SAID SECTION,',- THENCE NOW9644T, ALONG SAID WEST UNE, 266Q.38 FEET TO THE CENTER OF SAJD -SECTION; THENCE 888b45'22'W, 18.79 JO A • POINT ON A 148.00 FOOT- RAD1116 CURVE CONCAVE NORPiWESTERLY, WHOSE , CENTRAL ANOLIE mEAsURES• i vrld s7r, WHOSE dHbRD BEARS N48°W3TE AND �$PREEI 26.27 FEET; FENCE N6ftTHERJ.Y ALONO THE AkC OF sAlD CURVE0AND SOUTHERLY RIGHT OF WAY OF EAST COVE RQAD 26.30 FEET TO SAID WEST L1I4� -i)F T#iE SE-f4; THENCE NOO*(U4 'E* ALONG SAID WEST LINE 124.75 FEET; ViENCE N8MV31."Ec 249.49 FI~Ers THE, NGE SOO°O5*44W-ftv 413.44 a FEE f TNFNGE N88*5 I'31*E, 2042-11 FEE" TO THE CENTERLINE -OF TO. M4 • ROAD (TOWNSVALLEY ROAQ) ' BEING A POI . Ok A. 3754tOO FOOT RA�SILJS r CQNCAVE SOUTHWESTERLY WHOSE CENTRAL ANGLE MEASUAES 9OW2W, POSE CHORD BEARS S36043WT AND MEASURES. 82O,,O6 FEET; `FENCE $0UTHO&Y ALONG THE ARC OF SAID CURVE* 620.76 FEET TO THE EAST LINE OF THE -�$E V4 OF SAID SECTION; WHENCE S0100nlYWs ALONG SND 17-AST UNEs 1886.26 FEET TO THE POINT OF BEGINNWG. wit 11 U 27 31P 553 122704 011305 011305-2 EXCEPTIONS a. amation of minerals or nQinerai rights 1tto the Mate of wiscon b. Elie. building, . use, subdivision, zomdag and envhw=euW laws, ordkanm regulations (local, state and fedcW) applicable in any way to or any adent to the Property or any part or portion thereof. C. All easements, coyawts, conditions, rights, rights -of -way, restrictions, resezvatrons and exceptions, if any, of jreoord. d. Any lien • out of any gove=ent sponsored conservation programs relating to the sty and easements, if any, that are not of record (excluding those gmaW by SeUer). f• Iarne, if any. g. All real estate taxes and special assessments, h. Liens, encumbrances, adverse claims, or other Ynattcrs which wryer haS creat4 suffered or pennitt+ed to accrae. i. IftntionAy omiitted. a. fk*nfionally nitte&] . k. A oertain conservation easement given by Grantor and Grantee to the Town of Troy, Wisconsin. #306S903\1 EYT B WOW A OM a Ir @A- 20 #Mt OW r ir g4mak twim— rnawm , Ell L--j 0191" 1tII neMtwee WAAMP #WSW" W" Of WAPI! WM ------------ - ---------- ------ FRONTICARACE ELEVATION 114 " AW 111 0 it A.LAMMM OOM i PAM —dr Mtm TRW Ir mm— P~ 4 Wrr 0 V' *I-+M —90 MR w TOM I I I &W vow Ow TIM stuce 0, "mm troll or" filimm fraw 4 swil MOM Tom Mae --------------------- -------------- TL--- L L ---------- IL, ---------------------- a ------------- ------------------- FRONF ELEVATION 114"wi P-010 mr Vwx pgw 1� to Act No mm ORMC A ---- I ----------------- ------------ -_--------A------------------------------------------ --------- -- A --------- ------------------- j —Ir Wo CAJAM MAW .91JVA TION r114" 0 ------------ -------- ------ --- L ------------------- I --------- ------- LLE too mw1w OEM INC. OF WPLS. Mwtwbwm afta go" soft w RMENOMIG, vhmwm" WO-881-Ml ..e-w1I=B1w*.e �WftIAAWw uMe Mr"hwmpmM dw� :%N7wzwf W on ea a" Wm .w 0 xT71LOI r B#1m5XX�= �- ft .Z.�MURFTr- o Muhlenpoh & Associates lam sm r" womm, W. min-4m wias�MW ISSUE DATE: 07-19-23 REVISIONS - JOB NUMBER- D OR ISSUE MN 183 Y! M. 7W"OMR v N I III SHEET/ 1.or 5 w I F-r W q 1 21 F O p 141 a� j 1� FA Ix 54 mb r LA 11f1a1l,Alm11B UNNEI'SfDENCE�zi0L0T63,mEADOW �=. €fll�E, 1 S` ADD�'.�Qs = �Xx rr■r=x €€ € u N =AR =f 6 HUDSON, WISCONSIN E _� � � �t ; 3 r- s-4 i L I * i r \ Q �b wml rff ♦ IMf1MaI \` OEPt 1014" TO "VVLi � i ♦ J • y -- I 1 y \ saw. ..W ................ P"Vhxms1 17►L Le/m irm"OANX n try A. C 1 ;---------- cn Y ; R{ Vor 1 , Meow 1 ¢ +3. 1 v-0 'r ow ar ow avert rr cwrer low ors v ftdK 'lot_ cur. i R PAdK 4-4 V4. V{ H 7-1 s ! ra rI V! s u� l war r rrlr��t io w r su W ru wr rr new 01111 .11Iw ar IrisM Al y = `1 w _ o � + r DERRICK HOMES 715--246 -2320 �#fir �� �� a � � rc0 a� DR �1'11�.dl�'ER RESIDENCE` u 1, 0 : LOT S3, MEADOW RIDGE, ! SST ADDITION - � � � 1 (5 � I w HUDSON, WI'SCONSIN DERRICK HOMES 715-246--23,20 ���,� �. � UNIITER RESIDENCEa�� p= � $ LOB'' 63 MEADOW RIDGE 1ST ADDITION �� t ' " I HUDSON, WISCONSIN ����HIPP'; � � � � NOM: FROM ArM VINILAPIM Belk a rV VhWM OF ATTIC AR! 0 NOt mwgt ATry, "LATVN t" Admwr 90mcff TO VWM Or ArrV. AREA Its w PREM IM It AW%CT 041MILIPS up ofts FM ov" 0 Ir mtem LAIP OPM mm dwprfA— 619 to"r rwa up f------ I or mkm mm I or mem V or 9401111eft TIw w Mwe or rltm *900 FM gue rpAd "A NIEL& Ir 44 WAW caa"— LAP III~ FIM MM RAI" TO C-meamil #TWO TO ---------------- ---------------------- so 040 xw TRW--f ORMC 1 —5, so. wow 441&" MAIX ----------------- ---------- ----------------------------------- ------- ----------- rL --------- :::-:: ----- 4 ----------- ----------- s ----------- - ----- - LEFT SIDE ELEVATION RIGHT SIDE ELEVATION ------ 114 1 -0 114 1 -0----------------- ------ --------- " ----------------- L ------ L --------------- JL ---- J --------------- rJ ---------------------------- ---------- 1`1104M ATM WtkTLATkON &M TO V*MTN 011- ArTIC AmeA --------------- owm 4APA" OCMfF-h PA111CM mo TRM --------- ---- Ir rpzm TRW r-------- I& ---------- MAW & OTT, 0 be of ROOF PLAN owm w rKm flai 16=111-orli ---------------------------------------------- ---------------------------------------------------- ENDICARAGE ELEVATION 114"=1-o*v WNCIVE XWS K CF Wft� 3"6 U@A.Ar". U" ve EM Pkdv"w " Amm"u in *WftL @GWWW4C ffw NE MOM" .0 KOMWMKI" fdo 111"IM14 in smacklaw" Comm In awdskWAL *4 C"- &hew rum opw" mm WWT PM A& ftIM KWA """wL Kc1w9 = a%*" "am -a OF "I loom so 611OPM FN New IT. w o"PUDWIftwocuaft mr MD EAMMrK$ ma UPM111111 fa ar- row RAMAM11 611110ftmou IN Pub Gm APPUCAM &&amalra 04 Iff"Cum Ar Oft:.WAM dw MMCT SWA%M" NAVOWA Is wafm .4 KA-w Cv tp � to C/) P11; IL) Co Q4 Q 54 ro4r o4 z C4 cq � Muhlanpoh & Associates low wm WAO WWWAY, W. $5129-4260 612440-404 woAvIer4chouotfooLcon oppamw m"m 09 SWAMM INNIMM smums a Ku" Dow =INNPW In COPdwwm V.wMix W G& 40"O. 0, PINVAN imv K 4040 40 K- an wom cmwwt ma=m Mw Am WM r%" VW "I WWI ISSUE DATE: 07-12-23 REVISIONS: J08 NUMBER: ID8523 DRAWN BY: M. MORYNJ SHECIO 4 OF 5 RECE N ir De artment of #2158 W S fety an 2 9 202SOI L EVAWATION REPORT in actor once with 6-0'M'-M'- Code Page 1 of 4 Profes onal ServicesCSchmitt Soil Testing, Inc. County 444 �-ioashvie,, A, "Pak. St. cro�x C rnen eve o t County Attach complete site plan n ON*" inc es in size. Plan must I St- Croix include, but not limited to.- 'ica and horizontal reference point (BM), direction and Parcel I.D. �t.0-'�C)()C) percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewjud By oat 1 "" "'�k Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). YtV11% Property Owner Property Location I I DCCI Investments, LLC Govt. Lot NW1/4, SE1/4, S17, T29N, R19W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1505 Hwy 65 63 Meadow Ridge Of TroyAcI d n City State Zip Code Phone Number City Village Town Nearest Road New Richmond ..-tWl 54017 1 612-599-4244 Troy I Meadow Rid Trail New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material Glacial till over limestone (Ritchey Series) Flood plain elevation, if applicable NA ft. General comments Area is suitable for a mound system. System elevation is 101, 10' based off the contour line established at 99.35'. Slope of the area and recommendations. is 18%. Depth to limiting factor is 15 ", I Boring # Boring Pit Ground surface elev. 95.20 ft. Depth to limiting factor 28 in. ISail Application Ratel Horizon Depth in. 1 Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. !Consistence� Boundary Roots GPD/ft2 *Eff#1 *Eff#2 1 0-5 10yr3/3 none A 2mgr mvfr as 2m,2vf 0.6 0.8 2 3 4 5-113 13-28 28+ 10yr5/3 7.5yr5/6 10yr6/6 none none FRACTURED sil scl LIME 2fsbk 2msbk STONE mfr mfr ---- i gw I as 2f,2vf I ------ 0.6 0.4 0.0 0.8 1 0.6 0.0 L 1 1 Boring -+7 Boring # Pit A Ground surface elev. 96.0 ft. Depth to limiting factor 15 in. JSort Application Rate Horizon Depth in. Dominant Color I Munsell Redox Description Qu. Sz. Cont. Colors Texture I Structure I Gr. Sz. Sh. Consistence! B—oundary Roots 1 GPD/ft2 j -Eff#1 -Eff#2 1 2 1 0-8 8-15 10yr3/3 10yr4/6 none none sil sil 2mgr 2msbk mvfr mfr as as 2m,2vf 2m,2vf 0.6 0.6 i 0.0 0.8 0.8 U-0 3 15+ 10yr6/6 FRACTURED 1 LIME I STONE fi * Effluent #1 = BOD _> 30 < 220 ma/L and TSS >30 < 150 ma/L * Effluent #2 = BOD < 30 malL and TSS < 30 ma/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing; Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, Wl 54017 5/25/2021 715-760-1978 SBD-8330 (R.07/00) Property Owner DCCI Investments LLC parcel ID #Y 3 ... Boring Boring # L Pit 100.00 ft. Depth to limiting factor i Ground surface elev. p 9 25 n. Page 2 of 4 Soil Aoolication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/f? "Eff#t "Ew2 1 0-9 10yr3/3 none A 2mgr mvfr as 2c,2f 0.6 0.8 2 9-14 10yr5/3 none A 2fsbk mfr gw 2m,2f 0.6 0.8 3 14-25 10yr5/6 none sid 2fsbk mfr as ------ 0.4 0.6 4 25+ 10yr6/6 FRACTURED LIME STONE ---- -- -- 0.0 0.0 f � Boring Boring # pit Ground surface elev. ft. Depth to limiting factor in. ISM Aaolication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/R.2 *Etf#1 •Eff#2 i Boring El Boring # Pit Ground surface elev. ft. Depth to limiting factor in, Soil Aaolication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ftz •Eff#1 `Eff#2 " Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 � 150 mg/L * Effluent #2 = BOD5 -, 30 mg/L and TSS -30 mg/L 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 608-266-3 l 5l or TTY 608-264-8777. SBD-8330 (R.07/00) Schmitt sou Testing, Inc. ep Conducted by: Schmitt & Sons Excavating, Inc.. Thomas J. Schmitt, CST 227429 586 Valley View Trail SomersetAl 54025 Phone, 715i-760-197a Signatur Date a Backhoe Pit A Bench Mark I El. 100.00'Top of 2" PVC pipe A Bench Mark 2 El. 101.10'Top of 2" PVC Pipe slope� 18% Scale 1"= 60' Contour Line El. 99-35' T L Ref 2158 Page 3 of 3 Conducted For: Name: DCCI Investments, LLC Address: 1505 Hwv 65 W City, State, Zip: New Richmond, W1 54017 Subdivision: Meadow Ridge of Troy Lot No.: 63 Legal Description: NWI/4 SEI/4 S17 T29N R19W Township, County* Troy Township, St. Croix County Contour Line Length 100' w2o PO-5 c� gL k_(3, Do artrnent of 9 202901L EVALUATIPN REPORT #2 158 fit y an cdUL 2 in accof an with Comm 657Zs-M—n CWe Page 1 of 4 Prof es onal Servir St. Croix County 44 4 SChrnift Soil Testing, Inc. I � S V* %4 e .-) I t County Attach complete site plan n L in es in size, Plan must St. Croix include, but not limited to, 1ca and horizontal reference point (BM), direction and I I percent sk>pe. scale or dimensions, north arrow, and location and distance to nearest road. Parcel 1,13, 0140- 1 Z91 _ �P�r 0Q0 PIGSSG pfint all information. Red By Dal Perusal informahon you proves may be used for seoondary Nrposea (Privacy Law, s 15 04 (1) (m)). tkvA 14e /u... 1 1 Property Owner Property Location DGC1 Investments, LLC Govt, Lot NW1141 SE1149 S17, T29N, R19W Property Owner's ling Address Block$ �rySubd. Name or CSIVI* 1505 Hwy 65 63 Meadow Ridge Of Troy/" C4 State Zip Code Phone Number age Town City Village Nearest Road J New Richmond I Wl W1 7 612-599-4244 Tray - - - - - --------- -- Y I Meadow Ride Trail ,New Gonstruction Use: Residenfial I Number of bedrooms 4 Code derived design ftow rate 600 GPD Replacement Public or commercial - Describe: Parent material Glacial till over limestone (Ritchey Series) Flood plain elevaUon, if applicable NA ft. General comments Area is suitable for a mound system. System elevatim is 101 .10' based off the contour line established at 99,351, SkWofthe area an d recommendations- i$18%. Depth to fimiUngfador Is 115". Boring# Boring Pit Ground surface elev. 95.20 ft. H _j orizon Depth Dominant ColorI Redox Description 1 Texture" in. Munsell Qu, Sz. Cont. Color 0-5 10yr3/3 noneSit sit sit L1M E 2 3 4 5-13 13-28 28+ 10r5/3 7.5yr5/6 10yr6/6 I none none _J . .... .... ...... .. Boring # [7j ftrin g Pit +7 Ground surface elev, 96.0 ft. Depth to lirnMnq factor Siructure Consislei Gr. 52, Sh. 2Mgr MVfr 2fsbk MIr 2msbk mfr S70 N E 28 In. SON Application Rate Boundary Roots .I . GPDMF Tfffl `M2 as 2mj2vf 0.6 0.8 0.6 0.8 9W 2ft2vf 0.4 0.6 0.0 0._0 Depth to limiting factor l 15 In. 4Z^11 Amr%fi^ft#i^,n 6_��111 Hodwn Depth in, Dominant CoW Munsell # Redox Description Qu. Sz. Cont. Color Texture Structure Consistence' Boundary Gr. Sz. Sh- Roots GPDtR2 OEM 0-8 10yr3/3 none Sil 2mgr mvfr as 2m,,2vf 0.6 0.8 2 8-15 .... ..... ........ .... 10yr4/6 none sit 2msbk mfr as 2m,2vf 0.6 0.8 10yr6/6 0.0 0.0 3 15+ FRACTURED LIME STONE . .......... . .......... . ............... ...... . ... . ........... .... . . Effluent #1 = 1300 ? 30 < 220 rngfL and TSS >30 < 150 mq& Effluent #2 1300t30 rng)L and TSS,!L30 mgA. CST Name (Please Print) ,Signature: A# CST Number Thomas J. Schmitt 227429 ........... .............. ­ .............. — _­ � I Address SchmiftSoll Testing, Inc, Dale Evaluation ConductedTelephone Number 1595 72nd St. Now Richmond, Wl 54017 5/2512021 715- 7% 1978 S004.1. 30 Property Owner DCC1 Investments, LI.0 AO a ...... parcel ID ( J 4 Page 2of - 4 60 ri ag sofing #pit Ground surface elev. .--- 100-00 ft. Depth to firnding factor 25 in. Soil Application Rate Horizon Depth Dominant Color I Munsell Redox Desviritlon Texture Structure Consistence Boundary Roots GPD/W In. 0-9 11-QU- SZ Cont. CalyxGr. Sz. S h. 0EMI -E"2 10yr3/3 none sil 2rngr mvfr as 6 8 �-7 — 2c,2f 0. I-1A mfr 9W 2m,2f 0.6 0.8 2 9-14 10yrS13 none S11 2fsbk . ...... - ---------- - 3 14-2S 1()YFS/6 none Sid 2fsbk mfr as 0.4 0.6 4 2 1 5+ 10rr6/6 FRACTURED I UME STONE 0.0 0.0 Bork 0 Boring g I Pd Ground surface elev- ft, Deoth to limitina fanfew I?"� L Boring -i "- I Boring pit * Ground surface elev. It. Depth to llmfting factor In. Soil ApplicMion Rate Horizon Depth Dominant Color Redox Description Texture Structure 16-onsistence Boundary Roots GPD/fil In. Munseo QU. SZ. Cont. Color Gr. SL Sh. *Effil • J — - ----------------------- ------------ * Effluent #I = Boo 5> 30 <- 220 mg/L and TSS >30 < 150 mgA- * Effluent #2 = BOD5, 30 mg/L and TSS -30 mg& The Department of Commerce is an equal opportunity service provider and emplcver. If you nocd assistance to accessservices or sin"3-1') (R 07M) need material in an al(Crnate format, please contact the department at 608-266-3151 or'TTY 608-264-8777. smn*t Sea Te,-AX)4 WC. 4 Boring # ❑ Boring 96.3 ® Pit Ground surface elev. ft. Page 3 of 4 Depth to limiting fact r 2� n.1 elev.94.55ft. Soil Anolication Rate Horizon Depth In, Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz, Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0_R 10 r 3/3 sil 2 MGR mvfr as 2 f .6 ,8 2 6-12 10 yr 5/3 -- --------- sil 2 f sbk mfr gw 2 f .6 .8 3 12-20 10 yr 516 .�---_-..�_ Sid 2 f s bk mfr as .4 ..6 4 20+ 10 yr 6/6 FRACTURED. ... LIME ST E ----- -- ---- .0 .0 5 Boring # ❑ Boring 60 ® Pit Ground surface eleJ.Q6.46ft. Depth to limiting factor in.1 elev 95.45tt. finil Ann it -Minn Rate ------ - -------- Horizon -------- Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD1Ft2 *Eff#1 *Eff#2 1 0_10 10 yr 3/3 _--------- sil 2 MGR mvfr a s 2 c .6 .8 2 10-24 10 yr 5/3 .....---_----r...- sil 2 f sbf mfr 2 f .6 .8 3 24-36 10 yr 5/4 sl 2 f bk mfr 1 f .6 --8, 4 36-48 7.5yr5/4 ------- scl 2 m bk mfi cw .4 .6 5 48-60 7.5 yr4/3 sicl 2 m bk m fi Cw .. .4 6 6 60 + 7.5yr 3/4 ----------- sicl 2 m bk m fi �..---- �.�. .4 .6 aBoring # ❑ Boring 95.62 - 24 93.64. Pit Ground surface elev.�ft. Depth to limiting factor in. / elev, nil Annlirsafinn Pnfp Horizon Depth In. Dominant Color Munsell Redox Description Texture Qu. Az. Cont. Color Structure Gr. Sz. Sh. Consistence Boundary Roots GPD1F112 *Eff#1 *Efl#2 1 0-8 10 r 3/3 -----------_-_ sil 2 m gr mvfr as 2c .6 .8 2 8-17 10 r 5/3 sil 2 f bk mfr gw 2f .6 .8 3 17-24 10 yr 5/6 sicl 2 f bk fr as .4 .6 4 24+ 10 yr 6/6 FRACTURED LIME STONE .0 .0 * Effluent #1 = BOD > 30 s 220 mg1L and TSS > 30 5150 mg/L Effluent #2 = BOD, 5 30 mg1L and TSS 5 30 mg1L r 3.21Gr/ifC.4/I,ii��id�L Y��114f 2j"2a23 71%r- Yw)S-, 1,2.2*' Crl a Ref 2168 Page 3 of 3 Conducted by: Conducted Tor. Schmitt & Sons Excavating, Inc.. Name: DCCi Investments, LLC Thomas J. Schmitt, CST 227429 Address: 1505 Hwy 65 586 Malley View Trait City, State, zip: New Richmond, W154017 Somerset.W164025 Phone: 7'I 760-197 Subdivision: Meadow Ridge of Troy O;X� ! Lot No, : 63 -44a S,-O;o �..._. Legal Description: NW1/4 SEi14 S17 T29N R19W U Sackhoe Pit Township, County: Troy Township, St, Croix County A Bench Mark 1 Ell.100.0i` Top of 2" PVC pipe d Bench Marc 2 El.101.1p, TOP of 2" PVC Pipe 3lo 18% Scale 1 "= 60' Contour Line El. 99.3W Contour Line Length 100' Pao M.Seb koAD t, R .�'--63.50 ft-�' I%v 4N, -�a44u ale f J 63 5sol62 SQ., Fr. I m 7 ACIkES / i 45.0gjc / � 2ryio MEADOI nC'ATFf) IN PART f1F T{-IF fU\A/1 /a f1F TNF qF1 /a PLIRT 11F T44F ,V7 6- r► � ,30 1 � 62 .03, 811 SQ. FT 2,383 ACRES VA pQ UTN LINE NW .. SE W- u' tR TH LINE SW - SE N� • as ul U3 and num !at ig any lent and the OUTLO N870A - r 64 52,105 SQ. FT. 1.196 ACRES 1411, . a 1� 60 16 SQ. FT.�� 8 ACRES 59 R 48► 400 SQ. FT.$� 1.111 ACRES • ty�7 r 1 1, N I Sk Al 1048- w % �: U01,K COUNTY No. b5001 zbfl ON I I � 1 1 1 � ...... ...................... ....... . ....................... .. ......... . . .. coot EThAAti�.�'�`:� Wf�L PREVIOUS NO. i.4NrU6 LV.. LUMBER Qq-tl� �c�'HtE� LIC.# 0 sr-ju AND/ IVISH SU �on►e h CHAPTER 145.135 (2) WISCONSIN STATUTES (a) 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. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: 1f you wish to renew the permit, or transfer ownership of the permit, lease contact the coup authori P ty tY. i k A Jl]�MORIZED ::....:...:: OFFICER — DATE ...................................... 2120a /?'&�57000 11-T TTIIIS _-u'r""'ERMIF-imi"'E"X-ffr"hIRE'ZO5 UNLESS REN'1"V-'.W'1V".'A, ... . ... .. SBD-06499 (RI 1/20) �12 1 )Z42.g