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040-1329-62-000
Wisconsin 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)], Permit Holder's Name: City Village Township OA Farm Properties TOWN OF TROY CST BM Elev: Insp. BM Elev: BM Description- 2 F V C Pro eki cx) P TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic g 36+ of (t5ed 6 � Aeration Holding TANK SETBACK INFORMATION ChGi�P� TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ' 51 11 �.r Dosing Aeration Toldir�g PUMP/SIPHON INFORMATION F01*1 191L 61.5 C„H5i- de\11 ver'-,,, Manufacturer Demand , I G GPM �A—�Dc�) Model Number _ p TDH Lift Friction Loss System Head TDH Ft f 3 �� c �� jI . S Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 648485 State Plan ID No: Parcel Tax No: 040-1329-62-000 Section/Town/Range/Map No: 17.28.19.2362 STATION BS HI FS ELEV. Benchmark �`.J / c )00 Alt. BM C�}�c 7' Bldg. Sewer 7. 1.3 � /7 SUHt Inlet SUHt Outlet Dt Inlet Dt Bottom � r>• `1 JU O, J Header/Man. -7, / s S � � 03, sy Dist. Pipe Bot. System b Final Grade St Cover 7 SY� 100 BED/TRENCH Width Length No. Of Trenches PIT DIN1EN FON.T� of p Ins;�e is � ,�l quid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STRE LEACHING Manufacturer: INFORMATION CHAMBER O R Type Of System: � vRo d r �r ,� / Q Lf l7 / nI lU 4 W e Un.� T � ��, Mode, ..umber: DISTRIBUTION SYSTEM (?0`n< 44,n Per, ylu,', Header/Manifold Distribution Pipe(s) I x Hole Size x Hole Spacing Vent to Air Intake �O �/ Length Dia g Len th Dia Spacing g p g SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only 01 (1 n.be-e- Depth Ovor Bed/1 r ench Center Depth Over Bed/Trench Edges \_00/ xx Depth of Topsoil !Z�❑ xx Seeded/Sodded xx Mulched Yes ❑ No . s ❑■ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: V q V 1 It14(23 Inspection #2: F't)ol 0-71z� Location: 443 FIELDSTONE CT 1. Alt BM Description Soflem Meres&rve p P 2. Bldgsewer length = Ue�� �•G� 00) 4ft;>Sj i �' of N, Te-C' u� 7 - amount of cover = NO V41l g WnQ" �, (,UD) Plan revision Required? ❑Yes No Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. U w I C:1 Department of Safety Countv S JUN 0 1 2Q23 & Professional Services, ST CROIX S,iiiitlu\ 11c[imtNumber(tobe filled in by Co.) Industry Services Division "t. Croix Co ermit Application State Transaction Number In accordance with SPS 383.21(2), Wis, Adm. Code, submission of this form to the appropriate governmental unit FLJTC>- 05;nC901L18,e, Project Address (if difl'erent than mailing address) is required prior to obtaining a sanitary permit. Note- Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1 )(m), Stats. 443 field stOne court 1. Application Information — Please Print All Information Propetiv Owner's Name Parcel 4 PA FARM PROPERTIES LLC 040-1329-62-000 Property Owner's MLilling Address Property Locatiotl arcola trail Govt. Lot ('it\. State /1p Code Phone Number Stillwater mn 55082 nw 14, se '/4, Section 17 T28 N R 19 E or WX 11. Type of Building (check all that apply) Lot 4 ® 1 or 2 Family DNvel I Ing - Number of Bedrooms 4 62 Subdivision Name meadow ridge of troy 1 st add Block # El Public/Commercial - Describe Use -------- El City of El State Owned - Describe Use El Village of CSM Number LkTownof Troy — ) III. TA-pe of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if applicable.) A. Lxv, em (,N cxv 'Syst� Vst ❑ Replacement System El Other Modification to Existing System (explain) 0 Additional Pretreatment Unit (explain) B. El Holding Tank El In -Ground F1 At -Grade ® Mound ) 0 Individual Site Design ❑ Other Type (explain) (conventional) e- 2 4 C. El Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration IV. Dispersal/Treatment Area and Tank Information: 3, XI ol eu�V-AC � t . Design Flow (gpd) Design Soil Application Rate(gpd/st) Dispersal Area Required (st) Dispersal Area Proposed (sf) Systcm 1".1evation 600 .4 303 303 98.3 Capacity in Total # of Manufacturer Information Gallons Gallons Units 2 caT�mk tvU uNew Tanks Existing Tanks Cr, V) V) Septic or Holding Tank X 1200 1 WIESER X Dosing Chamber X 800 V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' natu MI1/MPRS Number Business Phone Numher PAUL R KOEHLER 225410 715 246 2660 Plumber's Address (Street, City, State, Zip Code) • 321 WISCONSIN DR NEW RICHMOND 54017 y/Department L'se Onl�! V1. Count- ❑ isap Permit Fee Date Issued Issuing Agent Signature )�Approved r $ L111 I e ial��- ::;o ven Reason for (P Conditions of nova �rva easons for Disapproval 7:� � �� t� 1' J � S �S S��G� L�S� SYSTEM OWNER: 1Sepfic tank, effluent filter and dispersal cell UP L _VA ltl� e- VV_1 . must be serviced / maintained as per mc6�-+zu!,Y�aD, �) saar-4 -� A6M WW M""-te, management plan provided by plumber. W�,66� co a/v� vot 6 2. All setback requirements must be maintained 5-) �01 4e.4� as per applicable Code / ordinances. D rriC,-r -6 S V,42AAA. � A Attach to complete plans for the system ano submit to e Counly only on paper not less that 8 1/2 11 inches in size 6" ) KO ps Ps SBD-6398 (R. 03/22) lam-r \w 43 ul tvp o b .01A St 5 AIC4 k. -.7 �ko II-,;) J.A Qy c'\,� tell kA 9 AdOO Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 May 31, 2023 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2025-5-31 Plan Review: PWTS-052300948-C Paul Koehler 321 Wisconsin Dr New Richmond, WI SITE: Pa Farm Properties LLC 443 Fieldstone Ct Troy Township St Croix County NW f SE % S17-T28N—R19W FOR: Phone: 608-266-21 12 Web- htt2,// sps wi L10v Frnail- dsps it wisconsill wv Tony Evers, Governor Dan Hereth, Secretar-*r Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE 0 Description: 4 Bedroom-600 GPD-10" to GSF Mound Component Manual — (11/19), limiting factor— Effluent Filter - Maintenance Pressure Distribution Component Manual -- Ver. required 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. • Install the GSF products and distribution piping per instructions. If using pressure distribution, distribution pipe should be sleeved through the 4-inch corrugated pipe located in the GSF product. One out of every five orifices in each distribution pipe shall be installed at the 6 o'clock position so as to allow for thorough drainage of the distribution pipe following each dose. The remaining four orifices shall be installed in the 12 o' clock position. All pipes must drain after dosing. • 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 Burin construction and open 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 383.54(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, Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715) 634-5124 Joshua.rowley wisconsin. ov GSFNHMOUND DESIGN PROGRAM INDEX AND TITLE PAGE Project Name PA FARM PROPERTIES Owner's Name: Conditionally Owner's Address: 11080AROLA TRAILPROFESSIONAL 8T|LLVVATER&4N 55082 DIVISION OFINDUSTRY SERVICES Legal Description: SEC 17T2ONR1BYVNVV8E Township., TROY SEE CORRESPONDENCE County.- GTCRO|X Subdivision Name: MEADOW RIDGE OFTROY 1STADDITION Lot Number: 82 Block Number: Parcel |.D.Numbec 4.01E+10 Plan Transaction No., Page Index and title Page Data entry Page Q8Fmound drawings Page 4 Lateral and dose tank Page Distribution media Page 6 System maintenance specifications Page Management and contingency plan Page Pump curve and specifications Designer- Paul Koehler Date- 5/18/2023— - 225410 715-246-2660 Signature- Phone Number: License Number: DeaignedPunsuontto\he GSF Mound ComponentManual (N.U8/18).and SSWMP Publication 9.6 Design Pressure Distribution Networks for STSAS (01 /81) GSF Mound Version 2.27 Page 1 of 8 GSFVNMOUND DESIGN PROGRAM DATA ENTRY Site Information F R Residential orCommercial Design -- -600 Number of Bedrooms<optionaU Design Flow (Qpd) ----- 20.0% Site Slope (9Q 96.00 Installation Contour Line Elevation (f) [:J§:016��]�ontourLenQ\hAv�i|eb|m) 10 — DepLhbzLimidngFa�or(in) � 0.6 In -Situ Soil Application Rate (gpd/ft2 ) EFF #2 Cell Information Unit Used Cell Width (ft)3.4.G.8.8.Qor1O1 10 Dispersal Cell Length (ft) 2.0 Dispersal Cell Design Loading Rate (god/ft) Influent Wastewater Quality Are the laterals the highest point inth�d��budon Preo�ureO�othbu�on|n�rmeion network?- T--] Enter Y or N E Center, End, No Manifold ptoGravity),orGravity (No Pump) 0 Lateral Spacing |fNabove, enter the elevation �\Number of Laterals of the highest point. L�o 0.156 Orifice Diameter (in) (e.g. 0.25) 6.18*o/orifice Does the fonoemaindrain back? 9_ ma/oe rump Tank Elevation (fV �4.55 System Head (ft)x1.3 3.26 ForcemainDr inbeck(ga|) �6.75 Vertical Lift (ft) 80.25 5xVoid Volume (gal) 0.31 Friction Loss (ft) 83.52 Minimum Dose Volume (gal) Add'|Fitting Friction Loss (ft) 26.39 System Demand (gpm) 11.61 Total Dynamic Head (ft) Lateral Diameter Selection in diam. options choice 0,75 1.00 1.25 1.50 Septic Tank Information 12061 Septic Tank Capacity W-I-E-SER-- - ----_]Manufacturer Dose Tank Information 800 Dose Tank Capacity (gal) 22.24, Dose Tank Volume(gaKin) WIESER JManufacturer Manifold Diameter Selection in. dia options choice 1.25 1.50 2.00 GcdkmoHnohColculabor Total Tank Capacity (gd) 139 Total Working Liquid Depth (in) 22-236-7-7-'Igal/in Effluent Filter Information POLY LOCK Filter Manufacturer 525 Filter Model Number Project: Page2of 8 GSF WI MOUND DESIGN PROGRAM GSF MOUND DRAWINGS Mound Plan View iviouna component Uimensions A 3.00 ft E 33.20 in H 1.00 ft K 12.15 ft B 101.00 ft F 7.006 1 28.88 ft L' 125.30 ft 216.001in Gt 0.50 ft J 6.09 ft W 37.97 ft 303.00 ' (ft2 ) Dispersal Cell Area 3219.38 (ft2 ) Basal Area Available 5-9J4(gpd/ft) Linear Loading Rate 10-10 (ft) 1/10 B Obs. Pipe Placement 98.17 Dispersal Cell Elevation 2 3 4 N Finished 99.75 (ft) Grade G H -t 411 A 98.75 (ft) - ----------- A, I -- ---- ----- F Dispersal Cell Lateral Invert (ft) .�� ` ; �� p.�}� 4, It 7. 1,14,w, _ , : � !';.4- 't. Elevation n 96.00 (ft) Contour Elevation 2001�cSi`teS`lope�������� Shading Key Typical Dispersal Cell Topsoil Cap 0 See Page 5 Subsoil Cap 2 ft Geotextile ASTM C33 Sand (n 0 Fabric Tilled Layer L GSF Media & F Cell Header c En 0.5 ft 11r 0 /Footer SF A See details on page 4 for number, size and spacing of laterals. Laterals are located in the 411 gravity distribution pipes as shown on page 5. Project: PA FARM PROPERTIES LLC Page 3 of 8 GSF Wl MOUND DESIGN PROGRAM LATERAL AND DOSE TANK End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below Tum-up wlball valve or cleanout plug ..,...wnw.... r....r.+.w.r.....ww...++...w�....... ..... Y ...ww.t -.. a.,v, R .0 ...~ww Z •-- 1st onifrce located at Z---XQrrifices point up except every 5th one points down for -Edge of distribution oell drainage. Force main connec Hon via tee or cross to manifold at any point. Laterals & force main of PVC Sch 40 All laterals klenbcal with orrifice equally sp (per COMM Table 384.30-5) -- - -Edge of distribution cell Numbers of Laterals 1.00 Orifice Diameter 0.16 in Lateral Diameter 2.00 in Orifice Spacing (X) 2.05 ft Lateral Length (P) .99.2Q ft Orifices per Lateral 49.00 Lateral End Z 0.80 ft Orifice Density 6.18 ft2/orifice Lateral Spacing (S) 0.00 ft Manifold Length 0.00 ft ateral Flow Rate 26.39 gpm Manifold Diameter 1.50 in System Flow Rate 26.39 gpm Forcemain Velocity 2.69 ft/sec 98.4 Pump Off Height 12 in Dose Tank Information Loddng aver with warning --WxS mW lo&N deM m and Beeb c d as per NEC 300 � �eaied waE�f and emw 16.28 V%AC _...~..... �,.. �_~m _ 1'� F, ,...�......................y ....w~....,..... 4 in. min. v� scared . • . a < Aaonat w Tar* ccrrponatt is prq)el y vented fir.........- -............................._........._. �. ..... E Forcemain dameter h .. ...... 2 in WIESER Manufacturer ~ Capacity 800 Gallons a _.. r _vim hole or Volume 22.24 gal%inch ar6!9iphon derive B f Dimension Inches Gallons C N..............�..� _.-... ... D ..-- .---..........._. %_ r_,_ . Pump off Ton (t) _..... �.. :92] - A 18.46 410.5 B 2.00 44,48 C3.5 7$ D 12.00 266.88 Total 35.97 800.00 Mn, 3' &doing under tank. �..... _........... . rv.N ...... --- _...............�,h... r.....�._ _..................... Alarm Manufacturer sj rohmbus Alarm Model Number ps patrol Pump Manufacturer goulds Pump Model Number EP04 Pump Must Delivery 26.39 gpm at 11.61 ft Dose Dose tank deva&n (R) 91 TDH Project; Page 4 of 8 3 Fr WIDE END CONNECTION GSF WI MOUND DESIGN PROGRAM DISTRIBUTION MEDIA GSF Distribution Cell Media Layout W Cell Width (ft) 1.5 Sidewall to lateral (ft) Distribution Cell Cross-section Arrangements Drag appropriate drawing to space below. Component Le>~end ASTM C33 Sand/Mound Sand fj A42 or B43 Module Lateral Turn -up (contained in Turn -up Enclosure) Distribution Cell Plan View Layout - Typical 3 ICell Width - A (ft) 1 101.06""1 Cell Length - B (ft) 25 A42 Modules Required per Row 25 A42 Total Modules Required End Connection Later Layout Diagram Drag appropriate drawing from left to space below. 3 ft Wide FORCE MAIN -- Project: PA FARM PROPERTIES LLC Page 5 of 8 GSF WI MOUND DESIGN PROGRAM SYSTEM MAINTENANCE SPECIFICATIONS Mound System Maintenance and Operation Specifications Service Provi er s Name PAUL KOEHLER Phone 715-246-2660 g ST CROIX COUNTY Phone 715- POWTS Regulator's Name 386-4680 System Flow and Load Parameters Design Flow -Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 30 mg/L Septic Tank Capacity 1200 gal Maximum TSS 30 mg/L Soil Absorption Component Size 3Q3 ft Maximum FOG 10 mg/L Maximum Fecal Coliform 10E4 cfu/100 mL Septic and Pump Tani Effluent Filter Pump and Control! Alarrr Pressure Systerr Mounc Othei Service Frequency 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 monthly Laterals should be flushed and pressure tested every 1.5 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to the standards, have a watertight cap, and are secured in a as shown in the Eljen mound component manual. 2. Dispersal cell media conforms to Eljen products approved for use with the Eljen Mound Component Manual approved August 2016. Eljen media is covered with the manufacturers geotextile fabric. 3. All gravity and pressure piping materials conform the requirements in the state 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 6 - 8" DIAMETER LAM SPRINKLER FINISHED GRADE ---- - -. _� LATERAL ENDS AT LAST 4" PERFORATED PIPE ORIFICE WHERE VARIABLE LENGTH CLEANOUT BEGINS DISTRIBUTION LATERAL 4" END CAP LATERAL CLEANOUT "A THREADED CLEANOUT PLUG LONG SWEEP 90 OR _ T1Nd 45 DEGREE BENDS SAME DIAMETER AS LATERAL Project: PA FARM PROPERTIES LLC Page 6 of 8 GSF W1 MOUND DESIGN PROGRAM MANAGEMENT AND CONTINGENCY PLAN Mound System Management Plan General ' ' This system shall be operated in accordance with SPS 82-84Wis. Adm. Code, and shall maintained in accordance with its' component manuals Elien Mound Component manual August 2016 and SSWMP Publication 9.6 (01/81)] 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 SPS 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 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 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 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 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 verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as Mound and Pressure. Dist rib uti o No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion 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. 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 test 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 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency 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_ Ifthe 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 POWTS regulator and service provider, Project: PA FARM PROPERTIES LLC Page 7 of 8 en win o L? 9A .01A St 5 AIC4 k. -.7 �kolI-,;) J.A Qy tell kA N stewat am�, er METERS FEET 10 -- --------------- i._._..�__ ........ ....... .. . ....... . ........... 9 30 5 GPM 8 A --------- MODEL INFORMATION Order Number HP Vohs Amps Minimum Circuit Float phase Switch Cord Discharge Mini Minimum 'mum Minimum MaxlmumTSh�lp in Breaker Style Length Connection On Level I Off Le vel Basin Diameter Solids W*I'g ht -- - ---- Size lbs.kg EP04171 Plug No Switch 10, Manual Manual 20/9.1 EP041 1A Piggyback 115 12 20 Wide -Angle 12 6" 21/9.5 EP041 I F Plug 4 No Switch 20, Manual Manual 20/9.1 EP041 1 AC Piggyback Wide -Angle 20' 12 6' 21/9.5 EP0412 Plug 230 6 10 No Switch 10, 1 Wo Manual Manual 15 /, 20/9.1 EP0412F Plug -:P .... . . No Switch 20' Manual Manual 20/9.1 EP051 1 F ::1 Plug _ 115 13 20 N© , Switch 20' Manual Manual 22110 EP051 1 AC .5 Piggyback Wide-Angle12 2o, 6" 23/10.4 EP0512F 230 6.5 10 Plug 20' No Switch Manual Manual 221101 PAGE 3 Zabel' Fffluent Filter e 've'A f t71 �:Oiq A Dyisk;i' of Pm+ii� �;11;, PL-152,15 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 Polylok PL-525 has an automatic shut-off ball installed with every filter. Wheii the filter is removed for cleaning, the ball will float up and temporarily Shut off the sVste111 so the effluent won't leave the tank. Features: 0 Rated for 10,000 GPD (gallons per day). * 525 linear feet of 1/16" filtration. * Accepts 4" and 6" SCHD 40 pipe. a Built in t1as deflector. Automatic shut-off ball when filter is removed. • Alarm accessibility. Accepts 11\11C extension handle. PL-525 Installation: Ideal for residential and commercial waste flows up to 10,000 gallons per day (GPD). 1. Loca to the ou tl e t 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 Polvlok, Fxtend & Lok or piece of pipe to center filter. Polylok 4. Insert the PL-525 filter into its housing. 5. Replace rind secure the septic tank cover. PL-525 Maliltenance: The IT-525 Effluent Filters will operate efficiently for 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 Vears. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be done 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 IT-525 cartridge out of the housing, 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. IrLsert the f ilter cartridge back into the housing snaking sure the filter is properly aligned and completely inserted. 7. Replace and secure septic tank cover, 1/16" 111tration. Slots Alarm Switch (Optional) 0 GPD tA I dl)or StrartI I i A Ll '. T11 Vxtt.-nd & Loki P o I t A/, Z ) 11 d--ccpt itis'afl - 131-�*, f I t gg Polvlok bic. 3 Fairficl(I Blvd. Wallingford. CT 06492 -Foil Free: 877.765.9505 1`ax: 203.284.8,514 wwrwpolylok.coni 4" CAST -A -SEAS. 4" VEN T I 13'-8" 3 5 4" CAST -A -SEAL = j Go I I" iT 3 FILTER OR t f BAFFLE I a LLJ 0Ix LJ �a .,_ OUTLET cn PUMP PAD TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C--1227 REQUIREMENTS WLP 12 00/800- M R TANK SPECIFICATIONS DIMENSIONS: 1 CL WALL:3"CL BOTTOM. 3" COVER: 6" w MANHOLE: 24" I.D. PRECAST CONCRETE RISER d HEIGHT: 53" LENGTH: 13'-8" WIDTH: 8'-0"Ld BELOW INLET. 4110 LIQUID LEVEL. 36 , WEIGHT: BOTTOM 14,800 LBS. ou COVER 8,170 LBS. 11 INLET AND OUTLET: ' CN 4" CAST -A -SEAL BOOT OR EQUAL GASKET w _ ` 7� INLET AND OUTLET BAFFLE AND FILTER: N a a WISCONSIN, SEE DETAIL #1 0 (OTHER STATES SEE CHART) Ln LIQUID CAPACITY: 33.46 GAL/IN (SEPTIC) 22.24 GAL/IN (PUMP) (10 v Ln o LOADING DESIGN: 8'-0" UNSATURATED SOIL C z co TANK CAN BE USED AS:Lo w i SEPTIC / HOLDING / PUMP OR SIPHON 1110 COVER: MIX DESIGN #8 (NO FIBER) w' 8 CD x00 TANK. MIX DESIGN #9 (SMALL FIBER) (n CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE REVIEWED BY REVIEW DATE SHEET NO. 1 OF POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILE INFORMATION Owner PA FARM PROPERTIES LLC Permit DESIGN PARAMFTF=R.q Number of Bedrooms 4 0 NA Number of Public Facility Units X NA Estimated flow (average) 450 gal/day Design flow Ipeak), (Estimated x 1.5) 600 al/day Soil Application Rate .4 gal/day/ft' Monthly average* Standard influent/Effluent Quality Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BOD6) 5220 mg/L 0 NA Total Suspended Solids (TSS) <l 50 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODE) S30 M911- Total Suspended Solids (TSS) <_30 mgl 11 NA Fecal Coflform (geometric mean) < 10' cf u! 1 00rnI Maximum Effluent Particle Size Ya in dia. C3 NA Other: 11 NA *Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Inspect condition of tank(s) Pump out contents of tank(s) Inspect dispersal cell(s) Clean effluent filter Inspect pump, pump controls & alarm Flush laterals and pressure test Other: Other: . Page 1 of SYSTEM SPECIFICATIONS Septic Tank Capacity 1250 gal ® NA 7 1 Septic: Tank Manufacturer WIESER 0 NA Effluent Filter Manufacturer POL LOCK 11 NA Effluent Filter Model 525 El NA Pump Tank Capacity 750 a2L13 NA Pump Tank Manufacturer ....... - ----- WIESER C3 NA Pump Manufacturer GOU LDS 0 NA Pump Model EP01 0 NA Pretreatment Unit EJ NA 0 Sand/Gravel Filter 11 Peat Filter 13 Mechanical Aeration 0 Wetland ELJEN 13 Disinfection IX Other: Dispersal Cell(s) 11 NA 13 In -Ground (gravity) 11 In -Ground (pressurized) El At -Grade X Mound 0 Drip -Line 0 Other: .......... Other, Other; Other: Service Frequency At least once every: ❑3 0 month[sl ycar(sl (Maximum 3 years) When combined sludge and scum equals one-third (Y.) of tank volume At least once every: 3 11 month(s) (Maximum 3 years) X year(g) At least once every: 0 month(sl_'_ ;4 year(sl -- At least once every: 3 11 months) year(s) At least once every: 0 month(s) 11 year(s) as needed At least CjM0nth(s) once every: 0 yearls) 0 NA 0 NA 11 NA 0 NA 0 NA 0 NA D NA El NA X NA ll NA MAINTENANCE INSTRUCTIONS 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; POWTS 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 in'spocted 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 (Y3) or more of the tank volume, the entire I 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 limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals cf<12 months, shall be performed by a certified POWTS Maintainer. A sarvice report shall be provided to the loca! regulatory authority within 10 days of Completion of any service event. Pa q C)f 7 START UP AND OPERATION e ____ _ 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 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; 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 63.33, Wisconsin Administrative Code: All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. 0 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: D 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. El 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. e� 0Thr. �-11 t 4a t ctcir miding ink e D4 ( 5 � 7:b ta- IV) " / Ct5"S7_9 OC�n Dt'j El 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 Name COUNTRYSIDE PLUMBING Phone 7152462660 SEPTAGE SERVICING OPERATOR (PUMPER) Name MARCO SEPTIC Phone 715 246 5600 POWTS MAINTAINER Name PAUL R KOEHLER Phone 715 246 2660 LOCAL REGULATORY AUTHORITY Name Phone - This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d')&(f) and 83.54(7), (2) & (3), Wisconsin Administrative Code. SANITARY SYSTEM File #: Sr. CROJX IG�:-QUNTY Office Use Only ��_ OWNERSHIP/ADDRESS FORM Created 212027 1 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 PA Farm Properties Mailing Address Arcola Trail N City/State/Zip Stillwater MN 55082 OWNER/BUYER INFORMATION Phone Number (required) 651-271-0193 Email Address (required) rjohnson@arcolafarm.com Parcel Identification Number 040-1329-62-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location P40114 ,SC 1/4 , Sec. T N R W, Town of Subdivision Plat. . Meadow Ridge of Troy 1 st Addition Troy Certified Survey Map # Volume Page #_ Warranty Deed # I (before 2006)Volume Page # I Lot # 62 Number of bedrooms Spec house 0 yes E no Lot lines identifiable N yes 13 no OFFICE USE ONLY New Property Address yg3 lei-hcn�jG C7- G.CS) (-006 (Verification of new address required from Community Development Department for new construction.) (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-Li�-sc-cw1.Q0V 1101 Carmichael Road, Hudson, WI 54016 www.sccwi . jov State Bar of Wisconsin Form 1-2003 WARRANTY DEED Document Number 11 Document Name BY THIS DEED, DCCI Land Planners, Inc., a Wisconsin corporation ( hereinafter "Grantor," whether one or more), convey and warrant to PA Farin Properties, LLC, a Minnesota limited liability company (hereinafter "Grantee," whether one or more), the following described real estate in St. Croix County, State of Wisconsin: Lot 62, Plat of Meadow Ridge of Troy First Addition in the Town of Troy, St. Croix County, Wisconsin. Derrick Homes, LLC has the exclusive right to construct a new home and other improvements on the subject property. Exception to warranties: casements, restrictions and covenants of record; highway and street rights of way; and Municipal and zoning ordinances and agreements entered under them; and further except real estate taxes accruing in the year of this conveyance. Dated December 15, 2021 1145347 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 12/16/2021 03:25 PM EXEMPT#: REC FEE 30.00 TRANS FEE 675.00 PAGES: 1 **The above recording information verifies that this document has been electronically recorded & returned to the submitter Recording Arca Name and Return Address St. Croix County Abstract & Title Co.. Inc. 575 N. Knowles Ave., 'Suite #11 New Richmond, W1 54017 040-1070-20-050 (part oo Parcel Identification Number (PIN) This IS NOT homestead property. DCCI Land Planners, Inc. Wis onsi c(;Porafion (SEAL) (SEAL) Rona N L. Derrick, member (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signatures) STATE OF WISCONSIN authenticated on December 15, 12-02 ss. St. Croix COII TY Personally came before me on l5th daN, of December. 2021 0 the above - named DCCI Land Planners, Inc., a Wisconsin TITLE: MEMBER STATE 13AR 0 W. SCONSIN -'**�J� (If notcorporation b2, Ronald L. Derrick, member , to me known to be the person(s) Nvho executed the foregoing authorized by Wis. Scat. § 706.0 AT \\\\' instrui ent and a4nowledged the same. THIS INSTRUM-ENT DRAFTED BY: J St. C* Croix County Abstract & Title Co., Lnc. by Treilany k Steinliclit at the direction of the Grantor. 21 -S-' ')0662 Notary Public, State of Wisconsin MN/ Commission (is permanent) (expires: (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MOI)IFICA'FIONS TO THIS FORM SHOULD BE CLEARLY' IDENTIFIED. W i j, Wi 1145347 Page 1 of 1 C 2003 STATE BAR OF WISCONSIN FORM NO.1-200 Typenanlee Ow'sit-- laturcs. j ..... ....... - q�. lb, - — —2'-- -13' -- .. ,- -- - 30- - - - --- - - - - ------------7 U N EXCAVATE D I -' a I I I II 1 '4 I I I U. L_ " `r I IJ� IG I I L- - - - - - - - -ul I I I I I I IS u ---------------- -J L----------J I I --------_-_ -__-- - ----- --I, E iwaj Ir--------------------_--._------------------- ----------------------, I i "' ui I I I f -- J I J h i I IUNEXCfYATED __. f a, i I I I I i -jl I I in i I I I I -r 10 U):3 NO -------- ------------------J I i T��-+----------------� i UNEXCAVATED43 a zo _� u- -0 Ln L -------------- -----------� I C d=� ---.._.- ______________________ 1_ tl J I --------------� 1 r— I I I I 34 .,. 21, --- I I I I I I F nd ti n Flglri ' I ryI 1 I I { I UNEXCAVATED I 1 � + � Ii 0 ZJ I I I 1 W) �I r I &.... I 1 1 J I I i s �- I I I 1 DATE: I I I I 7/?4/73 L---- --- SHEET: -------------i - - X-T LLJ I I flC I v«fit ++ ��►tFa i j Lelery I` 4e1e�r,a I `kw .. _ FII Bun Rccm 1 I� T* F:A-0:4 • .rs I Z > ' I12 i'Qra« Fri :. N•KL Iv. tJ'F`R Cna'q •.M.'nM`I :S•'<11 �`�� . .i:.a } h r.. F.! ......... � < ,: �•�i +y• a '_ -"y _. � � - .. - ... . I.: I �. r«re a cea.nter� .'•a ..:. � _ ' I I 16' e - t �. ::: - , q I 18' 1 j IY LU Bedroom Pantrt� �.... �....�.. �krnPrimary(�5 I g m ?/ Two t ; S1 I r - trc> 1 'k �: +Qoom Bedroom �v 1 "' i.nFry H,rl 1- .... • .i....L I rau+.s.r ^/ I : wtrsue-a -i i rAaG�+o. 43 r - .".. I in - - - - --- - - - -I -�:__ - fIrlmen� Eft — I I : Kit&en I I `< c.r~ { Brathraam r J t l .............. L Ohl va�wye,a a - r I F f .I'C:• rm.1 7T K. l+,'.ew:eslux., 0 etlhr+ a - � I e �►v ... ... a0 '•'q s ;.� • I',;'_ V I � � v'�■, •'� Bathn�Om , >► F r.tiry' ' +I ............Closet .._.._. .. .. i a 'Hrsl5-2P , MAN 9 ail' I I .: y- r , ry i ; � :'�" r : •.y � 1'-�,. 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Plan Scale 3/1F 1' = 1' T_ Area tu 1{1 ' I StaTage '- I 3 { r F'^ 4 Fxrr4lpe 5PaLe 4 Cn F' L�'i ry ► rt 4n"rwa rr �•iI M i I 131-6" .L 12' y - DATE: !+ _ AtthG i usbah In p rINS 5psce I 7. !/ 24 7 3 ,ul!tt . oa I ai I' 1, !Suildirg Square- 1 I' m Hrrrtte 40SS' Sq Ft F o- Gwage 11%, Sq.Ft._- 1 Front Pw&.. 2-16. $a Ft I I I I SdG[ Fo'Gh 2bSHEET: 5q,°{. , I Se:or•d Floor 7I 54 Ft 5etrond Floor Plan 4" X 3 ��'wi Lei 1 a - - •.. Scale 311 b" 1" 1`-0 I A_3 V-6" +. . 6'-g 3 -b 4'-6" 4I4 " 3'-6" 615" 6'-6" k I � R,dga • 2 i� ii i I. I: i it I I I I k; i II i V3 N I 0 DRAWIN(';S MOVIOLD 8Y: k Ron HI Kirs#en Johnson -EVISfON iT U I D I NUM&ER PATE REViSED OY n filF'TI N X m m 443 F-eildstone Court Hudson INI 54016 --651 211-0193 i AG x "bZ :133NS I aim �I `7 Cal 6WpfS 4ai �ooC vu. 4ta SLa In4wI ah iAl �+oGuIM ,L eJtiL ram ZM I } Cal - 6ulpls l LM tM — yptw,� ��sw5 _ o W�IY%/� AAI sal 6ulnIs 9�s A�1 - sal fts DWO15 dl.l I � H0.9f dJ.l r i H0." dAL c l341 iF�S f r�oed KHH - — -- -- — G41 ►NS9 Doom T� .a91 �a9 pOOMT a u naw �, - s91 �f�s auo3s dJll SA1- 4ip 1M u�.ti5 6uICur35 dill sa. a wxw "on 6wp-wis du d iuor, r l Ll 6 i �SBl• 6ub�i +++sa5 6ulpup35 dJ,l - - - - a -11 .��r►talI o -ph � L � a tti �• I -- 1 I if` G cn [ L , B I -.Q-Ul �= 1 I��l -- — — 41 — LOH wwwad I A I CP I AMID i EM- - 591 SIRS auo75 dJ.l u LM a �►� k 4l ft1R+aA y.1 AL wul JodQ PLO i M M QQl Eu:p S "N" .r dhl .. i I i l t I I HO 4£ di.l ; I ® I - a91 w+a9 poam aa1 - bufm WW1:000 pw. I - - r+�van du �►+ppulM .z du v . Do rl_ Sill 0.,04S "ns aAl � Zl Q -. �IP15 afL4ji JI "S -591 a'• 591- &"ov uva5 6u�S 'AA-t - ,ua^ C _J H0.9F. �`; dJ�L ZI L!: 9 L tl• G -- DI Ll 4 ;uan � ml �m TA Sal- Noah m?" 6usp+ms dill l . } _ _ Ll' St S i West Elevation Scale 114" 1 x' 1'-0"- M ru i'ft' , ", D .12 3 75 12 "-----7 a b { i Ilrq Seam Roo" Roo-7a5 W1D - -- � TYP. 36.ON 6 12 :M Q 1�LU :_ ;y W a_ m f • 1 j --- McW FnOe ♦ Soffit - TOD - z ' UJI a c It m j i 1 i SWrq - TOD W13 and Door Trim TYP 54one 51ding T105 Smear Finish -_ TYP Slone 51dinq T95 Smear Finish - - ! i I, i i i � I ' o r j ) L 1! . Wi ; ----- Tyr. 51andlno Seam Raofinq •Tas M i nf V 6 .12 MMri Fa,sr.�s i bola • rtlP ._ ._ —_ .... - .� ; - TYP. Standing Seam Roofing-TSS-- -- TYP, 5tandinq Seam Roofing -T55 W18 YV1D YVt$ I I I TYP VertkL l 51dlnq -TOD L-- Meth 'asUe 6 SdR - TOD ' TYP, 36' OH ..—. Mall F"CAP b Sa11M - T6D �? TYP Stone 5ldlnq T55 Smear Finish - TYP 3E' OH 0 P. Stone Sidmq Tay TYP. 2 Mindou+ ` = TYP. Z' Window 5rnaar Finish end Door Trim I�k-. b i+V 11 and Door Trim W12 LJJPV 0 TYP Store 51din T05 - �-- -- -- --- . TYP. T - — VeRka151d1 aD r r1n1 h DCa 5mta s ` Groda Grade GATE: Ih i i �f fl it , ET SHE: SHEF. . South Elevation _ Scale 1/4' 1 =' 1'-Q"- 24" X 96 A—b D RE U�QI W3WisconsinDepa ment of Safety& Professional Ser Pagerr Q�yj�.ic�n.,of Indus, Services �c W- ,MJ-1 tqy SOIL EVALUATION REPORT OOW 657 -202F In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, St Croix but not limited to vertical and horizontal reference point (13M), direction and percent slope, Parcel I. D. scale or dimensions, north arrow, and location and distance to nearest road. 040-1329-62-000 Please print all information. R )y Personal information you provide may be used for secondaty put -poses (Privacy Law, s. 15-04(1)(m)). . . .............. ... %= A06, Property Owner Property Location PA FARM PROPERTIES LLC Govt. Lot NW SE '/I S 17 Property Owner's Mailing Address Site Address or CSM and Lot # 11080 ARCOLA TRAIL N 443 FIELS STONE CT. City, State, Zip Phone Number El City El Village Town STILLWATER MN TROY T 28 N R 19 Date (0// & 1202� r-1 ER E (or) W Nearest Road MEADOW RIDGE TRAIL New Construction Use: M Residential/ Number of bedrooms 4-- Code dedved desigriflow rate GPD ❑ Replacement El Public or commercial — Describe: Flood Plan elevation if applicable fX Parent material GLACIAL TILL OVER LIMESTONE. ( 2c> k) General comments and recommendations-, rOR ADVANCED TREATMENT WLLUSE ELiENS KEEP LONG AND MARROWTO FIT BETMEN HOME AN LOT ILJNN'� : A'B 1�� - I [++'s ASc-'TA-�'EFil-"ROMI'l.V)V,ASSCm-MITT SUT LEFORA�CXJND O-q-SI-T�zCONDLJr-T;7-DPYKEV;N(�--RABAU��er.&Si-e WO-4 0'1'r;"-A 0! Boring # Boring Pit Lr Ground surface elev. ft. Depth to limiting factor in. elev, ft. :.....::::.. . Boring # E]Boring []Pit Ground surface elev. ft. Depth to limiting factor —in. / elev. CST Name (Please Print) Signat .a CST Number PAUL R KOEHLER 225410 Address Date Evaluation Conducted Telephone Number 321 WISCONSIN DR NEW RICHMOND 54017 MAY 5TH 2023 715 246 2660 .... . ..... Effluent 41 = BOD > 30!5 220 mg/L and TSS > 30 S 150 mg/L Effluent #2 = BOD, � 30 mg/L and TSS <_ 30 mg/L SBD-8330 (R03/22) Page of Boring # ❑ Boring $9.4 Pit Ground surface elev.�ft. � Depth to limiting factor in. ! elev.�l. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIFt2 In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 A 0-9 10 / sil 1 f sbk ML CA 3 c 4 .� B 9-13 10 y/r 5/6 - _.� .. .. .._. sil 1 f sbk mvfr C W 2 4 fi C 13-24 10 /r 5/6 LIME STONE lime stone ".._"_ --�--- ------ .0 .0 1 fi Boring # [3 Boring jo Pit Ground surface elev. �$•7 Depth to limiting factor 3 in. / elev. g4'�t. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. Soil Application Rate GPDIFt2 *Eff#1 *Eff#2 A 0-7 10 YR 3/2-«-----__..__.,-_ SIL 1 FSBK ML GW 3 M .4 .o B 7-13 10 YR 4/4 9-1-C-f 2 MSBK MFI AW 3 M .4 .6 C 13-29 10 YR 5/6 LIME STONE ---------.-,�..�_-- _,`..'._~ _.�.�,. p 0 Boring # ❑ Boring 91.4 ElPit Ground surface elev.. ft. 10 Depth to limiting factor in. / elev. 9�• 7 ft. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIFt2 In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 A 0-5 10 YR 3/3 SIL 1 M GR MVFR A S 2 F 2 V F. ,3 B 5-10 10 YR 4/6 ---------.. S I CL 2 F SBK M FR A S 2M 2F .4 .6 C 10+ FRACTURED LIME__..._. _ STON * Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, s 30 mg/L and TSS s 30 mg/L a. 40W� L A�- Opp low _OF- dW Alp OIWW 1p Af* 401 -lij 47 0 .� "� tee+.. F rho* o- rq A)6-1 -7 7 i 1,0q Yd D Boring # Boring Rage � Of Pit Ground surface elev. 89.4-1t. Depth to limiting factor 13 in. / elev. 8&3 ft. Horizon Depth Dominant Color Redox Description Texture In. Munsell tau. AZ. Cont. Color A 0-9 sil 0/2.-- ... --- - -- B 9-13 10 Y/r 5/6 — --------- sil C 13-24 10 Y/r 5/6 LIME STONE lime !:��j -- -1-1.11,11-1....-I ....... .... - - ----- Soil Applicat'Gri Rate Structure Consistence Boundary Roots GPD/Ft' Gr. Sz. Sh. ...... Eff#1 1 f sbk M L CA 3 C .4 f sbk mvfr C w 2 M —1 .0 .0 stone Boring Boring 95.7!�. 13 94,6%. Pit Ground surface elev. Depth to limiting factor in. elev. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. A 0-7 - ...... *Eff#2 --- 10 YR 3/2 —S'L 1 FSBK MIL GW 3 Ni .4 .8 B 7-13 10 YR 4/4 S I C L 2 MSBK IVIFI AW 3 M .4 �6 - - - - - --------------- - - - - - - - -- - ----- -, C 13-29 10 YR 5/6 LIME STONE ------- --------- - ------ -- — ---- ---- _ __. _ ----_J�— 1 .0 .0 Boring # El Boring 91.4 10 El Pit Ground surface elev. Depth to limiting factor in. I elev 90.7 ft Horizon Depth Dominant Color Redox Description Texture In. Munsell Qu. Az. Cont Color A 0-5 10 YR 3/3 SIL B 5-10 10 YR 4/6 - — ------- — --- SIC -- -------- C 10+ FRACTURED LIME STON '* Effluent #1 = BOD > 30:5 220 mg/L and TSS > 30:5 150 mg/L Soil Application Rate Structure Consistence Boundary Roots GPD/Ft2 Gr. Sz. Sh. *Eff#2 1 M G R MVFR AS 2 F 2 IF._.. .6 .8 2 F SBK MFR A S 2M 2F .4 .6 .0 .0 - - - ------------- Effluent #2 = BOD.:5 30 Mg/L and TSS:s 30 mg/L fe Lo 4e q- pit, c- 4� -fy�o 0 C, VOID. pp, RECE WED P C's-F, ac 5? I' P.REP-c epartment of All I REPORT #2157 SOI� EV r Page 1 of 3 Safety 10L 2 S 2021 in acc rdane"ea with Comm 85, Wis. Adm. Code Profsional Services Schmitt Soil Testing, Inc. SSional S Lrvices ,4croix A* 'L R q "3 sp St. Croix County County 11 Inches in size. Plan must St., Croix Attach complete site pl n IRV0@4 1 1 . include, but not limited tizonts, MMIM6 point (13M), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 040 — I Slq -- (02-000 Please print all information. aftlewed By D Personal information you provide may be used for secondary purposes (Privacy Law, s- 15.04 (1) (m)), ); Property Owner Property Location 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 62 Meadow Ridge Of Troy 15*1 Acid V, City State Zip Code Phone Number city Village Town Nearest Road New Richmond Wl 54017 1 612-599-4244 Troy I Meadow Ridge Trail Use: Residential Number of bedrooms 4 Code derived design flow rate 600 GPD New Construction Replacement Public or commercial - Describe: Parent material Glacial till over limestone (Ritchey Series) Flood plain elevation, if applicable NA General comments Area is suitable for a mound system. System elevation is 103.90' based off the contour line established at 101,47. Slope of the I and recommendations. area is 18%. Depth to limiting factor is 7 ". An on -site was, conducted on this lot to verify soils by au. A b 11*4Ne- 4F-jO 6W j7;PN 6-W 7- S VS 7 6rt-kl /s A�Z_0^1 /VW/VO e,6 /Z -r"5kXr S1 7Y ;00 60 11 5 -1 V - bot droalaz Boring # Boring 0)1 Pit Gyund surface elev. 92. 5 ft. Depth to limiting factor 11 in. SoilApplication Rate Hurizon Depth Dominant Color Red ox Description 11 Texture Structure 11 Consistencd Boundary :i Roots GPD/ft;l in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10yr3/3 none sit 2mgr mvfr as 2f,2vf 0.6 1 0.8 2f 0.4 0.6 2 7-11 10yr4/6 none Sid 2fsbk mfr as 2m, 3 1 11+ 10yr6/6 FRACTURED LIME STONE ------ 0.0 I 0.0 Boring # Boring Pit Ground surface elev. 95.77 ft. Depth to limiting factor 10 in. JSoil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GPD/ft2 In. Munsell I Chu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#Zn. 1 2 0-5 5-10 10yr3/3 10yr4/6 none none sil sic! 2mgr mvfr 2fsbk mfr as as 2f 2vf 2m,2f o.6 0.8 0.4 0.6 3 # 10+ 10yr6/6 FRACTURED LIME STONE -- ,- ______ � 0.0 0.0 41 Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BODE_ -_-30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number It 595 72nd St. New Richmond, VVI 54017 5/25/2021 715-760-1978 Conducted by: Schmitt & Sons Excavating, Inc.. Thomas J. Schmitt, CST 227429 586 Valley View Trail Somerset, W1 54025 Phone* 715-760-1978 Signatir Date 6 Backhoe Pit A Bench Mark 1 El. 100.00' Top of 2" PVC pipe A Bench Mark 2 El. 99.97"Top of 2" PVC Pipe Slope= 20% Scale lot= 60' Contour Line El. 101.47' Ref 2157 Page 3 of 3 Conducted For: Name: DCC1 Investments, LLC Address: 1505 Hwy 65 City, State, Zip: New Richmond, W1 54017 Subdivision'. Meadow Ridge of Troy Lot Igo.: 62 Legal Description: NWI/4 SEI/4 S17 T29N R19W Township, County: Troy Township, St. Croix County Contour Line Length /,ZD"' Qy / e2d or �s � � � ��p� ass-' 070 b 93 Od pit, a, Debartrnrent of 9211 � SOIL. EVALUATION REPORT 1 of 3 � e � ��l°�.V ahrt � in acu;rdance v�ilh Ccrr�rr� 85, �'is. Adir� C�CodePa g�' _....._ - ... _ professionalServicesSchmitt Soil `estir Inc A tack coal lat lan cn r riot les than 8 % x v t in-hes in size: P;an rrus, Ca�:nty � t � . ;. include tact nol first#-- t�: verti�,2i and horzontal reference Point (( Yt f it . /�$ .,� �,. �:.� t^O Y' I �"a- /A kR � �W l {��Tf � �a+��swc {`4 a7id percent slope. scale or dimensions. f o;lh arrow, and location and distance to nearest road. Parcel I.D. Please print all information. _: __........... _ Reviewed By Date Persona.` inft.r, riai;or, you may t* U5r� t0r F-Q-:i n ary p3.3gmses iFnijacy Law a- 15 104 M Property Owner sapedy L,ocalkiorr, DCCI Investments, LLC GOA. Lot INJ 114, SE'114, S17, T29N, R'19W .......... ...... ............. ............................... . ....-......................._........... . �.:x..v ...... -.......... ---. - ..- ............... ..................... ..... ............................ ::.. .................. . Property Owner's Mailing Address Lot # 61cck # Sind Name, or CSC# 1505 H—A a � .... Meadow Ridge 'Of Troy ;4tY Mate Zip Cade Pisone Njurn�r f►;, , i � a awil l`:earest Road New Richmond W1 $ 54017 6.12-509-4244 TroyMeadow Ridge Twit New Construction, Use.. Resider I Number of bedrao is 4 Cade derived design tlaLv rate 600 PD Peplacernent Pubry!%e or commer ial - Describe; Parent material Glacial till over limestone (Ritchey Series Flood pia#n elevation, �fapplicable �� ft ........ w _-_...,....... _ .. w ...:.. � _-.._.... _ .....-... _ ..o .. ton General comments Area is suitable tot a mc-ugd system, System elevation �� 103: �0' based oil the t cntour lire established at 101,4 . Sim 01 the and re c ornmendafions: :: ie' 114 :%. ep: "f ! e6i E - i +- ! n ..;'i:'r ii .. __: ie C this ?ot E�;Y�r�,� "�ji;: ti� ��?v r" �41V IIWNe. e 4-6 -M&--Of ;r S YX 7 e4-00j1,7 &ZO yc� t 4� Boring 4 _ Ground 92. Pit sur"face el elev. fl. Depth to limi►into factor � � in. Snip Application Rate Hotizon Dw,p4h.. f Doi-iinant Caiar Redcx Descr pt:vn Texture strticlure E:ut���dar}� F�oat$ GFDift= munsell Qua loiz. cont, Color Gr Sz. Si! f � Q"1 O�tr33 { 1 none l ...... . . . 2nn .................................. .. ......... = ��fr d 2f ,2�f 0. 1) { -1 Oyr 1 non �7i1 ' t�k .m rr3 r ?� 2f 0.4 0 yl/.��! ! ! f!1 3 11+ = £ f f 10yr6f6 ._--•..... FRACTURED LIME } . -.. r - --.- - -. .. ... .................................. r....n.rrrr..w..,Y....-a•M..•w;.. v:r ... ?..-.--.........-...., ..........:-,--::::-, �. ..: ....... .... A ... ............. n-.-.-..-..- i- S1-ONE . • :. :w..- .,..,vw. +. __ -w v ____.._ � 0.0 � 0,0 4 .d . E i. 1 f i � 95.77 i. Ground surface elev. ft. Depth to limiting factor 10 in. St it Application Bate Horiz%n 0ep.th i�ominznt G^tr3r Redox Description Texture # ruclurF �� # ' Consistenoe Boundary ' Roots RD t z in. Murlse'l Qu. Sz. Cont. Color E ` 0-5 10yr3/3 Home } sit gr m%Ar a� f 2 ,t- , as } 2 - ..-.. 5-10 - 1Qyr4/ 6 none ........ ... --------- i sicl 2fsbk mfr as 7 2m,2f Of4 0.6 .O �r # yr f �R UR D r LIME STONE - ' 0.� 0.0 1 s l __,_ :.......... c. .. w,.,,.:.. EffIUen t #I -- B00 30 < 3 3 � i ---------------- 2�-0 mere. and T' ' Effluent #2_B1 �t `- KP, j T;� 9i- CST Kamp (Pleca5e Print) inalure- '� � �,ST Number Thomas J. Sclhmitt - M: ,�. -. ».y ---- W ..mow .� 227429 . ..... Address �chnmt So i-estinq. inn. Date Evaluation Conducied..... .. . ....... Telephore Number 50.5 72nd St. New Richjnond, W1 54017 5125012021 ., Prupn� y p,.r DCCI Investments L ParCett D 2 P g�, ^# 3 Pit 5. 1 Ground �LI surface ���IYe .. ..... .. •. .. _.._.-. _. _ ,.---..-.._ k Depth to li=�ifi� � facttf! . ... .. ... .......... � ISoif Application Rate Horizon ' Depth, Dominant valor Pedox Description Texture Structure 'Consistenr Boundary Ports GPDtV Y u `` Q If .--'--'................:...................................... 0-5 1 Oyr3/3 ............................ s none � s1 i ................................... ......,.............................. 2 € r mvfr as � 2v 0 : � �}, 8 2 ....... . 3w... 5-7 ................................ 1Oyr4J4 ....... none i Sid _....r.......:..:............................ .._..__. 2fsbk ._ ....... ...-........ . _ _ mfr ................. aF. .. ... ... ,..... ,....... lvf ......................... _ ... ....... . . 0,4 0,5 3 _..�.,Yv...:»:...........y. 7� v............ .....�..... 10yr6/6 ».... x..��.�. x..... FPI.tA. lRE LItviE . ...,.k......:_:.._�s.....w........--.-'--.......�..�..._:.v....:_ ................................... STONE A.N. .. » n f � ...... 0,0 G',0 .,n. w......._.....�. _ v j � Y } } s ) wring # Boring :. : ¢ y " t s .....-.._....... ..,.......... . i .,.. ...................... .................. - ---..----. ...... € ':. ) Pit Ground su€face elev. ...........101.4-7 _ : ft< Depth to firnihrig fact;.�r .. 1� _ .............. - - in. g it Afvft tion Rate Horizon Depth Dominant cot_,. rrZeClQx Description Texture ' Stru the Consister�cel Soup dany ' Roots P� ri4�SF� sL2.Cont. Color ;, Ste.. `x,.... i 0- 10yr3/ 3 none S11 2mgr r, ivlf y # as 2vf 0.6 0.8 10 y one c 2m..bk m nfr j I of t'Y4 0!6 3 + # I.Oyr6,4 FRACTURED ED LIME } 1 STONE .w y nry » aa. w. 0s0 0a0 " i � ..:..:.. ........ �} �-oring ........ w..-,-, ,,:,.: ,-.-.:-.t ..-.-:..,. -.. - i y S i , Pit r surface elev. Depth to p limiting factor g actor in. Soll Application Rate', Horizon i Depth Dominant �cir.�r Redox Description Texture 3 Sleocture BQ Iry Roots GPD{f;x 41un5Eii tlu 13Z. cont. Color ' <,r. �Z, �� � 7. ..., _. fflu ent .� E . �? Ong.... and �n ��:� {..'1.5:� ^ g� c : 3t fir- _ mac.:.-. ary = - i�tic Dqarvl] nt (if Col -Timer." k an t►ppC3i-wilitti' -erviL i p.ro ied r and � ��l��L;�':I'• i� N;'tl 1-jeed :J�:,�istancv Io iuf -%-ss ,>c-n-i :ef or nci d rnatf rMI Ju an alien-ui!c- 1*,-:rmat_ ,�lt�"w t� Cow, 01%. c�i`.�'ii#�rm i. nl ,fit ( 08-2-66-3 1 � 1 t,rr �T Y fit -264 �� i ��. Conducted by: Schmitt & Sons Excavating, Inc.. Thomas J. Schmitt CST 227429 586 Valley View Trail Somerset,= 54025 Phone, 71,,'��-760- 1978 3 i r a I---_ Date 8 Backhoe Pit A Bench Mark I El. 100.00' Top of 2" PVC pipe A Bench Mark 2 El. 99.97'Top of 2" PVC Pipe Slope= 20% Scale I"= 60' Contour Line El. 101,47' Ref 2157 Page 3 of 3 Conducted For: Name- DCCI Investments, LLC Address, 1505 Hwy 65 city, stale, zip,- New Richmond, Wt 54017 Subdivision.- Mendow Ridge of Troy Lot No. : 62 Legal Descriptiom NWI-14,SLI/4 S17 29N.R'19W Township, County' Troy Township, St. Croix County Contour Line Length 1;40' ry M IIti_ V) N W H rV C' M Z NORTH SCALE: 1 INCH = 40 FEET 0 40 80 VERTICAL CONTROL DATUM: NAVD 1988 NORTH SCALE: 1 INCH = 40 FEET 0 40 80 VERTICAL CONTROL DATUM: NAVD 1988 LEGEND FOUND IRON PIPE PER PLAT OR AS NOTED O WOOD HUB SET AT 10' OFFSET OR ON BUILDING LINE EXTENSION T.O.H. TOP OF HUB ELEVATION T.O.P. TOP OF IRON PIPE ELEVATION S6948'30, 15' WIDE DRAINAGE & UTILITY EASEMENT E4S4,4 ALL EXTERIOR BUILDING CORNERS - — - - MARKED WITH PIN FLAGS LOT 62 APPROXIMATE 103,811 SQ. FT. �� '-;; SOIL TEST AREA 2.383 ACRES 245.7' r) r � ; i \ W r r J i i � 2 r �; S OO r \ W N c) 3 `y _ - o N80-42'S8', - 104 2 � M N W 297.86' .., h PROPERTY ADDRESS: 443 FIELDSTONE COURT HUDSON, WI 54016 MINIMUM BUILDING SETBACKS: FROM STREET 75 FEET SIDE 25 FEET REAR 25 FEET DIMENSIONS ARE SHOWN FROM LOT LINE TO OUTSIDE FOUNDATION WALL NOTE. - THE CONTOURS SHOWN HERE ARE DERIVED FROM THE GRADING PLAN. THE SPOT ELEVATIONS REFLECT EXISTING GROUND ELEVATIONS GATHERED DURING THE HOUSE STAKING PROCESS. j00 _ 00, \, l d0 � \�oJC? �o I,S,ocb ^� 0J / Q � r O FOUNDATION DIMENSIONS PRELIMINARY L FOR PERMIT m � � 33 0 U O 0 K f� cleD con A 0 U LLJ Q U z Wcn o �(af u W� 0 Z D� u QQ O a_Q� O ZO z 0 O� 0 Q (n m W w 0 (n OQ O = W w = Y UN Lu U N o 0 Na SHEET NO- 1 OF 1 LEGEND • FOUND IRON PIPE PER PLAT OR AS NOTED O WOOD HUB SET AT 10' OFFSET OR ON BUILDING LINE EXTENSION T.O.H. TOP OF HUB ELEVATION T.O.P. TOP OF IRON PIPE ELEVATION S69-48'30„ F4S47Q 15' WIDE DRAINAGE & UTILITY EASEMENT ALL EXTERIOR BUILDING CORNERS - - - MARKED WITH PIN FLAGS n� I� `l --- LOT 62 APPROXIMATE 103,811 SQ. FT. SOIL TEST AREA - 1.383 ACRES 24S w r r / _0 / O� r 60 l �l/ OC) ' 3 N80°42' '� 58 "W ' - _ 104 .2' N 297.86' r � NORTH SCALE: 1 INCH = 40 FEET 0 40 80 VERTICAL CONTROL DATUM: NAVD 1988 PROPERTY ADDRESS: 443 FIELDSTONE COURT HUDSON, WI 54016 MINIMUM BUILDING SETBACKS: FROM STREET 75 FEET SIDE 25 FEET REAR 25 FEET DIMENSIONS ARE SHOWN FROM LOT LINE TO OUTSIDE FOUNDATION WALL NOTE: THE CONTOURS SHOWN HERE ARE DERIVED FROM THE GRADING PLAN. THE SPOT ELEVATIONS REFLECT EXISTING GROUND ELEVATIONS GATHERED DURING THE HOUSE STAKING PROCESS. s So 3 625 IO °00, , a J O FOUNDATION DIMENSIONS PRELIMINARY FOR PERMIT m W z 2 < 3 W a ^v e A E Q cn .Q ��; co \do is 9 A cn G7 O U d W Q � U WC/) o W Q � � u O J O� =o 0 LLI o OC o < (n 3;: 00 W W O 00 U7 OQ O = WLLJ w = Y U_N Lu o DO w a SHEET NO. 1 OF 1 . . . ....... �A- rAfWL. ... ,........... ED F6................. �►ES Lcc, AV oil 0# �725qlD U.- L1Uff-'rM-1ffE1h-rn-_'.9,R J?AqL,,.. 46aL&R. L -1 W - V101-V . . . . . . . .. . . .. ........................................................... WN v"' F- I tj I SEC ,T 2g N, .. .. ....... . . . . . . . . . .. . SBD-06499 (RI 1/20) .2 C7N 4� J( 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, please contact the county authority. - DATE 02,�� U S S R E N W E I"! - f " R E T lux A'I-' 1311 A TIE J NLT-j jr-d