HomeMy WebLinkAbout040-1329-53-000Wisconsin 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
DCCI Land Planners LLC
TOWN OF TROY
CST BM Elev:
Insp. BM Elev:
BM Description:
qq . S�
M *z Ch sa�I
TANK INFORMATION
TYPE
MANUFACTURER
CAPACITY
Septic
Wie -5v' L,n.�,
Dosing
�( SD 5 �. I
Aefa#ten
Hbfd�g
5 2-5
TANK SETBACK INFORMATION
TANK TO
P/L
WELL
BLDG.
Vent to Air Intake
ROAD
Septic
,
Dosing
Holding
PUMP/SIPHON INFORMATION
Manufacturer
Demand
�au�D
GPM
s0of'
Model Number
E P IDS
2�. og
TDH
Lift
Friction Loss
System Head
TDH Ft
G ' �'�
I . (� 3 8
y. 55
1 S. 31
Forcemain
Length
Dia.
Dist. to Well1
90,
�
i W
SOIL ABSORPTION SYSTEM
ELEVATION DATA
County: St. Croix
Sanitary Permit No:
651259
State Plan ID No:
Parcel Tax No:
040-1329-53-000
Section/Town/Range/Map No:
17.28.19.2353
STATION
BS
HI
FS
ELEV.
Benchmark
(9. 22
lD5. 81
cl 7 - S9
Alt. BM
Bldg. Sewer
St/Ht Inlet
/� 93
9V 8�3
St/Ht Outlet
Dt Inlet
Dt Bottom
1 11 23
9).58
Header/Man.
,5.
I dD. :?l
Dist. Pipe
Bot. System
Final Grade
Cover
F; I fer- Caler
Contoor-
$l
9S.DO
TP 1 : I✓;14w Covex-
2).s
1 D-L. (0$
qq . l 8
BED/TRENCH
Width
Length
No. Of Trenches
PIT DIMENSIONS
No. Of Pits
Inside Dia.
Liquid Depth
DIMENSIONS
9SD
I T�enA U)l 3
SETBACK
INFORMATION
SYSTEM TO
P/L
BLDG
WELL LAKE/STREAM
LEACHING
CHAMBER OR
UNIT
Manufacturer: _
_l�
Type Of System:
mound
39
1 (D y
1) �
Model Number: _E_Z
DISTRIBUTION SYSTEM
Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
ki Pipe(s) 5❑-z
Length Dia Z Length So Dia I.5 Spacing 25
SOIL COVER x Pressure Systems Only tcx Mound Or At -Grade Systems Only
Depth Over I Depth Over x Depth of 1xx Seeded/Sodded Ixx Mulched
Bed/Trench Center Bed/Trench Edges opsoil ..
[X Yes ❑ No ❑Yes ❑ No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:
Location: 477 MICHAEL CT
1.) Alt BM Description =
2.) Bldg sewer length = 25'
-amount of cover = 16" �
Inspection #2:
AJUT-S: 1) Wv Je tk 'i�s�a�Ic� Q �'%-nz a� i�s{��a1�a�•
z� 30', ih5 P'aI WJe ( 4 b14,- �.- Lacai-io., o-F ,S p--ic. 4-4, c�,�,�5ed. %r1l�ttii�ld�1 a� w,oJhd �n�� moo. c��k�r -�o fbr+� end
'5) O�oJstl�afii,y eipLj 1G.re. Ia, I&) t rbm 1"� 0� %SyUid ► u1/ 4w n ups br the ends.
14) z7 b o Sq i4 rv_j'q . Z. 1 74' OF 544 provi 4e-d.
Plan revision Required? Yes ❑ No I I 1 s 23 15
Use other side for additional information.
SBD-6710 (R.3/97) 5rm MAW-W4 Date Insepctor's Signat a Cert. No.
"'.. -Departments o
sE
w lervices,
Sa e% 152V21ty Prcfessicia�
St Croixf►
- -
31. ` , P Sarrit Inv Perm t Number (to be tilled in h)co l
, , L �„ Industry Senricc . DiviAo,nCraix C ��llty
:4
Community Development `�
Sanitary Permit A lication � _ � State Tranwtton Number -
In accordance with SPS 83 21(2), Wts Adm Code, sub,tzissiotl of,this form to tJiic appropria:c govemrnerital unit
is required prior to obtainir19 a sanitary permit Mote: Application foyrns for State-owned PC)V«-TS are submitled to Proicct Ad&c.ss 01-611'1irent than mailing adiftess)
the Department ofSatety and Professional Services Personal lilt-ormalion you provide may tic used for Secondary
pulposes in ac.curdance with the Privacy I.mv, s 15 04(l)(m Mats
.. Application In —Please print All Infor-matitan IM.kC 4QL .
-.--
'rciper`y f)u�r�t�r's NU331c
DCCI INVESTMENTS LLC 040-1329-53-000
Property Owner's Mailing
1 Address — w � �— — --------
,operty LocatioE,
1505 H'` 05 PO BOX 445 ......._ Gi�vt_,ot
-- __ -- ..- W
Cif°, State lil) i MIC Phone Numbet
NEW RICHMOND I 54017-S WL- ,- -- -SE Section
:AZ
It. 7'ypc of Building (check all (fiat apply) ,cat �{ 9
I
N R E: t}r VAC
V l or 2 Fain fly Dwelling - Number o11 Bed:(x-,tj)s 5 53 Subdivi-sion Narnc
Block -4 MEADOW RIDGE OF TROY
0Purl ic,Cverir�zercia! -- Describe Use
Cd City of
State Owned -- Describe Use .... ...............�.
- CSM Number 0 Village of
�d "I'owst v� TROY
III. Type of I'[IWTS Permit; (Check either "New" or• "Replacement'" and other applicable on lint A. {Check one box on lime R. Complete line C i
�.lirahlc�
A
Ncty Replacement Systel-r-, , Other Modification to Exrsting System 4x lain � � -
} ( p ) :�dditior7rtl Pretreatment CJn'# (explain
` U Holding Tank i � lt�-Cirourrd �_
At -Grade X. Mound tt Ej Individual Site Design Ot er ,rvpe (explain)
2-
C. a Renewal Refure Revision } List Previous f`errrrrt Nuinber and Date 11s.sued
C.l�ar3ge tail Plumber Transfer .o New (hkiier
Lxpirat inr�
IV. DiVersalfl`t-eatment Area and "T`art k tnfor•niation: �C Z. d
Design blow, (gird) Design Soil Ap plicatio Rate(gpd/st) Dispersal .P�rcya Itcc�uir-ed (sr) l?istsers��i Arai 1'rc�poesed{so System I.ievattor}
750 .0 j �� 0 �.5� 705.00 100. 00
apacIty. in Total �; 01 anufxct irer
Tank Information Gal 011S Gallons Units � ♦
2 s -� U a�
New Taril:s Exi r.itt 'I'arii:x PO a V` n
t3 M
Sv-t-ztie or l; ..
1585 WIESER X
Dosing Cltambcs X -
950 WIESER X
V. Re;►poosibitity Statement- 1, the undersigned, assume responsibility for iostaltation utrthe PaV47S shorn on the attaetre€1 plan`.
---- _.
t'!usr7!;er's Ni ire (Print) PlumbrCs Signature - - MILI/MPRS Number HUN-iiwss Phone Number
PAU L R K O E H LER •-.—.-..._..._ .. 225410
u_. r
ddress f Stt ir' , City, State" Zip Code) _ 4 2 0
321 WISCONSIN DR NEW RICHMOND 54017
V1. County/0 e ae° merit tie
Disan Petltxrt Date Issed IssurnSi proved, rtattre'p<AT,CL
tivn Y ell case Denial
Condt'LlOirs I A.pp1'"a c rt. pprova
SYSTEM OWNER,
3 Al �t�e- w�, tp� K C� FIB- (Az cat
-
ma`s �-
1. rapt tank, effluent filter anddispersal cell � � �" {
lust be se vlc d / ma'lnt3ine� as per
management plan l'evided by pl'umber.
. All setback requirements must be maintained
as ,per applicable code ! nAinance ,
"<ItAch if) conlj&lu rila s fur the system :and submit to (tte County only on palter not less than 8 02 % I I incites in sic _ T�
S131)-tii99 (R. 01i22)
Conducted by;
Schmitt & Sons Excavating, Inc..
Thomas J. Schmitt, CST 227429
586 Valley tifiew Trail
Somerset,Wl 54025
Phone: 71 -75 -1978
.
SIq rral�tr -
rr
Date
6 Backhoe PR
Bench Dark 1 El, 100.00" Top of 2" PVC pipe
A Bench Mark 2 El. 99.59' Top of 2" PVC Pipe
slope= 9% `
Scale V= 60' Contour Lime EL 99.88'
14-J
. 1,N
UPDATED SITE PLAN
Fief 2148 Page 3 of 3
Conducted For:
Name: DCCI Investments, LLC
Address: 1505 Hwy 65
City, State, Zip: New RiehmDnd, W154017
t
Subdivision: Meadow Ridge of Troy
Lot No.: 53
Legal Description: SWII4 SL14 S17 T 9N R19W
Township, county: Troy Township, St Croix County
Contour Line Length 1 0o'
PmPoseo
Ile
4W- h
A Lq
r
1CO
x_27,
Conducted by:
Schmitt & Sons Excavating, Inc..
Thomas J. Schmitt, CST 227429
586 Valley view Trail
Somerset,Wl 54026
Phone: 716-760-1978
oats
8 Backhoe Pit
° Bench Mark 1 Ef.100,00' Top of 2" PVC pipe
Bench Mark 2 El. 99.69' Top of 2" PVC Pipe
Slope= 9%
Scale V= 60' Contour Line EL 99.88'
Ref 2148
Page 3 of 3
Conducted For:
Name:
DCCI Investments, LLC
Address:
1505 Hwy 65
City, State, Zip:
New R#chmond, WF 54017
Subdivision:
Meadow Ridge of Troy
Lot No.:
53
Legal Description:
S W1/4 SE114 S17 n9N R19iW
Township, County:
Troy Township, St Croix County
Contour Line Length 1004
r
Wisconsin Department of Safety and Professional Services
Division Industry Services
of
4822 Madison Yards Ways`
Y
PO Box 7302
Madison, WI 53707
'STUN 10-
August 14, 2023
CUST ID NO.: 225410
PAUL R KOEHLER
321 WI SCONSIN DR
NEW RICHMOND, WI 54017
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 08/14/2025
MUNICIPALITY:
TOWN OF TROY
ST. CROIX COUNTY
SITE:
DCCI INVESTMENTS LOT 53 MEADOW RIDGE OF TROY
477 MICHAEL COURT
HUDSON, WI 54016
SW 1/4 SE1/4 SEC 17 T 29 R 19W
FOR:
Design Wastewater Flow Value: 750
Bedrooms: 5
Limiting Factor(s): 12" Below Grade
Maintenance Required: Effluent Filter
Phone: 608-266-2112
Web: http://dsps.wi.gov
Email: dsps(d�wisconsin.gov
Tony Evers, Governor
Dan Hereth, Secretary
Identification Numbers
Plan Review No.: PWTS-082301689-C
Application No.: DIS-072333799
Site ID No.: SIT-119333
Please refer to all identification numbers in each
correspondence with the Department.
)banditlonarlly
APPROVED
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF INDUSTRY SERVICES
SEE CORRESPONDENCE
EZflow Mound Component Manual - (December 15, 2017)
SITE REQUIREMENTS
• A full size copy of the approved plans, specifications, and this letter shall be on -site during construction and open to inspection
by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and
signature shall be on the plans which are used at the job site for construction.
The following conditions shall be met during construction or installation and prior to occupancy or use:
• The pressure network is to be constructed in accordance with publications "Pressure Distribution Component Manual for
POWTS (Version 2.1); (May 2022-2027)".
• This system is to be constructed and located in accordance with the approved plans and with the EZflow Mound Component
Manual, (December 15, 2017)
OWNER RESPONSIBILITIES
• The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use
and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or
owner's manual for the POWTS described in this approval and Wis. Admin. Code 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 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.
All permits required by the state or the local municipality shall be obtained prior to commencement of
construction/instal lation/operation.
In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise
making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the
responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or
construction of the reviewed items.
Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this
letterhead.
Sincerely, Fee Required: $250.00
Fee Received: $250.00
ff,ot&Xw WWw Aw4ew Balance Due: $0.00
Matthew Janzen Refund Expected: $0.00
Division of Industry Services
Phone: 715.340.0407
Email: matthew.janzen@wisconsin.gov
EZHOW' MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Small Commercial Application
INDEX AND TITLE PAGE
Project Name: DCCI INVESTMENTS --- DOUGLAS LOYD
Owner's Name: DCCI INVESTMENTS
Owner's Address: 1505 HWY 65
NEW RICHMOND WI
Legal Description: SW 1 /4 S E 1 /4 S 17 T29N R 19W
lCondltionally
APPROVED
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
DNISION OF INDUSTRY SERVICES
SEE CORRESPONDENCE
Township:
TROY
County:
ST CROIX
Subdivision Name:
MEADOW RIDGE OF TROY
Lot Number:
53
Block Number:
Parcel I.D. Number:
040-1329-53-000
Plan Transaction No.:
Page 1
Index and title
Page 2
Data entry
Page 3
EZflow mound drawings
Page 4
Lateral and dose tank
Page 5
Distribution media
Page 6
System maintenance specifications
Page 7
Management and contingency plan
Page 8
Pump curve and specifications
Designer: PAUL KOEHLER License Number: MP 225410
Date: 07126/23 Phone Number: 715-246-2660
Signature: �,. "'� --"""'
Designed Pursuant to the Incorrect version
Mow Mound Component Manual Ver. p 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)
Version 2.1
EZfdow Mound Version 3.0 (R. 3/1/12) Page 1 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)
500.00
I.50
750.00
9.00
98.00
12.00
0.60
Distribution Cell Information
9.OQ Cell Width (ft) 3 4 5 5 7 8 9 or 10 Onl
1.00Dispersal Cell Design Loading Rate (gpd/ft)
1 Influent Wastewater Quality (1 or 2)
Pressure Disribution Information
(c or e)
c
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 Lengtjft)
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)
3
6
0.156
3.50
2.00
60.00
88.00
0.00
4.55
11.58
1.87
18.00
Lateral
Diameter Selection
in. dia.
a Lions
choice
0.75
1.00
x
1.25
x
1.50
x
X
2.00
x
3.00
x
Treatment Tank Information
1585.00 Se tic Tank Capacity (gal)
Weiser Concrete Manufacturer
120.00 Contour Length Available (ft)
85.00 =Dispersal Cell Length (ft)
Are the laterals the highest oint
in the distribution _ Y`�
network? Enter Y or N
If N above, enter the elevation ft
of the highest point.
10.63 ft /orifice
Does the forcemain drain back? IY
Enter Y or N
9.79
Forcemain Drainback (gal)
114.91
5x Void Volume (gal)
124.69
Minimum Dose Volume (gal)
38.77
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)
1075.00 Total Tank Capacity (gal)
43.00 Total Working Liquid Depth (in)
25.00 gal/in (enter result in cell B49)
.Dose Tank Information Effluent Filter Information
950.00 Dose Tank Capacity (gal) ! lock Filter Manufacturer
25.00 Dose Tank Volume (gal/in) 525 Filter Model Number
Weiser Concrete Manufacturer
Project: DCCI INVESTMENTS --- DOUGLAS LOYD Page 2 of 8
T
J
A
L
Mound Component Dimensions
A 9.00 ft E 33.72 in H 1.00 ft K 13.22- ft
B 85.00'ft F 12.00 in 17.71'ft L 111.43 ft
(b 24.001 in G 0.50 ft J 8.27 ft W 34.98 ft
765.00 (ft2 ) Dispersal Cell Area 2270.55 (ft2 ) Basal Area Available
8.82. (gpd/ft) Linear Loading Rate 8.50 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
EZflow Dispersal Area
Finished Grade 102.00 (ft)
Mound Plan View
1/10 B
Observation Pipe
K
5
B low
...... ....
I
H
G
F
Dispersal Cell 100.50 (ft) Lateral
Invert Elevation
100.00 (ft) 6 00
Dispersal Cell
Pi
Elevation D
98-00 (ft) Contour Elevation
9.0 % Site Slope
Typical Dispersal Cell
Shading Key
P1 METopsoil Cap
0 -0
> 0
10
See Page 5
2
Subsoil Cap
aC:0 - o'cApproved
Geotextile Fabric Cover
A ASTM C33 Sand
0
2.0 ft
_T
4
Tilled Layer
r
'7- EZflow Media
'0
11
F
0.5 ft
Q) 0
—4—
� A 7
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 --- DOUGLASLOYD Page 3 of 8
Center Connection Lateral Layout Diagram
Forcemain co€ motion via tee or cross to manlfoid at at poW., Laterals are Identical
P T`
s
• « Turn -up v4ball vshre or � - 024 laterals & kxee main of PVC Sch 40
cl�nout
u per SPS Table 384.30-6
C"kes poirn up, ewtvpt every 5th one ports down for drainage,
Number of Laterals
Lateral Diameter
Lateral Length (P)
Lateral End (Z)
Lateral Spacing (S)
Lateral Flow Rate
System Flow Rate
6
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
ft2/orifice
ft
in
ft/sec
1.50
3.63
41.75
12
NA
10.63
3.00
6.00
6.46
2.00
38.77
3.96
Dose `Wank 1nfermatipn
Locking cover with warning
label and locking device and
sealed watertight
Electrical as per NEC 300 and
SPS 316.300 WAC ---►
Tank component is properly vented
niser Concrete
acit
950.00
L.VO'Ume
25.00
Dimension
Inches
Gallons
A
20.01
500.31
B
2.00
50.00
C
4.99
124.69
D
11.00
275.00
Total
38.00
950.00
Alarm Manufacturer
Alarm Model Number
Pump Manufacturer oulds �
Pump Model Number EP05
Pump Must Deliver 38.77 gpm at 18A0 ft TDH
Note: Switches containing mercury may not be used in this system,
4 in. min.
Alternate outlet
location
Forcemain diameter
2 in.
Weep hole or anti -
siphon device
Pump off elevation .(ft)
F-88.92
Dose tank elevation (#t)
88.00
Project: DCCI INVESTMENTS --- DOUGLAS LOYD Page 4 of 8
EZfiowo Distribution Cell Media Layout
L�9-00 Cell Width (ft)
1.50 ISIdewall to Lateral (ft)
Distribution Cell Cross-section Arrangements
Component Legend
SR1-7A Bundle - 5 ft or 10 ft lengths
SR1-12A or EZ 1201A in 5 ft or 10 ft lengths
SR3-12H or E.Z 1201 P or SR3-12H in 5 ft or 10 ft lengths
4" Perforated Distribution Pipe With Pressure Lateral Inside
Turnup Enclosure a— -ft � am am Pressure Lateral
Bundles are covered with approved geotextile fabric as per the their product approval.
Distribution Cell Plan View Layout - Typical
wi.1..1.wwY
L.-9-00 Cell Width - A (ft),I...85.00Cell Length - B (ft)
Center Connection Lateral Layout Diagram
I -. Force Main
9 ft Wide
Center
Manifold
Project: DCCI INVESTMENTS --- DOUGLAS LOYD Page 5 of 8
Mound System Maintenance and Operation Specifications
Service Provider's Name count side lumbin Phone 715-246-2660
PGWTS Regulator's Name aul koehler Phone 715-246-2660
System Flog and Load parameters
Design Flow - Peak 750 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 500 gpd Maximum BOD5 220 mg/L
Septic Tank Capacity 1585 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 765 ft2 Maximum FOG 30 mg/L
Type of Wastewater Domestic Maximum Fecal Coliformp >10E4 cfu/100 mL
eXrlce Frequency
Septic and Pump Tank
Effluent Filter
Pump and Controls
Alarm
Pressure System
Mound
Other
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 Viler. 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
= w
+ • 4
6-8 D .'� Lh~'. R_ ' +- Threaded Cleanout
iameter Lawn t • .. • i ,
Spunkier Valve Box Plug or Ball Valve
• A k 1 +
Lateral Ends at Last Orifice Where
Variable Length Cleanout Begins
EZflow Synthetic Media
"i Distribution Lateral 0+4
a , .,ter w .�. •y ,. ..
126 Feet
Lateral Cleanout --►
Long Sweep 90 or Two
45 Degree Bends Same
Diameter as Lateral
Project: DCCI INVESTMENTS -- DOUGLAS LOYD 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 shalt maintained in accordance with its' component
manuals [EZ#/ow Found Component Manual 8/20/07, Pressure Distribution Component Manual Ver, 2.0 SBD-10706-P (N. 01/01) and
SSWIVIP Publication 9_6 (01/81)) and local or state rules pertaining to system maintenance and maintenance reporting.
SeLptiC and pump tank abandonment shall be in accordance with SPS 383,33, leis. Adm. Code when the tanks are no longer
used as P011 TS components.
Septic or purnp 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 rust 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 T
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 servic*d N the alarm Is activated connuously. 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 m moved 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.
PumRank
The dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tasted 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 show be cleaned.
*""No one should ewer enter a septic or done tank since dangerous gases may be present that could cause death. �,�•'►
Viand Pressure Distrtb an System
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 malrltenance)' 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 ntglL BODr, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30
mglL BODE, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow
specified in the permit for this Installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it Is recommended that each lateral be
flushed of accumulated solids at Least .once every 3 years_ when a pressure test is performed it should be compared to the initial test when
the system was installed to determine if odflce clogging has o&,,Orred and if ortfice 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,
Contingengl 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 ar replaced with :a component of the same or equal performance.
If the mound component fails to accept wastewater orbegins 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 8 of this plan for the name and telephone number of your local PC"!wTS regulator and services provider.
Project; DCCI INVESTMENTS --- DOUGLAS LOYD Page 7 of 8
Conducted by:
Schmitt & Sons Excavating, Inc..
Thomas J. Schmitt, CST 227429
586 Valley view Trail
Somerset,Wl 54026
Phone: 716-760-1978
oats
8 Backhoe Pit
° Bench Mark 1 Ef.100,00' Top of 2" PVC pipe
Bench Mark 2 El. 99.69' Top of 2" PVC Pipe
Slope= 9%
Scale V= 60' Contour Line EL 99.88'
Ref 2148
Page 3 of 3
Conducted For:
Name:
DCCI Investments, LLC
Address:
1505 Hwy 65
City, State, Zip:
New R#chmond, WF 54017
Subdivision:
Meadow Ridge of Troy
Lot No.:
53
Legal Description:
S W1/4 SE114 S17 n9N R19iW
Township, County:
Troy Township, St Croix County
Contour Line Length 1004
TA
Inc.
innovatrolts in Preust,Ira3"lage Zabel PL-525 Effluent Filter
& Wawtetvatnr AvAKtsA Division of Pch-1aE►
PL-525 Filter
The PL-525 Filter is rated for 10,000 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. when the filter is removed for cleaning, the ball will float up temporarily and tern oraril 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 actress opening use a
Polylok Extend & Lo.k 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 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
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 done by a certified
septic tank pumper or installer.
I. 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. Pu I PL-525 cartridge out of the housing.
5. Hose 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 inserted.
7. Replace and secure septic tank cover.
1/16" Filtration Slats
(10,000 GPD
Accepts 4" & 6„
SCHD 40 pipe
Outdoor Sjnart illvir , Alarm
1'oly1ok, Zabel & heist filters accept
the Sk lartl`iiterl' ) switch and alarn-i.
Accepts 1" PVC
Extension Handle
525 Linear 11"t.
of 1/16"
Filtration Slots
Extend & L )WIl"I
Easily installs
into existing Latiks.
Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Tall Free: 877.765.9565 Fax: 203.284.8514 Nvw%v-pof y•lok..coni
Wastewato' r---
METERS FEET
10
9 30
—► 5 GPM
B
25 2S Fr
7
v 6 zo
s
� is
� 4
F-
3
egos
2 _._ EPQ4
5
10 20 30 40 50
GPM
--- I __ . I
° 2 4
6 g 10 12 rns/h
CAPACITY
MODEL INFORMATION
Order
Number
Minimum
HP Vohs Amps Circuit
fkmt
Phase Switch
Cord
Discharge Minimum Minimum Minimum Maxiinum Shipping
Breaker
Styli
Lend Connection On L n ei
Of Level DiameterRuin
Solids Weight
EP0411
Plug /
Size Ibs.kg
No Switch
10�
Manual
Manual
20 / 9.1
EP0411 A
Piggyback !
115 12
20
Wide -Angle
0'
12"
6"
21 ! 9.5
EP0411 l`
Plug /
.4
No Switch
20�
Manual
Manual
20 / 9.1
EP0411 AC
Piggyback /
Wide Angle
21 0,
12"
6'
21 / 9.5
EP0412
.I Plug /
230
10
No Switch
10`
1 h" Manual
Manual 15"
V� 20 / 9.1
EP0412F
Plug !
No Switch
20'
Manual
Manual
2019.1
r ; EP0511 F
Plug /
115 13
20
No Switch
209
Manual
Manual
22 / 10
EPOS 11 AC
.5
Piggyback /
Wide -Angle
201
12"
6"
23 / 1 ..4
EP0512F
230 6.5
10
Plug !
No Switch
20
Manual
Manual
22110
PAGE 3
C"ll
Lti
Gf)
<
Cf
u
IN L'P--'T
V)
<
in
15 38"
70J
usimmij in
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTMI C-1227 REQUIREMENTS
4" VENT
WLP1585/950 I LLI ,
Ae
TANK SPECIFICATIONS
7
DIMENSIONS:
WALL: 3'
Mma-
T
BOTTOM: 5"
COVER: 6"
MANHOLE: 24" I.D. PRECAST CONCRETE RISER
<
HEIGHT: 56"
LENGTH: 15--3 3/8"
uj
WIDTH: 8'— 5 3/8"
BELOW INLET: 45
LIQUID LEVEL: 38
WEIGHT: BOTTOM 15,977 LBS.
COVER 9,300 LBS.
INLET AND OUTLET:
r`
o'
4" CAST —A --SEAL BOOT OR EQUAL GASKET
wI
c-) Ly-
INLET AND OUTLET BAFFLE AND FILTER:
wl nl n I L
VASCONSIN, SEE DETAIL #10
0
0
(OTHER STATES SEE CHART)
1�-
It
Lo
LIQUID CAPACITY: 41.67 GAL/IN (SEPTIC)
25.00 GAL/IN (PUMP)
0
LOADING DESIGN: 8'-0" UNSATURATED SOIL
cr
z - co
w I
U
TANK CAN BE USED AS:
<
SEPTIC/SEPTIC, SEPTIC/PUMP,
t.0
OR SEPTIC/SIPHON
Lu o
COVER: MIX DESIGN #8 (NO FIBER)
TANK: MIX DESIGN #9 (SMALL FIBER)
CUSTOMIZED TANKS:
FOR CUSTOM TANKS CONTACT WESER CONCRETE
REVIEWED BY
REVIEW DATE
DRAWINGS SUBMITTED
FOR APPROVAL
APPROVED By:
APPROVAL DATE:
PRODUCTS NEEDED BY:
OF
POWTS OWNERS MANUAL & MANAGEMENT PLAN Page of
FILE INFORMATION
Owner DCCI INVESTMENTS LLC
71ermit 9
DESIGN PARAMETERS
Number of Bedrooms
5 13 NA
Number of Public Facility Units
L NA
Estimated flow (average)
500
gal/day
Design flow (peak), (Estimated x 1.5)
750
gal/day
Soil Application Rate
.6 gal/day/W
Standard Influent/Effluent Quality
Monthly average
Fats, Oil & Grease (FOG)
<30 mq!L
Biochemical Oxygen Demand (BOD,)
�220 mg/L 13 NA
Total Suspended Solids (TSS)
:5150 mg/L
Pretreated Effluent Quality
Monthly average
Biochemical Oxygen Demand (BOD.)
530 mg/L
Total Suspended Solids (TSS)
<30 mg/L 0 NA
Fecal Coliform (geometric mean)
10' cf u/ 1 Donil
Maximum Effluent Particle Size
Y. in dia. 0 NA
Other:
0 NA:
*Values typical for domestic wastewater and septic tank effluent.
MAINTENANCE SCHEDULE
SYSTEM SPECIFICATIONS
Septic Tank Capacity
1585
ED NA
gz4
Septic Tank Manufacturer
weeks / Wieser El NA
Effluent Filter Manufacturer POLY LOCK
0 NA
Effluent Filter Model
525
0 NA
Pump Tank, Capacity
950 al
0 NA
Pump Tank Manufacturna
WIESER
[INA
Pump Manufacturer
GOULDS
[I NA
Pump Model
EP05
(1 NA
Pretreatment Unit
Ix NA
1:1 Sand/Gravel Filter
0 Peat Filter
El Mechanical Aeration
13 Wetland
0 Disinfection
13 Other:
Dispersal Cell(s)
0 NA
D In -Ground (gravity)
[J In -Ground (pressurized.)
7 At -Grade
JX Mound
C1 Drip -Line
13 Other:
Other:
0 NA
Other:
11 NA
Other:
Cl NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications-,
Master Plumbed-; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank
inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks,
measure the volume of combined sludge and scurn and to check for any back up or pending 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 pending
of effluent on the ground surface. The pending 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 (Y.) or more of the tank volume, the entire
content.s 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 arvy servicing at intervals ot �12 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.
Pape of
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals
that may impede the treatment process and/or damage the dispersal cells), 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 cells) 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 83.33, 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:
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.
171 A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in PODS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
"'C111MIt UJOC3 ITS CIVa oldingi ari k
in V
ruzy be M507T T e -1 —ai F6-d-PMTT"&. nV_,� VbR- o�J6AJ 0b"S7W(JC-J1
ustaUed Tf q, () 44 1 Z
Ll 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 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 1 7152462660
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name MARCO SEPTIC Name
LQUkh-11
Phone 715-928-2649 Phone
1 `7
This document was drafted in compliance with chapter Comm 6.2.2242)(b),l)(d)&(f) and 8.1.54(1), (2) & ;3), Wisconsin Administrative C.-ode.
ST. CR SANITARY SYSTEM File M:
OWNERSHIP/ADDRESS FORM o��oonry
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 Propgrty Files Scanned weblink.
.# ..a� s• . +r: „� , - '�° s' � s««�. i�':�°,, :,y""� �r�. -�,.
t-
S s .a9r
-
-14
Owner/Buyer Douglas Loyd
Property Location 'A , '/4 , Sec.-.-. IT N R W, Town of Troy
Subdivision Plat: Meadow Ridge of Troy 1st Addition , Lot # 53 .
Certified Survey Map # .Volume .Page #_
V1-
Warranty Deed # 7���5 ? (before 2006)Volume .Page #
Number of bedrooms 5 Sec house O es 0 no Lot lines identifiable O es 0 no
p Y Y
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— aov 1101 Carmichael Road, Hudson, WI 54016 WWW.sccwi.ao_v
U 2731 F SS I
LUWMD WABXANff DAD
Document No,
'his Deed me& be#wern VAUZY LAND
COMANY, a to c, p tioaQ,C=nW and
DM LAND PLMeWETC., Crtantee
w%t -MAU" That the Cuantor otzav to
Grantee Muen red csute in St Croix Cam, Statc
of Wisconsin, legally descrrW on Exhibit A hero
(the"Piwperty"),
Together with all emd Singular hQedi is
and I W-FUMM. a+amto belonging.
�749�Q�� Z3
KATKM U s VALSK
RMISTER OF DEEDS
ST. CROIX M , wx
RWEIVEP R REWRO
VAAM DEED
EM #.
REC FEE t 15000
TRAITS FEE t 10S59. 90
COPY FETs t
cc t
PAWS t 3
Tks AlveMce is without warr�gaty,
except Grantor eov�ts SM i is the
c7ranwhas not made, dan or Tac LD.: �f 'E c,
suffered any act or fbing whereby the above- j •
nbcd oar sny part Ocmfwwor ''
Aft
at any tnrne h ,shall or may be
died; charged or eucuubered in any
mnner, and GranW wM t title to the
abo 'w pMpMtY xphut A
c ' me the safrom or through for as ,
a resulrit I � It of any such act or provided, howaevu, that the c ce hereby jmd the
y Of Grentoor is & by and subject to those maw Set forth on brt B hereto.
Dated this ,� day o0ummy, Zoos.
ACKro G
STATE o
Personally ca = befome we this day of Jamary, 2005, the above named Cary B. Valleys as
Fresidextt of Valley Land Company, a Minnesota catpara#ion, having full authority to do so and
to = known to be the p n who executed the % insert and aclmowlodged the
/,
U 27 31 P 55Z 1:204
LEGAL DESCREMOMPLANNERS
PARCEL A
LOCATED IN TH E ! SE '1/ OF THE -BE !/Z S V/ OF THE. SE 'f AND PART OF THE NW 'r OF�E- SE Yz c
-NE Y4 OF THE $E 4; SW �4 OF THE NE YeANO• THE SE % OF THiF.. NW YA*L'L 114 ��CT#ON • 17,
TOWNSHIP 28 NOR"H, RANGE 19 WEST, TOWN OF fROY, ST. -OR0tX C6UNTY, WIS6Oi4SIN:
BEGINNING SE CORNER OF SAID SEC1`iQf4 i , TliENcr= s§8o§1'31 W, ALONG.THE .
LINE OF THE SE ! OF MIX 2629.W FEET THE WEST LINE €]i: THE S % OF SAID
SECTION; THENCE NOW05'44"E: ALONG'AMID 1d1=ST LINE, 266Q.38 FEES' TO THE CENTER OF SA)D
•SECTION; � EW8sp8a45''22'W: 8.79 FEET. ` ' ] A • P 33NT ON �4 48.0C • RAi Il1S CURVE'
CONCAVE NOSTERLY, WHOSE , CENTRAL ANOUE mEAsuRES- i a°ld'v?'", WHOSE CHARD
BEARS �'*44!WF AND ME kSPREg 26.27 FEET; 'HENCE NORTHERLY _ LONG THE C OF 'SAID
Ci�RVE AffiD 80U. THEf�LY RIGHT OF WAY OF EASE` COVE ROAD 26,3O FEET TO SAID WEST UNIR
14
OF'THE SE • 4 "ENCE N00005'44wg, ALONG SAID WEST LINE 124.75 FEET; THENCL NW. 51131"F.,
249.49 FEET, THE, RCE SOOP05*44'"W, 413.44* FEES', THENCE N88°51'31 E, 2042.11 FEET TO THE
CENTERU NE - O F TOWN -ROAD (TOWNsvALLEY RoAb) BE J NG A POINT Olq A. 3754,Oo FOOT
RAMUS CURVE, CQNCAVE SOUTHWESTERLY WHOSE CENTRAL ANGLE MEASURES 9028'21!r,
11 "OSE CHORD BEARS S36°43351E AND MEAWRES. 620.06 PEE* ,- THENCE SOVTHEFLY ALONG
THE ARC OF SAD CURVE, 620.76 FEET TO THE EAST LINE OF THE -SE 'f OF $ND SECTION;
THENCE S01a07'3I�"' s ALONG SAID EASE" UNEv 1886.26 FEET TO -THE POINT of BtGtNNWG,
i:11:
tt 273 1 55 3 122704
011305
OI130S-2
EXCEPTIONS
a. Reservation of any minerals or mineral rights to the Mate of Wisconsin.
b. The building! - use, subdivision, and envhmnnwnW laws, ordkanm
and re(local, state and federaIN appiic ble in any way to or any
extent to the'ropearty or my pit or portion thereof.
C. Ali gents, covenants, conditions, rights, ruts -of -way, restdctions,
reservations and exceptions, if any, of record.
d. Any lien arising out of any goveent sponsored conservation programs
relating to the Property.
a Utility and easements, if any, that are not of racorad (excluding
those gmmW by SeUear).
f.IhIll,ats, if any -
go All real estate taxes and special assessxne�ats.
h. Liens, encum , adverse clahns, or oter hwears wbicl�. dyer has
crwtecLd or pern�itt+oa to accrue.
i. [WentionAy umittod.)
1 [�ntcntionally omitted.]
k. A ecdain conservation easement given by Grantor and Grantee to the
Town of Troy, Wimonsin.
#3065MU
I Ir MIT B
Rw oircm FM AM
MAP. V" TNa1RR at w 01.
Arinr sn14LEP
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wF" *tAfTM x/mm
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nwoin 6� M"
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raw iE U �U+ uMa"
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A WILL RAY wm-
erree M Pow TI R bw4j"
NY PAM PM a aL&ALiwwr"Mrw
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ALL MMAWNWIL a e.e07WSA -
aalRlfe MAW To VJL �U
[t7tRlolt Fpa:nfArfwa~
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lorrafa +�,�
s l Tab lay Now nee fa'Eea
tI Fine f101nn VA rU M NATM
9 lu• �
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1•
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g1A!'1 #AAl • fa1F rm F!A RAN
ftw. RAF
RUN" To �
TYPICAL JYAI.L SECTION
1 f2"-r1'—U~
I
Ed
------------
■
LOWER LEVEL PLAN
2229 SQ. FT. TOTAL
1636 SQ. FT. FINISHED
114"-1'-0"
_ i Q
L y '
Nol
tC 4
1 , h
I ,
+ to
1 ,
----------------
--------------
uhleuhlaiipori
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,
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*M DATE: 06-21-23
R[Ytlrotli
in f1U1QCR. 1Da]2]
DRAIM BY; M 'W.
"[TO
f31D SET— NDT FDR CONSTRUCTION2 0, 4
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De artment SOIL EVAL NT#ON 2
#2148
SP Sfety and ix Countfi accor ance with Comm 85, Wis. Adm. Code Page of 3
0
Proles Schmitt S Testing, 1, �Wv i 09A.0 Development 14 11 M* c)A ixe oil Tes ng, Inc.
4 j ` A. County
Attach complete site plan on paper not less than 8Y2x 11 inches in size. Plan must St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. OqO 131 - 59 00Q
Please print all information. I Re a:I wed By Da
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 SW11/4, SE1/4, S17, NTT, R19W
Block # Subd. Name or CSM#
1505 Hwy 65 53—T Meadow Ridge Of Troy P11" Ac"n
Property Owner's Mailing Address Lot #
City State Zip Code Phone Number Nearest Road
j city '-]Vl1lage Town
New Richmond WI 1 54017 1 612-599-4244 1 Troy MeadowRidTrail
New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
L Replacement
Public or commercial -
Parent material Glacial till (Santiago Series) lf�71, Ic" �IL41 Flood plain elevation, if applicable NA ft.
is,
General comments Area is suitable for a mound sysVm. System elevatl is 101.40' based off the contour line established at 99,88. Slope of the area
and recommendations: is 9%. Depth to limiting factor is 18 .
Boring # Boring
Pit Ground surface elev. 97.26 ft. Depth to limiting factor 29 in.
ISoil Application Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence Boundary
Roots
GPD/ft2
*Eff#1 *Eff#2
1
2
0-8
8-19
10yr3/3
10yr4/4
none
none
sit
sil
sl
2mgr
2fsbk
lmsbk
mvfr
mfr
mfr
as
gw
as
2vf
1vf
------
0.6
0.6
0.4
0.8
0.8
0.7
3
19-29
10yr4/6
none
4
29+
10yr6/6
FRACTURED
LIME
STONE
---
------
0.0
0.0
2 Boring # Boring
Pit Ground surface elev. 97.36 ft. Depth to limiting factor D8 in. ISoil Application Ratel
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consiste7n
Boundary
Roots
GPD/ft2
*Eff#1 *Eff#2
1
2
0-8
8-13
10yr3/3
none
I
sl
2mgr
2fsbk
mfr
mfr
as
gw
2c2vf
2m.2vf
0.6
0.6
0.8
1.0
10yr4/4
none
3
13-18
10yr5/6
none
scl
2fsbk
mfr
as
lvf
0.4
0.6
4
18+
10yr6/6
FRACTURED
LIME
STONE
------
0.0
0.0
Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOD5 �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
1595 72nd St. New Richmond, WI 54017 5/24/2021 715-760-1978
SBD-8330 (R.07/00)
At
Proorty Owner DCa Investments LLC Parcel ID # �3 Page 2 of 3
3 ❑ Boring
Boring # 0 Pit Ground surface elev. 100.90 ft. Depth to limiting factor 53 in.
Soil Application Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/W
*Eff#1
*Eff#2
1
0-8
10yr3/3
none
I
2fsbk
mvfr
as
2vf
0.6
0.8
2
8-20
10yr4/4
none
sicl
2msbk
mfr
gw
1vf
0.4
0.6
3
20-31
10yr4/6
none
sl
2msbk
mvfr
gw
------
0.6
1.0
4
31-53
10yr5/6
none
Ifs
icsbk
mvfr
as
-------
0.5
1.0
5
53+
10yr6/6
FRACTURED
LIME
STONE
--
--
rrrrrr
0.0
0.0
❑ Boring
Boring # ❑ Pit Ground surface elev. f#. Depth to limiting factor in. ISoil Application Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/fF
*Eff#1
*Eff##2
❑ Boring
Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in,
Soil Application Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/ftz
*Efl#1
*Eff#2
* Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 <150 mg/L * Effluent #2 = BOD5 - 30 mg/L and TSS -,�_30 mg1L
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 608-266-3151 or TTY 608-264-8777.
SBD-8330 (R.07/00) Sc hmltt Sol TesdW, Inc.
Conducted by:
Schmitt & Sons Excavating, Inc..
Thomas J. Schmitt, CST 227429
586 Valley View Trail
Somerset, l 54025
Phone: 715-760-1978
Signaturc
:5r-
Date - c 2 Y7/, 01
0 Backhoe Pit
A Bench Mark I El. 100.00'Top of 2" PVC pipe
,A Bench Mark 2 El. 99.69' Top of 2" PVC Pipe
Slope- 9%
Scale 1 It= 60' Contour Line El. 99-88'
A
Ref 2148
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.:
53
Legal Description:
SWI/4 SEI/4 S17 T29N R19W
Township, County:
Troy Township, St. Croix County
Contour Line Length 1001
03
Na
8 M b
710
69'
1W /
u4
Deparhent of SOIL EVALUATION REPORT #2148
Safety and
in with Comm 85, Wis. Adm. Code Page I of 3
1 Professional services
1W Schmitt Soil Testing, Inc.
Atta'oh'compfole site plan on paper not less than 81Y.- x 11 inches in size. Plan must County St. Croix �w __.. � ..,
include, but not limited to, vertical and horizontal reference point (13M). direction and
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.
Ploase prInt all Information. Reviewed By Date
Personal information you provfde may be UW for &ecormlary purposes (P&ecy Law, a. 15.04 (1) (m)).
Property Owner
Property LoCation
DW Investments, LLC Govt. Lot SWI/4, SEI/41 S17, T)(N, R19W
Pre rfy 0"Fs 4e_iU�in Address- Lot Block # Subd. Name or CSM#
1505 Hwy--65 53
Meadow Ridge Of Troy
city State ZIP Code Phone Number F City j Village
, Town Nearest Road
New Richmond I Wl 1 540171 612-599-4244 _1 Troy I Meadow Ridge Trail
New Construc4ion Use: Residential f Number of bedrooms Code derived design flow rate GPO
Public or commercial - Descnbe:
Replacement L _.�
Parent material Glacial till (Santiago SeM
Flood plain elevation, if applicable NA
General comments Area Is suitable for a rand system. System elevation Is I (W based off the contour line established at 9W. Slope of the area
and recommendations: is 9%, Depth to Wiling Wor is
Boring # 7 ] Boring
rL\-1 PR Ground surface elev. 97.26 ft,
Depth Dominant Color Redox Descripflon Texture
Horizon
in. Munsell Qtj. Sz. Coft Color
0-8 10yr3/3 none SO
2
—
8-19 10yr4/4 none SO
--I-- . — '----t
3
19-29 10yr4/6 none S1
29+ 10Yr6/6 FRACTURED LIME
I ........... ........ I. ____
2 Boring # Boring
Pit Ground surface elev.
Horizon Depth Dominant Color Redox Description'
in. Munse'll Cu. Sz. Cont. Color
0-8 10vr3/ none
2 8-13 10Y,014 none
3 13-18 10yrS/6 none
4 1 10yr6/6
FRACTURED
-------------
97.36 ft.
Texture
sd
Depth to limMng factor
29
in. ISal! Application Rate
Structure
Consistence Boundary
Roots-- GPD/ftlll
Gr. Sz. Sh.
f1#2
2mgr
mvfr
was
2.vf
0.6
0.8
2fsbk
mfr
g W
1Vf
y 0.6
0.8
lmsbk
mfr
as
------
0.4
0.7
STONE
---
0.0
0.()
Depth to limiting factor
Structure Consistence
Gr. Sz. Sh.
18 in.
LS011 Application Rate
Boundary Roots GPDtW
2mgr MTT as
2fsbk mfr gw
2fsbk mfr as
A --
LIME 1, STONE I -- I --
*Eff#2
2c2vf 0.6 0.8
2m,2vf 0.6 1.0
1Vf 0.6
0.0 0.0
Effluent 91 = BODIZ> 30 < 220 mg/L and T:SS >30 < 150 mgA_ Effluent #2 = BCD,. < 30 mg/L and TSS -j 30 mg/L
CST Name (Please Print) Signature::: CST NUMber
Thomas J. Schmitt , � 227429
. . ........ . .....
Address Schmitt Soff Testing, Inc. Date Evaluation Conducted Telephone Number
1595 72nd St. New Richmond, Wl 54017 512412021 715-760-1978
Property Owner DCC1 InVeStMents, LLC ,�.�
Parml ID
Boring # Bohng
Pft Ground Surface elev, 100.90 ft. Depth to limiting factor 53 in.
Horizon Depth Dominant Color
in, Redox Desc*11on Texture Structure :consistence Boundary Roots
Munsell Qu. Sz- Cont. Color
I I Gr- Sz. Sh.
0-8 10yr3/3
none 2fsbk mvfr as
2vf
2 8-20 10yr4/4
none Sid 2msbk Mfr
9W 1Vf
3 20-31
10Yr4/6 norie- S1 2msbk mvfr gw
4 31-53 10yr5/6
(lone ft Icsbk mvfr as
5 53+
IDYr6/6 FRACTURED LAME
STONE
[i]Boring L—J Boring F-1 pit
[] Boring
Boring # �
1 , Pit
L-1
f7111-0
Gmund -qijrfzna iftiat, In A 1*5 if MOrOk 4� r%
Gn:)Urld Ittirfnela AaLaup 4 r1aF46% #^ Z—--A-
-
Page - 2—of 3—
D11 /vpfiratlon Ra
GPD1W
0.6 1 0.8
0.4 0.6
0.6 1.0
0.5 1.0
0.0 0.0
* Eftent #i = ROC) 5> 30 < 220 mA and TGS }30 < 1 So rngVL * Effluent #2 = 13005'� 30 m91 and TSB <-30 w/L
The Department Of Commerce is an equal opportunity servict provider and employer. If you need assistance tO access Service's or
new Material in an alternate format, please contact the department at 608-266-3151 or 17y 608-264-8777.
SL+.rrAt Sa4 Testy V, Inc.
Conducted by:
Schmitt & Sons Excavating, inc..
Thomas J. Schmitt, CST 227429
586 Valley View Trail
Somerset,Wi 54925
Phone: 716-769-1978
N Bec khoe Pit
A! Bench Mark 1 El.100.001 Top of 2" PVC pipe
A Bench Mark 2 El. 99.59' Top of 2" PVC Pipe
Slopim 9%
Scale 1 "_ W Contour Line El. 99,88,
Ref 2148
Page 3 of 3
Conducted For:
Narne:
DCCI Investments, LLC
Address:
1505 Hwy 65
city$ State, Zip:
Now Richmond, WI 54017
Subdivision:
Mudow Ridge of Troy
Lot No.:
53
Legal Description:
SW1/4 5E114 517 T29N R19W
Township, County:
Troy Township, St. Croix County
Contour Ltne Length 1001
Dry A&tom
% M.
IOW,jAWqjww, , -, 4mwll m
- rl#� i Xf t Ow i FA 71
Is
--64.00 ft-�-�'
LOT 54
1 •11
10
IF
wm . 11 % Sli�
' .v.. ...,.....� i ...ti,
-eW4W=j Iro
VU3
PROXIMATE) -
lie
w 1"�•w. .-.� • ..... ..
`•, _
_.� .� *•,�� �,.,�r �� � � � `, � is ,�
5'�,m Eel rao vvk,
6=OC. folk COUNTY
No. 651 Soo9
air
if
NUD� �NF�xr'-A.L PREVIOUS NO. - ---
OWNER �GCZ. LAi�D LP00kE;R%S
r1r`hL1Uff-'rM-1ffE1h-n-'9RPf�U�- �o�'l}LE� L1R`---'6# 2ZS�I �r
TOWN "O""'F
sr-ju IT 2%_,N9 Ix C? *(V 7
AND/"X"X B"D L %d J% C
L 46, D
X.P
..... ..... ........ .............. ....... .
. . . ..... . ................................... . ........... ..... . ..
AUTHORIZED ISSUING OFFICER
........ .........
..... ............... . ... ...... .......... ................ ..
:zp(�E 1(
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.
- DATE /1:f/Z023
TT11"1S /01 zpzsUNLESS RENEW'1V".'.JD BEFURE, THAT DATE
. ... ... . ...
AM . . ..
r..M
. . ....... . ..
SBD-06499 (RI 1/20)