HomeMy WebLinkAbout040-1331-44-000Wisconsin 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
Oevering Homes/ Ash Properties
TOWN OF TROY
CST BM Elev:
Insp. BM Elev:
BM Description:
I (IPVG ;ou+h� C,,74 Q& Pr e_r+�-)
TANK INFORMATION
TYPE
MANUFACTURER
CAPACITY
Septic
Dosing
�MJ �
Ae
e+� cte
H ing
TANK SETBACK INFORMATION
TANK TO
P/L
WELL
BLG.
Vent to Air Intake
ROAD
Septic
Dosing
Aeration
Holding
PUMP/SIPHON INFORMATION t wAir-c
�
Manufacturer
Demand
GPM
Model Number
2�
TDH
Lift
I
Friction Loss
I ISyst
em Head i
3.5 1
TD I3 , Ft
Forcemain
I
Length
I 5°
Dia. Ii
2
Dist. to Well
SOIL ABSORPTION SYSTEM
ELEVATION DATA
County: St. Croix
Sanitary Permit No:
651326
State Plan ID No:
Parcel Tax No:
040-1331-44-000
Section/Town/Range/Map No:
15.28.19.2414
STATION
BS
HI
FS
ELEV.
Benchmark
l r,
)00
Alt. BM
Bldg. Sewer
r'
77.
St/Ht Inlet
0
St/Ht Outlet
Dt Inlet
Dt Bottom
7�,l
Header/Man.
oO .
Dist. Pipe
J18
j n� v
Bot. System
Final Grade
St Cover
�Q
5
4
5.JA(
.y
BED/TRENCH
DIMENSIONS
Width i
J91
Length ,
4
No. Of Trenches
PIT DIME NS
No. Of Pits
Inside Dia.
Liquid Depth
SETBACK
INFORMATION
SYSTEM TO
P/L 6o
BLDG 11�-
WELL 2 LAKE/STREAM
LEACHING
CHA E O
N'�_��
Manufacturer:
Type Of System:
A+ (0 CC-.
��
o del Nu
DISTRIBUTION SYSTEM
Header/Manifold
Distribution '*�Xx
Hole Size
x Hole Spacing
Vent to Air Intake
Pipe(s)
S A2
Length Dia
Length Dia Spacing
SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only For- Dfr4rA%or
Depth Over kcx�- > �
Depth Over
xx Depth of
xx Seeded/Sodded
xx Mulched
Bed/Trench Center Lr
�
Bed/Trench Edges
Topsoil
X Yes ❑ No
Ix Yes ❑ No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ���17�Z3 Inspection #2:
Location: 403 MOELTER LN �I
1. 1
p
Alt BM Description = -k 8:,ten.A4 V o 6A-
2.) Bldg sewer length = °° 2
- amount of cover = AAA ($iWul � tein�� (;verc� Poll- � � Cc�-i�r, PCB ) (Aal
� � P
Plan revision Required? ❑ Yes ❑ No
1
Use other side for additional information.
SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No.
4822 Madison Yards Way
Mc-ldison, W1 53705
11,0. RoN 7162
Madism, WI 5370,1777162
%�Vkdq �L �e !X �AtjW2,3
/ Qz -264
SallltarI-'er-r-nnit-Number (to be filled in by Ca,)
&TI 326
Sanitary �������it Application
,'tote Transaction Niinflwr
Iii accordance with SPS 383,21(2)10 Ad.,ii. Code, �L!11.13111Sti1011 0t11111� I011.111 to the appropriate,gover'nmental kinit
10230-2 JD9
Project Address (I f d ifl'C TC 111, thai) mailing address)
1 ., I Uq u irt,d prior to (11)(i5ill ing a sanitary per i n it. Note - A pplic-lil lon forms fou state-owned POWTS are submitted to
rhe L)up.-L.,ttment of S.,il-L'iy ;mA Professional S'�rviccs, Personal H1101.111zilion you provide may be used for secondary�3
}.,ILITOSC15 'in aCCL)rd.L111Cc w1ill the Privacy Law, s, 15,04(l)(m), stals.
1. AI)pk-,itiun Informatioti - P1 X1.,W1WL1nfacm
9W
- - I
Parcel #
Ntq `fO - 1331
7
h Q T-ty Owne r's Ma i 71ing Addn�'r,ss ell
f7
Pfoperty Location
-A - - Le C
G 0 V 1. Lot
City, -suilc
ell
Zip Code
Phone Number
I
L section
N R W
11. Tyl)e of Building (check all -that apply�-7
Lot #
r 2 Fam I ly F)vvolfing - Ntiniber of f3cdrookUS___ _.Ir
Subclivi""Jon Nail
1110ck #
Li blic/Commerciat - Describe Use
it Y of
tale Oiviied - Describe Use
Vfllalye of-
fj or
US M Nii,nibcr -------
III.T pe OTOWTS Permit: (Chech either "New" or "RephICCITlerit"and, other applicable on .1hie A. C Uck I W.
3 1 6 Th e oz �xtn Q!:o!h plete n e C i J
J, p I i C-& I ip
F1Miter gSNCewesyst"ReplacC11101tSstem d fiati� to L.\IstIriYI111 (:xplaln)FIA1I ml Pretreatment Un ii (explain)
kilding Tank
Uln- 1•otrrnd
(Conventional)
I _0 race
Renmal Before
DRevision
h aii ge of` PI ti ni h.- r
iV. Dispersal/ Treatment Area and Tan%. Inforim.ition:
J2_' �Ccl(7'
Dcsign I I �k t p -! I Design Soil Application J�LJJL:(Ll I I
Dispsal Area R
7�a [")a city IT)
Tank Informatioll Gallons
New Taiiks Existing Tanks
Scpfic, or Holding TaiA
I J,Ismg Chambei,
V. ReSI)onsibility statellielit- 1, the 1111del-signed
Plumber's dresi'(Stice-1, t. City, star ` iit zV ode
V 1. Co 11 ntLljl)e 1).,1 1h(Itl en t I i Se 11 y
Fpproved Pr V 1�11�p �Iov
Owner cli
7
ConditiOTIS Hi%n1PP=M_1i
(k P ) �ro �! �4 � -
SYSTEM OWNER:
1. Septic tank, effluent filter and dispersal cell
must be serviced / maintained as per
man agemnt plan provided by plumber.
2. All I setbac k re q u i re me nts must be mali nt fined
as per applicable code/ordinances,
L_J Mound
Individual Site Design 70ther Typo (ixplaln)
F-11'ransfer to New Owned List Previous Permit Numbe-Ir and DLw hssucd
red f) L, Area Proposed (sl)
Total # of all t I t1rur
Gallons Units
sv�[L.11) Elevati
.D k.. U
'6-
LZ C)
-1001)
r(11- installati(ill (JIII t. N Ii%� I "hown oil [tie attached phins.
thisincss Ilium N
th: I le'lt�lhjl,r.
77v
Permit Fee Dale hstied I sstiin Agent siglIFItUre
0124oD�
-
%-A
t
JA
At
_[A0zC P -
I
I
L
(;I C"I 11% L'- I I H I.,d 4;1'11, fo f 1110 'W� tvin and submit to ITIC COUH(V 411111V On 11.315t-r 110t It -SA 111:111 S 1 2 X I I MOIL"% III Sjzli'
System PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernohaus Ave. New Richmond wi 54017
N 112 NW 1 e4 S 15 IT 28 NeR 19 w TOWN Tray COUNTY ST. CROIX
SYSTEM ELEVATION 100.2' DATE 10/2/23 BEDROOM 3
CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT FOLDING TANK
MOUND
SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE 60OGaiion
HOLDING 'TANK SIZE LOAD RATE •5 ABSORPTION AREA 900 # of ChambersNone
BENCHMARK V.Rx. Top of 3/4it or 2" Pipe ASSUME ELEVATION 140' Filter Lifetime
BOREHOLE(DWELL * II . R. P . same as benchmark
0
Gradint
done to
runoff t
from sl
Wlsinsln [ cp-.5rtT11t0to1'Sa1'etN1 and Services
Dlvj�ion of'] lid I i,,i ry Service's
4822 Madlsoii Yards Way
PO Box 7302
Madison, W1 53707
October 20, 2023
CUST ID NO.- 226900
S J
. HALIN R 131 RD
1432 12 0 T H S`F
NFW RICHMOND. Wl 54017
CONDITIONAL APPROVAL
PLAN APPROVAI, EXPIRES: 10/20/2025
M
UI
NI Cl PA 1.1 TY:
1'()\&-'0 OF 1'R()Y
S I
SITE:
OEV I- R I NG CAP] TA L
404 MOELTER LANE
HUDSON. W1 54016
N 1,12 NW 1 Z4 S 15 T28 NA 19 W
FOR:
Design %Vastei�,-ater Flow Value: 450
Bedrooms: 3
Lituititin Factor(s): 38" llelo\v Gj-�-tde
Maintemince Required: LI'llucia i7ifter
Phone: 608-266-2112
'Web- titip-As
T 90v
Email,
Tony Evers, Governor
Dan Hereth, sec retar\
I de n t i fil c�i ( i on NU 111 be I'S
Plan Review No.: P��`['S- I 02302408-C
43415,
.Npplication No.: DIS- 102
Site ID No.: SIT-jr22298
Please refer to all identificition numbers in each
correspondence �% i t h di [)`...,partment.
AP F H W'D
DIVISION OF INU, F R V I C t S
h;lonezo�ftr 7-�/
SEFE CORRE SPOkIDIF N (� u-
At-Gr,ade Component Manual - Version 3.0 (May 2.022-
2027)
Pressure Distribution Cornponent Manual - Version 2.1
(May 2012-2027)
SITE REQUIREA114 'ATS
0 A full size copy of the approved plans, specifications, and this letter shall be on -site during coii�trucfion and open to inspection
by authorized represent-atives ofthe Dep-c-iriment, which may include local inspectors. A Departniexit electronic starry p and
W
signature shall be oii the plans whiIch are used iat the Job site for construction.
'Hle following corlditimis sli-Al be in el during cutis(ruction or installation and prior (o occupancy orse,, u
1 Ilk �N iS (0 11C C011SIFLIOCd :111Q[ located in accordance with the apl)TOVed plans, and the "At -Grade Compoilt,ni Nlidntril [0F
I ou k
Prk:'ah: Onsitc Wastewater SNstciits Version 3
W
The priessure network is to be constructed in accord . -MCC with publications ''Pressure Distribution Component Manual fur
Private nsite Wastewater'lrcatii)ent Systezins - Vej-�,Iwi 2. 1 " and/or the sizing aunhods or publication "SSW�Mll' I'Liblic-IA11011
9-6 Design or Pressure Distribution Networks for ST-SAS (0 1/81 )".
OWNF.R RESPONSIBILITIES
9 I-11C C111-1-ClIt CM 11121-, 'Llild CLICh SUbsequent owner, shall recet'Ve Ll C()I,),\ of I'llis leacr inn ludim-'. [-CIntl Ill k 10 LJSC
and Ili aill tell all Ce Of t1le sv-SICHI, 0\% Tiers shall receive a cop� 01'Llie -dppropri�iic opercation and jimintcm-Lince niaiiuj] -,md or
L'I for t[ic 11(m I S de.,,k:1--bed in this approval and Wis. Admin. Code qPS '8`�54( I 'i.
owner 5 IM111 Ll "I I
In the event this soil at) -sorption s��tcni or any Of it C01111)OHL111 IYKIIII'MIC11oll." �1,, to �"Ivale a lw-Ltlih haz.ii-d, the properq,
owner niuct fOlIONNthe C011611110TIC) ` plan as dcsced ribin the approved plans.
Z,
The submi(tal described above h as bo eLm reviewed for cnfol-JILLHICC witli appli�ablc Wiscojisin Administrative Codes and Wisconsin
Statutes. 1, lic submittal lins been CON, D1 TIONALLY APPROVI -. D- Hi k svSM11 iS (k) 1-C Cofl�LFLICTCCI J41d k")CIlled ill ti-Iccord,L-ince with
the enclosed approved puns 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, stars.
All permits required by the state or the local municipality shall be obtained prior to commencement of
constructi on/instal l ati onlope rat ion.
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 stars 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,
ff'4r'&ZW www 441'740y�
Matthew Janzen
Division of Industry Services
Phone: 715.340.0407
Email: matthew.janzen@wisconsin.gov
Fee Required: $250.00
Fee Received: $250.00
Balance Due: $0.00
Refund Expected: $0.00
uover Page
Shaun Bird
Bird Plumbing Inc,
1432 1 20th St,
New Richmond Wi 54017
715-246-.4516
p
Date: 10."02/'2023
Owner:0evering Capital
Location: NI/2 NW1/4 S1 5 T28 N,RI 9W 404 Moolter Lcarie, Troy
Manuals Used: At -Grade Component Manual version 3.0 (May 2022-27)
Pre.SSUre Distribution Man Ual version 2.1 (May 2022-27)
Page#
1, Cover Page
2. At-Grc-ide Plot Plan
3, At-Gracic�). Cross Sect'1011
4. Pipe Cross Sect 1c)n./PI [--)e LaYOLA
5. Purip Chambe r Cross Section
6. Pump Curve
7 - F'1 Iter Specificatill
s
8.-9, I.-Jakitance and Contingency Plan
Allachmo, iits: Soil Tesyli--)
Sh-Wn Pi
Licotiso r
'CandIfforpafly
APPROVED
C)FPT OF SAFt-TY AND OROrESSICNAL
SE R VIC F 5
OMSfON (IF 114DUSTRY SERVICES
1*I ZITOTUNIR..kL
System PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernohaus Ave. New Richmond wi 54017
N 112 NW 1 e4 S 15 IT 28 NeR 19 w TOWN Tray COUNTY ST. CROIX
SYSTEM ELEVATION 100.2' DATE 10/2/23 BEDROOM 3
CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT FOLDING TANK
MOUND
SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE 60OGaiion
HOLDING 'TANK SIZE LOAD RATE •5 ABSORPTION AREA 900 # of ChambersNone
BENCHMARK V.Rx. Top of 3/4it or 2" Pipe ASSUME ELEVATION 140' Filter Lifetime
BOREHOLE(DWELL * II . R. P . same as benchmark
0
Gradint
done to
runoff t
from sl
At -grade System 51oping Site Cross Section. and Plan View
Mal wpm
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IN basal are. -I IN
'/2 t o '2 1/' ill. di�l-C)L scl �.'Ittoil
111pe
Dimension
Feet
A
12
B
7/9--
1/6 B
C
D
2.0
h
5.0
F
0.5
G
1.0
1,
V!
E % slope I J_
Lateral with 2" "Yopsoil, Cap
aggregate over plpe
Geotextile Observation Pil)c
G With Car
/ YV Z- Ft Late ral Invert
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ff to■ oil --m ■%
mad"'1111
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Slope Direction
GE
NE INSTALLATION * 'I'lie at -grade area is staked out along the desigfi contour. Existing RAL T ,
vegetlat i on is mowed and rt-tl� c cl 1 1 1 f t h e s i te. The basa I area (L x W) i s staked o Lit and p lowed wi-th a
moldoard or chisel plow. Plov,inky, may not proc if tic L .oil is wct enough at the plow depth to
fot-m a 'A inch soil Nvire when it simple is rolled bebmeci-i the ji,L'ilms of the hands. Tile A x B area is
covered by cleL-m aggregate depositc(l. c�%-,ei-he-ad by a bsickhoc. Special care must be used when
placing the aggi-e, I L [I o I" 01c plowed surface. After, the topsoil cap is placed,
, gate to minhnize comj)'icuo
the entire ai-gi-ade is seeded and mulcliccl to promote vegetatjkle grow-th, lim' 'it alld protect
froni freezing. J'he observation pipes are perlorated in the lowci' 6 inches and secured in. place.
03105 1W page tp"; of q____
Fo
Pressure Lateral Layout
One Lateral — End Manifold
� — Threaded
leanout
Plug
Gong
)veep
90
Bend
Pressure System Construction
Laterals are constructed of Schedule 40 PVC
La ,
pp
e. orifices are drilled perpendicular to
he pipe with a sharp drill bit and face down.
t p p threaded
Lateral turn -ups terminate with a
Ileariout p g lu and are enclosed in a 6-8 inch
'
diameter lawn sprinkler valve box accessible
from fini shed grade,
03/OS lgj
Page of �-
0 0 !
S,eptjc-j,)ose r lan I k Cross SecliO'11
"rank imanu"t'aturer
ank Moclol Number
6
TowlTieuk Cii.pac'tY
I'M?a. Bury DvIpth
Fifter Manufacturer
filter N
PU111P �erformance Rcqul'red
F
cipml; @ TDB
outlet. 1Iqai)hole Min. 4,J1 Above Grftdc With
I
1- Dcking Device. 111jet Mailhole
< 6)1
I'll T� 0 —T� 'b b 0 P
Outlet Filter
91
Anc�Rump Performance SpeciIicativns
P Mail,, [hcturer
pill,, Modet NumbeT
Manufacturer.
Alarm
Ahirm Model Numbe,
sk'Vitch'i Ype
4JJ4� 1/.
% Ea -
. . . ...................
(TD11) - Feet
F,jeVat1()nT-1e,e,i1]
Distal pre ssuro
'Network, Loss
f-'4orce, Main • Los s
-7 1 ��
,I Iota]
- `
S° 5
Miln1jole, Min. 4",Above Grade
witli T.ackiak, Devict�
III et
Iiiiet Baffle
I d
A
).3vitell Sett�ngs va-ld Reserve Capacity
L F
Tank-Voluinu /-7 GPI
low
4 4
V,0jUnje G a] ,
1 4
1.
0-oscrve) A, ��
�k e
i�e1
*414
d 4
(aiaxni B 21
_.
F FLi
.,
f Elavation
,411 1
C,
-dose)
lip
d
F
4 f
1
(dead) D
/,g
41 4
.14 I
al
Iloffal
f' yJ 1
41--j—
1" 4 1, 0 1 �1- F 1
P
P-■ LL I
:0, P I. P r i
1 4.
6 6 1!2-J�11.1!. L I..,- A -1 4L 14-1.
[Ascollatct
Nlealls
Bottoll-I
GE NET1,V1, VNPTAIJ.ATION: The wixic/duse tu,,X" is buddMI ""(I "-C.k in accorcilklice,
Iff0dtict approval spucafiratims. NlaximLim dt�,pth o-fbury assPeUMVIj
k �li r t �rf �f r 1 lck r� � .
thow 1)�ior approval. Malllwle ccwerti expose J to grOct ade have all Off lewico (Pad1m;k,
Atings, ;i
it " Qf approved iiiaterial., colillecte(I to the twik itil ivatcrtight 1.
1,1swile(l. 111plog 4ra the ii)let and�outl�. B I
ettlillg 01. br,
it, is L Alk�ej !he milk
laid oil jtabhl Soil to pruvent & [,,a iluuved %AF*th 4" Sc, - 40 PVC to I
he slut3ve is senlQd Nyaterdghi.- 1,41ectrictil with NEC 300 Mid Ccnm, 16-8,
t C/
Page
'hs 1- 1
280=SERIES
112 hp Sub ersible EffluentlSump Pumps
The Liberty 280-Series provides a Cost effective "mid-
range" IDLIMP for on -site waste water systems, liquid
waste transfer and commercial heavy-dUty SUMI) PL1111j)
applications that require higher head or more flow.
De5igned around Liberty's unique "Uni-Body" castirig,
the 280-Series vJ11 provide years of reliable performance.
FAO`OM
Vorlex style 4iipeller periiiiffing passage of solids
Lip tO YV
416 stainless steel rotor sliaft
• Permanently lubricated upper and lower ball bearing
Epoxy povider c oat f i ii isli
•Ai I fast o.ti o- rs - co rro si c n-re s Istant stai n] ess stee I
1 1/�" DsOargu
Stainless steel bottom screen - easily removable
1P Maxiniwi�i flUid ter-iiperature'. 140' F.
0-Series Cord Lengths
Model 10' 25 35'(- 3)
280 Standard Optional Optjol)al
Optionall
281 Standard Optional Optional
Optional
283 Standard - ----opt i 0 Ila[ ._optional
N/A
287 Stan dL-ird— _Optional N/A
N/A
10' cord length standard on all mode Is. For optional
lonnth s,
add `d_ 2, -3 or -5" suffix to model mm ber.
Examj)le: f w model 280 with 35' cord, ord or 280 -3
Mo tor 5pecrfica#runs
1/2 lip 60 Hz 3450 RPM
it filled, flienii-ally protected
(PSC) Permanent Split Capacitor
8,0 all ips (11 5v)
4.0 arips (208/23OV)
oN omit am
09
30
z
11
8
6
5
3
2
0 5 10 15 20 25 30 35 40 45 50 55 60 65 70
U.S. Gallotis Pei- Minute
38 78 114 156 192 228 270
Liters Per %I inn to
Dimensional Data:
Weight: 29 lbs.
Height.- 13 11
Major Width: 10'' (model 287)
Minimum Sump Diameters.,o
Model 281, 283--.1-41P
M od el 267 VM F... 10 61
Factory switc1l Model 281, 283 Model 287
VM
settings F
1k
Turinonlevel 13
pG
TUrn off level 7 Ll 1 4.011
The Modet 263 features a f Ll If Yzadju stable wide-angle float. Differential
adjustments care be mace c,�j sil y by tethering the float to the d i-s-
charge pipe orother mountl rig po in't - Vertical float Modell 287 Is not
adjustabl!e.
4
Model 287
Modet280 Model 281 Mode[263
L
VIVIF-Series
all MallU10 L Wide allLgle \Nide wigle Vertical iiiay-
no switcli float switcl-I float, swlt& t mic f I oat foi-
1 - "�j ?" wifli series
wiflikk qL
discoiinect (piggy-back) smaller pits
T_
Ope W1
P_
IID rate in
01
a 10" diameter
surnp
SS�1i: icp
C us Certified
.t chan go w4hono ut fte.
Spin I 11cations am ou bjor, to
3,50 F (565 J 4 9 4 - 18, J
Liberty Pumps 7000 Aj)j) It', Tt-o? A ve ri tj o ov Be i'ge n, No V Yo o'� 14 4 16 P1 1 o L,'O 0- 54-25
tv V.,f tv.1 ib 0 1 1) ( 11?) Lik)erty IT)c, 20'
ed. LL.IT200OR05/17
W
ro
A
OA
-OtGoo between COse Orld SerPSnflne
SEECTION A -A
00
91
Sc
7--
LOW
nf
Page Y I
r c
START UP AND OPERATION f painfing products or other chen-dcalls thr,t
e of the pC)\AfTS clieA treainnent tank(s) for tji,a presence 0 P
Pof new cc),I)strucunno prior tO us If high concall1rZ.1tiotis are detected have the contents of th...
M-,Iy Impedo the treatmOnt process andfor darnage the 6spersal cell(s),
I operator por to use.
ian�(S') rerijaved by a septage serilcing I re frozGn at the infiltrative surface.
start up shall 11c)t occur Y�ben soil cor.difions a
Systen-,4 r ;evels- VVhen po�,ver is restored the excess
D-Uring power outage s pun-.1p tanks rnaY fill aboNje n0fmall highwate d may result in the bacxup or surface, discharge of effuell i JtL
'Ispersal Cell(s) in o!�e large dose, overloading tne cell(S) an erator prior to res,or.W.g pc)wer to �h,-e
discharged to th(-,,. d ritents oft pump tank removed by rl Sep,age Servicing C)p - urn ccntrols to restore =TnBli ievellz
To ,ivoid 011:5 -51Uatic)n ila" the cc assisl in nianua'4 opelratIng the put
effl�jer)t PL1111P or cor)tact a Plurnbel" 0 1. poiVTS (AaIntainer pacl, the area Withirl,
trLe pull)p wnk� k
Do pot drive Or, park vehiclOs QVejo taT-ilks and dispersal cells. Do not drive or park over, 'or 01hervv se, dislurb or com
oGwn slope of any Wound or at -grade soll absorpiior,�p area,
15 feet rid 0 D the life of
ng from jj,je wastewater strearn may it Ille performance a d pr I ng ,
I li -JeQtant fat,, foundatlor)
on or ellmnBticn Of the f011owl sers-, dental '11095; O'BPer,5; d"s" d U C"I Is,,
R dry ra
el d riot - I - tte butts', condonis, cotton swabs,- degrea ' rreat scraps; rnadlcatlljlls� D11; painting pro
I r,5-, ba)y w[Pes, 693re - grease; harbliclides,
ant1bic. I I table peelings, gasoline,
(SUMP [)Urlp) V�Zltef., fl-U't alld Vege. , and w-,ittm
pee
ice 5,'31Y,tary rmpkins; tanipons r softener brIne, to Instjre J�iat the SyStem is Pr()P60Y
ABANDONMENT 1 6 s g1jall be taken L
i,Linen0y taken out of seroethe fcl�ov�lflg 5'el)
I s andior Is peni AdmiLn[sirative ogle:
VVhon the POW7S fUll tiapter Cornni 83.33,
and safely aball.c'Jored in compill ance �vith C. -ted -and tj)e abandoned pipe openings sealled.
0 XI p1p,irg to tanks and pits stlal[ be disconneLl servici.ng 0per-cit0f,
coments of all tanks and pits shall be ret1jovea and properly disposed of by a SCPtagO
'i ,Od wl,
rd pAs shall be excavated and removed or their co%jers remove d and the vod space
0 Aftc-:r purnping, all tatlks r aI
gravel or another inert send material. taken, to provIde a code compilijint
CONTINGENCY PLAN ired the following measures ��ava beert, or 1-nust be
PA the OV%�TS fails and cannot be repa
replacelnent:systern: orpflion m1ste.n',
17 ed fair tl��e 10-atiot-I of a replacCmellt
tit area has been evalivated and may be UtIl �.d . - y rC,(jUlICd
[2 A suitable replacernc nact'.on and should riot be infrincled upoii b '�e rlEl,,C�.d
-.,cted from disturbance and Go III P '61
u'id be prote r- Ct the replacement area will result ill I
The rep lacernent area sho - IS1 raiklr(,� �O PrOtE) in
lines aTid vweU
setbaCks froir existing wid pl-oposed Stj'UCW Fe, �ot VSte[r.!5 MUSt COM01Y the rulefl
�jajjon to establisi'l a suitable rep4aw&mentb area. ReplacemOflt sus for a new soil and site eval
effect at that time,
�tatjons, Barring acivElnees ir, Poi, VTS lechnologV 3
t available due to setback and'or soil [::ri
[I A suitah!e replacement area Is 110 place the failed PC)%V" S.
[ioldir,ig tank may be 111sla-Hed as a last resort to re 'ea. Upon failure of the PQVVTS R $Oil at'd site eva'ua'1ion
[u@te 'd to �Lje,
,)tjy a q
Thy site 1-nis not been eva utab[e rep�acernent a; V "Is availi-ne a holding tank rnay bo installedl as
tilUst be performed to 10C.Elte -cl s,,f,table rep�iacelrient area. if r,,o rel:,dlacpwnel7t are8
a !last re,5011 to rcPlCO thO faded POW'TS' y tie reconstructed in pl@ce fo-[�f1afowing removal of the blarnat ,I t1le Jn9tre,_Vi%)(-
MOUnd and at -grade, soil absorpti,ot) systems ma I t tlm�n-
itli 11e rules il- effect a
L..j f SUch systenis must cOtT101Y w
Surface, RC4,CCT1S'WL,JC1(r'(AS 0
<<WARNING>> R TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGM DO NICY
SEPTICp PUMP AND OTHE EANK UNDER ANY CIRCUMSTANCES, DEATH MAY RESULT. RESCUE 0;2�
ENTF-R A SEPTIC, pUMP OR OTHER TREATNT T
M OSSIBLE.
PERSON FROM THE INTERIOR OF A TANK MAY BE OIFFICULT OR IMp
ADDIT110NAL COMM-ENTH . . . . . . . ................................
p(DWTS INSTALLER
Name
POINTS MAINTAitJER
Name J_
ILI
Phone 7
-
LOCAL REGUUATORY AUTHORITY
SFPTAGF- SERVICING, OPERATOR (PUMPE
I"e
- ?,IT)e Phone At-
�_+
a
(2) & 3 AdM
[it IN8 M r
culipilarlice with chapter SPS 383_22(2)(b)1)(d)&:1 ond 3B3 %
BftOd 5
POWTS OWNER'S MANUAL & MANAGEMENT PLAN of
IFILE INFORNIAT(ON
Ov,mer
e
Permil.#
PARAMETERS
NIumber of Bedrooms
Number of Publ[c Facility Units
Estimated flow (average)
i DesIgn flow (peak), (Estirnated x 1.5)
Soil Applicatic)n Rate
St-sridard Influent/Effluoi-it Quallity
N
N A
—PILOY-
Monthly average"
Fats, Oi! a Grease (FOG) 30 mp/L
Blochemlcal Oxygoii Dcmiand (E30D.5) �5220 rngIL 13 MA
Total Suspended Solids (TSS) l 50 mg/L
'FI'etFemed Effluo,-1 L,a lkty Mon thl average
BiodiierniCal 0xvUen Demand (DCD6) �,M rng/L oe
Total Suspendod Sollds (TSS) 1 _sK n,kg1L
Fecal %C.,cliforril (geomatrlc. mean) 104 CfU/1 OOMI
'Max,611,1U1,11 Effluent Particle SIze Ij In dfai D�A
typical for domestic wa stewate i ar,,d
F i, Al NTEN ANCE SCHEDULE
SYSTEM SPECiFICATIONS
Septic Tank Capacity.
z 7� 2alM
NA
Septic Tank Manufacturer
lee"
(2
E'Ifluent Filter rvlanufacturer
Eff I ue ii t Filter M Adel
� � -._ . _ __.
7 � �
Pump Tank Capocity
(:j l"
Pump Tank Manufacturer
Pump ManLifacture.r
0 NA
Pump %,Iodel
r�) j/t�)
El NA
f1rotfeatment Wit
7 and/ FiRer
0 PCiat FiRer
[2 MocharIcIll Aoration
C VVetland
D'o-opol's-ell cell(6)
NA
El In-GmUnd (gravity)
0 IL11 - GFOu[id (prossurlzed)
t-Grade
L] �4 o Li ri a
Dr[p-l-line
-
[71 OffieF.
El NA
Other:
0 NA
Other:
11 N A
Servlco Event
Service Frequoncy
c oilditionoftank(s)
At least once iDVeF'Y'.
ironth(s) (M,-,1X411Urn 3 yiears)
R4 ia Erl r� S)
1:1 N A
]Pump out contents of tank(s)
combined and and scum equals one-third (�3) of tank v6lume
Ell NA
IJnspecl dispersell cefi(s)
At [uEisl once care pj.
(Maximum 3 years)
C1 NA
1�.,'Iean effluent filter
At least oncq oveTy:
117 onth(s)
j
El NA
Inspect pump, pump controis & all arin
At least ancs every-
_21 0 tylomh(s)
fl\
III NA
I:Iush laterals and pressure test
At leasi once every:
`� El mcnlh(s)
e
0 NA
Itdr;
E
El mct)th(s)
NA
At Jeast once every-.
11 Le
r6A the r:
0
N
MAINTENANCE INSTRUCTIOtIS 4
ilnspeclians ol' tanks arc ,J dispersal cells shall be made by an indlv*1611.131 carrying one of the fallowling, 11L.,C-Irlses or certificafl,.,.,LFjF I'V11 as t e r
Plurnber, r0as.,r PLanterRp31rlcted Sewer: P0T8inspector- PWTMaIntalner,Septago ervI ng 0 Pei-alr. Tare. WsPeCt!01is III
Ust
�include a visual Inscec'Lion of the tnnk(s) to Identify anyrnissin g or broken h@rdv,,-1F0, dantify any crar,�!5 or lea,Ks, muosure the volume of
lCombined sludge and SCUM ai)d to check for any back u[) or ponding of effluent on the ground surface. The dl!:$PUr'Sa1 GM(5) De
Irl-Cil7i
jv1sually il'ispectiod 1.0 010ck tho offluent levels In the observataon L-,Ip:)s and to check for any Of effluent on the ground :su;,- ,1
j
III 'icale :a . IEiding condll[on and rel(101'05 ttie irnmodiale notification of the local
'The ponding of efflur.-Lnt or, the ground spa; may Q
J-eguWory amhority,
When the con,ibllned aCCUMUlation of sledge and SCUM in any taneqUeq[S 0110-third (14) or mloro of the tzarik VOILIme, the entlre cones of
I -fie tank shall be romoved by a Septage ServIcing Operator and disposed of it-1 wil,h chapter NR 113, Wiscciis[n
l4d:T-ilflistrative
zed ornponents, pretreatment Ljnits,
co.1 or prossaurii..
il`IC,Lldin�g 'L.',`L 1-0t IiIIIJItC-d tO the servicny of effluent filters, mecho
N1 other servicw',
land any sca,,vic;ir1g at Inturvals jf �l 2 �, iorillis, shall be peilormed Uy a cerlifled P0VV_FS M aiw, miner.
1� service report shall be proviciad to the 1,CTal regulatory authority wltk,.in 10 clays of comolot,1011 of ally, servilco overlit.
Sr. C Roi NTY SANITARY SYSTEM File":
Office Use Only
OWNERSHIP/ADDRESS FORM Greated,?12021
Community Development Department will utilize this information to provide the property owner with
information fegardIng operation and maintenance of your new or replacement sanitary system! This
informaticn will be provided as part of our ongoing efforts to protect pubkc health, your well, groundwater,
surface vater, property values, and county resources. Once approved, this completed form and educational
information vAl be Sent to you by eruall. if you would like to view yCUr issued sanitary permit 0111ille, YOU can
do so by lasing the Propertv Files Scanned �veblink,
OWN ER/BUYEMNFORMATION
Owner/Buyer , , 1'a
2 '7 "1
-7 il f
Mailing AddressZz'
City/Stit e/Zip1/_".,,
Phone Number (required)
Email Address (required
Parcel Identification Number
(found on the propLirty tax bill)
I
NEW SYSTEM, LEGAL DESCRIPTION
4-io
Property Loca, yry 11/s/ 4sec.., W 'ofit, n u
lop —7
Subdlvison Plat,
Lot
Certified Urge Map
Volome.l. Page �p
Warranty Deed J (be ore 2006)VolUtIle --- . Page#
I A
Number of bedrock Spec houyes El no Lot lines identifiaNeX yes 13 no
Loor
OFFJ /F N LY
Saw
New Property Address
. _7
171- , - -
Merification of new address required from Community Development Departmem:, for new Jnstruct"Ior).'
(Date)
This form most be submitted with all Private Onsite Water Treatt-nent System (POWTS) applications_
Nevv Sy-,terii: L this fore n a recorded wcrrunty deed from the Register of Deeds 0,ffice �;,Pjd u copy o(
i�."."A:y map if reference is mode in the warronty deed.
Community Devel op:i Depai-tmE--n L - Land Use Divi sicGl
71S-386-4680 St, Croix CountLy Govcrm�eF_ sent Center 715-245-4250 I-ax
1101 Carmichael Road, Hudson, Wi S-401 6 WWV115cc
Document Number
WARRANTY DEED
k �
Document Title
WARRANTY DEED
From: ASH Properties, LLC, a W1sc.onsin
limited liability company
To: revering Homes Investments, LLC,
a Wisconsin limited liability
company
Dated: June 29, 2022
1155526
BETH PABST
REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
07/05/2022 12:58 PM
EXEMPT#:
REC FEE 30-00
TRANS FEE 3,300.00
PAGES: Z
**The above recording information
verifies that this document has
been electronically recorded
& returned to the submitter
IRecording Area
Name and Return Address
LPG Land,
165233 Mon Aven urte 120
L Mlle, 44
PremW Title Insurance Agency, Inc.
73DO Mega Boulevard, Suttee 300
Edina, MN 55439.2302
123
. .. ..... . . .... . .......................
Parcel Identification Number (PN
A A JAAl1 AA l►AA
P r to�r Title
1=N�ei2S
THIS PAGE IS PART OF THIS LEGAL DOCUMENT — DO NOT REMOVE,
This information must be completed by submitter. document title, .name & return address, and PIN (if required:
Other information such as the granting clause, lega11111descdpbon, etc., may be placed on this first page of the
document or may be placed on additional pages of the document.
WRDA Rev. 12/2212010
0
St. Croix County 1155526 Page 1 of 2
State Bar of Wisconsin Form 1-2003
WARRANTY DEED
Document Number 11 Document Name
THIS DEED, made between ASH Properties, LLC, a Wisconsin limited liability
company
("Grantor," whether one or more), and Levering Homes Investments, LLC, a
Wisconsin limited liability company
("Grantee," whether one or more).
Grantor for a valuable consideration, conveys to Grantee the following described real
estate, together with the rents, profits, fixtures and other appurtenant interests, in
St. Croix County, State of Wisconsin ("Property") (if more space is
needed, please attach addendum):
Outl❑t 4, Vistas of St. Croix, Town of Troy, St. Croix County, Wisconsin
Recording Area
Name and Return Address
Leo A. Beskar
Attorney at Law
219 N. Main Street
River Falls, WI 54022
040- l 328-32-000
Parcel Identification Number (PIN)
This is not homestead property,
(is) (is not)
Grantor warrants that the title to the Property is good, indefeasible, in fee simple and free and clear of encumbrances except:
easements, restrictions and reservations, if any, of record.
Ad
E.W -r � �A ASH Pro -ties LLC, By:
ltlb:wbe7s"
9ZA
` (SEAL} r (SEAL)
- ,
* ark S lla i esident Iola hew Hieb its member
AUTHENTICATION
Signature(s)
authenticated on
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by Wis. Stat. § 706.06 )
(SEAL)
(SEAL)
ACKNOWLEDGMENT
STATE OF
} ss.
Personally came before me ❑�'74
1
the above -named Mark S 11 nd Matthew Hieb
G.'s kr—rA r v
to me kno n to be the person(s) who executed the fore ❑ing
�"��
instruTn n , c ❑ i d ed the same �
THIS INSTRUMENT DRAFTED BY: ce �., .
Leo A. Beskar, Attorney at Law, l N. Main Stre t 1 r Notary Public, Stat ❑f ISC O N 4'14
Fills, �`� ��� NI commission is permanent) (expires: .3 OU )
y {� p ) i P
(Signatiths rn4 be a e cat�d or lcnowledged. Both are not necessary.)
NOTE: THIS IS A. STANDA P FOR�+I�� 1�ATrbN Tt� THIS FORM SHOULD BE CLEARLY IDENTIFIED,
WARRANTY DEED
r ��Ofl3 STATE �AR~' WISCONSIN FORM No. 1-2003
V� Y �3F
*Type name below signatures. 0 wsForms www.wisforms.com
t f) f j
l�tr�l�►�
St. Croix County 1155526 Page 2 of 2
wlr
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a aorloolra�►Saw� LwrMlelerl sns{Nar IpIIA M
1433 %I+Idlaw Amt. 5L is A
Now RodmWwL VA Wl7
7 f 3.a43.0=1
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Carymff MR T "We CINMr"m 15 cwmw IN OVVM4 NCWS
LLr_ yMM MANS S MAY NOT ve %E4X W MR AW AVDMOPM
ST XTLM. MAY NOT1N A550M OR L:L7M AND ANY NOT W
hK)D kL�OyK LyYJ�ID�Mry11k1.Y� CB `1 r MRf11LaLli rRCk'TR WWMM
com5w�
FLAN INF MATI0N:
ORIGMAL TEAM DATE
I M {.
ftYm r uw TO G NI GC Li rf
3fflolG
JOB INf'QRMATION :
194"
LOW UVGL. ; "Z .SQ. FT.
MANS I wla $a SQ. rr.
V"ML&nj 444 50. rt.
GAKAA e: = ZO. rr.
WTAfr 3CT6 M Fr.
SHC r INF'CRMATION;
SHEET
PRWECT #1 15-56
SCALE: As 5MC WN 2 OF 5
FOUNDATION
1
i
4
OR
1
T ►
vsIBO
;.:.� :••.
1
��rw•w•wN ■�w-w-w�w
I�
•iirrrrirrrr�--= rw ""#
i
I
I
ID) A I Ift
\m9cor"sm paVnant of MAY 3 1 202k1L AIL
n�� U?Q� I OT 114 K
C W sBuhdin-ps
815. WIS. Adrn. Code
P crr C'writv
MLOch =Mpiate 546 plan to 1:3t W111 IM157M 17217 �Fn:: �es nsizio, Plan rnust
i'rdude, bVI no,. IMIted' to" ve iraica' an c 1-aference pol t. -!B V,;. direction and Parce, I. t),
Pertwt slope, smie or dirnension� - -)!D: U C;; 1 , and locztjo,-L an� di smarm to neayes i) rcacL
Reoewyed by
P amonsi imf ormetiof; you prov;tsc b-c usad im ss=n a& r) ei'Onvb Lzw, t, I rw, .01 � I
L Fage
�Olhffiq
EdA
Gc,%t- Lot R N
M' M� r
(
tj SPP'T
YU
T
vrilage
zip ccoe P'�11716 ZAIII
r=
iqfm CCAnswuCton 1 Numtw &, t)e':kOO-ncj1,-X- Code deri�Wdesign fir ral-
"4 31
RGP1a:X-.'1*nt m
Parent rrwtMal, -'OLA04-AXA-W) Iri— Plain elevafion rL applicable tL-
s
'4V
'Ysterr Elevation yste TyiD
[] 4-10
Fj<Z r you surfs ele'v/ fi� Depth to firnMN',facW in_
t 5 ' i SDii ka6 to
H7tzon
Depth
in.
Ila-n;-rLani Cdlor' Re6ox Deschplho-,
stir OLI. Sz C-Ont. cz;v-
I extx- e Sbnuctume
Gr. Sz Sh.
D%sistence
Bounda. 01
Roots
G Li
*-Ef.
r *Eff#2 ;tl I
Ill.
-
L
h
IN f -7
4-C le-7 151/
Ron ng
P 1! Ground svrfa::* e� evif ft, De Depth tc ij rn, hng 'a 0 or in. Soil Application Rate
Heron
Depth
in,
Damir-Lant ��ar
Mul tsell
Rednx DL-sc;riptian
'. Sz- clont- Or
Texture
I Gtructure
Gr. Sze S�'.
Consistence Boundary
Roots
GPDff
*Eff# I
*Lff#2
Z-*
3e
At
el'17
Eftuotl ftl n K <223' rn:0. and TSS �i,30 *'Effluent 92z BOD. c 30 rrgP,- and TSS-,< 30 ff�;l
CST Name (Pleas6 Pf-int) ignature CST Number
Bird Plumbing. Inc, Shaun in 226900
Date Evaluatk)c C', ond -Ljc!e d Telephone Number
CIO"
I A32 1 20th St, New Richmond, W[ 7 ""> 715-246-4516
IL
P r
I��] Bodrig # Bohrig
Parwl ID #
A
awl
Page —of
UPIJ I 4V 111 4 1 J%j I JU [11FALA rr 1.
1 Applicatior, Rate
1-1cmizon
Depth
in.
Dominant or
Munsell
Redox Description
QU, Sz. C�Onl_ Color
Texicire
stnicture
Gr, Sz, Sh,
Consistence
Ek>undary
Roots
GPD/ff
Etf# 1
"Eff#2
0
Ok." ,
LS
71,
K
7r )F-
E,
L
Bo6rig 4 E3orL�ng
pit Ground surf aCe elev. ft. Depth to limiting factor in. Soil Application Rate
Dept Domiriant Cclw Redox D-esmiption Texture Structure Consistence Boundary Roots GPDN
Horizan Dein, M unsel I Qu. Sz. Cont. lor Gr. Sz. Sh. Eff# 1 OEff#2
Bonng Boring pit Ground surface elev- ft. Depth to 11mifing fador in.
I Soil Applic-atican Rate
Hon'Zon
')apth
in.
Dominant for
Munsell
Redox Desoripbon_
Qu, Sz, Cont, Color
Texture
S"Cure
Gr. Sz. Sh.
Cans istence
Souindary
Roots
GPD/ff
*Eff#1
*Eff#2
—J—
Effluent #1 = 80D > 30 < 220 rry
5 — VL and TSS >30 -- 150 rngA Efflueni #2 = BOD, 5 30 rnpL and TSS < 30 mql
The Department of Commerce is an equal opportunity service provider and employer, If you need assistance to access services or
need material in an aiternate for -mat, please contact die depaTiment at 608-266-3 151 or TTY 608-.26,478777.
I i M.3 3 U 4,R GM
Sol'I Test Plot
Projec, Name Oevering Investments haLln Bli-d
Addres 1433 Cernohous Ave Suite A
New Richmond Wi 54017
CSTM #226900
Lot 44 Subdivision Vistas of St -Croix 1 st� Date 5/26/22
IN 1/4 N W 1/4S 15 T 28 N/R19 W Township Troy
Boring 0. Wel.1 PL Properly 1,ille County ST, CROI
BM or VRP Assume Elevation 100 ft. 3/4 51 or 2 11 pipe
System Elevation TBD *HRpSame as Benchmark
Scale - 1/4" = 10' t
)roperty Line
L S7
of
M M 1 202�01L \/ALUA7TOWRF;P'OF,-r--
P
[)jv'S o,,P*i o, ar)� Ejulidin'-*
S. WIS. k6m, Code
GDnIM
D vel kk
at A cointv
evelOP11"CrIlt
R sizei, Plan rnijM
D1.9t (BIV,). c[Irectio.ri and
pa
InI.Jda, bj, no� ilrn to, vertjc�a; and referensee P rco
ar)� i=atkos and distanu tc nearesi road.
percent slope, swl� or ldime-,�ions, nol-M errn,'P�',
p�,c,aso print aj! wbrmsvor,. Revievied L�Y
proodc e u, d r (Priva Y U W,f A 17
Prop .rt�, LO CS,
R
A
P M
JIF
LT
'I 1�iaarc�s( RL;acy
i Towr,
Zip, cwe PFL.-):)e Wdhibw -An
kLT
aLA ep"
p , ,, �"� ' r r1. I. I twi '_•
G PD
7-T
� -C - J, J ie -I d -2� 5; rl r..L
I Number of bedrw-rn It
I'�+.��.A'� � r„+�'� F 15�F 14
L [j r Pwont rrato,,�;31 Fboj r`iain GIOVSbOA ill 8POCable ft
04neml
aid
SysTern,
a7vv rr F-] �n�) -1+
GrouF)d surf&C,&
Ba ri rV
Pit Ground surface eleva—
Effluont Itl Mr BOD, > 'K < 22'
j 'n:ll xndl TS-5 >3G
CST Name (PISBSG Print)
Bird Plumbing, Inc, Shaun Bird
L 0 r5epth to jjrn[fir)g factor 1 r'k.
..
Depth to 11MIOng to or in
r.. fi7_ 1.l
TdephfarlG NUITiDar
Uale Evaloatlori Ili 715-246-4516
Pro-r-ci;1Y Dvo)er Parwl ID 4
Bonn P 1nng -31 1:11), Grourid surfaca elavft.
Dapth to limjVng fad or —jif— in
Page
FEW W,6—iicaCb—nR-7.7-i,
Han'zon
NPth
In,
Dorninan� Co%'cr1j
MU.-15011
Rodox Nsviption
Qu, Sz. Cont. C6or
Te>fture
Svv-�;Iure
G r. Sz S h
Bound
Roots
0 P D-q11
rz If # I *Edf,N N
0'?V
Fi)/
7
71
.1/2
1 e7
JI
LJ Elohng
pit Ground su r1ace e I ev, ft, LlefM to limiting factor Soil lication Rate
HnrLzon
N pth
in.
Dominant Co1w
Munro ll
Rodox Nscxiptlon
Qu. Sz. Oont. Color
Textwo
Structure
Gr. Sz. Sh.
Consistanc*
Boundary
Roots GPON
"Eff91 'EtM2
Wiring F1 BOhng Gmu nd s urfe ce e I ov. A'.
F— pit
H c-rUa n
')001
in.
Dominant Coloc
Munsell
Ro dox Des aipVon
Qu. sz. Cont. wox
Text-.jro
Jconsision
Depth to llrnitng factor in.
c.e,l Uourary Roots
* E M U eO I Pr I '= 0 C) D 6 > 3 0 < 22 0 r r -,;;L a -, %--' T S S > -3 0 ; 1 �;: ) rnt I E Mue,-.1 02 = BODE 130 mo/L and TSS [ 30 Mg/L
The Dpartment of Commerce is an equal oppurtunity ser-vice prcj%.,Id,-r 2:id if you need assistance to access SUVECes or
need mate]�al in an am lternate foa% o PI contzthe a,L 6,08-166-3151 or TTY 608-264-8777.
C
Soil Test Plot P1. .
Project Narne Oevering Investmetils hatiri BII'd
Address 1433 CernohOL]s Ave Suite A
New Richmond "Ni 54017
'// CSTM #226900
Lot 44 Subdivision Vistas of St.Croix 1 St. D-ate 5/26/22
N 114 NW IDS 15 T 28 N/R19 W 1 Troy
Townsh"lo
B01-hig 0 Well 111, Property Line County ST. CROIX
lim Or vu Assume Elevation 1 no fto 3/4 H or 2 11 pipe
System Elevation TBD 'A'H R PSWI] e as Be fichimark
Scale - 1/4" - 10' t
.Jroperty LI Tic
I I `LZ3DR9
VISTAS OF ST. CROIX FIRST ADDITION
PART OF THE NW V4 OF THE NW 114, PART OF THE NE 114 OF THE NW 114 AND PART OF THE SW 1I4 OF THE NW 114 OF SECTION 15,
TOWNSHIP 28 NORTH, RANGE 19 WEST, TOWN OF TROY, ST. CROIX COUNTY WISCONSIN;
BEING OUTLOT 4, VISTAS OF ST, CROIX, !]iLA.1NAGE AM UTILITY Each parcel shown on this map is
Fish Setback Rrstrirlinn EASEMENTS, TYPICAL subject fp StatE, taunty And
Drairlow Easement Oefrwd waY access Restriction Clause STREET tawnshrp laws tufts and
An unpbsb ucYc+d rasrrrrc�m[ dedica[rd ra the Town T far the -Na improurments m structures per aporrd bel warn the right-af•way •Aasars and blocks ore hereby rrstWed so That no owner, possessor, user, ricrrarr ar te�lrlRtfOnS (l,C„ wetlurids,
o{ Troy 1S' minimum lot sire, access to
cansrwclAon and maintenance of oll nrressory undergrosnad or fine and The hsglrway setback 7lne. lmpavemenl s and strurturt5 rock k orhrr PMDn may have wry tipht of direct vMicuhir ingress Iron or egress to any
but Pre not 4 mied zo signs, parking Areas, driveway; wells, septic highway lying wrthm the rVht�way a(.S_ F,FI. 35, it is erpre;Oy intruded that Ito Pvrcei, etc.) below puechasing
surfacr droinoga fasttkies, kKA90119 rights to Conduct toenmMV pr devrlapinp any parcel can toct
sytrerrnA dro#fte fac#lrief bwmings and eemmiao wafts. It is rrprrssly restriction constitute a restriction far the beneftof the puNk as provided in S. 23b.293
on said easemtnt. This easement shatl Barr rn prrnwrierx r_ the St. Croix County
obstrsrctsous (jhrrlces trees shrubs or orhrr obstacles Ihat intended that this rsrttricrran m far the bowflt of the p silk as $wovirteri in start-, and swff he vljorreabk by the department w its ossigm. Any oems shag be pie n
1 Section 23fn293, Whrorrsbr Statutes, and shatl be enfarrrabte by the ogoswd only by special exception. Any access oaowed by special exception shah be � la' � the Town 'tf��ieadvice.nd
SAtCrrr w:rh fMwd
dhiaistoNbgp -th ti no is a or 40bie arrre of drainage 'g cotfirmed and panted only OwoWh the drlrrway permitting process and all permits ' �" � I , raY�
systems. Tice rawrssieip sleaa not be neap liable for any domogr ra ''ViK�'rI t)epartnlrht °'j Trar�paeYorinrsW ks ass' ins. Contact the c
prahibiled obstnrcTions. wlscararn tS[partrrrrrst d Transparrarwm jpr mwrr infarrrwt+a+s The air rrvocubte.- I I THE WEST SINE NW 114 SECTION 15
phww namber may be obtained by contocton the county highway I:s L W . _-- ' _J SEA �'04•E
deparrmenl. • lowest ewirdinp opening (L.a.0. j: AS REFERFNCED TO t)L* ST. C'ROIx
utility Easement octned AAt fowhedlbur etevntiarrs, krrer level *a& put ekwlious odd lowest butiding F s ....- �..� � COUNTY COONDINATE SYSTEM
i -M ur alnzrW rd easerment or the consteucnon and nwurtrnance Moist Notation openings (L.B.0-] shop be a minimum of 2 (err obavr the adprrat storm warm I j
of all
rlrcrssary PrerhJead ursdrrprpund ar surface public utikYirs, "The tots ofthis land division rrxry rrperisrnCe rase ar revels exrrrding
Mnoaemenrjorarty 100 yew stores event ekrarion. is I --LOT j SCALE: 3 IN04 " lap FIL7
LLJ the kweis he S. want 405,04, Tabk J. These kvrh are based on ederat
inChMirrg rights [a conduct [rimming art said rdsemrn[- This ( lap Sa a 100
j easerntnf shaft have rsapermanent obstructions (fences, rrers, srorrdardL The Department of Tramportation is not rtsponsiblr(or EXCEPTION TO Df5#GhI STANDARDS L_
i-- shrubs at other obstacles) that lrK 14fe M-M instalkHiall abs1fUV nofsr fan esrlstbsg stair t WAI hyhwoys or rar�x chirp Exceptions to design standards approved for the Wlowing: L v E n r [ A t o A T v rrs tt-a.v.D. as Mo,err,
cr functrwL or maintenance o{ut*ry 5r5erMs. Public ublaies shop high won in the obsence of any hirrease by the department to the 135 E G. 9a. All Sou street 52tDidc to S[}'.
__j Q nor be headhabir far any damage ropah4wed obstructions- highway's rhrough-lanecapaclry- I35.6 G- g- Average Sat depth to wkhh gfealee than 2-5:1, Lois 30, 31, 32-
�J! UNPLATT.ED LANDS N097'42-E2t331,4G -- SMALL TRACT
cffi ._3i NW tORNE+R SECTION IS -NOR THtINE NW 414
ALUMINUM CAPPED MONUMENT `
22e,13'
j,79'25 tag -TV
Q35•038404
CLEAR LAM
' r- � - 'iI►5� �yY � l 1 +yc�� t7s ,�' L
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a
-' aI ""..
i 4 �,D
Sao A os 1 DI/07t22
�,I p OUTLOT 4
n 6+°+ti ti � .- ++.,too s�. r•T.� • • � �'�, \ � :
3,I34ACACS
LESQ.914.0
OUTLOT S I ��
d 39 u OPEN SPACE :.
VEt
ujl
sass. $a }'T, o. , - 6 � � rr
1.IS$ACNS y PUTtiRE 411?SQoPAlENT
�w LBt?=91k.0 cp SB r naA2I2 S4. rt i x
e}, •,-- Z7+� 71�' 24.06e ACRES
3 � ' ,� - —� Y Tool sFc fAgflvll OELTt HE
x IZg' �r N '4A'11=E R1` NsPcmlpN t7F M I
sr I � 3R,S4I SQ. FT. •,r- \ � 1i: ,A x•� _ ` 4 V
w I 1.344 ACRES
►Yi _ j� �_ LBO=914.0
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tan ' ti , _ ° ra. r ej2 �� N ��
a
r.t � I �' .. ' �I � SQ. Fr.
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37 ' sy. ✓ FT. 44731 SL84;917 7 7'
Q. y
Lli j 1.023 ACMS
L8914.0 I� 1 ,!' h �,� � 9aS.4
o fa 43 �, titi a
??q8 ��+r , 1 - -
et, rrre xL� r1 ��,; �tiy.. I
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t: I a LBQ 9I7.7
t 35 M- ' kv•-..
'! .370
I.W prEs 1 �r e •. 0 ir :II.a �.' OUTLOT 3
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❑ S7g fs' Lo" AGt[S
t
W sow axr.Tx, ll I Lsa=917-� ----N8Q'22'42'E 2661.40'
-� ; i —
QC 9lf.x r� -•
{ i7" ry • -NOR ill Uhif NW I%i NOR tH 114CORNER SEC t70N IS- _ "r
rri i' +. 35 I ♦1 W 1 "'' r •^ R� iP ALL+MfrNUM CAPPED hrDNLrMflvr
`�,• h j s,167 ACRES i �—• 5 45
j w € 1 �L
n I N,� ACM
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....-_ T _ .... — - - - d •M LBO=917.3 3 as i� fsS.tt a 'rr
n j� } J/
f r'rI HBti ]SCE 2W. 70
.,� PUBLIC L85- r
4-1
' S8E73'S6•W 2d5. ]I' 1 S79• [ r 4r
UEDICATED TO PUSLICI °ri W ! J'p'Fj �[► ,'}7/y
.. 34 21
Cq
$3 ae3 $Q er
I.219 ACRES W
"r ! L80�425-8Aey W CI Cr7 i \ [#[ Ly
4.02 A4-a• - a z � � �� ��
NT a W �7 22 [[[ 0 U T L 0 T 4
C
f SOUTH I Ws NW 314 • NW 114
33- Y a j Q ` NORrH UNE S W 114 • NW 214 _ € \
r90 so. rr. [ i
•o I,oraAceEs '+
19 U
OUTLOT 5
ZD ' t d OPEN SPACE
FUTURE DEVELOPMENT � LT
L 32 TfLww T I 24.txuArltrs I `.
SIP
I.22I Areas CAA ; 'TA � d'
eg23 18
� �; `�'- "V• o � ,�►
F
31 � � 'a
Two
r / p+N q] ` 33 \ !ram• �/ 407 2.9 30
FT
� €
11..057 ACRES q cr7 ., , \ Ct - r 54Q `0I'45"W 7 I OUTLOT 3 .�
LBU • t143.7
LE2t 0�4
t _C1
w
TL5 ti O ra, sr, es.S sa- rT — _ ... - - ........ -- — --
f �
Sr sf �$`' ry9� ( T I- ON ACRES
LEGEND ALLOTIE#R CORltERS Alt(SET 1 tNot auTSIaE V I C I N I T Y M A P
IMAMETtA K Li INCH LONG IRON TIFF:, WEIGHING
[' (� -. lk. S-Iilµ'ti{flt"ITt[?l', ,;T Elloix r'iIvvn,
• r� j+ti C` I souNO COUNTY slRtO#1 tO1lNER MbNFSMENT ]. i! 1ssS. Ft LINEAR FOOT NOT TO S C A L £
rou"D 1-1 4INCH OUTS10f t1tAs� MR IRON 1 Minimum Budding Setbacks L'IST•AS III' Si CROIX W
28 �\ ■ Found 1 WA OLgMIx NAMITtx IRON PIPE Fronru o�� sr shown) � sus) �1�nrrin+
"fTy' E iOL"D sit IPICK DiAM[nit MON BAR Rear: 75few '
\[� O SeT 3.3f41NCk DIAM[TER lT Ls 1NCk LONG
MON "K WEIGHING 4.1r L&SfuN;AA *W1 I ' �- NaslTrs
!� 26 ` BETI4 PABST 1 *y
*A --- DRAINAGE EASEMENT,MON,TVPWAL REGISTER Of DEEDS
9C, T HIGHWAY SET&KX PER TRANS Z13 ST CROIX CO„ WI
PREPARED FOR; RECEIVED FOR RECORD rswv fl ItOAD I �s
OEVERMG HOMES INVESTMENTS' UC � � ........... T '"- if rT. DFUiINAGE i SIT U" EAMMENT f
1433 CI:RNONOUS AVENUE SUFTI A I hom we 00 objccIions to this plat W iih resp ecs to ALONG ALL ROAD ❑ I Ia Ff e1Aas
KIPW AX34MOND, WI WI ��� s. 216-15, 236.16. 236-20 and 236.21 { 11 and (2), Wis. — - - - - PEAT I s a
Stints. ss provided by s. 216.13, Wis- Slats. — &U&(HkG SETBACK LINE DOCUMENTS i �� 3�8C► r ti�,1 i SE~1
rh DODGE SURVEYOR.,5Crttified ALlqust 3, 2022 vRIVEwAr tprlLTlpN VOL; I3 PAGE: 134 I
AVTH CONSULTHNG t ASSOC- - - - . -... ..-. - - - BENCHMIIRiL EllVATION PAGES: '� "'p I
2920INLOE STREET SUITE Sot �.� F i , { 1 _ "fir gls,2 TOP O3 IRON MOR UWFJT yd
HER)SbN, wI swsc IS/E jj _
L.eefSECTION 1 S, T 2 3 N, R 1 9 W
ls-[J- LOWEST isLIHSAING oTEN1NG ELlVATIOti
De ArtmentofAdminlstrnTYoa 156.Oi'1 TR#iROUSLYRELOROEOIMFORMATION REGISTER OF DEEDS
0ZSWME'1Nr DRAJ<rEV 9r j vOCWG POMCI No fs"?-.per UATE 001181a7 Rf4'; D.• 071Wiaz SHEET I OF 2
�CRO COUNTY
N08..(oSl3
. .. ... .. . ....
.. ........ . .... ....
.. . . ......
qD3 1"-C
A NOo
`V" q0 J` U 3
rFjaN*S' 1-b I rN WAII� r' R 11 mr- d
L 1 Uff-'r M I rAV
'""WN v"'F
fflh -In E9 R f A Y, L I #
SEC_,T 28 Nq R
CHAPTER 145.135 (2) WISCONSIN STATUTES
a The rose f the sanitary permit is to allow installation
u o n
�� purpose Y
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
� � Y ]P Y
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 10 7,6/2023
IF T
F ) U "SS REN", WE"" T%ATr-v_'.
T111S NLT-j
.. .. ....... . . . . . . . . .. . . ..... .....
SBD-06499 (RI 1/20)