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648469 040-1328-13-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Patrick & Martina Gerdes TOWN OF TROY CST BM Elev: Insp. BM Elev:' Description: I Do . a 1 160 . D IBM G 51- (3u.L I TANK INFORMATION TYPE MANUFACTU ER to ge-5— GF' - 0 - CAPACITY Septic 556�� 12 50 . Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL �B�.LpD,p¢G.. �k= Vent to Air Intake ROAD Septic L4DI y 7 Dosing Aeration Holding PUMP/SIPHON INFORMATION Ma ufacturer d GPM Model ber TDH Lift Friction Loss System Head TDH t F rcemain Length Dist. to Well ELEVATION DATA County: St. Croix SAN-2023-075 Sanitary Permit No: 648469 State Plan ID No: Parcel Tax No: 040-1328-13-000 Section/Town/Range/Map No: 15.28.19.2245 STATION BS HI FS ELEV. Benchmark 3.90 �03.90 (OD.D Alt. BM Bldg. Sewer lo9•�D `i•o /o S� 701 SUHt InletZS 10 l 45 r SUHt Outlet Q �L Dt Inlet Dt Bottom Header/Man. (c r NO' Dist. Pipe Bot. S stem 4 / Sp-e Final rade St Cover ` Akk the ,qD oq,�o Dc{.3o SOIL ABSORPTION SYSTEM _ff=t-(q4) 4AJ &)&q EjjA,,6jS. BED/ RE C Width �gngtlL_ i o. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 t bZ, 3 J SETBACK SYSTEM TO P L LD IWELL LAKE/STREAM LEACHING Manufac er INFORMATION Type Of System: n � D t CHA UNIT OR ` Model`�ub . r-(L DISTRIBUTION SYSTEM Header/Manifold t, Distribution x Hole Size x Hole Spacing Vent to Air Intake es i Jos' Length Dia Di Spaci Length SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Over xx Depth ofxxSeeded/Sodded xx Mulched BedtTrench Center TBedprench Edges Topsoil ❑Yes ❑ No ❑Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1D ((� ��jZ3 Inspection #2: Location: 380 BELLA CT Itto k'a c 2,0 f C! &S ST 1.) Alt BM Description = 5 ,� 9— , 2.) Bldg sewer length = 31 I C3 -amount of cover = gl Q �e."'SQ4L,)2" 4CLVA-- �S n^�Z�I �OAlel+ Plan revision Required? ❑ Yes VNo Use other side for additional information. SBD-6710 (R.3/97 Date Insepctor's Signature uCCI� �`--" R` W v'�"f "".� w / - 1( [;, . 1'-ems 013,z5 Q - ,Q 9z.90 ; /1. sa 42,Yo %A Cent. } n rr r7 r� 5AV -20a 3 O 75 o A1tTW P Industry Services Division 4822 Madison Yards Way County `(} '' , MAY 11 2023 Madison, WI 53705 Sanitary Permit Number (to be filled in by Co ) P.O. Box 7162 Madison, WI 53707-7162 / �6 h Comm G' ' j}�lt Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Project Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note; Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15-04(1)(m), Stats -Please Print All Information L Application Information: Prope Owner's Name Parcel # Property Owner's Mailing Address Property Location n Govt. Lot �KJ( /., '/., Section R E ofV Ci , Stattep��A 0 (� /�� Z tlG'v, I ( ""- ✓'� 1 � Zip Code I Phone Number I F��/ T /( 11. Type of Buil g (check all that apply) Lot # �j Subdivision Name Al or 2 Family Dwelling- Number ofBedrooms (3)9s °— / Block # r / V 1,5-r}S OF S i • C(L o IK City of ❑E'ublic/Commercial - Describe Use �� State Owned - Describe Use ❑Village of CS%I Number *� 2own of d III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line 13. Complete line C if a licable..:" A. ew System []Replacement System LJ Dther Modification to Existing System (explain) Additional Pretreatment Unit (explain) B' ❑FIolding Tank n-Ground � [3At-Grade Mound Individual Site Design Other Type (explain) P I (conventional) C. Renewal Before Revision hange of Plumber ElFransfer to New Owner ist Previous Permit Number and Date Issued Expiration IV: DispersaUTreatment Area and Tank Information: 2- 3 C q0 t =- r{ t.0 Design low (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (st) Dispersal Area Proposed (st) System Elevation D• (�/) Capacity in To 1 # of Manufacturer Tank Information Gallons Gallons Units 6FiS-1' GF- 10 9- R-e y e y ` New Tanks Existing Tanks O y 0 a. Septic or Holding Tank f 2 50 Dosing Chamber V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) I Plumber's Signature MP/\446Wf-Number Business Phone Number Plumber's Address Xleet, City, State, Zip Code) C GG e�M4 & VI. County/Department Use Only Approved tsapprove Permit Fee � $ 3 Date Issued Issuing Agent Signature e eason for ✓ S7 2.3 Conditions a ro a] 3` kq I ��-a— SYSTEM OWNER: ) •CRC-�n/V SYSTEM 1. Septic tank, effluent filter and dispersal cell ` Q , `"�) ��l S `� �% 't`�` must be serviced / maintained as per �""` _ WwL, ✓lee management plan provided by plumber. 2. All setback requirements must be maintained as per appfiCable code ! ordinances. Attach to complete plans for the system and submit to the Count only on paper not less than 8 IR x I l inches in size SBD-6398 (R. 03/21) SCALE 2 01 0' 401 �Q O� BM2 0 tom- 13, 94.60 - ' \ 1'•�,� ' O / 43 &U fe,K yr5;l6 a� 3MV = 100.00 (928.11 MSL) p of i" PVC pipe ;17" above grade) 1 ,gyp / 19 / Is / **Well to be located >25ft / 16 1s from septic tank(s) and >50ft from soil treatment area** COPY / COPY B3 I". 13 •AII property lines not O Benchmark drawn are >100ft from system Sail Boring NOTES Tank: Pwnp Tank: STA: Soil and die evdualim to proposed Vdes d ST Crdx Plot drrgound'ocnverdorwP tenches with 0.79:6f bednp rAe poed6leat 44' de* -DeO to rood im = 86' (saturated send) Contour=97.00 Slaps: 7% Distribution: 3M2 = 93.40 (921.51 MSL) Top of 1"x2" stake by marked wooden lathe ,6" above grade) 14 LOCATION MAP (not to seals) 1 / ` 11 / \ 12 10 s 19 9 14 a 7 6 4 i i s s 2 PREPARED FOR: Ash Properties TBD Bela CT / Hudson, WI 54016 / \ / PID: TBD (Pending plat) *1.I I Acres legal: Lot 13 Vistas of ST Croix SW 1/4 NW 1/4 S15 T29N R19W d .�drrad o�aiweOEFrlIELY. n ma M we 4.hmwt rw do pmwcw an a..bTown of Tro%d.5rEaWn1MNEMmFCn dudnb. pr. u. mdrdobwd. RMw yaw eyebores now wd plan for baarnwsm m propw• ow} and C-1— .. _ .... n—. <..— SAN-2023-075 Pg _4 of Private On -Site Wastewater Treatment System (POWTS) Index and Title Sheet Owner's Name: /" R it /Ilk.—_ Site address: Location: Lot, Block , Subdivision/CSM being part of the W'/a of the W/o, Section 1 TownAE _TN, RangeI 9—'W, Town of AAD V , Pierce County, WI. Parcel Identification # _ - UzgU_,-4___0o 0 Design: In accordance with Department of Safety & Professional Services (SPS) Wisconsin Administrative Code ch. SPS 381 through 387 and 391. Design manual (choose one): ❑ Holding Tank Component Manual [VER 2.0, SBD-10855-P (N. 03/07, R. 1/12)] ti It In -ground Soil Absorption Component Manual [SBD-10705-P (N.01/01)] Contents: Page 1: Page 2: Page 3: Page 4: 115-9 a f ��G �94✓� Page 5: Page b: Page 7: Page 8: Page 9: Attachments: Plumber/Designer: Credential Number: �i `f�GJ ��2 Date: V, SCALE 20' G 1& 01 4012 �� �P BM2 94.60-47 A 43 /,U���[,- �1 B3 ' J` 1".70 a� 3M1 = 100.00 (928.11 MSL) Top of 1" PVC pipe ;17" above grade) V0 ,gyp / 19 / 1a 3M2 = 93.40 (921.51 MSL) Top of 1"x2" stake by ,S marked wooden lathe \ / **Well to be located >25ft / 16 ,6" above grade) \/ from septic tank(s) and >50ft from soil treatment area** W. '► / •AII property lines not O Benchmark drawn are >100ft from system Sail Boring 14 w O g e \A CZe 13 NOTES Tank: Pwnp Tank: STA: SS�he,c and die evdualim to proposed Vdes d ST Crdx Plot Arrgound'ocnverdorwP tenches with 0.79:6f bednp rAe poed6leat 44' de* -DeO to resod im = 86' (saturated send) Contour=97.00 Slaps: 7% Distribution: LOCATION MAP (not to seals) 1 / ` 11 / \ 10 s 19 9 14 a 7 6 4 1 1 5 3 2 PREPARED FOR: Ash Properties / \ / TBD Bela CT / Hudson, WI 54016 / \ / PID: TBD (Pending plat) *1.I I Acres legal: Lot 13 Vistas of ST Croix SW 1/4 NW 1/4 S15 T29N R19W �d.r9r.a and .�drrad Yr oom.Nh sld. era Lsod asa.a nM ad 4.uhr�rt v.o mwt rw do prow�w ran a.a.bmc. w4 ror oo"gaaim ' F MW Grar Town of Troy l 5rEWn M911 t�OM9tlIE M Ft11Cn teOEFrlIELY. n mud b. pr. U. rrrdrdabr.d. RMw your .yd.m'. msmp�n.nt plan far baamdlm m prWw =% and i .,-... _ ..n. n—. <.. — SAN-2023-075 co T*4 INU N 120j" TOP VIEW SIDE VIEW WLP1250-MR TANK SPECIFICATIONS DIMENSIONS:. WALL: 2 1 7 BOTTOM: SEPTIC 3" VER: 5" ANHOLE: 24" I.D. PRECAST CONCRETE RISER LENGTH: 12 D/4 oO.D. BELOW INLET: 41" O.D. LIQUID LEVEL: 36" WEIGHT: 8,810 LBS. INLET AND OUTLET: 4" CAST —A —SEAL BOOT OR EQUAL GASKET, CAST —A —SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 34.81 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1.253 GALLONS LOADING DESIGN: 8' 0" UNSATURATED SOIL MN TANKS: WILL HAVE ONE VENT OVER OUTLET AND WILL HAVE TWO VENTS IN,COVER OVER INLET TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON 4" OUTLET 7 CUSTOMIZED TANKS: TANKS CAN BE CUSTOMIZED CONTACT WIESER CONCRETE TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS > 0 W o W ft' TE (D Y Lo C U G C3 00 Woo ca 000 W �n J co Q O � � O Z N Co Q L0 z N U o_ > w w V) (r- SHEET NO. o OF 0 SAN a or 2 Family pwelling In ground Soil Absorption S stem (2-cell Conventional) = _.�__�� gal/day Daily Wastewater Flow (DWF) __ # of bedrooms x 15o gal/day/bedroom Design Loading Rate (DLR) or Soil Application Rate = o r BPd/ftz (per SPS Table 383.44r1, 2, or It rea - DWF �� gal/day + DLR gpa/ftZ = _� ftz Required Dlstrlbution ce a - c7 ft2/ unit EISA = Chambers # Chambers = Required Distribution cell area ft— Chamber Manufacturer and Model: / �v�z 4� IL�U���� Pius Actual Distribution cell area =Required cell area L- ftz + �-=! ft'/ unit EISA End Cap Pairftz -Cross Section In -ground Soil Absorption System (2-cell): 4" Schedule 40 PVC �^ vent pipe with vent cap 12 inches minimum Trench 1 Sys- tem Elevation C)ft 12 inches minimum 11Y 7.G inches Soil Cover Z inch Chamber Height ft 9rench 2 System Elevation f �5_ ftft Trench Separation Leaching Chamber Width % ft to limiting factor P Plan View In -ground Soil Absorption System (2-cell): Trench 1 _ ft 5._'�`ft ft with end camps Modify header/ design as needed. inch Header -)ch. J�}� Draw O for a Vent and 0 for Observation Pipe above, They will be located ft from the end of the cell. Vent pipes shall be Schedule 40 PVC and extend at least 12 Inches above finished grade. Observation pipes that extend above finished grade must also be 4 Inch Schedule 40 PVC Page of SAN-2023-075 In -ground Gravity Management Plan � IMPORTANT: The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenan ant to requirements this SPS 382-38 r vitsc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall approvedance with this management plan. be considered a human health hazardf n t maintained in accord be Rerformed by a regi lered POVYT S Maintainertainer in Furthermore, all inspection and maintenance accordance with SPS 383.52 (3), Wisc. Admin, Code. Maximum Dis rsal Area ratin Limits: BODs 5 220 mgL"'; TSS <_ 150 rngL''; FOG 5 30 mgL"' Design Flow = 9Rd� Inspection Checkiist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical riatfunctior� (i,6., pumps, vaOf $riitChcS, floats, 3i�.) Q material fatigue (i.e., leaks, breaks, corrosion, etc.) e, distribution (drop boxes) o solids volume in anaerobic treatment tank(s) and any rdistribution activities, etc.) (r o neglect or improper use (i.e., exceeding design capacities, o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s1 shall be pumped by a cert�ed septage servicing operator licensed under s. 281.48 Wis. Stats. when the veldt of sollds in the t tents shall oaa-third (113) t to NR e liquiu Wisc�Admi ©Codil thge tank(s) as required by local ordinance. Dispose o Effluent filter(sl shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturers specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report anv component (failure or malfunction to: Phone: �7 15 Z7 L — 44 L6 Name of individual or company: Local government unit: �J G? I-J 1� Phone: 71 ✓ �� �� Local government unit address: Any defective part of this system -shall be repaired,.replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS383 the department C nde. No product for chemical or physical restoration of the POWTS may be used unless approved accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. ST. CRO' LINTY. SANITARY SYSTEM Office,^' Of/ice Use Only OWNERSHIP/ADDRESS FORM Crwted2/2021 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. OWNERIBUYER INFORMATION Owner/Buyer - -fr lCX Mailing Address City/State/Zip Phone Number (requ E iI Addr ss uired) F GI 0 �q 7i� li3i i 13S maa (req C 4-- ��2 _ i3 0�0 � Parcel Identification Numbers T— L (found an the property tax bill) NEW SYSTEM. LEGAL DESCRIPTION Property Location '/a , AW1/4 , Sec.X TI-79--N R-W, Town of - Subdivision Plat: �,�� ['� F S� C�n Lot # f Certified Survey Map # Volume Page # Warranty Deed # 4 2_ (before 2006)Volume Page # Number of bedrooms Spec house 0 yes)2`rno Lot lines identifiable lkyes 17 no New Property Address V') A— -- (S aff nitials) OFFICE USE 391) B6LLA C1-, G6S (Verification of n w address required from Community Development Department for new construction) r (Date) , This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department - Land Use Division 715-386.4680 St. Croix County Government Center 715-245-4250 Fax cdd4,sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.gov State Bar of Wisconsin Form I - 2003 11 WARRANTY DEED Document Number Document Name THIS DEED, made between Lund a Wisconsin ("Grantor," whether one or more), and Patrick Gerdes and Martina Gerdes, husband and wife as survivorshiD marital Dronnrty ("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 Saint Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Lot Thirteen (13), Vistas of St.Croix, Town of Troy street address is 380 Bella Court, Hudson, WI 54016 1 ffi dia 075 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 01/11/2023 09:17 AM EXEMPT#: REC FEE 30.00 TRANS FEE 375.00 PAGES: 1 **The above recording information verifies that this document has been electronically recorded & returned to the submitter Recording Area Name and Return Address Knight Barry Title United LLC 116 E.Elm Street River Falls, WI 54022 040-1328-13-000 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: Subject to easements, restrictions, covenants, and right-of-ways, if any. Dated December 29, 2022 A6t:2� l (SEAL) (SEAL) Todd Kuchera, President Lund Builders, Inc. (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. authenticated on Saint Croix COUNTY) Personally came before me on December 29, 2022 the above -named Todd Kuchera TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the (If not, foregoing instrument and acknowledged the same. authorized by Wis. Stat. § 706.06) ���� `ij'I• L(J��•L T141S INSTRUMENT DRAFTED BY: *Susan Todd Kuchera, Lund Builders, Inc. Notary Pub a 1010 North Main Street, River Falls, WI My Com ires: 04/05/2023 ) (Signatures may be autbenticated or acknowledged. r not n NOTE: THIS tS A STANDARD FORM. ANY MODIFICATIONS TO THI L C IDENTIFIED. WARRANTY DEED STATE BAR OF WISCONS s y FORM No. 1-2003 *Type name below signatures. o- •+. Lund Builders, Inc. 1010 N Main St River Falls, WI 54022 ` g2` 1TW ^' %259559 sell IM 13 Vistas of Susan Weston Produced with ZpFortriV by zipLogix 78070 F1Reen Mile• _tea MiChigan 480 OT St. Croix County 1163034 Page 1 of 1 SAN-2023-075 Vtllsconsin Department of Safety and Professional Services Page 1 0 Division of Industry Services SOIL EVALUATION REPORT In accordance with SPS 385, VMs. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, ST Croix but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel I_D. scale or dimensions, north arrow, and location and distance to nearest road. Pending (Current: 040-1060-90-000) Please print all information" Reviewed by Date Personal information you provide may be used for secondary PurposesPriva Law, s. 15.04 1 m . Property Owner Property Location: Ash Properties Govt. Lot: SW % NW 'Y4 S 15 T N R 19 W Property Address Lot # Block # Subd. Name or CSM# TBD Bella CT 13 1 1 Vistas of ST Croix (pending plat) City State Zip Code Phone Number ❑ City ❑ Village M Town Nearest Road Hudson WI 54016 1 1 1 Troy Bella CT (proposed road) ® New Construction Use: © Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial — Describe: Parent material Loamy drift over sandy/gravelly outwash (Burkhardt-Sattre) Floodplain elevation if applicable NA ft. General comments and recommendations: soil and site evaluation for proposed vistas of ST Croix plat. LF = 88" (saturated sand) In -ground "conventionar trenches with 0.7gpdW "ingrate possible at 44" minimum depth. a Boring # ❑ Boring 94.60 ft. Pit Ground surface eiev. Depth to limiting factor 86 in. CM Annliratinn Ratp Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ff 'Eff#1 'Eff#2 1 0-8 1 OYR 3/3 - I 3f-mgr ds gs 2f-vf 0.6 0.8 2 8-16 10YR 3/3 - I 2f-mabk ds cs 1 f-vf 0.6 0.8 3 16-34 1OYR 4/4 - I-sil 2fabk mfr gs 1f-vf 0.6 0.8 4 34-50 1 OYR 3/6 - s Osg loose gw 1 f-vf 0.7a 1.6a 5 50-86 1 OYR 5/6 - s-cos Osg loose cs - 0.7a 1.6a 6 86-90 7.5YR314 - cos Osg loose - - 0.7a 1,6a "Sand beca saturated a 86"; no apparent r oximorphic features F2 I Boring # ❑ Boring ® Pit Ground surface elev. 97.20 ft. Depth to limiting factor >96 in. Anil Annliratinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 'Eff#2 1 0-11 1 OYR 3/2 - sil 3fsbk mfr gs 2f-Vf 0.6 0.8 2 11-21 1OYR 3/2 - sil 2f-msbk mfr gs 1f-Vf 0.6 0.8 3 21-44 1OYR 4/4 - Sid 2mabk mfr-mfi Cs IV[ 0.4 0.6 4 44-72 10YR 316 - s Osg loose cw - 0.7a 1.6a 5 72-96 1 OYR 5/6 - s-cos Osg loose - - 0.7a 1.6a CST Name (Please Print) Signature CST Number Ryan Bechel VJ4 SP-111500001 Address Date Evaluation Conducted Telephone Number 779 Spring Creek AD S, Red Wing, MN 55066 06/15/21 (651) 327-0074 nnr. noel icnu, e� Designer. Ryan Bethel 'All roe lines not S "' ES ' �° F49 ADVANCEQ P P S Benchmark SATank: -���'Grtifled Sal Tester. SP-11150000f drawn are >to0ttfrom Septic't rnnl::Designer of Engineering Systems: D 2263-7system ''fir Soil Boring 20 0' 40' 2 , / Pump Tank: a / Ell\ / 12 STA: BM 2 1 Sail and site esauation for proposed Vistas of ST Croia At 94.60 Oat O• '� Iri-grptrrd'oonuerttional'trenches w+th 0.7gpolq loering rate possible at 44' depth -Depth to restriction = 86' (saturated sand) -Contour = 97.00 -Slope = 746 O9jzo ` \9500 ex ' B3 00 � iZ �i Distribution: � 13 >1 G �1k10 / LOCATION MAP (not to scale) �p 3M1 - 100.00 928.11 MSL � � 11 Top of 1" PVC pipe i2 10 '17" above grade) ��� ° 19 to 4 13 9 1a � 3M2 = 93.40 (921.51 MSL) 7 8 Top of 1" x2" stake by e Marked wooden lathe \ **Well to be located >25ft 36 15 i 6" above grade) r from septic tank(s) and >50ft l 5 3 from soil treatment area** 2 - PREPARED FOR: Ash Properties >1 �\ _ - --- - dress- ___ a Site Address: 14 TBD Bella CT Hudson, WI 54016 PID: TBD (Pending plat) t1.11 Acres Legal: Lot 13 Vistas of ST Croix SW1/4NW1/4 S15 T29N R19W Certlfled statern nt TMe •yt•m hoe bow deelgr d and wolwted in 0000rdonce wM State and Loud codes.. The Boll bwtirwd am mud remain probctW from dhihnbmw orrd/or carpocsm before and alter Town of Troy owwtnmUon. NO M/A tF MY to WIDE MV THIS SYSM MALL CONTIME M FUNCnON iPOEFIKH1Y. Sydom newt he properly nmirtalrod. PwAsw your systmn's maMinsio rt plan for kdomratlon an proper care and °, ✓fMfN COUNTY PLAT OF: 8 VISTAS OF ST CROIX PRELIMINARY PLAT 3 i+;Y.ssotv,.t> THE NW 1 N OF THE NW 114, PART OF THE NE 1/4 OF THE NW 114, PART OF THE SE 114 OF THE NW "' ' 114, PART OF THE SW 114 OF THE NW 114, AND PART OF THE SW 1A OF THE NE 1d OF SECTION 15. .. TOWNSHIP 29 NORTH, RANGE 19 WEST, TOWN OF TROY, ST. CROIX COUNTY WISCONSIN n. - ' .: FUTURE ROAD SY OTHERS22 _ • _ ` - r 1 .F `�' ;�` kK• Mf v�n.nf rNYL- rov aN - ... i a d i OL ra t < TT 417AC - At r 3�b '>R1�at �. �, \. _. �'I Il as I . f j - 'K` \ \ � ✓ / ' . \ \ N I .I ✓ - FUTURE DE OPWNT• I �.� � r eMw� } � �� � .2� j� }i I J• � \.gip `T �_- 7y qp y ����. • �, ifY �_ J rf'.II `�, �� 6�`�►e, � ��� I;�t �.. ,<\ ���'r��\1��/ �.,,r.- � ��} - •ins. �4��s�� I +Jail �t►",:AC w- - �,ti z -<c r 'S.4 ✓ �' �1: `'<'1�5'r�.-�^�<� r.a V < non. ndar�xra.,m.<gwe•ua h. m. robw�e � . > gyp. \ � ✓ /!' •`\ � , � I+eE Via+.. �., . •., 1 '- sr.l.e mgwvwu ab. r !, �< / I }• ±� , ,��F r-, • , �, � ! -' 94, J_ S. G 5. MMddmrhm vwfU®eNv lh<n, 5.1 Iaa, 84 lIv .� ,�} Ae ►— # �- f •� 7 __ /,,, , � �, .0 � � m.md,»nwnalw.n.elsan<Iw.n.9�<Iq<. Ld<9/h ® �. a A. nu' 1 n orm —1 a. pa or m. NEI db. NW NW I " II I •T��, f� prl :l h 1 A / \ l 1 9sS 6' i! ''P ; Lea ++.C".�• v� / 1 . - t (lpr{SY.6 pvl of mYlV i 1 d 41Y I d. / , , .� '/ : 1 ( i I - } N nul 11 n vur d <.a't to me R of x11 Imowl.dpe vW bllrf and ppppY and l�N o(Ih. Ywll (h TiFl< lY, f��'J k f/ I .Yl+v uodvm lew.e m.9x< .'IvmN + Z of b.N1a 19 T .hy 39 NONE RVNIe rnw„ er 1*or• YL c do co.mr w .<m«n. •� � i, f . � �� \( � a / �' I Toaaca.nNr oErn- •� oz/26/zl ' ,! .- i n..nnn.arminw. .' / :( ♦� �'`J .� Il ' i 1 '1. ADiJ i wa.ctiN+ _ _. _ ryed' L S 1 � t / <RK /', wv���rlr...w�.? • ryn � CCCJJJ aLa n.0 rnt. W N C Y e dm .r rs. 1 I .,' 7+ �l'. / OPEN l l • -- — 1. m r eh 1.. orm. wla ors.Nion I1 NY9•Z: 92•e LEGEND ( d r1A��.Y rN: � �%G._ � / � /: ELe:.nonssr.w.N a ro`�:°uiN�r lo•xcron ccl»rtn -- � M a x d h hfll ab'9J Ym h Nrryfil ofw.v oC e+r. 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DLO T a •,N ONIw<EM 9HrM, 1 abl J fl<I+e m. poml nr h<a�l Y Imn>.g 11 Y.zT pnm. n tv r_s ' n,' I,: I _ or+�Nx+r wc+�w.Teo M<raw "`T2 OF 2 t Wisconsin Depart rrofessional Servi s t,� Page 1 of 2 Division of Industry 1' T02 OIL EVALUATION REPORT 390 Bello cl tptX Co oil with SPS 385, Wis. Adm. Code County Attach complete site plan paper 66t le 00 e x 11 inches in size. Plan must include, ST Croix but not limited to: vertical a h ence point (BM), direction and percent slope, Parcel I.D. �c►{ p_ 3�8'�3' D00 scale or dimensions, north a ro location and distance to nearest road. Please print all information. Re wed by / Dat Personal information you provide may be used for seconds purposes Privac Law, s. 15.04 1 m h �. ` 7 % Z Property Owner Property Location: Ash Properties Govt. Lot: SW X. NW '/. S 15 T N R 19 W Property Address Lot # Block # Subd. Name or CSM# TBD Bella CT 13 Vistas of ST Croix City State Zip Code Phone Number ❑ City ❑ Village ❑■ Town Nearest Road Hudson WI 54016 Troy Bella CT (proposed road) 0 New Construction Use: Q Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial — Describe: Parent material Loamy drift over sandy/gravelly outwash (Burkhardt-Sattre) Floodplain elevation if applicable NA ft. General comments and recommendations: soil and site evaluation for proposed Vistas of ST Croix plat. LF = 66" (saturated sand) In-gro nd 'conventio al' trenches wi .7 pd//t2 loading rate possi Is at 44" minimum depth. Al . ,- i -) , t r r r � t ❑ Boring 1 Boring # ❑fi Pit Ground surface elev. 94.60 ft.Depth to limiting factor 86 in. I Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz 'Eff#1 'Eff#2 1 0-8 1 OYR 3/3 - I 3f-mgr ds gs 2f-vf 0.6 0.8 2 8-16 1OYR 3/3 - I 2f-mabk ds Cs 1f-vf 0.6 0.8 3 16-34 1OYR 4/4 - I -sit 2fabk mfr gs 1f-vf 0.6 0.8 4 34-50 1OYR 3/6 - s Osg loose gw 1f-vf 0.7a 1.6a 5 50-86 1 OYR 5/6 - s-cos Osg loose Cs - 0.7a 1.6a 6 86-90 7.5YR 314 - cos Osg loose - 0.7a 1.6a 'Sand becam saturated al 86"; no apparent r oximorphic features El Boring # ❑ Boring ❑■ Pit Ground surface elev. 97.20 ft. Depth to limiting factor '96 in. Soil Aoolication Rate Horizon Depth In, Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 `Eff#2 1 0-11 1OYR 3/2 - sil 3fsbk mfr gs 2f-vf 0.6 0.8 2 11-21 1OYR 3/2 - sil 2f-msbk mfr gs 1f-vf 0.6 0.8 3 21-44 1 1OYR 4/4 - sicl 2mabk mfr-mf Cs 1vf 0.4 0.6 4 44-72 1OYR 3/6 - s Osg loose Cw - 0.7a 1.6a 5 72-96 1 OYR 5/6 - s-cos Osg loose - 0.7a 1.6a qt 93.8 CST Name (Please Print) Signature CST Number Ryan Bechel SP-111500001 Address Date Evaluation Conducted Telephone Number 779 Spring Creek RD S, Red Wing, MN 55066 06/15/21 (651) 327-0074 P" ❑3 Boring # ❑ Boring Pit Ground surface elev. 97.70 ft. SAN-2023-075 Depth to limiting factor 92 in. Cnil Annliratinn Gafa Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 'Eff#2 1 (5% rock) 0-15 1 OYR 3/3 - I-sil 2f-mabk dh a 2f-vf 0.6 0.8 2 15-28 1OYR 3/6 - s Osg loose gw 1f-vf 0.7a 1.6a 3 (5-10%rock) 28-51 1OYR 5/6 - s-cos Osg loose gw 1vf 0.7a 1.6a 4 (5% rock) 51-92 1 OYR 5/4 - cos Osg loose cw - 0.7a 1.6a 5 92-98 1 OYR 3/4 - cos Osg loose - - 0.7a I 1.6a 'Sand becam saturated at 2*; no apparent redo imorphic features �•`f 2, ❑q Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Snil Annliratinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 I *Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Anil Annliratinn Rata Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 'Eff#2 * Effluent #1 = BOD, > 30 s 220 mg/L and TSS > 30 5 150 mg/L * Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L Designer: Ryon Bechel Certified Soil Tester: SP-111500001 Designer of Engineering Systems: D 2263-7 SCALE 20' 0' 40' `J B1 Z ` i 94.60 :9j20 \9 � �00 B3 J " 00 O' FOD 100.00 (928.11 MSL of 1" PVC pipe ��ADVANCED 13 SAN-2023-075 'All property lines not O Benchmark Sl'STP;11110'rES drawn are >100ft from N septic Tank: system Soil Boring Pump Tank: 12 STA Soil and site evaluation for proposed Vistas of ST Croix plat Ingrotnd'corNenhonar trenches with 0 7gpdtI loading rate possible at 44' depth Depth to restndial = 86' (sataaled sand} -Contour = 97 00 Slope = 7% Distribution: U7 LOCATION MAP (not to scale) 11 19 12 10 (17" above grade) P��r° /' 18 1�13 9 r 34 BM2 = 93.40 (921.51 MSL)J s Top of 1"x2" stake by _ 16 1s ; 6 4 marked wooden lathe **Well to be located >25ft 1 (6" above grade) -� from septic tank(s) and >50ft j ,-_ eks a from soil treatment area** / �. Z r (� \ 9 PREPARED FOR: i _ > \ Ash Properties I / / Site Address: 14 TBD Bella CT � Hudson, WI 54016 PID: TBD (Pending plat) t1.11 Acres Legal: Lot 13 vistas of ST Croix r SW 1/4 NW 1/4 S15 T29N R19W Certified StotenxnL Tins system nos been designed and oval ated in aceordonoe with State and local codes. The soil treatment area moat remain protected fnxm disturbance and/or compactcn before and after Town of Troy ---- I nnstruction. NO wARRANrY IS MADE THAT THIS SYSTEM MALL CONtINUE TO FUNCTION INDEFINTELY. S}retem must be properly maintained. Review your eyetems monogement plop for formation on proper core and _- - --- --- -- _-- : rn`vintenonce. n kale. 1" = 40 Date. 6/15/21 Lo 0 c') N O N T pF'4*'RORDGYOT�ERS" �`` aSo.,'" i _ ♦. ..'� r �riii / '� \ %-fir '�i I rll'' 4c f. ; � �✓ /r`l�\ I' \��; � :� r %P' ice'"`T ` C. C , i i iLeP }i ti).•I, !'T i' r �ilh�.,�,,\,P``, ,\v w`1, \'•m2�; ♦\�``'rif T ✓`` �1'li�i// � ii�\ I Mr-111 V✓ ---Yi"li � (� �� /�^ ��� �� �/'• rl� v'F �r �/fJ / rasp 7'' �, V ,� .�. ✓�� �,';//%/ i' `�� vd lam/ (_� ,r er,.. ,,rToos.k.� `.r�r'fy��'�i,.•saar__a tl.-., I un ed b I rfer. dltlYY<N l•I J9 - C��S= ? -'" •• - N'rora It-��-i' a., to tl _,•-- ;k-?-i -�-a. f I f "9 t •ri,- ' COU NTY PLAT OF: a a VISTAS OF ST CROIX R PRELIMINARY PLAT I O; THE — 1/4 OF THE N W 114 PAN T OF THL NE N4 OF THE NW 1/4. PART Of THE SE 1/4 OF THE NW 1/4. PART OF THE SW 14 OF THE NW t14. AND PART OF THE SW 114 OF THE NE 1/4 OF SECTION 15. TOWNSHIP 79 NORTH. RANGE 19 WEST_ TOWN OF TROY. ST CROI%COUNTY WISCONSIN a a[ \ V" i r ('"=^ •: �'!.-'_�,•- i. / r I ', ,, \ ,`\,`7 , _ E �` �,ti �.� a� •3 1,rs / r � rl�_r :1 . ` I ?,at 'T41,P -. >'i i � ..'�' % r �R i 1 �1�'�\l, , 1i?,�` ;�' � && �' `�• _ '�� ' b : i/ 1 T S�i�r/ �. x1' � `' ` {� �Y ""' ; i I �� : S i' ��;'zi'S•,1,�/� ``\ ` 'rR� 'I, / Jj`�"`�, y IS .•sa.�,f ,1',\t� I. ih,1 i ��i�'�-_` r i, `i ` `,�' .0 `� J `, j 'iX•, '�51r�Mizn. , )A`;``\I�c ;,>;'_ +�f 4 `I1"tl"' I - I ' � ' v ' ":� '+�` � , a _ i� \` ' ` i i, 'ice✓'' \ \ 4`' i �I !� ". ``t\11\I`�Ir��:� --,- �/ '� , Jar `; r- �; �`�_r k s I t gt �� ,i �� 1r" u.'a3 j1,`i1 > nc.,�.y—�wamrl�.r��L\��; ,� �j,�`•"''„ \\' r.P .`,, 5\\` ` d X a g Q 4 - - �, 1', I � 1 u r � ]I - ♦'I 1 � .�,� ."l � -^ ,_�: l�=i,�'-:�5'blr:% .: .3\` \ \1 i :\ 1 .`x 4 .1> _'✓.Z\ n�+l t I11_ - �..'rlir�%%:i, iFIURED my LOPAIW. t Al rf \ 7 ® o i � i L o .'J\ ` ``_.�-1, �M'R� � ' .)+ r'r11.. S:r� J f,10 AC ♦) \ / , ^ '` i � 1. r,i, .�"_r'ti i4 CL ��'�',C`;J'� {`�.�` ♦�,�, i ""sue'"ua�c / /y ,./ r. I', 3dfi 4 i ' rr 4 i T i, I I11�1 I S a4 r `4 11 r - d b r � OL1 � 1 T 'ir" i /r 1 f1,23 AC✓ y ,. `4b�rs•- ' w yN�C� 1\', �0 1 \1 t 1 r` ! 'j�riir n J y 1 _ _ LEGEND o ,l q-ba(W VLAL SAN-2023-075 'T1 '-CRo►x COUNTY NOG 6 � STATE SANITARY PERMIT 3Q0 gEu.L , c~r [:ITP,* NSr -r`dwnLAL PREVIOUS NO. — ZDfJc X £ Wcerl VA 44—Pb6c, PLUMBER RpC-X=PtSe-c,6,AJ LIC.# 2.2(o'{`�'� TOWN OF `11DY SEC _ ,T 216 N, R AND/OR LOT BLOCK r VISTAS, of S"TCRoIX SUBDIVISION 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: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. i J�e DATE 5/2�02OZ3 51 THIS PERMIT EXPIRES_ 7</28,.2S UNLESS RENEWED BEFORE THAT DATE POST VISIBLE FROM •AD FRONTING THE LOTDURING CONSTRUCTION SBD-06499 (R11/20)