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HomeMy WebLinkAbout040-1316-06-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: kA St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 538889 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Titterton, Jonathon & Lisa Troy, Town of 040-1316-06-000 CST BM Elev: Insp. BM Elev: BM Description: Sectionrrown/Range/Map No: GS 05.28.19.2062 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. R:. s 7.35 Aa , Septic ~ , 2 3 ~ZS r~ Benchmark Gf.+ 1 0b e 5c, w.- Alt. BM F`~„~, Po a SZ~ r ~ Z .75 Ja~f. Aeration Bldg. Sewer 161 Holding St/Ht Inlet 7(A leb TANK SETBACK INFORMATION St/Ht Outlet L,9 45 TANK TO A P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet /vfe(PL-- ke e~- \ Septic 7Z l ^)A- 26Dt Bottom Dosing 7 Header/Man. Z T13. 1L 7 Aeration Dist. Pipe ~y(z y3, /'s Holding Bot. System /7L- A ,JS Final Grade PUMP/SIPHON INFORMATION .4 _ 11,, Manufacturer Demand St Cover c GPM l ~-y LOJ Z •71 / 6 . (p Model er TD Lift Friction Loss System H DH Ft Forcemain th Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length / No. Of Trenches PIT MENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 3 1 fC- ( „C! j SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: Z ~~oc,J INFORMATION c4 CHAMBER OR Type Of System: I / c 54t UNIT Model Number: Gdh Lj 1'a 4 DISTRIBUTION SYSTEM c( (i 1-- to Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Int ke Pi e s Length /Z Dia 11-ength Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Seeded/Sodded xx Mulched Depth Over Depth Over xx Depth of T Bed/Trench Center ti 5Bed/Trench Edges \ Topsoil es E] No Yes E] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 541 Autumn Blaze Trail Hudson, WI 54016 (SE 1/4 SW 1/4 5 T28N R1 9W) Cedar Woods Lot 6 Parcel No: 05.28.19.2062 / GIB ` 1.) Alt BM Description GO .-t, t, a ~ 2.) Bldg sewer length = UPv q - amount of cover ~ GO ~ J s ESL - o St~"~ C_ Plan revision Required? ❑ Yes C, r 1e 3 No Fi I 11 ~ Use other side for additional information. _ Date Inse ctor's Si nature Cert. No. SBD-6710 (R.3/97) commerce.wi.gov Salt s Tls~ings vision County flri'Ave., P. . Box 7162 st. Croix sco n s rn Madison, WI 53707- 62 Sanitary Permit Number (to be fill din by Co.) Department of Commerce 530Y /Tsaction Number ~ Sanitary Permi A oei - Asp In accordance with s. Comm. 83.21(2), Wis. Adm. Code, su ission t1g+( govemme t unit is required prior to obtaining a sanitary permit. No Ap 1 ` 86D to-owned POWTS are ddress ifferent than mailing address) submitted to the Department of Commerce. Personal inf ovide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04 1 (m , 1. Application Information - Please Print All Information 541 Autuma Blaze Trial Property Owner's Name Parcel # Titterton, Johathon and Lisa 040-1316-06-00 Property Owner's Mailing Address Property Location 2~ `2 1400 Wisconsin court, Hudson WI 54016 Galt.i! City, State Zip Code Phone Number Ste- y4 _ y4, Section -5- Hudson WI 54016 (circle one) T 2$_ N; R 19 E or W II. Type of Building (check all that apply) Lot # '41 or 2 Family Dwelling -Number of Bedrooms K4 6 Subdivision Name Block # Cedar WbodoiC ❑ Public/Commercial - Describe Use ❑ City of V ❑ State Owned -Describe Use CSM Number El Village of Town of Troy III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ~ New ❑ g Replacement System El Treatment/Holdin Tank Replacement Only El Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that apply) CIDNon-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil v~N ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑fretreatme t Device (explain) 44 V. Dispersal/Treat ent Area Information: Design Flow (gpd) Design Soil Application Rate(g sf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 600 .7 r7 857 900 ✓ 94' VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units p v E td U New Tanks Existing Tanks c a U v) H o7 u. C7 a Septic or Holding Tank Pol lock 525 Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Tim DeYoung 7- t 9 1 664713 715-246-2660 Plumber's Address (Street, City, State, Zip Code) ~ -167- Z(,4- 2, 321 Wisconsin Drive New RichmoliId WI 54017 T VIII. Count /De artment Use Only El Approved ❑ Disapproved Permit Fee Date Issue ssuing A Signa e ❑ Owner Given Reason for Denial ~ IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 7 1 Septic tank, effluent filter and ( dispersal cell must all be serviced / mair rj _ d er management plan provided by plumbe 2. All setback requlrecfl0 a e system and submit to the County only on paper not less than 8 1/2 x 11 inches in size as per applicable code/ordinances. SBD-6398 (R. 02/09) Valid thru 02/11 WOO. ,r ~1 A -mom "mow I CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: Titterton, Johathon and Lisa Owner's Address: 14QQ Wisconsin Court, Hudson WI 54016 µ Legal Description: SRI 14, SW14 SPc• 5 T 28 NR 19W Town of Troy Township: Town of Troy County: St. Croix Subdivision Name: Cedar Woods Lot Number: Lot #6 Parcel ID Number: 040-1316-06-000 Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross-Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber: Tim deYoung License Number: 664713 Date: 11/18!11- Phone Number 715-246-2660 Signature J Designed pursuant to the In-Ground So,Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01101). Page 1 Soil Absorption System Cross Section 4" Schedule 40 99 i0 ft. PVC Vent Pipe with Vent Cap Final Grade Geotextile Barrier Material 2" f- ft. 36' -J System Elevation _ ft Soil Absorption System Plan View ft . s% 1e ea ft (eb ft \ T nc Trenc 2 Vent or O ervation Pi a LhawAq.c" U VV ppecifications2 Manufacturer and Model y 2 a EISA Rating sq. ft. per c Soil Application Rate d.~ gpd/sq. ft. gpd Design Flow- o Soil Application Ilcation Rate - EISA = 7• CtT 2 rows of ~e~Us each t0 rU~ 0 0" 3 lows wl D z A N 53" AS m READ X 41" 81 D z z r c m m ~ 0 w m v O UP 40" I I l ash m 4" CAS 3" 44" 6" x I T N A o 36" co m N m ;u UP 38" 0 4" CAS I \ 1 J III ~ X m 2 X 0 m c m 39 z m r c: z z o n 10 r O z ~ N x v z v m Z rri A DOS O O mZ 8p ;u -opozmDOODZ ~m =1 Z oc v D my F r Cp 0 \ 07 D Z N 0 mC DC ~-=~0~~ N m -4 0 --j ~D NN C (7=~ N1 Fn !O NFo) C v a v ~E ZO co >Or oo (A r-+ D~ Com-Ci,o`'N n N v v a ~N z z p Dm pW I mr..~ •0': (T1 < O M O c U z ' 0 D f7- O io OD D ~~Oi00- O D< z w v+ X N 4E C r l SOP P n I o m z o N ~Z C O Z D m ca N Ov 1 o m a z $ Fm O Z p 1 D m TI 0 a)m c) D O N Z O -1 m- N D r 3 m = Oz N A 0 c z D z N 0 > 0 m H 0 O z z m - DRAWN BY: SME SREV. 1/4"=l'-O" PRE-POUR: \ m WLP1250-P MIEBERCIRCIETE m+ SEPTIC MANUAL DATE: JANUARY 2010 DATE:. POST-POUR: W3716 US HWY 10 MAIDEN ROCK, WI 54750 \ ° REVISED JAN. 2010 800-325-8456 RAE: 012W4 E 1203H vwlwl"wwvl 99 b.44♦ v=• q• ti.. i.,:u -•;l. l~~r~ 949999. 9994.79 ~F~' -`ls 9.. 9aaa 9tb :.2.•...+ VV~ e~ 4»Js 1.'w . ~ .iJt•~'ice , „ ~l 12 VIV 24 99. VVw 4.b25't rVv VVv 1/2 Circ. 18.84" 9.s :9a .av ,.a vv.v4.. ,.a4..o9Rl,tivF v9 .a f.i .aYva 4 - -V wVaw,e►s.~r,♦ .rr91r,a4 B Btu 12-1/2" DIA. (ty- Vold Voh.tnc Void Coeffi is Aggregate gh- aL 57.4W Sidcwalt (Z Siddwallsl 2+ 8.84in ~ 3.i4 O.D. of 4" pipe ° 4.623 2in Void voltuaa per filar ft. = 3.14' (.1 , 11fc - 0.117 tr Baftm i O.D. of etWereylioder- t2.S inches (3- TOW sea Werfaee Araea 5.14 Void volume is aggregateofccImwcytirder- 14'(1 j.-..314-jt~}~ l l ! 374~.A2? ili O-O. ofaut*k ayliadeta=12 lathe Projeeted Treaph Area vQllMW is ottttddeeyNadeea= 2+3.1 6k i lIiaf 11)T *.374 ° .901 as Sidawail Heigh - 12 im *2 - 2.00 SgJFL Bottom $ 36 i". - 3.00 Sq.FL Void volwae at bottom txtwdpr cylinders ° Rip tt to + 12:~ t k J - 3'i~uist tt~' 1 0.215 te prQeeted Tftfteb Aexa = SAO Sq.Ft: Void volume at 0--mid, bottom comas (112 of void volume between eYundas) 021J3 ! 2 0.108 fe TOW void volume ° 0.117 +0.422 + 0.901. +0,215 + 0.108 1.763 tadria it t fi. Gallons per ft ° 1.763 X 7.48 ° 13.2 Lajbns n T r r EP A9~re-gate Trench S--ystem EZi 2 3H _ ow kincj dustria! Grow 66 brdusciad Park 'Rd. Odwclnd. 7W 48060 sot~E ~ ~ 1WrDLrttOa~lf1-vtis . > s d t ss_z7-os ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer 1 'j"'r~~t~►-~ ~1,T~~ d~l[~ L~15.r Mailing Address lAcKll \N%5cet-,5 ts-i 6.c%-j4t:;r U--sA65oi- _ Val t t7 ~ Property Address 54 1 r""" M t4 (Verification required from Planning & Zoning Department for new construction.) City/State 44 5 E-4-, \04 1 Parcel Identification Number (0 4- G to 10 0010 LEGAL DESCRIPTION Property Location '5C 1/4, 5W 1/4 , Sec. S , T _7 6 N R 19 W. Town of . Subdivision Lot # Certified Survey Map # , Volume , Page # Warranty Deed # 19 4-15 13 40 S -,Volume , Page # Spec house yes no Lot lines identifiable -yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number o SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey reap if reference is made in the warranty deed. (REV. 08/05) vv, rii ..v avu ir. rv raa,a , a.v vvv :vvv 01 VAA VV 4,ViNIA i /(J WJ VV4 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of % FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity gal ❑ NA Permit # Septic Tank Manufacturer q NA DESIGN PARAMETERS Effluent Filter Manufacturer, d NA Number of Bedrooms t7 NA Effluent Filter Model k 6-zy- ❑ N A Number of Public Facility Units A Pump Tank Capacity gal 4 Estimated flow (average) o C) gal/day Pump Tank Manufacturer ❑ N.4 Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer 4 Soil Application Rate a o ~7 al/day/ft2 Pump Model ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit Fats, Oil & Grease (FOG) 530 mg/L 0 Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Disper I Cell(s) L3 NA Biochemical Oxygen Demand (BODs) 530 mg/L -Ground (gravityl ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L I' NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 510" efu/100ml 0 Drip-Line ❑ Other: Maximum Effluent Particle Size Ye in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency inspect condition of tank(s) At least once every: ❑ nolffhth(s) (s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ Nit Inspect dispersal cell(s) At least once every: ❑ empa arth(s) (Maximum 3 years) ❑ Nit Clean effluent filter Al; LU-Ald At least once every: C3 y a~th(s) ❑ NIL Inspect pump, pump controls & alarm At least once every: © month(s) ❑ yearls) Flush laterals and pressure test At least once every: ❑ month(s) ❑ year(s) Other: At least once every: ❑ month(s) ❑ NFL O year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surfooD, The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 11:3, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 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. I A O vov sUOU al UKA W LU1V11VGi LgJ UU5 Page Z of Z~ 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 cell(s). If high concentrations are detected have the contents of the tank(sl removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent- To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or.elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fait; foundation drain (sump pump) water; fruit, and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; ail; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or Is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed, • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGEN PLAN If the PO S fails and cannot be repaired the following measures have been, or. must be taken, to provide a code compliant replace nt system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorptkm 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 n ill 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. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWYS technology a holding tank may be installed as a last resort to replace the failed POWTS. T alua ' a o rng ar►k tjll~ be ' e are ~RDKI'131Ti~ fbR- A/6 , i$&1SM0C-:T1• D^J ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NC T ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name S Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name S~=Tj- C K.D t 2orJ1 /I! Phone Phone rG This document was drafted in compliance with chapter Comm 83.22(2)(b)11)(d)&(f) and 83.54(11. (21 & (3), Wisconsin Administrative Code. 111 j 8 L' h 2 5 ~ 6~~T'H, PABado'" OF-EU, wri de 'raet Teen C; L Land ~~uu3~t~ft~ ~xP nc a orrpor;atio1"i, Crariior, and Us-- M. T'Iterton and w" .!,~nathon R. Tiftedcon; ,vlfr~ and husbanc as, Survivorsbip. 3:02 PM rF , f~i Propmy, Grafitee, EXEMPT&: No Gran t Jor a : abaMe cor 'a dera I sn, convoys ak wamAs t0` EC FE , 3,0,00 rp~,;il etc-ie in .$t. vrpi?4, GC1l3itCy, f FEE: ISUAD k 4 k.~a 6: Pl?at of Cedar '-Noods iii the Town C4 Tfpy, St. Croix Y:e a:P;:) ~rE2 Name and € ,t '.urn AGdresS: EcJina R£e;Mty 3rfe, Inc. 400 South Se(.3no. sim5t, :quite 115 flit)-13 i ~-it}>-{) 3t) Excep ior)to warrFn as Usomenk °eSI[ichons and dghts-of-way of record, V any, F •~c~.Ql laic •4itlt =.ic:4i P3ix ~tfP; (Pitt; , I i` is ( jqt n: irn stead rproperty, f Dated thi: N~v~-mlbrr 10, 2011 l l m d D= v i.Fpr' c it, Inc. 7f a , Glen ;M, 1Niese, Pmsiden;'. 12 i„ 01 Low! Wow seaeWMeaswor WARRANTY DUO SWE BAR OV- W1,9CG' S04 :FORM PEe: 2.2010. r3f . r s SW T ~I tia3cllLfe?tS~ l11 OF vt~d G "OUINTY OF i~~3i#Zt'Ilt ~,,,i<<..~ C#~~~^ ~Z1~~'1',~'1@t 9\~•~,2' 11 ' I: yfl~ r~ Cr Y,a r;5 3~ r F~3 reS4j~ t~Sjd4~F ; 2nd Lela M- 11 ME AS -il' i,' STr;-#_~ 8r L. 1_Gnd' De plop 1 ent Inc- a Pvt. ]SC J tSlf% Corporation to me i v~ p ,afj,.hcrize(l ~y §?~06,G.','~y~Sty n to b S~SwE PLf"SC)PJ LJC (~s rSOf1S bNP3U xecuted the Nlarm, D. Henschel 68~:0 prance Ave-iij, SGWI h, SLite 41f,) <<~l F moo, f Cheri Brown, ( ;;Clr+atufos may i;? 3til ~TS1SC<~ ~t~ i~C t~Ckilt?tPvi:P{1gEd, Nfytw}' Pi ilC, ~C3[~ Cf`eV`iSCG kS1f1 # Both <_fsN trot r: cess~°y. Y~ly cr,,rnmis: ion 1a }armament, (If rot, state the trY,"Jt'3tl(3r4,j a18; 0 3, ic;Jr5j tr>, r Lnr printed below their s:tjr: r~ . r f lj"ZRANTY DEED STATE BAR OF WISCONSIN 3 Ci;;t N0. 2.20<3.Q. ~~r2 N 0 r f ` 1 N to ' t T,~ \ N YIN r 1 co T Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. QQde Attach complete site plan on paper not less than 8 '/s x 11 inches in size. Plan m I ty St. Croix Include but not limited to: vertical and horizontal reference point (BM), direction and el I.D. 040- Percent slope, scale or dimensions, north arrow, and BM referenced to nearest ro Review by Date Personal information you provide ay berpose vary Law, s. 15.04 (1) (m)) / z8 d Property Owner Property Location G&L Land Development, c. DEL 2 Govt. Lot SE v. SW 'i. s 5 28 N R 19W E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# W12491 890th Ave. T. CROiX COUNTY 6 Cedar Woods City State Zip Code .w Ph ❑ City ❑ Village 0 Town Nearest Road River Falls WI 54022 715-386-2928 Troy Coulee Trail / FF 0 New Construction Use: 0 Residential / Number of Bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or Commercial - Describe: Parent Material Flood Plain elevation if applicable ft. General comments and recommendations: B-1 was completed during the preliminary soil assessment on July 22, 2005. 55 - 45 Ct4a 1 Boring # Boring in. ❑ 0 Pit Ground Surface Elevation 99.6 ft. Depth to Limiting factor >I 10 Soil Apglication..Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#GPD/ftZEff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-10 10YR2/1 None SIL 2-f-sbk dsh gs 2f 0.6 0.8 2 10-18 10YR2/1 None SIL 1-m-sbk dh gw 1f 0.4 0.6 3 18-25 10YR3/4 None L 1-m-sbk mfr dw 1f 0.4 0.6 4 25.144 10YR4/4 None SIL 1-m-sbk mfr gw 1f 0.4 0.6 5 44-54 10YR4/4 f-1-f 10YR5/6 &5/2 SIL 2-m-sbk mfr aw 1f 0.6 0.8 E 7 6 54-61 10YR3/4 None RVS 0-sg ml aw 1f 0. 1.6 61-110 10YR4/4 None GRS 0-sg ml - if 0. 1.6 ❑ Boring 2] Boring # OPit Ground Surface Elevation 99.6 ft. Depth to Limiting factor >120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots YEGPD/ft2Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-13 10YR2/2 None SIL 2-f-sbk mfr gs 2f 0.6 0.8 2 13-20 10YR3/3 None SICL 2-f-sbk mfr gs 1f 0.4 0.6 3 20-4 10YR4/4 None SICL 2-f-sbk mfr as 1f 0. 0.6 4 0-120 10YR4/4 None S 0-sg ml - None 0.7 1.6 ~7 * Effluent # 1 = BOD5> 30:5 220 mg/L and TSS > 30:S 150 mg/L * Effluent #2 = BOD5 30 mp(L and TSS 30 mg/L CST Name (Please Print) Si atu CST Number Mark Iverson - 46672 Address Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 December 20, 2005 715-796-5664 poc# g1g453 STcrP,MR•sO COUNTY PLAT OF CEDAR WOODS S T. R'.d r.. urmb 0 WAS rRUfDi4. FE!b4•ual• oo I THE SOUTHEAST 1/4 OF THE SOUTHWEST 114 AND PART OF THE SOUTHWEST 1/4 OF THE SOUTHEAST 1/4, OF SECTION S. TOWNSHIP 28 NORTH, RANGE 19 WEST, AND PART OF THE Nv, It N114 Corner /o .r S Section 5-28-19 y➢1 is N~j /5W NORTHEAST 1/4 OF THE NORTHWEST 1/4, AND PART OF THE NORTHWEST 1/4 OF THE NORTHEAST ,z$- ~:r Survey Mark o-! een ff. Wxfeh_ FJ r~$~ 19 `/t 1~d S/ l 1/4 OF SECTION B, TOWNSHIP 25 NORTH, RANGE 19 WEST, TOWN OF TROY, ST. CROIX COUNTY,WISCONSIN. R•p1.YG.F• r « In b9 .d+~+- ~^A'~44ppx•P•ra I e, I r _re ,are _ Lor lz In Let 13 Frontier er Sub sub -ion - onlin sueaNislen _ _ - FrnnfieraSuBdiv_ _ N89'01'IC) E STORMWATER 1321.12' ($89'54'54"W) MAINTENENEE ACCESS (1371.17 ) ENTION AREA \1 Water Elevation - 820.5' sF,~Sw pS~~U~Nio% w oU000T 1 I~ RETSTORMWATER measured 6/13/05 2$-19 - 15.38 acres J 5 1✓ i i SW ~ S NOTE: Outlot 1 contains a storm-ter easement te° over the entire area to preserve all DElu2A F F If, 'ra ecyuwo ^REA y gti0 / a nc6d to the o It' stormwater related facilities. f the . 2-16 f.\eN N88'43'21"E 457.50' If, Southwest 1/4, serl 5--33 vhirh bears S00'S2'56"W. N~ .88'43'21'0 231.38' .88'43'21"E 228.,2' 0f A'e4 I sl. Croix Cdunly Grid System) = 341.0 -1 - - - - r S\7>'r9, SSg ~~Ragp O o N ' 4 I I ! f J aN N79'1016'E ~ s f Fa O o J\. J>S 22' N cy, ti Sw /5w N f LOT 10 l LOT 11 / I /25' dralna9o eaadrndnt 7 y_2$-19 v A \ 1 I LOT 9 83,369 sf. 73,585 sf. u / \ \ 1.91 acres I. 1.69 acres T 719 i LO 12 / 65 ' E m 'V 114,241 sf. w to P / \ \ 2.62 acres 1 0 1 92,446 sf. / a 2.,2acres , / l Im OWNER/PREPARED FOR: Ge•L Lartl Development, IN( LOT 8 e / ro^ / i W 12691119011 Ave \ ?a yf 1 1 / J L_ River Falis, WI 54022 ` 97.783 sf. 2J?~dTs \ 2.24 acres o.~-',, R\ / IS /LOT 13 l o SURVEYOR: PI, RLS \ \ 1 "m=°i v / 85,176 st IJ DANIEL 1. FEDDERLY r \ / _ DJ FEDDERLY MAN.CONSULTANT. LLC \ / 1.96 acres I N9307 330TH STREET o \ \ \ \ / i / / J BOYCEVILLE, WI 54725 W \ \ \ / \ \ \ / / / N PH. 715-505-9242 t- 00 /91 ,0~,30'Ihy1 N j11/ N DRAFTED BY: 15.22' 18 SURVEYING LLC LOT z al 'l°i J sl 68.6os sf. \ °ry9~' / O LOT 14 14 L 1.57 acres > ati :i• t 1 1 / n9 ,Ty f/ ' 49,868 ST. J e 5" OUTLOT' 1-... ; 1.15 acres NOS _ 325.yT~ ~79'S6'49"W / ®i .I S ~s• _i ..b re zs9.a' O/P~Pi ill I 6 ®ri I W\ I.11 -N88'42'15"E-7 \ mi 1 IIQ 1 LOT 3\ r RP I °o m l I 1\ 0 LOT 6 65,202 St. \ J l y n o f 27.aB' l LOT 15 l p t.so acres I ~ is 69,265 efs. /1{p~Vycn Y 590 'D 11F l 61,367 St. is NOTES: \ 1.59 ocr J _ --ja'9p,\T• LBO=908.Oro, ^ / l I N 1.41 acres Any prop zeddi-b. eel-mpr-2D%drgroat.,ml 'ps s / ro^°vd°%~ •t, \ ~ry/n" . ~-.I fir - - Jb an iriee an approved D1a1 a,b nor roreree by 3 t3~\ 9 \ _ / \ 2ry o I ~ ~ I °m' ~ .a nor'fef..piled le it let Tnlz an .lr.a 3s, ej / bn I { I ® ® 1 83.66' ..p-f. special exc.Dlbn permit is apptlDPUVe Iw a. LOT 5 4 \ - NBa•a2'ts"E rddgn the renin9 mice-is revi.wee t-gha f /z LOT ~N88'42'15'~-- 252 8t1 In n pvbu-ne,rFg prat.-s by me sr. Erdr. I.." A-1 LOT 76,597 sf. 1 64,315 sf. oath I/4 other .future 5treet ~tian-X28=t9= ? 76 acres 1.48 acres 73,3_92 sf. _ o O~ N I S• - - l o• m 1 - - C ` 1.68 ac F e0icated to the pu0lic" AIUM1 Mon o \ N 1 /4r \ LBO-907 ff 7 ~ r' - -.88'42'15'0 - 362.29' u1 ° I z cou \ "3 4• S S`31R6, Ea 1o y, ° ~ \ / / O l y Each pacts shorn of this map 1...bj It to slot.. rt dnd rd,nmiplldwe. rd e, wd regmmmS1'(IT, i \ " \ 4 \ N ?S \ / LOT 16- dnra mmF,dm m el:.. e. t9 Perot, em.). I J u \ 1 / \v?+°OO. ✓ yA•o/ s)v / e•iore PwNadnq or aewiopmq enr 1d1. ddn9wt Ire \ y JsTF \ 1 ` o \~s^ e4j•ny/ Ct•?' j . St. Gei« Caunly Planning and Zoning Dop"rtment me \ \1 72.945 sf CreS lu N r \ 2 C I' e own or T- I_o t_6 SS?tea V LOT 1 1.67 ° ~=h~Oryg 66,603 St. Vol.l7_Pt,.a567 I` \ L 1.53 ac h/ ~ \ C ` \ res/ ~c//~ 589'02'17"W 319.90 I (.88'5939`0) (320.D0') a Nw ~N NET PROJECT AREA TABLE \ 0e fs >+JS~• ,,a//°~ ° L$~1~ arW R• a.og. I_ot 1_ r l v3 " J6`co°'~o :4, / l - Fl o w \!y '3pso• c 7s.ep J Vo1.7,PrL.2016 1n,o 1i I3E~N 9 Lot 7 N>2Zo. Pao /~A (/LOT 17 ^ 4;ns z$~, \ \ +2 W //?m \ Vo1 1 7Py.4567 89,408 St. t'il z South 1/4 Corner . J eax~ / \ /tiu \ 2.05 acres e; ° Section R-28-19 Alum. Mon. 10 LoL_2\ o~ \ N m TOWN OF TROY N Tzar x w a.1ad 1n +.sx 12 a«e x A a1e7 lac 1.ee APPROVED: By the Town of Troy \ ,a v J ra TYPICAL BUILDING OFFSETS 1J asne N A x A 17a 14 .v.ae x A x A 1.nr '.~e this dOy .1 Vol. P-4659 wo 'I'SO fly., \ c' AND UTILITY EASEMENTS A 71n ,.e. S. +`y3• NL BY----------- E5' VTASEMFUIY \O SIDE NYPIEAN NOTEe 1 ana aduol 2 we Ie be Ier d9riddHwdl ana rewedtial,dl ' \ °~~/P Ns~?~s 2 OUTLOT 2 any. Ne bd'mm~9 de elapment i, aDOwea. Lot 3 \ \ s 2,812 sf. l oueola 1 ana z we m be b a- open apse. and ore to be owned ore mwntdi-d _ SCALE: 1" = 100' y the homeewn.re^ e 0.29 acres mbriaa . r9e Vol.3, PcZ. 659 \ n, 7s ofNo owner or reeldert s a -a ddo-yotr9 would w cha ® e dpprowd vlet -na-Ma n sal • roei, pldn for thi. to Pldl. dp e,atlan REAA I fROxtl comprMenaive q~ o a a p' 100' Tnietolnclu0ag, but Is of limited t bu0din9dspona natruclin9 . r taring. wed. .oter lion 200' w / \ yy drdlnd9a a em.nt(e), e, d o.- ditchee. vc --ye n9 in any I,na ea merle, vol wat Ner ulYOl-, rme, we9rdee aeeelings. \ L l Lat_4 \ n' CURVE DATA Ve1.3.P_g.6_59 DE LOCATION SKETCH CURE LoT flADIUS --L ANO E 1e C cNCTM CNORO BEARING 6ACK TAN - rORwARD TANOEN7 SECTION 5&8, T28N, R19W A-B 2 26r 37'23.08' 1]622' OLIO N17V7'33'E N361B'07'E N0054'01'W c-D - Jas ]7.23.06' 117.28' 21115' N17.4T33-E NJ619.0•E NOOS4'01'w _ \gCONg> 15 J33' 1" 11.17' 21.16' N0o55'14.5'E N02-44'30•E ND05.01'W LEGEND ~ r5rr.e,y ;a SW 1/4 1. 22}1'59' 129.02' 126.21 N-SO7.5"E .]6'29'07'0 .1417'06'. -0. I. SECT. 5 Ei 21Y 13M7'37" 4IN, 3BS.IY N66-irr-5'W .0054.01-W s05W22-W Z, -,,,.GOVernment Corner Ias noted) DOYL'FY LLf,I SE 1/4 C-H 203' 131aY37' 647.87 515.30' N6817'4WIm -$101-W S4756'11'W o.-.......Set 125"x18" iron rebar weighing rv,.....W.' m _ SECT. 5 26s 37v6•n• 1..J• 1e o.m' ss6'3z•2zs•w 9BSO6'31'W su'se•2Yw 4.3031bs. / lineal foot sue 11 26]' 29111'01• 143.32 141.80' N8012'56.5-W .6532'26"W s8596'33•W _ 12 zas zv2e5r 120,92' I-., N54J8•n.6-w -'s3s"w Nds's22c ww ...Found 1" iron pipe 13 263' 2259]2' 11].57' 11280' N29'S]'49'w .1. i.-Ou, W .a13'bs•W L......._Set 1" x 18" iron pipe weighing o u 66.4, -4-01-W N1e14'w"W 1.13 lbs. / lineal foot ~1. za3' 30'oz- a9.39'orw n• e6a0' N 1-J 3 200• 46'22'21' 166.85' 163.88' S23'l)'11.5'W SA)'Se'22'W 500']3'89'0 . SOII Baring NW 1/4 NE 1/4 J-K - 80' 22812'21' JIB.BT 1.5.96' N6612'4e 5-W soo13•s9•E N.rsa'2rE SECT. 8 SECT. 8 4 60 72 OW- 100.78' 9485' SJSYt'J2.5'W s001Y59•E s7r47.04•w (320.00) Recorded Data 5 80' 66'04'42' 95,06' 69.58' N74}075'W sn•ao4•w H40o6.14•w SHEET 1 of 2 6 80• 6000'00' 63.78' 60.00' NIO'08'I l'W N40V8'1~ W .1951'46-E 7 80' 28'06']8" 39.25' 36.86' NJJ'S5'04'E N19'51'46'E .4756'32'0 xr w D N O ~a ' 1 9.0~ 04 x W ~ - W F o -1 rs EQ U 0 O - ~ U) -1 0 r- OO-i)4~-ice ~F *k M W 10) ~ 04 04 0.04 h C-) U as N \ ~o l / 0 I s f 04 4-' x M 4-1 1 ~ I ~ f L MAN ON" -am* "Now WIM -now