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HomeMy WebLinkAbout040-1245-50-000 yb - !a Ys - .~"d ooo Z8, /9, /.z S7 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS ~zS / ro/J,l~ CG' LOT SUBDIVISION CSM C / SECTION T' ; N-R /W, Town of 1 ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 44 a ZG S e~ 4c I 16 / INDICA NO r, r~~~ `o Provide setback and elevation information on reverse f efor ti Provide 2 dimensions to center of septic tank manhole ~~~1: f BENCHMARK : ALTERNATE BM: SEPTIC TANK / PUMP CHAMB / HOLDING TANK INFORMATION Manufacturer: h~IAV)esi f rpm S i Liquid Capacity: r Setback from: Well House ;~O t Other Pump: Manufacturer_ U Qu Model. ~3~ ~ Si2e y Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM r Width: Length Number of trenches Distance & Direction to nearest prop. line: Setback from: well • Gw i House QO , Other ELEVATIONS Building Sewer ST Inlet: ST outlet: PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: 3~ 3 INSPECTOR: 3/93:jt Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety andrBuildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary, glgitt~ PersonallQin~~flIoormatiionngyou provice may be used for secondary ❑purposes [Privacy La S.15.04 (1)(m)]. G 7l Permit P'~CDONAL'N rifJ~ES , INC . y Village Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel T ffft_1245-50-000 /OO< O O o D. o kL-, rJ V V TANK INFORMATION ELEVATION DATA A9700484 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark /UO, OD -47 6/ Dosing (If, SO Aeration Bldg. Sewer Holding St/Ht Inlet IA) gg,5'p- TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic > ice `~)o r -~2 NA Dt Bottom yo 5~ ~y Dosing r r , j NA Header / Man. zS /v 3 , Aeration NA Dist. Pipe G y Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade P= 412 , Manufacturer Demand S d.d~ Model Number 2? 11, / _rP4 L110 GPM TDH Lift ~P Friction System S TDH I1h1 Ft Loss I Head Forcemain Length Dia. J Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH width Length No. Of Tre~,ches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER ~~T ' ~ Model Number: System: ' b OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only F pth Over Depth Over xx Depth Of x Seeded / Sodded xx Mulched d /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: TROY 19.29.19,NW,SW 256 TROON COURT - TROY VILLAGE LOT 15 Plan revision required? eyes ❑ No yy~; Use other side for additional information. 1/0 SBD-6710 (R.3/97) Date nsp clor's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH < SANITARY PERMIT NUMBER: *Isconsin SANITARY PERMIT APPLICATION 201eE.W and shnllgtonge~sion P.O. Box 7969 Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County 1 than 8 112 x 11 inches in size. ,-St 6rpj K • See reverse side for instructions for completing this application State Saniittarryy PPeerm'it( NNummber The information you provide may be used by other government agency programs E] Check it revision to Previo06 application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION -r---- Prope/~t//If r,~,Q~ npl Name e ' Pro/gejY& A 1/4,S T N, R E (or tN10 PropertyrQ~e r'i Mail in Ad/,c(ress Lot Number . Block Number 15 1 U ~ rG / rC'j State ( Zip Co Phone Number Subdivision Name or CSM Numbe` , r lQ II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ !ty r-~ crest Road ❑ Vll age Public 1 or 2 Family Dwelling - No. of bedrooms Town of e S III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax NNu~mberlr(s) 1 ❑ Apartment/ Condo " u H- 56 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. M New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ------System --.-----System Tank Only______________ Existing System Ext-----System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed o t 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12'"f Seepage Trench 5 X 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System? Elev. 7. Final Grade l d Requ' ed (s . ft.) Prop 3ed . ft.) (Gal `d sq. ft.) (Min./inch) 2• a Elevation (0 V. Feet Feet VII. TANK Capacity Total # of Prefab. Site INFORMATION in 9 Gallons Tanks Manufacturer's Name Concrete con- steel Fiberglass- Plastic ExpeAppr. New Existing struded Tanks Tanks Septic Tank or Holding Tank , QU eS t't(t ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIIL RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sews m shown on the attached plans. Plum er's Name: (Print) Plum is) Business Phone.Nu ber,~ 3 5 f W5'- Plumber's Ac drs~ss (Stet Cit , St a Code) _ w -76 ~o Wo lC 'ij tr Fz~ /s S~ a IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved nitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps) Approved ❑ Owner Given initial C Surcharge Fee) I t3_ c Adverse Determination 4 X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD-6398 (R.11/96) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS , 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3151. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. Vlll. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County / Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Am es 1;1 c Ile d s %0200 ~ ~A, i s3 , Q vb-3 Rller, Am, fop, wale p•! / ay, Visconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and }luman Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but ST. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 040--1245-50 REVIEWED BY DATE APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION f l l•fi3► at I K' PROPERTY OWNER: PROPERTY LOCATION Continental Development Cor . GOVT. LOT SE 1/4NW 1/4,S19 T 28 N,R 19 k(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 12301 Central Ave. NE, Suite 230 15 na CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE R7OWN NEAREST ROAD Blaine, MN 55434 (612) 757-7568 Troy St. - JAM .QS [q New Construction Use [x] Residential / Number of bedrooms 4 [ ] Addition to existing building ( ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2 Absorption area required 858 bed, ft2 750 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 .8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 102.70 ft (as referred to site plan benchmark) Additional design/ site considerations alt area system el.= 101.7' & 99.80' recommend trench Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem ®S ❑U ❑S :K7U ®S ❑U CNS ❑U I ❑U ❑S -17U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bour>dary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trericfi ....1....' 1 0-6 10 r 3/3 none sil 2c 1 i6fr cs if n .2 2 6-15 10 r 5/4 c2d7.5 r 5/6 sic m na c1W if n n Ground 3 15-25 10 r 4/4 none sl 2m r mvfr cfW na .5 .6 elev. 102.8 ft. 4 25-80 7.5 r 4/6 none cos os ml na na .7 .8 Depth to limiting factor +80" Remarks: H-2 less than1.00' Boring # 1 0-6 10 r 3 none n CS if n .2 2 6-14 10 r 4/4 none sil m na C1W if n .2 Ground 3 14-80 7.5 r 4/6 none cos os ml na na .7 .8 elev. 103. Ott. Depth to limiting factor +80" Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. New Rich nd WI 54017 Signature: G Date: 6-18-97 CST Number: m02298 PROPERTY OWNER Continental DevelopmeigOIL DESCRIPTION REPORT Page PARCEL I.D. u 040- 1245-50 Corp. , Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Baxxiary Roots Bed Trench ':>3:::: 1 0-9 3 1 2 9-20 1Oyr 4/4 none sicl lcsbk Ground 3 20-80 7.5 r 4/6 none ms elev. 105.2ft. Depth to limiting factor +8011 Remarks: Boring # 1 0-9 10 r 3/2 none »....4. 2 9-15 10r44 nn Ground 3 15-22 7.5 r 4/4 none elev. 105--T ft 4 22-80 7.5 r 4 6 none COS nqrl ml na n;; 1 -7 ::_8 . Depth to limiting factor Remarks: Boring # 1 -9 10 r 3 3 none 1 lcsbk mfr CS if .2 ~.3 ......5 2 -17 10 r 4/4 none Ground 3 17-53 7.5 r 4/6 none ms s M1 aw na .7 :.8 elev. 106. lit. 4 153-83 7.5 r 4 6 none cos os ml na na .7 Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Continental Dev. Co. New Richmond, WI 54017 MPRSW 3254 SE4NW4 S19-T28N-R19W (715) 246-6200 town of Troy lot #15-Troy Village k ors N ° 1"=40' BM.= top of SW lot stake C el. 100' Alt. BM.= top of walk path survey stake @ el. 9 e ,5 ATE 3 I B ~ S .bm 2~. 3 Gary L. Steel 6-18-97 f ST. CROIX COUNTY WISCONSIN ZONING OFFICE I x 10 q r p ■ Noun, ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 ` (715) 386-4680 August 5, 1997 Wisconsin Department of Commerce Plat Review ATTN: Leroy Jansky Box 8911 Madison, WI 53708-8911 RE: Onsite soil verification, lots 10 & 15, Troy Village, Sec. 19, Tn. of Troy, St. Croix County, Wisconsin Dear Leroy: I have reviewed the soil reports for the above mentioned lots in Troy Village subdivision, filed by Gary Steel, CSTM #02298 and have conducted onsite verifications for those lots. My findings have verified that Mr. Steel's findings are accurate. The soils located at these sites are suitable for subsurface sewage disposal with soil loading rates of 0.7/0.8 GPD/sq.ft. If you have any questions with regard to the above findings, please do not hesitate in contacting our office. Sincer ly, ames K. Thompson Assistant Zoning Administrator cc: Gary Steel file STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County ` OWNER/,BUYER (JD d S !~J C~ MAILING ADDRESS PROPERTY ADDRESS U , -ZS(p T/~aa~t! Gou~T a0`J~ (location of septic system) Pleas obtain from the Planning Dept. CITY/STATE -T4 0 t P CJ fd L e C O)V, PROPERTY LOCATION / y w 1/4, S~ 1/4, Section _T~N-R,~y W r-' TOWN OF l e-6 14 ST. CROIX COUNTY, WI SUBDIVISION G ~t LOT NUMBER CERTIFIED SURVEY MAP , VOLUME PAGE , LOT NUMBER 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 licensed septic tank pumper. What you put into the system can .affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in-operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. - The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three y expiratio ~df ate. SIGNED: vt, DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 8 T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property -Ad &&i 11,0410 S J~~C, Location of property_A(Lj 1/4 Se~) 1/4, Section TjE?~N-R_ W Township Mailing address Address of site 2.5 j ©rv (~,u r-{~ Subdivision name Z);114 Lot no. _ Other homes on propert ? Yes No Previous owner of property G CD;, Total size of property Total size of parcel Date parcel was created Are all corners and lot line identifiable? Yes No Is this property being developed for (spec house)? k Yes No Volume and Page Number J~ l as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in, e fice of the County Register of Deeds as Document No. g and that I (we) presently -3~~ own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the p ice of the County Register of Deeds as Document No. Sig ature of A plic nt' Co-Applicant r Date f gn ture Date of 11/13/97 08:35 FAX 6124552292 MCDONALD HOMES 16002 STATE BAR OF~NSINA~OFiM Z~ 1996 DOCUMENT NO. WARRANTY DEED Troy Development Corporation, a Minnesota cor oration, Grantor REGISTER'S Oll"FICE conveys slid warrants to itipq'1~ fqi f~r~X!d McDonald Homes, Inc., a Minnesota NOV 1 9 1997 Corporation, Grantee S - 1' t,) t~ Ru 13fer of J)eeda the following described real estate in St . Cr6 x county, Slate of wtsconsk RETURN TO Lot 15 of the Plat of Troy Village in the Torn of McDonald Homes , Inc . Troy, st. Crroix County, Wisconsin. 6015 Cahill Avenue Inver Grove Heights, MN 55076 Subject to Declarations of Covenants, Conditions and Restrictions for Troy Village, recorded in Vol. 1241, Page 256, as Doc- No. 559964, and the Declaration of Golf Course Covenants, parcel Idendffcalian Number (PIN): Conditions and Easements, recorded in vol. X241, page 301, as Doc. No. 559969, all as appearing in the office of the Register of Deeds for 5t. Croix County, Wisconsin, and such other easements, reservations, restrictions and reservations of record, or in use. $aTRAl SF'ER a 14 FE Submersibl MODEL: 3871 e E. 4 SOLIDS S Effluent Pump HP::0.4 1 METERS FEET 8 25 7 g 20, V 5- z a 15 p 4- 3- 10 F- 2 5 1 0 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 M3 /h L CAPACITY ~GOULDSS PUMPSY D . {AFAL .piKINCI48 W LSPE l3~E Q ~ `~r r~•r~~ F,G~ _ Effective October, 1988 O 1988 Goulds Putnps, Inc. SPECIRCATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE PRINTED W U.SA. C3871 ~...alY,' 'e.TASU"tl6~7Yff1'8Y'JitBfll~:'~ '0T'M4&1~1N!#~gbMl~°!VR9fdM.YE1''S'POF,~h?r9P1~.'{i'ygneerw?{1r14.°~'A.` ':;M"R a J t'tcY:?~" ~,t,"!'7fii•L1V1°at'~MYtlf-.'4.1,. PAGE OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VEWT CAP 4'*C.I. VENT PIPE APPROVED LOGKIN WEAYH PROOF MANHOLE COVER Wq JUNCTiOW BOX !d)cxrr►if1~ ;,tt~r/ 25 FROM DOOR, IYMIIi. WIMDOW OR FRESH AIR u1TAKE I GRADE I . H°MILL I 19°Mlu. CONDUIT-- ` \ 11 INLET PROVIDE I AIRTIGHT SEAL I I i I I ICI v APPROVED JOINT A I I I APPROVED JOINTS W/C.I. PIPE I I (I W/C.I. PIPE EYTENDIM& 3' I II ALARM EXTENOIN6 3' ONTO SOLID SOIL I 1 ( ONTO SOLID SOIL $ I I i ON C i I LLEV. FT. PUMP-~ --i OFF r D CONCRETE BLOCK r 0 3" APPROV RISER EXIT PEERMI-fEO L'd IF TANK MANUFACTURER HAS SUCH APPROVAL. IfiEDDINra SEPTIC E SPECIFICATIOKIS DOSE TANKS MAWUFACTURER: - m IJUMBER OF DOSES: PER DAy TANK 51ZC : } GALLONS DOSE VOLUME ALARM MANUFACTURER: INCLUDING, BACKFLOW: GALLONS MODEL WWASER: CAPACITIES: A= ~INCHE5 OR • 1 GALLONS fol SWITCH TYPE: B= INCHES OR GALLONS PUMP MANUFACTURER' a C INCHES OR GALLONS MODEL NUMBER: ~jYel> D- /0, INCHES OR~ GALLONS SWITCH T`JPE: °YC'11U'LJ MOTE: PUMP AMD ALARM ARE Tb 8E---ft--f"o ? INSTALLED ON SE ARATE' CVFLC1t M's~ w MINIMUM DISCHARGE RATE- GPM ~1 VERTICAL DIFFERENCE BETWEEN PUMP OFF ANO pISTRIBUTIOW PIPE.. FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . FEET *z r F ♦ 'rEET OF FORCE MAIN X FY, 00KFRICTION FACTOR___ - FEET a TOTAL OtWAMIC. HEAD FEET INTERNAL DIMEWSIOWS OF TANK: LENGTH ;WIDTH j ~;L14W~ DEPTH _ # SIGNED: ~ ~ - - LICEWSE NUMBER: DATE: a f ST. CROIX COUNTY WISCONSIN ZONING OFFICE r r r p„~ ST. CROIX COUNTY GOVERNMENT CENTER Millie 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 December 22, 1998 McDonald Homes Attn: Carina 6015 Cahill Avenue E Inver Grove Heights, MN 55076 RE: Septic Inspection for McDonald Homes located at 256 Troon Court, Lot 15 of Troy Village, Town of Troy, St. Croix County, Wisconsin Dear Carina: A septic inspection of the above referenced property was conducted on December 10, 1997. This property is located in the NWY4 of the SW'/4 of Section 19, T29N-R19W, Lot 15 of Troy Village, Town of Troy, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a four (4) bedroom home. If you have any questions regarding this, please contact our office at (715) 3864680. Sincerely, Mary J. Jenkins Assistant Zoning Administrator /sm R VOL 1?93PACE189 'a 572333 AFFIDAVIT OF CORRECTION TROY VILLAGE REGIST R'S OFFICE I, James D. Filkins, Registered Land Surveyor, ST. C CO.. WI Rea dd for far P.ycard S-2246, hereby certify that the Plat of Troy Village, recorded in Volume 6 of Plats, Page FEB 041998 89, Document No. 559959, St. Croix County 9:30 A M Registry, located in the Town of Troy, St. ~ ` " Croix County, Wisconsin, shows Note No. 5 on Re Ister of Deeds Sheet 2 which states "The following Lots must have mound systems: 1 through 10, 15, 16, 18, 19, 21 through 45, 47 through 49, 51 through 55, 59 through 64, 69 and 70." This note is hereby changed to read as Francis H. Ogden follows: Ogden Engineering Co. 113 West Walnut St. "The following lots must have mound systems: River Falls, WI 54022 1 through 5, 16, 18, 19, 21 through 45, 47 through 49, 51 through 55, 60 through 64, 69 and 70." Dated this 3 day of B2y~9f2Y , 1998 Parcel I.D. Number pwl"t Ja FS-2246 JAMES t! a State of Wisconsin ) FIUQNS ss . M46 County of /2 ) < RVVI ' SURv Personally came before me this day of u~f II un~~~~ y 1998, to me known to be the person who executed the foregoing instrument and acknowledged the same. My mmi ' on Expires $ -2 00 NOTARY ST. CR IX COUNTY 4 ~UQI-EC APPROVAL CERTIFICATE OF wis Approved for recording by the St. Croix County Zo' ffice Date 2 • y' 9e 1 ~4~~ A° 6& This instrument was drafted by James D. Filkins, Ogden Engineering Co. 113 West Walnut Street, River Falls, Wisconsin 54022 SAFETY & BUILDINGS DIVISION • State of Wisconsin Department of Commerce August 22, 1997 15837 USH 63 Route 8, Box 8072 Hayward WI 54843 STEEL, GARY 1554 200 AVE rr-) P, NEW RICHMOND WI 54017 7 C~C)t; _ j R8' PLAN 597-02913!.+ dT!' ` FEE RECEIVED: 80.00 . TROY VILLAGE LOT 15\ NW, SW, 19, 29, 19W TOWN OF TROY::{ COUNTY OF ST CROIX MOUND RESTRICTION WAIVER The Department has reviewed the above-referenced submittal. The Department has reviewed the request to waive the restriction on the above referenced property. This request is supported with information that indicates this property is acceptable for development with a soil absorption type private sewage system. Therefore, the Department waives the above mentioned restriction and has no objection to the development of this property provided that the private sewage system is constructed in • accordance with the applicable requirements of Chapter Comm 83, Wisconsin Admistrative Code. Conditional approval is hereby granted to waive the mound system restriction provided the following condition(s) are met: 1. That the release and waiver of this lot restriction be incorporated into a correction instrument under s. 236.295, Wis. Stats. This should eliminate future questions regarding the restriction on the recorded plat- This approval does not include review of the design for the proposed private sewage system. All other applicable criteria, as contained in chapter Comm 83, Wisconsin Administrative Code, must be met prior to issuance of the sanitary permit for a project at this site. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the telephone number listed below. Please refer to the plan number shown above. yoy ely, G. nsky Wastewat Specialist Senior Field Operations Bureau • (715) 726-2544 CC: Plat Review St. Croix County Zoning Wisconsin Oeoartment of IndustrY. SOIL AND SITE EVALUATION REPORT Page 1 of I tabor and Human Relations oiv,sion or safety 3 Buildings in accord with ILHR 83.05. Wis. Adm. Code COUNiY Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but ST. CROIX PARCEL I.O. rs not firmed to vertical and horizontal reference point (13M), direction and % of slope, scale or dimensioned, north arrow, and location and distance t samst road. REVIEWED BY DATE APPLICANT INFORMATION-PLEASE P AI~~1 . TION PROPERTY OWNER: h' PROPERTY LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND RUST GOVT. LOT 114W 1/2S 19T 29 NR 19 -6(") W PROPERTY OWNER':S MAILING ADDRESS r' LOT a Bite& v SU80. NAME OR CSM is 260 COUNTY ROAD F APP 13 Qn, 15 TROY VILLAGE CITY, STATE ZIP PFK~I~ CITY iLLAGE OWN NEAREST ROAD HUDSON WISCONSIN 54 (1 b 8 TROY T~c~ tlEf pq New Conti lion use (K 1 Resid I or [ 1 Addition to existing building L I Replacement ( Public or d L Code derived daily flow 600 9Pd Recommended design loading rate Q, T bed. 9pd/tt2 trench. gp02 Absorption area required co bed. ft2 Soo trench, 9 Mammmum design loading rate O. 5 bed, gpdM2 O , e- trench, gWR Recommended infiltration surface elevation(s) BY DESIGNER ft (as referred to site plan benchmark) Additional design I site considerations E No 7'eS ON 110*111*16 3 Parent material Dv G!i Rood plain elevation, if applicable N/A ft S - suitable for system CONVENTIONAL NO IN-GROUNO PRESSURE AT-GRADE SYSTEM IN FILL HOLOING TANK u. Unsuitable for system I 0S 9u KS 0 u 0 S ®'u I C3 S t 2li C3 S (Su S Ifu SOIL DESCRIPTION REPORT Depth (Dominant Color ( Mottles (Texture I Structure lConsIstence Iftirijay Roots GPO/ft Boring # Horizon in Munsetl QU. Sz. Cont. Color Gr. Sz. Sh. Bed Trerx7t A 0-6 IOYR 4/2 sil 2f-msbk mfr ci 2vf- 0.5 0.6 i43 MWAM,z B 6-12 10YR 4/4 sil 2mabk mfr cs 2vf- 0.5! 0.6 Ground C 12-72 10YR 6/6 s Os g ml lvf 0.7 10.8 I elev. 8%j.1ft. Depth to umitirtg facto > 72" Remarks: Boring # mfr cw 2v J A 0-12 110YR 3/2 4 0,5 24 lOYR 4/4 sicl 2mabk mfi w 2vf- 0.4: x439 B1 12- B21 124-35 10YR 5/6 sil 2msbk mfr cw 2vf- 0.5 0.6 Ground elev. B22 k5-43 OYR 5/6 fad SYR 5/8 sil 2msbk mfr c2vf-f 889 .2 tt. C 3-72 OYR 5/6 s Os Depth to limiting factor 35" " Remarks: ES40K e:--please Plirtt JAMES 0. FILKINS Phony. (715) 425-7831 OGDEN ENGINEERING CO., 113 WEST WALNUT ST., RIVER FALLS. WI 54022 Ow: ~~j~/9 7 CST NumtsSSTM03988 pF;.)pEFMQ1WNER SOIL OESCRIPTION REPORT Page Hof _ PARCEL I.0.0 Oeptn Oominant Color Motues Texture Structure II Roots GPOitt~ Munneil (]u_ _ Gr. Sz. Sh. sec Trerr2t Nonzon Bonng # F A 0-13 10YR 3/3 sil 2msbk mfr i 2vf- 0.50.6 91? B11 13-26 10YR 4/4 sicl 2mabk mfi gw lvf 0.5 0.6 B12 26-38 10YR 4/6 sicl 2mabk mfi gw lvf 0.4 0.5 Ground elev. B2 38-48 10YR 5/6 clf 5YR 5/8 sl 2m-csbk mfr gw lvf 890.9 fL I - B3 48-57 10YR 5/4 m3p 5YR 5/8 sicl 2cabk mfi cw lvf - Depth to Willing c 57-77 10YR 6/4 s losg 1 of 38" 1 Remarks: Boring # Ground elev. ft. Depth to Iinftng factor Remarks: Boring I I I I I j Ground elev. 0eptn to I limiting I factor Remarks: Bonng # Ground elev. ft Depth to ►introng fact I ~ Remarks: Sap.ea.'101ri.0d1Crt1 PAGE 3 OF 3 SITE PLAN NOTES: PROVIDE MINIMUM OF 1' SAND BETWEEN BOTTOM OF BED AND EXISTING GROUND- \ O MOUND TO BE A MINIMUM OF: 25' FROM DWELLING; 50' FROM WELL; 5' FROM LOT LINE. n, 4 G \ ❑ B-Zq~ ,o e e ❑ B- ~3 8 DoT T ?oP o< God N414 , ,EL Z SCALE: 1 40' OGDEN ENGINEERING CO. JAMS. ILKINS, CSTM03988 Civil Engineers & Land Surveyors / 113 Y; . Walnut St. River Falls, WI 54022 DATE: ¢/l°! 9 7 (715) 425-7631