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HomeMy WebLinkAbout040-1248-30-000 o CD O h ^ 3 0 6 m h C o i a ~ r. a 0 N I I I I O Z 0 z c U- 0 . i5 0 Q 3 IN Z N N O O ill y y i w z cl O a0~ am N FN- W c 0 O Z d C1 Z d C Z (1) f r N E m c • 0 0 ►V .c c io O U ~ Z Z o O O Q Q 0 Z c N C C W, E N _0) co O •m L c LO N d L N rn s 0 G D CL N o y N m 3 Cl) -2 0 0 0 0 0 a d Z O • w•~ a a a Z5 Fi fA J U O aS OOi N r r } 'O Cl) O O N O O 4 O co ` (D CO d ~ ~ p~ N U V ~ Q Q 1y~ C N N y O O ~ N C r.+ 00 0 c = O Co am © C O O O O N vOi i IL O O O r A p N N N m q) a) M M lV, .q O 0 N C N 0 w N F... 'a CO . L 2 N CO r Lri 00 N GAY N 'd N U • L, O N H I-N O y Z .uT Cl) O t \ w L i0 V ~ 0 d 7 d 4k d a m CL 7@ 2 4) rr`~ + E i C C `~1 A v a O in ti WosAeonswe OrMartrr»nt of IndusuY, SOIL AND SITE EVALUATION REPORT Page I of 3 Labor and,Human Relations Division of satory & Bwldu+gs 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 PARCEL I.O. x - rot limited to vertical and horizontal reference point (BM 9'a of slope, scale or dimensioned. north arrow, and location and distanc o e~t~uhgl. / SS APPLICANT INFORMATION-PLEASE P L IN 0 A1. N REVIEWED BY DATE PROPERTY OWNER: Ql'h, PROPERTY LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND B EA& ' t _ . LOT 114W 1/2S 19T 29 NR 19 40o w >t T SUED PROPERTY OWNER':S MAIUNG ADDRESS - , F !L . NAME OR CSM 260 COUNTY ROAD F _s > TROY VILLAGE CITY, STATE ZIP CODE -P 'QMTy ILLAGE ZjrOWN NEAREST ROAD HUDSON WTSCONSTN 54016 / OY UR p(J New Construction Use 1 Residential Nu o ( I Addition to existing btukbng j I Replacement f 1 Public or commercial descn Code derived daily now 600 gpd Recommended design loading rate A 4 bed. gpolft2 = trench, gpdM2 Absorption area required OD bed. ft2 DD trench. ft2 Maxanum design loading nitre 0, t5 bed. 9Pd/ft2 4'4 trench, gpdM2 Recommended infiltration surface eievation(s) BY DESIGNER ft (as referred to site plan benchmark) Additional design I site considerati No TES n/ 'Opwo-E Parent material D 4555 ~LL o L.a Al / 72f- Rood plain elevation, if applicable N/A ft S = Suitable for system CONvENnONAL NO INGROUNO PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK I~ U I Q S ®'U Q S KU U =Unsuitable for system I Q S ®U I ig S❑ U ❑ S Iffu CS SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure I CAr>sistence JE!Iourtdlfry I Roots GP0/ft i Munsell au. Sz. Cont 8onng # Color Gr. Sz. Sh. I Bed ITrt3rtdt Al 0-8 110YR 3/3 Isil I2msbk Imfr cw 13vf- 0.5:0.6 ;115>s A2 I 8-18 110YR 5/3 I sil 12msbk mfr cw Ilvf-c►1 0.5 `0.6 B1 18-40 110YR 4/4 sil I2msbk mfr w - 10.50.6 Ground elev. B2 140-60 110YR 4/4 948. 1 ft I f ld SYR 4/6 sl lmsbk mfr las lif . R 0-64 110YR 8/3 lmst I--- I--- Depth to I limiting facto Remarks: Boring # Al -6 ~OYR 4/3 I sil 2fsbk I - I0.5 0.6 ::111 A2 6-25 110YR 4/3 mfr I cw IZvf-cb 0. sil 2M B1 25-51I10YR 5/6 I sil I2msbk mfr LS if 0.5 0.6 Ground elev. B2 51-60 110YR 4/4 gsl lcsbk mvfr l as if 10.4 0.5 94_x, 1 ft. Depth to R 60-64 10YR 8/3 lmst I--- I--- I--- I limiting factor -6OI'_ Remarks: Eftne:--aemPrnt JAMES D. FIL m Plwne: (715) 425-7831 OGDEN ENCANEERING CO., 113 WEST WALNUT ST.. RIVER FALLS. WI 54022 Le I Data , 6-17 CST Nwnbw. CSTIiA03988 PRgPERTYOWNER SOIL DESCRIPTION REPORT Page 2 ot_3 PARCEL!.). e Oeptn Dominant Color Moores structure I Roots GP'J~tt` Honzon M n ll Color (Texture Gr. Sz. Sh. ICarsstenca~8ourrnlq l Bed !TMrrn Boring # Al -14 I10YR 3/3 I sil 2msbk Imfr Icw of-CL 0.5: 0.6 A2 14-21 ~10YR 5/3 sil msbk ~ ifr !cw Rf-col 0.5-0.6 B1 21-41 ~10YR 4/4 I sil 7 2msbk mfr L if -m 0.5:0.6 Ground elev. B2 41-45 110YR 4/4 f if 5YR 4/6 1 I lcsbk mfr as lf- 948.Ott. R 45-48 10YR 8/3 lmst I--- I--- Depth to limning tac 4 i Ramarkw. Boring # I I I Ground Mew. ft. Depth to limning factor Remarks: Boring # i ! I I I Ground elev. It. I I Depth to limiting I ! factor Remarks: Boring # I Ground elef. tL Depth to limning factor I I Remarim $80~rf1.0✓31ti~) PAGE 3 OF 3 SITE PLAN GaT SCALE: 1" = 40' ~ o T 3 h~ ~ ti 0 B-rir ~ W L ~N o G0T NOTES: PROVIDE MINIMUM OF 1' SAND BETWEEN BOTTOM OF BED AND EXISTING GROUND. \ MOUND TO BE A MINIMUM OF: 25' FROM DWELLING; 50' FROM WELL; 5' FROM LOT LINE. OGDEN ENGINEERING CO. JAMES QVFILKINS, CSTM03988 Civil Engineers & Land Surveyors 113 W. Walnut St. River Falls, WI 54022 DATE: 1~~7 (715) 425.7631 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER Yi ADDRESS_ `02 702 L W~Y~ !j Q y C are C.J ' 0 I L SUBDIVISION / . CSM ~h o y U 1 l` a LOT $ SECTION ? o? N-R a0 W, Town of r ST. CROIX COUNTY,. WISCONSIN Q`~O Zg - 3d.~~~ f 2 28,2e. 12-915 PLAN. VIEW SHOW RYTHING WITHIN 100 FEET OF SYSTEM v O O INDICATE NORTH ARROW Provide setback and elevation informati on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. `aENCHMARK: ALTERNATE BM:, GEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: Setback from: Well House Other Pump: Manufacturer :Model# Size Float seperation` Gallons/cycle: Alarm E,Location SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House 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: INSPECTOR: 3/93:jt WisEonsinDepartment ofIndustry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT T _ CRnTX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 289436 Permit Holder's Name: ❑ City ❑ Village $I Town o : State Plan ID No.: TELLANDER, ROBERT TROY CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: r i j, 040-1248-10-000 TANK INFORMATION LEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark (o,--~2$, A0 ,5 1/60, Dosing Aeration-----__ Bldg. Sewer Holding St/ of Inlet po TANK SETBACK INFORMATION St/ _Rt Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing >/5 NA Jisedper / Man. Aeration - NA Dist. Pipe del, 39 Holding Bot. System gp/' v3 , Z5~ PUMP/ SIPHON INFORMATION Final Grade Manufacturer IaLLd Demand 92 9 63 Model Number WEOA111/ GPM TDH Lift Friction System TDH Ft mead Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / I Length No. Of T enches PAM. No. Of Pits Inside Dia. Liquid Depth DIMENSIONS W DIMEN I SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING INFORMATION TypeO ne.A-+- / CHAMBE Model Numer: System: t1A6-,,1C_A /D 4. 35 3 OR P DISTRIBUTION SYSTEM Header/Manifold 'I~ Distribution Pipe(s v x Hole Size x Hole Spacing Vent To Air Intake -A- Z Length Dili \ Length Dia. Spacing y'~ J SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over 114- Depth Over „ xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center ~ j~ Bed /Trench Edges Z - d Topsoil ❑ Yes P~Wb ❑ Yes E.Wo COMMENTS: (Include code discrepancies, persons present, etc.) PiG, u.rl"~ LOCATION: TROY 24.28.20,E1/2 272 TURNBERRY CRT LOT 43 74 CGvl~ir~ ,P l t-~nen~ /YYl Plan revision required? ❑ Ye,/ to Q Use other side for additional information. /G 12Z T7 I5•-- 58D- (R 05/91) Date Inspedor'sSignature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: V ~•i~ii i SANITARY PERMIT APPLICATION Safety and BuildinWaterSystems Bureau of Building Water 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less county than 8 112 x 11 inches in size. S1 - • See reverse side for instructions for completing this application State Sanitary Permit Number RP9 4/3 The information you provide may be used by other government agency programs ❑ Check if revision to pr POWs application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION j q -7 3n 71 T Propert wn r Name Property Location 1/ 1/4,S T , N, Ro r) W Property Owner's Mailing Addr s Lot Number Block Num er 3i W Cit ,,Stta e ~ Zip Clot ©r (.0 1 `hone Number Subdivision Name or C Nu ber Ql~t r-o ` cz e II. TYPE BUILDING: (check one) ❑ State Owned ❑ City Nearest Road ❑ Village ❑ Public 1 or 2 Family Dwelling - No. of bedrooms Town OF f-0 - III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) g 1 ❑ Apartment/ Condo 0yo a 12-,q " ~0 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 online B, if applicable) A) 1. ~p New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an 9k System SystemTank OnlyExisting System Existing 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 21 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 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 (G~ Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation sdv Scm 410. Feet 9`5~ ~ Feet Ca acit VII. TANK in gallons_ Total # of Prefab. Site Fiber- Plastic E App. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel New Existin strutted Tans Tanks Septic Tank or Holding Tank If t ,ty~ 9 ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ? ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Pr PI tier's Signa ur N tamps) MP/MPRSW No.: Business Phone Number: t .~s C S `T 15 S ! S Plumber's Address (Street, City, State Zip Code): .S~i. & 4:ii CA, Ll m if ~ ~ C'► l IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issue Issuing Agent Signature (No Stampsl XApproved ❑ Owner Given Initial Surcharge`ee) n Adverse Determination (P X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: S8 D-6398 (R. 05/94) DISTRIBUTION: Original it) County. One copy To: Safety & Buildings Division, Owner, Plumber t 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 pumperwhenever 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, 6Q8-266-3815. To be complete and accurate this sanitary permit application must include: * a w ! S 1. Property ownerr~~ame abd;rt, liQgaddress5'. 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_ VIII. Responsibility statement. Installing plumber isto 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. f*meMofCommeroe • PRIVATE SEWAGE SYSTEM SaDepart • Safety and Buildings Division REVIEW APPLICATION Bureau of Integrated Services Hayward Office LaCrosse Office Madison Office Shawano Office Waukesha Office 209 W. 1st St. 2226 Rose Street 201 E. Washington Ave. 1340 E. Green Bay St. 401 Pilot Court, Ste. C Rt 8, Box 8072 La Crosse, WI 54603 P.O. Box 7969 Suite 300 Waukesha, WI 53188 Hayward, WI 54843 Phone (608) 785-9334 Madison, WI 53707 Shawano, WI 54166 Phone (414) 548-8606 Phone(715)634-4804 Fax (608) 785-9330 Phone(608)266-3151 Phone(715)524-3626 Fax (414) 548-8614 Fax (715) 634-5150 Fax (608) 267-9566 Fax (715) 524-3633 INSTRUCTIONS: To save time, schedule your review with one of the offices listed above prior to submittal. Fill in all applicable data and submit this form together with fees and plans/information. Your submittal must be received at least two working days prior to the appointment at the office where your review was scheduled. Please call any of the listed offices if you need help filling out the form or have questions on what information to submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the reverse side for your reference. Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1)(m)]. 1. APPOINTMENT INFORMATION - If you have scheduled an appointment, fill in the information requested below to save time: Appointment Date Reviewer Name Plan Identification Number _T I 1 1R1 S77 3 0'1 f 2. PROJE T INFORMATION If this review is a revision or extension to your existing plan identification number, provide that number here: Proje ar 1e County O f- f--- ❑ City ❑ Village Town Of. Project Location Q. GOVT.LOT fC7 1/ 1/4,S T N,RW 1^0 3. APPLICATION FOR 4. FEE COMPUTATIONS FEE SUBMITTED System Type (check one): System Type' (include new and existing tanks) A ❑ At-Grade Up To 1,500 gallon septic tank ....................................$110.00...................... . AID H ❑ Holding Tank 1,501 - 2,500 gallon septic tank .....................................$120.00...................... M fUr Mound 2,501 - 5,000 gallon septic tank .....................................$160.00...................... N Non-Pressurized In-Ground (Conventional) 5,001 - 9,000 gallon septic tank .....................................$200.00...................... P ❑ Pressurized In-Ground 9,001 -15,000 gallon septic tank .....................................$300.00...................... 0 ❑ Other: Over 15,000 gallon septic tank .....................................$500.00...................... Up To 1,000 gallon dose chamber 70.00...................... 70 . r Building Type (check one): 1,001 - 2,000 gallon dose chamber 80.00...................... D M Dwelling, 1 or 2 Family 2,001 - 4,000 gallon dose chamber ...............................$100.00...................... P ❑ Public Building 4,001 - 8,000 gallon dose chamber ...............................$120.00...................... S ❑ State-Owned Building 8,001 - 12,000 gallon dose chamber ...............................$140.00...................... Over 12,000 gallon dose chamber ...............................$160.00... 0.17 Up To 5,000 gallon holding tank .........................40.00................. Code Derived Daily Flow ('POc) gpd 5,001 -10,000 gallon holding tank ...v..$100.00...................... Over 10,000 gallon holding tank ..................................$150.00...................... ❑ Check if Replacing Existing System Experimental System (additional one time fee) ................$300.00...................... Revisions to Approved Plan Z 60.00...................... Petitions for Variance: Setback ...................................$100.00...................... ❑ Petition for Variance Site Evaluation .........................$225.00...................... Plumbing $225.00...................... Revision 75.00...................... ❑ Groundwater Monitoring Groundwater Monitoring - Per Site 60.00...................... other than a proposed subdivision) ❑ Site Evaluation in Lieu of Groundwater Monitoring Site Evaluation in Lieu of Groundwater Monitoring 60.00 Subtotal: Priority Review: Enter same amount as Subtotal: MAKE ALL CHECKS PAYABLE TO: SAFETY AND BUILDINGS DIVISION Total Fee: S. SUBMITTING PARTY INFORMATION Telephone No. (include area code & extension) C pany Name Contact Person ( L5> aWO- Sl No. & Street Addres or P.O. Box I City, Town or Villa , St to Zip ode 11 S OI Aerobic or prepackaged treatment system fees are calculated based on equivalent size septic tanks and dose chambers. 2 Revision fees are not applicable to temporary holding tanks or extensions to existing approvals. NOTE: Fees are pursuant to Wis. Adm. Code, Chapter ILHR 2, and are subject to change annually. OVER SBD-6748 (R. 07/96) WORKSHEET'- MOUND SYSTEM DESIGN S97.-30717 PROBLEM: Design a mound system fora ryrdQ The site characteristics are: Depth to groundwater or bedrock _ in. Lan dslope % Percolation rate i'~+T+in•• Distance from dose chamber to distribution system _ ft. Elevation difference between sump and distribution system ft. Step 1. WASTEWATER LOAD ~ gal.' Step 2. SIZE THE ABSORPTION AREA A) Area required sq. ft. B) Bed or trench length (B) /00 ~ 100 ft. C) Bed or trench width (A) _ S ft. D) Trench spacing (C) s Wastewa per load .24 gal/ft2/day B N ft. tre tic -ms Step 3. MOUND HEIGHT A) Fill depth (D) = 1/a.~ 1.~n~eRuek o'Z ft. B) Fill depth (E) = D + slope (Arfp) ~ft. a-r C,61A5): 1,/ C) Bed or trench depth (F) 83 ~$3 rt. D) Cap and topsoil depth (G) _ ft. E) Ca and topsoil depth'(H) _ b5 ft. irsn: VAN gram- ~ /1~ . Step 4. MOUND LENGTH A) End slope (K) _ CD + E/ + F + H x 3 =/31ZLft. L _ x,93-1~, B) Total mound lengt (L~'= B + 2(tc) ft. AD, 413 A) Step 5. MOUND WIDTH Al) Upslope correction factor A2) Upslope width (J) R (D + F + G)(3)(factor) _ ft. Ca -i J-3 41>3 z B1) Downsl opia correction factor = D b B2) Downslope width (I) _ (E + F + G ft. P,*43f/3(3)(factor) 3A Cl) Total mc,und width (W) for bed J + A + I o?8,3 ft. /0.8 tst~a,5=~.3 C2) Total mound width (W) for trenches = J + 2 + (no. trenches -1) (c) + A + I ft. Step 6. BASAL AREA A) Infiltrative capacity of natural soil g4l./ft2/day B) Basal area required = wastewater flow natural soil infiltrative-capacity = fsCE~ sq. ft. Cl) Basal area available for bed for sloping sites = B x (A + I) _ sq. ft. C2) Bas are avail le for trench for sloping sites 1-7-50 = B W ~J + A 1 = sq. ft. Y) /00 x C3) Basal area available for trench or bed for level sit sa BxW= 1sq. ft. x 1(;11: _ . Licon n s e Step 7. DISTRIBUTION SYSTEM -Troy v ~ t1 cx%.R 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size = in. 2) Hole spacing = 3 in. 3) Distribution pipe length = 9 in. 4) Distribution pipe diameter in. 5) Spacing between distribution pipes = O in. 6) Distance from sidewall to distribution pipe 3D in. 1B) DISTRIBUTION PIPE DISCHARGE RATE ft. 1) Number of holes per pipe 2) Flow per pipe = ab GPM 7C) SIZE MANIFOLD Y 1) Manifold is , central/ end 2) Manifold length ft. 3) Nu►ruer of distribution lines = 4) Manifold diameter in. 7D) SIZE FORCE MAIN 1) Minimum dosing rate GPM 2) Force main diameter in. ft. 3) Friction loss = 7E) TOTAL DYNAMIC HEAD 1) Vertical lift = „C, ft. 2) Friction loss ft. 3) System head 2.5 ft. o~~$ ft. 4 Total dynamic head ft. 3ign:~ Dal;o,: S97 30717' ~ -Trey Uct~Q~ 7F) PUMP SELECTION 1) Pump selected will discharge GPM at /S ft. total dynamic head. 2) Pump model and manufacturer AR 7G) DOSE VOLUME 1) 10 times void volume of ittribution lines ■ 9.2 gal./cycle 2) Daily wastewater volume Z. 4 doses/24 hrs. s O gal./cycle 3) Minimum dose volume = $D~3~~~y0-'3LSK8U'o?`rye1/ l~ gal./cycle 7H) DOSE CHAMBER 1) Minimum capacity required . gal. Sign: Licunoc Date: _ S97-3071 JUL-11-1997 13:29 P. 02 l I ~ ' I ' I l i r I ' I I ' i I i I~ r i ' o+ I 1 i 11'a.. I i .r. ' - ~ ' fi - I I I I r-- T ~I 1 I r ! I I , ' • ' / j T. I ~ I `i"p ~7 / I r I I I i I I I I , I i I I I i T' 1 1 ~ I I I 1 i t. . i ! I . I 1 ~ ' ~ . ~ I ' I I -1 ' ~ I 111 --Y--- • ~ I ' ' I I I I III , i I ~ ' -•I ~ I r I I ' I t I -j- I I it----I i I i I I r I j Con ltionoulvi I OVE I I 0!EPA THE T 0 CO ME ' IVIS~ION S FET AN BU lilt f ' S OE ORRE~PO~ DQNC~ i I I I . i_.... _l~.i... r I ! 1 I I I I I 1 ? I I I...I. ~ I I i .i I i TOTAL P.02 - ~Gh~r ~•e~4<cr1~.ti. Page Of f~ 4JSt. Lt C, ,to Straw, Marsh Hay Ora U 1' ' 11 C/~3 Synthetic Covering A" Distribution Pipe Medium Sand G Tops -J+ - ' F c Z % Slope -Bed Of 2 %2 Force Main Plowed Aggregate- Layer D a Ft. Coss, Section Of A Mound System Using E Ft. ` F A3 Ft. 'A For The Absorption ATea G Ft. RD= A .J Ft. .O YV Ft. Signed P B~ Ft. Conditionally License Number: IS(o K !3,;4t. D Date: 7_ - L Ft. APPROWn I 7 DEPARnaa W W RU W J 6, Ft OMtiiON080m, Position I fa,5 Ft. of Force Main W a~~3 Ft, EE.6&tRE DENCE .L J Observation Pipe t3 K Distribution. -E~0 f 2~- 2 Pipe Aggregate Observation Pipe Permanent Markers Plan View Of Mound Using A 4ed For The Absorption A ar16, ~ a-,•. pgtto. 1 1. I UA4bk , LO 1: S`y of (o Page. 4? 7c-a <<<. Perforated Pipe Detail n. . )p4tforol ad End ViaM End Gap \PVC Pipe o~`O o°e 0N~ Notes Located On Bottom, s Are Equotty Spaced L) C. , X '4y F Off`' DDS ribri,or] Last Hole Sho`ul'd Be - - I:' Nast To End Cop Dittribution Pipe Layout P Ft. R R S m/ , d . X Inches y -3® Inches Signed: Mole Diameter Inch /s Lateral of _13 Inch(: s) License Humber: to \msuff-Q~~~ C ds Date. Force Main " Inchu; RO W.T.S.I # of holes/pipe w Conditional y Invert Elevation of Laterals Ft. APPROVED DEPARTMENT OF COMMERCE OMSION Of W9" ONO 1N1D ~ • SEE CORRESPONDENCE .t , wt a ri ~ I M U x U 14 U d' A O 41 y d ~ a ~ > o ro a py U 4 r y C C! ` O+ M 4J I A u Q~ ;o$abed ~r I 11 1, 3 . SEPTIC TANK S' PUMP CRAMBER CROSS SECTION AND SPECIFICATION Lolt ar ~ar1~ Q r 3 14 4" CI VENT PIPE 12" MIN. ABOVE GRADE 8 WEATHER PROF' 25' FROM.DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER FINISHED GRADE 4" CI RISER W/ PADLOCK 8 6" MIN. WARNING LABEL ABOVE GRADE 4" MIN. 18" IN. 6" MAX. ~t INLET (elf Nl i~ I 'WATER TIGHT SEALS GAS' TIGHTi , 4" BAFFLE A SEAL 1 APPROVED CI PIPE -A- ALM JOINTS W/ CI 3' ONTO B i PIPE 3' ONTO SOLID , ON SOLID SOIL SOIL O.W.T.S. ~ I TfZltlOlf y OFF ELEV. FT. D OFF I RISER EXIT PERMITTED ONLY A IF TANK MOVED MANUFACTURER DEP HAS APPROVAL DIVISION Of SAFETY ANDBUWWNCWSPPROVED BEDDING UNDER TANK A - CONCRETE PAD SEE CORRESPONDENCE SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: 1Q,5 Wl ~ NUMBER DOSES PER DAY: TANK SIZES: SEPTIC t4SO GAL. DOSE VOLUME INCLUDING DOSE 750 GAL. FLOWBACK: GAL. ALARM MANUFACTURER: S7 y-&-frit, Sy!;, ^CAPACITIES: A = .30• INCHES = GAL. MODEL NUMBER: /DI / u.) SWITCH TYPE: F/a d B = 2 INCHES = GAL. PUMP MANUFACTURER: ou1dS C = /~o? INCHES = GAL. MODEL NUMBER : ~~s- w Eo3NtftP SWITCH TYPE: y1nu't. D INCHES = GAL. REQUIRED DISCHARGE RATE _Y GPM PUMP & ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . GI FEET + MINIMUM NETWORK SUPPLY PRESSURE 2.5 FEET + FEET FORCEMAIN X_.t~J(FT/100 FT. FRICTION FACTOR . ,!o FEET T.OTAL DYNAMIC HEAD = 7a, 4 FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH Sol ; DIAMETER P/P. LIQUID DEPTH SIGNED: _ LICENSE NUMBER: s(p_ DATE: 7_ - 17 1/88 S97-30717 -2 -T L 41 V11'. 1GOULDS SUBMERSIBLE SEWAGE AND E FFI.U E ' P~1 S Ld 4; 3 fiMd EP0311 y~~~• ` zzsr DISC. tt~i f's F O]UPE40311 142 EP0311 1/3 ttP 115 V Efflttcnt Rttp 1/2" solids Y56.80 172.10 1~ t t►S1771 j, : ~;::1(GrK.!r Submersible . MODEL EP0311 4: Effluent: Pump . .i SIZE 3A" SOLIDS METERS FEET 25 t<.... ....i j r a 20 ~ 4 -Ij t t 10 0 00 4 6 12 15 20 24 26 32 36 40 GPM 0 2.S 5.0 7.5 m'M CAPACITY • 16, Performance i "o Curve 38 5 ` ..y n " - MODEL 3885 {o SIZE'/i Solids 60 u1, r' F to so vrcorn- r _ 10. 30 wcox - o to ~ 20. 00 " 40 so eo '70 eo {o 100 I la In 0l'1{ y t...-................-. _..1 ' r. 'A. o to 20 00 wth CAPACITY ,•:~t,..;,. LIST DISC. "Iar r Ar OMWE031U, 142 WW3111, 1/3 HP 11S V Lon H 3%4' solids Iii .5S 329.35 N :S. OGt,RTD311M 142 WE0311M 1/3 HP 115 V Mod H 3/4" solids 491 .5S 329.3S ' ;ItyN^d! 'K OOIJpvrr.OSIUI 142 Y E05i1H 1/2 HP 115 V High H 3/4" .dolids 704.25 It1:9S n:' OOMT0712H 142 WE0712H 3/4 tQ 230 V High M. 3/4" solldn ly43.6S 565.25 Of ••••*SEE FMLCWING PAGE FOR PERFCENW= AND S=FICATION3. 4. DATE 10/88 DErr 30 ~G u~ ` :14 '7- I'ci 7 Nscnn'i~n;;)iautn+amof'^aus"' SOIL ANC SITS EVALUATION AE?OA Paqe Lati -,twit im ►+uman Ammuorn oir,s,on of S410" 1 awangs to acccra witn I W A 83.05. 'NiS. ACM. CJCe ccuNrr Attach complete site clan an pacer not less than A 1R x t t inches in Sze. Plan mwt include. but ST . CROIX not limrted to vertical and horizontal reference pant (8M), diraman and % of siope.:Cal@ or PARCEL 1.0. x _ dimensioned, north arrow. am location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY GATE PROPERTY OWNER: PROPERTY LOCATION E I/ 2S 24T 28 NR 20 W TOM RUEMMELE & .JOHN AND BARB RUEMMELE GOVT. LOT 114W 1/2S 197 2,6 NIX 19 -644" W PROPERTY OWNER':S MAILING AOORESS l.QT3A -9we ws ( SU80. NAME OR CSM e 260 COUNTY ROAD F 4 TROY VILLAGE CITY. STATE ZIP CODE PHONE NUMAEA CITY ILLAGE OWN NEAREST ROAD HUDSON 54016 (715)386-2902 TROY frzT New Consttt=on Use (X) Readental / Number atbedrooms 4 ( ( Addition to wdsmtg Wilding I i RepWCemsm Public Or com WCIA desanbe Colo derived daily now 600 gpd Recommended demp li=d rate _bed. gP1tZ=.mxn. 9p=Z Absorption area required SAD bed. tt2 O4 !rr . ttZ M=rtttm design loading ram bed. 9ptt2 I uertcb. 9P Remnmtended irifittration surface elevation(s) BY DESIGNER ft (as retenred to-sim plan bentcttntark) Add1dWA design r'srte No rE S H ~~sE pawl rttaterial D E5S TLL oG a M Rood plaint elevation, it applicable N/A ft i Arp( S : SUltaae for system CONVENTIONAL M W4AOUNO PRESSURE ALGRAOE SYSTGA IN FALL H=M U s UnsuMble for svstern I Q s z u I t7s J Q U ( C3 S 91 I Q S CKI 1 ❑ S 211 I Q S KU SOIL DESCRIPTION REPORT Horizon` Oeptn I Dominant Coi01 Motes Texture Structure IGPO/ft i munsell au. Sz.Cc Color Gr. Sz. Sul. a !T118,21 8onng # Al 10-8 110YR 3/3 I l i I 5.6 mfr 2msbk mfr cw 3vf- 0. '0 Ix;115 `x A2 18-18 IlOYR 5/3 1 1 sil 1 2msbk ;mfr lcw Ilvf-td 0.5 `0.6 Ground B1 118-40 11OYR 4/4 i sil 12msbk l mfr I w I _ 10.5 0.6 elev. B2 140-60 110YR 4/4 I f 1d 5YR 4/6 I S1 l lmsbk Imfr las l if 948. 1 it. R 160-64 110YR 8/3 1 Ilmst I--- s------ I--- I--- Oe= to f l I I I 40" I i I i I I I I Remarks: Boring x Al P-6 LOYR 4/3 . I Isil 12f bk _ r g! I I _ I 0.5 0.6 A2 10YR 4/3 16-25 1 I - I sil I, mfr I cw Lrf-co 0. B1 125-51 110YR 5/6 1 1 sil 1 2msbk mfr L rt llf l 0.5 0.6 Ground etev. 32 151-60 110YR 4/4 i I gsl I lc:;bk I mvfr (as Ilf 10.4 0.5 94j,,1 it. R 160-64 110YR 8/3 1 I lms t 1--- 1--- I--- Own to limiting I I I tam I I I I I I I I { Remarks: Name:-Reese Pmt jAMES 0. FlL.KW PI=w (715) 40-7831 CGDEN ENGINEERING CO.. 113 WEST WALNUT ST.. RIVER FALLS. WI 54022 Oats CST Niamoer: CSTUO39se : Pgcpf-m-f_OWMeR SCIL OESCRIPTICN RE?CA' page iot 3 PARCH:l.0. ~ . Monzon Oemr l oominarit Calor I M00M (Texture I 5truc:ure Icaim snaalammay I Roots GpOitt,. I Cu. SL r Cam Gr. Sz. Sh. gea t'rert7t Boring a Al -14 110YR 3/3 I 1 I sil 12msbk mfr cw 6vf-co 0.5. 0.6 172 A2 1 14-21 !lOYR 5/3 Isil 12msbk !mfr tCw of-col 0.5 X0.6 BL 121-41 !10YR 4/4 1 sil ! 2msbk lmfr l c*z , lf-m l 0.5:0.6 Ground elev. B2 41-45110YR 4/4 1 f if SYR 4/6 L l Icsbk I mfr I as I - 948.011. (ft. R 45-48110YR 8/3 1 lmst i--- 1--- Oeam to limiting i I ! I I ! I ! ! I I I factor 41" Rarnarkw. Boring x I I i I I I I I I I I i Ground elev. rt I I I I ! ( I I I M ( i OeM to I I I I I limning tauar I I I ! ! ! I Remarks: Boring R ! I I 1 ( i I I ! ! I I I ! ~ ! I ! I I ! l i Ground I I I I I I I I i elev. It i I I I ! I I I Oeom to I ! i 1 I lirmang I I I ractor i ~ i i ! ! I! Remarks: Boring $ I I I 1 ! I I I I i I! ela+r. I 1 I I i o ro I i I I~ ~ I i ra= I. I ( I I Remarks: 3a0-aS3orR.Cr3lOZ~ PAGE 3 OF SITE PLAN GoT SCALE: 1 40' 0 Q~ 8-/7zG o T 3 h~ O ti 0 GoT ¢z NOTES: PROVIDE MINIMUM OF 1' SAND BETWEEN BOTTOM OF BED AND =STING GROUND. \ MOUND TO BE A MINIMUM OF 25' FROM DWELLING; 50' FROM WELL; 5' FROM LOT LINE. OGDEN ENGINEERING CO. JAMES Z/Fil-KINS. CSTM03988 CJvil Engineers & Land Surveyors / 113 X Walnut St. River Falls. WI 54022 GATE: ~L97 (715) 425.7631 WISeore n Depararmnt of InduSUY. SOIL AND SITE EVALUATION REPORT Page 1 of I Labor anC Humang oiauOns oivls&on otSabry ngs in accord with ILHR 83.05. Wis. Adm. Code COUNTY 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. s - not limited to vertical and horizontal reference point (8M), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND BARB RU E GOVT. LOT 114W 1/2S 19T 29 NR 19 -614I W PROPERTY OWNER':S MAILING ADDRESS LQTjV I *WK 0 SU80. NAME OR CSM x 260 COUNTY ROAD F 44 TROY VILLAGE GTY, STATE ZIP CODE PHONE NUMBER CITY ILLAGE OWN NEAREST ROAD HUDSON, WISCONSIN 54016 (715)386-2902 TROY u>Z NJ New Constnxtion Use (X ) Residential / Number at bedrooms 4 ( ) Addition to existing btxkiing j ) Replacement ( ) Public or commercial desobe Code derived daily flow 600 gpd Recommended design loading rate 4- bed, gpd/tt2 trench, gpdM2 Absorption area required !5r D bed. 9 -040 trench, It2 Maximum design loading rate S _bed. gpdM2 i2' Mich. gpolft2 Recommended infilfration surface elevation(s) BY DESIGNER ft (as referred to site plan benchmark) Additional design / site considerate 15~96 10 7E S /00r1E Parent material D X55 T GL o La i Rood plain elevation, if applicable N/A ft S - Suitable for system CONVENTIONAL MOUNO 114CMUND PRESSURE AT-GRADE SYSTEM IN FILL H=I NG TANK U= Unsuitable for system I❑ S ®U I IffS a U o S 9U o S Nu I CS M( OS KU SOIL DESCRIPTION REPORT Horizon, Depth [Dominant Color Mottles Texture Structure IConsistence aGPO/ft i I Ou. Sz. Cont. Color Gr. Sz. Sh. 8 ITmnc Boring # Al 0-8 IOYR 3/3 I sil I2msbk mfr cw 3vf- 0.5.0..6 > 115>s'' A2 8-18 1OYR 5/3 sil I2msbk mfr cw Ilvf-~ 0.5 0.6 B1 18-40 I10YR 4/4 sil I2msbk mfr I _ 10.50.6 Ground elev. B2 140-60710YR 4/4 948. 1 ft I f ld 5YR 4/6 sl lmsbk mfr las ilf . Depm to R 0-64 10YR 8/3 lmst I--- I--- I--- limiting I I factor 4011 Remarks: Boring tt Al -6 `OYR 4/3 I sil I2fsbk imfr I _ 10.5 0.6 < 111 1 A2 6-2 5 I 1 OYR 4/3 I mfr I cw -0.5' 2m-qhk Vf C .0 . B1 25-51I10YR 5/6 I sil I2msbk mfr I r-41 if 0.5 0.6 Ground elev. B2 51-60 110YR 4/4 gsl lc3bk mvfr I as if 10.4 0.5 946.1 ft. R 60-64 10YR 8/3 lmst I--- I--- I--- to I limiting limiting I i factor 6011 Remarks: Names-Buie Prirtc jAMES D. FINS P'='r (715) 425-7831 OGDEN ENGINEERING CO., 113 WEST WALNUT ST., RIVER FALLS, WI 54022 \ Sgn>are. Dam lO ~l 7 CS7Nmbw. CS"TM03988 PROPERTY,r7WKR SOIL DESCRIPTION REPORT Page 2 at _3 r PARCEL I.D. t Oepm Dominant Color fWOttfes (Texture Structure ICons~oen~l8atr~ I Roots GPOitt-4 Honzon I ~ CIL 2. cam n 11 Color Gr. Sz. Sh. I sea "trenm Bonng# Al -14 hOYR 3/3 I Isil 2msbk Imfr Icw of-cb 0.5:0.6 172. FB1 14-21 ilOYR 5/3 sit msbk fr Lw Lf-co 0.5-0.6 121-41 10YR 4/4 I sit 12msbk Imfr I if-m 0.5`.0.6 Ground elev. B2 41-45I10YR 4/4 flf 5YR 4/6 1 I lcsbk mfr as if-m 948.Ott. R 45-48 10YR 8/3 I Ilmst I--- I--- Depth to lin"rig factor 41" Ramarkw. Bonng # i'f $ I Ground elev. ft. I I 080 to limiting factor I Remarks: Boring x --T Ground elev. It. I Depth to limiting I factor Remarks: Baring # :AM Ground elev. ft Depth to lined" factor I Remarks: SB0-a3=Fi.o&= PAGE 3OF3 SITE PLAN GoT SCALE: 1 40' Q~ 8-/7z ~ o T ~3 ,k° ti ~N ~a I~ GoT ¢z NOTES: PROVIDE MINIMUM OF 1.' SAND BETWEEN BOTTOM OF BED AND EXISTING GROUND. MOUND TO BE A MINIMUM OF: 25' FROM DWELLING; 50' FROM WELL; 5' FROM LOT LINE. OGDEN ENGINEERING CO. JAMP D. FILKINS, CSTM03988 Civil Engineers & Land Surveyors g/Co~~ 113 W. Walnut 425-76315 WI 54022 DATE. STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ~O('l~( Tc I~I.A t~ ~~c1L 6 MAILING ADDRESS 14- W. Ca FW vE . , Dso N, 1 Ci +a - D44 PROPERTY ADDRESS aXZ4 (location of septic system) Please obtain from the Planning Dept. CITY/STATE ~.tde `a S Z~a I PROPERTY LOCATION 1/t; 1/4, Section T 'I-D N-R ZD W TOWN OF I t/ ST. CROIX COUNTY, WI SUBDMSION VI LOT NUMBER '+7 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 year piration date. SIGNED: O DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S 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 Popp 1v-r W. 'TE~t.A~►D~ Location of property G 11`L 1/4, Section T' N-R 44 W Township Roy Mailing address t~' 10~/. (alttly~ US®N lv~ 54ca('0 Address of site CXK TkA R44 64UFf: Subdivision name t tLU~c Lot no. Other homes on proper y? Yes__X_No Previous owner of property --I 40\,f -P- P, Total size of property PtGrss Total size of parcel Acxi i Date parcel was created May Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes _A_No Volume 12-4 and Page Number 'W~ 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 i the of ice of the County Register of Deeds as Document No. Nq 61-14 , and that I (we) presently 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 office of the county Register of Deeds as Document No. Gi{i9 q~ Signature of Applicant Co-Applicant &-(o-'q-7 Date of Signature n - 0§/M/~7, FRI ,1 1 FAX 7V 386 4687 REGISTER OF DEEkS_ X001 f~ J 559974 4I POW r WARRAlM DAD DOCUMENT NO. finis Dad tt 6etwem TROY DEVELQPIvlhNr $T. CnC'w• CJ., U1l , CORMRATION, a Kinneaota,cospotation, Grauttor and r~eo~.w~r.a ROBERT W. TEL L ANDER and 3UDrm A. TEI.LANDER, husbarid and wife as survivorship n:arw MAY, 2 7 19991 Property, Graletm, Qait 3:13 P. M ~ W h, That the said Grantor conveys to `<*Q # ldk. Grantees the following dea=UW reel estate in St. Croix County, State of Wisconsin: 4 Lot 43 of the Pht of Troy Vriiage im dW Town, Of Trv'y. St. Crain a Cotmty, wiscocdA 1 a SubjWt to Declamdow of coves, Coodid= and R050icdodm liar Troy Vim reoaeded in Voi:! 241 Pap 256, as Doc. No. 6599G1F and the Deda,rsdon of Gov Coarse covam* Co wijkm Tax Parcel No, and Eadenwata, recorded in Vol. 1241, Page 301 , as Doc.,, No. 559969 RETURN TO: a11 as app g in the office of'the Register of Deeds for Sit. Robert W. Mudge, VZ054 469 Croix County, vrwooesio, and ouch other euemeots, rteervmwrHurls Q16 rut dctiow and fwarv4dow of record, ru in nw. _ Thix is not homesftd prop nty. ► a Together with ail and singular the hereditaments cad appurtenances thereunto belonging; And Grantor warms that the title. is good, indefeasible: in fee simple, and free and clear of emumbnrim, and will warrant and defend same: Dated dhis 2&k-"day Of Mays, IW7. TROY'DEVELOPMENT CORPORATION .f Chatries S. Cook, President ; STATE OF WISCOPMN AS' SM. CROIX COUNTY Pa madly carpe be fin me of May, W. the atxrse ac=ed Troy Devolopment Corporation, a Mimmom carporadon, by Cbwl a S. Conlt, its Pmidmt, to me known to be die pdrrson who cxecurad the foregoing iri9rnm ftt CA w1uowtedgW the same. being aWh 4zW so to do. _ TM 1NSTRUME14T DRAFTED Bit: Robert W. Mudge, Attorney 114 2nd St., P.O. Box 469 lie, State of Wi sin °i Hudson WI 54016 My camunission (expires) _ .AL 1L, siF ~iw:. Ji b. r ST. CROIX COUNTY WISCONSIN ZONING OFFICE - = i R N p N N q ■ q„ - ~ ST. CROIX COUNTY GOVERNMENT CENTER a ■l■_• 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 Sent Via Fax Hard Copy to Follow in U.S. Mail February 3, 1998 Derrick Construction Co., Inc. 1505 Highway 65 - P.O. Box A New Richmond, WI 54017 Re: Septic Inspection for Robert Tellander located at 272 Turnberry Court, Troy Village Lot 43, Town of Troy, St. Croix County, Wisconsin To Whom It May Concern: A septic inspection of the above referenced property was conducted on October 24, 1997. This property is located in the E 1/2 of Section 24, T28N-R20W, Lot 43 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. If you have any questions regarding this, please contact our office at (715) 386-4680. Sincerely, mes K. Thompson Zoning Specialist /dl