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HomeMy WebLinkAbout040-1034-10-250 y N ° o 0 O a ~ c I a a 0 O ) O N ! N a) d 3 N O O ~ r •y M O N N 00 rn x if) U) vi N ~ L ~ p U C - O LL c N O ~ O - N ~ Y i Q O I 3 ~ v a~ Z y rn ; 0 a Z O D 00 m m 00 C-4 LU a m 00 t- Z 0 0 2 d c IY e- avi 2 2 O to F- ! m N Z c CD E o 70 m y U N a) O N ~ N ' N ~l a U c O c 0 O v O Z F- Z w N '6 z ti _(D O N N E d• }~~l C a+ m r1 a r+ r+ O O a) s~. N O N N 0 o c a E ~y Z > LO I- I- 1- _E E N N 0 0 0 a F- Z O O i •N o. a 0- 0. vOi I ' w m Q) VJ J V 2 m m } LID N ~ 61 iz: ~ O O I O N - O O O a C14 04 N 0 m to t0 CD N a) ~l ao y Q } c° eO O O LO ~I = N C i LO co N Q ! ) O c 7 LO (O 00 0 C) ~O " O N O E a LL O O O V L n E _N M O O :03 L E (0 C O O c N N O 06 o a) • t 00 2 C O E v O O o U o Z W a (D ~t n a`) CL • d v d m c E "c c ~1 A c0 ao! 0 v~c°~ i 7 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 41-11 /2D lwr~ ADDRESS CSYVI SUBDIVISION / CSM# V7 LOT # SECTION _T S N-R ,~y W, Town of 7r0{,✓ g. 2S1. i . I I I C~ ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~[l6r J~t ll,~~ ~ far L~ 4-1 ~ y~6 I ~ Lo~ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM:. SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: ~✓PP Liquid Capacity: / 26!?4 d Setback from: Weller House 35 Other Pump: Manufacturer 'L Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length 8> Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House w15 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: Z 3 PLUMBER ON JOB: ev LICENSE NUMBER: 2.V INSPECTOR: 3/93:jt f g~ F IQQWQ*;,tXARYln.%ft t8. 19, NE,Nfrtj)'► E ~VIFAOGE5YS EM County: Labor < id Human Relations INSPECTION REPORT Satety V Buildings Division . (ATTACH TO PERMIT) sanitary ermit o: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan D No.: (_'F.RNQ14Q1T.q TL TROY CST BM Elev.: Insp BM Elev.v.:/ BM Description: `I Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9300041 a TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark /G,), - Dosilag! 3 5'' 14 Aeration Bldg. Sewer [Holding - St/~ff Inlet /C9 "z TANK SETBACK INFORMATION St/of Outlet d3~ TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic 7~ r 2 NA Dt Bottom Dos, NA Headers g's ,31 Aeration NA Dist. Pipe /7 Holding F- Bot. Systems 16", qu~ a2 PUMP/ SIPHON INFORMATION Final Grade Man- Demand T Model Number GPM TDH Lift Friction stem TDH Ft Loss Forcemain Length Dia. Dist. SOIL ABSORPTION SYSTEM BED/TRENCH width t Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1_~~ 1-1 DI SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEAC-H-Ift- Manufacturer: INFORMATION Type O CHAMBER M um System: ✓r~, e! ? A OR. DISTRIBUTION SYSTEM Headed-Nflarrifu'd Distribution Pipe(s) „ , x ole Size x Hole Spacing Vent To Air Intake Length Z~L Dia. ~ Length Vd Dia. Spacing SOIL COVER x Pressure Systems Only , xx Mound Or At-Grade Systems Onl Depth Over d Depth Over xx Depth Of x Sodded xx Mulched Trench Center J AWk Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: TROY 8.28.19,NE,NE, LOT 3, CO. RD FF r ~ Plan revision required? ❑ Yes pro Use other side for additional information. 7 1~/191/M SBD-6710 (R 05/91) Date Inspector's Sign ture Cert. No. I ADDITIONAL COMMENTS AND SKETCH r SANITARY PERMIT NUMBER: i J SANITARY PERMIT APPLICATION :ZW!~HR In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 1 1? 13~ 8% x 11 inches in size. ❑check if revs n to prev us application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION /I / &mAp-s N-r '/4Nf S 8 T Z8, N, R l.(or) PROPER OWNER'S MAILING ADDRESS LOT # BLOCK # -elP 41f 3 CITY, ZZ E Morll, ODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 1(7/~)7 2-3Z# (:5~ `66 c/7 II. TYPE OF BUILDING: Check one CITY NEAREST ROAD _ e y7d r~ 2 ( ) 11 State Owned ,L,~ 9 TOWN OF: VILLAGE 6 14 6i I El Public ;,1 or 2 Fam. Dwelling-# of bedrooms ! PAR EL TAX NUMBER(S) nl<A- 407 III. BUILDING USE: (If building type is public, check all that apply) d till/ 0 0 N-04 /d I 1) 1 El Apt/Condo 2 ❑ Assembly Hall 60 Medical Fapility/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 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ~I Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 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 j REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION &06 l0 b W /4'5 Feet /Bg Feet .175 VII. TANK CAPACITY Site in gallons Total # of Prefab. Fiber- Exper. INFORMATION New JE-xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Q2 F1 I Lift Pump Tank/Si hon Chamber x~/ 0 El I n F1 1 0 H VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumbe ' Name (Print): Plumber's Signature: (No ps) MP/MPRSW No.: Business Phone Number: ~rw 32 Z <j'' 77? - TzIfe Plum is 11 ddress (Street, City, State, Zip Code): 8 Za hu-p 4J, Isom IX. C LINTY/DEPARTMENT USE ONLY ❑ Disapproved Sa ry Permit Fee (includes Groundwater Date Issued Issuing A nt Sign Approved ❑ Owner Given Initial rcharge F Adverse Determin tion "TTT J X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS - t 1.': Q- i4skflitAry permit is valid for two (2) years. 2. `Youx.sarfitary permit may be renewed before the expiration date, and at the 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 & Buildings Division, 608-266-3815. 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 tQ_.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 in 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 in ##1-7. VII. Tank information. Fill in the capacity of every new and/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 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% 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 11~form; and F) all sizing information. F 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, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) STC-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), thensa second form should be retained and completed when the property' is sold and submitted to this office with the appropriate deed recording. 06 owner of property C-Vkl.l- G L' ERN Olibag P+7Rt e A M CERNOMOU6 SF' //A/ sF , Y, tl .5" zs 19 Location of • property N E 1/4 N€114, Section 8 , T_~~N-RAW Township _ / R40V Mailing address , GTV Rp. JcF (A. D S-6 Al Ld I S C, .5r1_10 49 Address of site AIR Ig Gl-P DD FF Subdivision name Lot no. 3 Other homes on property? x yes No Previous owner of property _FD ! Thl E ~'~QitlD h~0u-S Total size of parcel 3.16 ACRES Date parcel -was created _ A4 AR, av, d 1993 'Are all corners and lot lines identifiable? Yes --No Is this property k)eing developed for (spec house)? Yes X No Volume Q and.Page Number 2603 as recorded with the Register of Deeds. _ Ftk-rttRE_ _-Ow"Ele o F 1-0T 3--- SDHA1 F, CRR"O HoU S - INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & 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 the office of the county Register of Deeds as Document No._/ D Jy0 , 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 Count Register of deeds as Document No. . nature of applicant Co-applicant Date of Signature Date of Signature 17 s 4 s ~p~ t ~ ~ ~t~ f ~7 ~ ~CQ~NBII~ PO~tM A K 484 PA6 , t < ,r; 'i= pEEq 3 1 0 1 4 Q rzj r't~ ~P~t( D FOR RECORDING DATA BY THIS DRED, Edith E. Cernohous, OFFICE +r 4? 474,G.ROIX Co.. Wis. 77, OC'dfor f 9cord this_!9k. jlr.aeor conveys and warrants to Cyril C rnohous and Patar A. D, 19_72 C rnohous, husband and wife as joint to an s" Rpg a of As ~tptttae. ' tot a valuable consideration R', UI~N qQ the f911pw149 described real estate In St. Croix County, Stgtepf~~4cgp~iq. 3 he Southeast Quarter of the Southeast Quarkf3r°uA ection 5f Township 28 North, Mange 19 West; : ?rwx fey a I711A 1s homestead property. he Northeast Quarter of the Northeast Quaxte» .A:Seto:,,Township 28 orth, " Range 19 West, EXCEPT: Beginning at 4' pqtA Qn;,thj,' th line of said ortheast Quarter of the Northeast Quarter 509 feot Weet 6i' the East line of aid Section 8; thence West on said South line 200 fe~it; tense North paralle o the Ea6t line of said Section 435.6 feet; thence 1gdst parallel to said outh line 200 feet; thence South parallel to. said.Ea$t line 435;6feet to the OINT•OF BEGINNING, subject to highways and easements of record. art of.the Northwest Quarter of the Northeast Querter.of Section 8, Township 8 North,Range 19 West, described as follows: Begin inq at tho•_intersection f the North right of way line of County Trunk JUghway.P,,and the,East line o Said Northwest Quarter of the Northeast Quartev;: hessce North along said line 35.6. feet(~thernce West parallel with the htgh~ay 2QQ' feet1 .•thonce South arallel to:'the East line of said Northwest Quarter pf'tho Northwest Quarter 435.6 feet; thence East 200 feet to the PAINT pF BEGINNING. his deed ia.given in final fulfillment of a land contract between the partie aw~~c7rltic dated December 20, 1965, recorded December 23, 1965 in the Pffice of the Register of Deeds for St. Croix County, Wiscons}n, in Volume 19, page 589, document 282921. Executed at ` Hudson, Wisconsin this 9th M 72 dpy of ~y 19_x. SIGNED AND SEALED IN PRESENCE OF ~.R~{~,1rY, t (SEAT.) Edith E.' Cernohous Q 5yo (SEAL) is f >o~ L (SEAL) CAral McDaniel (SEAL) Signatures of Edith E. Cernohous, a .single person r authenticated this t day of May 19 LJ i ohn D. Heywood - Title; Member State Mar of WI"consin76P9aXZKA C Authorized under Sec. 7o)i,Qb viz. STATE OF WISCONSIN County. ss. Personally came before me, this day of 19_, the above named to me known to be the person- who executed the foregoing instrument and acknowledged the same. This instrument was drafted by I John D. Heywood, Attorney at Law Hudson, Wisconsin Notary Public County, Wis. The use of witnesses is optional. My Commission (Expires),(Is)_ i Names of persons signing in any capacity should be typed or printed below their sisrlatures. HC4MbrCarprM® , WARRANTY DEED-STATE BAR OF WISCONSIN, FORM NO. 2 - 1973 ~ i III State of 1Msconsln County of St. Crobt I henry aroy daa dds imt w ttt k a full, aw and oaoot copy of dr d=wAm an file and of road b my Ow and Iw been cr swdbyeee. ~..~r MARCH 31 19~ r JAMES O'CONNELL James O'Connell RePWO 06 DEPUTY S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER (,W ~L C C /?t111 H6t 5 Tft'~e44 M cE_WcHdze-S ADDRESS_ FIRE NUMBER 6!-~S CITY/STATE u SCJ y) I SC__ ZIP_ S ~O PROPERTY LOCATION OVE 1/4, /VE114 , SECTION __J6_, T _N-R-1,7 W TOWN OF_Q 7 St. croix'county, SUBDIVISION , LOT NUMBER3 . 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 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 Co. Zoning Off cer within 30 days of the three year expirati:Z e. a SIGNED: ~_,4 DATE: 313 J A-? St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 49664'7 CERTIFIED SURVEY MAP Located in part of the NEk of the NEk of Section 8, T28N, R19 Town of Troy, St. Croix County, Wisconsin. O A FILED '9 MAR 3 019930- N sc JAMES O'CONNELL a gagster of Deeds s ~ 41 U C) C1pDI Ci0 , u U W SL W o Ay 4j cli 0, M o~ IJ N F11 A T i -G L i1 1 r S CA p u .+r oo C W 2 d 2 L L i r a~i I NORTH LINE OF THE NE V4 W 41 ,C N/4 CORNER N89002'00'E o NE CORNER W o ° OF SECT ON 8 N89 02 00 E 459.00 OF SECTION 8 L c0 N 'O d 2194.43' rn e rn ~ ~ C N Z (n .N .C N L. 4.) cc h= 0 L4 0 Pte? Oo O OW O m Z Legend If ~ b o o LOT 3 0 Aluminum County Section 1-1 I~ 3.16 Acres S 0 Monument Found 1-1 I 137,700 Sq. Ft. M I-7 75.15' 383.85 O 1" x 2411 Iron Pipe Set, EXISTING DRIVE /I S89°02'00"W 45.9.00.' weighing 1.68 lbs. per - I linear foot 66' 100' Roadway Setback 0)Cv IJNPL_A I I ` Notes ~D Al- ,Ln z A 111 iron pipe found N7000610811W, 0 0.91 feet from set i" iron pipe,,-- m m m B 111 iron pipe found S74030102"E, 2.29 feet from set 111 m iron pipe. /4 / C 111 iron pipe found I C-0 y S7505010911E, 2.34 feet /y EI/4 CORNER from set 111 iron pipe. s OF SECTION 8 '7 (f~ i'lk', . a Z 66- 0 + as i SNIAL_L C I ao T1?AC T N~ o - I I Owner _ O - - 484/43 v?I m 745/365 Cyril Cernohous 486 CTY TK 'IFF" W Hudson, Wi. 54016 N ..I.. ~ L I Cn c C O S88 49'51°W 66.00' R/W 0 31.44 0 31.44' co O v II ~I S88'49' 51"W (SOUTH LINE OF THE NEI/4 OF THE NEI/4 C T H F F 66.00' W r-N UNPLATTE~ L_AN S.cale in Feet VOLUME 9 PAGE 2603 0 100 200 400 SURVEYOR'S CERTIFICATE I, Allen C. Nyhagen, registered Wisconsin Land Surveyor, hereby certify that by the direction of Cyril Cernohous, I have surveyed, mapped and described the land parcel which is represented by this Certified Survey Map; that the exterior boundary of the land parcel surveyed and mapped is described as follows: A parcel of land located in part of the NE1/4 of the NE1/4 of Section 8, T28N, R19W, Town of Troy, St. Croix County, Wisconsin; further described as follows: Beginning at the NE corner of said Section 8; thence 500059'10"E, along the east line of the NE1/4 of said section, 300.00 feet; thence 589002'00"W, 459.00 feet; thence N00059'10"W, 300.00 feet to the north line of the NE1/4 of said section; thence N89002'00"E, along said north line, 459.00 feet to the point of beginning. Above described parcel is subject to all easements of record. I, also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 of the Wisconsin Statutes and the Land Subdivision Ordinance of the County of St. Croix in surveying and mapping same. Each parcel shown on this map (Plat) is subject to State and County Laws, rules and regulations (I.e, wetlands, minimum lot size, access to parcels, etc.) Before purchasing or developing any parcel contact the St. Croix County Zoning Office for advice. VOLUME 9 PAGE 2603 II .s 7 ~ O Wisconsin Department Industry, SOIL AND SITE EVALUATION REPORT Pa I Labor s6-id Human Relations tions ge_ Of ` 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 "S > f k 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. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION p Q E d v Cs GOVT. LOT N C 1/4 1/4,S IS T ~ N,R If 1 E (w) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SU NAM OR CSM # N© A-05a CS M CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAREST ROAp ( ) -T Rca CT N ' New Construction Use Residential / Number of bedrooms uN K [ j Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow _ gpd Recommended design loading rate o, 7 bed, gpd/ft2 01 trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate 0.7 bed, gpd/ft20. g trench, gpd/ft2 Recommended infiltration surface elevation(s) 105.00 ft (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND 1I ROUND PRESSURE AT-,GRADE SYSTEM IN FILL HOLDING ~T NK U = Unsuitable fors stem S ❑ U IM S ❑ U 7LJN S ❑ U ENS ❑ U ®S ❑ U ❑ S oil SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench ~r r Z." 4 Ground & 06 k 6 In qf> elev. /off ft. Depth to limiting factor Remarks: ~'PScaiL 60M(S - AQEA 6 AN ©c,d 60,4V &L ,17. Boring # loxk 414 - Ai \k4 Ground °I10~ L~Y~ t} Z S Q, 1 7 elev. 16%-0 ft. Depth to limiting , fWor Remarks: CST Name:-Plea t%t C.Y `0N0S6 Phone: Address: U ~S . ~J Signatur ~t Date: ~ / ~ CST Number. 20+ PROP ERTYOWNER-IY~I~~CI~~YJs SOIL DESCRIPTION REPORT Page Z of 3 r , PARCEL I.D. # r Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Twch Ground 97- 16Y4: S n 1 / a .7 elev., /O .is ft. Depth to limiting > f4t25 Remarks: Boring # q - b ` ~y+~ 3 ~rJ C, ® ~'L► Z a V< 0 7:01 •g Ground 0-7:10 elev. 109,5$ ft. Depth to limiting factor 3 Remarks: Boring # , .~S 6-21 ' /0Y9 3 3 S n7 0.70 v 98 Ground elev. /02 ft. Depth to limiting factor > Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) K ~ PAZLtc 's aR 3 CY410 26AW N00 S M arJL))M ClUr Ca -ez~cT TA ~JN ~OR,J$A I Lc~:J - I iJV~ NE CokijEk i g , i i i ~ ' RICA i~ ° GSA 0T' A k FA i S ~E L,Q i I JAY ~LA IgtAILE + H~~l/ Cl-r JOB 4(Y 1 I Qrlt ph4LcS TIMM EXCAVATING 2 Route 1 Box 192 SHEET NO. OF WILSON, WISCONSIN 54027 CALCULATED BY r -TO DATE 7 7- (715) 772-3214 (715) 386-5443 MPRS #3224 WI MPCA 0696 MN CHECKED BY DATE SCALE . 1......;.. . . . ..:....5 . i 0 . _ . ~i i 3~ _ A . _ 4o . 5 ty t 1... . _ 1 R j " . _ I_- I.... fig«k~s 1 PRODUCT 205-1 !gym Inc., Groton, Mass. 01471. To Order PHONE TOLL FREE 1-800225-6380 JOB Y/7e kd Z' u TIMM EXCAVATING SHEET NO. Z OF 'L Route 1 Box 192 WILSON, WISCONSIN 54027 CALCULATED BY~C 17fieC DATE ~Y-7 - 43 (715) 772-3214 (715) 386-5443 MPRS #3224 WI MPCA #696 MN CHECKED BY DATE SCALE L+14 A -4-4-4-4--f-A-4-44 f-t-ft-h L-f-F.44-4 49--f-f-A _-4-t-F 1-t-t-t-f-TITT- t t Ad— Phin! ...i... ~t ll~ 11117 1 _7 ~fnninnr I Ott-, pay- . ' . . . . ~v( y' J_... i PRODUCT 205-1 Inc.,Groton, Mass ,01471. To Order PHONE TOLL FREE 1.800-225-6380 1410 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Cade A.C.E. Soil & Site Evaluations county Attach complete site plan on paper not z size. Plan must St. Cron i#ln include, but not limited to: vertical arn) dnCe 'rit` in (Btudirection and Parcel I.D. percent slope, scale or dhnemsiong 1"Or ti amain, and location and distance to nearest road. 040 - By Please, idnt afl lr #npWon. Data Personal information you provid$ may be use"~iQoNQarY puny tiWcll Lard, s. 15.04(l ) (m)). (P s 11 Property Owner x, Property Location l / I t 3 S'~ r ' Govt Lot _ NW 114 NW 1/4 S_ 9 28 N Miler, Sam R 19 W Property Owner's Mailing Address w~ti` ' l d # Bkxlc # Subd. Name or CSMfI P.O. Box 151 r>~~~,, 32 Plat Of Miller's Orchard City Std"7,ip Code" Nur1A6@r` _j city _j village r Town t Road Hudson WI '•!401,6 ' 19)769 Troy T~ ~Orchard Dr. r/ Now Construction Use: M_} Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or c onrnercial - Describe: f JflT Z/S?2'~ IIr 9 Parent material Glacial outwash F ood if appl' na General coYrrrtents •~1 ~dk.cE'irl' "0AA'Cq and reconunendations: Recommend 'installing 2 trenches at 3' x 90.625', using 29 high capacity BXiiffuser infiltratror chambers at system elev. = 93.00'. t lock wk~ 6-0 1 Boring # _j Boring " ❑ g Pit Ground Surface elev. 98.60 ft. Depth to limiting factor >130" in. Sol Application Rate F212 zon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' *Eff#1 *Eff#2 0-6 1Oyr3/2 none sl 2fsbk mvfr gs 2fm 0.5 0.9 6-18 1 Oyr4/4 none Is 1 msbk mvfr cs 2f,1 m 0.7 1.2 3 18-24 1Oyr4/6 none s Osg ml Cs 1fm 0.7 1.2 4 24-55 10yr5/6 none s Osg ml gs - 0.7 1.2 - 5 55-83 1Oyr5/4 none s Osg _ ml gw - 0.7 1.2 - 6 83-130 1Oyr6/4 none s - Osg - ml = - 0.7 1.2 q 3 do/ - Boring # Boring (r, - Z t o 3 . z_ Pit Ground Surface elev. 98.71 It Depth to limiting favor > 133" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft° *Eff#1 ff#2 1 0-9 1Oyr3/2 none sl 2fsbk mvfr -gs 2fm 0.5 0.9 2 9-22 7.5yr4/4 none Is 1 msbk mvfr cs 2f,1 m 0.7 1.2 - 3 22-29 10yr416 none s Osg ml cs 1fm 0.7 1.2 4 29-57 1Oyr5/6 none s Osg ml gs - 0.7 1.2 5 57:90 10yr5/4 none --S ---0sg--- --mf - - 9W - 0.7 1.2 6 90-133 1Oyr6/4 none s Osg ml - - 0.7 1.2 z'2 * Effluent #1= BOD ? 30 < 220 mg/L and TSS > < 150 rng/L :2!o2 #2 = BOD S30 mg/L and TSS <~O mg1L CST Name (Please Print) Sig CST Number James K. Thompson 3602 - Address ACE Sal & Site Evaluations - 4-7W; Evaluation Conducted ---Telephone Number 340 Paulson Lake Lane, Osceola, W154020 4/23101 715-248-7767 1 3of3 Ai~• b- o o~,.rebor. Soil Elev = /oo.'! Vutf,'o.-~ 0 * gs lo{ 32, /Yjy/er s QrcAard, 5~~k Sec. ion T. of 7oY~ w~ k' SE • 4o i X Cv. 'J g~o,~' ~ s,~y: [3encl,,rvbrK~ T o{ $S o 5 o 9 .o 1 V) qqp ' Te,►~Para ry l_L-L'C4 e -/~SaC I KQ~ ~ l~lO o- e r.. t r~~~ 7 t ~ C)UND 3 ALUMINUM t* MONUMENT NORTHWEST CORNIER SECTION 9 252.60 287.6C LOT ac M -_S LOT 9 PAl-3F 2603 '3, 119-02 Sq. t. N 2.75 AC c~ z 109405 S 2.51 Ac.~ 3 6.17 0 ° 10.' 2' 86 71 ~2a 0 C) L 122.88' E T F I. ROAD S 89'5953" W 66' E AS~..MF_N T 80.00, C ~ ' E " 4 26 S65'38'10 W - _ 122.88 292.02` N 89'59'53" E 117217 Sq. Ft. AR Y CUB- DE-SAC N' rT10 9t RE MOVE. ; 2.69 Ac. IES7ER Y E.X'IFNS;ON 75Qn 1 83 MAY 2 0 2004_ VOL 18 PAGE 4681 XAT1 LM N. r7~TSA - REGISTER OF DEEDS --77-0"A 0"A CO„ Y ST. CROIX CO. MI {^O RECEIVED FOR itECORD 12/29/2003 09:30AM CERTIFIED SURVEY MAP No P. ' CERTIFIED jURVEY M :EE12.00 LOT 32 OF THE ORCHAVO SUBDIVISION AND LOT Z OF CERTIFIED SURVEY MAP VOLUME 9, PAGE 2603 AND PART OF THE NORTHEAST 1/4 OF THE NORTHEAST 1/4 OF SEC71ON 8, AND 'N PART OF THE NORTHWEST 1/4 OF THE WORTHWEST 1/4 OF SECTION 9, ALL IN TOWNSHIP 28 NORTH. RANGE 19 WEST, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN. CURVE RADIUS ARC DELTA CHORD CHORD KAWO TAN. IN TAN. OUT 1-2 80.00' 68.03' 48'43'26' 66.00' S DOXV07' E S 24.21'36' W S 2421'50' E NOTE: 3-4 200.00 146.78' 42102'58.8' 143.51' N 20'13'02' E N 00.48'27' W N 41'14'32' E ALL BEARINGS ARE REFERENCED TO THE NORTH LINE OF THE NE 1/4 OF SECTION 8, TOWNSHIP 28 NORTH, RANGE 19 WEST. ASSUMED TO BEAR N 8914'05' E. •'W66*scr~lci~ao,~e ONLY ONE ACCESS MAY SERVE LOT 1 CONSISTENT WITH SECTION 17.64(5)(c)2. OF THE ST. CROIX COUNTY 20t~A~ ••i~ NW COR. SEC. 8 vhwngo Lmu NE COR. NORTH LINE OF THE NW 1 OFF ON 9 • OF THE NE 2071.4705' E NORTH UN N 89'14'05' E /58100 Cna+ 8 SEC 8N cWpGER LYNN 252.60 HUMPHREY S-2188 s t I. yVpODVILLE Q- ••••~~p •eee g ~ j 19L,32QE : 4!•' <,9~•a,WIS. J IlH~4B~►lr,RQ Np O ~ ! ~ ~ ! SU9Ql~Od ~ ~t' 4 U R 'tie ! I t~ ~c~: :isrv ! ITT 3~ p + I SCALE: 1'- 200' ' i 0 0 50 100 I tl i~ ~EA WENT i ►f IAT 1 S 00119'53" W 169.14' - - I 7jfle S.F. N S ` '83' w 86.71• F ~ ND LOX 0 'm- 0 FOUND 1 1 /4' IRON PIN FOUND 3/4' IRON PIN II FOUND COUNTY 3' ALUMINUM MONUMENT ' ❑ FOUND 1 1/4' O.D. IRON PIPE A SET 3/4' BY 18' IRON PIN ` 5890324 w700. 'f WEIGHING 1.50 POUNDS PER LINEAR (RA s Bo''o1•Iw 600._ FOOT AT ALL OTHER LOT CORNERS I WP_IAE2 51 1/4 COR a jWWd 150' FRONT SETBACK LQT-L ! T SEE C 6 - - 66' ROADWAY EASEMENT F F, R.A. RECORDED AS 1 -tom 5 04&'54' E 1748.65' 1. ROGER L HUMPHREY, REGISTERED WISCONSIN LAND SURVEYOR S-2188, 00 HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF PART OF THE NORTHEAST 1/4 OF THE NORTHEAST 1/4 OF SECTION 8, AND PART OF THE NORTHWEST 1/4 OF THE NORTHWEST 1/4 OF SECTION 9, ALL IN TOWNSHIP 28 NORTH. RANGE 19 WEST, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN; BEING LOT 32 OF THE ORCHARD SUBDIVISION AND LOT 3 OF CSM VOL. 9 PAGE 2603. BEGINNING AT THE NORTHEAST CORNER OF SAID SECTION 8, THENCE N89-14.05-E ALONG THE NORTH LINE OF THE NORTHWEST 1/4 OF THE NORTHWEST 1/4 OF SECTION 9, 252.60 FEET; THENCE SOI24.25-E 429.85; THENCE SOO-59.53-W 88.71 FEET; THENCE ON A CURVE TO THE LEFT WITH A RADIUS OF 80.00 FEET AND AN ARC LENGTH OF 66.03 FEET AND A CHORD LENGTH OF 68.00 FEET THAT BEARS SOOMO'07'E; THENCE S8939'53'W 169.14 FEET; THENCE SOOW54'E 385.34 FEET; THENCE S89'03'24'W 700.45 FEET; THENCE NOO'46'27'W 672.23 FEET; THENCE ON A CURVE TO THE RIGHT WITH A RADIUS OF 200.00 FEET AND AN ARC LENGTH OF 146.78 FEET AND A CHORD MOTH OF 143.51 FEET THAT BEARS N20'13'O2'E; THENCE N41'1432'E 99.05 FEET; THENCE N89'14'05'E 582.00 FEET TO THE POINT OF BEGINNING. SAID PARCEL CONTAINS 726733 SQUARE FEET OR 16.68 ACRES MORE OR LESS, AND IS SUBJECT TO ALL EASEMENTS, RESTRICTIONS. RESERVATIONS, AND CONVEYANCES OF RECORD. I HEREBY CERTIFY THAT I HAVE FULLY COMPLIED WITH THE PROVISIONS OF SECTION 236.34 OF THE WISCONSIN REVISED STATUTES AND THE SUBDIVISION ORDINANCE OF ST. CROIX COU AND THE TOWN OF TROY IN SURVEYING AND MAPPING SAME. EACH PARCEL SHOWN ON IS SUBJECT TO STATE, COUNTY, AND TOWNSHIP LAWS, RULES, AND REGULATIONS (I.E. WETLANDS. MINIMUM LOT SIZE, ACCESS TO PARCEL ETC PURCHASING OR DEVELOPING ANY PARCEL CONTACT THE TOWN OF TROY. THIS SURVEY W AT E REQUEST OF CYRIL CERNOHOUS. OWNER 4118 CTY. RD. FF HUDSON, WI 54016 AND JOHN P. CERNOHOUS. OWNER 488 FF 5 6. TE:. Z O3 OGER H REY, RLS 218 PROPERTY OWNER ACQUIRED THE ORIGINAL PROPERTY WITH DOCUMENT / 509358 * 496634 AND IS ADDING ADJOINING PROPERTY FROM LANDS DESCRIBED I DOCUMENT / 631943. THIS MAP SHOWS THE EXCHANGE OF LAND BETWEEN ADJOINING PARCELS AND HAS BEEN COMPLETED WITH DOCUMENT A.- (OCO). NO NEW LOTS ARE CREATED BY THIS INSTRUMENT. ALL CONDITIONS, RESTRICTIONS, NOTES, ETC. US ON IE PREVIOUS CERTIFIED SURVEY MAP OR PLAT ARE APPLICABLE UNLESS OTHERWISE INDICATED. APPROVED ON: _I X19 / w-s BY 1 ZONING DEPARTMENT I THIS INSTRUMENT DRAFTED BY: KEVIN SAMUEL Vol 18 Page 4681 N oc. Parcel 040-1034-10-250 04i08i2008 03:34 PAGE 10F 1 Alt. Parcel 08.28.19.111A-35 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - CERNOHOUS, JOHN P & JENNIFER M TR JOHN P & JENNIFER M TR CERNOHOUS 488 COULEE TRL HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description 488 COULEE TRL SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 16.680 Plat: 4681-CSM 18-4681 040-03 SEC 8 T28N R19W PT NE NE BEING LOT 3 OF Block/Condo Bldg: LOT 01 CSM 9/2603 NKA CSM 18-4681 LOT 1 (16.680AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 08-28N-19W NE NE Notes: Parcel History: Date Doc # Vol/Page Type 09/05/2006 833754 WD 12/29/2003 750183 18/4681 CSM 03/08/2001 640097 1599/63 QC 07/23/1997 1050/352 WD 2008 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 09/06/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.930 76,200 227,200 303,400 NO AGRICULTURAL G4 9.750 1,900 0 1,900 NO Totals for 2008: General Property 16.680 78,100 227,200 305,300 Woodland 0.000 0 0 Totals for 2007: General Property 16.680 78,100 227,200 305,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/25/2006 Batch 06-01 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 022-1030-95-150 04/08/2008 02:48 PM PAGE 1 OF 1 Alt. Parcel 11.28.18.168A-15 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 05/16/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - CHRISTIANSON, LEE LEE CHRISTIANSON 2037 50TH AVE BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 479 OLD CEMETERY RD SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 14.110 Plat: 5153-CSM 20-5153 SEC 11 T28N R1 8W PT E1/2 NW1/4 BEING LOT Block/Condo Bldg: OUTLOT 01 4 OF CSM 10/2861 EXC CSM 19-4944 NKA CSM 20-5153 OUTLOT 1 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 11-28N-18W NW Notes: Parcel History: Date Doc # Vol/Page Type 01/26/2006 817258 CSM 09/05/2003 739012 2402/107 QC 09/05/2003 739011 2402/106 TD 09/05/2003 739010 2402/105 SAD more... 2008 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/07/2007 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 8.000 1,200 0 1,200 NO AGRICULTURAL FOREST G5M 6.110 30,000 0 30,000 NO Totals for 2008: General Property 14.110 31,200 0 31,200 Woodland 0.000 0 0 Totals for 2007: General Property 14.110 31,200 0 31,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00