Loading...
HomeMy WebLinkAbout040-1306-09-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 561036 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: city Village X Township Parcel Tax No: Oeverin Homes LLC, aka Oeverin Pro ertie Troy, Town of 040-1306-09-000 CST BM Elev: Insp. BM Elev: BM Description: Section/-town/Range/Map No: 91. 5 13 YA Z 08.28.19.1836 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic y I Benchmark J 1~4-c-~ f vw%, Z 3• 162 • 17. 5 Dosing Alt. BM z . Aeration Bldg. Sewer Holding St/Ht Inlet 1,. ~I.S ~ ~ . !5 GC TANK SETBACK INFORMATION St/Ht Outlet V T ✓ TANK TO - P/4_ WELL BLDG. Vent to Air Intake ROAD Dt Inlet \ Septic 7-7 7 y1ri Dt Bottom s Dosing Header/Man. Aeration Dist. Pipe 7. 3 S , 3 7• 2 Holding Bot. System c. 3 cr~~ 1. Final Grade PUMP/SIPHON INFORMATION 3.5 g~ Manufacturer Demand St Cover~ GPM ~!L'11 w 2-3 Model Number TDH Li Friction Loss System TDH Ft Force ain Length ia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / / _ SETBACK SYSTEM TO Vl~ P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer INFORMATION A14- /v YT CHAMBER OR - ( 4 Type Of System: b 1 / UNIT Model Number: r~ -71i / ~e..l DISTRIBUTION SYSTEM (je,-4 /0 {-i (e = 3 Z da t` .4 e Header/Manifold y Diibuti4~ x Hole S~ x Hole S cinp~ g Vent to Air Intak Pipepe(s) \ ' 160 Length Is Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only T Depth Over Depth Over xx Depth of Ix Seeded/Sodded xx Mulched Bed/Trench Center ~t► .1 Bed/Trench Edges \ Topsoil Yes i No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 408 Jordyn Lane Hudson, WI 54016 (SW 1/4 NE 1/4 8 T28N R19W) Sunset View Lot 9 Parcel No: 08.28.19.1836 F. -I L,,, Go~~ C ~s 1.) Alt BM Description = Ov C v~ 2.) Bldg sewer length = Z? - amount of cover = i/ Yd Qti Plan revision Required? Yes No r s Use other side for additional information. I) 3 ! _ _ SBD-6710 (R.3/97) Date Insepcto Signatur Cert. No. PLOT PLAN PROJECT Oeverina Homes LLC ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SW 1/4 NE 1/4S 8 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX MPRS Shaun Bird 226900 - DATE 3/18/13 BEDROOM 3 CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 IL BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 94.5/94.4' 5' below qrade Well is to meet all B-1 B M * setbacks required by Property Line WDNR 90' Vent B-2 >6„ Quick4 Standard of Cov Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps Property Line 19 4' L g Grade at System Elevation Vents f-V' X 66' el , ith >3' spacing 50' Scale is 1" = 40' 30' 3 20' unless otherwise noted i 15'T Pro 3 Bedroom House Property Line All piping shall be SDR 30/34, within 10' of tank, piping shall be Schedule 40. Town Road commarca.wi. sxtr Safety and Buildings tslo = _ y 7-01 W. Washington A ! Box C ount ~ar _Box ,7162 1VtadlSPn, Wt 1 ] 7j(+~= local [ y i+urnnC Ninura::r Iw tal i i[[ by Z. ) Departnwrit of Commerce Sanitary Permit Application State`FrausactionMaribor In aceorducice with s. Comm. 83.21(2). Wis Adm. Code, submission of this forua to the appropriate Sovetinno i / J A _ unit is inquired prior to obtaining a sanitary permit. Nutc: Application forms ht~-~[ ' s are l)roject Adthes if difikent than mailing address) submitted to the Department of Commerce. Personal intbrmation you provide, ondary p - /y- purposes in accordance with the Privacy Lal•i, s. 15.(14(1 (rn1, , , is. ~Q O ; Vd 1. Application Information - Please Print All information t/j~sd Property Owner's Name MAR 18 L I Yac'cel l1 _.property Owm,'s/Mailing Address j Property Location /-t. Lot City, Sate n n ` Lip Code Phone Number _(j /l/,C Y, Section N; R lf. Type of Building (check all that apply) Lot I 2 Family Dwelling - Number of Bedroo Subdivision Name Z 8 2 k W l-t~. tiili(:k r~ ~ S a ~.a Public/Conunereitd - Describe Use - - Coy ul'.----_ [1 State Owned Describe CSM Number - Village of Use------- - - ` 'Gown uf__~~12__ _ __--1-- III. Type of Permit: (Check only one box on line A. Complete line 0 if applicable) w system ❑ Replactunwat System L 1 7'reatment/Holding 'rank Itepiacetnent 0111y UJ Other Modification to Existing System (explain) List Previous Permit Number and Dace issued 6,. L7 Permit Renewal ❑ Permit Revision C1 Change of Plumber 1A l)eanit'llansfer to New Before Expiration Owner i'4r. a of l'OWTS SystemiComponzrit/Device: (Check all flint apply)--------------- n-Pressurized in-Ground El Pressul ized In-Ground ❑ t-Cirude l_) d > 24 in. of suilable soil L1 )und < 24 ily of'sultabi I spil t' C) Holding -rank ❑ Outer Dispersal component (explain) 1 etreaU e)it ezplain)?~. ~0-----.'Q - - ---T._ - - - - V._Dispersal/Treatment Area Inforuttuti_ Design Flow (gpd) Design Soil Application Rate(gpdsn / Uispersal Ar~eM Required (st) Dispersal Area proposed f Sys levat' n o ✓ _ 7 7 Vj V! 'l'ank in Capacity in Total 1! of Marwfacturer Gallons _ Gallons Units c, .2 New Tanks Existing "ruilks t Y1(~5,1 y ~q ~_3 el V.1 V) tt Septic or Holding Ta nk - ----1/.~/~_ - - - - t)nsing huutber - VIL Responsibility Statement- 1, the undersigned, assn sponsibitity for installation of 'i'S shown on the attacked plans. _ MP/MPRS Number 13usiness Pkone Numtx r Plttmber's Name (Print) ;Plumber's tore de) Pb.tmbee Address (Street, City, State, Lip (o 2tl Vl'il, ount !De rtment Use Onl . - - - Permit Fee - Date Issued suing Ag t Signa ure Approved El Disapproved $ --77 Owner Given Reason Or Denial 5 - ' _ 3 6 y - - - - ,*,4#~s ovaUReasons for Disapproval d - jj JL 00 _1ea-47 1. Septic tank, effluent filter and 5 , dispersal cell must We serviced I maintained i as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/or inaPQes _ _ Atirck to cumptetl l>laus fm tke systnur and Iwbmit to the C0=11 uuly on Iwper out tens thru 8112 tt t t inches in sere SIID-6398 (R. 02/09) Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 3/18/13 Owner: Oevering Homes Location: SW1/4 NE1/4 S8 T28 N,R19W Lot 9 Sunset View Troy System type: In-ground absorbtion system (conventional) Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specificatio heet Signature License ber #226900 PLOT PLAN PROJECT Oeverina Homes LLC ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SW 1/4 NE 1/4S 8 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 3/18/13 BEDROOM 3 CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 94.5/94.4'5' below qrade Well is to meet all B-1 B M * setbacks required by Property Line WDNR 90' Vent B-2 >6„ Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps Property Line Long 12" 34' Grade at System Elevation Vents V X 66' cells with >3' spacing 50' Scale is 1" = 40' 30' B-3 20, unless otherwise noted S 15' Pro 3 Bedroom House Property Line All piping shall be SDR 30/34, within 10' of tank, piping shall be Schedule 40. Town Road ,Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber To be >1' above grade 5.6ft 2 pair of end plates Finish grade elevation Typical Installation A(I 99.5' Vent A91 Grade Vent 3' 4" 3' X30134 Septic Tank 5' Long 1 79 5' S' Long 1 19 3659 Grade at System Elevation Grade at System Elevation Spacing 5' 2-3' X 66' Cells Same on other end Observation tubeNent At end of cell A B 16 chambers per cell System elevations: A-94.5 B 94.4' ILTER CARTRIDGE INSTRUCTIONS srri5p .i ory tit the tf 1w, case, arrttt the and of than Mutlot tripe to ensure it !s t o+vtered under fire acc+nps ,vprr",no. 11 rrtit, titan rrllfielr ihbert Pipe. niorxr pltra into thar tank thruugh then outlet or onjeont ward (gOg) additiphal so" Uhtu Char outlet ,1 -0 a While the Caae Is still tYry fttl:ud vin the outlet tripe, enevrgure rho Zany tt, ut *'"brdi prom "waded,~t,}o~~~br M the Filter tw the Knit srtd wall it utillAng the Motional supply et tal sree suibri rrt. If *We support nrfathud. Is nut utlltuxd, procaed to All; (out ,.r'v" : Fur instaMatlons utifixh•eg the 91ftlundi 61.1miurriental side support: e:oiuotrt ward the rl Ahch pipe onto the h`ikt r case. If side support Mettrdd Ira hot utilized, proeaad •tu step Fou Selveht Weld the liltel came auto the outlet pipe. Ynsort the inter cartridge irita the case, prMbsins dom until the filter ioeks Into the lwtt,rn, of r~ U this cases. If a 1HlS switch is utili:,rW_ irrsee,t lydo tim e clockwise 9ti°, idler and tuck by turning ) al"twence 1. 'fine effluent filter should be theavied every time tine septic tool( Is serviced. 2. Open the outlet access oponlaig to inspect the tank ahd fliteer; I J. Pump the septic tank corriploteiy, snaking sure to rwrruve t'he siudge L Layer tm the bottom of this W- nk avid Vint Just the sMIM and effluturt, 4. once lien exflusht hrvel haw t uerr towered below the nvort at the s outlet pipe, Grady pull up on this fitter handle to dislodge the caruidgd from tits were. S. Slide the cartrfdga up and out of the cash f tr claiming. G. V a VAS sbv" connerctad to an alarhi Is prosent, the sawi&h should be removed by turning cottrrterduckWise 904 and cleatiod With water only. i 7. While holding the cartridge (jh fts. sid,d flarge nut' surftco toch,g • "1w down) over the aiiel-@sti u#fenlre1)v r htie ON the s:ettrldlrs With Wete,f only, rr,akiree sure ab soptoyex irretertal Is rinsed back into the, tank.. ` a. if VHS switch Is utilized, replrtue, by ilrserung into Hater a,hd ` turnioe drdcwise trr)°. s. lirsert the tiltew cartridge bark k,ta the t*A*, pre"ing dtfWrt until t~. `M > the filter lacks into the honours of live aasu. " ° a.. 1u.Kepiava arid secure the aces:; upeohig on the tank. t::lr'.in . r.:"a!t "yq ;4r1;'a';Y+[rti 'li'R~; "I ltJ:1Nx'i67 +r:,S!f1.771". .r wwwbeWon4ttel.lcom EM-MLMC,' USr (653-4503) POWTS OWNER'S MANUAL & MANAGEMENT PLAN f ege_of__ BILE INFORMATION Owner --~~-t 3Y37EM SPECIFICATIONS 3 Permit # , ❑ Manufacturer al ffFn:~:j Capacity ]ESIGN PARAMETERS © NA Filter Mant~factureL Number of Bedrooms _ Q PJA ❑ NA Model Number of Public Facility Units ❑ NA A apacily Estimated flow (average) PIA al/da anufacturer I Design flow (peak), (Estimated)( 1.5) NA 93-2 j al/da Pump Manufacturer i Soil Application Rate NA Standard Influent/Efflueni Quaiiof/d If Pump Model NA IY Monthly average* Pretreatment Unit Fats,' 011 & Grease (FOG) :530 mg/L PIA Biochemical Oxygen Demand 0 Sand/Gravel Filter D Peat Filler (BODs) 5220 mg/L ❑ NA CI Mechanical Aeration O Wetland Total Suspended Solids (TSS) 51 SO mg/L !Pretreated Effluent QuaNty IM Disinfection 17 Other: Monthly average Dispersal Cell(s) Biochemical Oxygen Demand (8013s) 530 rng/L Q NA Total Suspended Solids (TSS) .530 m /L !n-Ground (gravity) D In-Ground (pressurized) Fecal ColifomZ (geometric mean) S1g4 c u/900m(" ~A Q At-Grade El Mound !Maximum Effluent Particle Size d Drip-Line ❑ Other: A in die, ❑ NA 0#her: Other: - 0 NA Other: NA "Values typical for domestic wastewater and septic tank effluent. NA Other; AINTENANCE SCHEDULE NA ql~- ~ Service Event t !inspect condition of tank(s) Service Frequency At least once every: mont e) Pump out contents of tank(s) ears (Maximum 3 years) Q NA When combined sludge and scum equals one-third !inspect dispersal ceH(s) of tank volume p N~1 At least once every: r~ month(s} Olean effluent filter a s (Maximum 3 years) 0 NA At least once every; month(s) Inspect pump, pump controls & alarm ea s) 13 NA At least once every: C7 month(s) I=lush laterals and pressure fast C7 Year(s) NA At least once every: El month(s) '~]ther; - Dear(s) NA At least once every: Ci month(s) '~Jther: D ear(s) NA. MAINTENANCE INSTRUCTIONS NA Inspections of tanks and dispersal cells shall be made by an individual carrying one of the fol~owin licenses 'include Plumber; Master Plumber Restrictecl Sewer; POVVTS Inspector; POWTS Maintainer; Septage Servicing operator, !include a visual inspection of the tank(s) to identify an g or certifications: Master sludge and scum and to check for any missing or broken hardware, Identify any cracks or leaks, measu O the vuvolume ,-om isually inspected to check the et ch levels in the The pony y back up or ponying of effluent ck the ground ing of The dispersal cell(s) shall e, 1 to ch for on l,ag ing of effluent on the ground surface may lndica#epa fapllingacondlti Weeny requires s thegrnrnediets rrotegulond authority, any ne of effluent 0t the ground surface. When the combined accumulation of sludge and scum in any tank ificatlan of the local the tank shag be removed by a 8edge and scum equals one-third (Y) or more of the t i4dministrative Code. g Operator and die tank volume, the entire posed of can#eon in accordance of with chapter NR 1'i i4U other services, including but not limited to the servicing of effluent raters 3, Wisconsin i4+nd any servicing at intervals of 512 months, shall servicing , mechanical or pressurized co 3 be is service report shall be provided to the local regulatory authoetybwith;nelp da SO~mpiationiof any s mponents, pretreatment units, ervics event. Paga of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals thElt may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of tho tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) In one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluenlt. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist In manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area, Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWT;13: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation dralin (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting producijs; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWfS fails and/or Is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:. • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with sqpil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code complhont replace ent system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the ncfed for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the ruleti in effect at that time, ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a fast resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWfS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed) as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltraj► ve surface, Reconstructions of such systems must comply with the rules in effect at that time, <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN, DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE Off' A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name I :~2jjj~14t//- y - - ~~J E Phone J-~ Phone SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AIJTHO ITY i~ Name Name C Phone d- 6~ Phone - 7 This document was drafted in compliance with chapter SPS 383.22(2)(b)(%d)&(f) and 383,54(1), (2) & (3), Wisconsin Administrative Code. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FOR .\4 Owner/Buyer Mailing Address Property Address (Verification required from Planning & Zoning Department for new construction.) City/State _Ettk` e1'1 Parcel :Identi!"ication Alumber J_ ~~='^_1 LEGAL DESCRIPTION Property Locations LIJ V4./\'/":' '/a , Ssc. _j,__, T Z 7 N R t ? W, Town of __Tr,0 I 01 Subdivision. J.._.~? - - Lot # /7 s Certified Survey Map # Volume - T--_ Page # _ _ Page # Warranty Deed -a Volume_ Spec house yes no Lot lines idenehble33 no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumpino out the septic tank every three years or sooner, if needed, by 'a. licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 8352(l) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to ,St. G'roix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, Journeyman plumber, restricted plumber or a licensed pumper verifying that (l) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection anal pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned bave read the above requirements and agree to maintain. the private sewage disposal system with the standards set forth, herein, as set by the Department of commerce and the Department of'Nat:ural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and :returned to the St.. Croix County Planning & Zoning Department within 30 clays of the three year expiration date. l/we certify that all statements on this form are true to the hest of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms- OF~A - PLICANT(S) ***.Any information that is misrepresented may result in trite sanitary permit: being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) rCE~vED Wisconsin Department fCc SOIL EVALUATION REPORT Division of Safety and ildings nn((~~ Page ~ of ith Comm 85, Wis. Adm. Code MAR O 11 ade Lnce County At'Lach complete site pl n on paper not le 8'1/2 x 1 inches ,.in size. Plan must ,t include, but not limited t : vert"l QWMD~~ Wefe point (BM), direction and percent slope, scale or mensi Parcel I.D. oQo ,and location and distance to nearest road. ease print all information. Re sewed by ''Date I Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location p ZZ S 3 L 7CV~0 ~N r~"J 1" SW 114.N~1/4'S T Z8 N R E( )W:I Property Owner's Mailing Address Lot # Block # M~~ CSM# City State Zip Code Phone Number ❑ City ❑ Village) Town Nearest Road t3PFLSR•M LAS Lv! 5cj 810 ("l I S S,33S i TZ-0`1' New Construction Use: ® Residential / Number of bedrooms - Code derived design flow rate _~4 S C) - lj OO GPD ❑ Replacement ❑ Public or commercial - Describe: i Parent material G LAC) } L j~ ~ 3r4 Flood Plain elevation if applicable General comments ft. I and recommendations: 1`~Cph~y~~ JD -3 rr,\,iD~~--ZLS w/ llv F~ V~oT'?Lll" 1 C)F (_..`ZQ `tU So" W Boring # ❑ Boring ® Pit Ground surface elev. `~1 0 ft. Depth to limiting factor c- in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Scundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 j 1 0 -vZ t~`1`Z 31 z - Si ! Z'~S b ~ wl~;~ C w z~ - S • ~ ' z 1Z-3~ l~~iZ 31(~ - s i) Zv>7 sb k c~ 1rt , S 3 3q R 8 10-IIZ YZ6 - S a Boring # ❑ Boring ® Pit Ground surface elev. C1 - ft. Depth to limiting factor ? 4 in, Soil Application Rate Horizon Depth Dominant Color Redo, Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 0 -t s l Del f L 1 Z - s t! Z`F5 ~ 1't w,`Fy- C i,~, Z~ S - v Z \S -3 y lb`Z II 3/ 6 si I Zwl sbk m~F~- ~S l~ s -`a .b 3 -q S Zoe 2 V16 - s v sg 1 - , , Z 41=-f Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L , CST Name (Please Print) Si ature CST Number,. -A:rthur L: -lie' gerer 03-Z~S - q 2211254 Address W e g e r e r S o i l Testing & Design S e r vi c e Date Evaluation Conducted Telephone Number 421 N. Hain St. River Falls, 141 54022 1Z-Z.2_U3 715-425-0165 h Property Owner ?'A Parcel ID # G Page ;of Boring # E] Boring ® Pit Ground surface elev. ft Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox De i do Texture Structure Consistence Boundary Roots GPD/ft: In. Munsell " Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 O-LS 1O`~R-31z - Si I Z-Fs~k ~`~1~ C-La Z'F •5 1011I •b q e) D 6 ~~l 6 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soll Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 F-1 'Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.6/00) PLOT PLAN Page 3 of 4 :i Scale 1'=S0 r L, 0 T 1 a~ 3wt tt ~ . 3~tth-? / o ~ ; •z S Sv ~T~3~~ 'MLL•`~ X12 L u T c~ ~~ZOPO S~~ l~~j L._°i.l orv 1" 1._C~[ti~~ -tCST eCJ(7C1L12__- - - r7c ~Z-Z Z-c5 3 715-425-0165 220254 0 3-Zl S- 9 CST Signature Date Telephone I•do. CST No. Job NO. IIIIIIIIIIIIIII{III{llfllllliN 8136917 State Bar of. Wisconsin Form 1-2003 Tx:4110685 WARRANTY DEED 974379 BETH PABST Document Number Document Name REGISTER OF DEEDS 11 1 ST. CROIX CO., WI 03/04/2013 3:46 PM THIS DEED, made between B & L Land Development, Inc., a Wisconsin EXEMPT#: NA CornQration REC FEE: 30.00 ("Grantor," whether one or more), TRANS FEE: 140.40 and Oevering Homes, LLC PAGES: 1 ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real Recording Area estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is Name and Return Address needed, please attach addendum): River Valley Abstract & Title 1200 Hosrford St. Suite 201 Hudson WI 54016 Lot 9, Plat of Sunset View Development in the Town of Troy, File: 2810560 St. Croix County, Wisconsin. 040-1306-09-000 Parcel Identification Number (PIN) Dated February , 2013 This is not homestead property (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Easements, restrictions and rights-of-way of record, if any.' B.& L Land Development, Inc., a Wisconsin -Corporation (SEAL) (SEAL) I . Weatherholt, resident/Treasurer (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF KENTUCKY ) ~ ) ss. authenticated on COUNTY ) + Personally came before me on Februaq ~ -2013 the above-named Lyle T. Weatherholt, _ TITLE: MEMBER STATE BAR OF WISCONSIN ([f not, Presid .n /Treac~rer to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument 11 and acknowledged the same. THIS INSTRUMENT DRAFTED BY: l Doug Berg Nat ry Public, Stat of +,y•"` ,N 1200 Hosford St. Suite 201 Hudson WI 54016 My Commissi fn (is permanent) (expires: : ' lu r p (Signatures may be authenticatA-or acknowledged Both are not necessary.) t - r O " • ; NOTE: THIS IS A STANDARD FORM. ANY MODiACA'TIONS TO. THISWORM SHOULD BE CLEARLY IDENTI to C f. + WARRANTY DEED 02003SIAT'EBARO.FWISC6SIN FOR ~I h2`003 a • Tyeorr~cfire below signatu~s; r..._ y M x N,,~ko i 'Do LOT 7 4. 44380 1. Ac 1,29, 'N vb%$ LOT 9 1 09, 44362 T. .,T 8 1. 02 A. 3771 .F-' rFl 1.00 Ac. Lilt N 52" 4 1 S l 1 " _ , LW 1 13 N 40'2 6 "Y :52 25.3 170. 1*6 D i D Parcel 040-1306-09-000 03/19/2013 PM PAGE E I OF 1 Alt. Parcel 08.28.19.1836 040 - TOWN OF TROY Current 0 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 06/17/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - B & L LAND DEVELOPMENT INC B & L LAND DEVELOPMENT INC 7925 ARNOLDTOWN RD LOUISVILLE KY 40214-4501 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 408 JORDYN LN SC 2611 SCH DIST OF HUDSON SP 1700 WITC Legal Description: Acres: 1.020 Plat: 10-009-SUNSET VIEW DEVELOPMENT 040-04 1/37 SEC 8 T28N R19W PT SW NE BEING SUNSET Block/Condo Bldg: LOT 09 VIEW DEVELOPMENT ('04) LOT 9 (1.020AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 08-28N-19W SW NE Notes: Parcel History: Date Doc # Vol/Page Type 06/17/2004 766198 10/09 PLAT 2012 SUMMARY Bill Fair Market Value: Assessed with: 187996 42,900 Valuations: Last Changed: 11/09/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.020 48,900 0 48,900 NO Totals for 2012: General Property 1.020 48,900 0 48,900 Woodland 0.000 0 0 Totals for 2011: General Property 1.020 48,900 0 48,900 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 4 ~ I I I y I t 1 I I N IN I 1 I I 1 I I I i ~ ~ 'A 4~ I I t i I I N j i fy-- y I I I t I O ' 1 t I I I I ~1.~ ~ I 1 I t I~-'mil X11 I I I - l a i ~~~'y ~ II E~ 4 rI i I~ a III I I yN I~ - OZ ~ y ~2~ It a I mill 1,1111 lefitl vml N ~~Bp End O s ~ ~ II aeiiai.iianwrwrnue,. ~ ~ + , £ € I ~ d - I ~ f ~ J ~ I j ~ MB;wW~LL v.: ~ f$ S ~ ~ ~ muaLLrw.ou"reoiiAma ; a ~ oe 9 Y 9~P Y S€ a YO a Y ; ; I I ~ RR O I I ~ 7Y S ; I I I 4 I L___ X 1 - - - - --f . tt F SY ~ a p ~ I I Y P I 1 8F to , Y T MM1LM WALL lN6E ^ YR.AAM uY IIPpY[IAi q~i~ryE ~ i w! e 1 "m q y f IIIIr W Z ~ ~ PZZ (CE~~ I I ~ to O ~ I ~p ~ D i F~ I I y I s~ - - - - - - - - - - - - - - , j I I I i'` i I - - I I r x i 1 , I I iI I y 1 I q 11 ~ 4 ~ , FF EE I : i I I J. iL I - - - - - - - - - - - - - - - A---------- q qqq ~ I r I N 1 I I ~ I I I I I ,II j I •~'ir q°xl I I ft , I I' r l _ 'YI I 1 I f I __al K w i - - - - - - - - - - I I & I t ICI ;1 I; I I I I C I ~I I~((I~~49~1 r I 4 I r I: I ~ Q - I I I 1 q I I W I 1 t~ 1 ` J 1 I pAp e nr i. i Immwune:.r 0 I ~ ,e•vwon,„uennel.v~ne. I gg I 1 1 !I 1 ~ I ~A~ 1 I C I 1 I ~ I r I' I I I i ~1 ! I 1 1 1 I 1 ~ I~,I I j I I 1 . ~ I I I I I L- 1 q Ilr.n I I J I I J i 1 I I I - I ____r I I 1 I I I 4~ I I I 1 ~ 1 I; I 8 II ~ __--_-l_ I I ~by ~ ~ :e•nalan mueea,~Il.a•oc. ~ -^"'T 1 ~I I a y~■®Lk I r 1___.F r i 1-_.__-_ G I 1 I 1.__4- I r I I ~ r ! .,1 1 I 1 w I f I I I ~ ~ I I 1-------------- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - L_---- 'ZJ z~ ~ e» I I z =v m m @ m rn 4 A I