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040-1303-00-033
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 567228 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: Bordenave, Kevin & Heidi Troy, Town of 040-1303-00-033 CST BM Elev: Insp.BM Elev BM Description: Section/Town/Range/Map No: ,/j • t3 / et-- 22.28.19.1768 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER _ STATION BS HI FS E EV. , , 3 .77 rll,gz id z 'f) Septic 6:I $// 206 3 Benchmark 3, 7 I/', 05 /.675 , /5 Dosing ral Alt. BM /fin Go w� G •47 I6 5.67- ro/z Ga•,,,kLL w $O6 �EFAn. Po '6fv $Z.5 Bldg.Sewer /2.$ 9 . r Z Holding _ St/Ht Inlet . /3.7 9Y- 2-7-- St/Ht Outlet TANK SETBACK INFORMATION ` \ TANK TO P/L WELL BLDG. Vent t it Intake ROAD Dt Inlet Septic E� , li I ,,,� Dt Bottom 2 Qj 7 L g l�'�' i. 13 I .77 Dosing L b /v� �S I 5 7 Header/Man. Aeration Dist. Pipe Holding Bot.System 3.$r 0 ,ag 4 t ,� Final Grade � 64, PUMP/SIPHON INFORMATION Of( 2• Z�Z / 0 •7 Manufacturer 2d� // Demand St Cover ;,` /�Jam, 4 ,C /O.3.aZ Model Number I l�(,,'~/67 32.31 Co • V`•/!� /6G, `Y �/c� L w4--0 o !� l TDH (Lift friction Loss System Head TDH Ft < J 13 �� 2— '3 LF•3S o. 'It, Forcemain Length_ Di�/ Dist.to well Mt- �" SOIL ABSORPTION SYSTEM / iil 9.13 BED/TRENCH Width ev Length No.Of nc PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS �� �� `` SETBACK SYSTEM TO P/L c/BLDG IWELL LAKE/STREAM LEACHING Manufacturer INFORMATION / CHAMBER OR Type Of Syem: j 4 43 / ^ _ / A UNIT Model Number: \ 0 J� Nl4f- N DISTRIBUTION SYSTEM Header/Manifold I I! Distribution ,Ct!j) 4 x Hole Size x Hole Spacing • Ve/((,%��Air In ake Length ✓e34Dia 2" Length ,• ''' Dia �f Z� Spacing �•�� if T7 - SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only C L w..-...1.----- Depth Over ( Depth Over xx Depth of xx Seeded/Sodded xx Mulch Bed/Trench Center 1 y`� Bed/Trench Edges N. Topsoil 1 r� G I • es El No Yes E No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: i/ / /I / /36 Inspection#2: / / GI, pia�s u— r: PIe,.J 6Jt.... Location: 240 Legacy Court River Falls,WI 54022(SE 1/4 SE 1/4 22 T28N R19W) Walnut Hill Farm aka The Tribute Lo Parcel No: 22.28.19.1768 1.)Alt BM Description= � (�� � / Cl�a,•'N 3 � L.o(ICS a�. 2.)Bldg sewer length= -amount of cover= / Q G / ,' el e.''h e t S 1..1 S'V ,440, Plan revision Required? : Yes leNo 1 i ) •� 13 / / r -1 si-17, S Use other side for additional information. 3 AMP ' V SBD-6710(R.3/97) Date Insepctor's.ignatur / Cert.No. ,- Plot Plan _ _ - Page ' ',of 8 Property Owner C4-1- akILDEfts ZA1C.. /110 511.111-E _ Legal Description LoT 331 WALOA:r titti.:WetAk (112vtarrt) sE,144 of The se*j .5 zz..TzgrAl a Ritl■,ji 13 =Backhoe pit . -Trolikm) OF -11z..04 j £-r. ClazotX Cb‘km-ty) Lat.S.ENJS14 s A ,Frts ritom movralser 1,0?Aege5 . . 1768 naSsef . . .,-- r......., „....„ .,.., „, 0 ,, .4‘, ir‘ f- ...''•° ,. i -,.‘ 6v "Ziefr 6 vAoct Cy) 1.- -• .4* .9 . a-43112 ' lioAe x 1:)\ "k7k7- sk:P 0 110 ' \\*4. 4, - 3 ! x ., . .i., \\,. \ \ ...,...\\ _ , -qf -, \ . FRIA.•Pizavrtotaa. 1 ' 2f3i;e-t5.14.4 PV • c5,. ' '-i lir MIL—'nrinier. >ge-v1 tAlttAr=1.4-11`14K- '----7- err,dirsiiip a . 77, w az' ....._. 1 ite Location: - .. zero;tk ccF suRyty ,vlteAE / Assi.kAks,rz io04 OD ( . I lie . COPY tt, ~atriwr`ai~;r; Count _ Safety and Buildings Division f Y l S 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) Madison, WI 53707-7162 a Permit Application StiLe Transaction Number In accordance with SPS .2 is M. Code, submission of this form to the appropriate governmental unit IV 6`p is required prior to obtai am permit. Note: Application forms for state-owned POWTS are submitted to Project Ad Brent than mailing address) the Department of S d P essional Servies. Personal information you provide may be used for secondary GT09'? purposes in accord th c Privacy Law, s. 15.04(1 Am), Slats. I. Application Information - Please Print All Information 01 ^ 2~~ a Property Owner's Name K if 6r d I!~ CO ~N~ Property Owner's Mailing Address Property Location 940 I-e ctc 1- Govt. Lot City, State Zip Code Phone Number F_ ~5 _ s L '/o, Section , ' ` ~°Ir ~Ct 1 g Q Z ~P~1- Z CP 1- (o~v Z (circle one) 11. Type of Building (check all that apply) Lot T _(L N; R_ E or W ,'1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name ❑ Public/Commercial -Describe Use (,•(~v t ❑ City of ❑ State Owned -Describe Use ❑ Village of CSM N =0 r f N/Y0 ~ 75 own of r4 N- LAI— III. Type of Permit: (Check only one box on line A. Complete line B if applicable A ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that apply) O v ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treat nt Area Information- Design Flow (gpd) Design Soil Applicati Rate(g dsf) Dispersal Area Required Dispersal Area Propose so System Elevation ( oo 01 60 o 5 !l~0 /03,0Z, cell VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o d U New Tanks Existing Tanks w C ~p !N U n y vz w C7 a Septic or Holding Tank 16 Dosing Chamber g[j G G~ C iG~ rYO~~qq V 1 I L r L VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plum/bler's Name (Print) Plum is Si nature MP/MPRS Number Business Phone Number ~°l s~ ZO Plumber's Address (Street, City, State, Zip Code) tr~5 > f f 7, S' L- VIII. Count /De artment Use Only I pproved tsapproved Permit Fee Date Iss ed Issuing t Signature $ S~ 9 / Reason for Denial to ~ d IX. Condit [ eas _ for Disapproval pft ' 'W*, O-ffk e 4 tiger Wid 3 L6 . J, o bi ,dispersal cell -must all be services / mair►falrted I~ ss per management plan provided by plumber. / 2 3AN shack reqWbrwts must bet t la"akl6d ales per sppliCCable t;od~ /ordirlanas: Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398 (R. 11/11) 9~t RT y~ DIVISION OF INDUSTRY SERVICES 10541 N RANCH ROAD ~ 0 9 y ~ HAYWARD WI 54843 S Contact Through Relay 9 P s a www.dsps.wi.gov/sb/ 2d ow www.wisconsin.gov ~ossfor~~vs~ Scott Walker, Governor Dave Ross, Secretary October 08, 2013 CUST ID No. 224832 ATTN.• POWTS Inspector MARY JO HUPPERT ZONING OFFICE HOLLISTERS SOIL TESTING & DESIGN ST CROIX COUNTY SPIA W9875 690TH AVE 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/08/2015 Identification Numbers Transaction ID No. 2308060 SITE: Site ID No. 795580 C&j Builders Inc Please refer to both identification numbers, 240 Legacy Ct above, in all correspondence with the agency. Town of Troy St Croix County SETA, SETA, S22, T28N, R19W Lot: 33, FOR: Description: Mound, 4 br res Object Type: POWTS Component Manual Regulated Object ID No.: 1449558 Maintenance required; 600 GPD Flow rate; 22 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes P.0 A and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed Condid and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. AP RTMENT No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, Of SAFE stats. The following conditions shall be met during construction or installation and prior to occupancy or use: EE CORR • A copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. Changes to the approved plan must be submitted for review and approval. Failure to properly attach the approval and index page to plans that match the copy on file with the Department may result in enforcement action under s. 145. 10, Stats. • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P (N.01/01). • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. MARY JO HUPPERT Page 2 10/8/2013 • The system was designed to meet the influent quality defined in SPS 383.44(2)(a) The quality of influent discharged into a POWTS treatment or dispersal component consisting in part of in situ soil shall be equal to or less than all of the following: 1. A monthly average of 30 mg/L fats, oil and grease. 2. A monthly average of 220 mg/L BOD5. 3. A monthly average of 150 mg/L TSS. • SPS 383.54(3)(b) (b) The servicing frequency of an anaerobic treatment tank for a POWTS shall occur at least when the combined sludge and scum volume equals 1/3 of the tank volume. • The inspection, maintenance and servicing reports shall be submitted to the governmental unit within 30 calendar days from the date of inspection, maintenance and servicing. • The owner is responsible for the operation and maintenance of the private onsite wastewater treatment system (POWTS) in accordance with SPS 383 and the approved management plan • The owner of a POWTS shall be responsible for ensuring that access opening covers remain locked or secured except for inspection, evaluation, maintenance or servicing purposes. • Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Provide a copy of the approved POWTS plans and this letter to the owner. • Prohibit vehicle traffic and soil disturbance within 15 feet of the downslope edge of the mound pursuant to "Mound Component Manual Version 2.0" SBD-10691-P (N.01/01; R. 10/12). A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 L~ ~I This Amount Will Be Invoiced. When You Receive That Invoice, Edwin A Taylor % Please Include a Copy With Your Wastewater Specialist, Integrated Services Payment Submittal. (715)634-3484, Monday - Friday 8:00 am To 4:30 pm WiSMART code: 7633 edwin.taylor@wisconsin.gov Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. MARY JO HUPPERT Page 2 10/8/2013 • The system was designed to meet the influent quality defined in SPS 383.44(2)(a) The quality of influent discharged into a POWTS treatment or dispersal component consisting in part of in situ soil shall be equal to or less than all of the following: 1. A monthly average of 30 mg/L fats, oil and grease. 2. A monthly average of 220 mg/L BODS. 3. A monthly average of 150 mg/L TSS. • SPS 383.54(3)(b) (b) The servicing frequency of an anaerobic treatment tank for a POWTS shall occur at least when the combined sludge and scum volume equals 1/3 of the tank volume. • The inspection, maintenance and servicing reports shall be submitted to the governmental unit within 30 calendar days from the date of inspection, maintenance and servicing. • The owner is responsible for the operation and maintenance of the private onsite wastewater treatment system (POWTS) in accordance with SPS 383 and the approved management plan • The owner of a POWTS shall be responsible for ensuring that access opening covers remain locked or secured except for inspection, evaluation, maintenance or servicing purposes. • Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Provide a copy of the approved POWTS plans and this letter to the owner. • Prohibit vehicle traffic and soil disturbance within 15 feet of the downslope edge of the mound pursuant to "Mound Component Manual Version 2.0" SBD-10691-P (N.01/01; R. 10/12). A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 / This Amount Will Be Invoiced. /Selces When You Receive That Invoice, Edwin A Taylor Please Include a Copy With Your Wastewater Specialist , InteatPayment Submittal. (715)634-3484, Monday - Friday 8:00 am To 4:30 pm WiSMART code: 7633 edwin.taylor@wisconsin.gov Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: C & J BUILDERS INC. Owner's Name: (same) Owner's Address: 243 Steelhead Drive River Falls, WI 54022 Legal Description: SE 1/4 of the SE 1/4, S 22, T28N, R19W Township: Troy County: St. Croix Subdivision Name: Walnut Hill Farm/Tribute Lot Number: 33 Block Number: NA Parcel I.D. Number: 040 -1303 - 00 - 033 Plan Transaction No.: Page 1 Index and title O``a``1~00TOT 1pri,I/7.*Zv ~ Page 2 Data entry .T.S, '00~NSPage 3 Mound drawings finally . & Page 4 Lateral and dose tank MARY JO Page 5 System maintenance specifications I.V D HUPRERT Page 6 Management and contingency plan e Rtl/E 1858 Page 7 Pump curve and specifications AoMMU LCE R FALLS • ~ 8 Plot plan WI'' t• ~y~''~••.b...~• ~~~oP LADEN E ~iq it r G S`to- Designer: Mary Jo Huppert License Number: 1859 - 007 Date: 09/01/13 Phone Number. 715 - 426 1775 Signature: d &(x~ Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 7.0 (R. 03/2012) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of - 36 inches. 600.00 Design Flow (gpd) 3.00 Site Slope 106.85 Contour Line Elevation (ft) 2200 .Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 75 Dispersal Cell Length Along Contour (ft) = 8.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution E Y~ Pressure Disribution Information network? Enter Y or N (C or E) C Center or End Manifold 2.67 Lateral Spacing (ft) If N above, enter the elevation ft _ 6 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 3.75 Estimated Orifice Spacing (ft) = 10.00 ftz/orifice 2.00 Forcemain Diameter (in) 104.00 Forcemain Length (ft) Does the forcemain drain back? I 91.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 16.96 Forcemain Drainback (gal) 16.61 Vertical Lift (ft) 70.28 5x Void Volume (gal) 2.31 Friction Loss (ft) 87.24 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 32.31 System Demand (gpm) 23.47 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. o tions choice 0.75 1.25 X 1.00 x 1.50 x 1.25 x x _ 2.00 X 1.50 x € 2.00 3.00 x X J Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity 1200.00 Se tic Tank Capacity (gal) (gal) Total Working Liquid Depth (in) Wieser _ Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent_ Filter Information 800.001 7 Dose L800.00 Dose Tank Capacity (gal) IPoI Lok _ _ T4~Filter Manufacturer 22.24 Tank Volume (gal/in) 525 IFitter Model Number Weiser Manufacturer Project: C & J BUILDERS INC. Page 2 of 8 Mound Plan and Cross Section Views 1/10 B : ' ' J Observation Pipe K . , ti}erg :~Jtii.r.r..,.i•.r.P.r•r.r..••.?.}.~'r.1'.~'.l.. . • . • . • . 1.1.1.1.1.1.1.1.1.1• r•:•: •rer•r.:•},}.• T • 1:1:'Lr•J• r.J.:•J.J. J..•.:.r:J':.• :'~YLJLfLlL.L•L•L.L.L.L.L:••~:•;j•~~ti:5i~ti~tifa:1:• :,r•r•:•r 1. ti... L 1 L.1 1.. L•L.L. :•r•r• • 1.1 1 1 1• r•:•r r r J r: r r r J L..,,L A ' ',•1• r• :•J•: r 1•:•r•1•r; • .5 L 1 'L 1 1 1 1 1 S 1 1 1 ti •'L `••'•°'r•: J. rS.L.ti.L.L.L.1•.'..L 1.1 L.:•r•:•r°rti'Yti:.,J1'r,L~;•l1?1:tirLr1•tirlrti:L~ti ti.L 1 L 'ti,1.1~,;r~r~11f•J•J•J•r.:.:.:•1,d,1": ..•~••r1~.. r•r•~•1,'r W ti•1•L•1.1.1.1•L.L•L•1.1.1.1. ••1 L:1:1:y Lr r•r°r•J•J•r•:•J•r•r•r•J.r. J: L•1.1.1.1.1.1.1.1.1.1.1.1.1.1.1• . ,T r v-,- B .1. L Mound Component Dimensions Down slop a toe extension made. A 8.00 ft E 16.88in H 1.00 ft K 9.17 ft B 75.00 ft F 9.25 in z ft L ft D 14.00 in G 0.50 ft J W 600.00 (ft2) Dispersal Cell Area 1500.00 (ft2) Basal Area Available 8.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 109.79 (ft) .1rr1,1r111r{~'11,1,11rr~.. ril F Dispersal Cell 108.52 (ft) Lateral 108.02 (ft) Invert Dispersal Cell • Elevation p 4 4 106.85 (ft) Contour Elevation 3.0 % Site Slope Geotextile Fabric Cover Shading Key ~ I Dispersal Cell See lateral details on ® Topsoil Cap ° 1.5 ft O r•r.ltir1l. r.:: r r J r r r r C r1•r1.`• 1•L 1.1••.•ti•1•L•L•1• ~ age 4 for number, size, J•r•: r•r•r.r•r•r r r r Subsoil Cap o L.y~1 • ti 1. , i•r r:} :r1:~r and spacing of laterals. ••b7 x•1.1.1• L•1 1•ti•1 L.L. tir1$tir•r• l•r•:• :•J•J•r ASTM C33 Sand Cd; :•J•r~••: e 1 L• 1 1 1 1 1 1 1 1 1 Laterals are equally ® tir1r~_. 1•L j1• Tilled Layer c m 0.5 ft Tvpical Lateral a,ti~tif spaced from the © • 1 1.1.1.1.1 1.1 M'. •J•r•r ir:Jti.,.l•r•J•J.r•i•r.}:•L •r ~f;•'.1f; L• LLL•••1f distribution cell's ~•1•L•L• Aggregate ~ o ,•.1.,.Lr1f1.•°••::J r:}. J. •r•r}.:.r. r•r• •r•J• •r• centerline in the A distribution cell (AxB). Project: C & J BUILDERS INC. Page 3 of 8 Center Connection Lateral Layout Diagram Foto+ m"e kaonn 0Wn via rre ar Cross to nwtni Okl at anti0aik. Latarals are kkntical (6 P Tunrupwtbdtvrtlveor 1~ --i~E t ad i~ Loftrats &IkWeercah SCh40 PVC otrsnoutplug per SPS Table 3134.30-6 licks *MW an die bottomeF ft Metal, Number of Laterals 6 Orifice Diameter 0.156 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.87 ft Lateral Length (P) 36.77 ft Orifices per Lateral 10 Lateral Spacing (S) 2.67 ft Orifice Density 10.00 fe/orifice Lateral Flow Rate 5.39 gpm Manifold Length 5.33 ft System Flow Rate 32.31 gpm Manifold Diameter 1.25 in Total Dynamic Head 23.47 ft Forcemain Velocity 3.30 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component Is properly vented F- ARemate outlet location Forcemain diameter Weiser Manufacturer 2 in. Capacityl 800.00 Gallons Volume 22.24 gal/inch A _ Weep hole or anti- Dimension Inches Gallons B siphon device A 19.15 425.86 B 2.00 44.48 C Pum off elevation (ft C 3.92 87.24 91.91 D 10.90 242.42 D Total 35.97 800.00 I Dose tank elevation ft Bedding under tank. 91:00 Alarm Manuafacturer SJE Rhombus Note: Switches Alarm Model Number Tank AlertAB»W.v,~ containing mercury may not be used in Pump Manufacturer Zoeller this system. Pump Model Number Pump Must Deliver 32.31 gpm at 23.47 ft TDH Project: C & J BUILDERS INC. Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name a Darrell sSeptic Service Phone; 715-425-10:11 5 POWTS Regulator's Name St Croix County Zoning Phone I 715 386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade \ 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: C & J BUILDERS INC. Page 5 of 8 Mound System Management Plan Pursuant to SP81 38154, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its, component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever entera septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet finer shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for-septic tank use by the Department of .Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 efu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: C✓ S 13u LD' sJ ► Page 6 of 8 TOTAL DYNAMIC WAD/CAPACITY HEAD CAPACITY CURVE PER MINUTE MODEL 152/153 EMUENT AND DEWATERING MODEL 152 i 53 50 Feet Meters W. Liters Gol. Liters 153 . 5 1.5 69 261 77 291 12 40 152 10 3.1 fit 231 70 265 x 15 4.6 53 201 61 231 v 30 20 6.1 44 167 52 197 8 25 7.6 34 129 42 159 -Rq X20 30 9.1 23 87 33 125 0 35 10-7 22 85 4 40 12-2 11 42 10 Lock Valve: 38.0 FL (11,6m) 44,0 R. (13.4-1 ONNS 0 20 40 60 8o 100 GALLONS N) L~RS 0 80 to q5160 240 320 s 1/4 3 27/324 5/8-~~ Auii FEK w'tJlt CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 27/32 Tuned daft parms - • 8l6rxr0101% for &#a sysems, are avmUb alld MVPkd With ® 3 27/32 ` an ahm • Varkbb level cordmi swildNes an ava a for carhaog - sysbm& • * vaFmlle bW Road swkles are a for vmW* , M*dL • Scald (Ittn7c- M avmW* for out I" mdalafkm Sea FM1420. t • Over 130°F (54°C.) qmdal goOKM MWIred I 1SM53 Series 12 1/8 t 152/163 Mudd V*Nwft Node awl= MR 115 1 pion &5 1 2or3 51/8 BNi52 115 1 AtAo 85 ktrluded 2a3 E15'1 23U 1 Non 4.3 1 2a3 SKNU DE152 23D 1 Aub 4.3 Itrilded 2a3 113 1 iv'a6 s i 2or5 tiNrSS 115 i Au1p te5 11rLx1ed 2or3 E153 230 1 Non 53 f 2a3 SELECTION GUIDE BE153 23D 1 AtAe 53 kvd ukd Ya3 1 SO* P variable level eon aft a double piggylladt v=W* level Iloet switch. Refer b FUD477. 2. See FMO712 for wrest model of E AN r E43ak AN lnstaAa - of , Woteem devices and Nubg SfroWd be dope by a qual" Scaosed aWcokWL AN okcb" and y coda should be followed inch) too pxW 3- Varobb It +od cm*d swkr IG4=1e1ed as a eombolat4valor, t r (3) ref W KWOW uric Cade O7 and 00 OC04060M SO* and Hed & ActMSFFAi, or (4) float gsba RESERVE POWERED DESIGN For raltmW a reserve is WWWOW Mb foe design Of 81Wy Zoeller WW. AWL I& pa &of 9w t- [atdmik KV 4112%W ® ~ ' • roa"rie,KY402rk1951 e.►~em zw~.,%w Sur .PUMP !O M ®Copy tool ZOO" Co. M *_ft rimed. R4~ CT; ` p.~toE : ~cF~ t Plot Plan _ Page'.of Property Owner Cam" SiyLoats s1uc. Legal D dan LaT 33 wAtAwr ~ t~el8~an- sEYtt OF TtfC- S.% .s ?z. TZZAI rllg,._, 1~7 = Backhoe pit -mowm gr- 7p oq ST- C&.uc Cb%kM . I 4 =art`s ~RDM ~v 049wr 1768 614 Iwo fit 22 ~ S o t-A oll s-r rti. E)17as ~ ~pnM Pteawoum #~~ct yva 1N o0 ~s o '/~W W1'E''flkNK ite I (cation g ----tom aF SUPVZy MACAK / P S.SuJ~1 S6 / Oa, O~ Z► ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer K"1144- He4' bo PJ.N0.yt. Mailing Address Property Address awd ~Odn Gym (Verification required from Planning & Zoning Department for new construction.) City/State R)VeX FA11-511 WS Parcel Identification Number LEGAL DESCRIPTION Property Location Sec. , T N R j Q W, Town of Y Subdivision Plat: Lot # Certified Survey Map # , Volume , Page # Warranty Deed # Y (before 2007)Volume Page # Spec house yes Lot lines identifiable es _I no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that ( I ) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1 /3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. [/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a wary lty deed recorded in Register of Deeds Office. Num r of bedrooms 5 1 / 'MtRATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) i I~ State Bar of Wisconsin Form 1-2003 8 1 8 4 3 2 4 WARRANTY DEED Tx .4152643 986398 Document Number Document Name BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED, made between C & J Builders, Inc., a Wisconsin Corporation 09/23/2013 4:40 PM EXEMPT#: N/A REC FEE: 30.00 ("Grantor," whether one or more), and Kevin Bordenave and Heidi Bordenave, TRANS FEE: 112.50 husband and wife 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 Name and Return Address St. Croix County, State of Wisconsin ("Property") (if more space is David J. Estreen needed, please attach addendum): 304 Locust St. Hudson, WI 54016 Lot 33, Walnut Hill Farm in the Town of Troy, St. Croix County, Wisconsin WI-21704R 040-1303-00-033 Parcel Identification Number (PIN) This IS NOT homestead property. (is) (is 1101) Grantor warrants that the title to the Property is good, indefeasible, in fee simple and free and clear of encumbrances except: Easements, restrictions and right-of-way of record, if any. Dated September 10, 2013 CM, c (SEAL) (SEAL) * frey J. usby, President (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF Wisconsin ) ) ss. ' I u St. Croix COUNTY) authenticated on I NOTARY Pi IS STATE OF WISCONSIN Personally came before me on September 10, 2013 * the above-named Jeffrey-J. Husby, President of C& J Builders, TITLE: MEMBER STATE BAR OF WISCONSIN Inc. (If not, to me known to be the person -s) ho executed the foregoing authorized by Wis. Stat. § 706.06) instrum n/ a wl d~d~ s me. i THIS INSTRUMENT DRAFTED BY: * Bridget K DeLo g Attorney David J. Estreen Notary Public, State of Wisconsi 304 Locust St. Hudson, WI 54016 My commission (is permanent) (expires: 1-15-2017 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 02003 STATE BAR OF WISCONSIN FORM NO. 1-2003 1Twame below signatures. INFO-PRO"' Legal Forms • (800)655-2021 • inlopro(orms.com I I I T .CORNER - I °'~`'IE BT' _ r ESEC,/t22 89015' 89'16' ~ N 45' E 1310.11' Ia~ INa j_ul.l~ 1 Hatt I_laa'_I' I_ flaSY I 714 N' _ / 42a I. WALNUT HILL FARM } LOCATED IN PART OF M SOUTHEAST 1/4 OF TIE SOUTHWEST p Nw3r.N?ar c I \ f \ I al 45 I 1 44 I. I / / 51287 IF. 1. 43 \ 1E 46 I 46133 Sr. 1 14708 SF. I / d - - - J 1/4 AND IN THE SOUTHEAST 1/4 OF THE SOUTHEAST 1/4 AND IN o \ S, 46404 IF. 191 1.06 At I" m At 1 5029, SY - trM If E 22191' PART OF THE S00" 1/4 OF THE RIKASE 1/4 AND IN + \ 47 \ 1.06 Ac. AI 1R 1° 11.15 k./, °!y. THE NORTHWEST 1 /4 OF THE SOUTHEAST 1/4 AND N PART OF 44ya, "r i \ 4 50313 41 1.16 44446 S.F. THE SOUTHWEST 1/4 OF THE NORTHEAST 1/4 AND N PART OF V`~. 4r \ \ S• y : + .,r. I" 1E ,.02 k. 8 THE NORTHEAST 1/4 OF THE SOUTHEASI 1/4 AND N PART OF II I roI /A! \vS i I 4AW' a34' w THE NORTHEAST 1 /4 OF THE SOUTHEAST 1/4 OF SECTION 22, TOWNSHIP 28 NORTH, RANGE 19 NEST, ON OF TROY, ST. CROIX I 148 48 N N7a 2' E N0.a 16811 IF, = 57710 S.F. N an4x' [ 3,A1' - COUNTY, WISCONSIN. I 3,1 Ac. 1.32 40 I~ 161. 1 O2 _ _ + TABLE: t!au_____IxgQ w I"~ \ . s Raa's69,.H' (12 83 _ (FT) 117 - 6 4M f F. i 48176 SF1 \ I I 1 - 38 I~ ; L►E BEANO N -i8T9F I; i 61136' ft w-- 4 61 \ I.II Ac. I ~7 I ® 1 45635 IF, LI S W 5148' E X56 t94U SF, \ I 05 At B 681'2112 E I15 tA~W -431 F__-' ®o /1 ~t\ 1.13Aa \ _Jr---J1 L------3 u N 61' 4112E 11E 1Mr431142mad2J1T m.ja n1 6 x'60 \ ' uta tn.n' $ N Rrn'W [ sH,H' wkly • r 51011Sf, \ t~ JLMpJiuzaL 1 L4 N W 51 w 1!60 T- _1 r 56 , BI 1.17 A° 1 64 > 1 F 9B I$ S 24' 5124E I I~ I 51662 IF + o\ / Y I 62 I " 58 \ . 4534 IF., ~ I 45661 IF. )e U 524' 24•E 7l0 "Advil ,r R I 1.19 At, 1 +I v' ~I La AG I I i I L_I.OSAC. Jx N i X23 IF. u N a' E 4,a J• , 9 6nsn' 3anr x 1.15 N ene'JV E N a11'JO' 1771,7 V i a 5 65' a W 4S! _ 651 Ix , M S054641E Stu gE~ ` E96W SF._ _ J8 . lt0 N By 4,41. w Sill 041; 7 ' , 1,4. 4R, k `49736 Sr. I Y1 '1 16 G L a l"' - 1 , /\'4!'!r, 1 ® 1.14 Ac. yl B n(At. e A" T 0 l'811 AORES' i]wn3 ,t/4•r / )k • 7d 0 Ne1,ew E tsss ,,rvrv~~"//II 1 ) SETBACKS: enr~a_w - - - - & S E~lON.2' _ t _4l 1' I 'I a,sk' E 7v.,r 0. FRONT SETBACK = 75' (UAIISS OTHERWISE HOIEO) t3A' 14 I ro p 36 Is.,t 1 J r s T r s sn i Ji+sr SIDE SETBACK = 25' (UNLESS OTHERWISE NOTED) 66 \ ~ - ~ 1 " " 1 u REAR SETBACK = 25' (UNLESS OTHERWISE NO I' 1 I I + 62869 S.F. ¢ i8 36 (FRONT SETBACK MEASURE FROM R-O_W) I d' / LN Auk 14 " - - - S b, 1910(5(. o I I1I1 I~ './i 1 ~ ny of u16~1 r--- _~u NOUN I 73 ^ ,172 87, ~ e 88 u' 1 u k. ,.r I I IA i A , I' vl Y 1i6EYt4' L32LO spa 147826 G ` 5839 S.F. y B 16873 S.F u1 I 45608 S.F,I I V ~ t 1.05 Ac. I 'I 1.12 Ac. I 3 t 14 1105 At. N I 1,10 AC 4 115E1 N4. x o ( A I ' b n¢ Maw ry I E ►I~Y I 3 ! B1 35 > ~2 ( 1 to JK "wpAd i 1 I. / Mas' 1 45369 IF I" mr1 L-L ~ ~ i f ~ 1 t ~ N 6h116 t 27x15 . ~ar ~ " i 1 1 NensN rJn.4' i I ,~y r x r v 'i f 50 1 °s 70 1" 68 kSIJ SF. ® I 21 JN.IJ' o N•, 5e250 SF, 1 I I/ I ~ I h511 N; , , 6,q 4 45411 $F. I" I - - - - 3 kn^ LN END N E71 N yL` 1.34 At. 1 n III At. q 7w-~•~ 1 1.. ~1 1.04 At. Icn I / J I I I /1,113!. ~4 / P RAEw~IN 11MrY AOM17aa •'~16•N 137.IT ~•'~,p}-~'~ .®A L__ j $ O ORrhw1Y III MU ND I' mm PIPE ` $t:k 0 d u 1410 6a UDCATIONS ♦ mm ow \~"8 'I 3 "'1 Svim, 402330 /•2 DRIVENAY EASEMENT J nom OWN t~,-•--•---•- 4 r 1 lass sr. v y' \ 25~ 5 a1rN' w 2330' i • 4, ~ 9UIOINO "a N SET 11 ,/4' of 19' RAN P9( \ SJIi6 n 1 - ' J' 2 1 W k. . 12' AV MODRY f/, C172 11S.01. \ 4.22 Ac A3 r ~ 29 9 7 n311 6 p g°y 4 © 11 \ WESS OTHERNB NOTED) J\ ( ,n 11 1 ESaNS 1 IT I14' IN 11' NON PR IR 81 1S 1- - I : - 1 = / \ I 1 " NED • HON WATER 5. 9.50 La/9T, - , I. 1496n IF 2 DRNNApE FASEW)ff$ n0,•°,•' UNION N ML OTIG 10T CORNERS 71 1.14 Ac. 27 la 28 1 1 .7220 S.F.) 11 ; I>a,n. M. LOWEST BUILDIQOPENW6_ - - - r ut OmxT . V"" ~2 5,1 " 1 al 1 1 55361 SF{ 145273 IF !I I t I IO Ac/ F - - - _ T 6 (1 327 At o. 1 ,f 1 St9Fts > 2K 32 TUT'M SPACE 11.04 At +1 29 .1 1 ^F' 45247 S1 I N L _ _ _ _ 1 ' ' 4rr~ I* 5405 S.F. OUTIOT4 '>Oi\ yl 1= I NI 1.25 Ac. 1.04 AC 16 1 T50. A:11111 1. ~ "'s,~ _ , I I 1 / 45!09 IF, \ 04 Ac. E I 1-----(' 42-------\ Na65' N 1 1 IR.O! Wi, MISS 4' D7.11' i. IN.,7 2329.11' SOUTH UNE OF THE SE 1/4 SE CORNER 1 S ATILS 861516' w 2XIV 4N . SEC. 22 RfNSED: 11/06/0) SHEET 3 OF S I L oa Ac. =&U-~ *Emmmqbww N 88^13'54` W 324.90' 231 301. 130 34 j 283'77 a I 4471? S.F. ~ / 1.03 Ac, e Yip /a ~i 1N 41- 47655 ` F l S.F. Il ~ W Z ~ ~ \ 1.09 Ac. 81 -4-b 7 w car ~ 70 .20' 0 ,LZ'17Z£ 3,,VZ,ZZ°OOS CO -1 rl~m N ......................................................0 O O w ° If : N x 00 - 0O-- ti LO R. N .6. on 96p 00 w a u W i OC J l~ Ljj CL w a v~ Z 00 Y D d Y J dry Q Vf Z Q Q a ►-o m3 LL^ 0 0 w LL O //~y~• ~F W 0 ow z~ Ow g ~QP j = o Lu W o ° s m ~ e QG . ' ~C+ Z n 41 a u R, 'y Q Q N ~ p U- W Ca 0- 2 Y o if > tea; o _ § (n [~U^J] E~ vii c o F- X W 111 QQ z 41 cu Es O~f d? raw J ° ~n gu~iIo_ cG Dom,: GOp U oL osNQ3 m o C7Q N v 10 41 ,n (u 16- .2 o a a~ on ds+ * p s w a rm 0 U J SHW "M 1 OF 1 2013 Property Record St Croix County, WI Assessed values not finalized until after Board of Review. Property information is valid as of OCT 09 2013 01:55PM . OWNER CO-OWNER(S) C & J BUILDERS INCORPORATED 243 STEELHEAD DR RIVER FALLS, W154022 PROPERTY DESCRIPTION SEC 22 T28N R19W PT SE SE WALNUT HILL FARM LOT 33 (1.090AC) PROPERTY INFORMATION Property Address: Parcel ID: 040-1303-00-033 240 LEGACY CT Municipalitv: TOWN OF TROY Alternate ID: 22.28.19.1768 School Districts: SCH DIST RIVER FALLS DEED INFORMATION Other Districts: CHIP VALLEY VOTECH Volume QNe Document # 938028 Section Town Range Qtr Qtr Section Qtr Section 912825 22 28N 19W SE SE 28 1622 Lot. 033 2471 994 748768 Block: 9 92 747018 Plat Name WALNUT HILL FARM 1175 040-03 LAND VALUATION TAX INFORMATION Valuation Date: 20091109 Net Tax Before: .00 Code Acres Land Value Improvements Total Lottery Credit: .00 1.090 45,500 0 45,500 First Dollar Credit: .00 1.090 45,500 0 45,500 Net Tax After: .00 Total Acres: 1.090 Amt. Due Amt. Paid Balance Assessment Ratio: .0000 Tax .00 .00 .00 Mill R : 0.000000000 Special Assmnt .00 .00 .00 Fair Market Value: 0.00 Special Chrg .00 .00 .00 Delinquent Chrg .00 .00 .00 Private Forest .00 .00 .00 INSTALLMENTS Woodland Tax .00 .00 .00 Managed Forest .00 .00 .00 P rind End Date Amount Prop. Tax Interest .00 .00 Spec. Tax Interest .00 .00 Prop. Tax Penalty .00 .00 Spec. Tax Penalty .00 .00 Other Charges .00 .00 .00 TOTAL .00 .00 .00 Over-Payment .00 PAYMENT HISTORY (POSTED PAYMENTS) I General special Date Recei tj# Source Tvne Amount Tax Status Assess. Status Interest Penalty ICI RECENED f W1scwn1n De ment~~~;~,,~ r i SOIL EVALUATION REPORT Page 1 or 2 Division of Salt and Suitdi~s ST. CROIX COUNlV nce with Comm 85, Vft. Adm. Code County ST. CROIX Attach crx►y t~~jl~liN~1 a 1/2 x 1 t metres in size. Plan must inckide, but and horizontal reference point (BM), direction and Parcel LD - 1303 - 00 - 033 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. /7 7- Pftwe print am iitfriMhWiart. Re ' by Date Personal information you provide may be used for secondary purgmes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location C & J BUILDERS INC. govt. Lot SE 1/4 SE 1/4 22 T 28 N R 19 E( 0 Property Owner's Ma ft Address Lot # hock 0 Subd. Name or CSM # 952 Ridgecrest Street 33 Walnut Hill Farm (Tribute) City State Zip Cade Phone Number Oc4ty ❑Vmw owr► Nearest Road River Falls, WI 54022 ( 715) 222 - 9731 Legacy Court New Construction tlse[D Residential / Number of bedrooms 4 Code derived design flow rate 600 GPO p Replacement ® Public or commercial - Describe: Parent material loess over till Flood Plain elevation if applicable NA . tt. General comments Additional backhoe pit required to move system area out of the location for dwelling. On-site with Ryan and recommendations: Yarrington, St. Croix County Zoning Specialist. Original soil test is attached as part of this report. Mound System 0E' and fill 0.6 loading rate L~l Borft # ❑ sorft El Pit Ground surface elev. 107.15 it. Depth to kn&q factor 24 irr Sol Appkafion Rate Horizon Depth Dominant Color Redox Description Texture Sure Corraistence Boundary Roots GPD/iF in. Mlunself Qu. Sz. Cont. Color Or. Sz. Sh. 'Ef*1 'Et[rlr2 1 0-12 10YR3/3 - sil 2fgr&abk mvfr cw 3m 0.6 0.8 2 12-17 10YR414 - sil 2fabk dsh cw 2m 0.6 0.8 3 17-24 10YR4(6 - s l 2fabk dsh ew 2m 0.6 0.8 4 24-26 10YR416 t2f IQYR5/4&IOYRbf2 sit 2fabk dsh - Im 0.6 0.8 F-1 Bofing a Q ❑ Pit Ground surforx elev. ft. Depth to Yrn& g factor h Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/W In, muneell Qu. Sz. Cont. Color Gr. Sz. Sh. "EfW1 'EW2 ' Effluent 01 = BOD > 30 1220 mglL and TSS >30 1150 moll. ' Eilluent 02 a BOD < 30 mWL and TSS < 30 mglL CST Name (Please R" ~ CST Number M 3o Huppert oltistcr's Soil Testing & Desi ~ \J( 224832 Address Dale E Conducted Telephone Number W9875 690th Avenue, River Falls, ArI 54022 03 - 21 - 12 (715) 426 - 1775 w Plot .P n for Site and SoUEvwhwfim Page ►of X Property Owner Cam" altmoyts mve. Legal 'ipptlox "-r 33 L-JAtjU&,r V,IIIAA . sE Yq O- s u, g+.►~ = Bad*oe pig -r jAl ar Sr, C~xx Co~w-w e~s►nl . b = ??rrs r-,0m 1768 Y i 1 1 O :SuZVW L r k i Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of 3 Division of Safety said Buildings in accordance with Comm 85, Wis. Adm. Code county Attach comt L vT nt but EROSION CONTROL PLAN must be road Parcel lD e 01,A3 6-" b sbp completed before sanitary permit issuance Re ' Date SO 1 Penosrai MfortnaUors You provide may be used for secondary purposes (Privacy tow. s. 15.04 (1) (m)). iwrvw } 1J Location o ~3 ERs T-C-9 Tom- Co A~~G^' r//y ~ 141 ~ ©~!4 $ ~ 114 S ~L T 2 N R it (or) W Property ONrtuer's Mafling Address Lot # Bbdc # =SUW.or SM# 40015CA Wi LL AQe- 33 Kill FA Je t CRY SNVLR State Zip Code 'Phone Number ❑ City ❑ village R Town Nearest Road 6 ~,2ov~ Ff71 MN 5So7(o (&51) zY8• toff ?-Roy s0- c-Id0ER Oz~ GPD New Construction Use: i~ Residential / Number of bedrooms Code derived design flow rate ❑ Replacement ❑ Public or oommercial - Describe: r- A Parent material y- Flood Plain elevation if applicable General comments and recommendation: ',4916,,+ 74F5 7-4-V Sv / ~7/I/3 /E" FeR f~ /f 0 V wp e f / -l e S..S. S r ❑ ® PBoring Boring # it Ground surface elev. ft. Depth to limiting factor ? Soft Rate ❑ s4 Boundary ots GPDIff Horizon Depth Domauant Redox Description Texture Structure Consistence Ro in. MunseN tZu. Sz Cont Color Gr. Sz Sh. *M1 *Eff#2 C 7 d r l 0-Co 10 YA 3/3 L Zih~u s hK S w 3 Id • z ro /1 S` S!G Z shy s~ a,S / f - % CIO ~ Y 7•5 YR Mo s S~ / R r ~ 0 Z C~ 77T El ~ ❑ Boring ta~• SG 2~- s.S.S . ® Pit Ground surface elev. ft Depth to limiting factor _~,R Sol Rate y,. Horbw Depth Dent color Redgx Description Texture ;t cture Consistence Boundary Roots GPDff •EfWi •Eff#2 in. Munsefl Qu. Sz Cont. Color z Sh. n s 3 -f- S S N / y N s / s ~-5 2- 49 ~o ► ~fshk cs / s 3 / 2 ,A l/ Z • O .S vi? C 2:d 1NOfS C C,'l.•t 4-s4 "e• Effluent #1 = BOD > 30 < 220 nglL and TSS >30:S 150 ngA- • Eftm t 42 = BOD < 30 m9& and TSS 30 mglL CST Number Signature CST Name (Please P" .R . -Wi-B R i C ikT- a2 G 3 S Address Date Evailuauon Corducted Telephone Number Uibricht & Ass9ciates S ~Q ,200 71s. Private 77a • 3 yy i- 2812 1 Oth Ave. Spring Valley, WI 54767 i P~~ ~o,Q ,q- ppkv X . ~ yo ~ ACS rya • ~o~s ' s©• ~ 01/0. jpgo . /O • ow dyp • /~~G • 20 • otto oyo-/o~~' &4'M oyo • /o - 70 • M N' L 0 'Y40 - /0 e& - ,4GN 7` ~~~~~Pry TODD r3 J'E ~ STEDT- PrnperlyOwner Parcel ID # G d~ ~`i 3 3 Z 3 5. s• . Q t Grotind surface elev. f7epM to knit g factor 23 Fit depth tenant RedoxpescriPGon Texture Slrttctttre Sod Rate k-C twrtunse Consistence 8ounttaey Roots GpDflF Qu. Sz. Cont. color Gr. Sz. Sh. v- /o y~ 3 3 L *E=1 *EW ~ fhb Ids w 3 ,F . s ~ oy ~ s ~ i~ z / • a io 51L z~She c ~•S!~/1 ~z~a.YVfs / S # C1 El _.t pit Ground surface etev. tt. Depth to Imiting factor in. Sol won t D't nant Redox Desedp = Tie She it Fon Rate Cortsistertce SOMMedarY in. Munsett Qu. Sz. Cori. Color Gr. Sz Sh. Roots `EM TM eo~ng # ❑ ~+s Q pit Ground surface elev. it. Depth to " factor k, Horizon DePtte Doresireant Redoac Rafe APPI Desa~tion- Texture Consistence Boer Roots G Frt. Mtmseff Qu. Sz Cont. Color G Sz. Sh. '!1 'Ett#2 i - F-1 El # 0 Boring Pit Ground surface elev. ft. Depth to frrtiting factor _ in. Sep Rate Horizon Depth Dom1nant Color Redox Descd TexbA a Structure Consistence BOUMISFy Roots _Aypkarion GPOW in. MunseN Qu. Sz. Cont. Co~r Gr. Sz. Sh. •Ef€#4 *0#2 ' Ef wrt 91 = BODs > 30 < 220 and TSS >30,c 150 mg/1 ° Effluent #2 = B00s < 30 mg/t, and TSS < 30 mgtt. The Department of Commerce is an ~Ual 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 608-264-9777. seoa3so Ie«ot Gll~G,v v T` TODD T3 ~E e STEDT- t?roperfyowner panel lD # L di 3 3 Z 3 page Of 3 Bc,"g# ° B"MV /o s . 3~ 2 s.s. s . I Ground surface elev. Depth to lirniting factor ? irz coil 1cation Rate l{orizon Depth Dominant Redox Description Texture ShUchxs Consistence So rndary Roots. GPOfR`' IM Munselt cu. Sr- Cont. Color Gr_ Sz. Sh. 'Eff#2 / o- io y/~ 3 3 L / 7C . Z • a /0 51L z-FShyc f s Boling # Boring F-1 Q Pit Ground surface elev. ft. Depth to iimiffng' factor in. soil 'on Rate Horizon L}orrrinastt Color Redox Description Texture Structure Consisteru)e Boundary Roots GPDff€ In. Munson Qu. Sz. Cont. Color Gr. Sa. Sh. `awl `04 Boring # Boring Q pit Ground surface elev. ft. Depth to l" faidor in. Soil Application Rate Horizon Depth Dominant Color Redox Desc r"on. Texb" a Consistence Boundary Roots QPQM In. Munseli Qu. Sz. ConL Color G : Sz. Sh. •Etf#1 •Eff#2 .4 Ong #~t Boring 1 i Pit Ground surface elev. ft. Depth to lirni ft factor In. Sod ppkappri Rate Horizon Depth Dominant Col Redox Descriptl Texture Structure Consistence Boundary ft-oft 43PDIR In. Munsel Qu. Sz. Cant. Col6r Gr. Sz. Sh. TOM •Eff#2 ` Effluent #1 = BOP, > 30:s 220 and TSS >30:S 150 tngll. • Effluent #2 = BOO, < 30 mgti. and TSS < 30 mgt. The Department of Commerce is an a at opportunity service provider and employer. If you need assistance to access services or need material in an alternate €otxnat, please contact the department at 608-266-3151 or TTY 60$-264-9777. sea-nno t~~.no) / ` r 2 PLOT PLAN WALNUT HILLS FARM. LOT # J Pg. 3 of 3 = Contour elevation lines. = Backhoe Soil pits. Q = Benchmarks set, maRKED WITH FLAGGED lathes. 1/2° steel conduit pipes. 3a SCALE: 1 = v i D ~ ,,v Gam' t~ 4,, s 13A -~3 r5 b$, 3 ~ R ' P 2- 0 &.54 44~ f i 1 J { d O 30 kot Cb~ ` Wlt- to