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HomeMy WebLinkAbout040-1308-00-164 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 567250 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, Tribella Properties, LLC, c/o Joseph Klewicki, Troy, Town of 040-1308-00-164 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: ?4/, i S Af vd 1.6 5 V1-0 19.28.19.1983 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER /e5 5 CAPACITY STATION BS HI FS ELEV. Septic .4.--....` 3 , Benchmark w e—D-cti. . 4 /2 5 CU 7 SS 9oZ• 65 '=/z7/, /5 Alt. BM Aeration Bldg. Sewer / //, 28 F .4) •$'S Holding C St/Ht Inlet // it X70•s 7 TANK SETBACK INFORMATION St/Ht Outlet /1. % 9.e5 , Z Z TANK TO P/li WELL BLDG. 6 o Air Intake ROAD Dt Inlet E Septic Z-7' Ai r /5 Dt Bottom N. Dosing 7 1$6 h /1e.• . C Header/Man. It -N S51,171 Aeration Dist. Pipe Holding Bot.System 13 si;. vs Final Grade � S6. <IS PUMP/SIPHON INFORMATION +�, Manufacturer GPM Demand St Cover `d1 ` G�J - �,Ct d9 5 '.. / Model Nu r• r l J D_______:_y_ '3 TDH I Lift Friction Loss System He-• TDH Ft Forcemain eng Dia. Dist.to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length ( No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 9b Z I _ /_ A __ `--— �. SETBACK SYSTEM TO / P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: / INFORMATION � / 27 CHAMBER OR 'T✓� �, l�-/k e Type Of System: / 7 „ / UNIT M del Number:/ s9q C/A U� .1�, /V Yz DISTRIBUTION SYSTEM EuaA' 7161 tfa Ae, L a r, Z 4-ZZ c- `7"--11 /0/L) Header/Manifollp / i I Distribution x Hole Siz x Hole Sp<g„,..._g Vent to Air Intake S `/- Pipe(S) \ \ N D/ •t-5�•�{ Length Dia Length Dia Spacing e,^ 1 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulc ec. Bed/Trench Center 7 Bed/Trench Edges Topsoil \ Al—Yes El No es p<, No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / , Inspection#2: / / Location: 218 Muirfield Hudson WI 54016(SW 1/4 SW 1/4 19 T28N R19W) Troy Village 6th Addition Lot 164/� Parcel No 19.28.19.1983 1.)Alt BM Description= r 1 l �� Jam~ So t I d5 J■-S,�4-`, dLe,�-.L(`&...i a 2.)Bldg sewer length= 2/4 v 0 5 a,C e, ,M f v 5A - ) ,—7 -amount of cover= / 61' a v\ aX' —__ 0n,c...:,'n-5 /- t.G 1c. o ✓.**-- Plan revision Required? u Yes 0 �� / 4 ILr Use other side for additional information. I 1 I SBD-6710(R.3/97) Date / Insep•or's Sign e Cert.No. -_ - - -- - X97 1 1-/ ,�i1 T zf1s - — - - 5 71 ' '1 ; : .. _ __ .. • . , 1 ill • o - . 2 — _ e ,S —` — — 1- : 4pu F'1l s, , -1 ■ sDu County Safe and Buildings Division 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) P rl Madison, WI 53707-7162 -7 2 6-D 1 State Transactipn umber permit Application N 1/QI In accordance ith 1(2 Adm. Code, submission of this form to the appropriate governmental unit is required pr' o min anitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) 1 L the Departmen of and Professional Servies. Personal information you provide may be used for secondary purposes in accor ance with the Priva Law, s. 15.04{1)(m ,Stets. 1. A lication Information - Please Print All Information Parcel is p$ d r D Property owner's Name property owner's Mailing Addres perty Location a5 j & GLot . i9~'3 City , S Zip Code Phone Number %_6 _ y, Section 9 ati circle one S G TN; R E o II. Type of Building (check all that apply) Lot # Subdivision Name 1~1 1 or 2 Family Dwelling- Number t l of edrooms 2 ~ 2 Block # Oct ❑ Public/Comme ial - Describe Use ❑ City of CSM Number ❑ Village of ❑ State Owned - Describe Use Town of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) ❑ Chan e ❑ Permit Transfer to New List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision g of Plumber Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that apply) Non-Pressurized In-Ground ❑ Pressurized In-Ground At-Grade ❑ Mo nd? 2 in. ofs itable soil ❑ Mound <24 in. ofsuitable soil 12 tment Device (explain) XMt re; a ❑ Holding Tank ❑ Other Dispersal Component (explain) V. Dis ersal/Treatment Area Information: Q Design Flow Design Soil Application Rat Pdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) Cvctrm Rtrvation (gPd) 3 r/ 3 d &/0 4 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units a 2 ° d N . G r.> c`S v. yr New Tanks Existing Tanks y U y ? y w 0 is Septic or Holding Tank 5 f f Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibi ' for iastalgation of the POWTS shown on the attached plans. ZPIum ' Name rint Plumber's gna MP/MPRS Number Business Phone Number r s Addre ss treet, City, Star , Zip Code) VIII oun /Departmeni Use Only Permit Fee Approved Disapproved U Date Issued TS mg Agent S' at ❑ S ~/.75-~_ r~ p L e ~t/i ~1 ❑ Owner Given Reason for Denial ' e'o 1 s/~Q YQ IX. Con fag I/Reasons for Disapproval (3s 1. Septic tank, effluent filter and dispersal cell must be serviced / maintained as per management plan provided by plumber. GZ~ s~ C~Gt lrrt /ESL Qzo/ti i'Po~ S~ 2. All setback requirements must be maintained /0q6 7.4o F97 v 2 1~ 4 11 Attack to complete plans for the system and submit to the County only on paper not less than 8 in I inches in size/` CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE ~rxi~it Project Name: Owner's Name: ~i 13E,~/.4_i s Owner's Address: Legal Description: ~'u7 Y~- /9 bJ Township: County: Subdivision Name: G Lot Number: Parcel ID Number. Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing Page 4 System Cross-Section Page 5 Filter Specs Page 6 Maintenance & Management Plan Page 7 Septic Tank Maintenance Form Page 8~ Warranty Deed Page 9 CSM or Plat Designer/Plumber: -5~1~ License Number: Phone Number yid Date: k Signature Designed pursuant to the In-Ground Soil Absorption Component Manual for POWfS Version 2.0 SBD-10705-P (N.01101). Page 1 I I 1 17, i I ;KIP i i i I I i I ; I ; I r _ ~ I ~ _ -I II r ! I _ I r I I' - i I I i i i I I ' I i I 1 I ! i 1 Wisconsin Department of Commerce SOILEVALUATION REPORT Page of t Division of Safety and Buildings j In accordance with Comm Ms. Adm. Code 5T. C-Rot Attach complete site plan on paper not less than 8 112 x 11 Inches slzo. €IVE include, but not limited to: vertical and horizontal reference point (B direction end Parcel D. 0V / percent slope, scale or dimensions, north arrow, and location and Istance to nearest road. Data C C T 2 9 20 3Reae by ; Please print all lnformatlon. - Personal rnrormauon you provide may ba used for secondary Pwposaa IP( aoY tar., s• t 5.04(1) (mp• f PrppertyOwner Y OF C ;/4 S Iq T N R 1~ W C0fJTIn)6A1'TAt- 0E ja LppMEM Cof~P. Property Owner's MMing Address of # Block a Subd. Name or CSMN t / 7R04 U ► t_ LAC-4Z (o4+, A0oA . City 1 COQ f4 FjcD Stale 6T. E S Phone one 100 Number o City Viflags X Town Nearest Road ' p Cade to L l.ttiN6 55449 (763) ^7-7514F Tf,0\1 ~ . 00 - t QQ New Construction User Residential I Number of bedrooms 4 Code derived design now rate GPO ❑ Repiacarnent Public or cornmerclai - Describe: _ Parent matenal _ iid4"• a t ` GVt~1l Flood Flain elevation i(applicaoia General comments and recommendations: •,C~~T10-►J~k6-~~JJ - ~ ~ -3-' i P~.S LL)AOl 16 Ttc~ ~""~--yp~ i Boring Boring # pit Ground surface elev. n. Depth to limiting factor _ 7 In. pcauon Rats ! . _ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD& •Ef{#1 •Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. j 1 24i - L a.b f-co p .5 0.S Z- 5 L ( S ab J1-m 3 ~ ~ ctiaK ~ -m Zt- OVf¢.3~y Si Z - 1-4 4Z U _ 5 d a5 -M 0.-1 Lz p•~ 1. 2 a 5 4 o s - S dl aS -low o S/e 8 s oS d s- ` Z 05 d ~ ~ 0.5 o•q Z40 04p- S t21ZCN Bo ng A%CX5 -tor Mak;K y~~# a Boring is (1 1 7~ Soil ' fcallon Rate Pit Ground surface elev. ~Sq(o. ~ tt. Depth to limiting factor in. GPDItf Honzon Depth Dominant Col Redox Description Texture Structure Consistence Boundary Roots .E 1 Ert#2 I in. ' Munsetl Ou. Sz. Cont. Color Gr. St. 5h. ! 1 0- v 24i - z 3vF- I - 5 t d9 ~ zJ - ~ ~ L -10 Z- 10 4 414 % ff 0 0 G Effluent N1 = BOO > 30 < 220 mglL and TSS >30 150 mglL ' Effluent 92 = BOO S 30 mg/L and TSS < 30 mg(L CST Name (Please Print) gnature CST Number 83Z 1 MAR~ Z0 HO t_ STE 22 Date Evaluation Conducted Telephone Number Address WIT -1~7S -+ti p,)vE FAu.S r StioZZ 0 K-~9-03 Ll i5 yzb ~J9S75 boo Ave 0 C//o ) L .a. } y 11 (WT by~ Z of r Property Owner 1TW E!J?>RL DGVlawmep Parcel ID # Page J ie r It¢5 ❑ Boring GORY' r of Boring # r Soil dication Rate ; Pit Ground surface elev. r `t. Depth to limiting facto 7 ( 0 'n Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff " Gr. Sz. Sh. 'Eff#1 EHIY2 y in. Munsell Qu. Sz. Cont. Color. 5 I 0-10 0 l.'4 I - L < d s 3vf c~ o• S o, s r d yC . 5 v . a .Z3 3/ - sit - I 4 3 Z ,ems! - s Cis b1 5 2- - a. ► Z 8- - ,Z 14 14 y 33-u O y 5 5 ( CS 5 ao 5/ *00 M'.' -5 ❑ ❑ Boring # Boring _ Soil Application Rate ❑ Pit Ground surface elev. ft. Depth to limiting factor in. a Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GP01ff 'Eff#1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. M 4 V A Y k - ❑ Boring ❑ Boring # pit Ground surface elev. H. Depth to limiting factor in. ❑ Soil r#lff#2 Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. i rM M r R V I Effluent #1 = BOOS > 30 1220 mglL and TSS >30 150 mgA. ' Effluent #2 = BOD, < 30 mglL and TSS 130 mglL ( i Y 'rhe 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. 5 Seu•USO (R.6WOO) PPC FLOf PLAN LFIRMWOWNER.- co Q- iu tJFcrylPftnA1• nT ibW Tkny 50L OGRWG W/ PPCKt1CE F 1113 AL G RADt E,1.~V HT 10 N S 8164A ELEV. 534?.D B165C ELEV. Wto."1 B 1648 ELEV. X45.8 4J ® tO u o N O M z Loll 164 ATE: 0/ -1-9.-O i L 0-4 I i I I I - I , -77 F je --7 4~a ,ter - - - - - I I I I I 1..-__...--_l_ I , - - I ' I I JIL I I ' I ~ I, I fI I ~ I I I I i I I _ ~ l l I , I - - - - I I - I I I I---L-- h_ I i ~ 'I I I I I I _ I I I I I I ,I I, I I i ,II I I I I I i I I I ~ I Soil Absorlon System Cross Secdon Furst Grade C Schedule 40 PVC Vent Pipe ft L Vent Cap Cleachibn~g ~~$9~? ft System Eievafion Soil Absor01100 SvsNnt Plan View 3 ft i I_eac t ing Trench 9 -J-/ft Vent Or Observafion Pipe Chambers 4° VW. Healer" l omhIng- Clumbec Saecf eahioefs Manufacturer And Modeler EISA Ratin- sq ft per chamber Soil AppU n Rate -,-5---9pd/ai ft gpd Design Flow . , .1'~ Soil Application Rate = EISA = - Chamber s rows of chambers each. ~ page --t-~ of POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page Z-17- FILE INFORMATION SYSTEM SPECIFICATION - - Septic Tank Capacity al o NA Owner C Permit # septic Tank Manufacturer o NA Effluent Filter Manufacturer o NA DESIGN PARAMETERS Effluent Filter Model o NA Number of bedrooms o NA Pump Tank Capacity al iz NA Number of Commercial Unit o'NA Pump Tank Manufacturer a NA Estimated flow (average) gal/day Pump Manufacturer ® NA Design flow (peak), (Estimated x 1.5) gal/day Pump Model el NA Soil Application Rate al/da /ft Pretreated Unit Influent/Effluent Quality Monthly Average* ❑ Sand/Gravel Filter o Peat Filter n Mechani Fats, Ails & Grease (FOG) <3U mglL cal Aeration o Wetland Biochemical Oxygen Demand (BODs) <220 mg/L ❑ Disinfection o Other: Total Suspended Solids (TSS) <150 mgfL Manufacturer Monthly Average** Dispersal Cell(s) Pretreated Effluent Quality ❑ NA of-In-ground (gravity) o In-ground (pressurized) Biochemical Oxygen Demand (BODs) <30 mg/L ❑ At-grade o Mound Total Suspended Solids (TSS) <304mg/L o Drip-line ❑ Other: Fecal Coliform (geometric mean) <10 efu/100mL Maximum Effluent Particle Size '/a inch diameter * Values typical for domestic (non-commercial) wastewater and septic tank effluent. Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event w Service Frequency Inspect condition of tank s) At least once eve o months ears (Maximum 3 rs) `"Pump out contents of tanks When combined sludge and scum uals one third of tank volume- Inspect dispersal cells At least once eve ❑ months t a s) (Maximum 3 rs) Clean effluent filter At least once eve o months 4ear(s) Inspect pump, um controls & alarm At least once eve o months 5' car(s o NA Flush laterals and pressure test At least once eve ❑ months o ear(s) 0-NA Other: At least once eve ❑ months ❑ ear(s) a NA Other: At least once eve ❑ months ❑ year(s) ANA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (%3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. 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 that my impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tanks(s) removed by y-a septage servicing operator prior to use. Page 7 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 that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the 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 effluent. 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 POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS 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 soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement 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 b} required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area wif, result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules 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 last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS 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 infiltrative 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 OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTAL E POWTS MAINTAINER Name Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)0)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNE HIP CERTIFICATION FORM Owner/Buyer ✓ Mailing Address Property Address U GL~j✓ 'G~ ct(Verification required f in Planning Department for new construction) City/State 7,4 arcel Identification Number LEGAL DESCRIPTION Property Location %,,5PJ '/s, Sec. , T N-R W, Town of TV Subdivision r tt_ YILAY Lot It Certified Survey Map . Volume , Page # Warranty Deed Volume , Page # Spec house Xyes ❑ no Lot lines identifiable )(yes ❑ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix 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 wastewaterdisposal 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 undersi bove re u. ements and agree to maintain the private sewage disposal system with the standards set forth, m, as set by the ttme of mmerce and the Department of Natural Resources, State of Wisconsin. Certification sta ' t your septic sys has coed must be completed and returned to the St. Croix County Zoning Office within 30 s of the three year e ' ion GNA !..,A!!:P7Pj1e;k'CN_T DATE OWNER CE ATION I (weertify that all s form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p rty described ab warranty deed recorded in Register of Deeds Office. O// GNA AP DATE ormation that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed , INSTALLATION INSTRUCTIONS PL-525IPL-525 FILTER &S'Fia~ia Aftodpdylokbc i I INSTALLATION INSTRUCTIONS Center filler wM opening c lu'd 2-'s "i r k. ~i-r-~ ~ .-a`t~ a~..~ ~;~k~gey~Y a < Z s"ue" f' y ~r...Ge a r r+ >a Y l- ivFt Tf /tai.. ~ - r y o-L ~ -rm*'... V S 'T*.•- ..'y'rss' a,~F`~a F~ ;?i,r}ae.: " ' ? ~ F 52:.? ~IYo S~ri •P~ j l 1Y V F14~\t" ~ J fl~-~v0 . . - i T. ~ y.• ~YE'T~. E7"6.E. ~z~ a", `~-.~13~. 2 ~ t ?'r S `=fax •¢+aS.T`1..: ~ i t. a . Step 1: Step 2: Step 3: (A) Locate the outlet of the septic tank (A) Before installation, place the (A) Glue the filter housing on the (S) Remove tank cover and pump tank filter housing on to the outlet pipe. outlet pipe. if necessary. (B) Make sure that the housing (B) Insert the filter cartridge in the is positioned so the fitter can be housing, making sure the fitter removed from the tank for carbidge is properly aligned and maintenance and service. completely inserted in the housing. MAINTENANCE INSTRUCTIONS it 1 ~ .r.~f yr iN6 ' t~i~~ a•t• at+k' ~e y Y -r a. - .:F -^~c •z- ~ ~3 .."-F ~ t. rte. .~'+,'~e~-ys . y... bt ~ r•. ~ Ste' t x{. -2:Cµ? " .yi"*•tt • r . . `.St ~ F Fr ♦ s;~k~.-~A-lyy~•~` h_''j' r~~I ~'~T"~Nh~'x4`~~~tF~~ a Step 1: Step 2: Step 3: Locate the outlet of the septic tank. (A) Remove tank cover and pump (A) Insert the filter oarWge back if necessary. intA the the housing mating sure DO NOT USE PLUMBING (B) Pull the fitter out of the housing. the filter is properly atlghed REMOVED WHEN FILTER IS (C) Hose offthe der over Jim septic tank and completely inserted. [)SE 1BR.GLf31/E.:'?: Make sure all solids fall bade into the (s) Replace septic tank cover Z B sa t: ~NHEN CLEl IVIJ C Ftt_TER:.::: septic far UNOFFICIAL COPY l 11111 Ifl llllf l 111 1811 I! III III 8137859 State Bar of Wisconsin Form 1-2003 Tx: 4111460 WARRANTY DEED 974661 BETH PABST Document Number Document Name REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED, made between Troy Development Corporation 03/07/2013 2:52 PM EXEMPT*: NA ("Grantor," whether one or more), REC FEE: 30.00 and Tribella Properties, LLC TRANS FEE: 390.00 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 Lots 148, 153, 163 and 164, Plat of Troy Village Sixth Addition in the Hudson WI 54016 Town of Troy, St. Croix County, Wisconsin. File: 2810573 040-1308-00-148;040-1308-00-153; 040-1308-00-163 & 040-1308-00-164 Parcel Identification Number (PIN) 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. Dated _Mar h 1 2013 Troy Dev o n Corpor tion (SEAL) (SEAL) * Courtnie irvela , Vice ident (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ss. authenticated on ST CROIX COUNTY ) STATE OF WISCONSIN * Personally came before me on March 1. 2013 the above-named Courtnie Kirvelay, Vice President of TITLE: MEMBER STATE BAR OF WISCONSIN Troy Development Cor oratio (If not, to me known to be the per n(s~ o executed the foregoing authorized by Wis. Stat. § 746.06) instrument a acknowl a same. THIS INSTRUMENT DRAFTED BY: Lorr' L. &Ma Doug Berg Nola Public, S e of 1200 Hasford St. Suite 201 Hudson WI 54016 II~ My orn Iss) {is permanent) (expires: March 20, 2016 ) (Signatures may be authealicated acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY M D CATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED © 2003 S'rATE BAR OF WISCONSIN FORM NO. 1-2003 * 'Clybiupme below signatures. 1® 3. UILDIND 9EMMXS AN AS FOLLM: -MINIMS Cr 7W FM TIC MW RIGKr-Ir-wm" x -IINIiiM OF 25t FIM SIDE LOT LIM. 0a i F THe OISTAI m TO TIC WAKW UILDIU U LOT IS A M INIMLiM OF 5W . M INIMM (F 2Y FM 7W FIEM Wr LINE. 4. ND ON= OR POIDW SW.l DO AWWINi iMif t WITH QI Cf1N4K THE CFMTICN OF IM /~P!!1 WA18t CIIAINAK AND SOIL 0SI01 PLAN FCR TIM'S Irui INCLINES Wr Is NDf LIMITED To.. lUILDINa Upm CA ALTEltINO FILLIIG CR EXt'.AViATIND Cot RJINTING Is 5. ALL IM PVC (FOSS 02 ' AK - AS A k I NL- a. Lois 191I-a6 SIML OW MW DOOM Jl~ 10 IN i- SCAE N FEE1' 0 1(* 200 400 JAMES D. F 1 LK I NS S-2246 REGISI SURVEYOR i 1234 S. MIASSON LANE RIVER FALLS. WtlN,._ DATED TH 1 S 15TH DAY OF OCTWEW. LL REVISED THIS 27TH DAY OF OCTCM. 2010- >arr we 131LW MOW- Willow .E r • • • 1. r . • 164 165 161 ~ 162 11M AM 1=10 AM 43M Sf. QAW sr. 'Al I.~GEND: 1 = KOn M OWNER: C c --(,m 1 h r ~ ...~Jw~C 1J \ C'.l? • - F ~ ~ =ICOAi ,r t , A. 755CFIP ON T I1,4* TRO~I 3M~ - l ~ X I STIm<o Cdti?D S i l CO Du2S ' t l leE PeV5 D r f~ .-~-900 , ~ ( tr • n\X 4 ~U ISc.~t~51~. 5011. i t21NG W/ (3ACwa i i COMM 83 5EI3ACK PROMM5 4 \ 9 o ELEV. 89 .15 ELEV. 897.24 A h, 140.00' 149.02' B 164A ELEV. l 896.2 / 81658 I ELEV. 899 I r ~ t , l r B 165C , - I ' ELEV. 898.4 The site as graded after soil evaluations were completed (see page with final grade clexations). SvStem elevatlonS Should not be affected, but d' ( depth below grade will need to be determined based on the amount of cut or fill. BM B1646 ELEV. 896.5 W elevations should hay e remained constant. B 165A ELEV. 898.6 897 899. I \ 5169P C5t ` LC ZZti S 3 Zl 164 ~y' rAiVE: 0~- 11- 5