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040-1251-20-000(2)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 569515 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: Troy Burne LLC Golf Course), clubhouse facili I Troy, Town of 040-1251-20-000 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: f Ol5 all t Gst_ 24.28.20.1314 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic W Z� .b /Z 0 Benchmark /� 5 a 1D1�/ a� f• G 7 g d Alt. BM Dosing F;(LAI..Z� O56 ojl�kt)r I6.- Aprnfiog Bldg.Sewer 0.3 3 1102 •Z Holding St/Ht Inlet 143 St/Ht Outlet T TANK SETBACK INFORMATION 157 At . IT TANK TO P/L WELL BLDG. Vent t Air Intake ROAD Dt Inlet Septic 7 ZS 7�6Q/ 2a/ Dt Bottom Dosing Header/Man. Aeration Dist. Pipe 4�0�•1 9 • l 9 !Z.VA HOI ng Bot.System !6 Z 9 Z • q Final Grade PUMP/SIPHON INFORMATION '.r•e `j' •S Manufacturer Demand St Cover GPM co t� GO tt-► ��•7 O'y. Model er l�4r4. ,� TDH L' Friction Loss System Head TDH Ft J Forcemain Length Dia. Dist.to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Len �j� No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 go/� � eK � SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Typ Of System]j� � , l f ,� I — UNIT Model Number: 0.&0 A DISTRIBUTION SYSTEM t*1 12 4-- f Z) = 3Z) Header/Manifold �I /� Distribution x Hole Size x Hole Spacing Vent to Air Intake Length Dia Length �� Dia Spacing E. SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center w` Bed/Trench Edges Topsoil • W �` c Yes � No " Yes No 6COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1:S/ / 4411spection#2: Location: 295 Lindsay Road Hudson,WI 54016(NW 1/4 SW 1/4 24 T28N R20W Tro V'lag Lot OL2 '7—w-M.7 Parcel No: 24.28.20.1314 1.)Alt BM Description 2.)Bldg sewer length= Zb —Tiff 6A.. -amount of cover= � U r / Plan revision Required? Yes No G f+,� 1 (,� - - - - J <334757 Use other side for additional information ,J `_E' �_ 1_ + . -L Date Insepc is Si ture Cert.No. SBD-6710(R.3/97) 0 a a O a o . � U a o gs 0 b r � to! s b a J � W 3 co a� p • c. cr ow a _ r� n .1 L4 L d p 00 y O 8 y ti �A � c a tie a O+U�+ a e°7 ° d• s � C i e R ra s .0 - w a a rA p sw A bD � O b °p r cm p a. e °am O: c L ,✓° m Ri N 4v a C� Safety and Buildings Division County `?V�" �•T ton Box 7162 Sanitary Permit Number( Ave.,P.O. to be filled in by Co. 0, 201 W.Washing / 5 / Madison WI 5, 707-7162 6 �4 •gyp: � .-(G!�'� State Transaction Number lication �3 S U' permit App governmental unit address) 2 .Adm.Code,submission of this form to the appropriate In accordance with SPS t Note.Application forms for State"ned pGb used sed for submitted econdary Project Address(if different than mailing rior to i You provide may 2 R 5 L l, p S is required p d pro Tonal Servies. Personal information y P IV the Department of s.15.04 1 (m),Stats. wi privac mow' Pazcel# oses in ' L A I catio fo ation-Please Print All Information VF 61D - , �51 - 20-00 Property Owner's Name 1_• -G• G �(' (� i l� �..N� G�LF �5 2014 property Location `C Owner's Mailing Address �QM C/Z0� Govt.Lot__ ZL Property Section b luo"W zip Code Phone Nu (circle on City,State R �OP/�j T z�N> R K E o W AU N v Lot#0 Subdivision Name U.Type of Building(check all that apply) L J jtv rt L, El or 2 Family Dwelling-Number of Bedrooms Block# Y ^IL n `u ❑[]City of Public/Comm � ercial-Describe Use V Village of l ,/I ;k CSM Number �p Town of State owned-Describe Use one box on Ir/ine A. Complete line B if applicable) S stem(explain) �,Type of Permit' (Check on y Tank Replacement Only Other Modification to Existing Y ❑Replacement System ❑Treatment/Holding A. KNe List previous Permit Number and ate Issued Change of Plumber ❑Permit Transfer to New 2 D 2 _ (�'e f 1 G� B. ❑Permit Renewal ❑Permit Revision owner t Before Expiration IV. i]Mound?24 m•of suitable soil ❑Mound<24 in.of suitable soi? e of POWTS S stem/Com onent/Device: Check all that a Eh. Non-pressurized 1,-Ground ❑Pressurized In-Ground ❑At Grade ❑Pretreatment Device(explain) ❑Other Dispersal Component(explain) ❑Holding Tank System Elevation Dispersal Area Required(sf) Dispersal Area Proposed(sf) V.Dis ersal/Trea ent Area Information: v O 3b� J L/:` �j � Flow(gpd) Design Soil Ap lication Rate(gPds� i L� / I DesQ j 6• b #of Manufacturer \600 a c y 1 Total w [� Y Capacity m Gallons Units _ VL Tank Info Gallons 2 �o �1s(L 5Z5 v y New Tanks Existing Tanks o Val l 6C Septic or Holding Tank iJ lens. Dosing Chamber ber Business Phone Number Responsibility Statement- I,the undersigned,assume res�proe sibility for installation of the POWTS shown on the attache P J J Z y VII.Respon tY Plumber's Sign Zz3z,�F_ Plumber's Name(Print) CFP7 f T:)-,`-- u Plumber's Address(Street,City,State,Zip Code) v G q 565 ' ��� �, sued Issuing nt Signature Coun /De artmeut Use Only permit Fee Date Pproved reapproved $ 7�/-f 5, Reason for D � / ` Sd- teasons for Disapproval 3) � ,')-,`OA t) i A �,• IX.Cond►1lPAA$'Rw� / 1 5 spe tank,effluent filter gr►d dispersal cell must all be services t main as per management Plan Provided by PlP�r• r _.J erne►tts Must.b*,; ed y 60wI 15 2. ' w j Ordi than 8112 11 inches is size stem and mit to a County only on pape n less pff lets plans for the sy Attach to comp P �J SBD-6398(R. 11/11) pee�TUE�r DIVISION OF INDUSTRY SERVICES 3824 N CREEKSIDE LA HOLMEN WI 54636 3 S K Contact Through Relay P %UM.dsps.wi.gov/sb/ www.wisconsin.gov 0 srorAti Scott Walker,Governor Dave Ross,Secretary February 10,2014 CUST ID No. 224059 ATTN:POWTS Inspector KEITH E STONER ZONING OFFICE KEITH STONER SOIL TESTING AND SANITARY DESIGN ST CROIX COUNTY SPIA 23220 WOOD CREEK RD 1101 CARMICHAEL RD SIREN WI 54872 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/10/2016 SITE: Troy Burne Golf Course-Clubhouse Addition Identification Numbers 295 Lindsay Road Transaction ID No.2363439 Town of Troy Site ID No. 798777 St Croix County Please refer to both identification numbers, NE1/4, SE1/4, S24,T28N,R20W above,in all correspondence with the agency. Subdivision:Troy Village Troy Bume Golf Club;outlot 2 FOR: Description: Commercial Non-pressurized In-ground System/7%slope/At-Risk POWTS Object Type:POWTS id'tte Design Regulated Object ID No.: 1469724 Maintenance requ d 91 i GP w rate; 100 in Soil minimum depth to limiting factor from original grade; System(s):Non-Pressurized In-ground; Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed OONDITIO 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, APPRO requirements. pEPT OF SA No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.OpROFESSION stats. pIVISION OF INDU The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders: co • This system has been reviewed and approved as an At-Risk Individual Site Design.The system shall be $ constructed in accordance with the approved plans and ch. SPS 383,Wis.Adm. Code. • The effluent sampling plan and protocol shall be followed per the approved management plan.The results shall be submitted to the system designer,the county sanitary department and the district wastewater specialist for review to decide what further action may be needed. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19,Wis.Stats. • Inspection of the private sewage system installation is required.Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis. Stats. • A state approved effluent filter is required.Maintenance information must be given to the owner of the tank that explains the requirement for periodic cleaning of the filter.Access to the filter for cleaning must be provided per SPS 384 product approval conditions. • A copy of the ap rp oved 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 KEITH E STONER Page 2 2/10/2014 o , Owner Responsibilities: • The current owner,and each subsequent owner,shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s.SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard,the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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$ 450.00 . This Amount Will Be Invoiced. rard M Swan When You Receive That Invoice, POWTS Plan Reviewer,Integrated Services Please Include a Copy With Your (608)789-7892,Mon-Fri, 7:15 am-4:00 pm Payment Submittal. jerry.swim @wisconsin.gov WiSMART code:7633 A #. � cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm a ° ,'A Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services(formerly "!$ffety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with to recognize the relocation of the Division of Industry Services from the former Department of Commerce to fi�6 epartment of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered hdcssed in a 300 series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. I KEITH E STONER Page 2 2/10/2014 Owner Responsibilities: • The current owner,and each subsequent owner,shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s.SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard,the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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$ 450.00 This Amount Will Be Invoiced. rard M Swim When You Receive That Invoice, POWTS Plan-ft Integrated Services _ __ _ _Please-1 elude a Copy_With Your--- (608)789-7892,Mon-Fri, 7:15 am-4:00 pm Payment Submittal. jerry.swim @wisconsin.gov WiSMART code:7633 f•j;tfs cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services(formerly 30 Tq-n%fety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with to recognize the relocation of the Division of Industry Services from the former Department of Commerce to .i $ ,��e_ epartment of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered ` ' A&hdAsed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. • y I of 6 FEB X01` Index and Title Sheet Property Owner: Troy Burne LLC Address: 295 Lindsay Rd. Hudson WI 54016 Legal Description: Parcel in the NE 1/4-SE 1/4 Sec. 24 T28N-R20W Township: Troy County: St. Croix Subdivision Name: Troy Village Troy Bume Golf Club Lot: Outlot 2 Comp.#/Parcel ID: 040-1251-20-000 CONTENTS Page: 1 Index and Title Sheet (ALLY /ED Page: 2 Plan Narrative and Concurrence Agreement 'ETY AND SERVICES Page: 3 Sizing Calculations ;TRY SERVICES Page:4 Site Plan Page: 5 Plan View and Cross Section ONOENCE Page: 6 Management and Contingency Plan Attachments: Soil and Site Evaluation Report,At-Risk POWTS Servicing Agreement w/St. Croix County,At-Risk Servicing Contract, St. Croix County Concurrence to Accept At-Risk Sanitary System Oversight and St. Croix County Septic Tank Maintenance Agreement In-Ground Soil AbsWWn Component Manual Used= SBD-10705-P(N.01/01) Designer: K tl� a�srori s °`Afo Designer# 1575-007 Signature: Phone#(715) 653-2324 0 Date: Jan �'-2.Q14 �/Jf! C 2» C2\%\\ 2�&�»63J }�In ���QW�! ➢ 1200Sq. ft. Retail Area ➢ 25 Public Showers per day(This area modified into handicap bathrooms) ➢ 76 Restaurant Seats including bathroom waste and dishwasher ➢ 6 Floor Drains Due to the sanitary code changes implemented in July of 2000 we now have limits to the wastewater strengths that are allowed by code to be dispersed below the grounds surface. SPS Chapter 383.44(2) limits the quality of influent discharging to a soil dispersal component to be equal to or less than the following: ✓ A monthly average of 30 mg/L fats, oil and grease f A monthly average of 220 mg/L BOD5 (Biochemical Oxygen Demand) ✓ A monthly average of 150 mg/L TSS (Total Suspended Solids) To help plumbers and designers to deal with different types of wastewater producing facilities a Policy for Processing High-Strength Waster POWTS Plans was developed in April of 2009. This policy outlined plan submittal requirements for those commercial buildings that have food preparation as a major part of their daily operation. While reviewing the golf courses kitchen I was told that they provide daily food service on a limited basis for the golfers. I explained that any modification to the existing sanitary system to support the banquet hall addition would require updating the current system to meet the present code requirements. From an economic standpoint it became more feasible to install a new sanitary system just for the banquet hall itself. This would allow us to install a new system based on only the flows from the banquet hall as described earlier. Although this system will not receive any kitchen waste it will receive bathroom waste with little or no dilution and with the addition of the consumption of alcoholic beverages during some of the scheduled events this system would fall into the At-Risk Wastewater Producing Category and will require additional monitoring of the system and may include the sampling of the wastewater stream. The sizing calculations proposed for the banquet hall addition are as follows: 136 Seats x 3 gallons toilet waste only equals 408 gallons ❖ 6 Bar stools x 4 gallons equals 24 gallons :• Dance Floor 360 sq. ft./1 Osq. ft.- patron x 2 gallons equals 72 gallons ❖ 1 Floor drain in mechanical room x 25 gallons equals 25 gallons ' page 2 a,b, + c of 6 KEITH E. STONER LAND USE CONSULTANT, CERTIFIED SOIL TESTER AND DESIGNER OF SANITARY SYSTEMS 23220 Wood('reek Rd. Siren Wisconsin 54872 Phone(715)653-2324 Adventurers a)Centuryte4.net January 23rd, 2014 Troy Burne Golf Course 295 Lindsay Rd. Hudson WI 54016 Plan Narrative and Concurrence Statement To whom it may concern, The Troy Bume Golf Course is planning an addition of a banquet hall for the purpose of holding wedding receptions,banquets and for other special golf events. The management of Troy Burne expects to hold one to two events per week during the seasonal period while the golf course is open. The proposal is for all food preparation to be prepared off site and catered in. The food scraps left after the dishes are removed will be scrapped directly into garbage cans and the dishes will be returned to the caterer's kitchen for cleaning. The anticipated wastewater flow will be generated primarily from the bathroom waste from the banquet hall seating, some additional bar seats, a single floor drain located in the new mechanical/storage/food receiving area and employees that may use the bathrooms in the dining area during an event. The banquet hall will be constructed on the southwest side of the existing clubhouse and will utilize the existing bathrooms that were accessed from the exterior of the building. These restrooms will be remodeled and used primarily for the occupants and service personnel in the banquet facility due to their convenient location. The piping from these bathrooms will be disconnected from the current system and will pick-up the floor drain and the single compartment hand washing sink in the addition. The golf course ownership realizes that the addition of this banquet hall will affect the design wastewater flow that the current sanitary system was designed for and 1 have been asked to make recommendations for making the sanitary system code compliant. A review of the current sanitary systems capabilities found a State Sanitary Permit# 320220 that was installed on October 2151, of 1998. This permit has a design flow of 4055 gallons per day and includes the following: ➢ 14 Employees Y 110 seats for an Outdoor Sport Facility ➢ 1200Sq. ft. Retail Area 25 Public Showers per day (This area modified into handicap bathrooms) ➢ 76 Restaurant Seats including bathroom waste and dishwasher ➢ 6 Floor Drains Due to the sanitary code changes implemented in July of 2000 we now have limits to the wastewater strengths that are allowed by code to be dispersed below the grounds surface. SPS Chapter 383.44(2) limits the quality of influent discharging to a soil dispersal component to be equal to or less than the following: ✓ A monthly average of 30 mg/L fats, oil and grease • A monthly average of 220 mg/L BOD5 (Biochemical Oxygen Demand) • A monthly average of 150 mg/L TSS(Total Suspended Solids) To help plumbers and designers to deal with different types of wastewater producing facilities a Policy for Processing High-Strength Waster POWTS Plans was developed in April of 2009. This policy outlined plan submittal requirements for those commercial buildings that have food preparation as a major part of their daily operation. While reviewing the golf courses kitchen I was told that they provide daily food service on-a-limited--basis for-the-golfers:--I-explained that-any-modification-to-the existing - sanitary system to support the banquet hall addition would require updating the current system to meet the present code requirements. From an economic standpoint it became more feasible to install a new sanitary system just for the banquet hall itself. This would allow us to install a new system based on only the flows from the banquet hall as described earlier. Although this system will not receive any kitchen waste it will receive bathroom waste with little or no dilution and with the addition of the consumption of alcoholic beverages during some of the scheduled events this system would fall into the At-Risk Wastewater Producing Category and will require additional monitoring f the system and may include the sampling g y m y camp ng of the wastewater stream. The sizing calculations proposed for the banquet hall addition are as follows: 136 Seats x 3 gallons toilet waste only equals 408 gallons ❖ 6 Bar stools x 4 gallons equals 24 gallons Dance Floor 360 sq. ft./l Osq. ft.-patron x 2 gallons equals 72 gallons •'• I Floor drain in mechanical room x 25 gallons equals 25 gallons • g q g I •.* 6 employees x 13 gallons equals 78 gallons Total estimated flow of 607 gallons x 1.5 design factor equals a design flow of 910.50 gallons The proposed septic tank will have a total capacity of 2000 gallons and will consist of two compartments with an effluent filter located on the outlets of each compartment to create a higher quality effluent. The dispersal cells will consist of threeM. wide x 100 fl, long cells constructed of EZ-Flow Media. As the owner(s) of this business establishment I (we) agree that the anticipated use and estimated flows outlined in the preceding daily wastewater flow descriptions will reflect the actual use of the banquet hall to the best of our knowledge. Owner: Mr.Gary Sauer Sgnatur o� Date: Designer: Keith E. Stoner Signature Date: Thank you for your time and please call with any questions. Keith E. Stoner Page 3 of 6 Sizing Calculations for the Troy Burne Golf Course Banquet Hall The sizing calculations proposed for the banquet hall addition are as follows: ❖136 Seats x 3 gallons toilet waste only equals 408 gallons ❖6 Bar stools x 4 gallons equals 24 gallons ❖Dance Floor 360 sq. ft/10 sq. ft.-patron x 2 gallons equals 72 gallons :•1 Floor drain in mechanical room x 25 gallons equals 25 gallons ❖6 employees x 13 gallons equals 78 gallons Total estimated flow of 607 gallons x 1.5 design factor equals a design flow of 910.50 gallons. The septic tank sizing calculation equals the 910.50 gallon design flow x 2.088 factor based on a 3 year servicing cycle which equals a minimum septic tank capacity of 1,901.12 gallons. The proposed septic tank will have a total capacity of 2000 gallons and will consist of two compartments with an effluent filter located on the outlets of each compartment to create a higher quality effluent. The soil loading rate proposed is .625 gal. / sq. ft. A design flow of 910.50 gallons/day/ .625 SAR =1,456.80 sq. ft. / an Eisa rating of 50 sq. ft. equals a total ofor 30 10 ft. lengths of EZ1203H product. The dispersal cells will consist o three 3ft. wide x 100 ft. long cells constructed of EZ-Flow Media. The banquet hall will not require a grease interceptor as the wastewater will consist primarily of toilet waste and the wastewater from a single hand wash sink in the food receiving/setup area where the catered food will be made ready for serving. c c r� g "eX 'p � '�• "ate"' C 6� � g'r °-�'�° `��� A C ww cr PC CL cr AN F '' C PD `fl P 5W OD p/ �p •�� 0 �a � C a 9 6 G b �p "' o � �O `� � •of K e � b aro '8 pS • cz ° A a to �pr Ii A 'D oq �l�1 v m ryy _ a F ~ ~ pr p N o � y w M a a b o r b a a 0 a � O G if to � � � cdQo � 0 A a • II � 0 a 0 •P O O C f'�D C � V1 O O � "H tD w C) p A R O ti o b M ao u o O `O o a w w M w - o d w p p cp �+ N ns o s 'Q•-• c to Q1 P p 0 � 05°� �? R'o o•°° c 2 04 W O y wb E. Sy Q c 042 719' C w II y Cc oh rr can o Gn =. w 9• II 0 Q�Q 00 CA o °,o b o �� m N Gn O w w ON O OS O 0 O O o 0' r 11 o• acs o • o a eb C 11 0 I 11 j N N O q p O Page 6 of 6 a,b,c,+d Private Onsite Wastewater Treatment In-Ground Gravity At-Risk Management Plan Pursuant to SPS 383.54 Wis.Adm. Code each Private Onsite Wastewater Treatment System(POWTS) Shall Include information and procedures for maintaining the system within the parameters of SPS 383 and 384, and the conditions of approval by the department,agent, or governmental unit. The approved plans and permits for the system will be filed with the county zoning or health department. This management plan complies with SPS 383.54, Wis Adm. Code,the In-Ground Component Manual for Private Onsite Wastewater Treatment Systems(Version 2.0) SBD-10705-P(N.01/01)and the Pressure Distribution Component Manual (Version 2.0) SBD-10706-P(N 01-01) E-Z Flow Mound Component Manual (N. 06/03) Table 1: System Design Specifications ST*tary Permit Number Number of Bedrooms Na .Design Flow(GPD) 911 Soil Absorption Co m nent Sizes . ft. EISA Rating of 1500 s ._ ft. -Septic Tank Capacity Gal. 2000 PLaTp Chamber Capacity Gal. NA .Type of Wastewater Commercial At-Risk Table 2: Soil Absorption Component—Limits of Reliable Operation Septic Tank Component Soil Absorption Com nent Desi Flow-Peak(GPD) 911 911 Max. Influent Particle size NA 1/8 Inch Maximum BOD 5 (m g/1) NA 220 m i Maximum TSS (m g/1) NA 150 Maximum FOG NA 30 Table 3: Maintenance Schedule Septic Tank inspect and/or service once every 3 years Outlet Filter inspect annuail and clean as needed Pump Chamber NA Soil absorption Component Inspect dispersal cells annually to determine any evidence of effluent ponding. Septic Tank Second Effluent samples to be drawn annually to determine Com artment system performance._(See Detail in Management Plan Page 6 of 6 a,b,c,+d ' Semitic Tank The septic tank shall be maintained by an individual certified to service septic tanks under sec. 281.48,Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis.Adm.Code(Servicing Septic or Holding Tanks,Pumping Chambers,Grease Interceptors, Seepage Beds,Seepage Pits,Seepage Trenches,Privies,or Portable Restrooms). The operating condition of the septic tank and outlet filters shall be assessed at least once a year by inspection. The outlet filters 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 scum and sludge 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 an 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. Wastewater samules will be required to be drawn annually during the month of July due to the seasonality of the business to verify that the influent standards meet the sanitary design specifications.The test results shall be submitted to the designer,county sanitary department and the Department of SPS district wastewater specialist Pump Chamber Note: There is pump chamber proposed for this system proposal although a gap in the treatment train is provided for the installation of an anaerobic treatment unit and dose tank should they be needed. The pump chamber if present requires monitoring once every two years or the time of problem, complaint or failure.Inspection should include checking the dose rate,volume and frequency. Warning: The dose chamber may fill due to flow continuing during pump malfunction or power outages. One large dose when the power comes on or when the pump is repaired may cause the dispersal system to have problems. In this situation,the pump chamber should be pumped by a licensed pumper before pump cycling begins or other measures shall be used to dose the component with only the proper amount of influent. This may include manual operation of the PUMP controls until such time the pump chamber has reached its normal level. Septic tank and pump chamber 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 to the tank Page 6 of 6 a,b,c,+d Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under sec. 281.48,Stats. The contents of the septic tank shall be disposed of in accordance with NR 1135 Wis.Adm.Code(Servicing Septic or Holding Tanks,Pumping Chambers,Grease Interceptors, Seepage Beds,Seepage Pits, Seepage Trenches,Privies,or Portable Restrooms). The operating condition of the septic tank and outlet filters.shall be assessed at least once a year by inspection. The outlet filters 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 scum and sludge 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 an 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. Wastewater samples will be required to be drawn annually during the month of July due to the seasonality of the business to verify that the influent standards meet the sanitary design specifications.The test results shall be submitted to the designer,county sanitary - -department and the-Department-of SPS_district wastewater specialist. ___ Pump Chamber Note: There is pump chamber proposed for this system proposal although a gap in the treatment train is provided for the installation of an anaerobic treatment unit and dose tank should they be needed. The pump chamber if present requires monitoring once every two years or the time of problem, complaint or failure.Inspection should include checking the dose rate,volume and frequency. Warning: The dose chamber may fill due to flow continuing during pump malfunction or power outages. One large dose when the power comes on or when the pump is repaired may cause the dispersal system to have problems. In this situation,the pump chamber should be pumped by a licensed pumper before pump cycling begins or other measures shall be used to dose the component with only the proper amount of influent. This may include manual operation of the pump controls until such time the pump chamber has reached its normal level. Septic tank and pump chamber 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 to the tank Page 6 of 6 ab,c,+d Warning: No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment or holding tank may contain lethal gases,and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be accordance with SPS 383.33,Wis Adm.Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept commercial wastewater from a commercial facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection annually. Lateral turn ups(used in pressurized systems)are provided at the ends of the laterals for the purpose of flushing the lines of any solids. Flushing these lines should be done every 18 months. The inspection shall include recording levels of ponding,if any, in the observation pipes, and visual inspection for any evidence of surface discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary,but is difficult or impossible to repair until weather conditions improve. In general,soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell,which may lead to more intense,and earlier,clogging of the soil. Planting of deep rooted trees and shrubs directly over or within 10 feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Contingency Plan In the case of septic or dose tank component damage,measures shall be taken to repair or replace the tanks to there original operating condition. With favorable results from both the visual inspection of the sanitary system components and the wastewater sampling results for a period of three years,may allow further testing to be completed on a biannual basis with concurrence by both the state and county oversight staff to reduce maintenance costs. t Page 6 of 6 ab,c,+d ' Should the wastewater sample results of the annual inspection exceed the sanitary system second test will be required to be taken within 10 days.If this sample also parameters a s design e exceeds the influent quality requirements the testing protocol will continue based on SPS 383.44(2)b requirements.Then once all of the sampling is complete based on the average wastewater strength an aerobic treatment unit will be required to be installed to bring the effluent quality back within design standards. Note:In order to apply highly treated wastewater(Highly treated wastewater is treated to below 30 mglL of BOD5 and TSS)to the dispersal cells a pressure distribution network will be required to be installed within the EZ-Flow Media.If ponding of effluent was documented within the dispersal cells the inspection schedule should be increased to quarterly after the aerobic treatment unit has been installed and until the ponding has ceased.The addition of highly treated wastewater to the dispersal cells typically removes any clogging mat that may have started preventing the replacement of the dispersal cells . Failure to address to the high strength wastewater entering the dispersal cells will cause premature failure to the dispersal cell component and will add additional costs to bringing your sanitary system back into compliance. I would recommend the installation of a water meter onto the water services for the new banquet/ reception hall and the existing golf course club house area as documented metered flows are valuable data when used to size future aerobic treatment units and sanitary system dispersal areas. The use of metered flows have historically been more economical than using the flow rates required within Table 4 of the Public Facility Wastewater Flows,found within the Safety and Professional Services Component Manuals and Appendixes. Com onent Owners Contact List Jeff Fox /Plumber 715 755-2461 St. Croix County Zonin 715 386-4680 Wieser Concrete Products Maiden Rock WI 800 325-8456 Septic Pumper Ron's Sewer Service 715 749-0153 POWTS SERVICING AGREEMENT 8 Tx:4174865 5 For At-Risk Wastewater Producing Facilities per DSPS HSW Policy 992692 BETH PABST Agreement Date Plan Transaction Number REGISTER OF DEEDS a SPY ST. CROIX CO., WI RECEIVED FOR RECORD PropertyOwner(s) Troy Burne LLC 02/18/2014 4.04 PM EXEMPT #: Legal Description of Property REC FEE: 30.00 Oudot 2-of Troy Village NE114-SE114 Sec.24 T28N-R20W Township of Troy in St.Croix County PAGES: 1 Parcel 1D#040-1251-20-000 Return to Troy Bume LLC 295 Lindsay Rd.Hudson WI 54016 As an inducement to the County of St. Croix to issue a sanitary permit for a Private Onsite Wastewater Treatment System considered being At-Risk pursuant to the Department of Safety and Professional Services(formerly Department of Commerce) High Strength Wastewater Policy of April 1,2009,the property owner agrees to do the following: 1. The owner agrees to conform to all applicable requirements of Chapter SPS 383,Wisconsin Administrative Code, relating to the maintenance requirements for the proposed POWTS. 2. Under the Department of Safety and Professional Services(formerly Commerce)HSW Policy,At-Risk POWTS are required to be monitored to detect early signs of failure. The management plan shall provide for inspections and evaluation of the performance of this system on a twelve month,or less,basis by a person qualified to conduct them; in addition,a Service Contract as per SPS 383.52(1)(c)is required to be executed. 3. The owner or the owner's agent agrees to submit the required inspection reports to the governmental unit,Burnett County,within 30 calendar days of the date of the inspection in accordance with SPS 383.55(20). 4. In the event that this soil absorption system,or any of its component parts,malfunctions in any way,the owner must follow the contingency plan described in the approved plans for the design and operation of this POWTS. 5. This agreement will remain in effect only until the governmental unit responsible for the regulation of POWTS certifies that the property is no longer served by the system. In addition, this agreement may be canceled by executing and recording said certification with reference to this agreement in such a manner that will permit the existence of the certification to be determined by reference to the property. 6. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the Register of Deeds in a manner that will permit the existence of the agreement to be determined by reference to the property where the At-Risk Private Onsite Wastewater Treatment System is installed. Owner Name(s)(print) Subscribed and sworn to before me this date: Gary Sauer a � Notari d er(s) ' ature No atu ommission expires: JOHN B.Clv9TTI: * * MY COMMISSION t EE 029972 EXPIRES:October 19 2014 Drafted by: Keith E.Stoner St.Croix County 992692 Page 1 of 1 i AT- POWTS Servicing Contract Contract Date: 01 h?) This contract is made between the Owner of the At-Risk POWTS and a licensed Service Provider AT-Risk POWTS Owner(s)Name(s) Service Provider Name(s) Troy Burne LLC Jeff Fox Contracting&Septic Owner: Gary Sauer Owner:Jeff Fox We acknowledge the installation of a Private Onsite Wastewater Treatment System considered being At- Risk pursuant to the Department of Safety&Professional Services(formerly Commerce)High Strength Wastewater Policy of April 1,2009,on the following property: Site Address: 295 Lindsay Road Hudson WI 54016 Legal Description: Parcel in Outlot 2of Troy Village located in the NEIM of the SEl/4 Sec.24 T28N- R20W Town of Troy in St.Croix County Parcel I.D.Number: 040-1251-20-000 State Plan Transaction Number: • The Owner agrees to file a copy of this contract required under the provisions of SPS 383.52(1) (c)with the governmental unit responsible for the regulation of POWTS,Burnett County. • The Owner agrees to have the At-Risk POWTS monitored to detect early signs of failure on a twelve month,or less,basis,in accordance with the management plan approved under the above referenced State Plan Transaction Number and the Sanitary Permit subsequently issued by the governmental unit,Burnett County. • The owner,or owner's agent,agrees to submit the required inspection reports to the governmental unit,Burnett County,within 30 calendar days of the date of the inspection in accordance with SPS 383.55(20). • This agreement will remain in effect until the owner or service provider terminates this contract. In the event of a change in this contract,the owner agrees to file a copy of any changes,or a copy of a new service contract,with the governmental unit,Burnett County,within ten(10)days of the date of the change,or execution of the new service contract. Owner(s)Name(s)(print) Own�nature s) Gary Sauer Service Provider's Name(s) Service Provider's Signaturel Jeff Fox V' Service Provider(s)Credential Number: MPRS#223242 " . ST, C R O �iTY Land ion z planning Land Information Resource Management Community Development Department January 10,2014 WI Dept. of Safety and Professional Services Safety and Buildings Division 3824 N Creekside Lane Holman,WI 54636 RE:Troy Burne Golf Course, 295 Lindsay Rd,Section 24,Township 28,Range 19W,Town of Troy,Outlot 2. Dear DSPS: As per the Wisconsin Department of Safety and Professional Service Policy"Processing High- Strength Wastewater POWTS Plans April 2009"St.Croix County will accept additional oversight of the above mentioned property provided the owner/plumber submit the following items: 1. A detailed management plan that addresses:water usage in the building,waste disposal, the required aggressive(12 month)system monitoring,wastewater sampling if extended ponding is documented,and the potential requirement for installation of an Aerobic Treatment Unit if wastewater samples indicate the presence of high strength waste. 2. An affidavit is recorded with the deed indicating the 12 month monitoring schedule for the life of the system. 3. A two year contract with a person qualified to perform the 12 month monitoring.. If you have any questions feel free to call me at 715-386-4680. Sincerely, /Rgton N Ryan Yard Land Use Technician Cc: Keith Stoner(Plumber) Troy Burne Golf Course(Owner) File Phone 715.386.4680 Government Center,1101 Carmichael Road,Hudson, WI 54016 Fox 715.386.4686 www.sccwi.us/cdd www.facebook.com/stcroixcountvwi cdd0co.saint-croix.wi.us y ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Troy Burne, LLC Mailing Address 295 Lindsay Road Property Address 295 Lindsay Road (Verification required from Planning&Zoning Department for new construction.) City/State Hudson, WI Parcel Identification Number 040-1251-20-000 LEGAL DESCRIPTION Property Location NE '/ , SE 114 , See 24 'T 28 NR 20 W,Town of Troy Village 6th Addition Subdivision Plat:06-089-Troy Village ,Lot# OL2 Certified Survey Map# ,Volume , Page# Warranty Deed# $94807 (before 2007)Volume , Page# Spec house ElyesClno Lot lines identifiable Oyes[]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 ASPS.383.52(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 owncr and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying that(1)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 Safety And Professional Services 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. 1/we certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s)of the property described above,by virtue of a warranty deed recorded in Register of Deeds Office. WV -0f ®vials- DWF 911 Gals. SIGNATURE 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.04/12) ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Troy Burne, LLC Mailing Address 295 Lindsay Road Property Address 295 Lindsay Road (Verification required from Planning&Zoning Department for new construction.) City/State Hudson, WI Parcel Identification Number 040-1251-20-000 LEGAL DESCRIPTION , Sec. Property Location '/a, '/a NE SE 24 , T 28 N R W, Town of 20 Troy Village 6th Addition Subdivision Plat:06-089-Troy Village o�2 Lot# Certified Survey Map# ,Volume , Page# Warranty Deed# 894807 (before 2007)Volume , Page# Spec house Dyeslno Lot lines identifiable Dyes[]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§SPS.383.52(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(1)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 Safety And Professional Services 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. I/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 warranty deed recorded in Register of Deeds Office. Numb of bedrooms q SIGNATURE 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.04/12) 41 SOIL EVALUATION REPORT r 1�, z L #1163 ,,�$ �o la, Page 1 of 5 ' , Department of Safety and Professional Services ❑ �M� Division of Safety and Buildings Keith E.Stoner in accordance with Comm 85,Wis.Adm.Code Attach complete site plan on paper not less than 8%x 11 inches in size. Plan must St.Croix include,but not limited to:vertical and horizontal reference point(BM),direction and arcel percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 12 -2 0 Please print all information. �O S R v' By Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04 Property Owner Property Location 0 C Troy Bume LLC Govt.Lot FV 4, E1/4,S24,T28N, R20W Property Owner's Mailing Address Lot# B�ock Su a o r CSM# 295 Lindsay Road OL2 Troy Vi Troy Bume Golf Club City State Zip Code Phone Number ❑ City ❑Village ® Town Nearest Road Hudson WI 1 54016 1 651-982-9042 Troy 1 295 Lindsay Rd. ❑New Construction Use: ❑ Residential/Number of bedrooms Code derived design flow rate 911 GPD El Replacement ® Public or commercial-Describe: Banquet Hall(See Attached) Parent material Glacial Outwash Flood plain elevation,if applicable Na ft. General comments Propose 3 dispersal cells 3'x 100'using a.625 Wand EZ-Flow Media.Center the 1 st.cell over the 97.00'contour w/a S.E.of and recommendations: 91,80'.Place the 2nd cell over the 96.40'contour w/a S.E.of 91.20',lowest cell over the 95.50'contour w/a S.E.of 90.19 a Boring# ❑Boring ®pit Ground surface elev. 97.00 ft. Depth to limiting factor >124 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. 'Eff#1 •Effn 1 0-12 10YR3/2 sil 2msbk ICE Cs 3f-m 0.6 0.8 2 12-25 10YR3/4 sl 2fsbk mvfr gs 2f-co 0.6 1.0 3 25-39 10YR4/4 c2d 5YR5/8 sil imsbk mvfr gs 2f-m 0.4 0.6 4 39-50 10YR4/4 Is Osg ml gs if-m 0.7 1.6 5 50-124 10YR5/4 ( s Osg ml --- --- 0.7 1.6 B'e'tween 8+12 inches of frost.2 foot rule to be applied because of redox features in silt cap.Note Hand Auger used in B#1-3 from approx.88-124" F2 Z]Boring# Boring L ®pit Ground surface elev. 96.50 ft. Depth to limiting factor >120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 1 0-12 10YR3/2 A 2msbk ICE CS 3f-m 0.6 0.8 2 12-18 10YR3/4 sl 2msbk mvfr gs 2f-co 0.6 1.0 3 18-32 10YR4/4 sil 2EEsbk mvfr gs 2f-m 0.6 0.8 4 32-50 10YR5/6 c2d 5YR5/8 sil lm ml gs if-m 0.4 0.7 5 50-120 10YR5/4 s ml --- — 0.7 1.6 Between 10-14 inches of frost.2 foot rule to be applied because of redox features in silt cap.Silt cap ranges from 28 to 50"thick Effluent#1 =BOD 5>30<220 mg/L and TSS>30<150 mg/L `Effluent#2=BOD5 s30 mg/L and TSS<_30 mg/L CST Name(Please Print) Signature: CST Number Keith E.Stoner 224059 Address Keith E.Stoner Date Evaluation Conducted Telephone Number 23220 Wood Creek rd.Siren,WI 54872 1/3/2014 715-653-2324 SBD-8330(Rl1/11) Property Owner Troy Burne LLC Parcel ID# 040-1251-20-000 Page 2 of 5 ❑ 3 Boring# ❑Boring Pit Ground surface elev. 94.70 ft. Depth to limiting factor >123 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMF in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-8 1OYR3/2 sil 2msbk ICE Cs 3f-m 0.6 0.8 2 8-23 10YR3/4 sl 2abk mvfr gs 2f-co 0.6 1.0 3 23-32 10YR4/4 c2d 5YR5/8 sil lmsbk mvfr gs 2f-m 0.4 0.6 4 32-38 10YR4/4 Is Osg ml gs 1f-m 0.7 1.6 5 38-123 1OYR5/4 s Osg ml --- --- 0.7 1.6 Between 3+6 inches of frosL1 foot rule to be applied because of redox features in silt cap. F ❑Boring 4 Boring# Pit Ground surface elev_ 100.70 ft. Depth to limiting factor >100 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Efl#1 *Eff#2 1 0-9 10YR3/2 sil 2msbk ICE Cs 3f-m 0.6 0.8 2 9-22 10YR3/4 A 2fsbk mvfr gs 2f-co 0.6 0.8 3 22-34 10YR4/4 c2d 5YR5/8 sil lmsbk mvfr gs 2f-m 0.4 0.6 4 34-52 10YR4/4 Is Osg ml gs 1f-m 0.7 1.6 5 52-100 10YR5/4 s Osg ml -- --- 0.7 1.6 Between 8+12 inches of frost.2 foot rule to be applied because of redox features in silt cap. #4+5 w/inclusions of sl Boring adjacent to existing system. E]Boring Fs-1 Boring# ®Pit Ground surface elev. 93.40 ft. Depth to limiting factor 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-30 10YR3/2 Fill sil 2msbk ICE Cs 3f-m 0.6 0.8 2 30-50 10YR5/4 sil 2fsbk mvfr gs 2f-co 0.6 0.8 3 50-64 10YR4/4 c2d 5YR5/8 sil lmsbk mvfr gs 2f-m 0.4 0.6 4 64-74 10YR4/4 sl lmsbk ml gs if-m 0.4 0.7 5 74-96 10YR5/4 s Osg ml --- --- 0.7 1.6 8 inches of frost.Site may be suitable for a mound system pending approval of site by the State Wastewater Specialist *Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD5<30 mg/L and TSS<30 mg/L The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to access services or need material in an altemate format,contact the department at 608-266-3151 or TTY through Relay. VnN4.C C'Mw... , 0) [ Y C� " eD , w , T A th L r, syt Y y_ ✓ � f %� 14p �� �' MY �.bn��, ��q �'�'k^ e� •"�"� III � r ST. C X " ''` LI N T Y Planning&Land InforLand Use mation Resource Management Community Development Department January 10, 2014 WI Dept. of Safety and Professional Services Safety and Buildings Division 3824 N Creekside Lane Holman, WI 54636 RE: Troy Burne Golf Course, 295 Lindsay Rd, Section 24, Township 28, Range 19W,Town of Troy, Outlot 2. Dear DSPS: As per the Wisconsin Department of Safety and Professional Service Policy "Processing High- Strength Wastewater POWTS Plans April 2009" St. Croix County will accept additional oversight of the above mentioned property provided the owner/plumber submit the following items: 1. A detailed management plan that addresses: water usage in the building,waste disposal, the required aggressive (12 month) system monitoring, wastewater sampling if extended ponding is documented, and the potential requirement for installation of an Aerobic Treatment Unit if wastewater samples indicate the presence of high strength waste. 2. An affidavit is recorded with the deed indicating the 12 month monitoring schedule for the life of the system. 3. A two year contract with a person qualified to perform the 12 month monitoring. If you have any questions feel free to call me at 715-386-4680. Sincerely, Ryan Yarri gton Land Use Technician Cc: Keith Stoner(Plumber) Troy Burne Golf Course (Owner) File Phone 715.386.4680 Government Center, 1101 Carmichael Road, Hudson, Wi 54016 Fax 715.386.4686 www.sccwi.us/cdd www.facebook.com/Stcroixcountvwi cdd@co.saint-croix.wi.us i+ri w is 3.023 ACRES BM39. .,4 �`' 9 100, 131,697 S.F. , �'" ¢ z ul NORTH LINE OF THE SW i/4 OF THE SE 114 v> S 89;1 35 W ©0 _ 0 , 335.31' N; 3,252 ACRES `' ' . q 4„ 100' 141,658 S.R. t.,l b cv gQab / :�•- DRAINAGE EASEMENT d :_f L12 S -. ................... 418.68' _ 148.8 51 - f ' S 89°17' 35" W 567153' _ 3.216 ACRES � 3 / /S Z3 V,6') c� D We f a