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040-1157-20-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 574331 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: McCabe Homes Inc., c/o Tom McCabe Tro , Town of 040-1157-20-000 CST BM Elev: Insp.BM Elev: BM Description: !! _ � Section/Town/Range/Map No: c) /�� G> Sp !,'�-�rt,t.l,' ✓hAi,*.Y( 6- e&u-a,� 24.28.20.614D TANK INFORMATION ELEVATION DATA TYPE MANUFACTPRE13 CAPACITY STATION BS HI FS ELEV. I Septic Ben' chmark .� Dosing Alt. BM bCi ; L It 3 ve✓ , 5 w i ` Irk —� � -- Y `5 I & — i w, � Aeration Bldg.Sewer i 3a^ C C Holding St/�tTrii t o ..,>V Y e e ' r -3 I d d St/Ht Outlet cj ,0 1662h - �0 TANK SETBACK INFORMATION — � '� 7 TANK TO P/L WEsk BLDG. V Air Intake ROAD Dt Inlet Septic / �/ % /� / L l- ayr ) I Dt Bottom .n LL- Dosing PVC L V, eader/Man./u i / Tt-f Aeration ' CC- Dist. Pipe -. V r• Z Holding Bot.System ib"� 3 Final Grade ! PUMP/SIPHON INFORMATION "`L�'2 �- - 2, • C.? Manufacturer Demand St Cover / -y1 CA,) Model Number I TDH Lift Friction S stem Head TDH Ft / �, k, 1' 6'y-, Forcemain Length Dia. Dist.to Well SOIL ABSORPTION SYSTEM /5 / /'�-/ f I -- BED/TRENCH Width Length r No.Of Trenc s PIT DIME SIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS �� r JJ SETBACK SYSTEM TO P/L BLDG ELL) LAKE/STREAM LEACHING M, ref: / INFORMATION AMBERO - t'f{ �1' G Typt;Of System: r Model Number: DISTRIBUTION SYSTEM i�,X -� �' 1rr� ,] _�G� i,� �7 fvc ('Header/ nifold / Distributionr r r f �CI r Ix e Size x Hole Spacing e t to Air Intake Length / Dia Length Dia Spacing J SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over n/ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedrrrench Center I �� Bed/Trench Edges Topsoil Yes n No Yes ,' No 3s . COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: Inspection#2: Location: 236 Longview Trail Hudson,WI 54016(Gov't Lot 2 24 TZ8N R20W) NA Lot 2 R"` Parce No: 24.28.20.614D 91$1/V - fob 1.)Alt BM Description= 7n L►ls � i " 2.)Bldg sewer length= 1 V , -amount of cover= Z� Cr.�X:v� Plan revision Required? Yes No C^ I 9 1 T Use other side for additional information. (_ � _�____j _ - l J -- Date Insepctor's Signatu Cert.No. SBD-6710(R.3/97) I �%'J'l S T I�7wrv��lti,c I 'OPAY Ilk r 3 h eat Lit IC IIL 1 U� Z C C` N 9 r � , Safety and Buildings Division County 201 W.Washington Ave.,F.D.Box 7162 ISO t Madison,WI 53707-7162 Sanitary Permit Number(to be f !in by Co. Dopartmenit at�itet /I IF 1n L AL AL naw Sa lk IV mit Appiie n State Transaction Nurr�Y In accordance with s,Comm. ?,Adm.Code,submission of this form to the approp mental unit is required prior to nng a sanitary permit. Note: Application forms for state-owned POWTS are Project Address(if different than trailing address) submitted to the Department of Commerce, Personal information you provide may be used for secondary purposes in accordance with the Privacy Law,s.1 5.040)(m),Stats. 4 d U ,'G Q� 4W I. Application Information--Please Print All IM'ormation Property Owner's Name Parcel# M< Ctzh e Ale"V4 e o yi� 1(S' 7-,2CIr Ud© Property Owner's Mailing Address Property Location 3 S- s- e N .v Govt.Lot 21 _ city,State zip CodV Phone Number Al-116. W y,,, Section_ f_ ctrcle one 'O _ 6 k T YY1 mot/ Jrsf� 3 T 2 N; R Q� E or II.Type of Building(check all that apply) Lot# K1 or 2 Family Dwelling--Number of Bedrooms� _ Subdivision Name Block# El Public/Commercial-Describe Use - ❑Ciry of LI State Owned-Describe Use CSM Number ❑Village of 5 3116?a0 Town of 7Y O 3:Z q III.T ' (Check only one box on line A. Complete line B If applicable) A ew System ❑Replacement S stem ❑Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System(explain) List Previous Permit Number and Date Issued R. ❑Permit Ranewa errrtit Revision ❑Change of Plumber ❑Permit Transfer to New -7 T -3 3 / Before Expirati Owner IV.Type of POWTS S e om onent/Device: Check all that apply) UNon-Pressurized In-Around ❑Pressurized In-Ground ❑ At-Grade ❑Mound?24 in.of suitable soil ❑Mound<24 in.of suitable soil El Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatment Device(explain) V.Dispersal/Treat meatArealnformakion: e3 61141c 1 t' S' e--9XQC dle <-s' lye Z/ L 7. 3SI Design Flow(gpd) Design Soil Appltontion Rau{gpdsf) Dispersal Ama Requdred(sf) Dispersal Area Proposed(sf) System filevanon S de;e VI.Tank Info V Capaeixy in Total #of Manufacturer o Gallons Gallons Units New Tanks Emoting Tanks `" a P U as m n C, C7 P. Septic or Holding Tank x f Z .2 gin ..e y,e-v Dosing Chamber VII.Res onsibility Statement-I,the undersigned,assume responsibility for iastalkttiou of the POW T3 on the attached plans. Plumber's Name(Print) Plumber's Signature M PRS Number Business Phone Number e7,7 9 Plumber's Address(Street,City,State,Zip Code) V_III. uu /De artment Use Only proved Disapproved Permit Fee �V T sued suing A nt Si lure z gs`' o I ❑Owner Given Reason for Denial IX.Conditions of Approval/Reasons for Disapproval _5 -d -- �� a d A aeb to complete plant forre system and submit to tb ou only an paper not tars than a /Z:A 1fiftes In sire SH13-6398(R.02/09) Acre S�'/ .33 �� s�c .?Y mew -,rA. dip "O J. r e 611 l� J+ J C C �e✓L. 09/10/2014 12:45 FAX 715 248 7764 A C E SOIL & SITE EVAL. 0 001 RECEIVED A.C.E. Moil & Site Evaluations SE P s-r.CRCM CouraTY James K.Tumpsom 840 Paulam tilts Lab Osceola,W1 54020 (715) 24&7767 To: St.Croix_ ounty Zoning-Attn: Pam Quinn fax# 715-386-4686 From: Jim Thompson Date: September 10,2014 #pages including cover sheet: 4 If fax is incomplete or illegible,please contact Jim Thompson at telephone number listed above. Pam: Attached is the Soil Evaluation Report for the Marrow property that Bill Schumaker is working on in the Town of Troy. e give me a call if you have any questions or concerns. F ks, 09/10/2014 12:45 FAX 715 248 7764 A C E SOIL & SITE EVAL. Z002 2371 SOIL EVALUATION REPORT Page 1 of Wisgonsin Department of A.C.E.Soil 6 site Evaluations Commerce in accordance with Comm 85,Wis.Adm.Cod4 County Attach complete site plan on paper not less than 81A x 11 Inches In size. Pla St.Croix Include,but not limited to:vertical and horizontal reference point(8M),directio parcel I.D. percent slope,scale or dimemsiona,north arrow,and location and distance tc -1157-20-000 Please print all Inlor>natlon. Reviel ed . Dat uI Personal Wormation you provide may be used for secondary purposes(Privacy Lew,s. /v Property Owner Property Location E,Gina Marrow Govt.Lol 114 SW 1/4 S 24 T 28 N R 20 W Jahn property Owners Mailing Addresf Lot# Block# Subd.Name or CSM# 236 Longview Trail 2 na I CSM Vol.2, Pg.329 City State Zip Code Phone Number Gity ; Village ✓' Town Nearest Road Hudson WI 1 54016 1 Troy I Cove Lane New Constructior use: ✓..' Residential!Number of bedrooms 4 Code derived design now rate 600 GPb ...` Replacement Public or commercial-Describe: Parent material Glacial Outwash Flood plain elevation,H applicable na General commenfE and re commendations: Soils suite E fet-eernr dispers 1 at 0.7 gpd, iinfittrative surface elev's to be 30"-52"below grade, Rec. em elev's a 86.0',87.5'&89.0'. I 1 1 Boring# flaring X108" in. Soil Appikation Rat II�=..1J ✓': Pit Ground Surface etev 92.48 ft. Depth to limiting feeler Horizon Depth Dominant Redox Descrlption Texture Gr.Structure Conslstence Bounder Roots •t:f GPD/fe in. Color Qu.Sz.Cont.Colo 1 0-5 10yr2/2 none sil 2fgr mvfr cs 3fm,1C FO.6 0.8 2 5-16 1Oyr4/4 none sl 2msbk mfr Cw 2fmc .6 1.0 3 16-27 7.5yr4/6 none gr sl 2msbk mvfr cvy 2fm1 c .6 1.0 4 27-38 7.5yr4/6 none Is Osg ml Cw 1fm 0.7 1.6 5 38-86 1Oyr4/6 none s Osg di gs 1f 0.7 1.6 6 86-108 1Oyr5/4 none s Osg dt - - 0.7 1.6 FBoring# Soring fir, Pit Ground Surface elev 92.00 ft. Depth to limiting factor >111" in. Soil Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Bounder Roots "Eff#GPD/T In. Color Qu.Sz,Cont.Colo Gr.Sz.Sh 1 0-6 1Oyr2/1 none sil 2fgr mvfr cs 3fmc 0.6 0.8 2 6-13 1Oyr414 none sl 2msbk mfr aw 2fmc 0.6 1.0 3 13-23 7.5yr4/6 none gr Is Osg ml cw 2fm1c 0.7 1.6 4 23-42 1 Oyr4 16 none gr cas Qsg di cw 1fm 0.7 1.6 5 42-72 1Oyr5/6 none 6 Osg dl gs 1fm 0.7 1.6 6 72-11 1Oyr5/4 none s Ogg dl - - 0.7 1.6 -Effluent#1 x SOD e-30 z_220 mg/L and TSS X30< 50 M9 •Effluent#2=SOD 6�30 mg/L and TSS zaO mg, Si natu CST Number CST Name(Please Print) 9 James K.Thompson s- 3a Address Site Evaluations Date Evaluation Conducted Telephone Numbet Add A.C.E.Soil 1; 9/9/2014 715-248-7767 340 Paulson Lake Lane,Osceola, 154020 09/10/2014 12:45 FAX 715 248 7764 A C E SOIL & SITE EVAL. 0 003 Property Owner John&Gina Marrow Parcel 1[)# 040-1157-20-000 Page 2 of 3 Wring 3 t3oring# Bo ✓i Pit Ground Surface elev 82.67_ft, Depth to limiting factor >103" In. Soil Application Rat Horizon Depth Dominant Redox Description Texture StructuN ConsAstence Bound2T Roots PDA In. Color Qu.Sz.Cont.Colo Gr.Sz,Sh 'Eff#1 Effil 1 0-6 1Oyr211 none sil 2fgr mvfr cs 3fm2c 0.6 0.8 2 6-24 10yr4/4 none grsl 1rnabk mfr ew 2fm1c 0.4 0.7 3 24-30 7.5yr4/6 none gr Is 03 ml ow 1fm 0.7 1.6 4 30-88 1Oyr4/6 none a Dag dl Cw 1fm 0.7 1.6 5 88-103 1Oyr5/4 none s Osg dl - - 0.7 1.6 a Boring# ei. Boring ✓; pit Ground Surface elev 8752 ft. Depth to limiting factor >101" in. Sod Application Rat Horizon Depth Dominimt Redox Description Texture Structurc Consistence Boundar Roots in. Color Qu.Sz.Cont.Colo Gr.Sz.Sh *1- 1 -Eff#2 1 0-5 1Oyr312 none I 2fgr mvfr Cs 2fmc 0.6 0.8 2 5-18 1Oyr4/4 none sil 2fsbk mfr Cw 2fmc 0.6 0.8 3 18-26 7.5yr4/4 none gral lesbk mvfr ow lfmc O.4 0.7 4 26-39 7.5yr4/6 none gr Is Dag ml cw 1fm 0.7 1.6 5 39-81 1Oyr4/6 none 6 ass dI gs - 0.7 1.6 6 81-101 1Oyr514 none s NO dl I - 0.7 1.6 E] Boring# Boring Pit Ground Surface elev ft. Depth to limiting factor In. Soil AppNcatlon Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Beundar Roots GPD/ft' In. Color Qu.Sz,Cont.Colo Gr.Sz.Sh -Eff#1 -Eff#2 Effluent#t1 =BOD 30<220 mg/L and TSS a30 a 150 mg -Effluent 92 as SOD S-S20 mg/L and TSS<3_0 mg. The Department of Commerce is an equal opportunity service provider and employer. If you need Assistance to accesn services or need material in an alternate format,ploasc contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330(R.07 100) A.C.E.SWI&Sits EvaluaWns 09/10/2014 12:45 FAX 715 248 7764 A C E SOIL & SITE EVAL. Q004 � sAYc✓a1�E��a� .,nee aar• • Z5"%s✓sf. &-E by Aid;" A6 A:KG A34�✓%"� Lot Cro ba;�o,2-GO ac.�s O r r � / 03 r � / _ ` 9i � �bru►s�� . • �l � 4JC • B.u.« Kiss deft N. Assk.KCd i is✓. ico.a�: 44P ioe =9r • r a. R 8 W3 PAID eommerq_* Safety and RaiWags I)Msion County 201 W.Washington Ave.,P.O.Box 7162 _j�' y- r` s V Qn�'n 1 Madison,WI 53707-7162 Sanitary Permit Number(�fille�d in by Co.) t1i e pairtment of Gom Sari �Code_ Application State Transaction Number In accordance with s.Comm.83.2 j1 iasian of this form to the appropriate governmental unit is required prior to obtairAN sanitary permit Note: Application forms for state-owned POWTS are Project Address(if different than mailing address) submitted to the Department of Commerce, Personal information you provide may be used for secondary purposes in accordance with the Privacy Law,s.15.040)m Stats. 3 I. Application Information-Please Print All Information Property Owners Name Parcel# C ✓ QVYe—/1,5-7 Property Owner's Mailing Address property,Location (,&t , I T h-z .0 Govt Lot 2 . 1 City,State Zip C Phone Number ±"J r , Z y 1 _/+,�'�L/,, Section jS d� 3 (circleone�. II.'Type of Building(check all that apply) /C Lot# T .2 N; R�w _E or(,W/ 9.1 or 2 Family Dwelling-Number of Bedroor 1 7 Subdivision Name o�l Block# /A /� ❑Public/Commercial-Describe Use / ❑City of ZQ 0 ❑State Owned-Describe Use CSM Number f ❑village of Town of III.Typh.of:Perm ' (Check only one box on line A. Complete line B if applicable) New System ❑Replacement System ❑Treatment/Ilolding Tank Replacem nt O ng S (explain) 11. El Permit Renewal ❑Permit Revision ❑Change of Plmnber ❑Permit Transf LPrmi NAbr and sued Before Expiration Owner PEIS S em/Coen onent/Device: Check all that a l Non-Pressurized In-Ground ❑Pressurized In-Ground t-Grade ❑M >24 in.of suitable i Mound<24 in.of suitable soil Holding Tank Other Dispersal Component(explain) ea P eaten t Device(explain) V.Dispersal/Treatment Area Information: 19 3 e-Z"":2 k e2okl 3 C7 ` e- c_A, G Design Flow(gpd) Design Soil Application Rate(gpdsf) I isperse Area Required(s Dispersal Area Pr osed(sf) System Elevation G �a e l X57 G I7 r-9E.G .t-q��-3-��•6 VI.Tank Info Capacity in Total #of Manufacturer Gallons Gallons Units c a New Tanks Existing Tanks � a r7 a Septic or Holding Tank X• � � ,_���� Dosing Chamber I l k— SZS VII.Responsibility Statement-1,the undersigned,assume responsibility for installation of the OwT wo on the attached plans. Plumber's Name(Print) Plumber's Signature MP PRS Number Business Phone Number ZV, '14 -.111 $: � Plumber's Address(Street,City,State,Zip Code) lU-7p ,Q �, c ' or VI Coon /De artment Use Only Approved ❑Disapproved Permit Pee Te wing Agent igna ❑Owner Given Reason for Denial $ �� IX.Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: y-��, U � 1.Septic tank,effluent filter and �/ G �''�/�rL/ dispersal cell must be serviced/maintained r0 yIJJ*&n"Je11 and submit to a County only on paper not teas than g In x 11 Inches is size 2.All setback requirements must be maintained as per applicable code/ordinances. SBD-6398(R.02/09) h ri A a u �U 4 /mad y � CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: a C Owner's Name: Owner's Address: T 3� /'S Legal Description: dl 40% StJ Township: n A County: _S7T G y 6 1 h Subdivision Name: Lot Number. Parcel ID Number: ^7 " �d Page 1 index and title Page 2 Plot Plan Page 3 System Sizing &Cross-Section / Page 4 Filter Specs T01/ 4 SZ S Page 5 Maintenance Information Page 6 Management Plan '/ Page 7 St. Croix Cty Septic Tank Maintenance Form Page S Warranty Deed Page 9 %CSM or Plat Attachments; Soil Test&House Plans Designer/Plumber: �l;r�m �, Er�t- License Number: 7g9d Date: 7 Phone Number Signature Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBO-10705-P(N.0€101). Page 1 r a �I � N ^Q Q kA cis ,. 74 O 1 N 4L 40 . � .?2 3L. �.PN C y � 0 e4c-) bb � a T � a h 0 � ti Q a � I Soll Absorption Systgm Cross Section 4"Schedule 40 Final Grade PVC Vent Pipe With Vent Cap es!• ft Leaching ♦„ , 4 Chamber ft System Elevatlon ft �2 f? ft SoitAbsorption§Iatem Pl#n View Lo�.ft ft 'L ft Leaching Trench 1 Chy 4"Die. Trench 2 Header Vent Or Observation Pipe MUM I i Trench 3 Leachina Chonbe S/peci_flica ona f I q�t� Manufacturer And Model Ala- ✓ sy ��'� -+�c�/ EISA Rating--,;-70 _sq ft per chamber Sol]Application Rate _gpd/sq ft GfJ gpd Design Flow: .7 Soil Application Rate a d EISA= 5' Chambers 3 rows of chambers each. Page of PROPERTY OWNER SOIL DESCRIPTION REPORT 2 3 PARCEL I.D.# G 6 Z Page,- of Boring# Horizon Depth Dominant Color Mottles Structure 2 In. Munseli Qu.Sz.Cont.Color Texture Consistence Boundary Roots al Bed .Trench Z z �o .S/G / s6 — Ground M/I aS . Z- .3 elev. 3 Q s • 1 ' .g /a3.�tt. _ Depth to limiting factor Remarks: Boring# °" /o LS /,h, Sri v� CS . 7 •g KI —•/0 le Yle 31& ZIM 7 o Ground elev. 10% lift. Depth to limiting factor In. 7 �n. 7 jJ Remarks: Horizon Depth Dominant Color Mottles Structure P e Texture Consistence Boundary In. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. ry Roots Boring# Bed ,Trench 0 — ,L -12, lo 3/ _ GS / o � . 7 . Ground elev. Depth to limiting factor f(ejn. Remarks: /Bo'riing# Ground elev. tt. Depth to limiting L I=L factor in. Remarks: SBDW-8330(R.08/95) t ,} 5 1 Wisconsin Department of Industry, SOIL AND SITE EVALUATION 3 Labor and Human Relations age ;of Division of Safety and Buildings in accordance with s. ILHR 83.09,Wis. o STx►r��Et� A� • Attach complete site plan on paper not less than 81/2 x 11 Inches in size. Plan must Count' s.-r. I k Include,but not limited to: vertical and horizontal reference point(BM),direction and percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D.# APPLICANT INFORMATION- Please print all Information. Re Date Personal information you provide may be used for secondary purposes(Privacy s.15.04(1)(m)). Propertv Owner Property Location Govt.Lot 1/4 J`W 1/4,S ly T L0 ,N,R 2-0 E(0 Property owl g Address Lot# Block# Subd.Name or CSM# Z �Goa..� � �� Z CS•�l 33fo�<o/ Ud/. �- Pj • .3 y City State Zip Cod Phone Number 2-Town Road !f vD.SO,✓ w/ S L/ c Z 1 )3�(p y�3/ El city Village lL�f sown GO�J �/� �tl flew Construction Use: esidential/Number of bedrooms 3 - Add! on o e tin building El Replacement El Public or commercial-Describe: �y trench,gpdfft2 yy�,- Code derived daily flow &,00 gpd Recommended des `�bed,gpd/fi2 ign loading rate � V Absorption area required lVa ed,ft2 150 trench,ft2 Maximum design loading rateV�bed,gpd/fl2 , trench,gpdtft2 Recommended Infiltration surface elevations) Ste- t6 • 3 ft(as referred to site plan benchmark) Additional design/site considerations AleJ299 N 'AeV Parent material Sh'y!� ���'� � Flood plain elevation,if applicable ft S = Suitable for system Conventional �M,ouund In-Ground Pressure AT Grade system in Fill Holding Tank U = Unsuitable for system ❑ U I�5 ❑ U ❑ U ❑S [�U L7S ❑ U ❑S SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/1`12 In. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench Z _ /0 3/4/1 S//. . 2- . 3 Ground Yle 111116. elev. Depth to limiting factor CIn. OO Remarks: Boring# C9 /O yR z/3 — L S SL 17eSie /M fW e5 2 3 /.fN1 Ui � • 7 �•S /oY — Gs Q Ground / /O 51& — `j ©i S ! . 7 ; • S c p elev. Depth to limiting fact r }fy-In. Remarks: CST Name (Please Print) Signature " Telephone No. 1; oOeeRT' ?ALf3RiC4I 715- 306 . 019? S Address Date CST Number p Ulbricht 8 Associates 3-1�."�, r 655 O'Neil Rd. Hudson,Wis. 54016 ORIGINAL i w 3o F 3 VA 7'10u S (3 , /0 5-0 Q 3 /03 , d s 106 t S U�j, 'ES r D 7,P&,,O G& 7p uv el& /o w i Y7, i /f7J,cl E S/T E I IC r TO z2 Nolp d7t, 3 40 v NL � Q� \ 413 _ .. _._��__ 9 � o 3•�1, FevwO Sv pUEYD.t� S S a h 33686 N CERTIFIED SURVEY MAP PART OF THEN 1/2- SW 1/4- SEC. 24 , T- 28-N', R- 20-W q� ��tiF cti BEARINGS ARE REFERENCED N 00-36'- 18"W TO THE' WEST LINE OF THE UNPLATTED LAND SW 1/4 - SEC. 24 a� .•� 0 5 (ASSUMED BEARING) \Ilk O� o O o � 41.64' a'l-b OfO N 89-51'-23 E oV� b ?,q0 596.72' 0 O SZ'L- 6 a LOT 2 UNPLATTED LAND N 2.60 ACRES 66- PRIVATE ROAD i N Be-51'-23" E 439.60' I I SEE REVERSE SIDE FORI 1 I CURVE DATA AND I / I SEE REVERSE SIDE OF 1 N O LOT 3 /)/ I 1 SHEET I OF 2 FOR 1 4 O Z� 21 7 I_ CERTIFICATION CA 2.23 ACRES 'a+ �o o to W 0 O M N 89°- 51'- 23" E ® 8 p+O 443.33 ® \ 0-/S77-01'-37"E \ Z M 72.88' 1 1 /� Cc�,� 217 2 8'-19 160' D I A. LOT 4 L OY1J S 12 58'-23" 11 CUL-DE-SAC UNPLATTED ato .3.52 ACRES -- LAND— o to o O W W JOB NO. \00 2"5 49• w 76- 21 3 m 70.00' 43 0.0 0' `g9 0 25' 50' 100' 20 O'S 88°-40'- 15 " W 500.00' (RECORDED AS N 89-57'-31"W) PLATTED_ LAND_ - C_ROIX_RID_OE LEGEND SCALE I" = 100' 9 -1" IRON PIPE FOUND *-2" IRON PIPE FOUND Vol. 2 Page 32g 0 —1" X 24" IRON PIPE WEIGHING 1.13 LB. PER LIN. FOOT SET Certified'�Surve Y s Ma 00 P St. Croix County, Wis. SHEET- 2 OF 2 POWTS OWNEPt'S MANt 4 MANAGEMENT PLAN Page of FILE INFORMATION M SPECIFICATIONS Owner 1aptiC Tank Capacity $ d al ❑ NA Permit # )� J �epflc Tank Manufacturer v �S ❑ NA DESIGN PARAMETERS �ffllt+a[at Filter Manufacturer �+ �vlE' ❑ NA Number of Bedrooms (Vxl' ffivanf Filter Model _ i'' ❑ NA Number of Public Facility Units RulnlpYTank Capacity W I ❑ NA Estimated flow (average) I Pump Tank Manufacturer e.rl N ❑ NA Design flow (peak), (Estimated x 1.5) �} �0rrap il�anufacturer O _ ❑ NA Sail Application Rate r N I ulnp Model �' � C) NA Standard Influent./Effluent Quality I Monthly avergyj(�* �tatre>�tment Unit � A Fats, Oil & Grease (FOG► 1 X30 mg/L Q Ssn(i/Gravel Filter 0 Peat Filter Biochemical Oxygen Demand (BODE) 1 5220 mgil( Q NA P Meah.anical Aeration © Wetland Total Suspended Solids (TSS1 :5150 mg/i_ piail5fiection ❑ Other: Pretreated Effluent Quality Monthly overapQ caa, s} ❑'NA Biochemical Oxygen Demand (BODs) 530 mg/L ih-Qround (gravity) In-Ground (pressurized) Total Suspended Solids ITSS) S30 mg/!*. At-Qra a ❑ Mound C"`t' Fecal Coliform (geometric mean) 510" cfu/1UQM _ G Ddl$p Line ❑ Other. Maximum Effluent Particle Size Ye in dia. Q NA D NA A xh�r; ._.._.�. [3 11 *Values typical for dornestic wastewater and septic tank affluent. Thor: — C3 NA MAINTENANCE SCHEDULE Service Event Oarviee Frequency 0 month(s) Inspect condition of tank(s) At least gn-po every, P1 year(s, (Maximum 3 years) ❑ NA Pump out contents of tank(s) When q l nd' aoum equals one-third %) of tank volume ❑ NA Inspect dispersal cell(&) At lilel#t E►i1ae +veCt. ❑ month(s) (Maximum 3 years) ❑ NA year(s) _. �...._.,. �— ,. .. .. ❑ month(&) Clean effluent filter At Ioe t f�cl oy ry: / 0 NA Inspect pump, pump controls & alarm At leitljl gilpo aypf , ❑ year(s) �. (s1 ❑ NA Flush laterals and pressure test At least 4)ntAt¢f�va y; ^°-- ❑ vear❑ month onth ❑ manth(sl � - 13 NA At least€tna .furl ❑ year(s? Other: �. . . ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be ma by 19 indlvf�u l varryjng one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer, �QV1I� It�jpaothf' P(.WTS Maintainer; Septage Servicing Operator, Tank inspections must include a visual inspection of the tank(4) 11!!rni cling or broken hardware, identify any cracks or leaks, measure the volurne of combined sludge and scum i1d x4 oh4. k'for any back up or ponding of effluent on the ground surface. The dispersal cells) shall be visually inspected to chgtl7ic ties is'fchant lHvials 10 the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of afflyart on t je 0r0.0d surface may indicate a failing condition and requires the immediate notification of the local regulatory authority: When the combined accumulation of sludge and scups ih any tPlnif uals arse-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septa $atyjo Ad Clperator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of affluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of:512 months, shofl be pgrForrrlgd by a certified POWTS Maintainer. A service report shall be provided to the local regulatory autharify within 10 days of completion of any service event. START UP AND OPERATION Page _--of For new construction, prior to use of the POWTS chook treatment tank(e) for the presence of painting products or other chemicals that may impede the treatment process and/or dhmagp ti70 010prore{II c �lisl. If high concentrations are detected have the contents of the tankis) removed by a septage servicing operatWr prior,t4`,usG. System start up shall not occur when soil conditions Ors,fF0zei1 at the Infiltrative surface. Durin g p ower outages p um p tanks may fill above nprrnAl hliahv,qator I60.16, When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large do* 001 0,din°" t of II I(o) tad may result in the backup or surface discharge of effluent. To avoid this situation have the contents Ce by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumbbr bf POW ylail'ittilhor 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! iI)i rives or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade pil abl;4i tlt'r t#RI3a, Reduction or elimination of the following frorn the v s iiwotor 6#64 t '>� rrlay I.inprove the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; ttiridaillsl ctdttt5n 9gbl�ei degreasers; dental floss; diapers; disinfectants; fat; foundation drain {sump pump} water; fruit and vege#6iEb)0 paMo-lirtg0 �i;ls�lllia; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tans m*, anal wot6 a4ff4nl#kr brine. ABANDONMENT When the POWTS fails and/or is permanently taken out o serylap the fip1)IaWing steps shall be taken to insure that the system is properly and safely abandoned in compliance with shpo.jor 4u►1'4rrA ; tltii tiansin Administrative Code: • All piping to tanks and pits shall be disconnected And the aban4606d pipe openings sealed. • The contents of all tanks and pits shall be r0rfi9v0d and properly disposed of by a Septage Servicing Operator. + After pumping, all tanks and pits shall be 000votod and te►ttgvt8d 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 r'nesls4re4 hove been, or must be taken, to provide a code compliant replIpWent system: suitable replacement area has been evahooted And may bip of hiked for the location of a replacement soil absorption ystem. The replacement area should be p+'b 6.4tad 1rt�i�t`dlptOt Ilingo and compaction and should not be infringed upon by required setbacks from existing and proposed 4i'Udtut+ll (pt _,if}al�j tits! wells, Failure to protect the replacement area will result in the need for a new soil and site evalualtii7h to i3et a iditabfe replacement area. Replacement systems must comply with the rules in effect at that time. C3 A suitable replacement area is not availaolll '000 10 sat0ook anolor soil limitations. Barring advances in POWTS technology a holding tank may be installed a it illsit rsprfo riaplaa,the failed POWTS. ,t1�Q The site as not an evaluated to identify ,0 tptrit 0110;foolool'Oht area. Upon failure of the POWTS a soil and site 1V 1 evaluation be pal to locate a soltoblo repltldarttMlnfi �Irltttll. It no replacement area is available a holding tank may b talle s a last resort to replace th64"51 i F' WT>5: O Mound and at-grade soil absorption systel4ts In�y locono.ructO in place following removal of the .biomat at the infiltrative surface. Reconstructions of such syateMe !riust+eft►rpl�ll5t uvlch the rules in effect at that time. <<WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS Ih+IAY QI T 1I L9 t SASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TAAfit ! �IA&TANCES. DEATH MAY RESULT, RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BEip )i # 1`! tfi ;$SIC3:E, ADDITIONAL COMMENTS POWTS INSTALLER IN TAINER Name \r` 1Ay. C�U 'c+�U��'R.. , tl►$ Phone '7 1 SEPTAGE SERVICING OPERATOR(PUMPER) iATORY AUTHORITY FName +I1,ane This document was drafted in compliance with chapter Comm 83,22{901(1I'd)A(fl and 0-,54(1), (2)&(3), Wisconsin Administrative Code. ST.CRUD COUNTY SEPTIC TANK MAINTENANCE AGUEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address ,�.� &*e Property Address__ �.(o 44t/I' j 7;V_ (Variication required frown Plazu idg&Zoning Dcparttrtont for new cornstxuctionI C ity/state w L,J.2'� ,_--- Parcel Identification NwInber LEGAI.bEkMP_`_TIUN f .Property Location.jj ��, SieJ Y4 ,Sec, Zy,, T Z$�N'It. 2.0 W,Town of Subdivision_. ^. , _.._..� .., �,...... .�M....__ Y_._.— _ Lot# .- Certified Survey Map# �31�f"�,L— �.� volume_ , Page#._2 o2j_,,,,"`. Warranty Deed �. . .ti. .. Volume _. Page 0 Spec house yes Lett tines identifiable yes tnv SXSJEM_MAINTEENANCE.4nI C)WN : t CI+ ,� T, Improper use and maitite nonce of your septic system could result in its premature failure-to handle wastes, Proper txiaitnte trance consists of pumping out the septic tank every three,years or sooner,if needtA,by a licensed ptttriper. What you put into the system.can uffoct the function of the septic tams as a treI stage in the waste disposal system. Owner mntintenaacc rraponsibilities are specified in SCarrttr). 8332(1)and in(';Malstcr 12-St, Croix county Sanitary Ordinance. The property ovmer agrees to submit to st. Croix County Planning&ironing Department a certification form,signed by the owner and by a master,plumber,journeyman plumber,mstricterl plumber or a licensed pamper verifying that(I)the oft-sire wastewater disposal systorn is in print operating comuiition and/or(2)air inspectim and pumping(if necessary),the septic tank is less than 1/3 full of sludge. l/we,the undersigned have mad the above xequirernents and agree to maintain the private sewage disposal system with the standards act forth,harein.,as set by the Department of Commerce and the Department of lva Ural,Resourros,Stuts of Wisconsin. Certircatiou stating that your septic system has been r»aintanted must be completed and returned to the St.Croix County Planning&. Zoning Department within 30 days of the three year expiration date. Uwe certify that all statetr nts on tbis,forth are true to the best of my/our knowledge. Uwe anVare the owuer(s)of the prop"described above, by virtue of a warranty decd rmorded in Register of Deeds Office. Nurmberr of bed omts .._ QdI ..I�1 _ -- -- SIGN Tf . E OF APPLICANT(S) T JJATT? >fctt Y 4,dt;ftfiouthtt lS Misrepresented my result in tltc sanitary permit being revolted by the t'tamring &Zoning DepiI "** c ofthe eertif d,atnrvey imp if . ntt deed.t9'ora:rite R+egzVz Of Deeds+t7�c trtwd a cam► ,ataetn.a tecartie�•watra y tl,thia lie reference is made irn t6 pflSl4 (RV'V,48105) 8 Tx442020 .7. ' State Bar of Wisconsin Form 1-2003' WARRANTY DEED - BETH PABST REGISTER OF-DEEDS Document Number Document Name ' 'ST.`C.ROIX CO., WI 08/04/.2014 3:15 PM THIS DEED,made between John F.Marrow and Gina M:Marrow,husband and EXEMPT#: NA wife REC FEE. 30.00 ("Qrantor, Whether one or more), TRANS FEE: 323.00 and McCabe Homes,Inc:,a-Minnesota corporation PAGES: 1 ("Grantee,"whether one or more). Grantor,fora valuable.consideration',conveys`to Grantee the following describedreal' estate,,.together. with the rents, profits, fixtures and other appurtenant interests,.m St.Croix County, State of Wisconsin*("Property")(if more,space is Recording Area needed,+please attach addendum):. Name and Return Address Kalil!Tarsuttmr Lot 2,Certified Survey Map:recorded'Novernber 29,1976 tn.VolumeI page 329, - ne Tift,,L-tC Document No.336861;being apart of the North One-half of the Southwest Quarter o (N 112 of SW 1/4),Section Twenty-four(24),Township Twenty-eight(28)North, MnaT * 64A.,e_-774* .ta.- , yycn w• Ca,/Z•G 3'�7'we Range Twenty(20)West;Township,of Troy,St.Croix County,Wisconsin. . ��w!T/ rZ D. Ell Subject Property Address for Reference Purposes Only: 040-1 157-20-000. Lot 2,Longview Trail,Hudson,:WI 54016 Parcel Identification Number(PIN) This is not homestead property. (is)(is not) j Grantor warrants that the title t`the Property is good,indefeasible in fee simple and free and clear of encumbrances except: Roadways,Easements,Aestrictions;Conditions,Encumbrances,and Rights of Way of record Dated"JulxU014. (SEAL) (SEAL) *John F. w *Gina .Marrow (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT` Signature(s) STATE OF � ) ss. authenticated on' -COUNTY ) Personally came be �Pl' * the above-named TITLE:MEMBER STATE BAR OF WISCONSIN „ (•If not, to me known to be the person(s) who executed the foregoing_ authorized by,WIs..Stat..§'706.06) insttvrrten d ac wh ge 5he same. - THIS INSTRUMENT DRAFTED BY:,J Redmon Law Chartered(Richard Laub °t1 s N;IV t 401 Second St. Suite 200, WI 54016 (' 1�tA e}? bl�;'State of tHVIyt,tlntsstc�nis.permanent)(expires: r' Q��t�' ) H kite rt fa '� '/ (Signatures may be autbeic8tcd Rliecknotee�ye2oflt are not necessary.) NOTE: THIS,IS A STANDARD FORM. ANY SlbD1_I=1C$T�UN O FdIsrFARM SHOOED BE CLEARLY IDENTIFIED. WARRANTY DEED ®20� STA"lvr$P,I�+'OFi'rC1ViN FORM NO.1-2003 +Type name below signatures. , ' (_ i- ! , i• X171 St. Croix County 999610 Page 1 of 1 _ �-•. _ s N CERTIFIED SURVEY MAP PART OF THE N i/2- SW I/4- SEC. 24 , T- 28-N', R-20-W 4p'4 BEARINGS ARE REFERENCED N 02°36'- 18"W TO THE- WEST LIME OF THE UNPLATTED LAN[ fv ' g SW 1/4 - SEC. 24 paw C Q (ASSUMED BEARING) Ob 0 l 41.64' N 8 9t 51'-23" E �2► o'4� a ?9° 596.72' 4 'b / �°'J• 0 20 L OT UNPLATTED LANQ_ O L / N 2.60 ACRES / 66' PRIVATE ROAD N Be-51'-23"E j 439.60' � /1 SEE— — T — — — I REVERSE SIDE FORI 1 CURVE DATA AND I i SHEET OF 2SIFOR F I N LOT I 7 I_ CERTIFICATION N 2.23 ACRES 03 d! \ \ N 89°-51'-23"E ® s 77-OI 443.33' \ ` e \ 0�/S '-37"E \ Z \ b 9 /? ~�—0 17°0 2 8-i9 160' DIA. 2 CUL-DE-SAC Jl LOT 4 S12-58'-23" II , m � 3.52 ACRES UNPLATTED LND C A m p O w w 5� tw JOB NO. p ` 025 � ° w 76- 21 `O ' i3 l M .g 70.00' 430.00' O 25' 50' f 00' 200' S 8St40'-15 " W 600.00' (RECORDED AS N 89-57'-31"W) PLATTED_ LAND - CROIXRIDOE LEGEND SCALE I" = 100' •-1" IRON PIPE FOUND �---•-2" IRON PIPE FOUND O —I" X 24" IRON PIPE WEIGHING Vol. 2 Page__ L22_ 1.13 LB. PER LIN. FOOT SET Certified Survey Maps St. Croix County, Wis. SHEET 20F 2 ,Parcel #: 040-1157-20-000 07/24/2007 04:57 PM PAGE 1 OF 1 Alt. Parcel#: 24.28.20.614D 040-TOWN OF TROY Current X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O- MARROW, JOHN F&GINA M JOHN F&GINA M MARROW 316 GRANDVIEW DR HUDSON WI 54016 Districts: SC= School SP= Special Property Address(es): *=Primary Type Dist# Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.600 Plat: N/A-NOT AVAILABLE SEC 24 T28N R20W 2.6 AC IN N1/2 SW1/4 Block/Condo Bldg: LOT 2 OF CERT SURVEY MAP 2/329 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 24-28N-20W Notes: Parcel History: Date Doc# Vol/Page Type 03/22/2006 821266 WD 03/19/2001 640766 1603/560 WD 07/23/1997 1228/297 WD 2007 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.600 87,400 0 87,400 NO Totals for 2007: General Property 2.600 87,400 0 87,400 Woodland 0.000 0 0 Totals for 2006: General Property 2.600 87,400 0 87,400 Woodland 0.000 0 0 i Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 l XMRVEYOR9 CERTIFICATEt 2, Gene C. Shaffer, Wisconsin registered Land Surveyor, hereby certify that by the direction of George and Robert Setzer, owners, I have surveyed, described and mapped the land parcel which is represented by this Certified Survey Map; that the exterior boundary of the land parcel surveyed and mapped is described as followss That part of the N 1/2 of the SW 1/4 of Section 249 T-28-N, R.-20-W, Town of Troy, St. Croix County, Wisconsin, described as followss Commencing at a St. Croix County Monument at the West 1/4 corner of said See. 24, thence N 89-51-23 E, 1169.11 feet along the South line of the St. Croix Cove Subdivision No. 3, thence s 88-26-11 E along the South line of said Subdivision 79.62 feet to the point of beginning of this desoription; thence continuing S 88-26-11 E, 33.98 feet to the center line of a 66 foot wide private road, thence S 12-13-41 E, 150.86 feet to a point of curvature of a curve oonoaved to the Northeast and having a central angle of 53-37-36 and a radius of 98.92 feet; thence SouthEasterly, 92.58 feet along the are of the curve, the long chord of which bears S 39-02-29 E, 89.24 feet, to the point of tangency of said curve and the point of curvature of a curve oonoaved to the Southwest and having a central angle of 27-44-39 and a radius of 227.81 feet, thence Southeasterly, 110.31 feet along the are of the curve, the long chord of which bears $ 51-58-57 E, 109.24 feet, to the point of tangency of said curve, thence S 38-06-38 E, 106.27 feet along the centerline of said private road to a point of curvature of a curve oonoaved to the West, having a central angle of 85-37-44 and a radius of 129.53 feet; thence Southerly 193.58 feet along the are of the curve, the long chord of which bears S O4-42-14 W, 176.06 feet to the point of tangency of said curve; thence S 47-31-06 W, 185.05 feet to a point of curvature of a curve oonoaved to the East, having a central angle of 64-1$-02 and a radius of 238.89 feet, thence Southwesterly 267.89 feet along the are of the curve, the long chord of which bears S 15-23-35 W• 254.07 feet to the point of tangency of said curve; thence S 16-43-56 E, 102.80 feet to a point of curvature of a curve oonoaved to the Northeast, having a central angle of 60-17-41 and a radius of 97.38 feet, thence Southeasterly 102.48 feet along the are of the curve, the long chord of which bears S 46-52-48 E, 97.81 feet to the point of tangenoy of said curve; thence S 12-58-23 W, 33.00 feet to the R.O.W. line of said private road, and the point a curvature of a curve concaved to the Northeast and having a central angle of 26-09-49 and a radius of 80.00 foots thence Southerly 36.53 feet, along the are of the curve, the short chord of which bears S 24-29-56 E, 36.21 feet; thence S 01-33-33 E, 181.04 feet, thence S 89-40-15 W, 500.00 feet, thence N 10-43-16 W, 722.78 feet, thence N 89-51-23 E, 596.72 feet to the North- westerly R.O.W. line of said private road, thence N 47-31-06 E along said R.O.W. line 143.41 feet to the point of curvature of a curve oonoaved to the West and having a central angle of 71-09-34 and a radius of 96.53 feet, thence Northerly 119.89 feet along the are of the curve, the short chord of which bears N 11-56-19 E, 112.33 feet; thence S 89-51-23 W, 764.80 Peet, thence N 10-43-16 W, 210.00 feet, thence N 89-51-23 E, 598.69 feet to a point on a curve, said curve is oonoaved Northeast and having a central angle of 23-12-27 and a radius of 131.92 feet, thence Northwesterly 53.43 feet along the are of the curve, the short chord of which bears N 23-49-55 W, 53.07 feet to the point of tangenoy of said curve, thence N 12-13-41 W, 158.97 feet along the West R.O.W. line of said private road to the point of beginning. Said parcel contains 12.17 acres and all bearings assumed N 02-36-18 W on the West line of the SW 1/4 of said Sec. 24. That this Certified Survey Map is a correct representation of the exterior boundary surveyed and described; that I have fully complied with the provisions of Chapter 236.34, Wisconsin Statutes, in surveying and mapping the same. Certified this _A day of �Lt• 1976, at Hudson, Wisconsin. C Si nods '' :. g Gen C. Shaffer �'Q��` r4y� Wis. R.L.S. No. 1325 G1E'Ptg C. �r SNAFF& "S'-dw DSOM tqN � ,,�� f�t r1t1S71�N' , SHAFFER T S-1325 HUDSON ,sua•+�`��' CURVE LOT RADIUS CHORD CHORD CENTRAL ARC NO. NO. LENGTH LENGTH BEARING ANGLE LENGTH 6-7 ROAD 238.89' 264.07' S 15°23'-35"W 64-15'-02" 267.89' 8-9 ROAD 97.38' 97.81' S 46°52'-48" E 60 17'-41" 102.48' 10-11 4 80.00' 36.21' 824°-29'-56"E 26=09'-49" 39.83' 19-20 2 27t.89' 19$.84' S 26'--04'-23"W 42-53'-48" 203.56' 20-21 3 271.89' 100.75' 8 O6=03'- 18"E 21=21'- 16" 101.33' 22-23 3 130.38' S.12' S I8 30'-50" E 0333'- 47" 8,12' 23- 10 4 130.38' 123.69' S 48°--39'-40"E 56'-43'-54" 129.10'