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HomeMy WebLinkAbout040-1318-00-037 '°err Safety and Buildings Division CA ?" 14 201 W.Washington Ave.,P.O.Box 7162 Y Permit Number(m be fiDed in by Co.) Madison,Wl 53707-7162 ROM ANT J 7q 3-415 State Tremswdon umber ;OMM tart' Permit Applic ' q/" / 3 In accordance with SPS 38321(2),Wis.Aden.Code,submission of this form to lade lUUnit is required prior to obtaining a salutary permit. Note;Appiicrition forms for stg"wned PO are to ect Address(if different than mailing address) the Department of Safety and Professional ServieL Personal iafomration you provide may be used for secondary purposes in accordance with the Law,s.15. 1 m Stets a 01 L Application Information-Please Print All Information Ol! C 71 Property Owner's Name Pared# U t4l >° g' Property owner's Mang Address Property reset I � ZIIZ - r„ b Govt IA City,State Zip Code Phone Number f—=yti� '/, Saxion r� " Lt/o u/ Z� T�N; R E W II.Type of Bail ' check all that apply) or 2 Family Dwelling-Number of Subdivision Name Ole &A 60 Se- BI //I 6/ SSA � !J ❑Public/Commercial-Describe Use h • ❑City of _ ❑State Owned-Describe Use / CSM Number ❑Village of Of k 75 a C —f—� III.Type of Permit: (Check only one box on Ire A. Complete line B if applicable) p A' qT4awsysrenn ❑Replacement System ❑Treatie=t/Holding Tank Replac—ent Only ❑Other Modification to Fisting System(explain) B. ❑Permit Renewal C1 Permit Revision ❑Qmarip of Phmmbea ❑Permit Transfer to New List Previous Permit Number and Date Ltsued Before Expiration Owner IV.Type of POWTS S Com nent/Device: Cheek all that apply) ❑Nln-Pressurized In-Ground ❑Pressurized la-Ground ❑At-Gra Mou<md>24 in of suitable soil ❑Mond<24 in.of suitable so ❑Holding Tank ❑ er Dispersal Competent(e VLi m) ❑Pe meat Devma(explain) / V.Diapers&I/rro entt Area Information: Design Flow(gpd) Design Soil Appli Dispersal Area Rex1 (g, Dispersal Area Pro �(st� System EElevation Goy / � oe 600 C - VL Tank Info Capacity in Total #of Maaufacbua Gallons Gallons Units .411 $ New Teaks Existing Teaks @e'er I ei V ai e'kim ice.C7 C., Septic or Holding Tank Dosing Cb mba VII.Responsibility Statement-I,the undersigned,in po for installation of the POWTS shown on the attached pleueL 7Pi s Nave(Print) Plumber MP/MPRS Number Business Phone Number `� ;z / Zc� Plumber's Address(Street,City,Stale,Zip Code VIII an m �pxov� D t j 11❑ Permit Date sued Issuing Signature I If em Reason Denial S IoGJ`� S z� DL Con ' "owns for Disapproval 3� J I n / o rd vKCa "tank,eitluent filter end° #ispersal cell must all be ser0es/rnaintairted BAs per management plant provided by plumber. 2. dequ8'eFrtertts_must be'maintained ,t(j CQ��I�tL,��n� �r1 S�►� �, 'lamb to eompkk platy for the s"am and sabasit to the Coamty ontr an PrPer not leS tbAn 8112:11 ise6es in size SBD-6398(R.11/11) l O-PART fp DIVISION OF INDUSTRY SERVICES �1� roe 2331 SAN LUIS PL STE 150 0- GREEN BAY WI 54304 U 3 Contact Through Relay e www.dsps.wi.gov/sb/ 9 oy www.wisconsin.gov A�OssION A�s� Scott Walker,Governor Dave Ross,Secretary August 12,2014 CUST ID No. 226900 ATTN:POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/12/2016 Identification Numbers Transaction ID No.2444134 SITE: Site ID No. 804935 Creative Homes Please refer to both identification numbers, 727 Mount Curve Ct L above,in all correspondence with the agency. Town of Troy St Croix County NW1/4,NWl/4, S11,T28N,R19W FOR: Object Type:POWTS Component Manual Regulated Object ID No.: 1497485 Maintenance required; 600 GPD Flow rate; System(s):Mound Component Manual-Ver.2.0,SBD-10691-P(N.01/01, R. 10/12),Pressure Distribution Component Manual-Ver.2.0, SBD-10706-P(N.01/01,R. 10/12); 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 and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. CONDITI No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, APPR stats. DEPT OF S The following conditions shall be met during construction or installation and prior to occupancy or use: PROFESSION Reminder(s): DMSION OF 1ND • The mound system and septic tanks are to be set back from a well by a minimum of 50 feet and 25 feet, respectively,per s. SPS 383.43,Wis.Adm.Code. • Per the component manuals selected,laterals within the distribution cell must be level or have one inch(or rnR P F slope back to manifold. • The effluent filter to be installed shall be a state-approved Bear Onsite,LLC effluent filter.The discharge rate of the filter must allow sufficient flow to prevent tank's inlet from becoming submerged. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter will be necessary. A copy of the approved plans,specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department,which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review shall relieve the designer of the responsibility for designing a safe building,structure,or component. SHAUN R BIRD Page 2 8/12/2014 Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 250.00 This Amount Will Be Invoiced. '4�aMC' &­ When You Receive That Invoice, Rachael E Huempfner Please Include a Copy With Your POWTS Plan Reviewer,Integrated Services Payment Submittal. (920)492-7728,M-f 7:45 am To 4:30 pm WiSMART!,code:7633', rachael.huempfner @wisconsin.gov cc: Note: Effective January 1,2012,all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services.Additionally, all IS(formerly S&B)codes have been renumbered and addressed in a"300" series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. I I I I I I I i t Cover Page DECEIVED Aug _ 1 014 INDUSTRY SERVICES Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 7/29/14 Owner:Creative Homes Location: NW1/4 NW1/4 S11 T28 N,R19W 727 Mount Curve Ct Troy Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page `tALLY 2. Mound Plot Plan ✓ED 3. Mound Cross Section =ETY AND L SERVICES 4. Pipe Cross Section/Pipe Layout 3TRY SERVICE' 5. Pump Chamber Cross Section '6 � ' 6. Pump Curve IWI /\------ 7-8. Maintance and Contigency plan ^^j F E 9-11. Soil test 12. Filter Specifications a r ss section Shaun Bird Signature License number 226900 PLOT PLAN PRO J ECT Creative Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NW 1/4 NW 114S 11 /T 28 N/R 19 W TOWN Troy COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE 7/29/14 BEDROOM 4 CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none IL BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 1090.49°Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 1089.5' 727 Mount Curve Ct. Property Line (not to scale) All piping shall be SDR 30/34,within 10' of tank, Scale = 1 /4" = 10' piping shall be Schedule 40. 1 Acre Lot Well is to meet all WDNR setbacks Pro 4 Property Line (not Bedroom to scale) House Huffcutt Combo Tan 1088.5' B-37A 3% Area 15' below system Tank is to be Slope is to remain properly bedded undisturbed and provided with lockdown B-1 1 7 C cover with approved warning ❑ labels Grading is to be done to divert run- off away from system 1090' B.M.* 1088' B-37B Mound System Cross Sedtion and Plan View N-07 E'?", °++�'�s -rne, wr l+in,s. . �r asst•+,., "..*eg^t-t:+1� w ry y DfineesWn Feet K t A t t n, B 7.. l D T t A t E , W t F t. G H •Z- i t H t l - I t I d =Y t . . . . . . . . . .: K { .., L 3/ O viii 1 W,and er. irr wr .r rti`.Yi.it wr ' '-4YYr=�iW.-� i-rr:i►iW+�Wi- Yrr,r, .6+li�w..r .r:i.r- +rs'.fr=r7r w r K B 1 Z L Slo % t t =Topsoil =ASTM C-33 =Clean aggregate =4 in. sch. 40 pvc t Cap Material sand fill %z to 2 %z in. dia. observation pipe Geotextile H J 150b Fabric z D E �a Ft Contour Plowed Surface Slope,Direction GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area(L x V) is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a'/+inch soil wire when a sample is rolled between the palms of the Bands. ASTM C-33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange. 10/07lgj Page of Pressure Lateral Layout Two Laterals — End Manifold 4 Threaded Q Cleanout /070, 0 Lateral Turn-up --► Plug Manifold M X --* L Long Force Main - Sweep 90 Bend Distribution Network Specifications Pressure System Construction Lateral Diameter ". In. Manifold Diameter �?_._ In. Laterals are constructed of Schedule 40 PVC Orifice Diameter l . In. pipe. Orifices are drilled perpendicular to X Orifice S in In. the pipe with a sharp drill bit and face down. L teral Len :' Ft. Lateral turn-ups terminate with a threaded M Mani old Len Ft. cleanout plug and are enclosed in a 6-8 inch Force Main Diameter In. diameter lawn sprinkler valve box accessible Force Main Len Ft. from finished grade. Or" i c� ,deer 1 `x • • • • • Grade • Q 6-8 Inch Lawn Sprinkler Valve Box Page of 03/051gj i I • Cross Section And p perfor as= Specifications 111111,j 1) 11146auboum- Septic-Dose Wank Tank ManuboWm Model Ntunb" S Tank Ivtodel Number Total Talc G n—,-- Alm (/2 Mux.Bur'De c ' I (MH)-Fat /z-- Total Filtar EWVI M 11W.. Alta Nu�nbac Dot Fri+ 3. N LOW Minimum Ptah Fame Irvin Lots gt 1'DH Total �' 3 $ With Min.4"Above G da. pntie�t •4"Aborvo Q�rade W�1 Device mounted�g Dwioe. InEet Mazola SWeo�Ye�`'P <�'Balow OrWe Sealed W Junction Banc now GNP �� r vest Min. i2" Disconnect Above Mems With VOA Cap bald •}: as A. 'A Weep Raven SW1tR'.l! .. Hole Tank'Vo / CPI B t Volurme Gal• '::• Dima�ssion Jags .. .�5 :• (ree )A; 6, sv f.; Off er B; 2 . Ft Boom Elevation t c ® j-3 :r Z Ft Total •1.`•::• .•.�.• • • W►th the Tlrs. c/dae I�o1c id be8cled " b� by tip is accordam�r May not GF�NERAi, INST .LA1'ION: of bey . . . .. davke(Padlock) nubs P covers eacPored w '° � Bons, s� be ONO*" wood��c and O is of�M"Ul'°�°� , 4„S*40 VVC to br*e the t� m - acal pry �' T..fans n�m� is vv N 300 sad Cams+ laid os and the.ales.m 1 sp° Pap. of Q/05 U X11 ON C� �' - �ffiu�nt solids 4/10 hp Submersible Effluent Pump, 3/4 200 2110 0 so 100 '150 1 1 v' ., �� .. 20 Y► �vi I ,M- r. ��/��►� �r�i 1 i1 �� ,.• Ur r�u , . Franklin Kjacrtric 4 260.824.29M e Far.2W.824.2909 2 Form 901119"' POWTS- NER'S 1MlmuAL& MANAGJr=mENT PLAN Page or ' " �' �T�M tq;ftCATKNatS i � �� Sepllc Tank NA Owner Pena*�. Tank O NA ppprsat Firms O NA. O f+lA FNr Model NA F1o1b�t Qf C.tetfilcNfde is pip Tsnh I O NA (mod x 1.5) G t pump iVM O NA Soli Apoham ROO O PU" O NA jf tlit tY PIS O Peat F�Nsr o� 130 O W�nrl a�c,I�e - F`ais,Cli (�1 robi Aaratitln fi } D O O1s . ie umw b 1'i*al Sum Sapds (TSS) 5154 Plab+eblsd Qum ► '" 5g) p M-lrocp4d,(prassurized) ®� Dommw (SOON m�- fl At-grade ( )Tdd Fec*I CoiffocmF $ S CU100ad 17 C>t : Particie Size K Ir�h<cualr+eter vw.:+r for wslw�tr"'° « V*MS fer pmk.ard w�aNrwalM- g S*rvk*Fr�Y of k(s) At least ice aMety Cl rnomoo" s) (�$Y'm-) tam Pump ta (s) t avll*ned elu09e and scum equals vne- "( tank va"e .uelt(s) At lout 0100 y O ri ) ( Y'' -) At load once every � mom ;) Inspect .PAP c on6vis*abon At lmW clrtoe awry morph s) O`tJA Fkish and press"test lot least e M emery O nrarrtHs s) O NA At10i d ancs avwy O moms 0 year(s) O NA cite r: At lssst orM @MY O months Q Yes) v NA NMWTSUAICE i+ STRUCTIONS one of the of ham s o�cob sW be n ads by an ir>dkrldaapl Haslet Pkuriber:Master Piunrbar Reef Rea W.POW TS . t r� b or lnisn Oporajor. Tank�pecOons VW"lnlpecdoof te t a ,, „s,y cs�cics or bales.msssur+e the Motume of Pd dudgs and scum and b check for ony be*up s.nwa. The CW*� be kUPSded b chsdk the*MW*18'oil or pry of atfll>ent op the imp of Wuislt c ,1hlr air' - Tho o QfW*ant on the irl the o"MV4on pipes acrd-b check For aw�t p of taw tocs<�, 1O�y .may wKkate a h&V cmdRon and I� COSS to lmMedf a of tha votx• ' Wlran the ao i ed*fin of slk+dp end scum►In any tank ( or vrllh ch. NR eMiFee co 40ft cif the tank:hall be mmo+d by a Sq*W BW*ft, *W 11'4, istaii'-v cods- I and any The sw of litters.mod or�POWTS corrrponents,pretr�est oampa'lecdc: other frailtorla,no.or mordtolm9 at of 12 mar*W or ices shalt bs perW"Wd by a MW*1 d P OWM fir' A ser%4*I+nW shall be P to the brat MWAMW.y sulhau'lht vii*10 dabs of mnoobon a SnY Service eve+t. STAfW UP AND OPERATION of produda or other, For new cwwbudicn.pdm to use of the POWT'S checak baSIMM t tm><k(s)fOr be Pte' the b+eaian P the OKs)• V hilt frorts st+e diendpds that msy to Ilse. detected have the contents of the tank(s)�by a W~ 9 operator P�- Page_..._.of---- D OPERATION him ttte conienb of thO START UPS, �to use of the POWt'S ohet�t �tlmk(s) 'the prasan0e��� For row andtor damage the d4allsi CWs)' 1f W9h may impede the treatma t p i g operator use. tank(s)remcvad by a ate° are frozen�the Ir►fiitrative surface• � will tip System startup shall not oaxx'when soil s�bave normal h}ghwater lenrele. When povw� is restored the excess ��� ' r outages pump tanks may the OWe)and may result in"backup ors W During a sin one large o�remo+ 5d by a Sepbtge Servicing Operator to restore nonma! levels discharged to the dispersal oeM( ) To avoid this SWIM on have the oorrtents of� pump W*to SUM In marwdly " me �� effluent pump or coated a Plumber or POWT the area within within the pump tank. Park over, Or 0111ais��Or OOmpM� vehkjes over tanks and disperwM osk' Do not drive or pa Do filet dive or par arty���at-grade soil abscrpW ares. � and prolong*0 WO of the POWT$:wagraster stream may kwMe � d�nfadhu►ts; fat toundadon dralln Reduction or elimination of the od ms. c ar11; medlcd�s; ON; painting arrtibiotks; baby wipes; �� gpogne; grease; herbk�dss; meat s � (sump pump) water; fruit and vegetabled btrW pesticides;senttary napkins'.tamp' ABANDONI�NT r b nnr�ndY taken out of eervioe the fdktwirW std shag�taken to Insure that the system le prW�itY When the POWTS faits and/or M ,Arministrative Code: and safeMy abandoned in compliance with chapter r toned pipe openings,sealed. • AA piping to tanks and Pits shall be discatttected and the aban a 3ePt�Servicing Operator. removed and ProP�Y rN • The contents of di tanks and pits shall be and�void ��flMsd with sail, all tanks and p'ds shag be excsvgad and removed or their Covers removed • After pu►nPinfi. gravel or another Inert solid material. CONTINGENCY PLAN been. or moat be taken, to provide a code Cprnplit�rr ff cite pOWTS fags and cemnot be repaired the following measurese replacement system. for the lacrotlor►of a rePiaOS^1e^t sou absorption i ment area has been evaluated and may be utMgzed and should not be UdrNtged ❑ A suitable repleioe front pct and compaction t� result M the nt(e The neplaoer area should be prObacted rrnW i wNh the ruled i sedndm from existing and proper ,tot Nnas era welt. t am.R luatlan to sstabNef'+ a suitable repi +t for a now eaU era site eve nol s technology t ems Mn POWT effect at the aoN IirnflMions. Balling advances available due to setback ardfor ❑ A suitable repl ► int area b ava acs the idled POW TS. holding tank may be Mstalbd as a leaf resort to repl teAure��PpWTS a sag and site svaluallk to iderft a SLOWS�atea• Upon tank may be IrMWI*t r e aft has not been evaluated was. it no replacement area is available a holding=� to locate a suitable reptaoerrreM ���� mk>at be performed a lest resort to repiece the failed POWTS. m %kWng removal of the biomat at the infiltratl' Boil absorption systems may be reconstructed place u�nd and o grade s must comply whit the rubs In effect at that tfine. surface. Reconstructions of such system <NHARNING» TANKS MAY CONTAIN LETHAL GASS1tEl3 ANDtOR INSUFFICIENT OMEN. DO tF SEPTIC,PUMP AND OTHER TREATMENT F ENTER A SEPTIC,PUMP OR OTHER TREATMENT TANK FFICULT 0 ANY C1BL �. LATHY CULT. RESCUE PERSON FROM THE INTERIOR OF A TANK MAY BE ` ADDITIONAL COMMuwm pOMVT8 M/1lWAINER POWT8INSTALLER �� Phone ,J LOCAL.REf3ULATORY 8EPTA3E SERVICING OPERATOR PU R N&�rne Name /� -- Phone Phone J i . This downerit was drafted in owiptiancs with chapter SPS 3e3.22(2XbX1Xd)L(f)and 383.54(1).(2)1t,(3).Vii" Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in acGgrdance with C 85 is. /ipn. CIac �.i # County ST.CROIX Attach complete site Ian on pagent ,t f .$iarr8°I92 x 11'inches in size.Plan must include,but not limite , ueFkaf°alldV66zontal reference po0*4BU),.direction and Parcel I.D. percent slope,scale or dimensions,north arrow,and location and distance to nearest road. IMM Please print all information. K 7e D to Personal information you provide maybe used for secondary purposes(Privacy Law,s.15.04(1)(m)). 1 U 6 Property Owner Property Location LEONARD&MARGARET DELAURIERS Go ----NW 1/4 NW 1/4 S 11 T 28 N R 19 ©r0 Property Owner's Mailing Address of# Block# Subd. Name or CSM# 706 Coulee Trail N37 --- Hills of Troy City State Zip Code Phone Number [:]MIlage ■ Town Nearest Road Hudson, WI 1 54016 ( ) Coulee Trail RNew Construction UseG] Residential/Number of bedrooms 4 Code derived design flow rate GPD 11 Replacement E Public or commercial-Describe: Parent material loess over till Flood Plain elevation if applicable ETA ft. General comments Mound System-- 1,00 ft.sand fill--0.4 loading rate and recommendations: (If pre-treatment system-below ground drip-irrigation-0.6 loading rate) Boring# El Boring Q Pit Ground surface elev. 1093-73 ft. Depth to limiting factor 40 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-10 10YR3/2 - sil 3f-mgr mvfr cw 3vf-m 0.6 0.8 2 10-24 10YR3/4 - sicl 2fsbk mfr cw 2vf-m 0.6 0.8 3 24-36 10YR3/4 - A 2f-msbk mvfr cs lvf-m 0.6 1.0 4 36-40 7.5YR4/4 sl lmsbk mvfr as lvf-f 0.4 0.7 5 40-43 7.5YR4/4 flf7.5YR416 sl Om mfr -- -- 0.2 0.6 B E Boring ,Q Boring# 40 Q Pit Ground surface elev. 101(0.7Z ft. Depth to limiting factor 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 I *Eff#2 1 0-11 10YR3/2 - sil 3f-mgr mvfr aw 3vf-m 0.6 0.8 2 11-24 IOYR3 14 -- sil 2fabk mfr aw 2vf-f 0.6 0.8 3 24-40 7.5YR4/4 - sl lmsbk mvfr -- lvf-f 0.4 0.7 Horizons 2 &3 have some gr. Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg/L •Effluent#2=BOO <30 mg/L and TSS<30 mg/L CST Name(Please Print) Signature CST Number Ma Jo Hollister 224832 Address �, Date Evaluation Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 05-03& 10- 14-05 (715)426- 1775 Property Owner DeLauriers(Lot N37) Parcel ID# (Pending) Page 2 of 3 11170 Rnring# Boring 1 OR6 67 24 pit Ground surface elev. tt. uepth to umiting factor In. Soil Application Rate rizon 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 04 IOYR3/2 -- sil 3fgr&sbk mvfr as 3vf-m 0.6 0.8 2 4-10 IOYR3/2 _ sil 3fabk mfr as 2vf-m 0.6 0.8 3 10-17 IOYR3/4 -- sicl 2fabk mfr as 2vf-m 0.4 0.6 4 17-24 7.5YR3/4 -- fsl lmsbk mfr as Ivf-m 0.2 0.6 5 24-36 7.5YR4/4 f2f 7.5YR3/4 fsl Om mfr -- Ivf-f 0.2 0.5 Horizons 3,4 &5 have some gr. Baring# Boring H pit Ground surface Bleu. ft. Depth to limiting factor in' Soil lication 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 QBoring Boring# Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil lication 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 *Effluent#1 =BODS>30<220 mg/L and TSS>30 150 mg/L *Effluent#2=BODS<30 mg/L and TSS<30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330Te t(R.07/00) , R Blot Plan for e Page 3 of oaf Troy .f 3 0 Town o,f Troy, & Croix County, Wisconsin Lot—N"5-7 40ft. Legal Description tiw';I4 otzmie ww` 2,t contours ,Tz,?A;,TZ '� ° OF 21-1-U ®►=Backhoe pit II �I 8-1156 37 'B 0.559--3 / A :q / TOP AA ARK: IRON PIPE 1/4•• �� ,—"-_�__ 1087.12 1/4•• R-111R3p�, V p�F1 C Vq r r NCH p4fARK. 1� �b 7 090.49 EE1 1/4 70.90.18 �"°� 8-114A F FILTER CARTRIDGE INSTRUCTIONS TM fl0S Installation STEP I Dry fit the filter case onto the end of the outlet pipe to ensure it is centered under the access opening. If not, then either insert more pipe into the tank through the outlet or solvent weld (glue) additional pipe onto the outlet pipe. STEP 2 While the case is still dry fitted on the outlet pipe, measure the length of 3/4-inch pipe needed to brace the filter to the tank end wall if utilizing the optional supplemental side support. If side support method is not utilized, proceed to step four. STEP 3 For installations utilizing the optional supplemental side support: solvent weld the 3/4-inch pipe onto the filter case. If side support method is not utilized, proceed to step four. STEP 4 Solvent weld the filter case onto the outlet pipe. Insert the filter cartridge into the case, pressing down until the filter locks into the bottom of the case. STEP 5 If a VRS switch is utilized: insert into the filter and lock by turning clockwise 900. _77 11111111 Maintenance 1. The effluent filter should be cleaned every time the septic tank is serviced, 2. Open the outlet access opening to inspect the tank and filter. 3. Pump the septic tank completely, making sure to remove the sludge layer on the bottom of the tank and not just the scum and effluent. 4. Once the effluent level has been lowered below the invert of the outlet pipe, firmly pull up on the filter handle to dislodge the cartridge from the case. 5. Slide the cartridge up and out of the case for cleaning. 6. If a VRS switch connected to an alarm is present,the switch m should be removed by turning counterclockwise 900 and cleaned with water only. 7. While holding the cartridge on its side (large flat surface facing down) over the access opening, rinse off the cartridge with water only, making sure all septage material is rinsed back into the tank. 8. If VRS switch is utilized, replace by inserting into filter and turning clockwise 900. 9. Insert the filter cartridge back into the case, pressing down until the filter locks into the bottom of the case. 10.Replace and secure the access opening on the tank. BEAR ONSITET.FILTER CARTRIDGE-FIVE-YEAR LIMITED WARRANTY Bear Onsite filter cartridges are warranted to be free of defects in material and workmanship for five(5)years from the date of consumer purchase. BEAR ONSITE"m Filter Case-Lifetime Limited Warranty Bear Onsite warrants the filter case will be free of defects in material and workmanship during normal use for the period of time the original purchaser owns the product. If a defect is found in normal use,Bear Onsite will,at its election,repair,provide a replacement part or product,or make appropriate adjustment.Damage to a product caused by accident,misuse,or abuse is not covered by this warranty.Improper care or malfunctions resulting from units not installed,operated,or maintained in accordance with instructions provided will void the warranty.Proof of purchase(original sales receipt)must be provided to Bear Onsite with all warranty claims.Bear Onsite is not responsible for labor charges,removal charges,installation,or other incidental or consequential costs. In no event shall the liability of Bear Onsite exceed the purchase price of the product. ST. CROIX COUNT'le SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer fQ,CL �,_,.0, AW 4-a Mailing Address L�-/14 rn e-i '514 X-t-.,Lljrl &zaM /��G/^ z2►�o \J J s>> Property Address TI —) y}'J o!,C � ✓ J � (Verification required from Planning&Zoning Department for ne onstruction.) City/State ijvb5o�l Parcel Identification Nuiaber `�6- 3��'�__ LEGAL DESCRIPTION ll / Property Locations Y. A✓LIV '/a , Sec.�, T�N R ! IW, Townof 3 CO Subdivision v _ , Lot# 37. Certified Survey Map # ,Volume ,Page# Warranty Deed# 7(Q --, Volume ,Page# Spec house es no Lot liner; identifiabl yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibilities are specified in§Comm 83.52(1)and in Chapter 12-St.Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zoning Department a certification form,signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying that(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. Uwe,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein,as set by the Department of Commerce and the Department of Natural Resources,State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St.Croix County Planning& Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this fo are true to the best of my/our knowledge. Uwe am/are the owner(s)of the property described above,by virtue of a warran deed recorded in Register of Deeds Office. Number bedrooms. S ATIKE F APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning&Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.08/05) II II IIIII 11111111111111111111 8147904 State Bar of Wisconsin Form 6-2003 Tx:4120163 SPECIAL WARRANTY DEED 976926 BETH PABST Document Number Document Name REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED,made between BMO Harris Bank National Association,successor by 04/16/2013 11:52 AM EXEMPT#• NA merger with M&I Marshall&Ilsley Bank ("Grantor,"whether one or more),and REC FEE: 30.00 TRANS FEE: 2025.00 Creative Home Construction Investments, LLC,a Wisconsin limited liability PAGES: 3 company ("Grantee,"whether one or more). Grantor for a valuable consideration,conveys to Grantee the following described real estate, together with the rents,profits, fixtures and other appurtenant interests, in St.Croix County, State of Wisconsin("Property")(if more space is needed,please attach addendum): Recording Area Name and Return Address See attached Exhibit A. XJohV A E I \e ive o e CNsthtctt�an vesttnert`ts,bLC 146 ria gl Drrve Latta Tit SHC.. Ho to 082 W co• Rci. C,4 �USGvi 1(r/MN SSlt3 See Exhibit A Parcel Identification Number(PIN) This is not homestead property. (is)(is not) Grantor warrants that the title to the Property is good,indefeasible,in fee simple and free and clear of encumbrances arising by,through,or under Grantor,except municipal and zoning ordinances and agreements entered under them,recorded easements for the distribution of utility and municipal services,recorded building and use restrictions and covenants,general taxes levied in the year 2013,and Permitted Encumbrances described on the attached Exhibit B. I Dated February 28,2013 BMO HAJUUS BANK NATIONAL ASSOCIATION, success th &I rshall&Ilsley Bank (SEAL) (SEAL) * *B S. autze , r President (SEAL) (SEAL) * ..a... *By: .a P ACKNOWLEDGMENT IH AUTHENTICP.' ARY ^ Signature(s) .9 / > i ' �, n�� STATE OF WISCONSIN ) authenticated on CFr 1 MILWAUKEE COUNTY ) v„ �S Personally came before me on 2013 vr t ��� the above-named Gary S.Kautzer, Vice President of BMO TITLE:MEMBER STATE BAR OFY�M-.-6 q Harris Bank National Association (If not, to me known to be the person )who executed the foregoing authorized by Wis.Stat. §706.06) trument d ac wl a the me. THIS INSTRUMENT DRAFTED BY: Marvin C. Bynum II, Godfrey&Kahn,S.C. *Carol Lee Hopkins Notary Public,State of Wisconsin My Cornmission(+s-peRRane*t)(expires:April 6,2014 ) 9003373_2 (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE:THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. SPECIAL WARRANTY DEED ®2003 STATE BAR OF WISCONSIN FORM NO.6-2003 1 Wp3 name below signatures. EXHIBIT A Legal Description Lots 2, 11, 13, 14, 15, 16, 17, 19,24,25,26,32,33,34,35,36 37 38,39,40,41,42,43,44,48,52,53,54,55,56,57,58 and 59,Plat of Hills of Troy in the Town of Troy,St.Croix County,Wisconsin. Parcel ID Nos.: 040-1318-00-002 040-1318-00-011 040-1318-00-013 040-1318-00-014 040-1318-00-015 040-1318-00-016 040-1318-00-017 040-1318-00-019 040-1318-00-024 040-1318-00-025 040-1318-00-026 040-1318-00-032 040-1318-00-033 040-1318-00-034 040-1318-00-035 040-1318-00-036 040-1318-00-037 040-1318-00-038 040-1318-00-039 040-1318-00-040 040-1318-00-041 040-1318-00-042 040-1318-00-043 040-1318-00-044 040-1318-00-048 040-1318-00-052 040-1318-00-053 040-1318-00-054 040-1318-00-055 040-1318-00-056 040-1318-00-057 040-1318-00-058 040-1318-00-059 2of3 QUTLOT S G55 0.521 ACRE 22,706 S.F. S 870-30,52" E 2681.78' 2z0.77�"'%`-c�....``'• ._..,._._.._., 340. i G60 s 00 o" "° �c$3� r N 230 •.., 1.218 ACRES ! p & , p �. .. '' �' j�s�QO, �''�53�,fl33�S.F.%i Ui F , S iM 3S t ° � t 36 � ! ''''� 3'? UR . s f °o ! P,Gra j ; ti 1.003 ACRES! `*° %� � ''•a cv 2°4�4¢� `° ., k/-.:,..-... ......---.,..' o ' Qfl p,6 5 j t 43,704 S.F. i,v` A ,,__ `\• � FO o t t 2 i 000 ACRE !c ^`� ---•�.._._,._.. C? �,.,, P f /' 43,561 S.F. RES % ti 4 �• 154• f32 �—..l ! / i' 3.096 ACRES F. i � � ca "-.. 86 0 �`'"• .► 47,760 S.F.! /� .,r 2 J3 r cs / ' `7°0�'•1.<� ! ' I 0 F! t"'••-.,,., 256.?7• z j f 42 ' ! 41 ! Q ! 4 1.184 ACRES ( b '1.001 ACRESI '� •�•` .r ;a I � e°7 j 1 E 391 51,553 S,F. 143,589 S.F. 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I A i i eb. a �• b '#° i x y 9 9 9 9 9 MEGH.RM. i p I F� eaner�a w+a 3 y 6 r _"'' a�wl—l"wir�l i q I I -------- L----------------------J r– I j+ r– -----1 L------------' -- ----------------------- e s UN XGA\/Al'M § 6 e L wum Mew ___J rc r r evewer ------, Q - I I IYI• IiV'MO.lyppryj 141' 141' �y]'MO.1�1'1') 141']-]' 4K• AdSHAMTM Wo - IIK• PROJEGrneeac 201-O34 NOTE: sew• MK• •a ICI •uneer elesvlw ro�u•wee u.no. esK• 2 - I I BASEMENT FOUNDATION PLAN �e�oae ro en o-aw uHO. ..i LEE Ri m m onallmoln ME o ' , i- - - �i� --- - -e 111 = _ ■■ IN F.Fun 77IMN-', ME Z*wZ;A;4 14WIM 9 Ri