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HomeMy WebLinkAbout040-1318-00-048 County: St. Croix Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT Sanitary Permit No: 572846 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)]. Parcel Tax No: Permit Holder's Name: city Village X Township 040-1318-00-048 Creative Homes, Inc., c/o Nath%idde Troy, Town of n CST BM Elev: Insp. BM iption: Section/Tow /Range/Map No: 1Ug2.82. 11.28.19.2123 TANK INFORMATION ELEVATION DATA TYPE MANUFACTU CAPACITY STATION BS HI FS ELEV. Benchmark 1087 Septic ' V~ Dosing Alt. BMI I t.D , 6-7 6 82 AerIMM- Ple~ Bldg. Sewer -b 16`1 L4. b2 - SUHt Inlet 2- St/Ht Outlet TANK SETBACK INFORMATION Z BLDG. Vent to Air Intake ROAD Dt Inle TANK TO P/ e, y WELL Septic Z' 16 41 orb f Dt Bottom $ a CA b"Z _1 Dosing Header/Man. A) (e) (f Z2 Aeration Dist. Pipe 4 10 8 4- L Holding Bot. System 2.3 1, obi A q Final Grade O r(„ 1085, PUMP/SIPHON INFORMATION Demand St Cover Z GPM F t ~'rC.~' ~J Manufacturer ~-7 / 6 O 1..-t- 1076, Model Number 4' r,) Q ` $N 152 TDH Lift I J Friction Lossq~ System Head 2 T DH ~ b Ft Forcemain Length Dia. 11 Dist. to Well , 6 SOIL ABSORPTION SYSTEM PIT DIMENSIO its Ins ide Dia. P "Q-~ 165 DIMENSIONS t-.J BED/TRENCH U8i 71j- S SETBACK DG WELL LAKE/S EAM LEACHING ufactuINFORMATION CHAMBER ~t U Model Number: DISTRIBUTION SYSTEM x Hole spacing vent to Air Intake Header/Manifold Distribution x Hole Size Pipe(s) ' /x 1 Length LE -9-1 Dia ,I Length 1 Dia_ Spacing~1 _ ✓ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ,a Mulched ff ver i D epth Over Txx Dept opsoil x SeededlSodded 1 Bed Yes es No ch Center //COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / S t Parcel No: 11.28.19.2123 Location: 713 Crest Curve Hudson, WI 54016 (NW 1/4 NW 1/4 11 T28N R1 9W) Hills of l~ Lot 48 1.) Alt BM Description = 'n 2.) Bldg sewer length = ~-bbo / r~ We 1 pie - amount of cover N1I ko-q Pe l1g A Plan revision Required? Yes 0 No =Date Use other side for additional information. Cert. No. ins ctoes ignature F SBD-6710 (R.3/97) PLOT PLAN PROJECT Creative Homes ADDRESS 707 Commerce Drive Suite 410 Woodbury Mn 55125 NW 1/4 NW 1/4S 11 /T 28 N/R 19 w TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 1084.3' DATE 10/17114 BEDROOM 3 CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANS SIZE 830 HOLDING TANS SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of survey Iron VATION Filter BEAR Filter 1Q82.S2' ❑ BOREHOLE WELL *H.R.P. Same as Benchma All piping sbiall be SDR 30/34, within 10' i c of tank, piping shall be Schedule 40. Crest C u rye Scale = 1/4'1 = 1 ON 1 Acre Lot Wei I is to meet al I WDNR setbwks Pro 3 Bedroom Ha use Huffeutt Combo Tank Area 15' below system is to remain undisturbed 6% ape B-A Grading is to be done to diyert run-off away from system System is to be installed along the uniform contour of 108 3.3, and be C installed along a 6% slope 1082' ❑ B-C 8_8 1083' 103.3' 1084' /oj'Z,f2 Safety and Buildings Division County i5~- ` /0 I 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) S Madison, WI 53707-7162 _ Permit App`c,~. ~ 3tateTransactionNwmber ental unit J~ is 4h$ 2PPF2PA` 6Q== in accordance V~ Wis. Adm. Code, submission of this form is required prioR~c ~g a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Depar'~afety and Professional Servies. Personal information you provide may be used for secondary oses in'accordance with the Priv Law, s. 15.01 m Stats_ 7/ 1 3 L Application, Information - Please Print All Information C Property Owner's Name Parcel # U 771) Property Owner's Mailing Address L L G Property Location r Z/ Z~ Govt. Lot / City, State Zip Code Phone Number AAJ 3/,, 21,2t/., Section n / u rcle one 8ty,t~ `N'~ ~Sl a ~ T ~ Z N; R E II. Type of Buildi (check all that apply) Lot # Subdivision N me 3 Family Dwelling -Number of Bedvoort)s 7- 10A ~'hd 1i Block # ❑ Public/Commercial -Describe Use ❑ City of _ CSM Number ❑ Village of ❑ State Owned -Describe Use >ir-Tpwn of 1o III. Ty of Permit: (Check only one box on line A. Complete line B if applicable) A. ew ystcm ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. El Permit Renewal ❑ Permit Revision El Change of Plumber F1 Permit Transfer to New Before Expiration Owner W. Type of POWTS S stem/Com onent/Device: Check all that a I ❑ Non-Pressurized in-Ground 11 Pressurized In-Ground 11 At-Crrade d > 24 in. of suitable soil ❑ Mound < 24 in, of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis rsal/Treatment Area Information: Design Flow (gpd) Design Soil App cation Rate(gpdsf) Dispersal Area equired (sf) Dispersal Area o ed (sf) System Elevation 70 Z_/ - I VI. Tank Capacity in Total # of Manufacturer 0 Inf u o v S ! /n fl b V N Gallons Gallons Units 0l'! /C New Tanks Exisung Tanks Q -.S~ f E vi cn i L 11 8 Septic or Holding Tank V ~~Q r Dosing Chamber o o G o VII Responsibility Statement- I, the undersigned, assu esponsibility for installation of the POWTS shown on the attached plans. Plum , 's Name (Print) Plumber' azure MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip e) 3 2-:;1 av s S v VIII. oun /De artment Use Only Permit Fee Date Issued Is ng Agent Sign ure Approved ❑ Disapproved $ c ❑ Owner Given Reason for Denial Qa 1/ / 20 / u~ IIL Conditions of ApprovaMeasons for Disapproval SYSTEM 0 aAt ~t t t tiu 111 AZI 1. Septic tank, ll~r ~Irjd G dispersal _ as ma pIRltiidrd by Awnber. and snbmit to the County only on paper not less than 8 in x ii inches in size asloappf SBD-6398 (R. 11/11) ~~`~,9EY~TNj r DIVISION OF INDUSTRY SERVICES ° 10541N RANCH ROAD HAYWARD WI 54843 Contact Through Relay P S www.dsps.wi.gov/sb/ _ ~cw www.wisconsin.gov sroNScott Walker, Governor Dave Ross, Secretary November 04, 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: 11/04/2016 Identification Numbers Transaction ID No. 2473572 SITE: Site ID No. 807540 Creative Homes Please refer to both identification numbers, 713 Crest Curve above, in all correspondence with the agency. Town of Troy St Croix County NW1/4, NW1/4, S11, T28N, RI 9W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1510224 Maintenance required; 450 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. P.O.% dl The following conditions shall be met during construction or installation and prior to occupancy or use: C011 • A copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file APH with the Department. Changes to the approved plan must be submitted for review and approval. Failure to Df PARTMENT properly attach the approval and index page to plans that match the copy on file with the Department may result N oF•SAF in enforcement action under s. 145. 10, Stats. • This system is to be constructed and located in accordance with the approved plans, and the "Mound EE GORR Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P (N.01/01). • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01101). • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • The system was designed to meet the influent quality defined in SPS 383.44(2)(a) The quality of influent discharged into a POWTS treatment or dispersal component consisting in part of in situ soil shall be equal to or less than all of the following: SHAUN R BIRD Page 2 11/4/2014 1. A monthly average of 30 m~ fats oil and grease. a Y ave 2. A monthly average of 220 mg/L BOD5. 3. A monthly average of 150 mg/L TSS. • SPS 383.54(3)(b) (b) The servicing frequency of an anaerobic treatment tank for a POWTS shall occur at least when the combined sludge and scum volume equals 1/3 of the tank volume. • The inspection, maintenance and servicing reports shall be submitted to the governmental unit within 30 calendar days from the date of inspection, maintenance and servicing. • The owner is responsible for the operation and maintenance of the private onsite wastewater treatment system (POWTS) in accordance with SPS 383 and the approved management plan • The owner of a POWTS shall be responsible for ensuring that access opening covers remain locked or secured except for inspection, evaluation, maintenance or servicing purposes. • Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Provide a copy of the approved POWTS plans and this letter to the owner. • Prohibit vehicle traffic and soil disturbance within 15 feet of the downslope edge of the mound pursuant to "Mound Component Manual Version 2.0" SBD-10691-P (N.01/01; R. 10/12). • Insulate 4" 0 conveyance pipe as necessary pursuant to SPS 382.30 (11)(c), W.A.C. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 f' l This Amount Will Be Invoiced. C . C When You Receive That Invoice, Edwin A Taylor Please Include a Copy With Your Wastewater Specialist, Integrated Service Payment Submittal. (715)634-3484, Monday - Friday 8:00 am To 4:30 pm WSMART code: 7633 edwin.taylor@wisconsin. gov Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond WI 54017 715-246-4516 Date: 10/17/14 Owner:Creative Homes Location: NW1A NW1/4 S11 T28 N,R19W 713 Crest Curve Troy Manuals Used, Mound Component Manual Version 2.0 (01131) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve ,9 Y 7-8. Maintance and Contigency plan ionv11Y r-W walk 9-11. Soil test coD OF W IF 12. Biter Specifications an ss section r pd D 6 L f Nu Shaun Bird NQ Signature License numb r W6900 PLOT PLAN PROJECT Creative Homes ADDRESS 747 Commerce Drive Suite 410 Woodbury Mn 55125 NW 1/4 NW 114S 11 /T 28 N/R 19 w TOWN Troy courirY ST. CROIX SYSTEM ELEVATION 1084.3' DATE 10/17114 BEDROOM 3 CONVENTIONAL IN-GROUND PRESSURE CON'V'ENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of survey iron VATION Falter 13EA.R Filter 1082.82' ❑ BOREHOLE (DWELL *H.R.P. Same as Benchma All piping shall be SDR 30/34, within 10' of tank, piping shall be Schedule 40. C rest Cu rye Scale = 1/411 = 10' 1 Acre Lot eiI is to meet al I WDNR setbacks Fro 3 Bedroom Ho use Huffcutt Combo Tank area 15' below system is to remain undisturbed 6% Slope B-A Grading is to be done to dlyert run-off away from system System is to be installed along the uniform contour of 1083.3, and be installed along a 6% slope 1082' ❑ B-C B-B 1083' 1083.3' 1064' / B.M.* /oaPZ.f2 Mound System Cross Section and Plan View r. _.r. rt r - r - - r Z . _ . _ r Dimension Feet % i :S[ s A r ~ D 1 4: D t •1- 1 D t ~ T A ! .t gc aJ t t Et. w .a: t a ~ YU G s t t H F z I :f. •t r' Q t t 3 s L i -rte w ~J K B Z L Sloe - "1 = Topsoil 77-1 = ASTM C-33 = Clean aggregate = 4 in. sch. 40 pvc r Cap Material sand fill to 2 '/:z in. dia. observation pipe Geotextile 'G H Fabric :Si n•y 1 D E f'.., Ft Contour Plowed Surface ' -~3 c7a 117g3~ 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 W) 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'/a inch soil wire when a sample is rolled between the palms of the hands. 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 b inches and secured in place with rebar or a closet flange. 10/0710 Page of Pressure Lateral Layout Two Laterals - End Manifold .0 Threaded Cleanout Lateral T=-up 0 Plug Manifold M Ll C~ X t L -10 Long Force Main j Sweep 90 Bend Vol, Distribution Network Specifications Pressure System Construction Lateral Diameter Z In- Manifold Diameter Z - In. Laterals are constructed of Schedule 40 PVC Orifice Di!ZSE er 3 In. pipe. Orifices are drilled perpendicular to X Orifice c In. t he pipe with a sharp drill bit euad face down- L ateral n Ft. Lateral turn-ups terminate with a threaded M Manifold Len Ft. cleanout plug and are enclosed in a 6-8 inch Force Main Diameter Z In. diameter lawn sprinkler valve box accessible Force Main Len j Ft, from finished grade. • • • • • Grade • • • • • • • • 6-8 Inch Lawn Sprinkler Valve Box Page of 03/05193 1 Septic-Dose Tank Cross Section And Pump Performance Specifications FUTP Tak Manufacturer Pump Model Number AJ Z Tank Mods Number ,p 6 Total TM* Capucty Alarm Manu€aadmer 5 WOO, Max. Bury Depth ! Alarm Model Number j Switch. Type ~ G, Filter Adaaefactwer Toth D)+namic Head (MID - Feet Filter Model Number Elevaion Head lDietal Psessut+o 3, c.7 ~ _ _ Network Loss Minimum Pump erf=tsnce Rs9.uired Force Msin Loss GPM jr, ~ Ft TDH Total S. ~ r outlet Manhole 1►& a Above Grade With I ~ 100 6 Manhole Min. 4" Above c=& Locking DV,Ac.@. Tarot Manhole With Loclang Device < 6" Below GrWe Sealed. WatWdAt Securely' Mounted . weat[tar✓proof Juncdcn Box - low r ]C saFavuva. 1 Veep Mitt,. 12" Disconnect Above•Graile Means With Vent Cap ;22- 00 I_`~"• 'r• BAS nle inlet A. switch S and Rwam c vecity r ~ weep >t~ Tank Volume QPI Hole Dimension; Inches Volume Gal. . . 0$ Elevation C p,t .s (alarm) B: 2 -4 Bottom {dose) C ' 6. S- 7 47 on Eleva~i (dead) D- D e~--,-may r i a n a l • . •S: a •.>ii ;.i.ai T':i' }l.•;i'i~.>a';'a'l::':: 1'i i e' d.~a!':~ti'~'i i i Ala . . • 1 s 1 a •a in accocdaoce with the GLTjERAL INSTALL AVON: 11m, se dcldosp .rank is bedded and back d ftcatiot:s. Meucimeun dv& of bury of tier may not manufacturer's product approval Wade have an ve Wkmg device (padlock) be exceeded wvithout 1 outid - of Manbole coven Toved c~mjed to the.tak with wa RU& ili,taand nk installed. Piping at the WA and ~ *a 4 "40 pVC to bridge the or sewbg g~ ~s W&NEC•300 and Comm 16.7,71, laid on stable 99 to R e =udou and ft glo ve.is sealed w lit. page. 42105 Li TOTAL DYNAWC HEAD/CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERING w MODEL 152/153 MoD[L , 152 153 W I 50 Feet Meters Got. Ukers GoL U;ter3 753 k 5 1.5 69 231 1 77 291 t0 I 3.1 1 51 231 70 Z65 12 40 152 15 4,6 53 201 61 231 20 6.1 t 44 157 52 I 197 30 25 1 1 7.6 34 129 42 f 159 U 8 i 30 9.1 23 I 87 33' 125 c I 35 l ;-.7 j 22 85~ r-P 20 ! 40 12.2 I 11 42 o , { Lock Volvz. X38.0 Fl. (11.fim) fldA rt, ('3.4m) oidaea ,o f 0 60 100 2 t30 GALLONS a 1/a LITERS 0 80 160 240 320 3 27/32 FLOW PER MINUTE 1 I 1 1 ~ 27%12 CONSULT FACTORY FOR SPECIAL APPLICATIONS _ 3 27/32 Timed dosing panels available. J ® • • Electrical alternators, for duplex systems, are available and supplied wit L I an alarm. • Variable level control switches are available for controlling single phase systems. • Doublet piggyback variable level float switches are available for variable level long and short cycle controls. • Seated QWk-Box available for outdoor installations, see FM1420. i • Over 130'F. (54'C.) special quotation required. i 12 1/S 1571153 Series' I 1 I1 I 1 1 GDELS Cc of Sete 'on f l 5 1/5 ex I Model Yo rs Ph Mode Am s puore>< N152 115 1 Nd+ 8.5 s~oati BN552 11$ 1 Aura &5 InWuded 2or3 E152 230 1 Non 4.3 1 2 or 3 56152 230 ; Auto 4.3 Inclu_ea 2 or 3 N553 115 1 Non 10. 1 «3 SELECTION GUIDE E153 E153 115 23C 1 1 Au Non to 1a5 Ixluied 2 or 3 1. single piggyback variable level float switch or double piggyback vadeble lever float 5.3 1 2 or 3 9ft53 230 t Aura 5.3 eluded 2 or 3 switch. Refer to FPA44T7. A CAUnoN 2. see PM0712 for correct model of Electrical Altemstor E-Pak. 3. Variable level control switch 10-0225 used as a camrot scovator, specify duplex (3) Ail inst+llladen of coaanls. Droteodan devices and wiring should be done by a qu511fled peeneed g1cmdan. AS electrical and safay codes shauld be followed Including the most of (4) Boat sysrem. recentNatlonel Electric Coda (NEC) and the occupational Safety and Mean Act (OSHA). RESERVE POWERED DESIGN For unusual conditions 2 reserve safety factor is engineered into the design of every Zoeller pump. MAIL TOr R0, 90X 16347 Loulsoft KY 40256.0347 ManJtecbrwsof, . stuP fro; 3649 Cen6 Run Road ~fr AWAF Sarf /939, r 0 ® LOUISViNe, lC1' 4021 i.1B6r d ~IJ~P ~0, l6~ FAX (502) (8001624 PUMP hrrpJ/wwwzoeflancom r~} Copyright 2000 Zee ter Co. All rights reserved. i Wisconsin Department of Co ce SOIL ~UATIbN REPORT Page 1 of 3 Division of Safety and Building , _ nee with°Comm-85, VVif: Adm i Code County ST, CROIX Attach complete site plan onpepe eNecc ►n 81,?7x 11_ inches in size. Plan st include, but not limited to: vertical and horizo al refer 00 gdion grid Parcel I.D. pernp.nt slnre, srnle nr dimensions, north arrdW7,md (>rid+an?lidjslt~agce to net rest road. Date Please print all information. 1e Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 71U, Property Owner Property Location r El LEONARD & MARGARET DELAURIERS Govt. Lot NW 1/4 NW 1/4 S I I T 28 N R 19 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 706 Coulee Trail N48 Hills of Troy City State Zip Code Phone Number ity Village Town Nearest Road Hudson, WI 54016 ( ) 14031 Coulee Trail New Construction UseEj Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement 0 Public or commercial - Describe: Parent material loess over till Flood Plain elevation if applicable NA ft. General comments Mound System 0.50 ft. sand fill 0.6 loading rate and recommendations: he~'a~ io~y ) ~c ( f pre-treatment system - below-gro d drip irrigation 0. loading rate) F-1 Boring # u Boring / 10~ks b Pit Ground surface elev. 1083.63 ft. K Depth to limiting factor 34 ID 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 0-3 10YR2/2 - sil 3fsbk ds cs 3vf-m 0.6 0.8 2 3-12 10YR2/2 sil 3fa&sbk ds as 2vf-m 0.6 0.8 3 12-20 10YR3/3 sil 2f-mabk mfr cw 2vf-m 0.6 0.8 4 20-25 10YR3/4 - is lmsbk mvfr cw lvf-co 0,7 1.6 5 25-34 7.5YR4/4 - A Imsbk mvfr aw lvf-co 0.4 0.7 6 34-47 7.5YR4/4 c2f7.5YR4/6 sl Om mfr lvf-m 0.2 0.6 Horizons 3& 4 have some gr. FBI Boring # Boring 1082.75 looks 6~ 32 0 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 1 0-3 10YR2/2 sil 3fsbk ds cs 3vf-m 0.6 0.8 2 3-10 10YR2/2 - sil 3f-ma&sbk ds as 2vf-m 0.6 0.8 3 10-12 IOYR3/3 sil 3f-ma&sbk ds as 2vf-m 0.6 0.8 4 12-32 7.5YR3/4 sl lmsbk mvfr cw lvf-m 0.4 0.7 5 32-43 7.5YR4/4 c2f 7.5YR3/4 sl Om mfr 1 of--f 0.2 0.6 Horizons 4 & 5 have some gr. " Effluent #1 = BOD > 30:< 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature , CST Number Ma Jo Hollister O 224832 Address Date Evaluation Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 07 - 11 - 05 (715) 426 - 1775 i Property Owner DeLauriers (Lot N48) Parcel ID # (Pending) Page_ 2 of 3 ❑ Boring # Boring ~ lu$4.30 U v ^ ~ Aj ~ /PeWl ly -~t ■ pit Ground surface elev. ft. Depth to li ing factor v 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 0-3 10YR2/2 sil 3fsbk ds cs 3vf-m 0.6 0.8 2 3-10 10YR2/2 sil 3fa&sbk ds cw 2vf-m 0.6 0.8 3 10-16 10YR3/3 sil 2fa&sbk ds cw 2vf-m 0.6 0.8 4 16-36 10YR3/4 Is If--msbk mvfr cw lvf-f 0.7 1.6 5 36-44 7.5YR4/4 f2f 7.5YR4/6 sl 0m mfr 0.2 0.6 ❑ Boring # C1 Boring n Pit Ground surface elev. 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 *Eff#2 Boring ❑ Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Applicatio 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. SB13-8330Test (R.07100) Plot Plan for Hills of Troy Page 3 of 3 Town of Troy, SX. Crok County, Wisconsin Lot I" 4o ft. Legal Description;% 2 ft contours gnaw -Tows nF,-vFDY = Backhoe pit s 01/ " / -105 " e e 8-1058 I ~ sE C B-1, 5Q / o Act P/p, - e£ A 41414 154,%s ` y+~ q\ 4F~w 4 84 4 No- 47 e~ »A' B4fi w~ dN pMy~ 'Vli 1. 109 ACRES a R » a Ile N80052t 4-7 "°ax s 1.007 ACRES 43A 6 8 S.F. N 49 60 1.002 ACRES 43it645 S.F. . %P 10\ -\S134-Toll N s d Av f ,Q. . 4-1 000, 801,839 60 4^, s sly 8 159. . a ~8 , 5.033 ACRES Oft Vo W.- POWWTS OWNER'S MANUAL & MANAGEMENT PLAN Page Cf i FLONFORMATION SYSTEM SPECIFICATIONS p~f/j G v~.4 I Owner Septic Tank Capacity ai ❑ NA P"* # Septic Tank Manufacturer O NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA ❑ NR [Estimated umber of Bedrooms p NA Effluent Etter Model umber of Commercial Units Pump-Tank Capacity K3 O at 4 NA Dow (average) aid Pump Tank Manufacturer _ NA Design flow Wak). (Estimated x 1.5) Pump Manufacturer O NA Soil Appk adon Rate ud fie Pump Model ^ Z-, p NA tnfluentlEffluent Quality Monthly Atage• Pretreatment Unit Fats, Oil & Grease (FOG) 130 mg1L ❑ Sand(Gn"l Filter Cl Peat Filter Biochemlcal Oxygen Demand (BODE) :220 mg& fD Mechanical Aeration ❑ Wetland Total Suspended Solids USS) 5150 /L 0 Disinfection ❑ Other. Manufacturer Pretreated Effluent Quality Monthly average" Dispersal Celks) Biochemical Oxygen Demand (BODs) 530 mg/1- O In-ground (gravity) ❑ In-ground (pressurized) und Total Suspended Solids (TSS) :5W mg& 17 At-grade teher: Fecal Cordorm (geometric mean) :104 dullooml O Dd ine 700 Maximum Effluent Particle Size Y. Inch diameter Valua "teal for domestic (non-commerd4 wastw*zter aw septic tank effluent. w Values typical for pretreated wastewater, MAINTENANCE. SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every O month ear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y) of tank volume Inspect dispersal cell(s) At least once every ❑ months r(s) (Maximum yrs.) Clean effluent filter At least once every ❑ manbh r(s) Inspect Omp, pump controls & alarm At least once every ❑ months s) O NA Flush laorals and pressure test At least once every ❑ months ear(s) ❑ NA Odwr I At least once every ❑ months ❑ year(s) ❑ NA olhar. At least once every ❑ months Q year(s) ❑ NA MAINTENANCE INSTRUCTIONS Inspecdons of tanks and dispersal cells shell be made by an individual carrying one of the following licenses or certifications: Master Plumber. Master Plumber Restridlod Sewer, POVvTS Inspector, POWTS Maintainer, Septage Servicing Operator. Tank inspections must Include a visual Inspection of the tank(s) to identify any missing or broken hardware, Identify any tracks or leaks, measure the vdume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually Inspected to check the effluent levels in the observation pipes and to cheek for any ponding of effluent on,the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined aocumuiation of sludge and scum in any tank equals one-third (g) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing operator and disposed of in accordance with ch. NR 11.3, Wisconsin Administrative Code. The servicing of effluent filters, m nical or pressurized POWTS components, pretreatfinent components', and any other maintenance or monitoring at i ervals of 12 months or less shall be performed by a certified POWTS Maintainer. A seCAV report shall be provided to the local regulatory authority within 10 days of completion of any service event START-UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of pain ft products or other chemleais that may impede the treatment process and/or damage the dispersal cell(s). If high conodO.Irations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. Page of , START UP AND OPERATION thOt For new construction, Prior to uee of the pOWTS check Ireattrlellttans s) for ,the tratlons are have the canto I~of the may Impede the treatment process and/or damage the dispersal Ng tank(s) removed by a septage servicing operator pflor to use. System start up shall riot occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wasteMrater Will bis discharged to the dispersal cep(s) In one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POVVrS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank, Do not drive or park vehicles over tanks and dispersal cells. too not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following fr= the wastewater strum mall Improve the performance and prolong the Ilfe of Ow POWT$3: BrIbblotics; baby wipes; cigarette butls; condoms; cotton swabs; degreasem; dental floss; diapers; disinfectants; fat; foundation dram (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scrape; medications; oil; painting producils: pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or Is permanently taken out of service the following steps shall be taken to insure that the system is prope(Iy and safely abandoned in compliance with chapter Comm e3.33, Wisoonain Administrative Code: a Ail piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. a The contents of all tanks and pits sheli be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with sail, gravel or another inert solid material. CONTINGENCY PLAN tf the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a coda complispnt replacement system: 0 A suitable replacement area her been evaluated and may be utilized for the location of a replacement soft absorption systepn. The replacement area should be protected Rom disturbance and compaction ivd should not be infringed upon by requliled setbacks from eAsting and proposed structure, lot lines and welts. Failure to protect the replacement area vAl result In the nEled for a new soil and alto evaluation to establish a suitable replacement area. Replaoement systems must comply with the ruleO In effect at that time, 0 A suitable replacement area is not available due to setback and/or soil limitations. Barring advances In POVVTS terhnologla a holding tank may be Installed as a lest assort to replace the failed POWTS, site has not been evaluated to Identify a suitable replacement area. Upon fallure of the POWTS a soil and site evaluallion must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installedl as a last resort to replace the failed POWTS- Mound and at-grade aoll absorption systems may be reconstructed in place following removal of the blomat at the infillsa lve ce. Reconstructions of such systems must comply vAth the rinse In effeci at that time. ceWARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDiOR INSUFFICIENT OXYGEN, DO T ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMi_NTS POWTS INSTALLER POWTS MAINTAINER 4 E Name Name S Phone Phone SEPTAGE SERVICING OPERATOR PU R LOCAL R GULATORY AUTHORITY Name Nerve / 69 14 Phone Phone '),T ?3 ~j This document ms drafted In cQmpllmnce with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.64(l),(2) 9 (3). Vftl ;onsin Administrative Code. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE GREEMENT AND OWNERSHIP CERT1FH.'ATkiN DORM r-'7 Owner/Buyer Mailing Address.__70 -7 Property Address___ (Veri.fication required from Planning & Zoning 1)epa t;nt or uew constnuaion ) City/State ~ U! '►_f _wv Parcel Ideriti ticatioti Nui iber LEGAL DESCRIPTION / 17 :Property Location k,,)-. tv4 , Sec. /l -I, L(~ l'} R / r W, Town 01- SubdivisionLeft # Certified Survey Map # Page # Warranty Deed 2 VOlurrre - ---7 Page It Spec:. house yes no Lot line! identifiable vc~s no SYSTEM MAINTENANCE AND OWNER CERTIFICATION improper use and rnainterrance of your septic system could result in its pntmature failtrc to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, ii needed, by a licensed pumper. What you put into the systern can affect the function of the septic tank as a treatment stage in the wasie disposal system. Owner maintenance responsibilities are specified in §Connn. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance, The property owner agrees to submit to St. Croix County planning & Lon mg Department it certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the orr-site wastewater disposal system is in proper operating condition and/or (2) after inspet Jon and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above reyuirenrents and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Departs ent of Natural Resources, State of Wisconsin. Certification stating that yotr septic system has been maintained must be complete, l and returned to the St. Croix County Planning & 'Loring 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 k aowledge. 1/we arr/are the owner(s) of the property described above, by virtue of a warranty deed recorded ill Register of Deer Is Office. yNu:m er o bedrooitn SIG. ATUR_E OF APIA ICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being ci-vok.ed by tine Planning &.Zoning Depa i-inent. Include with this application a recorded warranty deed liom the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) "y.7 ~ !ro -STRUCTIONS ~ LT - A a8 Installation STEP 1 pry 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- STIRP 2 While the case is Still dry fitted on the outlet pipe, measure the length of Vh-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 utlllzed, proceed to step four. STEP 3 For installations utilizing the optional supplemental side support: solvent weld the 3f4-inch pipe onto the filter case. If side support method is not utilized, proceed to step tout 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. Maintenance 1. The effluent filter should be cleaned every time the septic tank is serviced,, r 2. Open the outlet access opening co 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 Tf, 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 should be removed by turning counterclockwise 900 and cleaned with water only. i, 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 Miter and turning clockwise 900. i ~y. rs 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 ONSrW- FILTER cAitMDGF - FIVE-YEAR LIMITED WAR"r4tTY Sea: Onsic` niter cartridges are warranted to be free or defects in material and w;,ri(rnansthlp for kva 1151, years from the date of consumer ourchase. BEAR oNsrm- Filter case -Ula ime Limed warmney Bear oas)se warrants the Futer case will be free or defects in rnabenal arc wofk,+arierllo during normal use ror the perlod or tune the ongmal purchaser owns the product. it a defort is loured in normal use. Bear Onste will, -t its elecuort. ktiosir, provroe a replacement parr or wadur~„ W mace soproarfate ac;ustment, earnaga to a product caused by accident, misuta, or abuse ,s not covered by this warranty, Imoroper cane or nzalrunaiow r•esuhirg from units not mscalled, operated, or maintained In ac.ordarice with Instructions =vLdeu win VOW the warranty. Proof of purchesa forginai sales ;ecelml must be provided to Saar onstte with all warranty dalrrfs. Sear Onsne rs not responsible for labor charges, removal charges, gtstalla-uon.or other incidental or consequential costs in no event shall trip- Ilablhry of Seal Onsize, exceed the puicrase arice of the omdua. Parcel 040-1318-00-048 11/10/2014 PM PAGE E 1 1 OF 1 Alt. Parcel M 11.28.19.2123 040 - TOWN OF TROY Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 01/17/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner 0 - CREATIVE HOME CONSTRUCTION INVESTMENTS LLC CREATIVE HOME CONSTRUCTION INVESTMENTS LLC 707 COMMERCE DR STE 410 WOODBURY MN 55125 Property Address(es): * = Primary * 713 CREST CURVE Districts: SC = School SP = Special Type Dist # Description SC 4893 SCH DIST RIVER FALLS SP 0100 CHIP VALLEY VOTECH Notes: Legal Description: Acres: 1.007 SEC 11 T28N R19W PT NW NW HILLS OF TROY ('06) LOT 48 (1.007AC) Parcel History: Date Doc # Vol/Page Type 04/16/2013 976926 WD 01/10/2011 930266 WD 01/17/2006 816571 EZ 01/17/2006 816568 10/095 PLAT more... Plat: * = Primary Tract: (S-T-R 40% 160% GQ Block/Condo Bldg: * 10-095-HILLS OF TROY 040-06 LOTS 1/6 11-28N-19W NW NW LOT 048 2014 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/09/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.007 52,000 0 52,000 NO Totals for 2014: General Property 1.007 52,000 0 52,000 Woodland 0.000 0 0 Totals for 2013: General Property 1.007 52,000 0 52,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I) Illll~tll ~ II ii II illlill II Illlli 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 Retum Address See attached Exhibit A. oh E I e %6ria o e CNtstt~ctttnn vestwertts, LILC gl Drive LwrA Tit ticHo 082°a4w W Co• IZd. C, ~coS~Yi ik-/MN SSU3 1=11C43~t~ 4a~ 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. Dated February 28, 2013 BMO H S BANK NATIONAL ASSOCIATION, success 'th &I rshall & Ilsley Bank (SEAL) (SEAL) * * By: S. autze, t President (SEAL) (SEAL) * *By: AUTHENTIC_A-V VARY~pIll~11 ACKNOWLEDGMENT Ir Signature(s) 9 ~~lf~~/• STATE OF WISCONSIN *1 / CA 11 \ n's ) authenticated on , . kl t MILWAUKEE COUNTY ss. -7/NS l * -Personally came before me on 2013 ~tr•• rv~ the above-named Gary S. Kautzer, Vice President of BMO TITLE: MEMBER STATE BAR OF' V"ky 'SIN Harris Bank National Association (If not, to me known to be the person 4) who executed the foregoing authorized by Wis. Stat. § 706.06) trument d ac wI a the me. THIS INSTRUMENT DRAFTED BY: Marvin C. Bynum II, Godfrey & Kahn, S.C. * Carol Lee Hopkins Notary Public, State of Wisconsin My Commission (is pefmanen ) (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 4 Vp3 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.: 040-1318-00-002 040-1318-00-011 040-1318-00-013 040-1318-00-014 040-1318-00-015 040-1318-00-016 040-1318-00-017 040-1318-00-019 040-1318-00-024 040-1318-00-025 040-131$-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 2 of 3 i EXHIBIT B PERMITTED ENCUMBRANCES i 1. Any encroachment, encumbrance, violation, variation, or adverse circumstance affecting title to the Property that would be disclosed by an accurate and complete land survey of the Property. 2. Easements or claims of easements which are not shown by the public records. 3. Any lease, grant, exception or reservation of minerals or mineral rights appearing in the public records. 4. Subject to the building set back lines, utility easements, drainage easements and wetland areas as reflected on the recorded plat. 5. Subject to the terms and conditions as shown on the recorded plat of Hills of Troy. 6. Restrictive and protective covenants as recorded in Document Number 816569, amended by Document Number 841464. (These restrictions contain no forfeiture provision.) (Omitting any covenants or restrictions, if any, based upon race, color, religion, sex, sexual orientation, familial status, marital status, disability, handicap, national origin, ancestry, or source of income, as set forth in applicable state or federal laws, except to the extent that said covenant or restriction is permitted by applicable law.) 7. Subject to the terms and conditions of the Landscaping Easement in favor of Hills of Troy Homeowners Association, Inc. as shown as Document No. 816571. 8. Subject to the terms and conditions of Conservation Easement recorded on July 1, 2005 in Vol. 2834, pages 155- 173, as Document No. 799119, amended in Vol. 2937, page 68-77, by Document No. 813315. 3of3 rr- I l~ ME I - - - - nnU FRONT ELEVATION LU ❑ ® ® z w LEFT ELEVATION - Q RIGHT ELEVATION LU_ ~z~gedy - m~ - ~rtrr ® °991!!9 IE[IIHIEEII 0°10°------ - k REAR ELEVATION 7.7 [i HE - - ' I ~~~I• FAMILY ~o I F ? Mel 6 r-v «r i ' I I ~ FUTME n. q -t ILI I I I w I N -w,= ~UNE AVATED D r Ali „ I ~ I ~ wlam ~ I I ' rlw ~ I I I I g x cerec Iggs I $ i glfiPpe II , - - - - LOAER LEVEL FLOOR PLAN L i i WW I I z::a x 'r DININS 5 MAT RM. F „TH - z i 1 KIT W Q - ~w P~rtRr d } l(1 y i 9 ✓ ..-.W.. F~-ti p $ I'°R°bE - Ip PORLN il~------- ~ZU~ 9 19 14iiPpF Y I yy MAIN LEVEL FLOOR PLAN 3~7 L Ci zr= 3 GREAT RM. M1D FM. DB1/B®W-0. ~ EGTION 5 FAHLY W. NEIHATOR t id z GTION LU Q _ LLIf i ROOF PLAN g j S 47l v►raconsln DepannnentorC 1 N REPORT Dkdsion of Safer and BWldl SO+L 1 3 Pege or Awccifirm tlr. Adm Code ell Aftech `"~n 8 t 1 CD1"h' ST. CROTX include b~~limll06 ed i ~ oc wcal and ho l '+x 1 lnoifas in size. Play PA"nt Rtn fq. A-IF -tlmenMonn, north a ion qnd Parcel I.D. ~Idlo reef road. Pieaae print all information. Dale Pem"M N*rammn you prorrd• may be u•ad mr secondary purposes fPfivaY law, 2.16.8 1 m Properly f 3 / Lo 9 LBONARD & MARdARET DLzLAUMRS cation 1 Properly owner's Ma Addrer3a Govt Lal ! NW 114 NW 114 3 11 T 28 N R 19 E l W Coto Blodc* Subd Name orCSM6 706 & Cozip ulee T mil N48 1lills of Troy ~ Phdta Number Hudson, W1 54016 • Town Nearest Road Coulee Trail FRe:pmmm C40n Use J ] Rse antial 1 Number orbedrooms Code did deeign flow refs ent F0 Public or commenyai - Describe: aPD ments Flood Plate elevation ff aPPAGable ndaiions: Mound Symm 0.50 fL sand 811- 0.6 loa ft rate - Pn n~ an - cf J?loi tie /X/4PrC,- ey sy low it p irrigation o, loading rate F1 Borings: ® Boring / ~UakS a Pit Ground sutfeoe elev. I083.63 it. Deign to *nNM factor 34 in. Hartman Depth Dori nt Redox Deswption Texa,re ;0.6 In. AAunseA Consistenoa Boundary Rods Qu Sz. Cont. color I Sz ~ 1 0-3 10YR2/2 sif 3fsbk ds cs 3vf-m 0.8 2 3-12 10 Gil 3fa&sbk do 2vfm 0 0.8 3 12-20 1 OX,R3l3 _ as .6 s8 2f-mabk rnfir cW 2vf-m 0.6 0.8 4 20.25 joyX3/4 is ]mdbk mrvk cw lvf-co 0.7 1.6 5 25-34 7.SYR4l4 - s1 lmsbk mvfr aw Iv-co 0.4 0.7 6 34-4711, 7.5YRa/4 c2f7.SYR4/6 S1 am mfr lvf-rp 02 0.6 Horizons 3.~ 4 bare some !tr °B," 6 Plt Groundaurfeaeelav 1082.75 U 32 fl• Depth to "me factor In. Horizon Depth Dominam Color Redox Des Oon Tereus ~1 Raw in. MurueJl ~'ucture Cortgir;tence Boundary Roofs GP Qu• Sz. Cont. Color Gr. Sz. Sh. 1 0-3 IOXIl2/2 ~ 'EMI '~2 oil 3fsbk ds co 3vf-m 0.6 0.8 2 3'10 ' ] OY.[L2/2 3 310-12 .10 10YR?~ r sit 3f-me&abk ds as 2vf-m 0.6 0.8 sil 3f-ma&sbk ds as 2vf m 0.6 0.8 4 12.32 7.5YR3r4 _ 91 lmsbk mvfr aw ivf-m o.4 0.7 5 32.43 7.5n4/4 CV 7.5M/4 sl Om mfr - 1 vf-f 0.2 0.6 Horizons 4 & s bane some g,•. Eflfuent 91 = SM > 30:5 220 mg/L and T3S >30 c 150 CST Nam (PI--- . -1 - ~ ~ >=fAuent i12 = BOD 130 miBA and T55 c 30 rrv/L Signature M 7o Hollieror Address 224832 W9875 690th Av w Evaluation Umducted Telephone Number seas, River Fain; W1 S4022 07-11-05 (715)426 -1775 ' I Property Owner DOL.aurier; (Lot N48) Pwol ID # (pending) PW 2 of 3 F-F] El Fsnring r>e Boris Pll Ground surface elev. 4T.30 fL to li Depth lector Raft Horizon Depth Dominant Color Redox DeWpoon Texture S1ruC n Consistence Boundary Roofs Gpn" In. mur"N 0tl. OZ. Cont. Color Or. Ss. Sh. 'e tf -EM- 1 0-3 10YR212 SU 36bk de cs 3vf-n 0.6 0.8 2 3-I0 10 sit 3h&sbk ds Cw 24-m 0.6 0.8 3 10-16 IOYR3/3 s0 2fitsbk do ow 2vf-m 0.6 0.6 4 16-36 IOXR314 _ 1s 1f--msbk WVIr cw 1vf-f 0.7 I16 S 364 7.5X11414 t2f'7.5YR4/6 sl 0m m£r _ 0.2 0.6 F1 Boring 0 © pit Ground surface elev. 4. Peplh to Imlting Factor m Sol Application H odson Depth Domlrlant Color Reft DesrrWon Texture SVUMM Consistenet► Boundary Rants G1°DY Rate im Mumen Qu. sz. Corn. Color Gr. Sz. Sh. 'Eft 'rte Bonng Pit Ground surface elev. ft. Depth to fi cling factor im Soil Rabe Horizon Depth Dornirkw Col Redox Descipmon Texture Structure Consistence Boundary Roots in Murma QML SL Cons Color Gr. Sz. Sh. 'EJA11 'FJ~2 Effluent 01 = B4D5 a 30 < 220 mg& and TSS >30 < 150 nV& ' EMuent #2 = BODO c 30 mg/L and TSS 130 mglL The Department of Commerce is as equal opportunity service provider and employer_ Ifyou ncod assistmocs to access services or need material in en aTtermate fb-4 please contact to depmtrpent at 608-266-3151 or TTY 608.264-8777. sauaaaons~ a~ Plot Plan for Hills of Troy Page 3 of 3 "consin Town of Troy, A Croir County, •W Lot yg I" - 40ft Legal' Descrip olt 2 ft contoun ~Ig .ti ~w~ Y = Backhoe pit ~g 1 . ~1 l `~n ' j / / 108 SL. tam 1~. 8-1058 l /