HomeMy WebLinkAbout040-1318-00-042
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
578933 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)]. 1-6 3 Permit Holder's Name: City Village X Township Parcel
Tax No:
Creative Homes, Inc., c/o John M. Eral Troy, Town of 040-1318-00-042
CST BM Elev: Ins BM Elev: BM Description: ~ n Section/Town/Range/Map No:
10-1~ C ~ I v , 11.28.19.2117
TANK INFORMATION h . ~j ELEVATION DATA
TYPE MANUFACTURER , P CITY STATION BS HI FS ELEV.
Septic U Benchmark I ..q
/ 2-
Dosing t t~ I, Alt. BM - 14t✓ e, U h 75.
p
Aeratit3Tf' Bldg. Sewer U -7-14
StA*Inlet 9-/ lb-71,
2
SHHt-6trHef~ ~
TANK SETBACK INFORMATION
. Vent to Air Intake ROAD
TANK TO P/L W LL ;G
nark-h
is 0 I A I I D ~ 1 I Dt Bottom et ' D 67. '
Se
,pt
J~ L
Acr2tt= Dist. Pipe j& /
System HAld+ng- (6nAV,, 00'
Final Grade
PUMP/SIPHON INFORMATION / i
Manufacturer l!~ Lffemand St Cover ~•I1~~ 2
Model Number G-1 H ~ ,f„ r n O a ' /7.
TDH Lift Friction Los 1 System Head LDH Ft ' 1 I "1
Forcemain Length IDia. ^ Dist. to well A ,
SOIL ABSORPTION SYSTEM 'v
BEDITRENeW Width Length N0.-A€Treaclwa- PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS I t V
SETBACK SYSTEM TO P/L BLDG WELL $f LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Typ Of ystem- UNIT Model Number:
DISTRIBUTION SYSTEM ~Jl a tV
Header/Manifold Distribution ] x Hole Size x Hole Spacing ] Vent to Air Intake
Pipe(s) 12- M ~ktll
Length Dia Length Dia 2 Spacing L
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only 9 .4
Depth Over Depth Over xx Depth of It xx Seeded/Sodded
Bed~ch Center Ig1lA1rA'NP Bed/Trench Edges Topsoil I Yes No Yes ® No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~/\ J Inspection #2:
Location: 714 Crest Curve Hudson, WI 54`0166 (NW 1/4 NW 1/4 11 T,2J8N R1 9/W) Hills of Troy Lot 42 o Parcel No: 11..28.19.2117/
1.) Alt BM Description = `v~ CbV ®~Q 1~(~+~ll S~~TL Wl KJf 1 P~ 1 C Y `W7 n) ~L'
2. Bldg sewer length=
-amount of cover=
>'A2tt~'~ y Plumber " Asepctor's MSignure rovr o 11U l,6rfi~
Plan revision Required? ❑ Yes No tD r,l Use other side for additional information. ~l! Date Cert. No.
SBD-6710 (R.3/97)
PLOT PLAN
PROJECT Creative Homes ADDRESS 707 Comerce Drive Woodburv Mn 55125
NW 1/4 NW 1/4S 11 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX
SYSTEM ELEVATION 1074' 4/13/15 3
DATE BEDROOM
CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630
i
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none
BENCHMARK V.R.P. Top of 1.25" iron pipe ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
All piping shall be SDR 30/34, within 10' 1072'
of tank, piping shall be Schedule 40. Property Line
B.M.* 1074'
❑
Area 15' below system is to R-109
remain undisturbed Slope
10176'
R-109 -
Property Line Grading is to be
~h ❑ done to divert run-
off away from
R- 109B system
H uffe utt
Combo Tank Tank is to be prcperl~
bedded and provided
with lockdown covers
1 Acre Lot with approved
Pro 3 warning labels
Bed roc m
House
Crest Curve Property Line
el I is to meet
Property Line all WDNR
setbacks
Scale _ 1/4" _ 10' =oPY
~u e Z ,d- ~ 1 z
County /
`f l
~ EN Safety and Buildings Division
1 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
Zv Madison, W1.5=7-71.62
30 '4d
oMMU~vlnr oEv► Permit Application a 53 w
1, accordance with SPS 38321(2), Wis. Adm Code, submission of this form to the appropriate governmental unit
is required prior to obtaining a sanitary permit. Note: Application forms for stale-owned POWTS are submitted to project Address (if different than mailing address)
n
the Department of Safety and Professional Servim Personal information you provide may be used for secondary
ses in accordance with the Privacy Law, s. 15. 1 m , Stats.
L A lication Information - Please Print All Information parcel ti
Property Owner's Name Property Locauorl
Property Owner 's Mailing Address % 6 2 1 I p~
~ l a RJ ~ ► Govt Lot
City Stare Zip Code Phone Number Section
41- le o J T N; R /?7 E W
II. Type of Buildin check all that apply) Lot #
Subdivision Name !
I or 2 Family Dwelling - Number of Bedrooms G
aS rss Block # /
❑ Public/Commercial - Describe Use ❑ City of
01 f'~- CSM Number ❑ Village of
❑ State Owned - Describe T Ise of
12-1 Y got AtcI1I. Type of Permit: ( hecn y one box on line A. Complete line B if applicable) b-
A. ew System ❑ Replacement System ❑ Trratment/Holdmg Tank Replacement Only ❑ Other Modification to Existing System (explain)
List Previous Permit Number and Date issued
B. ❑ Permit Renewal ❑ Permit Revision ❑ Cban of Plumber ❑ Permit Transfer to New /
Before Expiration Owner CO n i
W. Type of POW I S System/Component/Device: Check all that a I
❑ Non-Pressurized In-Ground ❑ pressurized In-Ground ❑ At-Grade Mound> 24 in. of suitable soil ❑ Mound <24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis rsaVfreatment Area Information: S Elevation
Desi Flow (gpd)~' Design Soil Appli on Raie(gpdst) D Area equired (sf) Dispersal Area Proposed (sf) Y~
--v ,a o o
VL Tank Info Capacity in T # of Manufacturer
~p 0 c
Gallons Gallons Units J ~GK I' l /l.r m J U J
New Tanks Existing Tasks / r Y' QQ~ r A
tY U VJ h ti.. v
Septic or Holding Tank
Dosing Chamber
VII. Responsibility Statement- 1, the undersigned, assu responsibility for installation of the POWTS sbown on the attached plans.
Plum s Name (Print) Plumber' ature MP/MPRS Number Business phone Number
f /J' o2Y y~'
m u.,01 Z Z4!~f
Plumber's Address (Street city, state, p Code)
D /
/732 2-
Countv/De artment Use Oni
Permit Fee Date ed Issuing Agent Sip
Approved D n
$
er Given Reason for
IX Conditions of Approval/Reasons for Disapproval 1. Septic tank, effluent filter apdj
dispersal celi must be serviced / maintained / ]
as per management plan provided by plumber. ~/D 1/1 LLQ /1-e hJ!,
2. All setback requirements must be maintained
/
as per applicable code/ordinances. fu Ley ktes
Attach to complete plans for the system and submit to the County only on paper not less nun 8 V21 11 inches in size
MAC ii W afi ce ' l „ 1 V
SBD-6398 (R. 11/11)
SHAUN R BIRD Page 2 4/27/2015
• Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated
county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat
• SPS 383.22(7) 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.
Owner Responsibilities:
• SPS 383.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and
maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s.
SPS 383.54(1).
• SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as
required under s. SPS 383.54(4) shall be considered a human health hazard.
• SPS 383.55 The owner is responsible for submitting a maintenance verification report acceptable to the county
for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s)
utilized in the POWTS.
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
This Amount Will Be Invoiced.
When You Receive That Invoice
Charles L Bratz Please Include a Copy With Your
POWTS Reviewer 2, Division of Industry Services Payment Submittal.
(608)789-7893 , 7:45 am - 4:30 pm Monday - Friday WiSMART code: 7633
charles.bratz@wisconsin.gov
cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm
~~~ntivr~TNg~ro~ DIVISION OF INDUSTRY SERVICES
3824 N CREEKSIDE LA
Go/ HOLMEN WI 54636
D
3 ( S Contact Through Relay
P S http://dsps.wi.gov/programs/industry-services
www.wisconsin.gov
G
x$1014 Scott Walker, Governor
Dave Ross, Secretary
April 27, 2015
CUST ID No. 226900 ATTIC- 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: 04/27/2017 Identification Numbers
Transaction ID No. 2533450
SITE: Site ID No. 811930
Creative Homes Please refer to both identification numbers,
714 Crest Curve above, in all-correspondence with the agency.
Town of Troy
St Croix County
NW1/4, NW1/4, S11, T28N, R19W
FOR:
Description: At-Grade / Three Bedroom / Sloping Site
Object Type: POWTS Component Manual Regulated Object ID No.: 1532911
Maintenance required; 450 GPD Flow rate;__29ja Soil minimum depth to limiting factor from original grade;
System: At-grade Component Manual, Version 2.0, SBD-10854-P (N.03/07, R. 1/12),
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. 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.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Reminders
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
component manuals listed above.
• The changes made in red to this plan on 4/27/15 by this reviewer were acknowledged and approved by the
system designer.
CONDI
• Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. API
Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and DEPT OF
dispersal are prohibited.
PROFESS11
• The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorptioWIcJIO[J OF 11
area. chs. NR 811 & 812c
• A Sanitary Permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Stats. W2 SEE re
h
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 4/13/15
Owner:Creative Homes
Location:NW1/4 NW1/4 S11 T28 N,R19W 714 Crest Curve Troy
Manuals Used: At-Grade Component Manual version 2.0 SBD 10854 (N. 03/07)
Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01 /01)
Page#
1. Cover Page
2. At-Grade Plot Plan
3. At-Grade Cross Section
4. Pipe Cross Section/Pipe Layout
5. Pump Chamber Cross Section
6. Pump Curve
7-8. Maintance and Contigency plan
9-11. Soil test
12. Filter Specifications
,f~ ~"IOAIALLY
Shaun Bird 'ROVED
SAFETY AND
Signature JNAL SERVICES
License number 226 JDUSTRY SERVICES
ARESPONDEN
PLOT PLAN
PROJECT Creative Homes ADDRESS 707 Comerce Drive Woodburv Mn 55125
NW 1/4 NW 1/4S 11 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX
SYSTEM ELEVATION 1074' 4/13/15 3
DATE BEDROOM
CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none
BENCHMARK V.R.P. Top of 1.25" iron pipe ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
All piping shall be SDR 30/34, within 10' 1072'
of tank, piping shall be Schedule 40. Property Line
B.M.* 1074'
Area 15' below system is to R-109
remain undisturbed
5% Slope
1076'
R-109A
Property Line Grading is to be
❑ done to divert run-
off away from
R-109B system
H uffc utt
Combo Tank Tank is to be properly.
bedded and provided
with lockdown covers
1 Acre Lot with approved
Pro 3 warning labels
Bedroom
Ho use
Crest Curve Property Line
Wei I is to meet
Property Line all WI)NR
Scale = 1/411 = 101 setbacks
1z
rc~eZ'4
At-grade System Sloping Site Cross Section and Plan View
-----------------------------------Feet
F Dimension
7
r,r,r,r, j, j,j.r• j. •.r; rL~, • I A
j,'•'•''•':'',L'L•L•L'•';:ti'•'jLr •.r.r.j•r•r•r•r•r•r•r•. • ~
i ti...
r• j.:;..r;rti~ti~ti:ti,• •.:~.1`ti:ti,,•,,•,L•L•L•L•L•L••..L.L•L•L•L•'.•L••;,•,•L.•,.•' L• L..•
.{::.:•..L,• . j;:;:•j.:•j.r.:•r;r.r•r•r•r•r•r•r•r•r•r;rL~,rL,L•L,..•.'{'f•?'r..,.
I ti cLfL:LrL::.. L , ti•L• . L ~.r. j~rLr jL•ti fti L j.~L,~. f, j~ f, j; j.r:r:r•r•j:r•r~~~, I B
f
j.r•. r•j•r,r:r:ry:ti:'y:L%~.~ti:1~f'.rti ;•.~tij~••„tif1~ ,r~•Lr~f r.j.r.r•r r•r•r•r•r•r•r`r,::
1/6 B
I :~;titi y~1fti~ r1rti~,'•r1r~:ti;L::.: S, ~h•L•L•L•••'•','•'''•': 'L.L•L••'••'.ti•'''' •L'L•L_'•',•„•L•L•
•r_j•r.•••::,r,r.f;... r; r.r•r•r•r•j•r,~ r.r•j•r.j•r•r,,~,,,
I L.ti,L•L :,•,ti, ,'.L,., .ti •L L''' •'L•L••,• I C
r•r••,r'r,'r.j,•". r•j'r•:'r;: j;~•L r ,•;r•r:r,.
~f. f; j f~r~.~r~: L~tif~.ti;'.ftir; jtif;r:r:r~r.r,r•r,r r5r'.::r~.r.?}rL'•.L'Lj'r~r'lL?'fL?'• 2.0
w I : r r r r r~ rti .ti'~,~,y~;:• ~:~'ti:~:. ~ti ~L ~L ~S.jL:•: . ti f~ j: L'L ~L~' S.• .•ti fL~L.~. I S.O
I :L ~LfLLfti~ f'. ~Ljj::: Sri :L ti~ti L;Lti,:
F 0.5
I f•r~r.r; r•j: ::.::.r• ~L~L.L~,.~L•L•L'•••'?L:L•Lj'j••'j•j'r•?'r" •j•j••' ••r"' ""r•j• I
L.. ,,•L•.,•.,..•.•,••,.
G 1.0
I l r~ ~tir:r r~r•j•r:r•j•. r.. •r.r•.:r;. j.r.r•r•r•r, r: j•' "r'r•r~ j~:"• f,•„ j, j, j.r; j.
. L.L•.•L• r~j~~': f~~ ~•j:r'~1~': ~tr~ ~''r~r~ ~~r~r1r~rti .ti•,y.L. L•L•L•L•L;.•L• I
r:r::'j'• 'r' L•L.L ~L.L..•L . ti.. L.L• . L; • L
cltD
- 1 /6 B -T W L• 4..'~'
E ~
E - Slope ~
L
I - = Plowed = Clean aggregate 0 = 4 in. sch. 40 pvc
MSC_' observation pipe
basal area '/2 to 2 `/Z in. dia.
L .4 Lateral with 2"
Topsoil Cap
aggregate over pipe Observation Pipe
UeoteYtile G With Cap
Fabric
Ft Lateral Invert
Topsoil Cap
rLr•r r•r•r.r• • r r •j•r'j••
,j, : j j 1'•r r•r•r j:,?{t:,:1.: ~:~rti:~:tij~~~,fti•L
..L..•, •....'•,:L• ~ •L i f' .r f• f• r• j• f• r~ r• r, 1• r; r: _
r•r•r r r j•• j
F
,.,.L
s'L.L•'•.L•L•L•L•L L • jti j~ ::..L•L•L••..•
Ft Contour Lj'j'
..•.j_r; r~t~:L~1.~L:'L:L• .L. 7 ~ .j•j.r r•r•r r r•r•
o f
- M1l- - .-~;1:j:r; r~r7j:r~r•r•r•r. r: r.L:~ti':'Lr`. ~~.rti
f c.•, Plowed Surface
D 6- Slope Direction contour GENERAL INSTALLATION: The at-grade area is staked out along thk d esigt and plowed w tli a
vegetation is mowed and raked off the site. The basal area (l ) is stae moldboard or chisel plow. Plowing may not proceed if the soil is wet
of the ehands. A nough at the to B epea is
form a '/4 inch soil wire when a sample is rolled between p
used when
of the backhoe. be
covered by clean aggregate deposited overhead
After the topsoil cap is placed,
placing the aggregate to minimize compaction
the entire at-grade is seeded and mulched to promote vegeWeiv e g hesh, limit er s on anddeprotect
from freezing. The observation pipes are perforated in the
03/05 lgj Page Of / 2
Pressure Lateral Layout
One Lateral - End Manifold
Threaded
f---
Cleanout
Lateral Turn-up Plug
Force Main
i _
Long
L
Sweep
90
Bend
Pressure System Construction
Distribution Network S ecifications
Lateral Diameter 1 In. Laterals are constructed of Schedule 40 PVC
Orifice Diameter / 3 z_ In. pipe. Orifices are drilled perpendicular to
J In the pipe with a sharp drill bit and face down.
X (Orifice Spacing)
L Lateral turn-ups terminate with a threaded
Lateral Len th Ft.
In cleanout plug and are enclosed in a 6-8 inch
Force Main Diameter diameter lawn sprinkler valve box accessible
Force Main Len th Ft.
from finished grade.
• • • • • Grade • • Q .
6-8 Inch Lawn
Sprinkler Valve
Box
03/05 l,,j Page of /.2
Cross Section And pump Performance Specifications
Septic-I)ase ~"ank
Pump Manufacturer rank Manufacturer
pump Model Number
Tank Model i, umber - Alarm Manufacturex
-
Total Tank Capacity l+~ ' Alarm Model Number _ ✓
,
Nlax. T-yp e /),0. r
s71 witch ~ )
CD14 ___----Feet
` Total Dynamic Head ( . - -
Hilter Manufi:~cturer rEev ion Head'
- -
II
Fi-lter Model K.umber _ Press rk Loss Main Loss
e Require inirnLFt TDH
„ GPIvI. L - -
Outlet manhole Min. 4" Above Grade With Manhole Min. 4" Above Grade
Locking Device. Inlet Manhole Securely Mounted With Locking Device
< 6" Below Grade Sealed Watertight Weather-proof
Junction Box t
~ ~r wr ~ `r s v.l
y rl ~ Ar ~1
- Finished Grade
Vent Min. 12" Disconnect
Above Grade Means
With Vent Cap
+putlet Filter
Inlet Baffle `
Inlet
--a--__.. a Capacity A 1/4"
u,witch Settings and Reserv Weep
GPI B Hale
lank Volume =
Dimension: Inches Volume Gal.
(reserve)
- Off Elevation C
(alarm) B 2 Ft
C Bottom
(close),
Elevation
(dead) D d 7 D 41,
-
Total 1 t r`
{ tT-i-f i~GTS~fT~t i-Yi < tTt[~`~ tf i`l 1~ < • . < Y'Y'i .`>'ti .;Y'•11,•'1'il<''lll<`<` .'1'•
nthe
GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with
ot
manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may
be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock)
installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and
laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC. to bridge the tank
excavati(q, a,:d the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.28.
Page of
02/05 L.1
J -
PER tiJ
r,~~ v n
R\/E
HrP,D CAPFCiTY U T---
1 '
,I
Vr n-l i 52/ "I 3
e _
w~r-- ~ s
W ~Lil C
LL I _ ~ - ~ I 77 _
50
J - - - 23'.
,
i- » Z-
20
~ - -
4- } _ -
00 Fu 100
20 40 _
SAL,. ti 5
-
^a 2O
L'tRS
FLOW t:R ti'tiU c T^
-
CONSULT FACTORY FOR SPECIAL APPLICATIONS
v:
Timed dosing panels available. \ --1
Electrical alternators, for duplex systems, are available and supplied with
an alarm.
ches are availab e for conrolVing single phase
Variable level control swit
systems-
• Double piggyback variable level float switches are available for variable
level long and short cycle controls.
Sealed Qwik-Box available for outdoor Ins.aP,at,ons, See FM1420.
• Over 130°F. (54°C.) special quotation required.
1521153 Series
Control self
1521153 MOOELS~ Sim tex Du lex
Mode i ?1ns t F-^-- sKZOw
~Modell Vohs .Ph 2or 1 iL
_,152 115 1~ N_ 8 5 I Inou. 2=3 -
Bi~152'~-115 =uto_ - 2 or 3
rE152 230 Non = -2 or 3
43 n lu_ed SELECTION GUIDE
B-92! 230 Auto 12or3
N153 .'S No-u.eo 2,"3 P99Y
9N153 i 115 ' Au[o 10.5 1 _11n I 2 or 3 L Single piggybackvariable level float. switch or double i back variable level float
1 _
i E153 , 230 1 Non 53 l Included-__ 2 of 3 switch. Rafe, to p'1047 T .
2 See FPr10;12 for correC model of Eectncal Alternator E-Pak. du lex t3
LgE153! 230 1 Aua
E, CAUTION a qualified 3. 'variable level control switch 10-0225 used as a control activator, specify P
All installation of controls, protection devices and wiring should be done by 4 cr 14?. float system.
followed li
tional Safety and Health Act (OSHA)
National electrician. i Celectrical ode (NEC) and safetY codes
a Occupa
recent censed
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor Is engineered into the design of every Zoeller pump
MAIL TO: PC) BOX 15347 ,yla,~ufadurersor.
_ Louisville KY 40255-v3•,'7
~n nti SHIP TO: 3649 Care Kin no3a err "MO S vCE /999
i\ - \ " Louisvil e KY 40211 196r Q~
P8 2731.1 800' 923-PUM°
% FAX (502) 774-3624
http://www•zoeller.com
0 Copyright 2000 Zoeller Co all rights reserve Fez, e ✓
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page '7 of /Z
;FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity ❑ NA
Permit # Septic Tank Manufacturer ❑ NA
4
DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model L 3 - ❑ NA
Number of Public Facility Units ANA Pump Tank Capacity al ❑ NA
Estimated flow (average) gal/day Pump Tank Manufacturer D NA
Design flow (peak), (Estimated x 1.5) ll gal/day Pump Manufacturer ❑ NA
Soil Application Rate Y ai/da /ftz Pump Model ❑ NA
Standard InfluentlEffluent Quality Monthly average` Pretreatment Unit __P44A
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter /
Biochemical Oxygen Demand (BODs) 16220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) :5150 mg/L ❑ Disinfection ❑ Other:
'Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BODs) 530 mglL ❑ In-Ground (gravity) 13 In-Ground Total Suspended Solids TSS} 530 mg/L t-Grade ❑ Mound
I
Fecal Coliform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other:
,Maximum Effluent Particle Size Y8 in dia, ❑ NA Other: ❑ NA
1~Other. NA Other: ❑ NA
'
"Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
MAINTENANCE SCHEDULE
Service Frequency
Service Event
At least once every: ❑ month(s) (Maximum 3 years) ❑ NA
Inspect condition of tank(s) ear s
Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA
At least once eve [3 aorta(s) (Maximum 3 years) ❑ NA
Inspect dispersal cell(s) rY .y ( )
At least once ❑ month(s) ❑ NA
Clean effluent filter every: ear(s)
❑ month(s) El NA
inspect pump, pump controls & alarm At least once every: ..year(s)
❑ month(s) ❑ NA
i=lush laterals and pressure test ! At least once every: ears}
Other: At least once every: [I month(s) ❑ NA
❑ year(s)
i5ther. ❑ NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master
Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must
;include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of
combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be
visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface.
the ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local
egulatory authority.
hNhen the combined accumulation of sludge and scum in any tank equals one-third ('X) or more of the tank volume, the entire contents of
'he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin
Administrative Code.
III other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units,
and an Is of 512 months shall be performed by a certified POWTS Maintainer.
Y servicing at intervals
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
Page ? of C
START UP AND OPERATION sence of For new construction, prior to use of the POWTS check treatment tank(s) If for high concentrations Tare detecdtedthave therconeenitslof
tthi=
may impede the treatment process and/or damage the dispersal cell(s).
tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power the the excess wastewater wOI be nd may result in effluent the dispersal cell(s) in one large
dose, overloading the tank remo ed by aaSeptage Servicing Operator prior to restoring power avoid this is situation have the contents of the pump p
effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels
within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within
15 feet down slope of any mound or at-grade soil absorption area, rove the performance and prolong the fife of the POW I
o ra,m
Reduction or elimination of the following from the wastewater stream may imp p rn
baby wipes; cigarette butts; condoms; cotton swabs; de,
(sump pump) water; herbicides; scrapsrsmedicatotns;t oil;a painting atipduc gs;
antibiotics, fruit and vegetable peelings; gasoline; grease; pesticides; sanitary napkins; tampons; and water softener brine.
When taken out of service the following steps shall be taken to insure that the system is properly
ABANDONMENT
the POWTS fails and/or is permanently
and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. erator.
The contents of all tanks and pits shall be removed and properly disposed of b a Septage
th O old space filled with scull,
After pumping, all tanks and pits shall be excavated and removed or their covers
gravel or another inert solid material.
POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
CONTINGENCY PLAN
If the
system.
absorption
lacement
replacement system: d for the
❑ A suitable replacement area has been evaluated and and ecompaction anid should repot be infringed upontbn the nele
The replacement area should be protected from di with the ruled d
setbacks from existing and proposed
establish alsuitableareplacewells,
ment a ea.t Replacement sylstems must comply for a new soil and site evaluation protect the effect at that time.
❑ A suitable replacement area is not available dueto tbae k and/POs~Smitations. Barring advances in POWTS techno ogw a fail.
evaluation
holding tank may be installed as a last resort to replace site has not been evaluated to identify a suitable
area. If no replacement area. replacement Upon areais failure of the available a POWTS holding a tank soil and may be site installed! as
must be performed to locate a suitable replacement
a lastound and resort to at-grade the failed POWTS.
-grade soil absorption systems may be reconstructed in place follows tgrime.moval of the biomat at the infiltrative
M
rface, Reconstructions of such systems must comply with the rules in effect at that <<WARNING>> SEPTIC,
RESCUE O oA
INSUFFICIENT PUMP AND OTHER TREATMENT TANKS MAY CONTAIN ANY C RCUMSTANCES.( DEATH MAY RESULTYGEN.
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK ER
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. -
ADDITIONAL COMMENTS
POWTS MAINTAINER
POWTS INSTALLER
Name
Name
n Phone
Phone / f~~
LOCAL REGULAT~AtaTHORITY
SEPTAGE SERVICING OPERATOR PU PER ,
'7 c! r
Name j7% ~j
me , ° (~h, y
Phone ,
- j V
[P!h on e ~ ,
This document was drafted in compliance with chapter SPS 383.22(2)(b)(%d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code.
FILTER CARTRIDGE INSTRUCTIONS
%
Installation
STEP 1 Drys fit the filter case onto the end of the outlet pipe to ensure It is
centered under the access opening. if no` then either nsert more pipe into the
or solvent weld chic; additional pipe onto the outlet
the outlet
tank through
s -j Ep 2 While the case is still dry fitted on the outlet pipe, measure the length
.3 -inch pipe needed to brace the `liter to the tank end, ,,.,all if utilizing the
pbonai supplemental side support. if side support et'o d is not utilized,
a-oceed to step four.
s ~
c !I+
i=_P 3 For installations utilizing the optional s ppien!ental side support ¢
solvent weld the ~/4-inch pipe onto the filter case. If side support method is not
utilized, proceed to step four.
i
?v_ 4 Solvent weld the filter case ont the ou i -t pipe Insert the filter
the case. pressing down Until the `ter locks into the bottom ofk
~otndge into
,hc case. -
STEP 5 If a VRS switch is utihzed~ insert into he filter and lock by turning
clockwise 90°.
Maintenance
T.r,e effluent filter should be cleaned every time the septic tank is
se-vicec
%
t #
-1. Open the outlet access opening to i nspel the tank and filter.
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.
i. Slide the cartridge up and out of the case for cleaning, u. if a VRS switch connected to an alarm is present, the switch
should be removed by turning counterclockwise 90' and cleaned r
with water only.
7. While holding the cartridge on its side 'large flat surface facing
down', over the access opening, rmse off the cartridge with water -
only, making sure all septage mate,;ai is rinsed back into the tank,
i
8 if VRS switch is utilized, replace by insering into filter and
turning clockwise 90'. ~r
i " .
Insert the filter cartridge back into the case, pressing down until
-he filter locks into the bottom of t'ne case.
0. Replace and secure the access opening on Uhe tar:k.
_..M T~v 4VA RAM1'V ,
' _ , _ .
gEAk ONS^E:., ..h rcR f AR's RID 'c FIVE-YEAR
V' r`a
.
BEt, P, ^ tQST'. Esifter Gale -L!(e me LImite
r.
-r
5~~"
wwwearo (6534
ST. CROIX. CC)11NT°
SEP'T'IC '1"ANK TVIAINTI N ANCE Y ~GRFTA-.sNT
ANI)
OWNERSHIP CF1ZT1-FT.CATIC N FORM
Owner/Buyer --l r `vim _
Mailing Address
D._-
Property Address
( erification required fioni Planning Lomrtlr I )epart,nrnt for lrcw cOntitrnc11011.)
City/State.. - - - - Parcel Identi [caCjotttrt :>I7er
LECYAL DESCR.IPTION,
Property LocatiorA Scc. Y1 1~--~ !Town of
Subdivision _-`9. Lot
Certified Survey Map - - 1~clume ~ Pale ~Ir
Warranty Deed # :lulr1e Page T
Spec house yes no ],of lint;; identifiabl ves no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Irrrproper use and maintenance of your septic system could lesult in. its pr,miature faihne to handle wastes. Proper
maintenance consists ofpumpirtg out the septic. tank every three years or sooner, it needed, by a licensed pumper- What you put into
the systern can affect the function of the septic tank as it treatment stage in the wasie disposal system. Owner maintenance
responsibilities are specified in Womrn. 83.52(1) and iii C'ltapter 12 - Mt Croix County Sanitary Ordinance,
The property owner agrees to submit to St. Croix Coutrty Plantung BSc Z on lrrg Department 4i certification form, signed by the
owner and by a master pltm-tber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on--site
wastewater disposal system is in proper operating cortdit.ion and/or (2) after inspcc;ion acrd pumping (ifnecessary), the septic tank is
less than 113 full of'shtdge.
I/we, the undersig ied'have read the above reyuire.nicuts and agree to niairtain itie private sewage disposal systenn With tltc
standards set foith, :herein, as set by the Department ofC'onuncicc and the, Departincin oi'Natural Re;,sourres, State of Wisconsin.
Certification stating that yotu septic: system has been maintained must be complete, land returned to the St. Croix County Platnrin}r cal
Gonirrg Depariircent within 30 days of the three. year expiration date.
l/we certify that all statements on this forin are irue to the bast of ttty/our k nowledge. liwe andare the ov~rer(s j of the.
property described above, by virtue of a arranty deed recorded in R.e[;ister of Deer Is Office.
Nut er 'bedroom
SIGNATURE, OF NPPLIC NI'(S) 1DATI
'''**Any information that is misrepresented may result in the sanitary pertxrit being wvoked by the Planning & Zoning Department.
Include with this application a recorded warranty deed fiom the Regisrei of Deeds ~-office acrd it copy of the certified suivvv ntap if
reference is made; in the warranty deed.
(REV. 08/05)
910-5 IM'NOSOnH ,a $ n
anarn 1S3Nv -1L s
J.OS1. d0 511TH ZM
Q
R-
W
® Q
❑
z0 L Q
L14
J -
® W
HOUR Ell Df
~ ~I I I b~ ~ I l b
❑ _
MUM
W I
z Q z
Oa, p w A
W~ ~ I w
- W
0
I ~
.q0
Q e
~W
0 lu
b W
LU
- S
Q
ff f ff
Q
b
NI ee a ,IO+J.L dO 9111H 'zb 101 ~~in~ l1~E a 91O1r6 M'NOG(3nH y ~ i1~1 1 anarn 19aaO 41L L ~ ° 3 ;~~fi>;~~,li ~a
>r
.h3G tl ~e ~ ~ ~ it
.Y-iYl .L~91 .D,C S ~ d all
! Oil
I j I I
§ I I o it I I
I , L ~s I I
, , , I p n
n
R
I
\\1 r
~ I I I Q I `
j I , i I ~l I
I ~ ~ 1 I I I
I I ~ I I ~ ___888 I I Q I
~I I B/~ ° t- I I 1 I
I ~I Y~ `y T - 1 I I I
TAN
't I R i i g , I
I I I I I I _ I I a/
I I I I I I O
I 1 1 I I I I
§ I
I I .LryYI .hf I I .II-.v I I .o,cl .h01 I I §
~vvn wavu.ac L_________
5 I no~w~tt I I
, I IN, I
" T r I JC xt u
I , a I , .hi
I - lyl
g I I I I II o
anrr ov g i I po-a i ~ I I -
„
§
, .hY .f .o-.v I I 1-~Y .N I ~ _J I
ft ft g 3 , ad ,
,
I a I g~~ I
I '1P1 ~ J ~
- -
vine
pp iu a.aM Y
.0-.93 .O-AI .hY
.4AG
59 a
L1 EQ~
F ee a JL0 40 G-nlH ti, 10-1 AGO 'OtlOd
•8 $ f E;~f~ltlllj !IE! 910b6 1M'NOGanH
E f 1 l~~~ f~{ii~~f 3AN" 1532'.) i41L
~ R3
.hG d~ N3
.ho dra .L,a
--3 A.o-nw e. Z ~ ~ T
ru .u
❑ ~ Ig ix
v "u " I
~ ~ ul. owcp V~ g iA
- 9 4 t * d r~4 IR § F---------
_ -
Si I
A
I EEgI
I ry~l F s i I D
sg i p Z
f1h
i `59 I § Ij Q
i
i i
I Lawmci ib / p• ~
i
o I I ~ - I i
Qs p a
O
E .o-Y .o,a .hO1 E !L
J W~
.InY h0 .i,Y .O~G ; .C,L .hL .hll ~ ~ 7
!1!
t r_ ~
@ [1 Q •
9e big
R i
_ I I I n p I I
I ~ II ft 3
i
b ¢ II
IL
I a,n 9 6
I I S I I
I I lo~.n
g~ Y I I I F ~g w.n I C I 3
y e 82 L I I ~ Y §R f 1~J" .o,n I I
. P y r
to
x I I ~ ~ ~ 3SC { I' I
II EES y i~
17
70
Y
a ~ I
g ~
s @ a ' a W
5 h ~ Q
O
V
ii
° gre ~]!'d• !f lea JOT11 d0 S RIH y.
910b5 IMO 'NOSMH
afI
t~i Lifel~{a~l~i$l~~! anam lsabv bIL uwc@v S
k f!l1~4!i~{~i~11i!
r
i i I Ma + I
I i
i - I g I
U§ I
• L!.- ----JI
s i I
45
t Fai
z
Q
+
D
IL
gmYiamu I !L
~►a a°a. 0 9
Q
t ~
k
N
~ Q
n
Z
W•
N•
m
}
I l l i l l l l l l (I
I I I I I I I 111111111
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 REC FEE: 30.00
("Grantor," whether one or more), and TRANS FEE: 2025.00
Creative Home Construction Investments, LLC, a Wisconsin limited liability
company ran tee," whether one or more). PAGES: 3
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. Noh E I
No the fo e Cb~tstilZcttan veshClterP6s, LEIC
ria gl Drive Land Tli-
lto 082°~~w Co• Rd. C,~II~e~S
"MN
I?oSr,v`► I(r. SS113
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.
BMO HA_WS BANK NATIONAL ASSOCIATION,
Dated February 28, 2013
success th &I M rshall & Ilsley Bank
(SEAL) (SEAL)
* * By: S. autze, r President
(SEAL) (SEAL)
* * By:
AUTHENTIC ARV 'l,ll
~A~I pG 111~ ACKNOWLEDGMENT
Signature(s) l
n STATE OF WISCONSIN )
)
authenticated on ° CPr 4 1 • MILWAUKEE COUNTY ss.
A. NS
, 2013
Personally came before me on
Aoji
.rf w/ the above-named Gary S. Kautzer, ice President of BMO
TITLE: MEMBER STATE BAR OF±tVS.C0ISIN 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 e 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 permanom) (expires: April 6, 2014 )
9003373 2 (Signatures maybe 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 7gfp3 name below signatures.
I
c-
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
OUTLOT 5
259.86' G55 0.521 ACRE
22,706 S.F.
304.39' _398.45' S
~ r.-.~.1700.76' (BLOCK LEAIGTH) ~ 8pppp,--.."„'"--• 536. 33 c,R=80' \ p0.,
40
1.422 ACRES
f 61,934 S.F. ! " \ G60 0°00' pp,t
02
.3 all
164.8
000,
0
O !
34 ten ! o° 1 / Ru
O 66 , " c+: 1226 ACRES of w ! f
k~93, , oa t 53.407 S.F. _ t F i 35 5 j o m' 36 E g j
S 6pa16i " u°~ • 86°O Q' ,t Q4~ 5~ ' 1! ! 43,704AS.F. S°~ ~f
44325.81 I !
t„ oCc`'r,+ 1.000
1.176 ACRES o rn 43,56
51,210 S.F. ' , ,
c> r48 1 43 % X46 1 ,tsstt L. f f
8 %
1.065 ACRES $ 13 -J
7T 0
c,! % `I~ O 184.8 20 L..
oc~' f S 6`''•.D~' w p E~'• •,",,46,386 S.F. a, 6
'L1 ~O N 175 z 1$2. t p,
la , g3 15' 0-11
•~.S .
45 DD•:••. f ~94~ 8°3~ p4' • / F a~6Q t2 co 1 is
p~;;
1.050 ACRES F`' ~sDO. N;.~ 120 G1~ % % r3S.aD., ! 1 78 *Jot
D 1 45,715 F.
/ <'.3 , 7• $0• O . ~ 1 I I I
'o_
1
o aa. i s o; o ~ • R=BO, ~ • 42 w i 41 i i i
O'•/E goo A~4 cj 1$4 A I b 11.001 ACRESI I 40 I o
p f ti• o r 1.004 ACRES ,
_ 43,589 S.F. v c
-;e, 93.80 S ' F. I . 1 1 0 ~ ~ 43.741 S.F. I b p
Er 0"~
\ ao 0
0 I ! a 1 I c
55 gg6'ST9923` 65'31, 0
00, 164.95' rp . _.J o0 o I._._._._.J I._----_---..I °
`r s+ a06 a1°00' 00„ /CTS ♦ \`i.`~~ z z
232.00' i~-
t~~\p~ 5 61000lOQ 147,55 u~l C,, _37.34' .x_75. 172A0'
5' 'I
6 ..a
3~ ~ N 90000'00" W 580.0
CREST CURVE
f
R • 4 \ N 901100'00" E 580.0
AC ES 47
2 S.F. h4~ %40 1.109 ACRES C79 90.09' . 132.00' 132.00'
i/ ~4> / `ate 48,299 S.F. t~ ro
48
N Ng3 47-.f~ tv
f._..._.._.I --.-._.i
/ O w
t$ ota 1.007 ACRES o 0
F i a
T1° •TO' y`~,,• 43,868 S.F. / cz o l ~ I 1 f I
0 o np
% I 1 I r
-I o ~ 2433-•.,, j 49 ~ , w f I `o~ i I _°o I I ~
N
50' I ;74. - i i 50 I 51 i a i 52 I w
i 50' 6~p2t• W / 1.002 ACRES n °a ° I 14V 1 r°~ I 4~
43,645 S.F. I r Q 1 ~oQ ~c . j o " ! 'r ~ • i o ! 4L, -
I o
, s `~s>~• S84000P t,! z 1 oSz, i z i Q-0 Q, 1 °
IM zo
4 of i ! S 8?° '00, 159.12,
81 132.00' 132.00'
° ° 5.033 ACRES _239.,g
o
I a I 219,241 S.F. N 90900'00" E 264.00
1 I i 66' WIDE SHARED
j 50' as ! 59 j `O N 90°00' 00" E 272.35'
150 C ! 2.318 ACRES ! R -7-216.14- 1- 56.21
G 4 j 100,978 S.F. j^ $pi f so, ~ r-•bsD=IOS381 55 V, 1 C/ 2.714 ACRES
!?If ty ( 1a ! 1 , . -1 118 212 S.F. ' L 1.i
tt E) ?2°~3 T?„ i 3 !!3;57a„-W";~ 4:
LBO=
50'0 -..d 7ga3a 0 :u► I089.61jf ~r
Wisconsin Department of ommerc3 40IL EVALUATION REPORT Page 1 of 3
Division of Safety and Buil ings
in accordance wit Comm is. in.. Code
5-i. Ck'CAX COUINT~ _ County ST. CROIX
Attach complete site pla on aWMtlNaMor( 1/2 x 1 inches in size.
include, but not limited to: vertical oint ( direction and'^ pares I.D. ( IN G) percent slope, scale or dimensions, north arrow, and location and distan rest road.
_ --V
Please print all information. a Re ' wed Date -71
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 1-6
Property Owner Property Location
LEONARD & MARGARET DELAURIERS Govt. Lot NW 1/4 NW 1/4 S 11 T 28 N R 19 E (or)
Property Owner's Mailing Address ;N4 Block # Subd. Name or CSM#
706 Coulee Trail Hills of Troy
City State Zip Code Phone Number ty Village ! Town Nearest Road
Hudson, WI 54016 ( ) 1roy Coulee Trail
Q New Construction UseE] 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 f~ A tt•
General comments At-grade System 0.6 loading rate or Mound System 0.50 ft. sand fill 0.6 loading rate
and recommendations:
~10- 4 /1~f pre-treatment system below ground drip irrigation - 0.8 loading rate)
q A Boring # ❑ Boring
! Q Pit Ground surface elev. 1073.00 ft. Depth to limiting factor 42 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 0-5 10YR3/2 sil 3fgr mvfr cb 3vf-m 0.6 0.8
2 5-16 10YR3/2 sil 3fa&sbk mfr ai 2vf-m 0.6 0.8
10YR3/4 sil 2f-msbk mfr cs 2vf-f 0.6 0.8
3 16-24
4 24-42 7.5YR4/4 - sl lmsbk mfr as lvf-m 0.4 0.7
5 42-44 7.5YR4/4 f2f 7.5YR4/6 sl Om mfr 0.2 0.6
Horizons 3& 4 have some gr.
Boring # E]Boring 42
0 pit Ground surface elev. 1075.40 ft. Depth to limiting factor 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
I
1 0-4 10YR3/2 - sil 3f-mgr mvfr cb 3vf-co 0.6 0.8
2 4-11 10YR3/2 - sil 3f-msbk mvfr as 2vf-m 0.6 0.8
3 11-24 10YR3/4 sil 2f-msbk mfr cs 2vf-m 0.6 0.8
4 24-32 7.5YR4/4 - sl lmsbk mvfr as lvf-f 0.4 0.7
5 32-42 10YR3/4 sl Om mvfr as lvf-f 0.2 0.6
6 42-44 10YR3/4 f2f IOYR4/6 A Om mfr 0.2 0.6
Horizons 3-6 have some gr.
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Qfluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature CST Number
Ma Jo Hollister Sly 224832
Address Date Evaluation Conducted Telephone Number
W9875 690th Avenue, River Falls, WI 54022 09 - 10 - 05 (715) 426 - 1775
Property DeLauriers (Lot N42) Parcel ID # (Pending) Page 2 of 3
Owner
a Boring # ■ l pit Boring
Ground surface elev. 1073,10 ft. Depth to limiting factor 39 in. Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-4 10YR3/2 sil 3fgr mvfr cb 3vf-m 0.6 0.8
2 4-13 10YR3/2 _ sil 3fabk mfr as 2vf-m 0.6 0.8
3 13-32 10YR3/4 sil 2fabk mfr cam' 2vf-m 0.6 0.8
4 32-39 10YR3/4 sil 2fabk mfr cw lvf-f 0.6 0.8
5 39-43 7.5YR4/4 f2f 7.5YR4/6 sl Om mfr 0.2 0.6
Boring
❑ Boring #
Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/if
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
I
i
❑ Boring # Boring II
Ground surface elev. ft. Depth to limiting factor in.
0 pit Soil lication 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
I
I
i
* 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-8330Test (R.07100)
Plot Plan for Hills of Troy Page 3 of 3
Town of Troy, SK Croix County, Waconsin
Lot qz- I 4o ft
Legal Description law 2 ft. contours
M = Backhoe pit
7-OP M-%K
IRON PIFPEI
BENCH MAR
TOP OF /4's
IRON P
EL TtON a I Dt e. Z~ f j /
/ R-109
r
P.4- to
6
43
' R-109A d
/ EL eG`~ar~~ ~
-109B
/
/ R
o~
42 I
-i 1 i