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HomeMy WebLinkAbout040-1310-00-001 County: St. Croix PRIVATE SEWAGE SYSTEM sanitary Permit No: 582019 Wisconsin Department of Commerce Safety and Building Division INSPECTION REPORT (ATTACH TO PERMIT) State Plan ID NO GENERAL INFORMATION (Privacy Law, s.15.04 (1)(m)]. parcel Tax No: Personal information you provide may be used for secondary purposes City illage Township 040-1310-00-001 permit Holders Name: TOWN OF TROY section/Town/Range/Map No: Land Planners 17.28.19.1988 Elev: Insp. BM Elev: BM Description: ELEVA N DATA BS HI FS ELEV. CAPACITY STATION TANK INFORMATION I TYPE MANUFACTUR 1a \U f~ Benchmark f Septic i Alt. BM Bldg. Sewer , Aeration S t inlet J~ Holding S t outlet TANK SETBACK INFORMATION Vent to Air Intake ROAD Dt Inlet WELL BLDG. TANK TO P Dt Bottom QQ Septic -7 1 ' He r/ Dosing Dis.Pipe Aeration Bot. System Holding 2 .3 Final Grade PUMP/SIPHON INFORMATION v ~ 2. Z Demand Manuf odel Number DH Lift Friction Loss y stem He TDH Ft Force Length Dia. Dist. to Well ✓ Inside Dia. iquid Depth SOIL ABSORPTION SYSTEM Y /ob PIT DIME sloyyyySSSS No. Of Pits Length BED RENCH DIMENSIONS No. re ches Width LEACHING Manufacturer: BLDG WELL LAKE/STREAM P/L CHAMBER OR SETBACK SYSTEM TO i UNIT Model Number: (~V J INFORMATION Type Of System I 1 I i I lD /y ) x Hole Spacing Vent to Air Intake DISTRIBUTION SYSTEM x Hole Size f O Header/Man Distribution J o Pipe(s Dia - Spacing~_ xx Mound Or At-Grade Systems Only Mulched Ler4t~ Length~- SOIL COVER X Pressure Systems Only Depth Of xx Seeded/Sodded Yes No Yes Fa~_ No Depth over Topsoil Depth Over ~ Bed/Trench Edges Bed/Trench Center J ' d InspgCt. #2: Inspection #1: h A~nJ 7 C 4/,,L y C m , COMMENTS: (include code discrepencies, persons present, etc.) ''l ) D nCh eC C (M! , (~(/n f~'JI ~ ~j,~ n: MEADOW RIDGE TRL e ~I W J lJ~I I h \ Locatlo 456 r C~v ~2 C,, j t A ~ I p spec~m ~ fi id Sr 1.) Alt BM Description = , / M D VAN- 2.) Bldg sewer length = A r- I 't t _ _ & W f tatd Al 1 o FS ✓ ffu e ~ ~y~ amount of cover = J J ~j .SQ(tD~ M OS-~ not ( No I '1 `L Cert. No. Plan revision Required? 9 Yes F,~ L ? pctors Signatu e Use other side for additional information. Date SBD-6710 (R.3/97) County Safety and Buildings Division QT C ROIX Q S 201 W. Washington Ave., P.O. B 162 ]~rit Number (to be filled in by Co.) 0c, p S Madison, WI 53707-7162 S7. CROD(GUN"i - EVELOPME 58 11,111,Y 0 Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(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 state-owned POWTS are submitted to Proje_ J64 ct Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide maybe used for seconda 456 MEADOW RIDGE TRAIL purposes in accordance with the Privacy Law, s. 15.04(1) m , Stars. 1. Application Information -Please Print All Information HUDSON, WI 54016 Property Owner's Name Parcel # DCCI D PLANNERS. NC J 040-1310-00-001 Property Owner's Mailing Address Property Location P.O. BOX 445 I~,agf9_19$8 Govt. Lot 1 City, State Zip Code Phone Number NE / SE/4, Section 17 NEW RICHMOND , WI 54017 N/A (circleon$ T28 _N; RI_Eor II. Type of Building (check all that apply) Lot # C* 1 or 2 Family Dwelling - Number of Bedrooms N/A Subdivision Name Block # MEADOW RIDGE OF TROY El Public/Commercial -Describe Use 11 City of N/A rM Number ❑ Village of ❑ State Owned -Describe Use -7 le,Ac" V 3 t 3 ' N/A ®Town of TROY III. Type of Permit: (Check only one bo on line A. Co plete tine B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner r IV. Type of POWTS S stem/Com onent(Device: Check all that apply) 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 rsal/Trea nt Area Information: Design Flow (gpd) Design Soil Application Rate( g f) Dispersal Area Required (sf) Dispersal Area Proposed (s System Elevation / 600 ,2 3,000 33-C- 2'BELOW SURFAC y VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units v $ o ^ New Tanks Existing Tanks k-0 c i1o 64-11 a n c) v v ii c7 a / 0 k k 525 Septic or Holding Tank 1250 0 1250 1 W ESER X Closing Chamber VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number PAUL KOEHLER 225410 715-246-2660 Plumber's Address (Street, City, State, Zip Code) 321!WISCONSIN DRIVE, NEW RICHMOND, WI 54017 VIII oun epartment Use Only Approved Permit Fee 66 Date I ued J Issuing Apt/ Signature 00/1 ra iven Reason for Denial $ ' ~6~ IX. Conditwo"440NINNIlAsons for Disapproval 'r: septac+~nk. ~fa~ . 3~ ~:~1 pro dispel ail tnurit -3~f3S l ma- - ~,i -nta►ne i,a~ t 1 i .1c'~i r ca A. c,2 i H+f ✓v. a ~'cri es par management plan pro:i;td by plumber. Z. iA i u WkI40mments must by maintained n n _ •v l• coo / aoir►anr.e . wl e,~- I ~--o r t5 Attach to complete plans for the system and submit to the unty only on paper not less than 8 1/2 x 11 inches in size SBD-6398 (R. 11/11) frvd~r It Holr- C)aly 1,50 POW I ~OFtiX oar ~0© 4+,f T,.,rL 1 f, , d ~ 1 n tL 100' r~a`'tp d t ~ ~ U-t i~ So ( i e ~1 B t. i All 3 ~ f 1 if 1 T C e b f CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: DCCI LAND PLANNERS, INC Owner's Name: DCCI LAND PLANNERS, INC Owner's Address: 456 MEADOW RIDGE TRAIL HUDSON, WI 54016 Legal Description: NE 1/4 SE 1/4 SEC 17 T 28 N R 19 W Township: TROY County: ST. CROIX Subdivision Name: MEADOW RIDGE OF TROY Lot Number: 1 Parcel lD Number 040-1310-00-001 Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross-Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber. PAUL KOEHLER License Number: 225410 Date: 10/15/15 Phone Number 715-246-2660 Signature Designed pursuant to the In-Ground Soil Absorption Component Manual for POWrS Version 2.0 SBD-10705-P (N.01/01). Page 1 hd f f rpFti~ o~ X00 JF+.~ Tr4rGL J (3~ NCI t~ t Q,l e 1 a ~ 7 too 'tLh~ L' / V Sitt/ ~00 y Q~ OA C a LL i P~'G Pds ~ r Al fa \ 'J s 3 SOIL ABSORPTION SYSTEM DETAIL/ GRAVELLESS LEACHING UNIT Page_of Project Name: 7it ~Iold~a[cs No. of Cells > > P~r Cell ft Cell Width Total N of _ ft Cell Length 36(>'$ro rjQ(> `)d Eqft (S~ I7er Cell 3 ft Cell Spacing DO() sq ft Total EISA Manufacturer Model Laying Length EISA Rating [:Infiltrator EZ1203H-5ft 5.0' 25.0 EZ1203H-10ft 10.0' 50.0 Gravelless Leaching Unit Manufacturer: 2.o av S Gravelless Leaching Unit Model: Ice, ~L S.><~/ rt1. ~y GAl7~vUf Uc/I!ti/ Typical Cross Section Finished Grade ft Observation Pipe with approved cap or vent .E• Backfill '2- in ■ Geotextile Fabric ft Infiltrative Surface 12 in c 0 11 ft Limiting Factor Slotted and Anchored Vent/ Observation Pipe with Cap aa•■aea■■aa.a■aaaa■■eaaa■..a■■...■asoon .a■ a■■ a.■a a■ a a.a■. a a. 0 a. a■•■•■ Plumber/Designer Signature: License /n~2 2 Sy~ Date: Deal Inc. Innovations in Precast, EJralnaga Zabel' PL-525 Effluent Pilfer & Wastewater Products A Division of POilok Inc. PL-525 Filter The PL-525 Filter is rated for 10,000 GPD (gallons per day) ;!Waking it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. Features: 1/1.6" Filtration Slots • Rated for 10,000 GPD (gallons per day). Alarm Switch 10()00 GP D_ • 525 linear feet of 1/16" filtration. l _ ) Accepts 1" PVC • Accepts 4" and 6" SCHD 40 pipe. Extension Handle • Built in gas deflector. • Automatic shut-off ball when filter is removed. • Alarm accessibility. Rated for 10,000 GPD • Accepts PVC extension handle. PL-525 Installation: Ideal for residential and commercial waste flows up to - 525 Linear Ft. of 1/16' 10,000 gallons per day (GPD). I Filtration Slats 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. 3. Glue the filter housing to the 4" or 6" outlet If Accepts 4" & 6 pipe. SCHD 40 pipe the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 777*7 5. Replace and secure the septic tank cover. certified to NSFIANSI Standard 46 PL-525 Maintenance: The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring m cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter - - Gas Deflector needs servicing. Servicing should be done by a certified - septic tank pumper or installer. Automatic 1. Locate the outlet of the septic tank. Shut-Off Ball i 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL-525 cartridge out of the housing. i 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely inserted, f outdoor SmartFilter~> Alarm Extend. & LokT',' Polvlok, Zabel & Best filters accept Easily installs 7. Replace and secure septic tank cover. the SmartFilter® switch and alarm. into existing tanks. Polylok. 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Z_ z Q W Of 9g a 038ino38 SV bs Y z I r~ ,I~r' s,• . k ~'~i w~'« . ,r.,~ - - - - - to POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of FILE INFORMATION 4 SYSTEM SPECIFICATIONS Owner DCCI LAND PLANNERS, INC 1250 re Yank Capacity gal ❑ Permit # Tank Manufacturer WIESER ❑ 1 DESIGN PARAMETERS t Filter Manufacturer 0 l' Number of Bedrooms 4 q NA t Filter Model ❑ -925 Number of Public Facility Units ANA ank Capacity I7 N gat Estimated flow (average) gal/day Pump Tank Manufacturer El N F,5tand w (peak), (Estimated x 1..5) Qal/da Pump Manufacturer El N ation Rate al(day/ft2 Pump Model E) N fluent/Effluent Quality Monthly average' Pretreatment Unit N, Fats, Oil & Grease (FOG) 530 mg/L 0 Sand/Gravel Filter ❑ Peat Filter ical Oxygen Demand (BODS) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland otal Suspended Solids (TSS) 5150 mg/L 0 Disinfection ❑ Other. ffluent Quality Monthly average Dispersal Cell(s) d N, caf Oxygen Demand (BODs) sso mg/L lp In-Ground (gravity} ❑ In-Ground (pressurized) tal Suspended Solids (TSS} 530 mg/L Q NA 0 At-Grade ❑ Mound l Coliform (geometric mean) 5104 ofu/100ml 0 Drip-Line O Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ Nil Other: Other- - ❑NA ❑NA *Values typical for domestic wastewater and septic tank effluent, Other: ❑ N`~ MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 32 year 0 m ar(ol ) (Maximum 3 years) NA Ml tents of tank(s) When combined sludge and scum equals one-third (Y) of tank volume ® NA rsal cell(s) At least once every: 3 ®y ° (s) (Maximum 3 years) ❑ NA filter At least once every: 1• ' 0 month(s) 0 Nip year(s) , pump controls & alarm At least once every. ❑ month(s) ` 0 year(s) and pressure test At least once every: ❑ month(s) NL. 0 year(s) At least once every: © month(s) O NA, O year{s} Other: ❑ 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 surfao s. 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 regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (YJ 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 chapter NR 11:1, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatmerit units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION Page Z of _ For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other ohem that may impede the treatment process and/or damage the dispersal coil(s). If high concentrations are detected have the cons of the 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 is restored the excess wastewater wi discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharg effluent- To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to resto power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump control. 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 i within 75 foot down slope of any mound or at-grade soil absorption area. Reduction or-elimination of the following from the wastewater stream may improve the performance and prolong the life of POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants, foundation drain (sump pump) water, fruit. and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; painting products; 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 properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: s All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed- 9 The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. a After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled wi soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or. must be taken, to provide a code eomplia replacement system: a A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorptk, system- The replacement area should' be protected from disturbance and compaction and should not be infringed upon I; required setbacks from existing and proposed structure, lot rites and wells- Failure to protect the replacement area vt result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems MW comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWT technology a holding tank may be installed as a last resort to replace the failed POWTS. The - r " e aRoKtBsro,e-~/ Ca~vxc1 O Mo7rfa soa absorptionsystems mabe reconstruin at at ttu iileReconstructions of such systemust comply with the < <WARNGser 1G, PUMP AND OTHER TREATMMY TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NCI ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A 'RERSORI FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS PO:WTS INSTA(.I.ER - POWTS MAINTAINER Name RYSIDE PLUMBING & HEATING, INC Name PAUL KOEHLER Pftone f-2 6-2660 Phone 715-246-2660 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHOIRETY Nam DARREL'S SEPTIC SERVICE Name S--i C . Phone ( 7101 715=425-1025 Phone This document was drafted in compliance with chapter Comm 83.22(21(b)(1)(d)&(f) and a3-S4(11. i2f & (3), t saonsin Administrative Code. C• HOMEOWNERS N •~yi ASSOCIATION Q t+~ OWNED BY HOMEOWNERS S»al + Q ASSOCIATION WITH ACCESS d'6• ,i . a'p, EASEMENT TO ADJACENT v \o+ LANDOWNER 49 $4' rb. 8 OUTLOT 3* qb. • + CONSERVATION AREA OWNED BY HOMEOWNERS ASSOCIATION MW34"W 33.09' * 161-. r era, To. HE DEEDED . TO ~o *a~ ♦ ` t`Ii ~i ADJACENT LANDOWNER 3 ~ iT 2 ♦ N SCALE IN. FEET I"= 100' PGA b25 ♦ ♦ is 100 WON" 4 i0C t TA 'At IONUI ENT OUTLOT 7* H, =s97.0 OUTI T 3* , r 'r N88".5499"E li6S.2, CONSERVATION AREA OWNED.. BY 369.....7...., N i0 E ~ • ASSQpA7~ 3r DIAMETER ~ ' . PIPE. WEIGHING ~9 ,91,a~' ♦ ♦ OT I % :AR FOOT INNERS \ N"" 1 OUTSIDE ONO IRON • PIPE • .o c`~!'' PER UNEAR FOOT, IT AREA U NE a ~1-N LOT 31 ♦ : ' ~ ~ N LINE (AS SHOWN) j .~p• ` lake RON • ~ VMS. THE t DOOR MUM. "T 14 LOT 30 AeOW BY A 77.73' 4E - MIENT- RECORDED IN 207 'R ~ ME ST. OEM ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Q,-A 1 Property Address (Verification required from Planning & Zoning Department for new construction.) City/State ,parcel Identification Number 13 LEGAL DESCRIPTION Property Location mac. '/4 , '!a , Sec. T N R L' W, Town of Subdivision ~ Ci \~\-c ~ ,Lot # Certified Survey Map Volume , Page # Warranty Deed # 17 -25 , Volume Page # Spec house y no Lot lines identifiable sy~' o I SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. 'The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your ieptic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration e. Uwe certify that all statements on this form are true t the best of my/our knowledge. I/we amlare the owner(s) of the property describe Bove, by virtue of warranty deed recur ed in Register of Deeds Office. Number edro IC TUBE OF PLI ANT(S) DATE 'Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) STATE OF WISCONSIN BILL NUMBER: 290815 DCCI LAND PLANNERS INC REAL ESTATE PROPERTY TAX BILL FOR 2014 IMPORTANT: • Correspondence should refer to parcel number. See reverse side for4mportantardormation. TOWN OF TROY Be sure this description covers your property. for This description Is ST. CROIX COUNTY property tax bill only and may not be a full legal description. - ---809848 785170 785053 754206 1170/26- DCCI LAND PLANNERS INC SEC 17, T 28 N, R 19 W, NW'-4 of SE'-4 D SEC 17 T28N R19W PT NW SE MEADOW RIDGE PO BOX N 445 NEW RICHMOND WI 54017 OF TROY ('OS) LOT 1 Property Address: 456 MEADOW RIDGE TRL Parcel#: 040-1310-00-001 Assessed Value Land Alt. Parcel i 17.28.19.1988 Ass'd. Value Improvements Total Assessed Value Ave. Assmt. Ratio 52, 000 52,000 1.0770 Net Assessed Value Rate (Does NOT reflect credits) 0.013781366 Est Fair Mkt Land Est Fair Mkt Improvements Total Est Fair Mkt 4 8, 300 48,300 mA Star eanslU paid box Prior School taxes reduced by ❑ Year Taxes school levy tax credit $71.03 Taxing Jurisdiction 2013 2014 Est State Aids Est State Aids 2013 2014 STATE OF WISCONSIN Allocated Tax Dist Allocated Tax Dist Net Tax % Tax Net Tax Change 7.76 ST. CROIX COUNTY. 198,448 209,498 195 .59 5.59 8.20 5.7% 'TOW'A OF TROY 232,776 77263.96 4.3% SCH DIST RIVER FALLS ,783 3 20.31 63.66 -5.3% CHIP VALLEY VOTECH 3,331,281 3,770044, 420.31 397.67 -5.4% 100,837 132,083 79.57 42.94 -46.0% Total 3,863,342 4,286,037 767.29 First Dollar Credit 716. 63 -6. 6% Lottery & Gaming Credit Net Property Tax 767.29 716.63 -6.6% Make Check Payable t0: TFFull ayment Due On or Before January 31, 2015 ST CROIX CTY TREASURER Net Property Tax 716.63 LAURIE A. NOBLE $716.63 1101 CARMICHAEL ROAD st Ins tallment D75 n or Before January 31, 2015 HUDSON WI 54016 715-386-4645 8.32 And Second Installment Payment Payable To ST CROIX CTY TREASURER And Second Installment Due On or Before July 31, 2015 LAURIE A. NOBLE $358.31 1101 CARMICHAEL ROAD HUDSON WI 54016 FOR TREASURERS USE ONLY FOR FULL PAYMENT PAYMENT Pay By January 31, 2015 $ BALANCE 716 • 63 PLEASE RETURN LOWER Warning: If not paid by due dates, installment option is lost PORTION WITH REMITTANCE 'V DATE and total tax is delinquent subject to interest and, if applicable, penalty. Failure to pay on time. See reverse. a. Wisconsin Department of commerce, EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings ~;acwdancweftmh Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 81/2 x 11 incites in size. Plan must include, but not limited to: vertical and h I.D. pe-ro .^t rftpe, .'a dL^T°. th a an m ton and D cor Mease print at rnrorinaaon. , C0 Personal information you provide may be used for condaiy Wo" (t~riv~fc s. 1.1 04 (1) (m)) er /l Z$ OS Property wOwner Location DCCI Land Plane Inc ST. CROIX COUNTY NW 1/4 SE 1/4 17 T 28 N R 1Lot 9 E Property Oner's Mailing Address (or) W I Block # Subd. Narrle orCSM# 1505 HWY 65 I 1 I 1 Meadow Ridue OfTmv I city State Zip Cade Phone Number New Richmond ~Y Vllage own Nearest Road WI 54017 ( ) East Cove Road New Construction Used Residential / Number of bedrooms 3 to 4 Code derived design flaw rate 450 to 600 11 Replacement GPD _ Pudic or commercial -Describe: I Parent material Loess over Elacial till Fk W Plain Plavatinn if arxAirahiP ft lTA I General comments and recommendations: n Boling n Pit Ground surface elev. 925.35 R Depth 1b limiting factor >86 in Hod= Sou 40 ication Rate ~PMlOyrM Redox Description T!Texture Structure Consistence Boundary Roots GPD/le in. Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef1#1 'Eff#2 1 0-13 sil 2msbk dsh as 2f .6 2 13-2- I sil I 1 mshk dsh I cw If I -4 I 6 I 3 20-41 10yr4/4 - s1 Ifgr dsh cw - 4 41-8 7.5yr4/4 - sl Om dh .2 i I I I I I 1 I 1 1 j ~ 1 1 1 1 1 1 I F] Boring # Bong 928.57 >86 Y"- Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Deoih Dominanrt Redox Description Texture Stnxxure Consistence Boundary Roots Sal GPD/(F Rye I in I MunRPp I Oil S7 cnrn rA*V I I Gr S, Sh I I 1 1-Ffrei I 4-:ii 1 0-11 10yr3/2 - sil 2msbk dsh as 2f .6 .8 2 11-23 1 4/4 - sl Ifgr dsh cw if .4 .6 3 32-31 10yr4/6 - Is Osg dl cw _ .7 1.6 s Os - - 7 16 Effluent #1 = BOD. > 30:5 220 malL and TSS >30 150 ntglL ` Effluent #2 = BOD, 30 _ and TSS 30 mcVL r`-ST Narnr+ /PlownP PrirNl ginnafi iro f:ST NkrnFY+r Address Thomas C Nelson el 227387 Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 9/18/05 715-246-2454 Property Owner DCCI Land Planners Inc Parcel ID # Pending Page 2 of 3 a Boring #I Boring - Ph Ground surface elev. 922.84 ft. Depth to limiting factor >90 1-i In Soil Application Rate Horizon Depth Dominant ca-wr Redox Description Texture Structure Consistence Boundary Roots GPD/fe 1 I in. 1 MunseN I Qu. Sz. Cont. Color I I Gr. Sz. Sh. I I I *Eff#1 I *Eff#2 1 0-11 10yr3/2 - 2msbk dsh as 2f .6 .8 2 11-24 1 4/4 - sil 2msbk dsh cw if .6 .8 3 24-39 10yr4/4 _ Is Osg _ dl cw .7 1.6 A T v r 1 I I Boring # ow nry ~/l/ r~ W(/~CY ~lJ !M jr V~l~~l/lY f L---t U Pit "Ivurta sumac e1W. TL +repur w nmmtty rauvr m. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 *Eff#2 ~ I l l I I 1 l 1 1 1 I I 1 i I i I i I I i I F-1 Boring # H Boring Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth Dominant Color) Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate I I in. I Munsell I Qu. Sz. Cont. Color I I Gr. Sz. Sh. I I I I *Eff#1 I *Eff#2 I I = FAq writ M = ROn > in < 97n mnn sand TF.q >V) < 9 -sin mnA * Fcru uv* sn = PA- n < In mnA arul Tcs < 3n rnnA 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. sari-M30reatce.07ro0) l DCCI LAND PLANNERS, INC. ® SOIL BORING Lot # 1 -MEADOW RIDGE OF TROY NW 1/4 OF THE SE 1/4 OF SECTION 17, BENCHMARK CPU T28N, R7 9W, TOWN OF TROY, ST. -TOP OF CONDUIT CRODC COUNTY, WISCONSIN. Q ALT BENCHMARK • -TOP OF CONDUIT .•r+ • • • TOM NELSON CST - Lic. # 227387 N NOTE.: THE CONTOURS IDENTIFIED • wr. w.' ENVIRONMENTAL BY DESIGN ARE PRIOR TO CONSTRUCTION. 1432 12CTH ST. PROCESSROCESS DUN GRADING WAS IN P DURING SOIL TESTING. • ~ • NEW RICHMOND, WI 54017 CONTRACTOR MAY NEED TO ph. # 715-246-2454 CONFIRM FINAL CONTOURS • WRING INSTALLATION. Am i SCALE IN FEET 4W iiia • a 1100 0 100 a 'ROW N880 4 2 EL= 24.50 L=925.35 { j 83~ • EL 25.21 1 .8.57® V + a / w