HomeMy WebLinkAbout026-1127-10-000 Wisconsin Department of Commerce Count
PRIVATE SEWAGE SYSTEM St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
453010 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Marek, Todd I Richmond Township 026 - 1127 -10 -000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No:
IV •o ff m -O, � rut- r 25.30.18.820
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
3.Z
Septic L1 L �� ' �� Benchmark 4 1 0 3 , Z 4 2 ao O
Dosing Alt. / ) 0 2•`r
Aeration Bldg. Sewer * )
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic ' ( ti t 5 r / Dt Bottom
Dosing Header an. .ZID S,O
Aeration Dist. Ptpe
Holding Bot. System
Z '
Fin `NrawKAk_ S�ZD - L
PUMP /SIPHON INFORMATION
Manufactu r Demand St over �r Aj
r
Model Nu er '—
I '
TDH Lift ricti oss System Head H Ft .
i
Forcemain Length Dist. to
SOI ORPTION SYSTEM
WD ENC Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. LLiquidth
DIMEN NS 3 g� 3D f r Z)
SETBACK SYSTEM TO 0 P/L 1 BLDG WELL LAKE /STREAM LEACHING Man Gturer:��
INFORMATION CHAMBER OR p
Type O System: 2- 7 y S7 `_ UNIT Model Num r: / so
' DISTRIBUTIOV PY§TEM
Headerr /Manifok Distribution x Hole Size x Hole Spacing Vent to Air Intake
!4 66 r Pipe(s 5 /
Length Dia Lengt is
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed nch Center Bed /Trench Edges Topsoil
Yes No Yes No
OMMENTS� yl nclude code discrepancies, persons present, etc.) Inspection #1: j Inspection
3
Location: 1140 131st 7 A Richmond, WI 54017 (SE 1/4 SW 1/4 25 T30N R18W) Richmond Hills Lot 10 Parcel No: 25.30.18.820
1.) Alt BM Description = "'" S
N"
2.) Bldg sewer length = 2 fl r
3> amount `cover ' p 1s t' b (4omc Ls, k'bw&L, a 4- - o'w'e..
t - � is ion equired? i I Yes �No �
Use other side for additional information. _
- -
SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No.
i
iq
�h
Safety and Buildings %7082 mint s , ' x
201 W. Washington A . Perau t Number (to be filled is by Co.)
7082
nary
consi
M adison, S) 2 546 `L��� 53 t7I v
S plan LD. Number
pepartment of Commerce
Sanitary Permit Applies n u \ co p v�de
in accord with Comm 83.21, V5• Adm. Code, pe[EOnal itl fottt[ati Y p AGO project Address if different than mailing fddrps
may be used for secondary purposes Privacy Law, 515-040 m) 0N\
I. Application Information - Please Print All Information _ Lot # Bloc #
Parcel #
Property Owner's Name /0
property Location O 2 D
Props er Mailing Address /
., Section
Zip Code
Phone Number
Ciq, State (crrc W on
T N; k r W
II. Type of BttUding (check all that apply) e J }�7ZCGli/� subdivision Hume
1 or 2 Family Dwelling — Number of Bodrooms _ O
C] PublidComnl9rcial DescribeUse QCiry [yi1)3ge �wnsbipof
Q State Owned — Describe Use
III. Type of Permit: (Cheek only one boa on Une A. Complete line B if applicable) ❑ Otbc Modification co Fxistiag System
A. ❑
ew Systan ❑Replacement System Trealmont/Holding Tank Replacement Only
❑
List Previous Permit Number and Date Issued
B. O Permit Renewal C1 Permit Acuities Change of Q Permit Transfer to New
plumber Owner
Before Expiration
IV. T e of POWT3 S tem: Check aU that a I
on -pressurized la.Ground [I Mound >_ 24 in. of suitable soil ❑Mound < 24 in. of suitab soil 13 At-Grade � Sin ann Pass Sand F ilter Q
rrtrTnn F
Construclad Wetland ❑Pressurized in Q g T Q Prat Filter El Aerobic Treatment Unit Q
Chamb Q Drip Line Q Gravel -less Pipe ❑ Other (explain
Recirculado Synthetic Media Filte /�
V. Dls ersaVrreatment Area In Dispersal Area Proposed (sf) System Elevsti n
Deli° Flow (gpd) Design Soil App . te(gpdsf) Dupers] Area Required (st)
6
00 / o p Site Steel Fiber Plastic
VL Tank Info Capacity in oral Number �� Y � D O Concrete eensuucud Glass
Gallons Gallons of Units
New Exwing
Tanks Tanks Z-, /
Septic or HoldinS Tsok b Q
Aerobic Tmatmaet Unit
Rosins Chamber
lt Sta t- 1, the undersign m
VII. Rea oaslbi e responsibill for installation of the POWTS shown on the attached plans.
MP/MPRS Nu her E Iness Phone Number r
plumber's Name (Prime) Plumber's re
p As dretc (Street, City, State, Z
VIII oun /D artmeut Use Onl Dar Issued suing A Signature
Sanitary Permit Foe includes Groundwater ps)
Approved C] Disapproved Surcharge Fee) SV y 3 Z D
❑ ] AArovaneasons for
Owner Given Reason for Denial V
�Y Sisper u sal E�o ll VNEp sapRro al
1 epic an , e luent filter and — /��,(J?�
cell must a be serviced /maintained d3. SZ,
as per management plan provided by plumber.
2. All setback requirements must be maintained
as per applicable code /ordinances.
the Co C or m o not less a itl s \lseha la s
AttaehComplete
Na V
l� 11�► j� r✓Z�T7
32, V� A
m� c���
41
P PDDR N
PROJECT Todd Ma rek S P.O . Box 148 New Richmond Wi 54017
SE 1 /4 SW 1 /4s 25 /T 30 W TOWN Richmond COUNTY ST. CROIX
2/26/04 BEDROOM 4
MPRS Shaun Bird 226900 DATE
CONVENTIONAL XXX IN- GROUND UESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 28
BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter ZabelA -100
❑ BOREHOLE WELL *H. R. P. Same as Benchmark
SYSTEM ELEVATION 94.0/93.8' 7' below grade
Alt. BM Top of 1/2" Pipe @ 99.7'
Plans Designed Using
Well is to meet all Conventional Powts
setbacks required by Manual Version 2.0
WDNR
jL, Standard Biodiffuser Scale is 1" = 40'
Leaching Chamber
with 31.1 ft2 of Area unless otherwise
noted
34
Grade at System Elevation 144th St.
Vents
Pro 4 3 A
Bedroom 20
House 15' -1 10'
30' B -3
T 55' 2% Slope
50' 17 5'
- ents B -2
2 -3' X 8 ' Cells w th >3' Spacing
131 st. Ave R d
x
i
/ I r
r'
i
i
/
- A pt
i G /IN'E
M ATC t
66.
c
z
N89'SS l "E 70 .51' ° o 11 1 1 - "
522 8' / ( Q7.03' w
�- ca
P
Z �
B -� 7 '
2
9 (e
W
cn
04, 93 SCE:, F
s o y , .J .AC
o
B-18
8 ° C D .
28��Q FT. �, . • s LY
. ACRES '�• I �
2
3 $89'43'24 "W o
•� 218.93' �� n
°o S89'43 4 "W 3+66.47 3t0 ( 2+00 `�� 1+00 n�
S89 "43 24 W' 0 0
t 63 218.87' O
y,
I
6
Wry • / • `\ ' V
�5 , s _
344 f i
� 2. � ACE 1, r �R� • 1 .. . • .• _ 3 �, �,
2. 8 A CRE. N,
w ! 11 N
Y
i
.a
P PDD N
PROJECT S
Todd Marek P.O. Box 148 New Richmond Wi 54017
SE' 1/4 SW 1 /4S 25 /T 30 W TOWN R ichmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 2/26/04 BEDROOM 4
CONVENTIONAL XXX IN- GROUND ESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 28
IL BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter ZabelA -100
❑ BOREHOLE SWELL * H. R. P. Same as Benchmark
SYSTEM ELEVATION 94.0/93.8' 7' below qrade
Alt. BM Top of 1/2" Pipe C 99.7'
Plans Designed Using
Well is to meet all Conventional Powts
Vent setbacks required by Manual Version 2.0 `
WDNR
jj Standard Biodiffuser Scale is 1" = 40'
Leaching Chamber
with 3 1. 1 ft2 of Area unless otherwise
1 " noted
3 4" Grade at System Elevation 144tf, St.
ents
Pro 4 A
Bedroom
House 15'
-1 20 10 '
30' B-
T 55'
2% Slope
50' 175'
Vents B
2 -3' X 88' Cell with >3' Spacing
131st. Ave Road
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
,AND
OWNERSHIP CERTIFICATION FORM
owner/Buyer
J
Mailing Address �'"- �Jp ��- 11 �•�—{J
�5 S4
Property Address
(Verification required from Planning Department for new construction)
City /State Parcel Identification Number
LEGAL DESCRIPTION ) v
� -' /,, �� ��/ VA, Sec. J T -R W, Town ofz-A
Property Location l
Lot #
Subdivision _
�� �E
n��
Volume Page #
Certified Survey Map # a \
Volume Page #
Warranty Deed #
S ec house ❑ no Lot lines identifiably yes ❑ no
P
S YSTEM XAR TENANCE tics stem could result in its premature failure to handle wastes. Proper maintenance
Improper use and maintenance of your
septic
y into the system
consists of pumping out the septic tank every three years or sooner, if needed b a licensed P umper. What you p ut Y
can affect the function of the septic tank as a treatment stage in the waste disposal system
tification fozm,
The property owner agrees to submit to St. Croix Zoning D e p artment a cer signed by the owner and by a
ber or a licensed pumper verifying that (1) the on - site wastewater disposal system
masterplumber, j ourneyman plumber, restrictedplum nd is if necessary), the septic tank is less than 1/3 full of sludge.
is in proper operating condition and/or (2) after inspection P�iP g
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
urces, State o f Wisconsin. Certification
set forth, herein, as set by the Department of Commerce t be and completed ed a tme returned ° e st C Croix County Zoning Office within 30
stating that your septic system has been maintained
days of the three year expiration date.
DATE
SIG A"1'URE OF A�ICANT
OWNER CERTIFICATION
I (we) certify that all statements on this form deed true corded in Register of Deeds Office.
1(we) am (are) the owners) of
the property described above, by virtue of a warranty �14 c�
DATE
SIGNATURE OF APPLICANT
Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. « * * * *«
** Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extend the maintenance interval of the filter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
Contingency Plan
�0�ptfionf system fails, determine cause of failure, use alternate area and install new
system in tested replacement area.
Option #2. Install system at a lower elevation, by removing chambers, removing biomat,
and install new system.
Option #3. No adequate area is suitable for replacement area, and system elevation
cannont be lowered. Install holding tank as last resort.
3. Replace any other failing components as needed.
Plumber: Shaun Bird 715 - 246 -4516
St. Croix County Zoning 715- 386 -4680
Pumper Tom Mondor 715- 246 -5148
Shaun Bird #226900
W+sconsin Department ofCommerce SOIL EVALUATION REPORT Page Of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County ,1 �
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must T �'
include, but not limited to: vertical and horizontai reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information :Mewedb Date
Personal information you provide may be used for secondary purposes (Privacy taw, s. 15.04 (1) (m)).
M 1 6 < 1
Property Owner _ Property Location
Govt. Lot rJ 1! /4 SAS T N E or)
Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM#
City State Zip Code Phone Number City ❑ Village Town Nearest Road
k&J (Lx ' �) S'oi7 ( ) �` � -
IK New Construction Use:P<Residential / Number of bedrooms Code derived design flow rate �' C! GPD
❑ Replacement ❑ Public o com eraal - Describe:
Parent material Q Z Flood Plain elevation if applicable
General comments /� ,.,
and recommendations: s �' `� ✓C v �, / �No 5,� iL� T����T ,4 1a J
® Boring# E] Boring ►� / ��E'1rD
Pit Ground surface Bleu. , ft. Depth to limiting factor in.
Soil ication 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
�^ r� ✓ /�} Z
� 11 2-r"
Boring # Boring a��
Pit Ground surface elev. �� ft. Depth to limiting factor in.
Soil Application Rate
Description Texture Structure Consistence Boundary Horizon Depth Dominant Color Redox Des p Roots GPDN
in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. /ny 'Eff#1 'Eff#2
I ® ^ Gv
=1�Z r - 1-
/ / Z. H
• - > < > ` Effluent #2 = BOD < 30 and TSS 30
Effluent #1 - BOD 30 _ 220 mg/L and TSS 30 < _ 150 _ n►g!L < _ m9/L
CST Name (Please Print) re CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation C cted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 2 —��-�� ! 715- 246 -4516
Property Owner _ Parcel ID # Page of
Ong # ❑ Boring
s
pit Ground surface elev. oft. Depth to limiting factor in. Soil Application Rate
Horizon Depth _ Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDJfg
in. p Munsell Qu. Sz. Cont. Color gr. Sz. Sh. 'Eff#1 'E P2
:I VO42--hivAl
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/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
F-1 Boring # ❑ Boring
El Pit Ground surface elev. ft. Depth to limiting factor in.
Soil ication 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 = BOD > 30 < 220 mg/L and TSS >30 1150 mg/L ' Effluent #2 = BOD < 30 mg/_ and TSS i 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.
SOD -8330 (R.W00)
Soil Test Plot Pla
Project Name Todd Marek S n ird
Address P.O. Box 148
New Richmond Wi 54017 STM #226900
Lot 1 0 Subdivision Richmond Hills Date 2/28/04
SE 1/4 S W 1/4S 25 T 30 N /R W Township Richmond
Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 1 /2" Pipe
System Elevation 94.0/93.8 *HRpSame as Benchmark
Alt. BM Top of 1/2" Pipe @ 997
Scale is 1" = 40'
unless otherwise
noted
144ti St.
101'
/33S3%. A
1
20' 10'
15' B -1
B -3
2% Slope
55'
175'
B -2
100'
131 st. Ave Road
OWNER RJC Development, In c.SOIL DESCRIPTION REPORT pagg9 o f 12
LD. #�
r Depth Dominant Color Mottles Structure GPD /ft
3oring # Horizon Texture CaisisMnoe Botridary Roots
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed TWnch
0 -13 10yr2 /2 none 1 2msbk =r cs .5 .6
_.,..... 2 13 -32 7.5yr4/4 none sti 1 2msbk mfr yw if .4 .5
Ground 3 32 -84 7.5yr4/6 none sl 2msbk mfr na na :5 .6
elev. _ 7
na ft.
Depth to 011 dT
imiting
factor
+84 1 ,
Remarks:
bring #
1 0 -26 10yr2 /2 none 1 lmsbk mfr cs if .4 .5
32'`< 2 26 -36 10yr4 /4 none _sil__ 2msbk mfr _ .5
gw if .6
36 -55 10yr5 /4 c2p 7.5yr5/8 sici M na na na np
Ground
alev.
na ft.
vu Yu
Depth to
imiting
`actor
S
Remarks:
3oring # 1 0 -10 10yr2 /2 none 1 2msbk mfr cs if .5 .6
33t< 2 10 -28 7.5yr4/4 none sici M na gw na np .2
3 28 -84 7.5yr4/6 none is sg mvfr na na .7 .8
around
Aev.
_I13_ ft.
ov
)ep to
imiting �,i�►
actor
+84"
Remarks:
3oring #
MK •:. :i:::4
1 0 -18 10yr2 /2 none 1 2msbk mfr c s if .5 .6
'v
'34 4 2 18 -31 10yr4 /4 none sil 2msbk mfr gw if .5 .6
3 31 -42 10yr5 /4 none sil M na gw na np .2
around
Aev. 4 42 -84 7.5yr4/4 none is Osg mvfr na na .7 .8
jd__ ft.
)epth to
miting
actor
Remarks:
D- 8330(8.06/92)
PROPERTYOWNER RJC Development, Ind ncSOIL DESCRIPTION REPORT Page
PARCEL I.D. I na
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boux* Roots D/ftk.
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed TWChL,
1 0 -12 '10yr2 /2 none 1 2msbk mfr cs if .5 .5
4:
;x;27
2 12 -29 10yr4 /4 none sicl 2msbk mfr gw if .4 .5
Ground 3 29 -50 7.5yr4/4 none sl M na 9w na .3 .4
elev.
AS ft 50 -86 none ms 0 mvfr na na .7
Depth to,
limiting -
factor aT /�
+ 86"
Remarks:
Boring # ......
1 0 -12 10yr2 /2 none 1 2msbk mfr gw if .5 .6
x 28 2 12 -29 10yr4 /4 none scil 2msbk mfr yw if .4 ?.5
3 29 -45 7.5yr4/4 none sl 2msbk mfr gw if .5 .6
Ground
elev. 4 45-72 .5yr4/6 none ms Osg mvfr gw na .7 .8
na ft.
5 72 -84 5yr4/4 none sl M na na na .3 .4
Depth to
limiting '
factor 1
+84"
Remarks:
Boring -#
1 0 -10 10yr2 /2 none 1 2msbk mfr cs if .5 .6
2 10 -22 10yr2 /2 none scil 2msbk mfr gw if .4 .5
3 22 -29 7.5yr4/4 none scl 2msbk mfr gw na .4 '.5
Ground
elm,. 29 -84 7.5yr4/6 none ms Osg ml na .7 .8
na ft.
Depth to /
limiting
Remarks:
Boring* I 0 -11 10yr2 /2 none 1 2msbk mfr cs if .5 .6
30 2 11 -30 7.5yr4/4 none scl 2msbk mfr gw if .4 5
3 30 -57 7.5yr4/4 none sl 2msbk mfr gw na .5 .6
Ground _
elev. 4 57 -8 10yr4 /4 none co s Osg ml na .7 8
na
Depth to
limiting o
fBCtOr
+86"
Remarks:
SBD- e330(R.05/92)
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
Divisio;, of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must St • Cro ix
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. pendin
Please print all ip€vfi>ligIiplf R iewed by Date
Personal information you provide may be used seF;tJ prnpedas / (Priv" Law, s. 15.04 (1) (m)). Z I JA-AA
Property Owner PropertyLocation
R J C Development, In Govt. Lot SE 1/4 SW 1/4 S 25 T 30 N R 18 X(or) W
Property Owner's Mailing Address ; /, (, r Lpt # Block # I Subd. Name or CSM#
1868 Cty. Rd. C t'0 10 na Richmond Hills
City State zip ode Re urpp�t ,x City ❑ Village Town Nearest Road ZA
New Ricbmondl WI 1 5401 . ( 715 j 'Z21, . Richmond I 130th, ave.
1I New Construction Use: ❑ Residenti�L/t 1prnber of bedrogms; _ Code derived design flow rate 6 00 GPD
❑ Replacement ❑ Public or commercial si;ribe..'
Parent material glaeial &-ift ___ Flood Plain elevation if applicable ft. na
General comments
and recommendations:
mound @ el. 93.00', based on contour line of 3el. 92.00'
❑ Boring # 11 Boring
1 ® pit Ground surface elev. 9 2. 7 ft. Depth to limiting factor + 100 i
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ffl
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. i "Eff#1 •Eff#2
1 0 -10 10 r 3/3 none 1 2msbk DSH qw if .5 .8
2 10-32
3 32 -61 7.5 r 4/6 none sl 2 s k
4 61-100 7.5 r4 6 none ms oscj ml na na .7 1.2
a Boring # Boring 92.7 +110
® 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 /f?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I •Eff#2
1 0 -10 10 r 3/3 none 1 2msbk DISH qW if .5 .8
2 10 -26 1 r4 4 none is
26 -42 7.5 r4 6 none sl 2msbk mfr aw na
4 42 -11 7.5 r4 6 none ms o
'Effluent #1 = BOD > 30:S 220 mg/L and TSS >30 < 150 mg /L _!,gfflyent #2 = BO < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature . CST Number
Gar L. Steel 02298
Address a�Ev ati on 66nducted Telephone Number
1554 200th. Ave., New Richmond, WI. 54017 10 -17 -2000 715- 246 -6200
Property Owner R J C Developmen Inc. Parcel ID# pendinu Page 2 of I
3] Boring # ❑ Boring
3 ® Pit Ground surface elev. 90 ft. Depth to limiting factor 3 in. Soil ication 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 -18 10 r 3/3 non D SH Liw if _R
2 18-31 if
C `f�r 3 31 -45 10 r 5/4 c2 7.5 r 5/8 sicl 2ms
na
5 61 -78 7.5 r3 4 n
6 78- 7.5 r4 4 1 o e one residu ms o • 0
Boring # 11 Boring
El
❑ 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
F1 Boring Boring # Ground surface elev. ft. Depth to limiting factor in.
El pit Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BOD, > 30 5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS 5 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 -8370 (rt6=)
y STEEL'S SOIL SERVICE
Gary L. Steel 1554 200th Ave.
CSTM2298 RJC Development, Inc. New Richmond, WI 54017
MPRSW -3254 SE SW4 S25 T30N - R18W (715) 246 -6200
town of Richmond
lot #10- Richmond Hills
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STATE BAR OF WISCONSIN FORM 2 - 1999
Document Number WARRANTY DEED REGISTER OF DEEDS
ST. CROIX CO., WI
This Deed, made between RJC Development, Inc., A Wisconsin RECEIVED FOR RECORD
Corporation Grantor, 01/16/2004 09 : 30AM
and Todd Marek
Grantee. WARRANTY DEED
Grantor, for a valuable consideration, conveys and warrants to Grantee EXEMPT #
the following described real estate in St. Croix County, State of Wisconsin REG FEE: 11.00
(if mo pace is needed, please attach addendum): TRANS FEE: 465.60
Lots 10, 19, 20, 46 and 48, Plat of Richmond Hills in the Town of COPY FEE:
CC FEE:
Rich d, St. Croix County, Wisconsin. PAGES: 1
Recording Area
Name and Return Addre s
KRISW A OGL_AND
ATTORNEY AT LAW
P.O. BOX 359
HUDSON, WI 54016
026- 1127 -10 -000, 026 - 1127 -19 -000
026- 1127 -20 -000: 026 - 1127 -46 -000: 026 - 1147 - 48-0
Parcel Identification Number (PIN)
This is not homestead property
(is) (is not)
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this J day of January 2004
RJC Development, Inc.
y
* _ * By.
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) RJC Development, Inc., A Wisconsin Corporation STATE OF )
BY: I —[J 0' ' C4' (,h. -- ) ss.
�
�/l County )
authenticated this ( 3 day of January 2004
Personally came before me this day of
the above named
* K ristin Ogl
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not, -- to me known to be the person(s) who executed the foregoing
authorized by § 706.06, Wis. Stats.) instrument and acknowledged the same.
THIS INSTRUMENT WAS DRAFTED BY
Attorney Kristine O
Hudson, WI 54016 Notary Public, State of _
My Commission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not necessary.) )
* Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co., Ford du Lac, WI
STATE BAR OF WISCONSIN 800- 655 -2021
WARRANTY DEED FORM No. 2 -1999
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