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HomeMy WebLinkAbout026-1167-32-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 479372 e GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal infonnatior 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: Environmental Holding Company LLC Richmond, Town of 026- 1167 -32 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: Co.p oo.o� S� = ml aim I 27.30.18.1334 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. LA ,, 6j_e A - 1100 •-� Septic 5 � )�S Benchmark D ��•`p CD. C) I Dosing a Alt. BM Aeration Bldg. Sewer r 5=30 Holding St/Ht Inlet $.rD 9s,ov TANK SETBAC FORMATION SUHt Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic „ ] Dt Bottom ��•�� W. 20 r Dosing Header /Man. ( P•�° p I • •5� / Aeration Di f i �•b� 94 Holding Bot. gKstem 7- ( qs. sb Final Grade PUMP /SIP N INFORMATION •(100 ` Sa Manufacturer De St Cove V_ � Model Number P� L10 ti •o w^ _ t � r r D r Friction Loss ystem Head TDH / Ft O.r Z 3 0 �-• .�� 8'•6 Forcemain Length t Dia. 2 t Dist. to well 3 9 1• r SOIL ABSORPTION SYSTEM R NCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 2 SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manuf cIJ� r ' I INFORMATION Type Of System: C/ CHAMBER OR c _ -{•ti"� 1.&A \t• � [ DISTRIBUTION SYSTEM �J � Model Numbg[ ` D J (fL�.� Caw Header/Manifold it Distribution Hole Size x Hole Spacing Vent to Air Intake Length Pipe(s) Dia Lengt Spacing 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/Trench Center Bed/Trench Edges Topsoil Yes Ll (] Yes `, J No r No CON Include code discrepencies, persons present, etc.) Inspection #1: /V 9� 1 Inspection #2: ' 7 - - t -- � Locatidrr Stre�etNew Richmond, WI 54017 (NE 1/4 NE 1/4 27 T30N R18W) Lundy's Preserve Lot 32 Parcel No: 27.30.18.1334 1.) Alt BM Description = 2.) Bldg sewer length = t� - amount of cover = 316 -t-. 60 3) P la n Use o de for additional reformation. ` 4k 1 M -- Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) \ U 22 66 oo P CC S l ~ STATE BAR OF WISCOASIN FORM 1J 2600 7 6 7 S 6 8 WARRANTY DEED ,� RATISEEEERN DH. D£BLSH Document Number This Deed, made between John Schommer and Barbara ST. CROIX Co., MI Schommer, husband and wife RECEIVED FOR RECORD 07/@1/2004 01:15PH Grantor, . i and Environmental Holding Company, LLC WARRANTY DEED I:Xm i REC FEE: 11.0@ Grantee. TRANS FEEL 2314.20 Grantor, for a valuable consideration, conveys to Grantee the following C described real estate in St. Croix County, State of PAGES: 1 Wisconsin (the "Property") (if more space is needed, please attach addendum): Lots 1 through 33, inclusive, Lundy's Preserve, Town of Richmond. Recording Area Name and Return Address Title One Premier Group 706 19th Street South Hudson, Wisconsin 54016 0 26-- 1078 -10 -000 026- 1078 -30 -000 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. 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 except Roadways, Easements, and Restrictions of Record Dated this 30th da of June 2004 09 r *Jo Schommer * Barbara Schommer AUTHENTICATION ACKNOWLEDGMENT P1�( STATE OF WISCONSIN ) Signature(s) PA e ) ss. St. Croix county. ) authenticated this day of ' Personally came before me this 30th day of Jane , 2004 the above named PALM John Schommer and * s TITLE: MEMBER STATE BAR OF Barbara Schommer 1N OF WIS��„ (If not, ti ' to me known to be the person s who executed authorized by §706.06, Wis. Stats.) the fo reinstrume a ac to ed the same. THIS INSTRUMENT WAS DRAFTED BY ' *K Pal Michael H. Forecki, Attorney Notary Public, State of Wisconsin Eau Claire, Wisconsin My Commission is permanent. (If not, state expiration date: ( Signatures may be authenticated or acknowled ed. Both are not necess December 12 *Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000 ttomey Michael H Fomcki 3452 Oakwood Hills Pkwy Ste 1, Eau Claire WI 54701 -7928 Phone: (715) 835 -3029 Fax: (715) 835 -4112 Michael H.Forecki T44686382FX Produced with 7jpForm- by RE FormsNet, LLC 1 8025 Fften Mi s Road, Clinton Township, Michigan 48035, (9001393 -9905 �1 U 2611P 507 7iSE3132 STATE BAR OF WISCONSIN FORM l - 2000 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIK CO.. WI This Deed, made between Environmental Holding RECEIVED FOR RECORD Company, LLC 07/07/2004 01:26PH Grantor, WARRANTY DEED and Glen Johnson Construction EXESPI d REC FEE: 11.00 TRANS .FEE: 969.60 Grantee. COPY FEE: Grantor, for a valuable consideration, conveys to Grantee the following CC FEE: Y g PAGES: 1 described real estate in St. Croix County, State of Wisconsin (the "Property ") (if more space is nee ed, please attach addendum): Lots 12, 13, 16, 17, 18, 19, 22, 3, Lundy's Preserve, Town of Richmond Recording Area Name and Return Address Title One Premier Group 706 19th Street South Hudson, Wisconsin 54016 Partof 026 - 1078 -10 -000 Partof 026 - 1078 -30 -000 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. 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 except Roadways, Easements, and Restrictions of Record. Date his 30th day of June 2004 4- 7?1 a4 * Bi 1 Sherman * Jeff Warren Environmental Holding Company, LLC Envirionmental Holding Company, LLC * * AUTHENTICATI ACKNOWLEDGMENT gPA P V6� STATE OF WISCONSIN ) Signature(s) C & ) ss. St. Croix County. ) authenticated this day o KAY V. jUt Personally came before me this , 30th day of PALM j June 2004 the above named * ' Bill Sherman and Jeff Warren _ TITLE: MEMBER STATE BAR OF �i if not, ( to me known to be the person 8 who executed authorized by §706.06, Wis. Stats.) the foregoi g i ment d o ed th same. THIS INSTRUMENT WAS DRAFTED BY * Ka lm Michael H. Forecki, Attorney Notary Pti6lic, State of Wisconsin Eau Claire, Wisconsin My Commission is permanent. (If not, state expiration date: ( Signatures may be authenticated or acknowledged. Both are not necessary.) December 12 2004 . *Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000 itorney Michael H Forecki 3452 Oakwood Hills Pkwy Ste 1, Eau Claire WI 54701 -7928 Phone: (715) 835 -3029 Fax: (715) 8354112 Michael F. Forecki T4632009.ZFX Produced with ZipForm"' by RE FormsNel, LLC 18025 Fifteen Mile Roed. Clinton Towrift, Michigan 48035, (800) 383 -9805 Safety d Buildings Division County rN v, 201 W, W *nA e., P.O. Box 7162 $COnsn Madi 3707 --7152 rmit Number (to be filled in by Co.) Dep artment of Commerce 150 _3 1 Ef Eta 7 Sanitary Permit Appliea I State Plan I.D. Numbe In accord with Comm 83.21, Wis, Adm. Code, personal information y rovideN `/ n 0 may be used for secondary purposes Privacy Law, sl5.04(l)(m) Project A ress (if different than mailing address) UNTY ' I. Application Information - Please Print All Information ZONING OFFICE/J Property Owner's Na me Parcel N Lot Block N < Property Owner's M ailing Address Property Location City, State 'k, fJ� 'A,Section j y ( Zip Code Phone Number ,1 LY%Ad f' i✓ r �� (circle }� �33`i 1. Ty of Building T . 2 r! N; R 4 E of • yp g (check all that apply) Ok �+4 f i y t' O.1 or 2 Family Dwelling - Number of Bedrooms s ✓� n.. U Subdivision Name CS?vi Number ❑ Public /Commercial - Describe Use ✓� �,� f' y �S CvG L o ' L.� State Owned - Describe Use 57_ Q; , �`� 1 J2 1-2 ^C,,,L ❑City_ ❑village Aownship o f,& III-T ype of Permit: (Check only one box on line A. Com plete line li i f applicable) 02(o— // G - 7 —3Z — 6C7b_-�i A ' New System ❑ Replacement System ❑ Treatment'Holding Tank Replacement Only i ] Other Modification to Existing System B. ❑Permit Renewal Permit Revision ❑Change of T ❑ Permit Transfer to New List Previous Permit Number and Date Issued l Before Expiration — Plumber Owner y7 37,E _� _ � s IV. Type of POWTS System: (Check all that apply) __ pct�Non -Pres izOd In- Ground ❑ Mound > 24 in. of suitable soil (J Mound < 24 in. of suitable soil E. At -Grade ❑i Single Pass Sand Filter ` f ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter L J Recirculating Synthetic Media Filter �Keaching Chamber L] Drip Line ❑ Gravel -less Pipe ❑ Other ( expl a in) (� V. Dispersal/Treatm Area Information: _ " ter Design Flow r `- g (gpd) Design Soil Application e�gpdsf) -T D persa1 Area Required ( Dispersal Area Proposed (sf) System Elevation y®a ✓ -7 117 ✓ -34 . - /'fa C VI. Tank Info Capacity in Total Number Manufacturer Prefab Site TSteel Fiber Plastic i Gallons Gallons of Units Concrete Constructed Glass j New Existing Tanks Ta nks Septic or Holding Tank Aerobic Treaunem Unit -- — i i Dosing Chamber G s C VII. Responsibility Statement- 1, the andersig assum responsibility for tallation of the PO sh own on the attached p lans, 1 Plumber's Na me (Print) Plumber's Si gnature lMPRS Number Business Phone Number Plumber's Addre ss (Street, City, State, Zip Code) VIII. Count /De artment Use Onl y_ pproved ❑Dis. pc len Sanitary Permit Fee (includes Groundwater Da a Iss ed i Issui Agent Sig //\\ El wnzr Reaso nial Surcharge Fee) _ 1 �V 60 �� �7 O5 j IX. Conditions of Approval /Reasons for Disapproval 3 • I o J , � 1 o rya SYSTEM OWNER:_ P 1. 'Septic frank, effluent finer and dispersal cell must all be services / maitdalmd t as perm er management plan provided by • 2. AN seback requkwwft must be rtttairtemd as per gVk@W code / ordiranres. �� _ s L Attach complete plans (to the County only) for the system on paper not less than 81 /2 x 11 inches in size SAD -6398 (R. 01/03) :el`.�� �r t� r e 1 u � �o rme,v ��l o�d ��`,� S �o X3.2 � a..�� � o .��G� ,e•-sy � A �r e o b v v Wisconsin Department of Commerce SOIL N REPORT p �_ o f Division bf Safety and Buildings Wlb�� In accord h Cor ' s. 7�lhf t less 1/2 In must Attach complete site plan on paper no . include, but not limited to: vertical and horizontal r Me ), di= a u l , P I.D. a percent sbpe, scale or dimensions, north arro w, and dis ce to nearest roi;d Z ( p 2 QD Please print all informati CROIX COUNT Re awed by Data Farsonar infomretlon you provide may be used for secondary purpmes ZON ,OE Pmp" owner 1 Property Location n ?� rn r� n�ei l l �� Govt. Lot V ;�: 1/4 &F 1/4 S Z 30 N R E (orX10 Property ownees Mailing Addrgs¢ Lot # Block # Subd. Name or CSW & •i S f 3 i; v ewe. State Zip Code Phone Number ❑ City ❑ Village ® T Nearest Road C, W( S D R l rX, r. C - l 11 R New Construction Use: (R Residential / Number of bedrooms — L � Code derived design flow rate ySa /l/ 00 GPD ❑ Replacement ❑ Public or commercial - Describe: —_ —• _ Parent material Flood Plain elevation if applicable / ft. c? 'JIG ra u-C General comments recommendations: 5 m 3 I F 11 Boring# C —(1 W Pit Ground surface elev. U fL Depth to limiting factor qk in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munson Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 U / — S�� / Zmn kk v4 r — 3 y -� Y a. - s os >� tY\ , Q Z Boring # Boring Ground surface elev. ft. D to limiting factor in. ® pit � Depth �^9 -�,� Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW irl. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 S �'c Z�rf ��� ►)'l -�r C to TZ -Y� 3 L — 0 0 • Molt #1 = BOD > 30 < 220 ffq& and TSS >30:S 150 mg& ' Effluent #2 = NO , 130 mgA: and TSS = 30 mgll CST Name (Please ) nature CST Number G Address Date Evaluation Telephone Number Properl owner rtu i . ik� 5 Parcel ID # � j Page _ � of ❑ Ong F e # 9 Pit Ground surface elev. Z S� ft. Depth tD Nmiting factor f 3 in. SoN Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/N In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 i o - o i3/ 3 -517 &- ? 5 1 /,� / C J 1 4 z F-1 B # ❑ Boring 0 Pit Ground surface elev. ft. Depth to Iknitfng factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Ou. Sz. ConL Color Gr. Sz. Sh. *01#1 •0f#2 Q �9 # ❑ ❑ Pit Boring Ground surface elev. ft. Depth to g how in. Sol Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots G PM In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •EW1 'Eff#2 Effluent #1 a SM, > 30 _< 220 mg& and TSS >30 150 mg& ' Eilluent #2 = Bid < 30 mgA. and TSS 1 30 m81L 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. aeoaswtrtzoof Property owner Parcel ID # �e Z Pap of _ eoring ❑7, i Boring # tom' Pit ad surface eiev. 7 — ft F . Depth to limiting factor 3_ in. SoR Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary moots GPD/I? In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 i 0 - 16 /31 - St'l M 44 v� 1 ,T ? (0 11�/ 4111-11 F-1 (:�-4 d ❑ Pit Ground surface elev. R Depth to ft ft factor in. SON Rene Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots t3PDlIE In. Munsell Ou. Sz. Corti. Color Gr. Sz. Stu. •Ei#F1 •Eff#2 F-1 �g # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Appketlon Rate Horizon Depth Dominant Color Redox Description. Texture Structure Conststenoe Boundary Roots GPDff In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 • Olkient 01= 800 > 30 = 220 mgll. and MS >30 _< 150 rng& • Efluent #2 = SOD, 1 30 nV& and TSS S 30 mg1t 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. ssatawta.�oot PAGE 3 OF NAME �„ �; �, ( ��> �✓LOT# 7_ LEGAL DESCRIPTION kt 1 14&C 1 �a,S Z?'34:3N,R / (OR)W SCALE: V '= _� BM I ELEVATION _1e20 G BM I DESCRIPTION Sr�,hcJ� BM 2 ELEVATION BM 2 DESCRIPTION SYSTEM ELEVATION SYSTEM TYPE 7s- Is GNATURE �..... ---- _ _.: __. DATE i \ i County Safety and Buildings Di is' �! P.(3. Sanitary permit Number (to be filled in by Co.) 201 W. Was hngtwl 53707 - 716' �� cons Madison. in (608) 2b6 1 . � State Plan Y.D. Number De partment of Commerc e _+ hcatio E Permit App. A)" S anitary i d ailing address) `S y p e rsona l i ou provt ffenr than ma g In accord with Comm 83.21, Wis. Adm. Code, pe tial td proje Address 0 er may be used for secondary purposes Privacy Law, 515.04( (tr>} AUG cR I. Application Information - Please Print All Information T. 01 X COON — _ $kick # CS Pa el Lot N Propert war's Na me .e d r l z'` e P rty Location Property Ow ne M ailing Address 4 i K ik,SeCtion % City, State Zip Code Phone Number L (circle G, fS'v.tJ ✓� Q��v T N; RZEEor It . Type of Building (check that apply) ,cL q5 1! d10fXW Subdivision Name CSM Numr 1 be X 1 or 2 Family Dwelling - Number Bedrooms C —JK I � I ❑ Public/ Commercial - Describe Use - Of ❑ State Owned - Describe Use ❑City_ ❑Village ownshl p Doi ic III. Type of Permit: (Check only one boxN line A. Complete line B if app Ole) b — J1 — 3 =- 'D A. New System ❑Replacement Syste ❑ Treaunent/Holding Tank placement Only ❑ Other Modification to Existing System t B. El Permit Renewal ❑ Permit Revision Change of ❑ rmit Transfer to New List Previous Permit Number and Date Issued Before Expiration P ber ner TV. T pe of POWTS System: (Check all that appl Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable s Mound < 24 in. of suitable soil ❑ At- Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Ta ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Leachin Chamber r ine ❑ G ravel-less Pipe ❑ Other (explain) L /` I V. Dis rsa l/Treatment Area Information: _ Design Flow (gpd) Design Soil Application Rate(gpdI - - - sal Area aired (sf) Dispersal Area Propo s System Elevation VI. Tank Info Capacity in Total T Mari lures Prefab Site Steel Fiber Plastic Gallons Gallons Concrete Co nstructed 1 Glass New Existing Tanks Tanks , Septic or Holding Tank Aerobic Treatment Unit i Dosing Chamber _ 6 _1 VII. Responsibility Statement- I, the undersi ed, assume responsibility for inst relation of the PO S s on the attached plans. _ Plumber's Na me (Print) Piumbe Si gnature P/ 111 Number Business Phone Number —� Plumber's Addre ss (Street, City, State, Zip e) ze VIII. oant /De artment Use Onl T Approved Sanitary Permit Pee (includes Groundwater Data Issu d uing nt Signature (.' Stam Surcharge Fee) i = j&r Denial 3 r IX. Conditions of Approv asons for Disapproval 1 BM 00 4 1. Septic tin*. effluent filter and dispersal cell must all be services / maintained aa,psr mBnaQement plan provided by plumber. 2 AN setback requirements must be maintained nn Z � - n p w appN "code / ordinances. JI�PLp.M. vl ✓�P -�.'r 'J ! ' 3 Attach complete plans (to the County only) for the system on paper not less than 8112 x 11 inches in size tom. J 1 A r c . o 6> � u C�. o 837 k- \a ly �ou � Lv / mod jr ,�y d /�d L-oi a. RECEIVED RECE O UN 01 2004 J Lundy's Preserve Comments: ST.CROIXCOUNTY ZONING OFFICE The soils in this subdivision are quite variable and differ across the 80 acres. Some consist of a clean outwash sand, other consist of glacial tills. In certain areas, the medium sands have a very deep red color unlike I have seen in all of St. Croix county. The color does not indicate high ground water because the color is so consistent. If you go through the red sands then the sands turn off white/yellow but not those of a sand stone. In talking with Pam Quinn from zoning, she commented that there could be a different chemical reaction with a sands. I believe this is the case for the sands have a consistent size, and no mottles were found above or below the sands. Sometimes bands were present, but were very slight, and were mentioned to have the systems sized a little bigger in order to accommodate for any inconsistencies in the soil. Also it is worth mentioning that the intersections of lots 6,7,8, and 9 have a extremely poor soil present not suitable for a mound system. The surveyor and I discussed this condition, and the resulting tests were spaced as far away from this area as possible. All the soils tests were done to the best of my ability and I hold no liability for anomalies and other oddities that can be found on this site. Shaun Bird CSTM #226900 i 5/28/04 l isconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code � County C' t 1 Attach complete site plan on paper not less than 8 1/2 x 1 c? include, but not limited to: vertical and horizontal refer WeR nt(�'�� Parcel I.D. ` - — 6U percent slope, scale or dimensions, north arrow, an ocat and'dts�rlr<etc troad. Z(o — /1 t0 ( — 3 2 b Please print all info �'' Reviewed by Date Personal information you provide may be used for secondary es (Phv;a w s It S.ON(Vm)). Property Owner S . CRUI (Tenyl�o f ilaM.1[� 1/4 /4 S T N R E (o W Property Owner's ailing Address Lot # Block # SUM. Name or CSM# City State Zip Code Phone Number City ❑ Village wn Nearest R iCO 01 c -- o New Construction Use: Residential / Number of bedrooms Code derived design flow rate Ott GPD ❑ Replacement b lic�o commerci be: - - - -- -- — Parent material f !� `� Flood Plain elevation if applicable and recommendations: eneral mmen d ati / ,C, q '7 � � � , , ' q A/+ ! �&-4 i s� � 3 r C mmenations: �P/✓�. -e !�/(/GG^�'�'✓ ! !� �" V v / � � � �' r h o �, � � / Boring # El ring Pit Ground surface elev. n eft. Depth to limiting factor //0 in. 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 0 O �3l _ e 1 r ' 2 _2- r ,w Bor ing ring a Pit BOri # Ground surface elev. ft. Depth to limiting factor / in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. I Munsell Qu. Sz. Cont. Odor Gr. Sz. Sh. `Eff#1 `Eff#2 3� ,- , to / 2 -7 r —� , a,na 14 7 Effluent #1 = BOO > 30 1 220 mg/L and TSS >30 150 ` Effluent #2 = BOD 130 nxA and TSS < 30 mg/L CST Name (Please Print) S' CST Number 226900 Bird Plumbing, Inc. Shaun Bird Date Evaluation Conducted Telephone Number Address 715- 246 -4516 1008 192nd Ave, New Richmond, WI 5401 a `� ' • w Property Owner Parcel ID # Page of Boring # Boring Pit Ground surface elev. f ft. Depth to limiting factor in. Soil ication Rate 1 1-3 1 Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 s p 3/ g t ry, - r c ' 3 -? r s (-j ,- 5 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Applicalion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F ❑ Pit n 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 mg1L and TSS >30 < 150 mgA- ' Effluent #2 = BOD < 30 mg& and TSS 130 ntglL 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 -8330 (86/00) 1 Soil Test Plot Plan Project Name Environmental Holding L.L.P. Shau d Address 706 19th St. S. Hudson Wi 54016 M #226900 Lot 32 Subdivision Lundy's Preserve Date 5/24/04 N 1/2 NE 1/4S 2 7 T 30 N/R 18 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 97.4/97.0 *HRpSame as Benchmark Alternate Benchmark Top of 1/2" pipe @ 99.7' 330 Property Line 496' Property Line Scale is 1 = 40 unless otherwise t noted * B.M. .M. 10' 200' 50' B -1 102' 5% Slope 40' 662' Property B -3 Line 4 5 ' Please note:Soil was done to satisfy Pro Town 101' county zoning Road requirement. Soil 15' B -2 test may not be suitable for owners desired building location. BSUG. 1.2005.1: 1 :31PM►153eCENTURY 21 HUDSON GLEN JOHNSON NO.984 P.2GE 92 ST CROIX COUNTY SBPTIC TANK MAINTENANCE AORBEMENT AND OWNERSHIP CERTIFICATION FORM OwneirBuyet Ml iling A ddres Property Addres j 37 � � (Verification required from Plannipg Department for now Construction) City /State t arcel Identification Number 62 � ► ►► ^� � 3 2 C OD L EGAL D ON Property Looati c M N 1 /4 V %A, Sea, $11, T_,!0LN -R,.1 , & 'down of �1 Subdivision , Lot # . Certified SurveV Map N , Volume , Page N , Warranty Die ��� �� . Volume , Page # Spec house 0 Vno Lot linos idetttiftable id yes C3 no Fi Improper a and miantenaneeoryour septic sysiem could result in its premature failure to handle wastes, Proper tnaintenastao consists of pumpin out the septic tar* ovary titres years or sooner, V nat:ded by a licensed pumper, What you put into the system can afibat the A�rtot n or The tank as a treatment wage to the waste disposal system, The prope owner agrees to submit to 3t. Croix Zoning Department s certwticarion form, signed by the owner and by a mastorplymber, joy yieyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewatordisposal system in in proper operail't g condition and/or (3) alter inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge, Uwe, the undersign d have read the above requirements and agree to mairglin the private sewage disposal system with the etaodards set forth, herein, as at by the Department or Commerce Rod the Department of Nawral Resources, State Of Wiseonsixt. Ce"VIication stating that your se ' ie system hsa been maintained roust be completed and returned to the St, Croix County Zoning Office within 30 days of the three ye date, /1 /©c SIQNATUR75 OF PLICANT DA'Z'E C 319N I (we) cart y that nil s temants on this form are we to the best of my (our) knowledge, I (we) ant (are) the owner(s) of the pro am on d virtu% or a warranty dead recorded in Register of Deeds Oi'Cce. Q� 6 Q Sit3NATUR$ OF PLICANT DATE 'o" Any info I tion 61 is mis•reprosented may result in the sanitary permit being revoked by the Zoning pepattment. Ttielude with thi application; a stamped woRanry dead Rom the Register of Deeds office a Copy of the aorlified survey map if reterance is made in the warranty dead i U 22 66 P CC R 8 STATE BAR OF WISCOPSIN FORM IJ 2Q00 7 6 7 5 6 6 t Document Number WARRANTY DEED ,� KATHLEEN H. WALSH REGISTER OF DEEDS This Deed made between John Schommer and Barbara ST. CROIX CO., WI Schommer, husband and wife RECEIVED FOR RECORD Grantor, 07/01/2004 01:15PH and Environmental_ _Holding_ Company, LLC WARRANTY DEED EXEMI i REC FEE: 11.00 Grantee. TRANS FEE: 2314.20 Grantor, for a valuable consideration, conveys to Grantee the following CC FEE described real estate in St. Croix County, State of PAGES: 1 Wisconsin (the "Property") (if more space is needed, please attach addendum): Lots 1 through 33, inclusive, Lundy's Preserve, Town of Richmond. Recording Area Name and Return Address Title One Premier Group 706 19th Street South Hudson Wisconsin 54016 0 26- 1078 -10 -000 026 - 1078 -30 -000 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. 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 except Roadways, Easements, and Restrictions of Record Dated this 30th da of June 2004 4� s Jo Schommer * Barbara Schommer * * AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) PA PV6 ) ss. AL St. Croix County. ) authenticated this day of ' Personally came before me this 30tt_ day of June 2004 the above named * PAl-M I John Schommer and TITLE: MEMBER STATE BAR OF Barbara Schommgr OF W1S` (If not, _ hN1r��� to me known to be the person s who executed authorized by §706.66, Wis. Stats.) the fore o" instrume ac le ed the same. THIS INSTRUMENT WAS DRAFTED BY * Pal Michael H. Horeeki, Attorney Notary Public, State of Wisconsin Eau Claire, Wisconsin My Commission is permanent. (If not, state expiration date: rno.r ( Signatures may be authenticated or wled ed. Both are not necess De ember 12 ncy Names of persons signing in any capacity must be typed or printed below their signature. ARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000 Michael H Forccki 3452 Oakwood Hills Pkwy Ste I, Eau Claire WI 54701 -7928 Phone: (715) 835 -3029 Fax: (715) 8354112 Michael H. Forecki T4468638.ZFX Produced with ZipForm by RE FormsNSt LLC 19025 Mewl Mis Road CWon Township, Mietrpsn 48035, (900) 383 -M r POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPIECiFICAnONS O wner -� Septic Tank Capacity Va l ❑ NA Permit # Septic Tank Manufacturer ' O NA DESIGN PARAMETERS Effluent Filter Manufacturer 6 ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model � d d 13 NA Number of Public Facility Units ❑ NA Pump Tank Capacity Q al ❑ NA Estimated flow (average) 'Y15 al /da Pump Tank Manufacturer / _ %ek ❑ NA Design flow Ipeak), (Estimated x 1.51 EQ g al/day Pump Manufacturer yak ❑ NA Soil Application Rate gal/day/ft' Pump Model ❑ NA Standard Influent/Effluent Quality Monthly average' Pretreatment Unit ❑ NA Fats, 031 & Grease IFOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg1L ❑ Disinfection O Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA 0 At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cf /100 ❑ Drip -Line ❑ Other: Maximum Effluent Particl S ize Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other. ❑ NA "Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: months) (Maximum 3 years) ❑ NA ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) 13 NA 3 k'yearls) Clean effluent filter At least once every: / month(sl ❑ NA ear(s) Inspect pump, pump controls & alarm At least once every: ...— ❑ month(s) ❑ NA _ ❑ yearls) Flush laterals and pressure test At least once every: -- ❑ month(s) ❑ NA ❑ yearls) Other: _ At least once every: - ❑ month(s) ❑ NA (3 yearls) 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 teaks, 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 regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y 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 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized Qomponents, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. 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Is)lleo lesieds!p eyi of p86je43s1p eq (!Inn jalennaiseM ssaoxa ayi pejolsoi sl jaMod ue4M •sleAal ia1enn4B!4 lewjau anoge p!; Aew s luel dwnd saBelno jennod Buuno •eoe ;ins ensiejil! ;u! 944 1e u9204 eje 2u0!1!puo0 l!os u94M in000 iou Ile4s do liels waisAS •esn of joud joiejodo Bu!01Aies 90eldes a Aq penowai (s)il 041 ;0 slueluoo 041 9A04 P810918P We su04ejiueou00 4614 ;I '(s)lloo lesiods!p 044 96ewep jo/pue sseooid WOUJIBOA 0419pedwl Aew 1841 sle0!we4o j04lo jo sionpoid Bull uled ;o eoueseid eyi jo; ( s)ilue1 1u9w1eajl )10940 SiMOd a41 ;o esn o1 joljd 'uosl3nnsuoo mou jod NOlIV»3d0 aNV do "v.LS 10 ®Bed Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tanks) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell If high concentrations are detected have the contents 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. r water levels. When awes is restored the excess wastewater will be During powe outages um tanks may fill above normal hi h p pump 8 discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or 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. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain isump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides, meat scraps; medications; oil; 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 is properly 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. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or-must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. i 13 p A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. Al ❑ T site h site a tank OnIAITC ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. Do NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name ��'`�.'� y Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone This document was drafted�in compliance with`chapter Comm 83.22(2l(b)41)(d) &(f) and 83.6411), (2) & (3), Wisconsin Administrative Code. Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fugy submerged In high w EP05 impeller. Thermoplas- ■ Bearings: Upper and lower Specifically designed for the gm� turbine oil for tic enclosed design for heavy duty ball bearing following uses. lubrication and efficient improved performance. construction. . 6 Cast • Effluent systems heat transfer . " and Base: Rugged • Homes Available for au0matic and thermoplastic design provides AGENCY LISTING • Farms manual operation Auto- superior strength and corrosion • Heavy duty sump matic models indwk resistance, �' Atidiin sty Asseaaeon • Water transfer Mechanical Rota Switch N Motor Hous Cast iron (CSA listed model numbers end • 0 t ri r efflci nt heat transfer, in "F" or "C ". ) ewe a fo w! an n9 assembled and preset at the factory. stle%th, and durabky. SPECIFICATIONS M Motor Cover: Thermoplastic 6wA Pumps Is ao 9NI Wired. • Solids handling capability: ca bil : FEATURES covet with'ireegral handle and 11"t switch attachment points. Ca maximum. III EPO4 Impeller. Thermoplas III Power Cable: Severe duty •Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet, pump out vanes for mechanical • Discharge size: t' /:" NPT, seal protection. • Mechanical seal: carbon. rotary/ceramic-stationary, BUNA - elastomers. • Temperature: 1041 RTC) continuous METERS FEET 140°F (60°C) intermittent. _ ... F-* • ro Fasteners: 30C series Capable of running 8 ,S FT � dry without damage to stainless steel. a 1.5 rr components. Motor: • EPO4 Single phase: 0.4 HP, 20 - 115 or 230 V, 60 Hz, tSSQ s� _ RPM, built in overload with automatic reset. 4 gg EPOS r • EP05 Single phase: 0.5 HP, c _.__... _ .. 115 V, 60 Hz, 1550 RPM, built in overload with EPO4 automatic reset. 2 • Power cord: 10 foot standard length, 16/3 S1TOW with three prong L grounding plug. optional 20 0 °o 1 20 so ao sa GPM foot length, 16/3 OW with ' , three prong grounding plug , (standard on EP05), fl z 4 6 8 t 0 t z m /h csAacnv Goulds Pumps 0 2000 Goulds Pumps ITT Industries Effective February, 2000 63871 SE PTIC TANK E PUMP CHAMBER CROSS SECT ION AND SPECIFICATIONS 4" Cl VENT PIPE 12" MTh'. ABOVE GRADL WEATHERPROOF ?'25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT yMjjNHOLE PADLOCK OVER FINISHED GRADE ---- WARNING LABEL 4" Cl RISER — } � ^►�" MIN. A tit � IN . 6" MAX. L WATER TIGHT SEALS GAS - TIGHT' PPROVED A SEAL JOINTS WITH j PPROYED B k ALM APPROVED PIPE a IPE 3' f , ON SOLIDTSOIL NTO SOLID C OIL � � �� PUMP OFF ELEV . FT • �"' 0r F RISER EXIT PERMITTED ONLY D IF TANK ' MANUFACTURER HAS APPROVAL 3" APPROVED-BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE NUMBER DOSES PER DAY: TANK MANUFACTURER: TANK SIZES SEPTIC /p�� AL, DOSE VOLUM£ INCLUDING GAL. DOSE 5d GAL. FLOWSACK: 1? ALARM MANUFAC TURER: �L:el°av CAPACITIES: A = INCHES = GAL• MODEL NUMBER: v = 2 INCHES = ,�Z GAL. SWITCH TYPE: PUMP MANUFACTURER: C = S INCHES = GAL MODEL NUMBER : p = INCHE _! -�-- � S = GAL, SWITCH TYPE: REQUIRED DISCHARGE RATE_ GPM PUMP E ALARM WIRING AS PER I LHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . . � FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . . -W FEET + 4 /- , FEET FORCEMAIN X FT /100 FT. FRICTION FACTOR . FEET TOTAL DYNAMIC HEAD FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH; DIAMETER LIQUID � d SIGNED: .- -- ,c� ..�'� LICENSE NUM 57 4W DATE: 1/68 I l/ /Ck4� STANDARD CHAMBER Quick4 Standard Chamber 48" i I (EFFECTIVE LENGTH) a il �-- - -- - -- 34 "--°- - - - -- -• SIDE VIEW SECTION VIEW MuitiPort End Cap - - 12" 16 Li t" I f - -- - - - --- — 34' ---- - - - - -. SIDE VIEW TOP VIEW FRONT VIEW Quick4 StandardGhambei'Nominal Specfftcaii ��� }� ;, Mtrl #iP�orfr`�nd CapJl�ominal S�ecificaliona�°� ��� � 1� ��`� � A Effective length 48 Invert Nei ht In vent tt ei h t 9 8" ItJF ijTRATOR YS UAN DA ITE _ RAt(TY (�) f nr. sauct�"al I .tag ty of rvacn chamber, end Plate, wedge rd bl'iar ar a -Wry hl a lu.ud' % I L, rain i'Ur' "1, when alstaloCt suit Oporai9d iii loackfr'Id of an otisile septic system m accofdak.e win eilirllalcds 19 urAtI Is wa,la,,latl IJ tf a uigual wrichase' iliok er°) va,nst deler:trvo nroelanals and A"knuv.s f "p for orv, year 1 I the date that the septic ir?rm4 is I::yucr FN, ;l iu supta systam o0wail III the Unas: Urovidad, tx»vmrer, that it a SBPlic Pem'+i is not rwifir ed by appliI law, the warranty period will begx' ;,Pon Inc date that w .ctallatbn al the salillr. system d, I- notes. Ti a %t sot ds wa ally ngfts HaAiar must roaN Mfiltrakx rn wd rig a its Lnrixat xc rIe.JJUUm1M" in 0 J .,aybruoA C J necaicof within INlear, INN . . • 'lays t tic allfx,Jed defect. Irdill alnr FAI su"Av `4,' i rxnanl JI fry LAN', s deiemunetl by infl nr to Le. - by tie Limilei WananN Inllltrn;x'S fablllty specdlrally C..I:J- the on6t of ­-of andio, bSLBN,9UnP T THE LIMIiFp I CLUDI N 1Y AND ICS ry SURPAR MF.R( la; A E EXC41, ;Tr L� I Ali' NO OILAV WAPRAN11E5 WIT }I Hf.J'pEI; SYSTEMS I 1 V �.J ?t1 i1N1(S Mt;UJ 1NG NU iMV CD W ARTIANTkS OF MERtHANTf 1L TY pH F{iNF F01 ftii; � PICT CJLAF:. PUFIPOSE. (i) INS I Waaawy shall be 04) t arv part or thu ens ffix; :sierr �: ina4illarxl V} Oy,,A+ otha I; aJ I:: ^r Itr Ol. TrialLur drx '01u•ranly to not M{'j�N !_. �_+ `=A^ I du identa cons(, luent a, SPOG�I N injr,"d der kagFl t lnfll (x Vat not I ddl lf. I v pi fraliffIs of quida.ed danla{jC. ' Ir I(Judlrl aSS G: E`I,1/ y�1 �� & W� a{W 17{Xu7lW, produai,in and profits labor and materials, rwacead cnII ut other lose a ex{:e a urea ti' nit, adJH or any Ihirct perly. Spe!MII[aE -. 6"1 iron L m till W trranly a rveraTa a+'e damaf)a to the Unds due to rl .idly wear rid lCV, alts al on aooderrd, misuse, abuse or nagfacl ei Ile LniW the Unds trvrg' --0 fed to vehicle traffic or other Condition, wlflnl are rrnt fammIIlerf by Ile in !ai;atron o stwdons: fall" to Iralntaxi the 6 Business Park Road • P.O. Box 768 1 1.11 hum gound r crusts sM forth if the installation instruct ors; the placement A fniproPar materials At () l a system cantainirig the Llydts; la lure of iha Un4s or as septic sy'stWn (Are !n irnpropa siting or irrpnJper srzir :0. excult 'Iva water usage impn�er grease disfusal, a mproPar Operation; or Old Saybrook, CT 06475 ally other event noI rausao by IrV:rafor, This Limited WaI shall tw void i the Hok%r la Is to comply wah all of the lams art form m lids Ltrnitul Warranty. 860- 577 - 7 • FAX 860- 577 -7001 F uchel. in no em) shoti trdiltratcv M roslionsiWa fa any tree or +ianmga to the Holder, tie Unds, or a, iv third party resuling Iran insiaAaI or ship- 8Va221 _4436 I ar}. Ur from any irWur:t Irahi4ly claims o` lafor f any trdrd Pal Fn 11 s nr'1aJ Wa my la apny iha nJrut> nn iat trot unalarlea ui Aot'aide'h:e w all silo C011611on6 "oveld by stale and I codas all Other or.rdlicatria l c; and I ll liralor's 4rsnaAaaor ernlc!rons- (•1) NO ropmeentaila or k`bltralor has the - 111,1dly So charge er -1-d lids Lanfail Warranty. No w-anly aUjV , (o any pang other than the nnrJl- nal riot let. ill abuwJ repra=;eNS the Slanda�d Limdal WananlY olfarnd 5Y Inlillralor A limdod onions of stala3 w d :U.ndaa lave diflarerr wartanN reaara mefl Any Purchasrx of Lhl-ts ehuuld cUnlaci lnfille r'L C;Tporata Hoadrluanars in Cld 5riybliylh, C xinacuwt, prior to such purchase, to obtain a copy of the apONlair warranty, and should eamilitly read that warranty prior fo the purchase of Unlis. US �1 entc: 4,759 6F7, 5.077; 91; .5,158,488: 5,33E,01? G,407,t 16; 5,401 4,? 5,511,003; 5,Tt8,7fa3; 5,5£18,778; : >,839,844 Canadian Patens 1 2,004,5114 Otner patent:, pal luing. lofdlr Equalize , di'd SideWlnder are registered tradall or Infiltrator Sys,r his Inc. Infllhaa l is a eigisliI tradoinark )if France. In6llralor Systems Inc. Is i rey+stored h m I adeark Mexico, Contour, ConloJr SwW C onnechon, MirloL a; etring. Poly Tutf, SimpLock. CharnberSpacer, Powl -ock. QUICI(CLA, CLKkPlay RECYCLED PAPER aru3 Quick4 are fradrtmarks of Intlitrator Systems Inc. 0 200 Inhllraia SYilems Inc. Printed In LLS.A. , c - -4 10 , N O \� 3-%r .o r 131 'Z I M.S�.ri.00N I C .AG�� J i ig .............. . y.> — --- - - - - -- -- '+ .i le / � I i J C18 Am In i mg I <a9 m m I �( Z z N Yj '" I r + 0 �. 1 0 3 *4° 0 > ... .................................................. .............. ............................... .... — •-- • - -• - -. 392.36 Sw e' 33'I -- •- -' - -•— r• . - -.- -. L SDD•3211 789 --- - - - - -- - -- a - - -_ I - IA NO ACCESS $ N 1 PAI 2 TRUNK HIGHWAY_ "65" g SW16'34'E 1026.53' UNE Of 7HE NEI /4 — 'G_1367 i LOT I PLAT OF SUNRISE MEADOWS I I )MG'34'E 2529.97 I I I x Pardel #: 026- 1167 -32 -000 08/08/2005 02:36 PM PAGE 1 OF 1 Alt. Parcel #: 27.30.18.1334 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 06/29/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - ENVIRONMENTAL HOLDING COMPANY LLC ENVIRONMENTAL HOLDING COMPANY LLC 703 PINE ST N HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1387 129TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.785 Plat: 10 /12- LUNDY'S PRESERVE 026/04 LOTS 1/33 SEC 27 T30N R18W PT NE NE BEING LUNDY'S Block/Condo Bldg: LOT 32 PRESERVE ('04) LOT 32 (2.785AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 27- 30N -18W NE NE Notes: Parcel History: Date Doc # Vol /Page Type 07/01/2004 767568 2607/589 WD 06/29/2004 767300 10/12 PLAT 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/21/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.790 31,600 0 31,600 NO Totals for 2005: General Property 2.790 31,600 0 31,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 .Wvsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach t Attach complete site plan on paper not less than 8 1/2 x 1 ' ghes is siW_ Plan mo t I inducts, but not limited to: vertical and horizontal refer t 7 ghto rlfd°to�e ! o]d Parcel I.D. percent slope, scale or dimensions, north arrow, an oc Please prinf all Info Revie wed by Date Pe information you provide may be used for seconds p.W arty! s Proper .S . C U l.n" �� ✓ (R��IFJQB 1/4 k 14 S,� T N R E ( W Property Owners siting Address Lot Block # Name or CSNW CRY State Zip Code Phone Number ❑ City ❑ Village , -E54/own Nearest R D ( � sGl S'1�1� IVew Construction Use. Residential / Number of bedrooms Code derived design flow rate Ag:� t']Q GPD ❑ Replacement Public or commercial - D� scri Parent material Flood Piain elevation if applicable _ ft. General cormlents / ,( /! and rec ommendations: ,LP ,y,� e ! �/!K• 97, 70 ?>ri ` 3 �tG iw ( ry J � �� Q� 7• J C? act' J Boring # ❑ n9 Pit Ground surface elev, t ft. Depth to limiting factor in. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 �-- Iq - 3 U >, G 3 67 Fq # O Pit � Ground surface elev. �� ft. Depth to limiting factor _ / l � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I •Eff#2 3) r C-5 , t° /0 Z. 'S/ c I — ,3 V 2 - 7Y I I r y S OsA I F n a 7 • Effluent #1 = SOD > 30 1220 mg1L and TSS >30 < 150 rrAL Effluent #2 = SOD 1 30 mg/L and TSS 130 mg1L CST Name (Please Prirrt) CST Number Bird Plumbing, Inc. Shaun Bird S 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 5401 715- 246 -4516 Propert Owner Parcel ID # Page of 5 Boring # BOnng Pit Ground surface elev. -� 4 ft Depth to limiting factor Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G In. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 '01192 3/ 3 t �- r s� e f 3 -7 r s r9 sl F # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Hortxon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff! In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'F.tf#1 'Eff#2 F-1 Boring # ❑ Boring Ground surface eiev. ft Depth to limiting factor In. C1 Pit Sol Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots G PDff in. Munsell Du. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'EfW2 Effluent #1 = BOD, > 30 < 220 mglL and TSS >30 1 150 nVL ' Effluent #2 = BOD, < 30 mg& and TSS <_ 30 nVL 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. U M tWi • Soil Test Plot Plan Project Name Environmental Holding L.L.P. Shau ' d Address 70619th St. S. Hudson Wi 54,016 #226900 Lot 32 Subdivision Lundy's Preserve Date 5/24/04 N 1/2 NE 1/4S 27 T 30 N/R 18 W Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1 /2" Pipe System Elevation 97.4/97.0 *HRPSame as Benchmark Alternate Benchmark Top of 1/2" pipe @ 99.7' 330' Property Line 496' Property Line Scale is 1" = 40' unless otherwise t. noted * M. .M. 10' 200' 50' B -1 102' 5% Slope 40' 662' Property B -3 Line 4 5 ' Please note:Soil was done to satisfy Pro Town 101' county zoning Road it 15' B -2 test may not be suitable for owners desired building location. I 1 i I �� • I , I ........................ .......... ......... ............................... ............. ............................ f - -- --� -- -- -- -- - - fix _. \ I ` -. NO AOOCU e 9TATL TRUNK MIO 'SS' 4� - - -- — -- T — — — — — — — — — — — — — — — — ---� C.S IN VOL. S PG. D 67 I SOT I PUT OF SLNRISE MEADOWS oft rr • Iii iii 11?11 ?I2?1>fa >>>rafar �Q t $ iii t �Q� 2�• 4ir� tt�r���ff�Ift( #�1�3�f�� a fn) a f__ F OR !ij i Sal. >r E Y I an SHEET � � � ■ I CC r 1 I R.c�. t a •i I �� 1� ei Sj � , I • ° c O Z r a Y eI�� 0 Cl r (7 jCF CC +,.......... I aA� C I !! Q I, I i ��� il� � • •. ' I I I� O N lip 0 . 111911 —��il° r te` I i � ' F � • 6 `� ,,� / �� ............... Z . m ^ p I I 60WIrz"w7x, 1�r 1M a 101 y t .................................. - - - -- » al� � 0f![ 't I J STATE T M010 TRUNK HIGHWAY 'SS' -_ i y LTM'SS' I trsK it i - --T"----- --7-- - -- - -- ` -- n� ° LOT 1 G8.11 VOL S PG. 116 7_ I LpT i PLAT OF SUNRISE ME_ADOW6 I i I I mmul am" all q ly