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HomeMy WebLinkAbout026-1139-09-000 Wisconsin Department�of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division 4 INSPECTION REPORT Sanitary Permit No: 430264 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: Ames Investment I Richmond Township 026- 1139 -09 -000 CST BM Ele : O � Insp. BM Elev: BM Description: _ Section/Town /Range/Map No: . ; ,NL. t 0 2 `� 5k Y 0 A 36.30.18.1004 TANK INFORMATION ELEVATION' DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I � / 'nZ D C) Benchmark �m Z_ . f6G Dosing D V Alt. BM Aeration Bldg. Sewer A j', h 8S Holding St/Ht Inlet i /Z,Z 9 ' 1 . 0 7 TANK SETBACK INFORMATION St/Ht Outlet Gar+►{20 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Dt Bottom Dosing JJ He er/Manl I A Aeration Dist. Pipe I& e Gum c. an (•. 1 9 , # O� PUMP /SIPHON INFORMATION Final Grade + % /•9 �r � O,• � S ,� Manufacturer Demand WCover 0� MA & S GPM Dt- . 0 G .d ir. Model Number O P O5 ul I S S T Lift Friction Loss System Head TDH Ft 1 .3� a (• 2,� �` (w�Lc,� -I •30 �v3.3 to Forcemain Length / Dia, a/� I Dist.toWell 2 SOIL ABSORPTION SYSTEM' J BEDITRENCH Width Length No. aLXFenehes / PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS (D DO SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION [f CHAMBER OR Ty�`�� ,� / UNIT Model N er: DISTRIBUTION SYSTEM Header /Manifold Distribution / ( f x Hole Size x Hole Spacing Vent to Air Intake 3 / It Pipe(s) 0 _1� Length Dia Length 1 Dia Spacing � J SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only De ver Depth Over xx Depth of xx Seeded /Sodded jXX Mulched Bed/Trench en er _— RP.d/T - Y r •i N^ COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: J ' / 4 / O3 Inspection #2: P g / fci- Mktzt 1,60pm Location: 1297 142nd Avenue New Richmond, WI 54017 (NW 1/4 NW 1/4 36 T30N R18W) Torey Pines Lot 9 Parcel No: 36.30.18.1004 1.) Alt BM Description 3.) �r' `^� ► v t� it c T H nv o `IrVw +_yc L n fu 2.) Bldg sewer length = y !� .`, E P_ c� DIY r tLl.� - amount of cover = / C liv-Ley, f„ - 61 w , n s � � 4� n a 3 � v" ►� 1-w I� Plan revision Required? Yes . `, No Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No. Safety and Buildings Division County ` ` 201 W. Washington Ave., P.O. Box 7162 C(v 1 /SC0 s�7n Madison, WI 53707 - 7162 Sanitary Permit Number (to a filled in by Co.) De p artment of Commerce (608) 266 -3151 Sanitary Permit Application State Plan LD. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide u 893 �� -� S• ��• > may be used for secondary purposes Privacy Law, s15.04(1 xm) Project Address (if different than mailing address) 1. Application Information - Please Print All Information 1,2 97 JQN Property Owner's Name Parcel # Lot N Block # Cr0 i m 02 — . —CM Property Owner's Mailing Address Property Location o 11reW 4eJ ��ti nW Y., section 3(o City, State Zip Code ) ~. ircle on f.J I. T W A , l , 5Y0/ 1 9896 T � N . R��W e) -' 7' H. a of Building (check all that apply) 1 1. 2 Family Dwelling - Number o Bedrooms pq p. x Subdivision Name CSM Number ❑ Public/Commercial - Describe e / I r O dI" Q' An es ❑ State Owned - Describe Use _ - -- ❑Ci ty_❑ VIllage �wnship of IL 0. III. Type of Permit: (Check only one bog on line A. Complete line B if applicable) A. LiSNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New list Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Checkall that apply) —{ ❑ Non - Pressurized In-Ground Mamd > 24 in. of suitable soil ❑ Mamd < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Lane ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation i VI. Tan • fo Cap ty in Total Number ufacturer Pr b Site , Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic oriielding Tank � J'V �r1 � e-- ^r �. � Aerobic Treatment Unit IT0 V 4 t..f/rl Dosing Chamber 5 VII. Responsibility Statement 1, the undersigned, assuAne responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI= Ws Signat MPNumber Business Phone Number o �� 68 5/40 6 Plumber's Address (StrVity, State, e) O. &Y c 41i l . 5-1 V11L Coun / &partment tse Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued a� ss i Agent Signatur No Stamps) Surcharge Fee) !� ❑ Owner Given Reason for Denial 1X. Conditions of Approval/Reasons for Disapproval rte i Ail se j" � Y Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches In size SBD -6398 (R. 01/03) • :So;/ a ✓aP.,o b • , 'T�ianp�n 7 /uti /a3 So,7 e ✓aluu 4-;0 �• ot by icAcomaa - / gt54 ♦ Fle ✓a„ s Ar • ¢ I b propose-d U- �� y • ots..crs �n Pro posed �+ y b¢droo•*� ec� � f%S; Jartce 99.7/' IE• B. .: T of �fl5 '� � �/ "S�J,. 5�0 P, V C . A a kcf Pe net Qua 3 bcc,'(d� s cr. P ProposEd Orest� E/ev = 104. 2 "Sr.(•�0�orcc �— �,t1Lp/Zm gGt�rnJz /�iopose�lirlok�d a� amb le- JCV4e ,Zo.o7;r i /Y.i� 'w�6'xicv' B� atS r d�tlet. d,'sPc�sa /cam/ /. Tice 9�, /a a-CS a t /yt'x Y S( 7 , T S/la c of zGz • 39' E,tlSEi -,� of 2 " ;ron L y IKou -nd 3�,S� SGrVinS iJer$,(fao - ;n� /'esra(ccc• v !off S c.�4SSc n VA &V-- - /4= -M_' & . 8 o f 9 L Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 erc *hsc sin www.wisconsin.gov .wis c ons .wisonsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary July 31, 2003 CUST ID No.223475 ATTN: POWTS Inspector JOE STANG ZONING OFFICE STANG PLUMBING & ELECTRIC ST CROIX COUNTY SPIA PO BOX 263 1101 CARMICHAEL RD WOODVILLE WI 54028 HUDSON WI 54016 CONDITIONAL APPROVAL Ide N o. tignNurnbers PLAN APPROVAL EXPIRES: 07/3112005 Transaction ID No. 893594 SITE• Site ID No. 662636 Croix Custom Homes Inc Please refer to both identification numbers, 142nd Street above, in all correspondence with the agency. Town of Richmond St Croix County NW1 /4, NWI /4, S36, T30N, R18W Lot: 9, Subdivision: Torey Pines FOR: Description: Proposed Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 913605 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans, the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 101) and the "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Pi c o" - r JOE STANG Page 2 7/31/03 Owner Responsibilities: • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Gerard M. Swim Balance Due $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim @comerce.state.wi.us Wi$�T bode: 7633 m cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 f f MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Croix Custom Homes 4 bedroom residential mound Owner's Name: Aims Investment Corp. Owner's Address: 34 Peninsula Ave. Dellwood, MN 55110 Legal Description: NW1 /4NW1/4, Sec. 36, T.30N., R18W Township: Richmond County: St. Croix Subdivision Name: Torey Pines Lot Number: 9 Block Number: NA - Parcel I.D. Number: 026- 1139 -09 -000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings RECEIVED Page 4 Lateral and dose tank Page 5 System maintenance specifications JUL 17 2003 Page 6 Management and contingency plan Page 7 Pump curve and specifications SAFETY & BLOGS DIV Page 8 Site Plan ` Page 9 Soil Evaluation Report Designer: Joe Stang License Number: 223475 Date: 07/15X3 Phone Number: (715) 684 -5166 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) bfi'ARTMENT OF O" E g Version 3.0 (03/01/01) IVISIoN OF SAFETY AND B, fiLc RGE GS Pag 1 of 9 SL�COR�S ND ENCE Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 600.00 Design Flow (gpd) 2.00 Site Slope ( %) 99.18 Contour Line Elevation (ft) 33.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 100.00 1 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd /ft 11 Influent Wastewater Quality (1 or 2) Are the laterals the highest poin in the distribution l Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft 2 Number of Laterals of the highest point. l 0.125 Orifice Diameter (in) (e.g. 0.25). 2.50 Estimated Orifice Spacing (ft) = 7.50 ft /orifice 2.00 Forcemain Diameter (in) 35.00 Forcemain Length (ft) Does the forcemain drain back? ; Y 90.00 Pump Tank Elevation (ft) Enter Y or N S j 6.50 System Head (ft) x 1.3 5.71 Forcemain Drainback (gal) j f 9.31 Vertical Lift (ft) 90.53 5x Void Volume (gal) 0.81 Friction Loss (ft) 96.24 Minimum Dose Volume (gal) 16.61 Total Dynamic Head (ft) 32.95 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x _.� 1.00 1.50 x x 1.25 - -- 1 2.00 -__ _ 1.50 x x ( 3.00 _ 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 800.64 Total Tank Capacity (gal) 1200.001 Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) Wieser Concrete IManufacturer 22.24 gal /in (enter result in cell B49) Dose Tank Information Effl Fil ter Information 800.64 Dose Tank Capacity (gal) JZabel J Filter Manufacturer 22.24 Dose Tank Volume (gal /in) A100 r Filter Model Number Wieser Concrete I Manufacturer Project: Croix Custom Homes 4 bedroom residential mound Page 2 of 9 Mound Plan View T .0 . J F Observation Pipe ,..• .•. :•r: :rt fi r: :r::. B : .... ... .. I I . . . . . . . . . . . . . . . . . . Mound Component Dimensions Down slope toe extension made. A 6.00 ft E Aft in H A5.07 ft K 7.06 ft B 100.00 ft F in 1 ft L 114.11 ft D 6.00 in G J ft W 20.07 ft 600.00 (ft Dispersal Cell Area 1500.00 (ft) Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.47 (ft) ---► rri rrr ♦ H ,rirrrrri., 2 rrrrirr G • 1 . . r r r. I F ; :: : •• e Cell 100.18 (ft) L rrrirr oispersai Lateral 99.68 (ft)- -10 — Invert Dispersal Cell Elevation E D A - j,Y ? ^Ll �� �'� , �:�1 \'l .�,�' ',' a. ,i `• ..� -,._ a ; , � �..Y� � ,.. �1. 2 .Y . 99.18 (ft) Contour Elevation 2.0 % Site Slope Geote ile Fabric Cover Shading Key T Dispersal Cell See lateral details on 1[] Topsoil Cap o °- 1.5 ft �ti .;;;. •ti;•;;•;• Page 4 for number, F ,771 1 Subsoil Cap a c •�;k; size, and spacing of © LLL� J ASTM C33 Sand `-° ° ti- �:•�' F laterals. Laterals are 0.5 ft ' • Typical Lateral Tilled Layer a ;r . equally spaced from 05 Aggregate v o 1 the distribution cell's �--- A centerline in the distribution cell (AxB). Project: Croix Custom Homes 4 bedroom residential mound Page 3 of 9 End Connection Lateral Layout Diagram Laterals centered over the A & B dimension 0 = Tur -up va'baII value or oleo noutplu9 P- All laterals are Identical IF X -� Holes drilled on the bottom of the lateral S equally spaced Force main connection via tee or cross to manifold at any point. Laterals & Force main of PVC soh 40 (per COMM Table 84.30 -5) Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 98.67 ft Orifices per Lateral 40 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft /orifice Lateral Flow Rate 16.48 gpm Manifold Length 3.00 ft System Flow Rate 32.95 gpm Manifold Diameter 1.50 3.37 in Total Dynamic Head 16.61 ft Forcemain Velocity ft/sec Dose Tank Information Locking cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and -► Comm 16.28 WAC 4 in. min. Disconnect ,�_ Tank component is properly E -- Alternate outlet y vented Forcemain diameter Wieser Concrete Manufacturer 2 in. Cap acityl 800.64 Gallons Volume 22.24 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 18.05 401.50 B 2.00 44.48 C P ump off elevation (ft) C 5.45 121.14 � 90.88 D 10.50 233.52 D Total 36.00 800.64 ir I 1 Do� elevation (ft) 3" Bedding un er tank. 90.00 Alarm Manuafacturer �Le __ _ Alarm Model Number L DLV Pump Manufacturer Goulds Pump Model Number I EP05 Pump Must Deliver 32.95 gpm at F 16.61 ft TDH Project: Croix Custom Homes 4 bedroom residential mound Page 4 of 9 i Mound System Maintenance and Operation Specifications Service Provider's Name J. Thompson, POWTS#481 Phone; (7 2 48 7 3271 POWTS Regulator's Name [— St. Croix County Zoning I Phone' (715) 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1200 gal Maximum TSS 15 0 mg /L Soil Absorption Component Size 600 ft Maximum FOG 30 mg /L Type of Wastewaterl Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once eve 3 ears P P Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals sho be flushed and pressure tested every 1.5 years Mound Inspect for pondi and seepage once ev ery 3 ye ars Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight- cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished 0 0 9 0 .....00.90 Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral ``� Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Croix Custom Homes 4 bedroom residential mound Page 5 of 9 I Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis, Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the lifter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Croix Custom Homes 4 bedroom residential mound Page 6 of 9 r - M OD EL 1 1 M OD EL Vertical Sump Pump EPO4— EP05 Su Efflu P ump t GOULDS ' k., I. j4�'' Pump Specifications ' /J HP I METERS FEE Up to 40 GPM ( ,° - MODEL: 301 Discharge size 1 NPT 9 °0 Solids: ' /s" maximum Motor Single phase: 115V 2° Materials of Construction /ro G/ T � / 6 Brass /thermoplastic c ,5 - -- - - -- -. - - -.- Features and Benefits C3 J r z ° - -� -Top suction eliminates a � . �. _._. E - EPO4 impeller clogging. - , • Corrosion resistant ' l L _ - 20 - - - -- .- -, -- _ as construction. ° ° - -Float actuated switch. ° z 4 5 a ° 2 m3m, CAPACITY s'(o,f!At M i e) c�M METERS FEET 25 - �/ a . _.- .... ._. _ Pump Specifications Features`'ana Kene tfs"e ui� 5 s° i ! MODEL DVP03 1 • EPO4 impeller- semi -o en desi n ._ _ /,° and /= HP P 9 5 I ' Up to 60 GPM with pump out vanes to protect 4 15 Maximum head to 32' mechanical seal. Discharge size 1' / = "NPT • EP05 impeller - enclosed design Z ' 10 Solids:'/ maximum for improved performance. 2 - Motor •Rugged glass - filled thermoplastic o 5 casing and base design provides All motors feature ball superior strength and corrosion ° L -- - bearing c onstruction. 0 5 ,0 ,5 20 25 �0 35 C0 U.S.°PM resistance. 0 2 , s e ,o ��i Single phase: 115V .Cast iron motor housing for CAPACITY Materials of Construction efficient heat transfer, strength, Cast iron and durability. Thermoplastic . Corrosion resistant threaded Stainless steel stainless steel shaft. *Available for aulomatic and manual operation. • CSA listed models available r s tainless steel hardware. and feature s a i r continuous operation All Models are des (o co ��� 7 0�' 4 So;l eda- P.,orf b f I ompW 7/08/03 p ;6 e S 4s „ 4 , Z5160 rRdica,6 Ccn�eflt,Cr4r A G loVaul tVY6” • /oCGl�ed P f0l4. ��5'e Seale: 130�,Qve. l,2 39' I jo �n a � Pfvposc�! y rcSi�Q.�?C.e �oo.c dc► 99.7' 4,... 99.x' IE. B. .: T of a Q bu; /d; �►q Se,v��' f1ao9kci Pe nce fJos c ' + main. Pi'oP,0.5 No"r7 a� �b l�t4- av¢FFIUGhE ,Zo.o7; i /t!ii '�..,�j6',ricv' 8� «rats.r, outlet• - d, 7 YS 6,7' W/ / oii f;•ccs 5Packd of z.s.3� `� \ 98.0' 4z a� Y ' of1 L E,l� 5�/r�9 /ltOUna� SY$�e SEr 1/%n�c 1016 . 14 SS d uir+ Cleo. po r 1662 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than B' / x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. 026 - 1139 -09 -000 Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Lew, s. 15.04 (1) (m)). Property Owner Property Location Aims Investment Corp. Govt. Lot NW 1/4 NW 1/4 S 36 T 30 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 34 Peninsula Rd. 9 Plat Of Torey Pines City State Zip Code Phone Number 2,! City Village J✓ Town Nearest Road Saint Paul MN 1 55110 1 6112 - 963 -3498 Richmond I 142Nd Ave. Pli New Construction Use: V1 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD I Replacement Public or commercial - Describe: Parent material Glacial drift Flood plain elevation, if applicable na General comments and recommendations: Install mound system at elev. 99.68 at 6" above 99.18' contour. 7 Boring # Boring Pit Ground Surface elev. 98.88 ft. 33" in. Soil � Depth to limiting factor App lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -10 1Oyr3/3 none sil 2fcr mvfr as 2f,1m _ 0.5 0.8 2 10 -16 1Oyr5/4 none sicl 2msbk mfr cs 1fm 0.4 0.6 3 16 -33 7.5yr4/4 & 4/6 none Is/sl 1 m &csbk mfr gw if 0.4 0.6 4 33 -86 7.5 r4/4 & 4/6 f2f 7.5yr5 /8 & Is/sl 1 m &csbk mfr - 0.4 0.6 y m2d manganese deposits H #3 & 4 consist of an unsorted mixture of 7.5yr4/6 1 msbk Is & 7.5yr4/41 csbk sl with tonguing of 1 Oyr 5/4 0 sg s to 52". Redox. concentrations and depletions associated with coarser textured materials. ❑ Boring # Boring 01 Pit Ground Surface elev. 99.07 ft. Depth to limiting factor -_ in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -9 1Oyr3/3 none sil 2fcr mvfr as 2f,1m 0.5 0.8 2 9 -16 1Oyr5/4 none sicl 2msbk mfr cs 1fm 0.4 0.6 3 16 -39 5yr4/4 none sl 1 &2msbk mfr gi 1f 0.4 0.6 4 39 -51 5yr414 f2f7.5yr5/8 sl 1csbktolthinpl mfi ai - 0.4 0.6 5 51-60 7.5yr4/6 Bf 10yr6 2& Ifs 1 msbk mfr aw - 0.4 0.6 6 60 -83 5yr4 /4 f2f 7.5yr5/8 scl Om mfi - - 0.0 0.0 H #3 & 4 consist of an unsorted mixture of 5yr4/41 msbk & 2msbk sl with tonguing of 10yr 5/4 0 sg s to 68 ". ' Effluent #1 = BOD ? 30 < 220 mg/L and TSS 4 < 50 mg/L u t #2 = BOD < 30 mg /L and TSS <30 mg/L CST Name (Please Print) Sign ure: CST Number James K. Thompson !�, S 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 20 7182003 715 - 248 -7767 Property Owner Aims In Corp. Parcel ID # 026 - 1139 -09 -000 Page 2 _._' of 3 37 Boring # Boring - v — — Pit Ground Surface elev. 98.2 ft. Depth to limiting factor 40" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary i Roots / ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -10 10yr3/3 none sil 2fcr mvfr as 1 2f 1m 0.5 0.8 2 10 -19 10yr5/4 none sicl 2msbk mfr cs 1fm 0.4 0.6 3 19-40 7.5yr4/4 & 4/6 none Is /sl 1m &csbk mfr gw II 1f 0.4 0.6 4 40 -58 7.5yr4/4 & 4/6 f2f 7.5yr5/8 & Is /sl 1 m &csbk mfr 1 - 0.4 0.6 H #3 & 4 consist of an unsorted mixture of 7.5yr4/6 1 msbk Is & 7.5yr4/4 1 csbk sl with tonguing of 10yr 5/4 0 sg s to 58 ". Redox. concentrations associated with coarser textured materials. F-1 Boring # J I Boring -----in. Pit Ground Surface elev. ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P ' in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ! i I I I F-1 Boring Boring # J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I i i I Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD <.30 mg/L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. sale va.P. b y • Trio�nP 7/08/ ■ So,% 2 ✓a�ua-E,o -� p; 6 b 5oh ,&,na6. �wr� end /ca4 Comte cr+ ♦ Fl2✓aull 3y Arev N /30.-,6t A ve. 39' Proposed �.�el(� / • ohs Proposed y y b¢droa•t �^ S& res�dance . �°� 'Oa•o Cc 99.7/' 99.co' CC0 Arno ed Fence Po st - . sy�e a: �9 z� � 3 z/o oe 42 �i 242.39' !off S f1 wisoansin department of Commerce SOIL EVALUATION REPORT Page of Division. of : Safetu and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must � l inciude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location arest road. Please print all btfoimr o Reviewed by Date personal irifonnatim you provide may be used for sewn Pu s' (p i cy&-' S. 1 n Prop Owner ^ �J C party erty \..: Lot � 1 /4 �(/(t/ 114 S T� � N R E (or) Property Owner's Mailing Address )3)oClc # Subd. Name or CSM# ^1 ST CRO –'r� � �r C R y jqe City ' • State Zip Code Phone tr , r ZONING OE ial ❑ Village ® Town Nearest Road [A New Construction Use: (�j Residential / Number of bedrooms Code derived design flow rate ,S U GPD ❑ Replacement // ❑ Public or commercial - Describe: t Parent material 4 "1 1 Flood Plain elevation if applicable ft General comments fop 96 ,16 L O w - t�► % • 5'o and recommen dations:-to P Q4 • std a ct� -G r fG • -Jo .� t�A C o + c d E] Boring a � # ® Pit Ground surface elev. I M I ft. Depth to limiting factor _70 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 `Eft#2 I 1 Zlna6h r�r'r L � V� • 'a 2 �y_ 10 S� k �', cs — .6' .9 �b LS 3m GS •'l l.2 I—Z] Borg # ❑ Boring Ij? Pit Ground surface eiev. 9-7 70 ft Depth to limiting facto 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. `Elf#1 `Eff#2 I b Z - 10\1r.317- ----- s' 2 'v • S • g 2 Sit 21 rn-c-• cs — •�" S ic.� �r't • b ` Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg/L, and TSS _< 30 mg/L CST Name (Please P nature CST Number a f3� Uq Address Date Evaluation Conducted Telephone Number ��3 Q 5 { <Sc, W Sy'UZ �a zs - �iis� zv� �/aoFS • � God 9' 2 3 Property Owner Parcel ID # Pa 0>• � # ❑ Boring F • 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 'Eff#2 1 . 6 43 2 2 I tab -74 10 2 Boris # F] Boring 9 in. E] pit Ground surface elev. ft. Depth to limiting factor Soil I)cabon 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 a Boring # Boring Ground surface elev. R Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Cob Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Etf#1 `Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 150 mg/L. ' Effluent #2 = BOD, < 30 mg& and TSS <_ 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 2648777. S813-9330 (R-01/00) PAGE__S OF NAME i M S LOT# R LEGAL DESCRIPTION &" WA,S3G T.3d ,N,RjJ E (or) SCALE: P'= yo X� BM 1 ELEVATION BM 1 DESCRIPTION .6e o �' � f QUotd.v BM 2 ELEVATION ?!l" I 3 BM 2 DESCRIPTION f�p� a z C� ,� CCJ SYSTEM ELEVATION 4op" 4- ow-of 145 ALTERNATE ELEVATION 4G•S� 6uw {� 9 4•S O CONTOUR ELEVATION Y$ (0 0 3 ? q *6.(j • �.L 4 70 2 ` � SIGNATURE DATE � r 1662 tNrsconsin Department of Commerce ' SOIL EVALUATION REPORT PAID Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'/ x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 026 - 1139 -09 -000 Please print all information. Personal information you provide aytie Law, s. 15.04 (1) (m)). R By Data Property Owner Property Location 3( Aims Investment Corp. Govt. Lot NW 19 NW 1b S 36 T 30 N R 18 W Property Owner's Mailing Addres ZUU3 Lot # Block # Subd. Name or CSM# 34 Peninsula Rd. 9 Plat Of Torey Pines City fate 2�, City lVillage ?01 Town Nearest Road UFF CE Saint Paul 98 Richmond 142Nd Ave. 0 New Construction Use: w' Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD I Replacement J Public or commercial - Describe: Parent material Glacial drift Flood plain elevation, if applicable na General comments and recommendations: Install mound system at elev. 99.68 at 6" above 99.18' contour. Boring # J Boring �✓ Pit Ground Surface elev. 98.88 ft. Depth to limiting factor 33 " in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-10 10yr3/3 none sil 2fcr mvfr as 2f,lm 0.5 0.8 2 10 10yrr5/4 none sicl 2msbk mfr cs lfm 0.4 0.6 3 16-33 7.5yr4/4 & 4/6 none Is/sl 1m &csbk mfr gW 1f 0.4 0.6 4 _ 33A6 7.5yr4/4 & 4/6 m22 d manga Is/sl 1 m &csbk mfr - - 0.4 0.6 deposits H #3 & 4 consist of an unsorted mbdure of 7.5yr4/61 msbk Is & 7.5yr4141 csbk sl with tonguing of 10yr 5/4 0 sg s to 52". Redox. concentrations and depletions associated with coarser textured materials. F Boring # _j Boling Pit Ground Surface elev. 99.07 ft. 39 in. Soil ✓� Depth to limiting factor " Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsoll Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -9 10yr3/3 none sil 2fcr mvfr as 2f,lm 0.5 0.8 2 9-16 10yr,5/4 none sicl 2msbk mfr cs lfm 0.4 0.6 3 16 -39 5yr414 none sl 1 &2msbk mfr gi 1f 0.4 0.6 4 39 -51 5yr4 14 f2f7.5yr5/8 sl lcsbktolthinpl mfi ai - 0.4 0.6 5 51 7.5yr4 f2f 7.5 5/8 & r6/2 f2f 1(�yr6/2 Ifs 1 msbk mfr aw - 0.4 0.6 6 60 5yr414 f2f 7.5yr5/8 scl Om mfi - - 0.0 0.0 H #3 & 4 oonsist of an unsorted mixture of 5yr4/41 msbk & 2msbk sl with tonguing of 10yr 514 0 sg s to W'. ' Effluent #1 = BOD ? 30 < 220 mg/L and TSS > < 150 mg/L ' u #2 = BOD < 30 mg/L and TSS <_0 mg/L CST Name (Please Print) Sig ure: CST Number Ja K. Thompso 4i S - 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane Osceola, WI 7/8/2003 715 - 248 -7767 � c ,t Prd- a ty owner Aims Investment Corp. Parcel ID # 026- 1139 -09 -000 Page 2 of 3 F31 Boring # -- On g Mf Pit Ground Surface elev. 98.28 ft. Depth to limiting factor 40" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I 'Eff#1 'Eff#2 1 0 -10 10yr3/3 none sil 2fcr mvfr as 2f,1m 0.5 0.8 2 10 -19 10yr5/4 none sicl 2msbk mfr cs 1fm 0.4 0.6 3 19 7.5yr4/4 & 4/6 none I SM 1 m &csbk mfr gw 1 f 0.4 0.6 4 40 -58 7.5yr4/4 & 4/6 f2f 7.5yr5/8 & ISM 1 m &csbk mfr - - 0.4 0.6 H #3 & 4 consist of an unsorted mixture of 7.5yr4/61 msbk Is & 7.5yr4/41 csbk sl with tonguing of 10yr 5/4 0 sg s to 58". Redox. concentrations associated with coarser textured materials. F Boring # I Bo Pit ring Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate — Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ' Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. w • -so;/ e V4.4 , I 'E b T7,o,n 7 /08/03 • So.% 2 ✓a /ua j o by 5J &vnda, iglrs*v iAdiCLi�fi Canvc�►fcrr.� • /o��ed 1��0/°. S��e Scale: >�o 130':�'f{ve. 39' - 6- proposed LoO icn.yz' • of nS �n • � P�opos�d y �✓c. rcSldavtcc � oo.o , 99GO RCOR os Po t - . _, �9 T � 0 r , 98.0' • �� • BZ z� 83 'rope 4z a, 242 .39' • 1 SS cc� r VV=wm Oa partrnent of Commerce SOIL EVALUATION REPORT Page k of D',Msion of.,%feiy and Buildings a S /sry o� 7 <� in accordance with Comm 85, V& Adm. Code County i Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal referencs Point (BM), d and Parcel I.D. percent slope, scale or dimensions, north arrow, and location ;�red road. © — j r 3 d — v R by Dal 4 10 Planes print ad in& Pwsonal inrormabw you ruovide mar beuaeafor Pa± :.1b:ot ))• 3 Property owner % I Propert0otwon , _ • /00Y AidA - Lot'; 1/4 A/( IM S 3 T 30 N R E (or) Property Owner's Mailing Address ; ST CRO W # Subd. Name or t Or City Stale Zip Code Phone ZONING OF (0 ❑ Village ® Town Nearest Road [1 New Construction Use: R Residential i Number of bedrooms Code derived design flow rate O GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material I Flood Plain elevation if applicable R General tents 101P q(a• 6c w •e -v- 96- 5t) - _ and recom a da nso..b p J% So maw -� Y' fG •�4 wf tom►-►. h soti. — . Lon 10 mss• Z � co ,chd -!• � do t ❑ Bor # a 5g Pit Ground surface elev. 98. � Q Q ft. Depth to limitirg factor �— in. Soil Appicabon Rate Horizon Depth Dominant Color Redox Description Texture Structure Lure Consistence Boundary Roots GPQff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - EW1 " E C t...5 3i" ate•► - S F 5j # ❑ 97 y -,^� Pit Ground surface elev. • 7 ft Depth lo Nrriitirg factor // � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1W in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. i 'Efyi `Eff#2 j o z 3 s' 2 v •S •$ 12-49 Ab 4A Z % s; 2 rY,�• cs -- • s ­ jo g 11 ib v3112 40 -71 four.3110 P Sid c�� -- • l3 •b " Efttue d #1 = BOR > 30 < 220 mg/L and TSS >30 150 mg/L ' Effluent 02 = BOD < 30 mg/L and TSS < 30 mg& CST Name (Please atur�e CST Number Address Dais Evaluation Conducted Telephone Number ) I I Q ' 3 r -SL) R W S�'G� /o -, .S 0 C) �`7is� -z v Z -1710CJ& v Property Owner ,�ti_ A&� Parcel ID # Page 2 of F -31 Boring ❑ Boring # ®• Pit Ground surface elev. ft Depth to limiting factor in. Soil Application Rabe Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Efr#2 2 'S ; G IS 3 ! C G � 1/� • r • 1 Y ✓•`� - T • •� � • D I Borin # �l � Ground surface elev. ft Depth to limiting factor in. Sod A pp l ication Ralo Horizon Depth Dominant Color Redox Description Texture structure Consistence Boundary Roots GPDtfF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Efr#1 "Eff#2 3 us G�iru S �3 1 { — I a Boring # ° El Pit Ground surface elev. ft. � loo Ian factor in. Soil Appl1cakn Rate Horizon Depth Dominant Color Redox Desaiption Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#'1 'Eif#2 ErMnt #1 = BOD > 30 5 no mg& and MS >30 _< 150 mg/L ' Effluent #2 = BOD 5 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. SBD4330 (R.01100) PAGE_OF3 NAME ; nnS LOT# R LEGAL DESCRIPTION, W' /4,W /4,S3GT.36,N,RIS E (or) 40 SCALE: F'= 7 o , x BM I ELEVATION /( . BM 1 DESCRIPTION BM 2 ELEVATION 9�•.3.s ` 3 (a BM 2 DESCRIPTION ?log a �L �• C� et cci • t SYSTEM ELEVATION 4o��O l•owsr 96. •50 ALTERNATE ELEVATION }h 9&.3 tower 9 .3 0 CONTOUR ELEVATION 3 q 7• (/ tl �► ' r �.• 1 ZSS ��S q*6•� t • r SIGNATURE DATE / / - /l i "ORIGINAL — 1666 Wisconsin Department of Commerce SOIL EVALUATION REPORT ` P�gl of 3 Divi sion of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code �VE CSoil Testing Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must Cou y Drir t. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Pa 11. � Cr , Z Please print all Information. ` NTY ate Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). OF �f Property Owner Property Location Ames Investment, LLC Govt. Lot NW 1/4 NW 1/4 S 36 T 30 N R 18 W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# 34 Peninsula Rd 10 Tory Pines City Dellwood State Zip Code Phone Number City , Village . 0 Town Nearest Road MN 1 55110 1 715 - 386 - 2007 Richmond I 142Nd St. ✓i New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe Parent material loess over till Flood plain elevation, if applicable NA General comments and recommendations: install 6'x 100' rock ell mound on 96.4 contour as upslope edge of rock w/ 0.5' sand fill / Vu- FTI Boring # -3 Boring $oil 4%J Pi t Ground Surface elev. 96.0 ft. Depth to limiting factor in. plication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 1 0 -11 10YR 3/2 - sit 2 f sbk mvfr cs IUrn .5 .8 2 11 -29 10YR 4/4 - sicl 2 m sbk mfr cs 1m .4 .6 3 29 -36 7.5YR 4/4 - sl 1 m sbk mfr gs if .4 j .6 4 36 -56 7.5YR 4/4 - Is 1 m sbk mvfr cs 1 m .7 1.2 5 56 -66 5YR 4/4 f2d 7.5YR 5/3 scl 0 m mfr - - 0 { 0 i a Boring # - Boring ✓J Pit Ground Surface elev. 97.0 ft. Depth to limiting factor _ 38 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -7 10YR 3/2 - sil 2 f sbk mvfr cs 1 Urn .5 .8 2 7 -38 7.5YR 4/4 - sl 1 m sbk mfr cs 1 m .4 .6 3 38 -62 7.5YR 4/4 f2d 7.5YR 5/8,5/3 Is 1 m sbk mfr - - .7 1.2 soils are suitable for an at -grade system; available length (shed proposed in future west of B -1) leads to recommendation for mound; horizon 2 ha some inclusions Is; horizon 3 has occasional inclusions 5YR 4/4 scl Effluent #1 = BOD 30 < 220 mg /L and TS >30 < 150 mg /L ffI e 2 = BOD < 30 mg /L and TSS < 30 mgr CST Name (Please Print) Si n ure: CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 11/16/2002 715- 233 -0398 Property Owner Ames Investment, LLC Parcel ID # Page 2 of 3 3] Boring # Boring gg Pit Ground Surface elev. 94.9 ft. Depth to limiting factor 45 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in, Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 0 -9 10YR 3/2 - Sil 2 f sbk mvfr cs 1f /m .5 .8 2 9 -16 1 OYR 4/4 - sicl 2 m sbk mfr CS 1m .4 .6 3 16 -45 7.5YR 4/4 - SI 1 m sbk mfr cw 1 m .4 6 4 45 -58 5YR 4/4 f2d 7.5YR 5/3 scl 0 m mfr - - 0 0 Boring # Boring „j Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 i i i i ❑ Boring # A Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 i I Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L • Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R 07/00) Certified snit Testing I F�N w• , i_ a9 61 I 1 N �? O � d � o f � � of `� .►r - m' -- «m =T- I r S v� o �- 3 c 3 0 �z- i- Wisomain Department of Commerce SOIL EVALUATION REPORT Page I of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County . Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include, but not limited W. vertical and horizontal reference point (BM); direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and dstanoe to nearest road. Please print all informatfon. a by Date Personal Wdannatim You provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). � "o O Z Property Owner Property Location N J ,� Govt. Lot /V w' 1 h11/4 S 3C T N R I E (or Property Owners Mailing Address Lot # I Block # Subd. Name or CSM# �-JT O VA - pl s city State Zip Code Phone Number ❑ City _ ❑ Village Ig 76wn Nearest Road N R. c T� New Construction Use: Residential / Number of bedrooms Code derived design flow rate r J GPD D Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if ap Gca ff. General comments W S4 o � et.e u . 9 Q. 5'o '-- and recommendations: q"7.00 jt.,'L 12 2002 F 71 Bonng # i ' ® Pit Ground surface elev. �9 � ft Depth to limiting factor 'l ' in. Soil Application Rate Horizon I Depth Dominant Color Redox Description Tex lure Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eft#1 •Eff#2 L d - ty t0 3 2 — ►1 Zm m� c 1 v 5 z. 1+30 y ly -- s; r l 2 - Z j t r`ko r_S Im r4r — 1.2 a Boring # r° Boring per. pit Ground surface elev. 9 9' ft. Depth to limiting factor in. Sa'I Application Rate Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. ,Color Gr. Sz. Sh. I 'Eff#1 'Efi#2 0 -12 b 3i2- — it 2mobk cs ( • 5 g 2 12 - 10 Sit( F c ^ - 3 1 1-4 - 3D sL 2m r4'% -go -4(3 - 1 5 I r kil t_S W , `7 1 Z G Effluent ;91 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = 13013, : < 30 mg/L and TSS _< 30 mg/L CST Name (Please Print) nature CST Number 25 3 Address Date Evaluation Conducted Telephone Number 2113 - T 1 A • ✓.. Property Owner LLL Parcel ID # Page - : - L of Boring # IBoring 9 2 a ® Pit Ground surface elev. �' ft. Depth to Wilting facto 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 cS Z In 12 10 3 22 2 t a Boring # ❑ Bing Ground surface elev. R Depth miting factor in. [] Pit Dth t li Soil Application Rate Horizon Depth . Dominant Color Redox Description Texture _Structure Consistence Boundary Roots GPD1ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # ❑ Pit - Boring . ❑ Ground surface elev. R Depth to limiting factor in. Sorb 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 • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 2648777. s8uss30 (x.avmo) • PAGE S OF3-- NAME ty\ �' S LOT# LEGAL DESCRIPTION Nom% f RJw X ,S 3 T 30 O N,R,/ X E(or)o SCALE: I"= BM 1 ELEVATION /Oo o BM 1 DESCRIPTION :6p o I- 'D� -- BM 2 ELEVATION BM 2 DESCRIPTION 4o Q o evc- f A C SYSTEM ELEVATION `I ALTERNATE ELEVATION l9- CONTOUR ELEVATION I y 0 o Z�-o / lJ �GQ C� SIGNATURE DATE ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer C/0 i cus A ±� ca P Mailing Address O - 7 LA ¢.c.J 17 �. AAA S! 1 • GW 7 Property Address (Verifica ion required from Planning Department for new construction) City /State Parcel Identification Number 0a4 - /139 09 - 0V LEGAL DESCRIPTION Property Location 4 IJ '/4, /1 LJ 1 / 4 , Sec. T 30 N -RAW, Town of R- Subdivision - ro — r ) ncS Lot # � . Certified Survey Map # AA— . Volume YI Page # A A-- Warranty Deed # (30 904 . Volume � , Page # � Spec house 2yes ❑ no Lot lines identifiable 93 ❑ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restrictedplumber or a licensedpumperverifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, 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 statin that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days f the ee year piration date. & /Z� SIbNPUZE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify t all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property des 'be above, by virtue of a warranty deed recorded in Register of Deeds Office. D t Gv5T&71 /Z / 0 SIGJNATURt APPLICANT DATE * * * * ** 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 i eo VOL 1547PV�t STATE BAR OF WISCONSIN FORM 2-1999 KATHLEEN H. WALSH Document Number WARRANTY DEED CfJ REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Paul J. Brown and Susan M. Brown, RECEIVED FOR RECORD husband and wife, 10 02 10:00 AM WARRANTY DEED EXEMPT ii Grantor, and Ames lnverstment- Corpor ation LLC, - -- CERT COPY FEE: Minnesota limited liability company COPY FEE: TRANSFER FEE: 1202.70 PEACGES: FEE: 10.00 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in . St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area W 1/2 of NW 1/4 of Sect 36. ownship 30 North, Range 18 West, Name and Return Address St. Croix County, Wisconsin, except Lot 1 of Certified Survey Map in Vol. 13, Page 3537, Doc. No. 589045 and except Lot 2 of Certified Survey Map in Vol. 14, Page 3958, Doc. No. 630573.� r s�9 R / � 0 r t/ / i1 a d CJ _ 026- 1101 -80 and 026 - 1101 -90 Parcel Identification Number (PIN) This is not homestead property. N) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of September 2000 * * Paul J. Brow * * Susan M. Brown AUTHENTICATION ACKNOWLEDGMENT Signature(s) Paul J. Brown and Susan M. Brown, husband and STATE OF WISCONSIN ) wife, ss. i ) authenticated this County day of September 2000 Personally came before me this day of the above named + Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by § 706.06, W is. Stats.) THIS INSTRUMENT WAS DRAFTED BY + Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 54016 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. iroonnatbn Prorasalonsw c ompany. Fond8d du Lao, 1 WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 -1999 i I •:\ y 141/4 Q 4?- A\/C� ORTH LIK OF THE NWl /4 SE ^ 3 ►1£j,� '(f .• ]r sT?!!4t NOW43'29 - E 328.39' Nes°4 ��I —"' DEDIcATED ro THE Pu °� ,� DEC 1 5 ZO NW432n 328.39 � S uCFOX 0 � x x r x _ x _ x _ x _ . X ..—._ . x . �� x B6 f 2W.W 0 i0 (� ! Y Z .� -�- N o ° m _ _ _ _ 'O ;� LOCATED IN PART OF THE NV N a THE NW1 /4 AND PART OF THE N i c m A 1O ;� OF THE NW1 /4 OF SECTION 3 N 0 "� -� 9 N 1 R1 8W, TOWN OF RICHMOND V CID •— • —•--� 1.54 ACRES V M i i° o j 66898 SQ. FT. m i� � CROIX COUNTY, WISCONSIN No 6 � SURVEYOR: S89 262.39' DOUGLAS J. ZAHLER g 6,00 l A S&N LAND SURVEYING 51'08 uHp9Avm� ��?p 2920 ENLOE STREET _OGJGD G°?dQ _u`uG3 x SUITE 101 I HUDSON, WI 64016 PREPARED FOR: 1MITTEE RESOLUTION AMES INVESTMENT, LL TOWN OF RICHMOND, AMES 34 PENINSULA ROAD THE ST. CROIX COUNTY DELLWOOD, MN 551 C --------------- I, DOUGLAS J. Z4 I LAND SURVEYOR, HEREBY CERTIFY OF A RESOLUTION ADOPTED FULL COMPLIANCE / - HAPTER 236 OF THE WISCONSIN ST ARKS COMMITTEE. AND THE SUBDIV', ur tHE TOWN OF RICHMOND, AND UNDER THE I OF AMES INVESTI• OWNER OF SAID LAND, I HAVE SURVEYED, DIVIDED Ar --------- - - - - -- MAPPED TOREY PINESi THAT SUCH PLAT CORRECTLY REPRESENTS ALL EXTERIOR BOUNDARIES AND THE SUBDIVISION OF THE LAND SURVEYEDf AND THAT THIS LANI LOCATED IN PART OF THE NW1 /4 OF THE NW1 /4 AND IN PART OF THE SW1 /4 OF NWI /4 OF SECTION 36, T30N, R18W, TOWN OF RICHMOND, ST CROIX COUNTY, WIS( E CONTAINING 17.969 ACRES OF LAND AND DESCRIBED AS FOLLOWS BEGINNING AT THE WEST QUARTER CORNER OF SAID SECTION 36j THENCE ALONG D AND ACTING TOWN LINE OF THE NORTHWEST QUARTER N00'08'26'W 401.50 FEET THENCE CONTINUING :D AN THAT IN ACCORDANCE SAID WEST LINE N00'08'26'W 277.92 FEET THENCE CONTINUING ALONG SAID WES NPAID TAXES OR SPECIAL N00'08'26W 640.90 FEET TO THE SOUTHWEST CORNER OF LOT 1 RECORDED IN VOI THE LAND INCLUDED IN THE PAGE 3537 AT THE ST, CROIX COUNTY REGISTER OF DEEDS OFFICE} THENCE CUNT ALONG SAID WEST LINE N00'08'26'W 330.00 FEET TO THE NORTHWEST CORNER OF LOT 1i THENCE CONTINUING ALONG SAID WEST LINE N00'08'26'W 990.31 FEETi THE ALONG THE NORTH LINE OF THE NORTHWEST QUARTER N89'43'29'E 330.00 FEET Ti NORTHWEST CORNER OF LOT 2 RECORDED IN VOLUME 14, PAGE 3958 AT SAID OFF ----------- THENCE CONTINUING ALONG SAID NORTH LINE N89'43'29'E 663.89 FEET TO NORTH CORNER OF SAID LOT 21 THENCE CONTINUING ALONG SAID NORTH LINE N89 FEET] THENCE ALONG THE EAST LINE OF THE WEST HALF OF THE NORTHWEST QU S00'08'52'E 287.95 FEETj THENCE S89 262.39 FEETj THENCE S89`51'08'W FEETj THENCE ALONG THE EAST LINE OF SAID LOT 2 N00'08'52'W 287.81 FEET Tt .cc cATn wnPTHFAST CORNER OF LOT 21 THENCE ALONG THE SAID NORTH LINE S89'4_