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Home My WebLink About026-1149-10-000 Jisconsin Departme t of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix Safety and building[ �vision — INSPECTION REPORT Sanitary Permit No: 420606 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)]. ((D (S TES. /A - Permit Holder's Name: City Village X Township Parcel Tax No: Ames Investment Richmond Townshi 026- 1149 -10 -000 CST BM Elev: Insp. BM Elev: BM Descdn ' n: TANK INFORMATION ELEVATION DATA (O. 111 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark r 1 S � SD z . l D Ito Dosing l 1 Alt. IM_— Aeration Bldg. Sewer 0 Holding I St/Ht Inlet T D 1 4 - �O St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WEL _UDC— Vent to Air Intake ROAD Dt Inlet Septic , I t Dt Bottom Dosing Header /Man. 6 1 - 7 , 43 2. Z�- Aeration Dist. Pipe b. 3 0 q Holding Bot. System 3.0 Ki i Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number S 2.. ?-I TDH Lift Friction o Syste Hid TDH Ft r ).5 2Z . - Forcemain Length Dia. ,. Dist. to Well SOIL ABSORPTION SYSTEM SDftft"M Width Length No. Of'FrenehBs PIT DIMENSIONS No. Of Pits Dia. Liquid h DIMENSIONS / ZD I C2 S fo 4 SETBACK SYSTEM TO P/L BLDG IWELL 0 4 WSTRVM LEACHIN M w acturer: INFORMATION BER O Type Of System C�� ( r I Mode '"U ber: DISTRIBUTION SY LV t i Header /Manifold Distribution t � x Hole Size is I x Hole Spacing Vent to Air Intake w Pipe(s) G ► \ Dia Spacing �. � s Length 13.0 Dia j 2 Length V I /3 2 p — SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded Mulched Bed/Trench Center Bed/Trench Edges To (] Yes [ No T x FS Yes Fg] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: &1A 1 3 Inspection #2: W 1 . Location: 1291 142nd Street New Richmond, WI 54017 (NW 1/4 NW 1/4 36 T30N R18 orry Pi e� Lot 10 Parcel No: 36.30.18.1110 1.) Alt BM Description = ` db L Cta f Cap, Vl� V/� 4� UYL 'Yt 2.) Bldg sewer length = (S ` I r 1 *7 S� y � �� - amount of cover = 3.) Contour Plan revision Required? iJ Yes )K No Z Use other side for additional information. , _ _ C. S Insepctor's Signature Cert. No. SBD -6710 (R.3/97) �� L I �� i, � � � �� ` 0 /� t he (� + 1 • S' I N � � � �1 b �-- --� -� �� Safety and Buildings Division Countyp 201 W. Washington Ave., P.O. Box 7082 d 1 �.-�/ 0 t� ` I��,� Madison, Wl 53707 - 7082 Sanitary Permit Number (to be filled in by Co.) 008)261 -654 I c 0 �0 Department of Commerce Ke L7 Sanitary Permit Application State an I.D. Num P In accord with Comm 83.2 1, Wis. Aden Code, personal information you provide " jiiet xStt /D, may be used for secondary purposes Privacy Law, s15.04(lxm) Project Address (if different than mailing address) 1. Application Information - Please Print All informs REC -# 12 J �- .5,t- tCG PrT Owner's Name Parcel # � 1110 Lot # Block # ;2 iVili%7 -NAvT C 1 0 20 _ il`�'i- �l D — Property Owner's Mailing Address COO iY Property Location :54 1VS(f ST CROIG pFFICE �. ' /�, Section A State w � e , l Zip Code uttlber IV 55I �� T 70 N: RZ*U ot V 11. Type of Building (check all that apply) ` g P er 5 "^ �° [� Xor 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number ❑ Public /Commercial - Describe Use ❑ State Owned - Describe Use 9 f0 o k�6p ❑City_ ❑Vdlage�I'owashipof t� 111. Type of Permit: (Checkonly one box online A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System e of [I Permit Transfer to New list Previous Permit Number and Date Issued B. ❑ Permit Renewal El Permit Revision El Chang Before Expiration Plumber Owner 1V. Type of POWTS System: Check all that appi co F ❑ Non - Pressurized In- Ground Mound ? 24 in. of suitable sot ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand F' ter ❑ Constructed Wetland ❑ Pressurized in -Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (ex lain) V. Dispersal/Treatment Area information: Design Flow (gpd) Design Soil Application Rate(gpds0 Dispersal Area Requir (� Dispersal Arra Pro r�sf) System Elevation _ .3Z 0, Soo _ �_ / 87� � J w.9 Vl. Tank Info Capacity in Total Num er Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New ExLvaing Tanks Talcs Septic 0 rl3p6ius?d1k Aerobic Treatment Unit Deering Chamber 7 4 r b _ 101 1 7 I V Il. Responsibility Statement 1, the under ed, assu ponsibi6ty for installation of the POWYS shown on the attached plans. Plumber's Name (Print) PI 's Si MP/MPRS Number Business Phone Number of wl�i3r76 Z Plumber's Address (Street, City, State, ) 60 9 4T � �� - INIf, z J 4/?J7 VIII. County /De artment Use Onl Sanitary Permit Fee (includes Groundwater �Date Issued 1 uing gent Signat (No Stamps) Approved ❑ Disapproved Surcharge F ) / ❑ Owner Given Reason for Denial LX. Conditions of Approval/Reasons for Di approv ��, ^ t / ve„� t�:e.Q_ l l -S 1 - ; �,� Celts . J4f �r Attach complete plans (to the County ooly) for the system on paper not less than 91/2 s 11 inches in size SBD -6398 (R. 08/02) ' o M i K M � M � t A o � Q : V: -� c 1 ✓: Q s � A, of � 3 v / 3 f O J —9 y no + o 0 of N 0 • C i l vi o 01- �z- Safety and Buildings • 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 Nvisclon,sin www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary December 04, 2002 CUST ID No. 139462 ATTIC• POWTS Inspector TODD L SINZ ZONING OFFICE T L SINZ PLUMBING INC ST CROIX COUNTY SPIA E5609 708TH AVE 1101 CARMICHAEL RD MENOMONIE WI 54751 -5520 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/04/2004 Identific Transaction ID N . 816715 SITE: Site ID No. 654011 Ames Investment Please refer to both identification numbers, 142ND St above, in all correspondence with the agency. Town of Richmond St Croix County NW 1/4, NW 1/4, S36, T30N, RI 8W Lot: 10, Subdivision: Tory Pines FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 884225 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: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SB D- 10706 -P (N.01/01). • Per manual cited above, 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. COn&A • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption APPRI area. chs. NR 811 & 812c DE ENTC N OF SAFTE • 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. SEE CORRES • 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. Stat • 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. r TODD L SINZ Page 2 12/4/02 Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 2 83.52 A POWTS that is not maintained () amtamed m accordance with the approved mana plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation /operation. In granting this approval the Division of 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 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 Henry F Grote, Certified Soil Testing r Ames Investment - Mound Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD - 10691 -P (01 /01) Pressure Distribution, SBD - 10706 -P (O1 /O1) Location: Lot 10, Tory Pines NW 1/4, NW 1/4, Sec. 36, T 30 N, R 18 W Town: Richmond County: St. Croix Date: November 27, 2002 Owner: Ames Investment, LLC Address: 34 Penin Road Dellain 10 Plumber: Tod Signature: License # MP 39462 Attachments: 6748 -Plan Approval Application SBD -8330 page 1: cover 2: design criteria & calculations, 3: plot plan d a 4: system cross section D E C 3 200 5: plan view, lateral detail 6: pump tank exit detail '`' ,' ° ?`, l� FC OWERM 7: pump curve � 8: system management PON page 1 of 8 r - - t 1 Design Criteria Residential Wastewater Contaminant Load: 30 mg /L < BOD < 220 mg /L Anticipated septic tank effluent 30 mg /L < TSS < 150mg /L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg /L T Bedrooms x 100 gal /bedroom/day x 1.5 `� gallons /day hydraulic load Design Calculations In situ designed loading rate gallons /sq. ft. per day Depth to estimated high ground water in. Depth to bedrock > 6t. in. Cross slope at system o Force main length ° S ft. of Z in. Manifold /header length 3 ft. of �' in. Drain -back gallons Lateral length @ c i I. ft. of I a in. Lateral elevation 1 � _-• ft. @ bottom of lateral Lateral hole size /S 'L in. @ 4% . c) in. ( 4'a ft.) Spacing ��• holes /lateral holes total Lateral volume ��, 664 gallons Total lateral discharge rate 2 gallons /minute @ ft. head Network pressure compensation loss 1 -e Elevation difference \'1 t� 14 ft. Friction loss 1•lsV ft. @ gallons /minute Total dynamic head to ft. Pump /sip4on 34 gpm @ ft. of head Manufacturer �a -��w► Model # �� 2 Dose volume \k4. 49 gallons Lift/sipl on tank �a K �� C.%* ILO • i _ gallons Septic tank ' Oxb gallons Effluent filter FT aIBzZ- Measurement pump on and off a in. Height alarm from tank bottom 1S' ° in. Reserve capacity S'yu + gallons pecs.ca)cs.res I. } Page of t f ,w 1 N � b Y x o tT tJv 1 � f I tA y i P N des �- 3 �► �/ A � m � M -� ` 3 L-, 4 • � ✓ ?"Sake{ � • i /J — Q � � r� � L ✓ N oV0.4 ! a i -h i Z 0 t I� t t ct }• �• O b \ �io:1 z 41 46, 46 Z X '1 n r i, 1 1 i �1 ,• (mil t 24.0 �.�� o�•o� J C(A o LV �� ,ty�rl�w.� �� ^ �VO�► O. • 1. 4•�C.K P V L S C 1 QO l r IIIL Pic s�-, 40 / I 1 � y x •'�1�0 ~fir v�.. 1'V`01 .. 1 �. ft L IC W � WEATHERPROOF LDCKIUG COVER JUNCTION X 1 QUICK Dt�C.OVVLG7 -1 pin 3' P �c 110 NDISTURBED M SOIL, 24`' T.D. �I d 4 p MAKUOLE i Vt ti 000 C r "LL p S!(E.T 3bNT'J 4 0 W FLE L PIIG A 3' D"rro KN L( 10 ►+S - `" v-o T ON ^ c u o 0 wT1..1� Y t lLy, �p tcF 4; X22.•14 i5A PuAJp Co^rO.gF-r� A 6�oCK SEPTIC t _ 5pE �t,g OOSC T�W S MAWUFACTUilCR: WMBER OF DOSES: s `� _PCK DAJ TAWK SIZC; GALLOWS DOSE VOLUME ALARr1 PkWU FACT UKr,;t: S ` ��`K -�� IWCLUDIMG 5AGKFLOW 11 ' G►��o�5 ^ODCL WU1hpCR; 1 1 \4 CAPACITIES: A= ' % O ' o INCHES OR S 1t ' 1 GAL'L0 SWITCH TJPC; �-Q' �'`� w�l' g ` Z- 34•l4 t INCHES OR Pump �o�` far UM MA►JU � o FACT 1 C a WCHE5 OR 1 9 . 4° 1 G�L'�CuS MODEL QUMOCR: \S Z D■ � INCHES OR \ °Z•4Z (,ALLp�j SWATCH TyP[; Y " NODE: PUMP AWD ALARM ARC TO DC MIWIMUM, DISCHAPtU RATE o GPM INSTALLED OW SEPARATE CIKCL�ro VERTICAL DIFFERCWCf DCTWLCAI PUMP OFF AUO OISTRIDUTIOIJ PIPC,. FEET + MiuIMUM WETWORK SUPPLY PRCtSUR . . . . . • , 3 'S� FCCT 4 k- � + \p 3 FEET OF FORCC MAIN X...�\ 100ptFKICTIOW FACTOK. �' IP10 FEET Z � '— TOTAL 0y$QAMIC. HEAp = FEET I►JTERAIAL DIMEWSIOWS 01 TAIJK: LEAICGTH;WiDTH v' LIQUID DCPTH i a $ i �r � TOTAL DYNAMIC HEA6 /CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING N MODEL 152/153 MODEL 152 153 50 Feel Meters Goi. Liters Gal. Liters 153 5 1.5 69 261 77 291 12 40 i 2 10 3. 61 231 70 265 0 15 4.6 53 201 61 231 a w L) 30 20 6.1 44 167 52 i 197 z 8 25 7.6 34 129 1 42 I 159 ; 0 23 30 9.1 23 87 33 25 j 20 35 10.7 I -- -- 22 85 0 40 2.2 -- -- 1 2 4 10 Lock Volve ` 380 FL (1 i 6 ) as 0 F; !'3. -- 014508 0 20 40 60 80 100 ' GALLONS LITERS 0 80 160 240 320 ° 3 2 32— - - --am a s 8- , FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS a 3 77/32 • Timed dosing panels available. e • Electrical altemators, for duplex systems, are available and supplied with 2' �_2 an alarm. t • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. Sealed Qwik -Box available for outdoor installations. See FM1420. .. Over 130 °F. (54 °C.) special quotation required. 1521153 Series 152/153 MODELS Control Selection _Model Volts -Ph . Mode Amps Simplex Duplex N152 Non 8.5 1 2or3 ^ BN152 115 1 1 Auto 8.5 Included 2 or 3 E_15 2 1 Non 4.3 1 2 or 3 - - - - -- —J S X064 B 1 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153'' 115 1 Auto 10.5 included 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 1 • Sin variable level float switch or double back variable level float ^BE 153 230 1 . Auto 5.3 Included 2 or 3 p ig gy back p t ggy switch. Refer to FMO477. D CAUTION 2, See FM0712 for correct model of Electrical Alternator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 - 0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. XX RESERVE POWERED DESIGN U� For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Louisville, KY 40256 -0347 SHIP TO: 3649 Cane Run Road Manufacturers of. . ® Louisville, KY 40211.1961 Quaurr Put - as S vcE /9,��9 /-O (502) 778 -2731. 1(800) 928 -PUMP http://www.zoeHer.com / LI�Y�/ L FAX (502) 774.3624 0 Copyright 2000 Zoeller Co, All rights reserved. System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, T.L. Sinz Plumbing, 715- 235 -2644, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. I . If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water - saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or pump tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 rORIGINAL 1666 Wisconsin Department of Commerce SOIL EVALUATION REPORT ^"` Pag t of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code I VE Cert led Soil Testing Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must Cou y AF t. pr,Oix include, but not limited to: vertical and horizontal reference point (BM), direction and ZUU percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Par I L CG 2 Please print all Information. wy ate Personal information ou provide may be used for seconds purposes (Privacy Law, s. 15.04 m . F CE', Y P Y secondary P rPos t Y 1 () ( p O �(O rOZ 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 Jj Village J6 Town Nearest Road MN 1 55110 715 - 386 -2007 Richmond I 142Nd St. ✓i New Construction Use: jo 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 cell mound on 96.4 contour as upslope edge of rock w/ 05 sand fill a Boring # Boring t/J Pit Ground Surface elev. 96.0 ft. Depth to limiting factor min. 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 -11 10YR 3/2 - sil 2 f sbk mvfr cs 1f /m .5 .8 2 11 -29 10YR 4/4 - sicl 2 m sbk mfr cs 1 m .4 .6 3 29 -36 7.5YR 4/4 - sl 1 m sbk mfr gs if .4 .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 Boring # Boring Pit Ground Surface elev. 97.0 ft. Depth to limiting factor min. 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 f/m .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 Vfflp 2 = BOD < 30 mg /L and TSS < 30 mgr CST Name (Please Print) Sin ure: CST Number Henry F. Grote T , 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 11/16/2002 715 - 233 -0398 l Property Owner Ames Investment, LLC Parcel ID # Page 2 of 3 BBoring # Boring 37 1 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 10YR 4/4 - sicl 2 m sbk mfr cs 1 m .4 6 3 16 -45 7.5YR 4/4 - sl 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 a 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 ❑ Boring # 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 ' 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 Soil Testing e p LA r tj\( 4CI r ! i -� - Qe �+ d Qr j y ce � y N V � I � 6 y 9 <2m,TT / J ✓ N� v� o i Z Wiscostsin Department ofCommerce SOIL EVALUATION REPORT Page -- L of Division of Safety and Buildings ' ' in accordance with Comm 85, Wis. Adm. Code Count' . Attach complete site plan on paper not less than 812 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. PZ6 _ 109 — l D— . (1/0 Please print all information. a by Date Personal information you provide may be used for secondary purposes (Privacy law. s. 15.04 (1) (m)). ool ! // Z Property Owner Property Location ,) LL C Govt. Lot N uJ 1 N W 1 /4 S 3CQ T N R J E (orgN Property Owner's Mailing Address Lot # Blodc # Subd. Name or CSM# to ' To P, ' S City State Zip Code Phone Number ❑ City _ ❑ Umage gg T Nearest Road lbd N c k!5) - R% T b'- @-New Construction Use: Residential / Number of bedrooms 3 N . _ Code derived design flow rate �J GPD ❑ Replacement 1 ❑ Public or commercial - Describe: Parent material � 1k Flood Plain elevation if ap licab A ft. General comments 54- o p - e l - v . q Q S'0 % -0 ` m. ° and recommendations: F-1 Boring # Boring c ® Pit Ground surface elev. ft. Depth to limiting factor "l 2 - in. —� Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz In. Munseil Qu. Sz Cont. Color Gr. Sz. Sh. •Eff#1 I •Eff#2 1 6 -19 1 3 Z — 31 1 Zm -S v 5 50 Ll - s;c l Z C '� - C� 3 1 - 4 Z I - SL L[U I 4 C 3 F Ong # ❑ Boring 22�� ®, Pit Ground surface elev. 9 9 ' ft. Depth to limiting factor W in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 I 0 -IZ ►o . 31? — i f 2ma4- Cs ( 5 Z 12 -Z 10 S id F y -► Fj y r 4 U LS �' Z 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 Print) Awnature CST Number 2-5 3 - 309 Address Date Evaluation Conducted Telephone Number 2t t3 '�b S. S e e-�, tt )l l Property Owner e5 ' VC Parcel ID # Page of Boring # ❑ Boring s 9 , S - 6 ® 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/fi in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 _ 'Eff#2 C5 I v 5 g 2 IPW2 Ica c c — (P 3 22 I S� Zms�k C -3 S, 9 0 c3 T 15 Li AP LS Boring # ❑ Boring ❑ pit Ground surface elev. fL Depth to limiting factor in. Soli 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 I 'Eff#2 I ` 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 GPD/ftz 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. SBD -8330 (807/00) PAGE S OF3 NAME 4 r� �' S TOT# ,Q LEGA DESCRIPTION tiw k uw X ,S 3 T 3o N R, / X E(ot)0IJ SCALE: V= 'Yo >( BM 1 ELEVATION /Oy- O BM I DESCRIPTION lo,2 cr_ -� /Td� �(f BM 2 ELEVATION BM 2 DESCRIPTION j " Plc- SYSTEM ELEVATION `I q. 5 ALTERNATE ELEVATION �tzl , - CONTOUR ELEVATION I y o c) Z .s I SIGNATURE DATE I f 12/03/02 12e00Pm P. 001 Dec 03 02.11:12a Bonte Excavating (715)796 -2519 P.1 ST CROIX COUN'T'Y SgTit 'LANK MARUMAI,= AGR1313NIBNT AND OWNIM SIM CERTMATION FORM ownerfs A >^rt CtaT LLB Mailing Address 3y Reh,�s�� property Address Jaifiution cognaod 5om Ply Department for WW tondM&W City /state ,jq&W j_pWcel Identiliation Number tyet,wt;. M'IiiMO N • W (R' T N- 1 g W Town of l�lY�tJ property Location I /., /., See �— � Lot # � . Subdivision D r ' A,eriffied Survey Map # Volume page it WatYaaty Deed # Volume jSr Page # Spot house i3 yes Cl no Lot lines identifiable )[6 yes O t� f handle wastes PMM mop« 'Yo«�pnCSystemoouldsaultinit t dby a «'O Loe —dP� a d t "Osiga of > Ord toe aeptie tank evdy if three Yarn « aoeont, needed by What Yon Pat � can affee:t the fienetioa of N+e septic tank n a t�eaearant agile is the was0a eSapoaal � Wee, MVMM a ce+8fiaatim farm. oiled by the owua and by a to u & W t SL Cmix 7 De marpiafa6a,Y�ap� `IyeQtbolcislpsthan t/3 PoshdBa is io proper aPa«tIOB — alodtor (2} >� grit!► the ctandudr the uudeailned Gave read die aberte rngairaaonts rind ao a prlwte anurale etiaposal aYatm . Cere ation od texde. hexeiq eu get by the Delva� of and d- Dq -b--t 001901 Roaomoas, Spa � �� within 90 ata0og that yes« M e. M, b.. maiataiood mad be con kftd gad tebnned b t1. SL Qoix Cormty Zaoti B days of the three Year eapirraioa a - + DATE SIGNATURE OF APPLICANT I our lmowiedle. I (we) am (are) the ownu(5) of I we) testify Thal all atatemeots wo 1Dis fotla am trtle w the best of tnY (our) vbrtoe of a vmmaty doed ree:oaded to Rngrater of D O ty above, by j (' L3 tz c DATE OF APPLICANT , eoua temlt in the aaitnY pesratt berag nYOked by the 2°Om8 fit' ..•.. ..•.�� Any iurotuoatiem that is role- *opreaenwd Y eatioe: damped vmramo dud t3em the Rogister 4 Deeds ofoe •• Ladade will. tats appG a a,py of the o.mfrod tnivey W if _fetenoe is made in tho warranty dead day 79s" 7g6 -ss /� v(( 1547P� , -'1 r ES309rt74 STATE BAR OF WISCONSIN FORM 2.1999 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI This Deed, made between Paul J. Brown and Susan M. Brown, RECEIVED FOR RECORD husband and wife, 10- 02 -200D 10:00 AM VARRANTY DEED EXEMPT II Grantor, and Ames Investment Corpor LLC, CERT COPY FEE: a Minnesota limited liability company COPY FEE: TRANSFER FEE: 1202.70 RECORDING FEE: 10.00 PAGES: I 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 I/2 of NW1 /4 of Section 36, Township 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. 630593. /1 0- A� 02 - 1101.80 and 026 - 1101 -90 Parcel ldentifrcatien Number (PIN) This is not homestead property. Ot) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this 'ZA 4A, day of September 2000 • Paul J. Bro 2 s • Susan M. Brown AUTHENTICATION ACKNOWLEDGMENT ) Signature STATE OF WISCONSIN s) Paul J. Brown and Susan M. Brown, husband and ) ss wife, County ) authenticated this day of September 20M 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 p 706.06, W is. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorne KristinaOgland Notary Public, State of Wisconsin udson, 54016 My Commission is permanent. (If not, state expiration dat (Signatures may be authenticated or acknowledged. Both are not necessary.) • Names orpersons signing in any capacity must be typed or printed below their signature. rNormiri_ prefeuio-js Company. FwW 6, 800-655 STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 -1999 ti wMat IKGL==ILV= mm W i f E �Z� 1, ► I ~a►x..,►� ,7aa7V M. Ow -► :� • :. s � Y `�' . • � - ,tom - - - � } v. •. I ;6+ p r g +t � -" ... _ .. I....... Z ........ ........... ................... .. 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