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HomeMy WebLinkAbout040-1272-80-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Qaii.r, St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 617892 State Plan I No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. _ Permit Holder's Name: JANET STROMMEN City Village Township I TOWN OF TROY Parcel Tax No: 040-1272-80-000 CST BM Elev:1 Insp. BM Elev BM Description: C j'r-- Section?own/Range/Map No: 17.28.19.1515 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Ventto Airintake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift r 'on Loss System Head TDH Ft Force mai Length Dia. I SOIL ABSORPTION SYSTE 22,ow. STATION BS HI FS ELEV. Benchmark �'S ill• I80. p Alt. BM Bldg. Sewer 47 ct p T ! wl SUHt Inlet _ St/Ht Outlet $ �� 1 A Dt Inlet Of Bottom Header/Man. rqa q/2rGo !2,(00 Dist. Pipe r .q `j• t Bot. System V IV Final Grade 3•.Sb 1 910.0 StC rt.6, O ! [ Z/ g, D TRENC Width Leng1r, I No. f Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMDMICFWS '3 f ,ry �, V 2 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufa�kaar INFORMATION CHAMBER OR —I.ti Type Of System' / _/� Q t \/ UNIT Model Nu `' DISTRIBUT4D,WSTEM Header/ and Distribution x Hole Sae x Hole Spacing Vent to Air Intake Pip Ll Length Dia Length Dia Spacing 3 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 Bedrrrench Center Bed/Trench Edges Topsoil ❑ Yes [Tj No Yes ® No (p�`CI10 MENTSS: (includecodediscrepencies, persons present, ,etyc.)��, I..nspection#1: }lils/Z1(Y,4) inspection#2: Yobatlol ig2�CLO5T R CW1:Iv ➢(•./.,t��Peak • //®� ��'l �.—' `Qf' 1 «l l 1.) Alt BM Description = 2.) Bldg sewer length = `Z -amountofcover= 7 2� S9a�( �• """ �� e Plan revision Required? '�N �- �� Use other side for additional n ormatl a ` SBD-6710 (R.3/97) • Date p�p�orj�O�: 0 P -Z V4D 310El�sesr�— �� I tZ f'4919Gitgre / _I!�Can.No. l5&- pre/ �tp���`rt I t iakt tx.s'� X li+M %'" WA is c� 6 System PLOT PLAN PROJECT Jan Strommen ADDRESS 2337 Hillcrest Dr. Hudson Wi 54016 SW 1/4 SW 1/4S 17 /T 28 N/R 19 W TOWN Troy COUNTY ST.CROIX SYSTEM ELEVATION 93.0/92.8 6' below grade DATE 4/25/20 BEDROOM 4 CONVENTIONAL XXK CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 IL BENCHMARK V.R.P. Top of 2° pvc pipe ASSUME ELEVATION ioo' Filter Lifetime Filter ❑ BOREHOLE O WELL .H.R.P. same as benchmark All piping shall be ASTM SDR 30/34, within Scale = 1 /4" = 1 0' 10' of tank, piping shall be ASTM F891 nVent 2-3' X 90' cells with >3' spacing >6" of Cover 4' Long 12" 17 JUL 13 2020 St. Croix coae;y munity Da eelopment Quick4 Standard Leaching Chamber with 20.0 ft2 of Area 5.6ftA2/pair of end caps �—Grrade at System Elevation System PLOT PLAN PROJECT Jan Strommen ADDRESS 2337 Hillcrest Dr. Hudson Wi 54016 SW 1/4 SW 1/4S 17 /T 28 N/R 19 W TOWN Troy COUNTY ST.CROIX SYSTEM ELEVATION 93.0/92.8 6' below grade DATE 4/25/20 BEDROOM 4 CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 \6 BENCHMARK V.R.P. Top of 2" pvc pipe ASSUME ELEVATION no, Fitter Lifetime Filter ❑ BOREHOLE O WELL +H.R.P. same as benchmark ,� �������R All piping shall be ASTM SDR 30/34, within Scale = 1 /4" = 1 0' JUL 13 2020 10' of tank, piping shall be ASTM F891 D'Grade St. Croix county Commumty Development >6„ick4 Standard of Coveraching Chamber h 20.0 ft2 of Area 2-3' X 90' cells with >3' spacing fM2/pair of end caps 4' Lon at System Elevation SY" 1.a ,.*N - 2,02.0 qq a Safety and Bt481dings Division - CAMM R 201 W.-Washington Ave., P.O.Box 7162 SrMY Parmit NizinloarTlebe filledmby Co.) + y t. t NIladison, 53j� JUll l� 8 � 0 Sanitary Permit Appkeati Sine 7reasect on Nombc in awmdmce with SPS 39321(2), Wes, Ada Code, wbmission of this form to the appropriate govemmeotel wit Pmieet Address (if diffpeat tbm mailing address) is regoved prim to obtaining a sanitaty, permit Note: Application forms for swc-owed POWTS arc submived to the Department of Safety and Professional Servies. Personal information you provide may be used for secondary in accordance with the - Law,a. 15.04(I)m SoftZ/) fps �, L n Information — Please Print All Information Property Owner's Name �i Parcel N or -a --Y- Property Owner's Mairmg Address Property Location I �s tq t v Griot ' Plena Nmnber - ,Sue r Zip Code �j T Z N; W IL Type of Building (cbeck all that apply) I fat i Subdivision Name or2Fmoily Dweaiog—Numbcofej— 3 Blocky '1 ❑ Pablm Co®anial—Describe Use ❑ city ❑Sue Owned -De be Use CSM 0 Village of Number i — ovm of Iff. Permit (Check only one box on line A. Complete line B If applicable) A. System ❑ it<planemat System ❑ TreameoUHoldi ag Tank Rnplaceomt Only ❑ Other Modititiw anea Sdnmg System(explahm) B- ❑ Permit Ronc,,wol ❑ Permit Revision ❑ Cbmga of Plumber ❑ Permit Transfer m New fiat Previous Permit Number and Date Issued Before Exp'vntiaa Owner ofPOWTS S stem/Com nent/Devicee Check all that apply) oo-Prasaiad In -Ground ❑ Pressured Inldrormd ❑ At -Grade ❑ Matmd> 24 in. ofsuiuble soil ❑ Mowd <24 w of set I' wil ❑ Holding Tmk ❑ OthcrDispersal Campcoem Lem 'a lam) V. IAs Vlreatmeot Area Ioformatio "C 2 Desita Soil A plimcm DisPasd Required (st) S E n —1 D •x S r VL Tank hsfo Capacity in Gallons 7ou1 Galiom a of Unit Mao /�, � g $ = 'Api,. ( m 3 +3 m m New Tanks FXLs Tads 3ow Septic e,Holding Tack IMsmg (bambm VIL PesponsibBity Statement- VAe andersige me rapondbairy for iasu0atiea of she POWTS shown an the attached plans. Phw 's Name 's Sigasme N Brrsimws Phone,,N/® �M7P7 Phu 's (Sam City, S k) � VM C6wtv/Delonatment Use Only � Disapproved pa Fees Date Date lssu ed g 4grnt Si ❑ Owen Given Reason for Denial S Ir'v` �lf)�`�J Condition of ApprovaUReasom for Disapproval E 3� (! d _ _ _ ,y.. 4 ►W14�10� M OWNER: . _�C.. partank, effluent filter and �� u t,y sat Ptrr �11�a�� M4LLLYue•►IA Ntp ,rant cell must be serviced /maintained L _ f per management plan provided by plumber. faY�fsK as per applicable and mbwhm the county odky m paperwtlessdua a m i II iaeam in sin SBD-6398 (IL 11/11) no System PLOT PLAN PROJECT Jan Strommen ADDRESS 2337 Hillcrest Dr. Hudson Wi 54016 SW 1/4 SW 1/4S 17 /T 28 N/R 19 W TOWN Troy COUNTY ST.CROIX SYSTEM ELEVATION 93.0/92.8 6' below qrade a/25/20 DATE CONVENTIONAL XXX CONVENTIONAL LIFT MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSO � B NCHMARK V.R.P. Top of 2" love pipe BOREHOLE O WELL ■H,R,P, same as benchmark BEDROOM 4 HOLDING TANK DOSE TANK SIZE RPTION AREA 891 # of chambers 44 ASSUME ELEVATIO 100' Filter Lifetime Filter All piping shall be ASTM SDR 30/34, within Scale = 1 /4" = 1 0' 10' of tank, piping shall be ASTM F891 P�A Quick4 Standard ��\�Leaching Chamber with 20.0 ft2 of Area 5002/pair of end caps Grade at System Elevation 2-3' X 90' cells with >3' 55' H-All c2� ��-��A�fj 99.5 — 678' Property Line Pro 4 Bedroom House Lost Rock Lane ko 'OpY Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi54017 715-246-4516 Date: 4/22/20 Owner:Jan Strommen Location: SW1/4 SW1/4 S 17 T28 N,R 19W 412 Lost Rock Lane Troy Manuals Used: In -ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamblaontigency ction 4-6. MaintPlan 7. Filter Cr Signature License nuMVer #226900 System PLOT PLAN PROJECT Jan Strommen ADDRESS 2337 Hillcrest Dr. Hudson Wi 54016 SW 114 SW 114S 17 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 93.0/92.8 6' below qrade 4/25/20 BEDROOM 4 DATE CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 B NCHMARK V.R.P. Top of 2" pvc pipe ASSUME ELEVATIO low Filter Lifetime Filter BOREHOLE O WELL *H.R.P. same as benchmark All piping shall be ASTM SDR 30/34, within Scale = 1 /4" = 1 0' 10' of tank, piping shall be ASTM F891 nVent >6" of Cover 4' Lon ell2 2-3' X 90' cells with >3' spacing ' 90, 2% Slope I'M 55' 98.5/ 0- Vents C 99.5' 90 Quick4 Standard Leaching Chamber with 20.0 ft2 of Area \5.6ftA2/pair of end caps .-Grade at System Elevation 15' Pro 4 B-1 Bedroom —" House Lost Rock Lane 678' Property Line Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber '0� ,O"` -9 with 20.0 ft2 of Area per Chamber 5.6ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 99.0' Vent Grade Vent �30/34 Septic Tank 3 5' Long t 5' S' Long t" 36" Ud Grade at System Elevation 110 Grade at System Elevation Spacing 5' 2-3' X 90' Cells Same on other end Observation tubeNent At end of cell A B 22 chambers per cell System elevations: A 93.0' B 92.8' at POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page,_, of_ ILE INFORMATION Owner C�J � Permit � -�Q 49 ! 91clZ DESIGN PARAMETERS Number of Bedrooms DNA i Number of Public Facility Units VtNA Estimated flow (average) q 6 (5 aVda Design flow (peak), (Estimated . 1.5) "G aVda Soil Application Rate i aVda I Standard Influen lEfNuent Quality Monthly average' Fats, Oil & Grease (FOG) 53o mg/L Biochemical Oxygen Demand (BODs) 420 mg/L ❑ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) 530 mg/L Total Suspended Solids (TSS) <-30 mg/L �IA Fecal Colifonn (geometric mean) 5104 cfuH00ml iMaximum Effluent Particle Size Ya in dia. ❑ Other 'Values typical for domestic wastewater and septic tank effluent MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank Capacity al NA Septic Tank Manufacturer NA Effluent Filter Manufacturer ❑ NA Effluent Fitter Model I NA Pump Tank Capacity al 3NA Pump Tank Manufacturer I NA Pump Manufacturer I NA Pump Model NA Pretreatment Unit NA ❑ Sand/Gravel Filter ❑ Peat Filler ❑ Mechanical Aeration ❑ Wetland ❑ Disinfection ❑ Other. Dispersal Cell(s) D NA In -Ground (gravity) ❑ In -Ground (pressurized) ❑ At- rade ❑ Mound ❑ Drip -Line ❑ Other. Other. ❑ NA Other: ❑ NA Other. ❑ NA Service Event Service Frequency (inspect condition of tank(s) At least once every: ❑ morrth(s) ( mtm 3 years) D NA � s (Pump out contents of tank(s) When combined sludge and scum equal ne-third ()S) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) earls) ❑ NA Clear effluent flfter At least once every: ( ❑ ortth(s) NA nspect pump, pump controls & alarm At least once every: 0 year(s)s) NA 19ush laterals and pressure test At least once every: ❑ mordh(s) NA D year(s) Udrer At least once eve ❑ month(s) ❑ years) NA �Jlher. r1A MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: 4War (Plumber; Master Plumber Restricted Sewer; POWTS Inspector: POWTS Maintainer, Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of (combined sludge and scum and to check for any bade up or ponding of effluent on the ground surface. The dispersal cell(s) shelf 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 ('Ya) or more of the tank volume, the entire contents of !tre 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, meoW!cal or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed b;, a certified POWTS Maintainer. IN service report shall be provided to the local regulatory authoi%, ,vithie 10 days of completion of any service event. Page _ of _, START UP AND OPERATION ucts her tern, For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting have the contentsis of the may impede the treatment proms and/or damage the dispersal cells). If high Concentrations nre de tank(s) removed by a septsge servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infitrative surface. During power outages pump tanks may At above normal highwater levels. When power is restored the excess wastewater will be discharged to the crapersel cells) in one large dose, overloading the oed(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 doom slope of any mound or at -grade soil absorption area. Reduction or ellmination of the following from the wastewater stream may improve the Performance and prolong the life of the POWT$ antibiotics baby wipes: cigarette buds; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat: foundation drain (surnp 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 fats and/or is permanently taken out of service the following steps shall be taken to insure that the system is Properly and safety abandoned in compliance with chapter Comm 63.33, 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 fined with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code ccmPdOnt replacement system: sucable n�replacement replacement area has been evaluated and may be utilized for the location of a recement sod absorption system. l 7tma repot area should be protected from disbxbance and compaction and should not be infringed upon by requifad 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 rulas in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a hiding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soul and site evaluation must be performed to locate a suitable repiacement area. if no replacement area is available a holding tank may be installed] as a last resort to replace the failed POWTS. ❑ Mound and at -grade sod absorption systems may be reconstructed in place following removal of the biomat at the infittralive surface. Reconstructions of such systems must campy with the rules in effect at that time. <MIARli 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 Nami 44 POWTS MAINTAINER /i Name���Gc Phone 71,I= SEPTAGE SERVICING OPERATOR IliPER LOCAL REGULATORY AUTHORITY Name q Phone 'jb Name This document was drat In oprtpNancs vM uNplar SPS 30&22(?a(bX1)(d)&(f, and 393.54(1), (2) it (3), Wnrzrslm Admn"strative Code. This document was drat In oprtpNancs vM uNplar SPS 30&22(?a(bX1)(d)&(f, and 393.54(1), (2) it (3), Wnrzrslm Admn"strative Code. 20140048A 045200 79.6000 18.0000 n 1.1921 r j:Y9 9.BI66 59 n 9.4356 ,01Gap belw en Case and $erpenline p Ja SAFETv BE viL�l V�sv SECTION A -A E w ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer -V Q O 1 Ti4yVlV 4,e jj Mailing Address Property Address .23 3'7 required from Planning & pp ptrG T.roc - re .1. consbuctton.) City/State 14jj � Sn rl I Parcel Identification Number a qQ 11i —t7UD LEGAL DESCRIPTION 7 �^ Property Locatioq.�t/. �%4 1.�� , Sec. _a, T N R_/�_W, Town of /y' Subdivision Certified Survey Map # —� O v � Volume , Page # Warranty Deed # ) �?00 (before 2007)Volume �" Page # Spec house ❑yes4o Lot lines identifiable,6j//yes❑no SYSTEM MAINTENANCE AND OWNER CERTIFICATION �� Lot # '3�. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safey And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owners) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms �1_ SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed (REV. 04/12) Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Caurdy Attach complete site plan on paper not less than 8% x 11 inches in sae. Plan must include, but not limited to: vertical and horizontal reference_pd�BM)' direction and percent slope, scale a dimensions, oa�t/harJo�9n' distance to nearest road. Pencel I.D. Please PdrttarA�r�Omaadon. Humbird Land Corpor Property Owner's Mailing 332 Minnesota Street, City Saint Paul 1357 Page 1 of 3 Gustum Septic Service St. Croix --� ' Date. a mf/lkQrrsecond (Privacy . 15,04 (1) (m)). /i(�y(�„ D� Location N. �gA ovL Lot 1/4 SW 114 S 17 T 28 N R 19 W s N�2 / "'8�— I_. # Block# Subd. Name or CSW 1 gT Cpox 39 n/a Troy Wood Subdivision S Code � J City J Village J6 Town Nearest Road )1 New Construction Use: fM Res' / N(1 � roams 3 Code derived design flow rate 450 GPD Replacanent J Public or commercial - Describe: Parent material outwash plains _ _ Flood plan elevation, 8 applicable n/a General comments and recommendations: Part of 10.07 acres. BM #1= 100.0'. BM #2= 106.5'. Recommend 96.0' contour along 99.0' contour. All borings from preliminary soil work done 5-5-00. Mining # I Ong Pit Ground Surface elev. 101.0 H. Depth to limiting factor >75 in. Sol Application Rate Horizon Depth Dominant Color Redox Description Tattae Structure Consistence Boundary Roots 'Ell ' 1 0-10 10yr3/2 none sit 2msbk mvfr as 2f,1m 0.5 0.8 2 10-20 1Oyr3/4 none sil 2msbk mvfr cw 1f 0.5 0.8 3 20-29 10yr4/6 none all 2msbk mvfr cw - 0.5 0.8 4 1 29-42 10yr4/6 none gr. Is 1msbk mvfr ow - 0.7 1.2 5 42-75 10yr5/8 none e, gr. s 0 eg ml - 0.7 1.2 P8 Bo"9 J Boring ✓J Pit Ground Surface elev. 99.0 _ R. Depth to limiting factor >75 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure ComMerm Boundary Rooks GPDMx 1 0-10 10yr312 none all 2msbk mvfr as 2f,1m 0.5 0.8 2 1D-15 10yr3/4 none all gr. sit 2msbk i 2msbk mvfr mvfr aw aw 1f - 0.5 0.5 0.8 0.8 3 15-21 10yr4/6 none 4 21-31 10yr4/6 none gr. Is lmsbk mvfr ew - 0.7 1.2 5 31-75 10yr5/6 none s, gr. s 0 sg ml - 0.7 1.2 ` Effluent 91 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Nave (Please Paint) Sgnatur CST Number Tom Gustum 227618 Address Gustum Septic Service Dee Evaluation Conducted Telephone Number N13450937th St., New Auburn, WI 54757 1121/00 715-658-1344 Property owner Humbird Land Corporation Parcel ID# pending Page 2 of 3 P14 Baring# J Boring A Pa Ground Surface elev. — 98.5 ft. Depth to limiting factor >75 Yr. Shc Appacalion Rate Horizon Depth Dominant Colar Redox Description Texhae Structure Consistence j Boundary Rods GPDflM _ 'Eff#1 •Eff#2 1 0-10 10y2/2 10yr3/4 none none sil all 2msbk 2msbk mvfr mvfr as ow 2f,1m 1f,1m 0.5 0.5 0.8 0.8 2 10-17 3 17-23 7.5yr4/4 none all 2msbk mvfr Cw - .0.5 0.8 4 23-32 7.5yr4/6 none gr.Is 1msbk mvfr ml ml 6w ow - 0.7 1.2 5 32-49 10yr5/6 none Is s 0 sg 0 s9 0.7 0.7 1.2 1.2 6 49-75 10yr6/6 none P15 Boring # J Boring Pit Ground Surface dev. 103.0 ft. Depth to lirniting factor >78 in. F Sal Apppaatim Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDHN 'Eff#1 'Eff#2 1 0-9 low= none none none none s8 sit sil sil 2msbk- 2msbk 2msbk 2msbk mvfr mvfr mfr mfr as cw ow ow 2f,1m 1f 0.5 0.5 0.5 0.5 0.8 0.8 0.8 0.8 2 9-28 10yr2/2 3 28-37 10yr4/4 4 37-57 10yr4/6 5 57-78 10yr5/6 none gr. s 0 sg ml 0.7 1.2 Baring # _i Bpit �8 Ground Surface elev. ft. Depth to limiting factor in. Bud Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rods GPOtW 'Eff#1 'Eff#2 ' Effluent #1 = BOD a 30 < 220 mg/L and TSS >30 < 150 mg1L ' Effluent #2 = BODs< 30 mglL and TSS <_�0 mg1L 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. sm 4"1 99,c' K / C 3 c CO-4 fL /O I, U, C6 ve- poie 3 J 3 -T-ro1 40 Sv� >!0+39 N pty L� to t� BM /60,o' p S6,1 Airsrep-OF 3 N T,cvV V wl&k6.6� P/L motrk�r tydo�any< R�b� }n Parcel#: 040-1272-80-000 04/09/2008 10:33 AM PAGE 1 OF 1 Alt. Parcel #: 17.28A9.1515 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner 0 - DAY FARM INVESTORS LLC DAY FARM INVESTORS LLC 332 MINNESOTA ST E 1404 ST PAUL MN 55101 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description ' 412 LOST ROCK LN SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 10.030 Plat: 08-028-TROY WOOD 040-01 SEC 17 T28N R19W SW SW LOT 39 TROY WOOD Block/Condo Bldg: LOT 39 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 12/26/2001 666346 1799/595 QC 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/09/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.030 170,000 0 170,000 NO Totals for 2008: General Property 10.030 170,000 0 170,000 Woodland 0.000 0 0 Totals for 2007: General Property 10.030 170,000 0 170,000 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 1 HIB' •• V ___ '� � _ �YLLLL NLM Cfgf' 9r aB ynq[a 19 — 9'�2 j � li /SNIT Sliuy'{c� ' 4 �x � u�•H wsb �4'xvY 9�m. CIrvVEuo �ww Tom- 4441Q {�jyx4 �F Paus. i�yl� sl r r 4' VevV •a�av:xe..w. a uwo 9nv W 2 qr 9'n 4wL � 'JIT �+R F_I_YVIt{ION ++ ...4a".I'.i n— +r • 4�F O .nmo Yd � QQ � n m Lg! c �aY T � II WRT ;p.i !�S .,, sYhcY © y� .�Y O afZ tY a�� f `+`Pr sumo: ' W.te. NO y. V E�Y�`E Y/PD'•4R _ RW�YOlY4 Q• Lvf tOiw • 316'•1 .:6 efi' ip-•pgvn t Rp ♦ �wm w e.ae lus 1 �� -19H sa W4llS} 9'n1E cvm. N+ow.p+ W 'J'iC9 vas. �v a � ee• xww w.+� I a d i �9.9 PO 1LW-9 #L xeWc 3 r "e6•.nrn..,.. �r-----A`��q,Omuepr. ulsu:ed�Ve TMrmr FVN`E y '3 MV2t pjO"4 - �_ ��ptiles n>M 'v �mb �e Frs an•w q.w. may, UHU z �i uxr a t r •'AF aFn.wiiwJ rate -.yL kL : m+s qw eae ow..�mo' u.swr�p 44.rd -xc m+ uwia aumexw mr.. uwce.•„ �2� bec e37o19. N TROY WOOD LOCATED IN THE NWI/4 OF THE SW7/4, THE NEI/4 OF THE SWIM, THE SW7/4 OF THE SW1/4, AND THE SE1/4 # c OF THE SW1/4 OF SECTION 17 AND THE NE7/4 OF THE NW1/4 OF SECTION 20. ALL IN T28N, RISK TOWN OF Ogg TROY, ST. CRIOX COUNTY, WISCONSIN Elnaverde ay I OLAP6mL4®_n1BG®@ Dd1aw a. su¢w I EAST COVE ROAD �zo�b.nRe� ���� sane lol tt. .'w.r"'..ew . _ 3. BECIIO�N lei _ _ _ _ _ _ _ _ _ _ PNmARFO POR: — — — — — — — — — N BB'�B'Ql' E ,EOL9C — HuMeIRD uND eoNP. S _ ,.- C «... wrwraumo, L�a�,nn 1 ----- -- (0310/4 ♦�: �—aD nRNeune eaeolwr ----------------- j dr3 esb._M�_.ei � \ 10.011 MR® 1 I IirL• V I \\\ 620,08080. PT. I I 1 "XI I I '1 2 ---------------------------- OS / 1 \ / ', OUTLOT 4 � �� `� 1 3 OPEN ACRES \ \ 21..l ACRES ` B16.O.t0 SO. \ 1\ wvww�rt+v rrs \ \ 0 \ �ir4Rn 4 �i i \\ \\ 1A,IK'wF81 i 'l y � ' \\ \\ ♦� ♦\ \ 38 \\ '�\\ \ I I t.n wcRea I>, I \ \ . 1 x' 1 o.meat) wcReR 42 \ \ 4 �> 2 I SO. 87.113 /SEE SHEET 4 1 \ 33 1 \ 38 11 34 \ 1 37 S6 1 6GLLF IN PE6T ,' . 10D' ' 1oo�zzo ,Hs,s,Rnaarww�eoer:vnurN VNe +oe w.00.,s arelmwo. vo®11nam.lan uv SHEET 1 OF 5 SHEETS OUTLOT 4 OPEN ACRES ° 21.01 ACRES 915,039 SO. FT. NOTE: TROY WOOD ASSOCIATION. IROCIATIOON, . I OWNED BY INC. FIRMER DI Op ION PRONIBRED AND BUILDING DEVEL .0 MPROXIBITEDIN NIADD01mANGE WRIIBT.CE GE COUNTY ZONING ORDINANCE 6ECT10N 17.00. M n ci O N r\ O � I \ O I \\ Z I I \ \ P\� •.a,� Pin, I `\ \ 40 Np, , 1 : I I `\ �"s `\ 1.81 ACRES I \70,041 SO. FTI Ing: I , Ia 39`mil` I ' \ I 10.03 ACRES I 436,827 SO. FT. NOTE FIRMER ION OF THIS LOT - I IB PRONIBlIED Is PROH � 2 I r. I I I I I I <Aa._ I 1 1 4' 1 1.79 Al i t77.8061 / SEE SHE ofSp(1E1Arofessional Services Page i of 3 DiTmr SOIL EVALUATION REPORT MAY 07 2020 In acoordancewith SPS 385, Ws. Adm. Code County complete site plan on paper not k as than 8 1/2 x 11 inches in size. Plan must include, Sr. Croix but not limited , Gedioatandlhonzontal reference point (BM), direction and percent slope, Parcel I.D. scale or location and distance to nearest road. D40-1272-80-000 Ref#2564 Please print all information. F�ey&,edaby . A Oatr . Properly Owner Property Location . . ❑ Day Farm Investors, LLC - Janet Strommen buyer Govt. Lot SW % SW Y. S 17 T 28 N R 19 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#✓ 332 Minnesota St E W-1290 39 Ni Plat of Tro ywood City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road ® Nev C0nstR'cfiw Use: ® Residential/Numberof bedrooms 3 Code derived design flow rate 45D GPD ❑Replacement ❑ Public or commercial - Describe: _ Parent material Glacialoutwash Flood Plan elevation if applicable Na R General comments and recommendations: Site suitable for i"round POWTS with 0.7 gpd/sq. ft. loading rate. Recommended infiltrative surface elevations to be 91.75' between Borings #2 8 3. 7❑ Boring # I ❑ Boring ® Pit Ground surface elev. 99.90 R Depth to limiting factor >1 35 in. Horizon Depth In. Dominant Color Munseli Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots wn itiawn now GPD/Ftl 'Eff#1 I -EB#2 1 0.11 10yr3/2 none all 2fgr mvfr cs 2vffm 0.6 0.8 2 11-25 10yem none sic! 2fsbk rr* cs lvfim 0.4 0.6 3 2530 1Oyr4/6 none gr at lmsbk mvfr gw 1vf rn 0.4 0.7 4 30-47 7.5yr4/6 none gr We 1msbk/Osg mvIdmI ON OA 0.7 5 47-64 1Oyr4/4 none grislsl Osg/lmsbk mVmvf av 0.4 0.7 6 64- 10yr4/6 none s Osg ml - - 0.7 1.6 :d 7 96-135 10yr5/4 none s Osg ml 0.7 1.8 El Bo ' Boring # 2. �� g , g ® Pit 7-y/4mumd surface elev. 97.92 R Depth to limiting factor >129 in. Soil ADDlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/W 'Eg#1 •Eff82 1 0-14 10yr3/2 none s8 211gr mvfr cs 2vf,fm 0.6 0.8 2 14-27 1Oyr4/6 none sic[ lfsbk mfr cs 1vf,fm 0.2 0.3 3 2737 7.5yr4/6 none gr We Imsbkftg mvfrhW tav lvff 0.4 0.7 4 37�0 10yr4/4 none gr Wsl Osg ! 1msbk ml / mvfr cw 0.4 0.7 5 &MM 10yr4/6 none s On ml gs 0.7 1.6 6 94-129 10yr5/4 none s Osg ml - - 0.7 1.6 p `.e •e anuent#1=BOD>305220 and TSS>305 SoMg& BOD>305220 and 30S.150mal- CS� Name (Please Print) James K. Thompson Signature Ste- CST Number 30021 Address 340 Paulson Lake Lane Osceola WI 54020-5413 valuation Conducted Februn 7 2020 Telephone Number 715 248-7767 JtlU-tl (RO4/15) DivisionoflUG Wisconsin=1distance al Services SOIL EVALUATION REPORTrIn coordanoe with SPS 385, Wis. Adm. Code Attach compleleQi1han 1 x 11 inches in size. Plan must include,but not limited I int (BM), direction and percent slope, scale or dimenoption and distance to nearest road. Please print all Information C aoav -(3qc) Page 1 of 3 Parcel I.O. 040-1272-804)00 Reviewed by Date Property Owner Property Location ❑ Day Farm Investors, LLC - Janet Strommen buyer GovL Lot SW '% SW % S 17 T 28 N R 19 E (or) W Property Owner's Mailing Address o T Block # S ke Estates .f 332 Minnesota SLEW-1290 Na Plat of LAM JL City State Zip Code Phone Number ❑ City ❑ Village own Nearest Road ® New Construction Use: ® Residential / Numberof bedrooms 3 Code derived design flow rate 450 GPI ❑Replacement ❑Publicorcommercial- Describe: _ Parent material Glacialoulwash Flood Plan elevation if applicable Na ft. General comments and recommendations: Site suitable for in -ground POWfS with 0.7 gpd/sq. ft. loading rate. Recommended infiltrative surface elevations to be 91.75' between Borings #2 & 3. 1❑ Boring # ❑ Boring ® Pit Ground surface elev. 99.90 R Depth to limiting factor >1355 in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/W ,Eft#1 '0102 1 0-11 10yr32 none sil 2fgr mvfr cs 2vf,fm 0.6 0.8 2 11-25 10yr3/6 none sicl 2fsbk mfr cs lvf,fm 0.4 0.6 3 25-30 10yr4/6 none gr at 1 msbk mvfr gw lvf fm 0.4 0.7 4 30-47 7.5yr4/6 none gr We 1msbk/Osg mv(r/ml aw - 0.4 0.7 5 47-64 1 1Oyr4/4 none 9 Wsl Osg/lmsbk mVmvf ow 0.4 0.7 6 64-96 10yr4/6 none s Osg ml - 0.7 1.6 7 W135 10yr5/4 none s Osg ml 0.7 1.8 aBoring Borng # Py g ®pit Ground surface elev. 97_92 ft. Depth to limiting factor >129 in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Corrt. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' -ER#1 'Eff#2 1 0-14 10yr3/2 none sil 2fgr mvfr p 2vf,fm 0.6 0.8 2 14-27 10yr4/6 none sici tfsbk Mir cs lvf,fm 0.2 0.3 3 27-37 7.5yr4/6 none grsllls lmshklOsg mvfr/ml cw 1vf,f 0.4 0.7 4 37-60 t0yr4/4 none gr Is(s1 Osg / lmsbk ml / mvfr cw 0.4 0.7 5 1 60-94 1 1Oyr4/6 none s Os9 I ml gs 0.7 1.6 6 94-129 10yr5/4 none s ft ml - 0.7 1.6 Effluent #1 = BOD > 30 5 220 and TSS > 5 1Qmo1L EfBu nt #2 = BOD > 30 5 220 L and TSS > 30 5150 mWl. C T Name (Please Print) James K. Thompson Signal _ CST Number 30021 Address 340 Paulson Lake Lane Osceola WI 54020-5413 C6ie Evaluation Conducted February 7 2020 Telephone Number 715 248-7767 SBU-a330 (R04/15) Ong # [I Boring ® Pit Ground surface elev. 98_12 ft. Depth to limiting factor .>126" in. Soil Anolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' •Eff#1 7-E1f#2 1 G-10 IOyr3/2 none sit 21gr mvfr cs 2vffm 0.6 0.8 2 10-20 1Oyr3/6 none sic! 1fsbk mfr av 1vf,fm 0.2 0.3 3 20-29 7.5yr4/4 none at Imsbk ndr ON 1vffm 0.4 0.7 4 29-38 7.5yr4/6 none Is/sl Osg/lmsbk mvmvfr cw tvf2fm 0.4 0.7 5 38-91 10yr4/6 none s Osg m! cw 0.7 1.6 6 91-126 10yr4/6 none s Osg ml - 0.7 1.6 r 0 ❑ Boring # ❑ Boring ❑ Pit /.DIY q�Z-"r Ground surface elev. _ ft. Depth to limiting factor _ in. FWTA�plicatlon Rate ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. —ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD1W •Eff#1 •EB#2 • Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 5 160 mg/L • Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5150 mg/L 14 t Say% aa/c dx", p z 6x%s6'10 atade ale& ` • (a.E,,,dp„p. sy� 6CAl / :1/0' i LLy X11i T4V?5 ers 4AC �fP/ILL 5b OO-Wlr, 6KyG4- Lo t 39 '6/0 4 ef' T yOyyy uTaLG � � SO— / 7 7..28a•, Q,/9n7yTn•doe, 1;;y,sf ctva,& LosE )eOC.< Z&+C t. 3W3