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030-2121-60-000
k merce PRIVATE SEWAGE SYSTEM County: St. Croix Building Jivision INSPECTION REPORT Sanitary Permit No: 515003 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: Pearson, Scott & Deborah St. Joseph, Town of 030 - 2121 -60 -000 CST BM Elev: Ins . BM I BM Description: / � - Sect'on/Town /Range /Map No: /t 0 7//0 - 7,0 7b9 % 07 -3 ay' �J4 30.30.19.988 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ; ,, °' CAPACITY STATION BS HI FS ELEV. Septic ' Benchmark Dosing I 1 .Fw Alt. BM Aeretton Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic A i Dt Bottom Dosing , Header /Man. �? Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION `} 16 1, Manufacturer Demand St Cover ' GPM Model Number ' x /, ,' - I (,�` TDH Lift Friction Loss System Head TDH Ft 2 6 / Forcemain Length f Dia Dist. to Well f SOIL ABSORPTION SYSTEM r BED /TRENCH Width r Length No. Of Trenches f PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION T e Of S to CHAMBER OR YP -T UNIT Model Number: -4 DISTRIBUTION SYSTEM Header /Manifold !/ Distribution �.' ! x Hole Size , x Hole Spacing I VP to Air Intake i) 4+ :r df . a r Length � Dia Length Dia Spacing t , SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over , " Depth Over jxx Depth of xx Seeded /Sodded " e xx Mulched opso Bed/Trench Center �I + ` <, Bed/Trench Edges Til j Yes E] No 'S es E] No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1:_j( / ® Inspection #2: / / Location: 362 132nd Ave Houlton, WI 54082 (NW 1/4 SE 1/4 30 T30N R1 9W) The Sanctuary Lot 6 Parcel No: 30.30.19.988 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = Plan revision Required? Yes No / Use other side for additional information. Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) r i 8 SC/a Pla/Ua'EiDn,,6 E � � �� ! �>✓` � /t. B .M- ; Top cv'^ J* A & 6r gnx de e /eit . _ ioi co, r 6 �6 a� 4 PpNy I �ar4ye Q /9 W; T. o {SE Toseol,, - ..Croix ale ran P•Pe ReE lod C'"e �8 -c As saatGd e.lw' = / A A • b a 7� N• o' Tod° a{ /ylat� ",4✓d �r eommerce.wi.goV Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St, Croix 't iU LC o n s i n Madison, WI 5370 162 Sanita � ry Permit Number (to be filled in by Co.) ment of Commerce / 5 003 Sanitary Permit Application State TranslionNumber In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appro riat emm al project Address (if different than mailing address) unit is required prior to obtaining a sanitary permit. Note: Application forms for state -own S submitted to the Department of Commerce. Personal information you rovide ma be used for ary purp in accordance with the Privacy Law, s. 15.04 1 m , S 362 132 nd Ave. I. Application Information - Pleas int All Information Property Owner's Name / Parcel # Scott & Deborah Pearson SF �'' 030 - 2121 -60 -000 Property Owner's Mailing Address ST. CROIX COUNTY Property Location ZONING OFFICE P.O. Box 94 Govt. Lot City, State Zip Code Phone Number NW %, SE '/4, Section 30 (circle one) Hallock, MN 56728 T 30 N; R 19 W II. Type of Building (check all that apply) �� Ca �. # ❑ 1 or 2 Family Dwelling - Number of Bedroom 3 6 Subdivision Name Block # The Sanctuary El Public /Commercial - Describe Use e Na ❑ Cit of ❑ State Owned - Describe Use / FNa Number ❑ V of /� .0"Town of St. Joseph 5 k d9t) #16, �� ` III. Type of ermit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) Y P Y g P Y g Y ( P ) List Prevlo Permit Number and Date Issued B. 11 Permit Renewal 11 Permit Revision El Change of Plumber FEIPermit Transfer to New --• / Before Expiration CO Qtr /t� /, no IV. Type of POWTS System /Component/Device: Check all that appl ❑ Non - Pressurized In- Grround ❑ Pressurized In- Ground ❑ At -Grade RMound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) Pretrea ent Device (explai PolyLok PL -525 effluent filter V. Dispersal/Tre Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed evation 17 450 gpd 1.0 TM C -33 sand 450 sq. ft. !) 450 sq. ft. $� 107.58' 7" above 0.4 -situ soil (1' 30 107.00' contour VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units New Tanks Existing Tanks a U Ln H vz is. Septic or Holding Tank 1,000 _ 1,000 1 Wieser Concrete X Dosing Chamber 600 _ 600 1 Combination ST/PC X VII. Responsibility Statement- I, the un rsigned, assu a responsibility fo lation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe s Signa MP/MPRS Number Business Phone Number James K. Thompson 30021 (715) Plumber's Address (Street, City, State, Zip Code) 340 Paulson Lake Lane, Osce a, WI 54020 -5413 VIII. un /De artment Use Onl Permit Fee Date Ispued Issuing ent Signature pproved El sappy $ P , � /10 ❑ er ven Reason r Denial // a / __ t IX. ConditfReasons for Disapproval / /1 � egg tr JQZ� - C.. ^ A/ r 1. Septic tank, effluent filter and C• � d � dispersal cell must all be services / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code / ordinances. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 .E (PM.(, 7' `0 h (oy t ScxY e dale af; o,�P, •6 :Top °F It" ♦ EXi:sv'r�G grrt. de e %� h �rbposcd Mowed at • ` `15 ` � � - _ ., _ ` - - - � 37Zo:r io7, 70 �a/ S'x90 ' 1 �I .Scald �o� /��sU- ,P'rl' ca' ac�s�+saJu// Tiao 60 ,Let G P /s�o {Trft S..�cEtcar�, d4l Ere L A-6! - -a-s �6 - _ - t aE�yt`x�s4t'w/S'a" /la3y{ISE�y See.3o oPY Tosy% 5 s6e„tslur: = /0 7. 58 "Li - u 7 °abo,K �o7•ct'co„tAw /acl 0 30 - ,2/x/ - 6o - ab 8e. 1, of �rC4 �` mac' °°►�a n bee 3. �os C. 1 4 s s4.K4d e,4erg _ /a. CO. lb a ^ a 3 6E�ipOrn / V" µ /�repoScd cJ �.X, Ccnuv�.t Wic�-Ga7 -ntQ C�nbe. lFF /r�entfs' /bcrat 3 .T. J .e a y Q LeCOpy P�.8cl�� X38.67' 5Cx/ e „ 6-41. Top aF ♦ Ejq'sv' de e /ed \ � -- - - - - - � P�,Pos� MoK.►� 4f 3760' - '07.70 , d/S'x 9 o' -,p_ �' iob.ao' d�'s6a1CtJ /Ti.ao 8 73414., ` `d o�i�YesS,aacca�st W T o 4° io7 58 w �.C/niX �., tai /. ie7.�A stow / 030-.?1ZJ -/o -� Al / 4,5 su.ncd elO "s ed s le 3 be �c��r, io3.9r3 A µ I P !'e�IpStd �i 45�/ �,cn�c W/, cam bon -,.t F Can be. 4L-,52 FfF /u cn t /6Gr a 6 S.T. 'Y Q ' L I � � C Q I e Safety and Buildings commerce .Wl.gov 3824 N CREEKSIDE LA HOLMEN WI 54636 TDD #: isconsin erce. i.gov/ b/ www. commerce.wi.govJsb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Jack L. Fischer, A.I.A., Secretary September 24, 2008 CUST ID No. 30021 ATTN: POWTS Inspector JAMES K THOMPSON ZONING OFFICE A.C.E. SOIL AND SITE EVALUATIONS ST CROIX COUNTY SPIA 340 PAULSON LAKE LN 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/24/2010 Identification Numbers Transaction ID No. 1592311 SITE: Site ID No. 742725 Scott & Deborah Pearson Please refer to both identification numbers, 362 132ND Avenue above, in all correspondence with the apric Town of Saint Joseph St Croix County NW1 /4, SE1 /4, S30, T30N, R19W Lot: 6, Subdivision: The Sanctuary FOR: Description: Three Bedroom Mound System / New construction / 23% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1201629 Maintenance required; 450 GPD Flow rate; 29 in Soil minimum depth to limiing factor from original grade; System(s): Mound Component Manual- Version 2.0, SBD- 10691 -P (N.01101), Pressure Distribution Component Manual- Version 2.0, SBD - 10706 -P (N.01 101) The submittal described above has been reviewed for conformance with apoicable 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • 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 ofSec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of theeffluent filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • 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 Dep artment, which mgy include local inspector . .O.W.T.S. Conditional�j, P" P& FJ ROV JAMES K THOMPSON Page 2 9/24/2008 Owner Responsibilities: • The current owner, and each subsequent owner, stall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • 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). • In the event this soil absorption system or any of its wmponent 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 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 he 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 (Dmponent. 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 far the installation, operation or maintenance of the POWTS. Sind Fee Required $ 175.00 Fee Received $ 175.00 Gerard M Swim W�� Balance Due $ 0.00 POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swi-tn@wisconsin. cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. RECEIVED SEP 19 2008 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN SAFETY & BUILDINGS Residential Application INDEX AND TITLE PAGE Project Name: Pearson 3- bedroom residential mound Owner's Name: Scott & Deborah Pearson Owner's Address: P.O. Box 94 Hallock, MN 56728 Site Address: 362 132nd Ave. Legal Description: NW1 /4SE1/4, Sec. 30, T.30N., R.19W. Township: St. Joseph County: St. Croix Subdivision Name: The Sanctuary Lot Number:' 6 Block Number: na Parcel I.D. Number: 030 - 2121 -60 -000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Attached soil evaluation report Designer: Jim Thom License Number: 30021 Date: 09/17/0 Phone Number: (715) 248 -7767 Si nature: - _Ja- - Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01/01) Version 5.1 (R. 06/06) Page 1 of 9 r1FNT OF CM 0, 'V;r -m L O�1 -ON OF SAFETY AND SUiLLANGS ti CC = ;t <i =S NDEWE Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) Rj Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.001 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. 450.00 Design Flow (gpd) 23.00 j Site Slope ( %) 107.00j Contour Line Elevation (ft) 29.00 , Depth to Limiting Factor (in) 0.401 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd /ft 1 i Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution j _ �Y Pressure Disribution Information network? Enter Y or N (C or E) ei Center or End Manifold � � Spa () 2. 50 Lateral S acin ft If N above, enter the el evation (ft) 2i Number of Laterals of the highest point. 0.125, Orifice Diameter (in) 2.5 - 0 Estimated Orifice Spacing (ft) = 6.25 ft /orifice 2 W Forcemain Diameter (in) 100.00 Forcemain Length (ft) Does the forcemain drain back? Y -- -- _ ; 91.001 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) 16.Q8_ Vertical Lift (ft) 81.25 5x Void Volume (gal) 1:90 Friction Loss (ft) 97.36 Minimum Dose Volume (gal) O.Ob In -line Filter Loss (ft) 29.66 System Demand (gpm) 24.48 Total Dynamic Head (ft) 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 1.25 2.00 1.50 x x 3.00 - - - - -- 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 602.82 Total Tank Capacity (gal) 1000 00 Septic Tank Capacity (gal) 51.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 11.82 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 602.82; Dose Tank Capacity (gal) Pol)rLok Filter Manufacturer 11.82; Dose Ta nk Volume (gal /in) PL 525 Filter Model Number Wieser Concrete Manufacturer Project: Pearson 3- bedroom residential mound Page 2 of 9 Mound Plan and Cross Section Views T 1/10 B •'•'•'•' :. . .;�:;:. J : 1 - -- • . . . . . Observation Pipe B ....... ... ...:... :::... z Mound Component Dimensions A 5.00 ft E 20.80 in H 1.00 ft K [ Aft ft B 90.00 ft F 9.50 in 1 29.27 ft L ft D 7.00 in G 0.50 ft J 3.33 ft W 450.00 (ft Dispersal Cell Area 3084.68 (ft Basal Area Available 5.00 (gpd /ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 109.38 (ft) F : f" f f Jf D sper Cell 108.08 (ft) Lateral 107.58 (ft) — Invert Dispersal Cell ::: ' E t Elevation D • . • . .::::::::.:. ; . J. J. i, a, ]. ] �. %. �] -] ] ] ] ]• i i i - ]�{ -%; ] - ] v ] ] i, �. . { { �. 1. J. .]�i ].:�. �, �] ]�] 4 K .__ - _- •� ._ v � t {�.]` ]. J. .i,�_.� {_J. ]l ~i,',] ] .�V . J. )l -] . - - y • �i •1 i - )A - ]. = i ] ._ A .. 107.00 (ft) Contour Elevation 23.0 % Site Slope Geotextile Fabric Cover Shading Key o Dispersal Cell See lateral details on 10 — Topsoil Cap o a 1.5 ft Page 4 for number, size, ©� Subsoil Cap H c 5 •" and spacing of laterals. ASTM C33 Sand `-° ' ° " F Laterals are equally Tilled Layer m 0.5 ft Typical Lateral spaced from the �5 0 distribution cell's Aggregate 5 " �•' ��'��•' �•'��•' � centerline in the 0 — A — distribution cell (AxB). Project: Pearson 3- bedroom residential mound Page 3 of 9 End Connection Lateral Layout Diagram Laterals centered over the A & 8 dimension 0 = Turn -up vrlball valve or aleanoutplug f - P All laterals are identical IE yc--,\ I 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 Sch 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) 88.55 ft Orifices per Lateral 36 Lateral Spacing (S) 2.50 ft Orifice Density 6.25 ft /orifice Lateral Flow Rate 14.83 gpm Manifold Length 2.50 ft System Flow Rate 29.66 gpm Manifold Diameter 1.50 in Total Dynamic Head 24.48 ft Forcemain Velocity 3.03 ft/sec Dose Tank Information Locking cover with warning 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 vented E — Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer —t 2 in. Capacityl 602.82 Gallons Volume 11.82 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 28.75 339.78 B 2.00 23.64 Pump Pump off elevation (ft) C 8.25 97.56 92.00 D 12.00 141.84 D Total 51.001 602.82 ii Dom se tank elevation (ft) 3" Bedding uncTer tank. 91.00 Alarm Manuafacturer JH Rhombus Alarm Model Number 'SJE 1011421 Pump Manufacturer Zoeller Pump Model Number BN152 Pump Must Deliver 1 29.66 gpm at 24.48 ft TDH Project: Pearson 3- bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name _ Jim Thompso Phone 7151248 -7767 P . - POWTS Regulator's Name I St. Croix Count Deft Phone T71'5) 386 -46801 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years 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 should be flushed and pressure tested every 1.5 years Mound Insp ect for ponding and see age once every 3 years_ 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 .. • • • • 4 3 5 ► • •• • • • • • Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution �g Lateral Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Pearson 3- bedroom residential mound Page 5 of 9 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), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD 10706 -P (N. 01/01)] 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 filter shall be cleaned as necessary to ensure proper operation. The filter 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 filter 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 BOD 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 9 • N • PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEAD/FLOW MODEL 151/1521153 PER MINUTE 14 45 153 EFFLUENT AND DEWATERING 2 40 MODEL 151 152 153 x . 35 \ � 10 152 feat Meters Gal. filers Gal. Liters Gal. Liters v 30 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 T� 0 e 151 15 4.8 38 144 53 201 81 231 T D• 20 6.1 29 110 44 167 52 197 ° g 20 25 7.6 18 61 34 129 42 159 30 9.1 23 87 33 125 4 s 35 1 10.7 — - — 22 85 t0 40 12.2 — -- - — 11 42 \N I Shut -of Head. 30 fl. (9. tm) 38 A. (11.Bm) 44 It. (13.4m) 2 5 01450BB C 10 20 40 80 0 fm 90 1 GALLONS CrRS 0 40 W 110 40 40 24 0 210 ltiD 3110 FLOW PER MINUTE 01450M Model 151 Models 1521153 CONSULT FACTORY FOR O SPECIAL APPLICATIONS 67/32 8iA 1718 45M 3 27r32 45A - • Timed dosing panels available. Electrical alternators, for duplex systems, are available and supplied with an alarm. 3718 327M We able level control switches are available for controlling ® 3 7 8 327 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 FM 1420. Over 130•F. (54'C.) special quotation required. 151/152/153 Series 1111 /16 121/8 151M57J153 YODELS Control selection f f Yodel VdtsPh Mode Amps Simplax Duplex I s,re N151 115 1 Non 6.0 1 2 or 3 ` BN151 115 1 Auto 6.0 Induced 2 or 3 i _ _� _ I E151 230 1 Non 3.2 1 2 or 3 BE751 230 1 Auto 3.2 Included 2 or 3 SK2444 SK2064 N152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 El 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 ncluded 2 or 3 N 153 115 1 Nan 10.5 1 2 or 3 BN153 115 1 Aut0 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 «3 SELECTION GUIDE BE 153 30 1 Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float o CALmON svritch. Refer to FM04T7. A. initaiianon of controls, protection devices and wiring should be done by a qualified 2. See FM0712 for correct model of Electrical Alternator E - Pak. ,-ensee electrician All electrical and safety codes should be followed including the most e.ent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA) 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 SHIP 3 KY Ru Manufactun3rsof. SHIP T0: 3848 Cane ane Run Road Louisville, KY 40211-1961 q �,�, /�uN S ALE /999 (502) 778 -2731 • 1(800) 92&PUA4P y httpYAvww.zooller.com FAX (502) T74 -3824 © Copyright 2004 Zoeller Co. All rights reserved. 2148 I Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of - Division of Safety and Buildings A.C.E. Soil & Site Evaluations in accordance with Comm 85, Wis. Adm. Code 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 parcel I.D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. 030- 2121 60 00 0 Pl ease print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s, 15.04 (1) (m)). Property Owner Property Location Scott & Deborah Pearson Govt. Lot NW 1/4 SE 1/4 S 30 T 30 N R 1 9_ W_ Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# P 0. Box__ 94 _ 6 j The Sanctuary City State Zip Code Phone Number _j City J Village ✓J Town Nearest Road Hallock I MN 56728 1 St.Joseph 1 362 132Nd Ave. V New Construction Use- ✓1 Residential / Number of bedrooms 4 Code derived design flow rate 600 ____GPD Replacement _J Public or commercial - Describe: Parent material _ Glacial TIII _ Flood plain elevation, if applicable N a_____ General comments and recommendations: Site suitable for mound system with >7" of ASTM -C33 sand fill placed on 107.00' contour. a Boring # I Boring 1/ Pit Ground Surface elev. 103.10 ft. Depth to limiting factor 29 " in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' n. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Eff#1 'Eff#2 1 0 -4 10yr3/2-' none sit 2fsbk ds cs 2fm,1c 0.6 0.8 2 4-7 10yr4/4 none sil 1mpl ds cs 2fmc 0.4 0.6 3 7 -15 10yr4/4 none sit 2msbk ds cw 2fmc 0.6� 0.8 4 15 -24 7.5yr4/6 none gr sl 2msbk dsh j cw 1fm 0.6 110 5 24 -29 7.5yr4/6 none gr sl 2msbk dh cw 0.6 1 0 6 29 -42 7.5yr4/4 f2d 7.5yr5/8 gr sl 1 csbk dh - 0.4 T 0.7 -- - 7 _1 - a Boring # J Boring 1/ Pit Ground Surface elev. 103.83 ft. Depth to limiting factor 29 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 -4 10yr3/2 none sil 2fsbk ds cs 2fm,1c 0.6 0.8 - 2 4 10yr4/4 none sil I 2fsbk ds cs, 2fm,1c 0.6 0.8 3 16 -21 j 7.5yr4/4 none sl 2msbk dsh 1 cw 2f,1 me 0.6 1.0 4 21 -29 ! 7.5yr4/4 none gr sl 2msbk dh cw 1 f 0.6 1.0 5 29 -40 ' 7.5yr4/4 f2d 7.5yr5/8 gr sl 1csbk dh j 0.4 0.7 i i Effluent #1 = BOD 30 < 220 mg and TSS >30 < 50 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signat e: CST Number Ja mes K. Thompson --- 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Os ola, WI 54020 9/5/2008 715 - 248 -7767 Property owner Scott & Deborah Pearson Parcel ID # 030- 2121 -60 -000 Page 2 of 3 3 ] F Boring # J Boring { Pit Ground Surface elev. 109.07 ft. Depth to limiting factor 36" 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 -3 10yr3/2 none sil 2fsbk ds cs 2fm,1c 0.6 0.8 2 3 -21 10yr4/4 none gr Is Osg dl Cw 2fmc 0.7 1.6 3 21 -30 7.5yr4/4 none sl 2msbk dsh Cw 1fmc 0.6 1.0 4 30 -36 7.5yr4/4 none gr sl 2msbk dh cw 1vf,f 0.6 1.0 5 36-44 7.5yr4/4 f2d7.5yr5/8 gr sl 1csbk dh - - 0.4 0.7 F Boring # J Boring LJ 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 * 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) A.C.E. Soil & Site Evaluations 5 • Scx/ e da/u o y�D - ��` � z 4•• �`' l B.irl.: Top °F� ♦ E.w:sc�: grn.de e(e� Pikb �� /'Lbor, E!¢v. • /OS.GO \ or � /ous��ec�Piof, 56�+ a l l — Sec T3or. Q i9W T. 0�5E Toscol, \off assc.,icc/ / . 9By 3' � ,4P�rcX. /ocat`,'Gy� I I � ' � � �' • oFP�o�ocsco! ( ° a a be d Hoorn a 10 Q b Q 2148 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings 4bo, dance omm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not l 11 in in si an m st County St. Croix include, but not limited to: vertical and hence poi M), di 'o percent slope, scale or dimemsions, no location and nce t arest ad. Parcel I. . 030 - 2121 - - 000 Please print {� D Revie d By Date Personal information you provide may be u p S(PriyZaw, Property Owner Pr perty Location Scott & Deborah Pearson SFP 9 ZoQB Got. Lot NW 1/4 S 1/4 S 30 T 30 N R 19 W Property Owner's Mailing Address Lo # Block # Subd. Name or CSM# APPICE P.O. Box 94 ST C ir - COUNTY 6 The Sanctuary City State Zip J City J Village e Town Nearest Road Hallock MN 1 567281 St.Joseph 1 362 132Nd Ave. New Construction Use: 16 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD I Replacement J Public or commercial - Describe: Parent material Glacial TIII Flood plain elevation, if applicable Na General comments and recommendations: Site suitable for mound system with >7" of ASTM - C33 sand fill placed on 107.00' contour. Boring # I Boring 0 Pit Ground Surface elev. 103.10 ft. Depth to limiting factor 2911 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 -4 10yr3/2 none sil 2fsbk ds cs 2fm,1c 0.6 0.8 2 4 -7 10yr4/4 none sil 1 mpl ds cs 2fmc 0.4 0.6 3 7 - 10yr4/4 none sil 2msbk ds cw 2fmc 0.6 0.8 4 15 -24 7.5yr4/6 none gr sl 2msbk dish cw 1fm 0.6 1.0 5 24 -29 7.5yr4/6 none gr sl 2msbk dh cw - 0.6 1.0 6 29 7.5yr4/4 f2d 7.5yr5/8 gr sl 1csbk dh - - 0.4 0.7 Boring # I Boring e Pit Ground Surface elev. 103.83 ft. Depth to limiting factor 29" in. Sol 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 1 0-4 10yr3/2 none sil 2fsbk ds cs 2fm,1c 0.6 0.8 2 4 -16 10yr4/4 none sil 2fsbk ds cs 2fm,1c 0.6 0.8 3 16 -21 7.5yr4/4 none sl 2msbk dish ow 2f,1mc 0.6 1.0 4 21 -29 7.5yr4/4 none gr sl 2msbk dh cw 1fm 0.6 1.0 5 29 -40 7.5yr4/4 f2d 7.5yr5/8 gr sl 1 csbk dh - - 0.4 0.7 * Effluent #1 = BOD 30 < 220 mg and TSS >30 < 50 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signat e: CST Number James K. Thompson --- 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osc6ola, WI 54020 9/5/2008 715- 248 -7767 Property Owner SCott & Deborah Pearson Parcel ID # 030 - 2121 -60 -000 Page 2 of 3 3 ] F Boring # Boring lei Pit Ground Surface elev. 109.07 ft. Depth to limiting factor 36" 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 -3 10yr3/2 none sil 2fsbk ds cs 2fm,1c 0.6 0.8 2 3 -21 10yr4/4 none gr Is 0s9 dl cw 2fmc 0.7 1.6 3 21 -30 7.5yr4/4 none sl 2msbk dsh cw lfmc 0.6 1.0 4 30 -36 7.5yr4/4 none gr sl 2msbk dh cw 1vf,f 0.6 1.0 5 36 -44 7.5yr4/4 f2d 7.5yr5/8 gr sl 1csbk dh - - 0.4 0.7 F-1 Boring # J 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 GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef l *Eff#2 F-1 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 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD S.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 (R07 /00) A.C.E. Soil & Site Evaluations i N E (038.(07 • . p /�o /off- /. %� e�,h y a 60/ e da/u ti��� /t• 8.ir1.: Top ° F 145 ♦ e lect �� �\ h��,t � PGbor El¢U : /oS.(oo� � /oca�ec S6wCe ' ro7 co' °7 ioG.tA' Lot G, P/a6ojT.�t �,rcfccai 7 -30d., y To5<,OA, �h2oiK- To of /" ��� \•� (�E;ng3.�loSaves , n �•jOl ,f e E a Cyrsru' � ` � �� ���� _ /o � yG . O' ,4 s s�necd elW! = 7cd. c0: of p �op o 5e4' a 3 berlrC•orn / 7� µ •�! /B. 82' J L c� �t. h c U b �N ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIPP CERTIFICATION FORM Owner /B9yFX Sc.o Mailing Address _ P0. 6 w 9el 7, Property Address 36a. /3Z s (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number (0.30 LEGAL DESCRIPTION Property Location el /a , s6 - '/a , Sec. 3d , T 3( N R 1 9 W, Town of Subdivision — 7 - tc Sar c o y , Lot # ( . Certified Survey Map # 212L , Volume — , Page # _ Warranty Deed # , Volume , Page # Spec house rIS Lot lines identifiable y s SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 §Comm. 83.52(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 Commerce 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. I/we certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms IQLI o8 SIGNATURE APPLICANTS) 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. 08/05) I -f � j - - Tg� F -11 a . , . fi � t Ni T 'H � r� t� d o tn i t rlG: l4 ' p� X ,S f. A � J "� � 3' ' ",�iL d� -.� -, �°rw � :. t � 'S. JC. ' ava � �..ti R�[A ,. f�i �f tVi ��'. .4T f�iC k %7" p i � ' � ' �� � 1 E'57 n k r� -�� t � ,� 11 � � �: � �" �,�-�,,,:�, I i 4 , , ,� �� , �,��,�� I �l I � L, — ... � , .l , , , � }a f" to f ! � L' a 01St a t"! N ` E c �x4 � f ; : } )' I� i7?I+"v df 5 . 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Z C:5 100 3.405 ACRES I � o 0 148,340 S.F. ° u ) S2 � I o � ' S � J \ j 9 U o 6 I ° -6 ui N 89 ' 35" E 418.82 . v I 160.00 . 80A0 o 178.82 _ � • ^_. _ N o f- � i� 2 \ �'° 7 DRAINAGE � ` M '• N EASEMENT to i 3.028 ACRES •o Q �► J 131,881 S.F. � o w 5 I � q Q 3.023 ACRES BM3i. .5 i4 C Z rn 131,697 S.F. 1 Q II I 100 - - - - - - - -- - - - - - -V V/ - - - - - -- - - - - - - - - - - L18 R =80' Ln rn UI �1 NORTH LINE OF THE \3� N SW 1/4 OF THE SE _ 1/4 , 0 / S 6 0 6 X91 04 U-) S 89° 17' 35 W `� 6 �Op� - 3° 00 '' �'' C 19 00, F M _ 335 • ........ � C7 ' C6 1,32f 3.252 ACRES O N • ................... L . 15 ...................• p , 100' 141,658 S.F. _' p 14* DRAINAGE EASEMENT ,) IV0 6 -- :. ... ........ . L1 2..... ..... ....,� 148.85' 418.68 • -� S 89 3 5" W 56 100' 2 3 / / ! IIlI!! Il111 III {! llill !lIII Iflll Iill fIINI Ilfl IIII State Bar of Wisconsin Form 1 -2003 * 8 7 6 0 8 8 1 WARRANTY DEED $760$8 KATHLEEN H. WALSH DocumentNumber Document Name REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED, made between RWP Investments, LLC, a Minnesota limited 06/04/2008 10:45AH liability company WARRANTY DEED EXEMPT t 11 ("Grantor," whether one or more), and Scott L. Pearson and Deborah J. Pearson, REC FEE: 11.00 husband and wife, as survivorship marital property PAGES: 1 ( "Grantee," whether one or more). Grantor for a valuable consideration, conveys to Grantee the following described real Recording Area l estate, together with the rents, profits, fixtures and other appurtenant interests, in Name and Return Address St. Croix County, State of Wisconsin ("Property ") (if more space is Brent R. Johnson needed, please attach addendum): Lommen Abdo Law Firm 400 South Second Street, Suite 210 Lot 6, The Sanctuary, Town of St. Joseph, St. Croix County, Wisconsin. Hudson, WI 54016 030 - 2121 -60 -000 Parcel Identification Number (PIN) This Deed is given in full satisfaction of the Land Contract dated January 29, This is not homestead property. 2007, and recorded February 27, 2007, as Document No. 845510. (* (is not) Grantor warrants that the title to the Property is good, indefeasible, in fee simple and free and clear of encumbrances except: easements, restrictions, and rights -of -way of record, if any. Dated — r �, co NVESTMENT C (SEAL) C�J (SEAL) • - - - - - _ * By: Roger W. Plath (SEAL) - - - -_ - -- ---- N4t8C�1 PIJ: (SEAL) - - -- - State of Wisconsin AUTHENTICATION ACK R iT iS permavWd. Signature(s) STATE OF WISCONSIN ) ) ss. authenticated on ST. CROIX COUNTY) Personally came before me on .� — /LI — 2_00y , " the above -named RWP Investments, LLC, a Minnesota limited TITLE: MEMBER STATE BAR OF WISCONSIN liability company, by Roger W. Plath, its Chief Manager (If not, to me known to the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instru t and ac owledged the same. THIS INSTRUMENT DRAFTED BY: , Brent R. Johnson - Lommen Abdo Law Firm No blic, St of WISCONSIN Hudson, Wisconsin My co ssio i permanent (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 02003 STATE BAR OF WISCONSIN FORM NO. 1-2003 "Type name below signatures. INFO -PRO I Lepai Forms • (800)65552027 . i"foprororms.00m 1 of 1 department of commerce SOIL EVALUATION REPORT Page of -� ID ivision of Safety 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 include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 22 / percent slope, scale or dimensions, north arrow, and location.and distance to nearest road. Please print all . .21 Revi by Date Personal infortn-#4 provide may be used ry (Prfitacy s. 15.04 (1) (m)). L C U Property Owner C * rty Location 1/1 1/4 S T N R/9 ( . PropeityOwnei's Maili Address r ' Z �� - Block # Subd. Name or CSW c City t Zip ?Phone city 11 Village Nea Road i 2!� [M New Construction Use: (B Residential / N r f� Code derived design flow rate w GPD ❑ Replacement ❑ Public cornmerda - Parent material z o Flood Plain elevation If applicable General comments and recommendations: 0 Boring# ° Boring ® pit Ground surface elev. 87 ft. Depth to limiting facto in. Sa"( Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 s 3 Ae Boring # ° 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 GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 3 • EfflWA #1 = BOD > 30 220 mg/L and TSS >3o < 150 mgA Effluent #2 = SOD 1 30 mg/L and TSS 130 mg/L CST Si re CST Number A Date Evaluation Conducted Telephone Number Property Owner Parcel ID # Page of a Boring # C] Boring —</C, t jo Pit Ground surface elev. /O, ft. Depth to Pimiting factor _,_ in. Soil icetion 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 Boring # ❑ Boring ❑ Pit Ground surface eiev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant color Redox Description Texture Stricture Consistence Boundary Roots GPD/fF In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 E Wrlg# Boring ❑ Pit Ground surface elev. R Depth to limiting factor in. Sal Appl ication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fF In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 EfBueM #1 = BOD > 30 S 220 mg& and TSS >30 1150 nV& ' Effluent #2 = BOD < 30 mg/L and TSS 130 nV& 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. seo- aa3rtts�aot . F v v �✓ � � SGT � - - - I ' � I 9� I, r 4-- r i _... _ Parcel #: 030 - 2121 -60 -000 05/14/2007 10:08 AM PAGE 1 OF 1 Alt. Parcel #: 30.30.19.988 030 - TOWN OF SAINT JOSEPH 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 O - PEARSON, SCOTT L & DEBORAH J SCOTT L & DEBORAH J PEARSON PO BOX 94 HALLOCK MN 56728 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 362 132ND AVE SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 3.405 Plat: 2433- SANCTUARY,THE 01 SEC 30 T30N R19W NW SE LOT 6 THE Block/Condo Bldg: LOT 6 SANCTUARY Tract(s): (Sec- Twn -Rng 401/4 1601/4) 30- 30N -19W NW SE Notes: Parcel History: Date Doc # Vol /Page Type 02/27/2007 845510 LC 06/19/2006 827622 WD 03/26/2002 674616 1861/316 ALC 12/27/2001 666683 1802/52 QC more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.405 125,000 0 125,000 NO Totals for 2007: General Property 3.405 125,000 0 125,000 Woodland 0.000 0 0 Totals for 2006: General Property 3.405 125,000 0 125,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 126 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wis, repartment of Commerce SOIL EVALUATION REPORT Page -/— of Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 kiches in size. Plan must krdude. but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and nd distance to nearest road. 6 t� Please paint all 12 Reviewed by Date Personal Wformarion you provide any be used ry • ( Y s. 15.04 (1) (m)). Property owner L11 ur rh► ux adw Lot 1l� " 1/4 S T N R Properly owner's Mati Address ' .9 ZQQ Block # Subd. Name or CSW Tp Phone City Village $Town Nea I/ T IM New Construction Use: (21 Residential/ N Ir Code derived design flow rate - GPD ❑ Replacement ❑ PubGc canrxnercia - Parent material Flood Plain elevation if applicable —ft- General comments / and recommendations: �' � /.�1 k l Boring 17 1 ❑ Ing # Pit Ground surface elev. 9X, 9 7 R Depth to limiting factor _ in. Appl ication Rate Horizon Depth Dominant Color Redox Description Texture structure consistence Boundary Roots GPD/fF In. Munsell Qu. Sz. Cont. Color Gr. Sz- Sk •E(f#1 'Eff#2 .� -� a Boring # ° Boring ® Pit Ground surface elev. 99 , 9"� ft. Depth to limiting factor - in SOfl App aft Rate Horizon Depth Dominant Color Redox Description Texture structure Consistence Boundary Roots GPM in. Munseti Qu. Sz. Coot Color Gr. Sz. Sh. •Etf#1 'Etf#2 3 • EMuqA #1= BOD 3 220 mg& and TSS >30 1 150 not, Effluent #2 = B OD 1 30 mg& and TSS < 30 mglt. CST C i. k: s ` Number Address vate Evaklation tondt xAM TelepWw Numnber C � _