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030-2141-00-030
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 552341 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: Kemp, Todd M. & LOrie St. Joseph, Town of 030-2141-00-030 CST BM Elev: Insp. BM Elev: BM Descn n: Section/Town/Range/Map No: P-0.6) 1 0 6" . [ (i K_~,-- 36.30.19.2080 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Benchmark _ Septic /6 r Ll -71 If y4_1 Dosing A- 00 Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet t,; p Cf t ri'f f St/Ht Outlet TANK SETBACK INFORMATION EE-; 0 ~'7 '-ft. `79 C) TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Ic La- 5 7 Septic Dt Bottom I Dosing ( Head_ er/Man.` , C~ Aeration Dist. Pi Holding Bot. System. C 45, 9 2- Final Grade PUMP/SIPHON INFORMATION V 2 ' Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss Sy Head 7FH . Ft Forcemain Lengtff- Dia. Dist. to Well vA h'Lt t4 SOIL ABSORPTION SYSTEMIQ L;<; (z ~C- s r c>L~~ ~'rzZcr BED/TRENCH Width Length 4 No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS I Z 0 44,1 S 7 , SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM EACHING Manuf INFORMATION CHAMBER O T U f Yp Of System: ' 7 -~.•y~, UNIT Model Number: Z' CSC' ? 7 DISTRIBUTION SYSTEM U a ~f eade ani~ Id ~~4j L - Distribution I Y k / x Hole Size x Hole Spacing Vent to Air Intake Z fi Pipe(s) n\ S c 1 Length 1 Dia_ Length_ Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only I tYes Depth Over Depth Over xx Depth of xx Seeded/Sodded Mulched BedlTrench Center Bed/Trench Edges Topsoil ~ Yes N I)& No ~ 7 N Gc ~r COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 2- Inspection #2: Location: 810 124th Avenue New Richmond WI 54017 NE 1/4 SW 1/4`36 T30N R19 ) talie's idge- Lot 30 Parcel No: 36.30.19.2080 1.) Alt BM Description &k JI("0 2.) Bldg sewer length - amount of cover Plan revision Required? ❑ Yes No Use other side for additional information. Date Insepctor's ignature Cert. No. SBD-6710 (R.3/97) Comm semi Div afety and Buildings Divisi thpartirnWashington Ave., P.O. Box 716 ~ Z0r+ Gadison, W 153707-71 C2 itaryPcrmit Number (to be ft ed in by Co.) ent 5 5 2 Sanitary Permit Application State Transaction Nu fiber In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary .616 purposes ~7J ~~o-- in accordance with the Privacy Law, s. 15.04 I (m), Slats. G 1. Application information - Please Print All I ation Propel Owner's Name ke_ms~') Parcel # l L r , 0304141.-66-630 Property Owner's Mailing Address Property Location / Govt. Lot giv City, S to Zip Code Phone Number ~ Section ~ f ~ p circle on 11. pe of Bu' ding (check all that apply) Lot T N; R E o~ W I or 2 Family Dwelling - Number of Bedrooms _ Subdivision Name 11 B A/af i ❑ Public/Commercial - Describe Use L_a _ ~J~,J El City of El State Owned - Describe Use SM Numbe ❑/Village of L _ 4d Town ofT III. Type of Permit: (Check only one box on li a A. omplete line B if applicable) A. ❑ New 5ystein Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued Q. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner ~ei, eTt_ V. Type of POWTS System/Component/Device: Check all that apply) ` ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain _ ❑ /-Pretreatment Device (explain) V. Dispersal/Treatment Area Information: De i n Flow (gpd) sign Soil Application Rat gpdst) Dispersal Area Required (st) Dispers Area Propose (sf) System Elevation -.5 ~aC~C~ U B$rOv VI. Tank Info Capacity in -Total # of Manufacturer Gallons Gallons knits a o New Tanks Existing Tanks ` d ~ a rLr a U° rn ti rn Septic or Holding Tank Dosing Chamber 1 W VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) P s Sign MP/MPRS Number Business Phone Number ~1i rv~ l i~.r 2e5~et' C~ 4 7/5- ~8 - ~jU4 Plumber's Address (Street, City, State, Zip Code) ' , I /670 /milm) 3 `J UYl W1 z: D VIII. unt /De art nt Use Only Approved ~"Fffe-i` Permit Fee Date I ueIssuing Ag ignature 5 3/Z. iv en Reason for al ` IX. Conditi&r,S,tt*W#easons for Disapproval .3 ~(we l `$eptia tank, effluent fgtar and dis~ can must an ~g ypr m~~p~ - I as per management plan WOVkled by p~uAlbaf, 10 v~S s. AIsr~a•rtt+~tut.~,ttlw>~d Q~f D a. Mbeh to complete p ans or t fie system and submit to the Comity only on paper not less fhan 8 1/2% 11 Inch es`XT size jLe) SBD-(398(R. 01/07) Valid thnt 01/09 i i CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE I ~ Project Name: Owner's Name: 4 ©('°E Owner's Address: z Y±t1 f• y&- le, Legal Description: _-~n✓ / IdL a '130 AJR 1 q Township: County: S~' Ll~c7 r x Subdivision Name: Lot Number: Parcel l'D Number:3C~_jµ~..p ' Page 1 Index and title Page 2 Plat Plan Wage 3 System Sizing & Cross-Section Page 4 Filter Specs { Page 5 Maintenance information Page 6 Management Plan Page 7 St. Croix Cty Septic 7an_k_Maintenan'ce Form Page 8 Warranty Deed _ Page CSM or Plat Attachme`hts: Soil Test & House Plans Designer'/Plumber: -~~Liconse Number: Date: 5 a 1 Phone Number Signature Designed pursuant to the I -Ground Soil Absorption component manual for POWTS Vorsion 2.0 SBD-10705-P (N.01101). Page 1 l i r V 1~3G2G(, a-(~ L 3 T tv\ 'Ro it M e e'sip. r v 4;ceAse qa/4ttJ,~'IEY~D~1~. Vol dv /mar ' a l) ~-4 OP r~ Map 000 A4me.", 1..o'OCoajjon Jiv `A4±h Ave ~~Q o w y aP Pa L6 \1~ a,ti Naas ks >M'° ~ a t~' p Ve 1 V Soil Absorption System Cross Section S e ft - g y, b() ft 4" Schedule 40 Final Grade J PVC Vent Pipe q With Vent Cap Leaching - deft Chamber ~1- System Ele-nation ' ft ft Soil Abson3tion Systenn Flan View iav ft Leaching Trench 1 -3-f Chambers 4" Dia. French 2 Header Vent Or Observation Pipe J ~ 1 ~J111 !_{.1_I.l:l_LLL~~ .1 _ 9St3 LLt:LLtl ~Treneh lea htn Pnambee pecaftcations y Manufacturer And lVtcrclei _ ~NN 1 I IL U") L IL '1 EISA Rating .a sq ft per chamber Soil Application Rate, - gpd'/sq ft (0 b 0- gpd Design Flow -Soil Application Rate + Uy EISA (o0 Chambers 3D Grows of _ chambers each. Page of _ PL ]25 Effxlxv Filter,. Efflueaat Hftei7s Po1.ylok jAc, Pap I of 2 i 1~ e r>, 41re r'1 ~:~r I Polylak inc. 3 Fairfield Blvd, wallingfor gl, r .T 0602 Gall Toll Free; U$,765• gggf~ Falaxt11, pca#ytolt.cam Y°w ara riera~ PrQoraot Details b ~g i I EFF"LUENT'"ILTER Raising the bar in flier techncda i i I Maw pPi: b PL-626 Effluem Filter I' t, Docr9'pflon j Effluent Filters i'olylnk, Inc. is pleased S;o add its new commercial filter In its existing lino of quality efflyent I Wand ~ LokTM fllterw. The PL-525 is rated for' over l 0,0D0 GP0 (Gattans Par Day) making it ~)n* of the I"""" lal,9 "st commercal Ram in its class, It has EM linear feat of V16" filtration slats. Like the lyRISe s ~ Hoer Coves s PQ1y1ok PL-122, the now Polylok Pt,-525 has an automatic shut off ball Installed wlth every filter, When the filter is rr movp-:d fol, cleaning, the hall will flbat up and temporarlly shut off ~ D18trIbu' Ian Box arty; t1le sy4t0m sn the o luent wont leave the tank. No other fifier on the market can make that l~ aaar&aYies Pumps, ftsin;s, Pump Orrferrtg Inform,8ition Cj' Request e Quote Relatmt9 fir d aPw wp systems r I ftfflss, Sari ttaty Tees 1"?afta~ellrars Dated for 1 Chaoo GPo (GAllon Per nay) 1325 linear feet of 1/16,, filtration Fter~ C , Enlarge for rJetatls Accepts 4'1 end 6" SCHD, 40 pipe P Built, in Qaas Defieow • Automatic 9hGrt'off, hall when iiltaf i9 rA oveiri Alarm accessibility I Signs 0 Accepts PVC extension handle 1 Landscape 1()r;ainage The, PL-525 Effluent Fiiter should operato efficiantly far sparal years tanner nor1llal 1 ~ conditions Wore regUirina, cieaninq. It is ree.onirriandAd that the fjitgr be o(Qaned every 1 Form" "tamps' belle the tar% is pun'7ped or at least every three yaar•9. If the iM3TfAllo(I filter contains Qn cI}tlonal alarm, the owner wig lie notified by in alarmm when h4 filter, rry is s ggrvicing, 8 'l Sealants 8enricing should be done by a aertfried saptio tank pumper or installer. concrete Acrosor'lso Maintenance 11141 MCM)ns; ~rvsaala~ Fill-ters 1. Locate the nutlet of the septic tank. Odor crall''61'k1.i prodwt Remove tank cover and pump tank it necc„asary. Rae r~t,+a r1d i[I 3, Do not r~s~a plumbing +Nlten 'falter is rrmc,uerJ, ! ~Ael'Pals 4. Pull PL-525 out al, the housing. _ 5. inNose set off rilter over the septic into ANalcc~ :aura all Salid a fall 4U* into Septic tank. Reber Sstfe~r and 10 C; 5. insert the filter cartridge bsenk id the housing making aura Via filter IS prcperiy aligngd and ~ampletaly in, ei 1er1. 7. Replace S006 tank cover, PL-525 Installation; lqa? 'l for residential and commercial ~laCS0~t<iwre I,~gad~ waste flows up to 10, 000 raiicns per flay (I;PD). " 7"etMP~rlic+et ~aeni44l0 Ifttad Pr'tadu 1. Lrara4w thra nuriQt of the septic tank- i POMP. Filter and $Un R"Ovs tank cr v©r,ano pi,iMp tank if neGt?sa~~oj, 2411 X 12" Char the filter housincj to the 4" or 6" Ur,lllnt pipes, If the filter is not centered iavrdor 1 Filter Fis4arM Papal Mer the access Qpening LisP a Polylnk Fxtono r_c,k~ t an 4. lnserl the 1"1_,525 filter into its housing, or' pl of pipe tb Minter Fm~rcF filter. Control N1tu~~e rir*tsrvlc .tcn`)l9rn~lrtni T11~~ WVW6 01.(17 fil pan l o ~ w ~ ~%u qua LU LW -r: LU P=- 08 fLj C d 9.0 0 pN - '2010 9:12AM fro, 3066 P. 2 --10-m' >p T~ IT! Q 4m cA ~ rv . cn cre r M r ` t ~ ~ Cf~ CAS n F o' r-A N .{a (7 "Q C C QP Z9 nn e ~Ln I w g o - m N-I ~y MA' i u iu iu µn AM St. Croix County Plan/Zoning 715-386-4686 1/2 &'O WTS O WNER'$ (MANUAL & MANAGT PLAN Page FILi" INFORMATION SYSTIWI +91f'I11CIFICaTtOLS Owner Permit re optic Tank e~apaafty t 0U u al Q NA Septic Tank Manufacturer DNA iJ SIQN PAAAME%RS Effluent Filter Manufacturer eb~ j fty&D 13 NA Number of fRadrocros E0 NA Effluent Filter Model A- NO b NA Number of Public Facility Units J'NA Pomp Tank Capacity et NA attmated flow (avarapa) al da Pump Tank Manufacturer NA Design flow (peek), (Estimated x 1,5) Q _ al da Pump Manufacturer NA Solt Appllcatlon Rata al/dav/i Pump Model INA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit !~I Na Irate, Oil & Grasse (11001 :9 mg/i, 13 Sand/Gravel Filter Gl Peat Filter MOchemicel Oxygen Demand (300.9) X220 mg/t, 0 NA Q Meohanlckal Aeration 0 Watlsnd Total Suspender! Sollds IT$$) 4150 mg/L. A Disinfection 0 other. Pretreated Effluent Quality Monthiy average 1\. Dispersal Qa1l(s) NA Biochemical Oxygen Demand (3Qt~a1 430 mg/l- In-around (gravity) Q In-Ground (pressurized) Total Suspended Solids (TSS) 430 mg/i, 0 NA 0 At Grade Q Mound Fecal Coliform (geometric mean) x101 ofu/100ml 0 Drip-Line Q Other-, Maximum Effluent Particle Size in dia, Q NA other' 0 NA Other, 13 NA Other: !w li IAA "Values typloal for domeatio wastewater and septla tank effluent. Other 13 NA MAIVENANLE 80KI MULE service want Service Frequanoy inspect condition of tank(s) At least once every., a erri ar e)(s) (Mlasimum S years) (I NA Pump out contents of tank(s) When combined sludge and scum equals one-third (YA) of tank volume Q NA Inspect dispersal call(s) At least once every; a Ci ear s(s) (Maximum 3 years) 13 NA Olean affluent filter At least once every; e ( - mar 0 NA Inspect pump, Pump cantrols & alarm At least once every! Q year(o) NA Flush laterals and pressure teat At least once every: month(s) Cathars CI cars NA At least once every, A moot (s1 NA Clshar. L7 ear s) NA MAINTENANCE INSTAiUG'TioNS Inspections of ranks and dispersal calls shall bo made by an Individual carrying one of the following bonsen or certifications. Master Plumber: Masser Plumber Restricted Sewer,' PAWTS Inspsotor; PAWTS Maintainar; Septalla Servlatng Operator, Tank inspections must include a visual inspection of the tank(s) to identify any rnfssing or broken hardware, identify any areaks or leaks, measure the volume of combined sludge and scurn and to check far any back up ar pending of affluent on the ground stesoe, The dispersal cell(s) shall be visueliy Inspeated to check the effluent levels in the observation pipes and to shack for any pondinq of effluent on the ground surface. The panding of effluent on the ground surface may Indicate a failing condition and raquiras the Immedlate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals ons~thlyd No) or more of the tank volume, the entire contents of the hank shall be removed by a Saptaga Servicing Operator and disposed of In accordance with chapter NR 113, Wisconsin Adminlatrntnie Code. All other services, Including but not 11mited to the servioing of effluent filters, rn hanloal or pressurised COMPonenta, pretreatment units, and any servtcing at intervals of g12 months, shall be performad by a certifled PAWTS Maintafn8r, A service report shall be provided to the local regulatory authority within 10 days of completion of any service event, OMW 14/09) Nov-11-2010 10.45 APl St Croix County-Plan/Zoning 715-386.4686 2/2 page ar START UP AND OPERATION products or other chemicals For new construction, prior" to use of the POWT a check treatment tank(s) for the presence of painting p that may impede the treatment process and/or damage the dispersal aril(s), if high concentrations are detented have the c~tntenta of the tank(s) removed by a septage servicing operator prior to ers System start up shalt not occur when soil conditions are frown at the Infiltrative surface. tar surface d ghar will of During paver rawtoraa• pump tanks may fill above normal highwater Isvals. Whan power Salt in eithe rad hee'eexcess g Operator Operator prior to restwring e ut»la fent std the dispersal neon l in cne large does, overloading the sell(s) and may rasa fly crating the pump o rector to efflufluent. To o avoid this situation have the contents of the pump tank removed by a Septage mantaai Plumber or PQ1N"ra Maintainer to assist power normal levels wlh4rl p The or contact a pump tank^ Do not drive or park vehicles over tanks and dispersal cells, Ida not drive or park over, or otherwise disturb or earinpact, the area within 15 feat down slope of tiny mound or at-grade sail absorption area, life of the Reduction or elimination of the fallowing from the wastewater stream may improve the performance d presiang disirrf the 11% to; fax; POWTS; antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floes; diapers, foundation drain (aump pump) water; fruit and vegetable peelings; s tamer ine; grans; herbicides; mast scraps; rnadiostlonm; all., painting products; pastioldes sanitary napkins; ABANDONMENT Wiecransi Admhn lstrat1ve Cods-insure that the system Is When the PGVIITS falls dined In oampi an teywithtaken uhapter Comm 8~ 3rfollowing properly and safely abandoned 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 g Saptage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with toil, gravel or another inert solid materiels CONTINGENCY PLAN If the POWTS falls and cannot be rapalred the following measures have been, or must be taken, to provide a coda: compliant ra acomsnt system. A suitable replacement area has been evalosted and may be utilised for the location of a replacement sail sbsdrpt)on system. The replacement area should be protected from disturbance and compsatton and should nut be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new sail and site evzNatinn to establish & suitable replacement area, Replacement systemis must comply with the rules In effect at that time. 13 A suitable replacement area is not available due to setback and/or soil limitations. Scarring advances In POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS, M The site has not been evaluated to Identify a suitable replacement area. Upon failure of the POVVTS a snail and site evaluation must be performed to locate a suitable replacement area. If no replacement ores Is available a holding tank may be Installed as a last restart to replace the railed POWTS, Cl Mound and et-grade sail abscrption systems may be reconstructed in place Foiltavking rdmraval Of the blorllsC at the Infiltrative surface, Reconstructions of such systems must C~amply with the raise cl affect at that l Of < < WARNIiVG> > In time, SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL, GASSES ANIXIOR Il*UFFI01W OXY0+9N. DO NOT XNTER A SEPTIC, PUMP OR OTHER TREATMENT TALK UMBER ANY CIRCUMBTANOR$. DSAT14 MAY RESULT. Ri;SCUR OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL, COM 6 TS POWTS INSTALLER PANTS MAiNTAINIwn Mama Name Phone Phone SEPTAQfi SERWiCiNG QM?t;FtAT1.1R i Pl3R LdCAL A~l3iJLATO 4s , ::ct Tit Name D 2TLQ S Hmo Zv 111' Phone 7 - N as - WAY 3 - ~o aid - This document was drafted In raompliance with Qh4tEsr COMM 83,22(2)(6)(1)(d)&(fl and >L3.54(9), lsJr Wls44nsin AGltftinl9lP@tlVa Cods, ST, CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address t. t6 SYCO Property Address (Verification required from Planning & Zoning Department for new construction.) City/State Parcel Identification Number &-AIAILOC) --C)30 LEGAL DESCRIPTION Property Location AIW 1/4 , _I _ '/4 , Sec. _34_, T _3_0_N RAW, Town of S f- Subdivision Lot # 31. Certified Survey Map # , Volume , Page # Warranty Deed # 9 7~ 41 , Volume , Page # Spec house yes no Lot lines identifiable yes no 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 §Comnn. 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 113 frill of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has beeri 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 a.11 statements o this form are true to the best of nay/our knowledge. 1/we am/are the owner(s) of the property described above, by virtue of a ana.nty deed recorded in Register of Deeds Office. Number of a rooms SIGNATUR OF APPLI A T (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. 08105) 1 1~' I~1 t~u1 ~ 1 ~~►~1 ~liit ~G~t 1 u ~il~l 1 Ill i~~i A !`iflf iEf ii It I t 0 7 n G A r2 1 II nn~ I' - - swit: Dar u wislrugstri Fulfil 1-2003 p j t yq u `4VAR1ZAlr i(X 1JL ED K.A. Il T H1LEE FFN N. I IAL SH , II p. nnc1rmrnt Number II Document Name II Jl . LKUlX 41J WT KtLtiVEU Fok KtLURD 1 no Inc, /nAno 1n_^ Ali V r~CCqul THIS DEED,made h t.:,een Grand Properties, LP, a Wisc"Tisin limited na_rfn, -rchin 1{ ItIA00AAIT f'111R-I I LE. t - Y i whether one or more, 0 611 41F 11 ,ilt) anot Ut]ti ti011t a Otis it f ciat~tt dtiu e cis rcuaiYka, d a~~ SUt'l as w~ni r uaGC~ 11 I HANS I"tt : 882.00 M: L - ("Erar!teQ " whether one or -more). ~r.°1^tn. fns a .ia le,~aMlp rnneillarAtlnn rnnvev5 to rrRrkree the follnWina r1egrribed real 1~ estate, together with the rents, profits, fixtures and other appurtenant interests, in Xf- and Q.o- A.i,t,pce ar i''~~iv o" s to <ttrp ~A tros iccr~r}c~rr e-wren rv ~:ie rn~rrN n,~ `.r Iw needed, please attach addendum): Lot 30, Plat of Natalie's Ridge, Town of St. Joseph, St. Croix County, Wisconsin. 1200 Hosiord Street, State 201 ~I }Inrlcnn Wt 1;4()1f, ~I Files 2699741 t' Parcel Identification Number (PIN) This is not homestead property. s t,. in flee Sierlulc and d'11ce and C1..d, cnw.,..m ~ , iTadCtrG3.SFL utc n. car of f wwtti3runti<CS riiezt: 1 it':ltAttlr w .rrAnfi that thw. % tit, to + the tr'Ci i'TCiV is ?ZSid Easements, restrictions and rights-of-way of record, if any. Dated Ault 1, 2008 _ Grand Properties, LP (SEAL) (SEAL) Iviicnaei iermam, matragmg partner (SEAL) (SEAL) .IU T i'ii vTiir. T a AZ ;N3 ri LZi, r ►lEi T Slenature(sj JANET MG1NAliON ~ t a I: lJt W t3l:llN,~tLV } w~{~7ngV M,IM Ir ) ss. autLctlL aieu wit S St. Croix COUNTY ) t Personally came before me on August, t, 2008 TITLE: MEMBER STATE BAR OF WISCONSIN the above-named _hd4aei Germain managing partner s'° l (]f not, a *nrtr,~a! ~a ie fit. nn n~~ to known yi~e the s (s) who executed the foregoing sirumentt a acicno ect the same. THIS INSTRUMENT DRAFTED BY: s i A `c Vt1200itc;Hosf i.itrue u~cr, Rotary Public, State of Wisconsin ord Street Suite 201 Hudson W11 54016 MV C nmmiaciRn (tc nPrrrtanantl (r=vriFPC `~71 l (Signatures maybe authenticated or acknowledged. Both are not necessary.) a r. .ra rc,:i r..~u .~v.:twl~~i. raiv 4.i :sg`i~l~ir,i£t turves tG..1 t li.l.`Y t~iUY'~;tii uefi.FU P.kY ~5 r. fLl`.fi 1tY.Y I131;IV-.y._iNfp.t3. WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 1.2003 T.rj+-+iui'eC : rl~'•~' Sri:;Sti:4:,~. 1 Of 1 I ST. CROIX COUNTY ZONING OFFICE I CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I. h 1 have inspected the septic tank presently serving the o~~ ~ l.u-rtS 4), residence located at: ~ sec. T 3 N, R LW Sf , Town of ~a County, St Wisconsin. Upon inspection, I certify that I have found the tank and baffles to be in good cond'tio and it appears to be functioning roe Last time serviced ~a p p rly. Did flow back occur from absorption system? Yes No line. (if no, skip next Approximate volume or length of time: P y: gallons minutes Construction: 'Prefab Concrete Steel Manufacturer (if known): Other Age of Tank (if known) : - _~ttiS (Signi rel - (Title) • Please Print (Title) (License Number) (Date Form to be completed b licensed disposer (NR licensed Administrative 6Coaesconsin Statutes) or - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank con certify that the tank, to the best of my knowled a dition, I requirements of ILHR 83, Wis: Adm. Code g will conform to the outlet baffle). (except for inspection opening over Name Signature MP/MPRS a~~ Wisconsin Department of SOIL EVALUIT,J ORT 2283 Page 1 of 3 Division of Safety iq accor nce with Comm 85, Wis. Adm. o I A.C.E. Soil & Site Evaluations r~~ ( Coun Attach oom to site plan on app~~rr nbt It an.8% x 11 ches in size. Plan must St. Croix include, but n limited tq,Cafand ho ' h~ref int (BM), direction and percent slope, ca la or d msions~ej~Qj~afi on and distance to nearest road. Parcel I.D. 0 ~p 30- -00-030 Pl~sre formation. Revi ed B ~ Date Personal infor n qu ql~ v used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). - 301 Property Owner Property Location Todd & Lori Kemp Govt. Lot NW 1/4 SW 1/4 S 36 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 810 124th Ave. 30 na Natalies Ridge City State Zip Code Phone Number _f City _J Village e Town Nearest Road New Richmond WI 54017 (715) 246-0130 St.Joseph 124Th Ave. New Construction Use: 0 Residential / Number of bedrooms 4 Code derived design flow rate 6 GPD Replacement J Public or commercial - Describe: Z~d s y 7 9 3 Parent material Glacial Outwash Flood plain elevation, if applicable na General comments and recommendations: Site suitable for conventional POWTS dispersal cell with 0.5 d/s .ft./day loading rate. Recommended trench elevations to be 88.00'. Boring # -I Boring Pit Ground Surface elev. 95.00 ft. Depth to limiting factor > 125° in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/tt2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 `Eff#2 1 0-6 10yr3/3 none sil 1thinpl mvfr as 2vf,f 0.4 0.6 2 6-24 10yr4/4 none Sid 2fsbk mfr cw 1vf,f 0.4 0.6 3 24-48 10yr4/4 none sl 1msbk mvfr cw 1vf 0.4 0.7 4 48-56 10yr4/4 none Ifs Osg ml cw - 0.5 1.0 5 56-125 10yr5/4 none s Osg dl - - 0.7 1.6 ~i gr S~.Cr`c - -2f-Soil observation from 103" - 125" co pleted by use of hand auger through bottom of soil pit. Boring # J Boring j Pit Ground Surface elev. 93.18 ft. Depth to limiting factor >109" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP5/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 *Eff#2 1 0-15 10yr3/3 none cut & fill 2msbk dsh as 2vf,f 0.0 0.0 2 15-31 10yr4/6 none sic 2msbk mvfi gw 1vf,f 0.2 0.3 3 31-40 10yr4/6 none Ifs Osg ml cw 1vf 0.5 1.0 4 40-46 7.5yr4/6 none Is Osg ml cw - 0.7 1.6 5 46-8 10yr4/6 none ri s Osg dl aw - 0.5 1.0 6 86-109 10yr5/4 n n gr s Osg dl - - 0.7 1.6 Horizon #5 contains 1/2" - 1" bands of 7 t 14" - 30" spacing. Loading rate reflects reduced permiabilty associated with banding. Effluent #1 = BODS> 30 < 220 mg/L a d TSS >30 < 15 mg/L Efflu nt #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature- CST Number James K. Thompson 5 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 4/2/2012 715-248-7767 Property Owner Todd & Lori Kemp Parcel ID # 030-2141-00-030 Page 2 of 3 3 ] Boring # Boring V) Pit Ground Surface elev. 92.06 ft. Depth to limiting factor > 104" in. Soil Application Rate F 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 0-16 10yr3/3 none cut & fill 2msbk dsh as 2vf,f 0.0 0.0 2 16-30 10yr4/4 none sicl 2msbk dh Cw 1 vf,f 0.4 0.6 3 30-38 7.5yr4/6 none Ifs Osg MI Gw 1vf 0.5 1.0 4 38-60 10yr4/6 none strat. s Osg ml Cw - 0.7 1.6 5 60-104 10yr4/6 none gr s Osg dl - - 0.7 1.6 F-I I 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 P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # I 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 P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS -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 (R.07/00) A.C.E. Soil & Site Evaluations moo./ eda/ua.~, -o ' 45V"3 6-"? 9/"a clf ~tt~ /o cue-did(/ 9l0r-pp. S to e 4) ca / x,2283 -70-o& fe 810 i z s/-" /eve. Q Lo ~ 3 o rla~a.I%es Q,'aly c, n cJ`~r.swyy Sec; 36 7-304; ~oc%# o~-,vs~/-oo-300 60i3f 3.ct9/ acres 0 ~llZc- Ca~cr 3 ept~o•+~t' w'~ab¢ / .4-iao 0 ~ ~lpiO~vX c/ear a~;ova~E. EXisti~q - ~ 64r, cd a.lecb^~ti. ~ fiJE •u°.at. VV" ~;d; tea. driveway ~4 r Two(~tI a~ 4;r`BG. f 9.3 A5 us.-v 98/Dcl~~{cs~i Bench : O oyev i - It" /o.,/. e A C.,4 5\0 17 ~99 3 hau c./ed.`-c9b.~6.' 9.z.o' yob /Z1 ~Am. i 0o ti :o* iw o d ~1. V rn lJ ~txOy- • 'i CD 7 5. A W 7 i ` [ 1 O p, 7 C3 y Ul d j N O ^ 0 0) -0 N D 7 Q ? b CCD C (D O 3 41 y , ~c, ° c ° tv I ~ c) zi ~v O m co D a °D CD c I 3 n0 0 c CL m w o D CD m! W r w lei cn Cn c Q z 0 0 ` M . w z h~ 0 C o 3 3 to c4 cn d CD to N vi o o 'w 3 m rn (OO N lD cD z o O Z co Z o CD y y y y ~ ~ C N CD W ~ m a ~i I a ~ 3 7 N D o A Z 0 y a A C o v W m w CA) z CL z CD 0 cc y z CD CD p CA II m~ a v a 3 m e Q z a O) Vl ~ • • li O N 07 0 y ~ I y 3 0 3 < 0 R I < 3 a m O N N O C I , o < Op O w 0 q 0 c a L I o ti I Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 479356 0 GENERA! 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: Grand Properties L.P. St. Joseph, Town of 03 J/ yl- (b-G;,d CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 36.30.19.?a TANK INFORMATION ELEVATION DATA TYPE IANUFACTUREEL MAW CAPACITY STATION BS HI FS ELEV. w ff~F .~y Septic O'tTD Benchmark ~ o . 99•~ CA .O Dosing Alt. BM Aeration Bldg. Sewer t s Holding St/Ht Inlet p O. r UHt Outlet TANK SETBACK INFORMATION StJHt Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 4,D+ > / _ 8 Dt Bottom Dosing IPA Header/Man. Aeration Dist. Pipe L9 CAP./D Holding Bot. System p~`.~ •/s lo.~• /O~ PUMP/SIPHON INFORMATION Final Grade Manufacturer DePlm~and St Cover Model Nu ber . I 1, - J656 TDH Lift ction Loss System Head T Ft [Forcemain eng Dia. Dist. to well Cl L SOIL RPTION SYSTEM l.'JrJ ENCH idth Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIME Z SETBACK SYSTEM TO P/L WELL LAKE/STREAM LEACHING Ma kturer INFORMATION CHAMBER OR Type Of ystem: 29 r '7 UNIT Model Numbe~~ DISTRIBUTION SYSTEM Header/Manifold U Distribution x Hole Size Ix Hole Spacing Vent take Pipe(s) + LDia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over _TT Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges psoil ] Yes No Yes ] No COMMENTS: (I~,clude od dir poies, persons p Sent, etc.) Inspection #1: 0 t 11/Inspection #2: -~'l--` Location: 810 124th Avenue Hudson, WII~44016 (NE 114 SSW 1/4 36 T30N R1 9W) Natalie's Ridge Lot 30 Parcel No: 36.30.19. 1.) Alt BM Description = S.T.Q.~,tR~ . 2.) Bldg sewer length It = Zg W - amount of cover = 3` - - LEI Plan revision Required? trfi" s No Use other side for additionTs ormation. to Insepctor's Signature Cert. No. SBD-6710 (R.3/97) 1347 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 ! Division of Safety and Buildings Tom Schmitt in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8%: x 11 inches in sae. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. Please 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 Grand Properties, LP Govt. Lot NE 1/4 SW 114 S 36 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 30 Natalie's Ridge City State Zip Code Phone Number _f City J Village 1A Town Nearest Road Somerset WI 54025 715-247-5900 St.Joseph Cty. Rd. A Zd New Construction Use: 01 Residential / Number of bedrooms 3 Code derived design flow rate 600 GPD Replacement I Public or commercial - Describe: Parent material Outwash (stream terrace) Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.5 gpd/sgft rate. Possible system elevation for Area 1 is CIO (high trench) 91.60' (low trench) 90.60'. Slope is 3%. S S LC~~ S a Boring # J Boring ~rJ Pit Ground Surface elev. 95.15 ft. Depth to limiting factor 125+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF *Eff#1 *Eff#2 1 0-13 1Oyr3/3 none si 2msbk mfr as 2vf .6 1.0 2 13-27 1Oyr3/4 none sicl 2msbk mfr 9w 1vf .4 .6 3 27-50 10yr5/6 none sit 3msbk mfr 9w .6 .8 4 50-60 1Oyr5/4 none fs Osg ml cs .5 1.0 5 60-125 1Oyr6/4 none s Osg ml .7 1.6 T~ to Boring # Lj Boring 16 Pit Ground Surface elev. 95.15 ft. Depth to limiting factor 115+ in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 1 0-11 1Oyr3/3 none sit 2fsbk mfr as 2vf .6 .8 2 11-18 1Oyr3/4 none sicl 2fsbk mfr 9w 1vf .4 .6 3 18-30 1Oyr4/4 none sicl 2fsbk mfr 9w .4 .6 4 30-48 1Oyr5/6 none sit 3fsbk mfr cs .6 .8 5 48-60 1 Oyr5/4 none Is 1 csbk mfr cs .7 1.6 6 60-115 1Oyr6/4 none cos Osg ml .7 1.6 9 -7z * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS <_0 mg/L CST Name (Please Print) Signal CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 4/20/05 715-247-2941 /d~ vl- Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 3 ] F Boring # J Boring 1+ Pit Ground Surface elev. 93.60 ft. Depth to limiting facto 103+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots `Eff#1 'Eff#2 1 0-15 10yr3/3 none I 2fsbk mfr as 2vf .6 .8 2 15-23 10yr4/6 none I 3msbk mfr 9w 1vf .6 .8 3 23-35 10yr4/4 none sl 2msbk mfr 9w .6 1.0 4 35-48 10yr5/6 none ms Osg ml 9w - .7 1.6 5 48-103 10yr5/4 none grms Osg I .5 1.0 48-961" band of 7.5yr4/4 Ifs (changes rate) 4 ] Boring # Boring Pit Ground Surface elev. 94.91 ft. Depth to limiting factor 115+ in. Soil Applicaton Rate F Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD *Eff#1 *Eff#2 1 0-10 1Oyr3/3 none sil 2fsbk mfr as 2vf .6 .8 2 10-21 10yr4/6 none sicl 3%bk mfr 9w 1vf .4 .6 3 21-40 10yr5/6 none sicl 3msbk mfr 9`H - .4 .6 4 40-53 10yr6/4 none fs Osg ml cs - .5 1.0 5 53-115 10yr5/4 none s Osg ml - .7 1.6 fora a Boring # Boring V Pit Ground Surface elev. 92.16 ft. Depth to limiting factor 120+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0-13 10yr3/3 none sil 2fsbk mfr as 2vf .6 .8 2 13-28 10yr4/6 none sil 2msbk mfr 9w 1vf .6 .8 3 28-37 10yr4/4 none Is 1 csbk mvfr cs .7 1.6 4 37-46 10yr5/6 none ms Osg ml cs - .7 1.6 5 46-120 10yr5/4 none grms Osg ml - - .7 1.6 O9 3~• * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS 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. 1 arc ~ ut J Conducted by. Conducted For: i Schmitt Soil Testing, inc. Name: Grand Properties, LP Thomas J. Schmitt, CST 227429 Address: 712 Rivard Street 1595 72nd St. City, State Zip: Somerset, W1. 54025 New Richmond W1. 54017 :Po J ne47115-- 4 -2941 Subd.Name: Nataiiees Ridge Lot No.. Legal Description: 1114_ .-~,5-" 1/4SG~/ 1/4 S36 T30N R19W Township of St. Joseph, St Coix County ® Soil Boring A Bench Mark EL 100.00' Top of 2" pvc pipe © Alternate Bench Mark EL Y S-j~ Top of 2" vc pipe Slope= Contour Litre EL/ Scale 1"=,W pub qK gat c This soil report was done to fulfill a zoning requirement. It may or may not be in a location suitable for your use. Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 S dr-W MA, 1*1_.Consin Madison' WI nttary etmit Number (to be filled in by Co.) 411. (608) 26 -3151 RECEIV IV 7q Department of Commerce r State Pla I.D. Number Sanitary Permit App ' ion ~L p~ In accord with Comm 83.21, Wis. Adm. Code, personal inf tfd y prov may be used for secondary purposes Privacy Law, 5b4(X Project A ress (if different than mailing address) CROOX 1. Application Information - Please Print All Information It4G .r, $ ~tJ /2-4 4- Ace- Property Owner's Name 00 Parcel # Lot a30 Block Property Owner's Mailing Address Property Loeat n NF_ ,SLY., section :3 6 City, State Zip Code Phone Number (circle o T 530 N; R~_E o II. Type of Building (check all that apply) OA ~S ~r. svt Subdivision Name CSM Number I or 2 Family Dw^Iling - Number of Bedrooms ❑ Public/Commercial - Describe Use 0=.e- C, IVA TA LZiES \ _ - A n 6-7 11 State Owned - Describe Use Z t nrA_ Ce V-1 w r +4,114 415 G vN ] []City-[]Village WTownship of Tre &W-19 III. Type of Permit: (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 B List Previous Permit Number and Date Issued ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber Owner ti IV. Type of POWTS System: Check all that apply) Non -Pressurized In-Ground ❑ Mound ? 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At-Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In-Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculatin Sand Fi ter t Recirculating Synthetic Media Filter ®Leaching Chamber El Drip Line ❑ Gravel-less Pipe ❑ Other (explain) V. Dis ersaLfrreatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation d 9140 9D 46 10 Vt. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing 71 /I ~I Tanks Tanks Lcai:atl~. Septic or Holding Tank 13610 Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) P 's Signature MP Number Business Phone Number DturAUIAt _ xz17y3 Plumber's Address ( trees, City, State, Zip Code) VIII. C unt v/De artment Ufse Only Approved ❑ isa'plslore Sanitary Permit Fee (includes Groundwater Date ssued Issuing g t Signatur o in s) Surcharge Fee) b'b .,M o Z J~ lJ I~ V ❑ wrier n Reason PeEtial 0Ljok_Q~ mgr~~I IX. Conditions of Approval/Reasons for Disapproval 6' L, n m owmR: oftwlt fN er and T ~a w.,P- aLjv\-Q . diripafaal 000 MUM all be ser0ces / maintained M Paf flta1,MPMent plan provided by plumber. a 1: AN aatbaok raquiremants must be maintained 0 PMf appfk;" code / ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/1 x 11 inches in size SBD-6398 (R. 01/03) y U€ ~ - P ~'T ~iv5~oFci ~a,v f✓//!~-S a/sS' 3.SS /113 "fit-- LOGU ~liQG® j-f/'~N 1/ 6~ S~sr~r EG S y5iG`i`7 EL. s6 PROPC ppapos~n i3 i~:D r lOD4t Sr T. f32 3r 133 9,~ ~ N~uSL 0 a~ N t ~ AF f3v24ir z'o1 3o /✓fl Ti_ 41,E5 Ri.o~c RpAiJ COPY rJag cvlN c- Aa /t ~-as j o ys~ ~,SS - - - - - - k3°' "Loci fd60 `,~f~~N i,7/. 60 _ sYrrM rt. sys:~i~ ' pROposro pn P r how 5X ~46cS,{. I 13,2. 1 l -3 93.i ! I 1 ~z00 - - - 3 T I 1 Q~ ~ I I I I I I II I i 111 i I I I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ~r fiA/V/) , Mailing Address 74a Nt'y a 2 a Sly Sd/7L Al S1ox S F Property Address (Verification required from Planning Department for new construction) City/State UD.toiv Parcel Identification Number. LEGAL DESCRIPTION Property Location ,JVIU V4, 2W_ Sec. 36 , T 2() N-R _W, Town of Subdivision &Au L las l1 r'o, -'4 . Lot # 3 t Certified Survey Map # . , Volume, Page # Warranty Deed # 2!2 6 go Y , Volume ool.2 , Page # 6/e - Spec house ® yes ❑ no Lot lines identifiable ® yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, joumeymanplumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. - -21,9710- DATE SIGNATURE OF APPLICANT ~ c Any information that is mis-represented ma result in the sanitary permit being revoked by thagZoning Department. Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of F&E INFORMATION- SYSTEM SPECIFICATIONS Owsw Grand Pro eriies L.P. Septic Tank Capacity 1000 al DNA Pecsnit Septic Tank Manufacturer Week' s • C . P . ❑ NA, ;PP DESIGN PARAMETERS Effluent Filter Manufacturer Zabel D NA Numtier of (9adr100ms 3 ❑ NA Effluent Filter Model A-100• ' Number of Public Facility Units IR NA Pump Tank Capacity al 0INA Estimated flow (average) allda Pump Tank Manufacturer t NA 300 g Design flow (peak), (Estimated x 1.5) al/day' Pump Manufacturer ■ NA 450 -S Soll Application Rate Q'. 6 al/da /ft= Pump Model a NQ. Standard Influent/Effluent Quality Monthly average- Pretreatment Unit 0 NA ro Fats, Oil b Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter _ I3 ochamkal Oxygen Demand (BODJ 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/l. ❑ Disinfection ❑ Other: Prqtreated Effluent Quality . Monthly average Dispersal Cell(s) ❑ NA Blocheml'cal Oxygen Demand lBODal 530 mg/L• m In-Ground (gravity) In-Ground (pressurized) Total Suspended Solids (TSS) S30 mg/L E NA ❑ At-Grade ❑ Mound Fecal Collform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size )e In dia. rte ❑ NA Other: O NA Other: ❑ NA Other: •D NA •Vatuss typical tot dorrwstic wastewatei and septic tank effluent. Other. ❑ NA . MAINTENANCE SCHEDULE Service Event Service Frequency i ~ • Inspect condition of tank(s) At least once every: ❑ month(s) 3 M ear(s) (Maximum 3 years) ❑ NA. s` Pump out contents of tank( s) When combined sludge and' scum equals one-third (Y) of tank volume q NA; g Inspect dispersal cell(s) At least once every: ❑ month(s) 3 ® ear(s) (Maximum 3 years) NA. l.. Clean effluent filter At least once every: ❑ month(s) i 1. 10 year(s) s Inspect pump, pump- controls & alarm At least once every: ❑ ear(s) '13 month(s) Flush laterals and pressure test At least once every: ❑ ear(s) Caw.., ❑ month(s) * At least once every: ❑ ear(s) p'A= Other: ❑ 1JA= i MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be' made by an individual carrying one of the following licenses or •ceWrtl(lcatlons- Master Plumber; Master Plumber Restricted Sewer, POWTS Inspector; POWTS Maintainer; Saptage Servicing .Operator. x~TaF~ " Inspections must Include s visual Inspection of the tank(s) to identify any missing or broken hardware, Identify •any:.cracM or:.leaks; measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surrfage. The dispersal call(s) shaU be visually inspected to check the effluent levels In the observation pipes and to check for any..po_d of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a falling condition and raqulicWthe Immediate notification of the local regulatory authority. When the combined accumulation. of sludge and scum in any tank equals one-third (Y,) or more of the tank volume,'the.;gn~tko contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter. NR;.,-1 13; Wisconsin Admh4stradva Code. Ali other services, Including but not Umited to the servicing of effluent filters; mechanical or pressurized components, .pretreatment. units,,and any servicing at intervals-of 512 months, shallbe performed by a certified POWTS Maintainer. , t> A service report shall be provided to the local regulatory authority within 10 days of completion of- any service event. Page of • START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede tfte treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator pro use. System start up shill not occur wh6n soli conditions ar frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) In one large dose, overloading the cell(s) and may'result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do-not drive or park over, or otherwise disturb or compact, the area within 16 feet down slope of any mound or at-grado soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: e All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. e The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. rr e After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or-must be taken, to provide a code compliant replacement system: ■ A suitable replacement area has been. evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement, area will result In the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. _ 0 A suitable replacement area is not available due to ' setback and/or soil limitations. Barring advances in POWTS' technology a holding tank may be Installed as a last resort to replace the failed POWTS. E3The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank'.,.. may be Installed as a last resort to replace the failed POWTS. O Mound and at-grade soil absorption systems may be reconstructed in place following removal of the b(omat at the... Infiltrative surface. RdWnstr=101713 of such systems must comply with the rules in effect at that time. <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT . ENTER A SEPTIC, PUMP CR 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 r: POWTS INSTALLER POWTS MAINTAINER Name' Schttfiltt Name owners choice Jobn- Phone Phone - j. SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name ownerst!hoice Name St. Croix Ct Zoning Phone 715 386-4680 Phone This document was drafted In compliance with chapter Comm 83.22(2)(b)(1)(d)&(4 and 83.64(1), (2) & (3), Wisconsin Administrative Code. r 1347 DepartmentofCo rceAPR 21~ 2005 S IL EVALUATION REPORT Wisopnsin Page 1 of 3 Division of Safety and Buildi s ST. cr wit Comm 85, Wis. A Code Tom Schmitt dar~e Attach complete site pla on ' 41 e. Ptfi s Coup St. Croix include, but not limited to: vertical and horizontal referenr poi '{BIN), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel L D. Please 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 J Grand Properties, LP Govt. Lot NE 1/4 SW 19 36 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 30 Natalie's Ridge City State Zip Code Phone Number City Village Town Nearest Road Somerset WI 54025 715-247-5900 St.Joseph Cty. Rd. A New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material Clutwash (stream terrace) Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.5 gpd/sgft rate. Possible system elevation for Area 1 is (high trench) 91.60' (low trench) 90.60'. Slope is 3%. ❑ Boring # Boring Pit Ground Surface elev. 95.15 ft. Depth to limiting factor 125+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF *Eff#1 *Eff#2 1 0-13 1Oyr3/3 none sl 2msbk mfr as 2vf .6 1.0 2 13-27 1Oyr3/4 none sic[ 2msbk mfr gw 1vf .4 .6 3 27-50 1Oyr5/6 none sil 3msbk mfr 9w .6 .8 4 50-60 1Oyr5/4 none fs Osg ml cs .5 1.0 5 60-125 1Oyr6/4 none s Osg ml - .7 1.6 D~ Boring # Boring Pit Z,-*" Ground Surface elev. 95.15 ft. Depth to limiting factor 115+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM *Eff#1 *E 2 1 0-11 1Oyr3/3 none sil 2fsbk mfr as 2vf .6 .8 2 11-18 1Oyr3/4 none sicl 2fsbk mfr 9w 1vf .4 .6 3 18-30 1 Oyr4/4 none sicl 2fsbk mfr 9w .4 .6 q0 < <P 4 30-48 1Oyr5/6 none sil 3fsbk mfr cs - .6 .8 5 48-60 1 Oyr5/4 none is 1 csbk mfr cs - .7 1.6 6 60-115 10yr6/4 none cos Osg ml .7 1.6 * Effluent #1 = B D < 0 ? 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) Sionature: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 4/20/05 715-247-2941 f Property owner Grand Properties, LP Parcel ID # Page 2 of 3 F3] Boring # Borin P; Ground Surface elev. 93.60 ft. Depth to limiting factor 103+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 "Eff#2 1 0-15 1Oyr3/3 none I 2fsbk mfr as 2vf .6 .8 2 15-23 1Oyr4/6 none I 3msbk mfr 9w 1vf .6 .8 3 23-35 1Oyr4/4 none sl 2msbk mfr 9w .6 1.0 4 35-48 1Oyr5/6 none ms Osg ml gw - .7 1.6 5 48-103 1Oyr5/4 none firms Osg ml - .5 1.0 qo, 48-961" band of 7.5yr4/4Its (changes rate) 4 ] Boring # Borin Pit Ground Surface elev. 94.91 ft. Depth to limiting factor 115+ in. Soil Application Rate F Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 'Eff#2 1 0-10 1Oyr3/3 none sil 2%bk mfr as 2vf .6 .8 2 10-21 1Oyr4/6 none sicl 3fsbk mfr gw 1vf .4 .6 3 21-40 1Oyr5/6 none sicl 3msbk mfr gw .4 .6 4 40-53 1Oyr6/4 none fs Osg ml cs .5 1.0 5 53-115 1Oyr5/4 none s Osg ml 7 1.6 5 ❑ 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 PD 'Eff#1 'Eff#2 * Effluent #1 = BOD s> 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD5 <30 mg/L and TSS <-0 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. Page 3 of 3 Conducted by: Conducted For: Schmitt Soil Testing, inc. Name: Grand Properties, LP Thomas J. Schmitt, CST 227429 Address: 712 Rivard Street 1595 72nd St. City, State, Zip: Somerset, W1.54025 New Richmond, W1.54017 Phone: 715-247-2941 Subd.Name: Natalies Ridge Lot No.: - ?C9 Legal Description: 44fi/45'C~ 1/4 S36 T30N R19W Y_o26 4 Township of St. Joseph, St Coix County ® Soil Boring A Bench Mark El. 100.00' Top of 2" pvc pipe Alternate Bench Mark EL YY-S-4 Top of 2" pvc pipe Slope +A_ Contour Line EL y~ ti Scale V= 40'x° qK a ~ a ELK This soil report was done to fulfill a zoning requirement. it may or may not be in a location suitable for your use. I I I r I I I M I I o H.W.L.=918. I A w T3 . . J 918 _ 339.6 \ L.A.- 916.5 x 914,4 01 A 913.3 / 12.17 C.) 3.0 916.5/ / • ' .W.L.=9 / • 91 1 x T LOT 26 3.000 AC. / . 914,6 x (2.74 AC.) 4 / X L.B.O. 915.5 / U 2 8 1 2 P 6 1 8 79644 II KATHLEEN H. WALSH DOCUMENT NO. (I STATE BAR OF WISCONSIN FORM1 -1 99811 REGISTER OF DEEDS 1. ST. CROIX CO-, WI !y WARRANTY DEED RECEIVED FOR RECORD I!t 06/01/2005 11:40AN This•-Deed_.m4.i -bettKeen_.Ray.._a__.Hrrawn__and------------------- WARRANTY DEED ~X arzax~__.7___Rz o3ari.husband. and--s~zi£~YGsasftoss EXEMPT # I REC FEE: 13.00 and Grand__P_roper&;L-as,_L.V i TRANS FEE: 5445.00 Gram-tee...................................... 11 COPY FEE: FEE: PAGES: 2 I the following described real estate in S_t-._.Cr-ai x__________________________ County, State of Wisconsin: wsruwN ro See Attached Exhibit A Tax Parcel No Q.:: 0 3~ c~'A -~i~-CQo 05c, --4:;0t3_ Together with all appurtenant rights,title and interest. Grantor warrants that the Title to the Property is good, indefeasible in fee simple and free and clear of encumbrances I This ng.t............ homestead property. (ia) (is not) Dated this ................3.1. t....... day of M4'y.............-..........------.............. 1920-.5 (SEAL)'S~!~1r1--._:7.!~?!fYSr ................(SEAL) + , Ray.. G.... B .4.W (SEAL) - ......r_.si~-~ ° ..........(SEAL) ' _F+~eax>Axe_.,T__.Hro~wn......................._ AUTHENTICATION ACHNOWLDDGMENT Signature(s) (.V.CrM...--•_-. STATE OF WISCONSIN ~ ~r ~ \ ~ as. ) CO~ S ___JCr1aiX--------------County. authenticated this day ot..4.... 5.._, 19______ RPersonally came before me this . ..3..1 st•-__.day of e O Nay-............................... 1920-_5the above named ~3 `No--------------------- . ..__~.Y.__~..__.~x•aidlx..axavd._Elsanaze..J i ..Br.alwia husbamc1..an.d...wi&e....................... TITLE: MEMBER STATE BAIT OF WISCONSIN (If not- utee authorized by § 706.06, Wis. State.) . to me own to be et perso rso who executed the foreg trume an e e ie same. THIS INSTRUMENT WAS DRAFTED BY r?;axq ..A.....Erinksnn.................................. Erickson and Schuller LLC t .......................t.......-•-•-•----_..... Notary Public _ .t i./ v..................... county, Wis. (Siunaturoa may be authenticated or acknowledged. Both My Commies on is permanent. (If not, state expiration are not necessary.) date: - Exhibit A U 2812 P 619 . A parcel of land located in the SW 1/4 of the NW 1/4, the SE 1/4 of the NW 1/4, the NW i/4 of the SW 1/4 and the NE 1/4 of the SW 1/4, all in Section 36, Township 30 North, Range 19 West, Town of St. Joseph, St. Croix Coumy, Wisconsin, described as follows: Commencing at the West Quarter corner of said Section 36; thence along the west line of said NW 1/4 of the SW 1/4 South W degrees 47 minutes 44 seconds East a distance of 454.21 feet to the point of beginning, thence continuing along said wost line South 00 degrees 47 minutes 44 seconds East a distance of 874.58 feet to the Southwest corner of said NW 1/4of the SW 1/4; thence along the south lime of said NW 1 4 of the SW 1 4 North 89 degrees 37 minutes 16 seconds Fast a distance of 100.74 feet to the centerline of Co my Trunk Highway "A", being a 1041.74 foot radius curve, concave southeasterly, with a central angle of 33 de 24 minutes 44 seconds, a chord that bears North 43 degrees 07 minutes 11 seconds East and measures 598.92 feet; thence northeasterly along the arc of said curve and centerline a distance of 607.49 feet to the point of tangency; thence along said centerline Nortb 59 degrees 49 minutes 33 seconds But a distance of 432.98 feet to the point of curvature of a 1145.92 foot radius curve, concave southeasterly, with a central angle of 14 degrees 16 minutes 46 seconds, a chord that bears North 66 degrees 57 minutes 56 seconds East and measures 284.85 feet; thence northeasterly along the arc of said curve and centerline a distance of 28559 feet to the point of tangency, thence along said centerline North 74 degrees 06 minutes 19 seconds East a distance of 408.25 feet to the point of curvature of a 572958 foot radius curve, concave southerly, with a central angle of 05 degrees 06 minutes 58 scconda, a chord that bears North 76 degrees 39 minutes 48 seconds Fast and measures 511.44 feet; thence easterly along the arc of said auve andeenterline a distance of 511.61 feet to the point of tangency; thence along said centerline North 79 degrees 13 minutes 17 seconds East a distance of 461.97 feet to the point of curvature of a 881.47 foot radius curve, concave northerly, with a central angle of 09 degrees 50 minutes 52 seconds, a chord that bears North 74 degrees 17 minutes 51 seconds East and measures 15131 feet; thence easterly along the arc of said curve and centerline a distance of 15150 feet to the east line of said NE 1/4 of the SW 1/4; thence along last said lime and the east line of said 51=1/4 of the NW 1/4 North 00 degrees 19 minutes 19 seconds West a distance of 1527.26 feet to the northeast corner of said SE 1/4 of the NW 1/4• thence along the north line of said SE 1/4 of the NW 1/4 and the SW 1/4 of the NW 114 North 8O degrees 51 minutes 08 seconds West a distance of 264199 feet to the northwest corner of said SW 1/4 of the NW 114; thence along the west line of said SW 1/4 of the NW 1/4 South 00 degrees 06 minutes 20 seconds West a distance of 91235 feet; thence South 89 degrees 58 minutes 39 seconds East a distance of 439.19 feet; thence South 00 degrees 03 minutes 30 seconds West a distance of 51531 feet; thence South 50 degrees 36 minutes 55 seconds West a distance of 560.70 feet to the point of beginning. Abstract. o.o. a/aa 1347 Wi sconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt County Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. Please 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 Grand Properties, LP Govt. Lot NE 114 SW 1/4 S 36 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 30 Natalie's Ridge City State Zip Code Phone Number City Village Town Nearest Road Somerset I WI 54025 715-247-5900 St.Joseph Cty. Rd. A New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 600 GPO Replacement Public or commercial - Describe: Parent material Outwash (stream terrace) Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.5 gpd/sgft rate. Possible system elevation for Area 1 is (high trench) 91.60' (low trench) 90.60'. Slope is 3%. ❑ Boring # Boring Pit Ground Surface elev. 95.15 ft. Depth to limiting factor 125+ in. Soil Application Rate Horizon I Depth Dominant Color Redox Description Texture Structure Consistence I Boundary I Roots GPD/ft2 f -Eff#1 'Eff#2 1 0-13 10yr3/3 none sl 2msbk I mfr as j2vf .6 1.0 2 13-27 1Oyr3/4 none sicl 2msbk mfr gw .4 .6. 3 27-50 1Oyr5/6 none sil 3msbk mfr gw 6 8 4 50-60 1Oyr5/4 none fs Osg ml cs - .5 1.0 5 60-125 1Oyr6/4 none s Osg ml - .7 1.6 r I a Boring # Boring 1 Pit Z,.,/ Ground Surface elev. 95.15 ft. Depth to limiting factor 115+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' I 'Eff#1 'Eff#2 1 0-11 10yr3/3 none sil 2fsbk mfr as 2vf .6 8 I F 2 11-18 1Oyr3/4 none sicl 2fsbk mfr gw 1vf .4 .6 3 18-30 10yr4/4 none sicl 2fsbk mfr gw - .4 .6 4 30-48 10yr5/6 none sil 3fsbk mfr cs - .6 .8 5 48-60 1 Oyr5/4 none Is 1 csbk mfr cs 7 1.6 6 60-115 1Oyr6/4 none t cos Osg ml --0 .7 1.6 I 'IN * Effluent #1 BOD 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD,5 30 mg/L and TSS <_30 mg/L CST Name (Please Print) nature: CST Number Thomas J. Schmitt 227429 , Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 420/05 715-247-2941 } Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 4(i 3 I Boring # Boring, II II Pitt/ Ground Surface elev. 93.60 ft. Depth to limiting factor 103+ in. Sal Application Rate Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundar/ i Roots 2 'Eff#1 'Eff#2 1 0-15 1Oyr3/3 none I 2fsbk mfr as 2vf .6 .8 2 15-23 1Oyr4/6 none I 3msbk mfr gw 1vf .6 j .8 3 23-35 1Oyr4/4 none sl 2msbk mfr gw ! 6 1.0 4 35-48 1Oyr5/6 none ms Osg ml gw i .7 1.6 i 5 48-103 1Oyr5/4 none grms Osg ml 5 1.0 I ~ I 48-96 1" band of 7.5yr4/4 Ifs (changes rate) 4 ] Boring # Borin F Pit' Ground Surface elev. 94.91 ft. Depth to limiting factor 115+ in. Soil Application Rate Horizon Depth Dominant Color I Redox Description I Texture Structure Consistence Boundary Roots GPD/ft2 'Eff#1 'Eff#2 1 0-10 1Oyr3/3 none sil 2fsbk mfr as 2vf .6 .8 2 10-21 1Oyr4/6 none sicl 3fsbk mfr gw 1vf .4 .6 3 21-40 1Oyr5/6 none sicl 3msbk mfr I gw .4 .6 4 40-53 1Oyr6/4 none fs Osg ml cs .5 1.0 5 53-115 1Oyr5/4 none S Osg ml I .7 1.6 I ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth I Dominant Color Redox Description Texture Structure Consistence I Boundary Roots 'Eff#1 'Eff#2 e' 1,1 t i! r i t ' Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 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. _ I. . Page 3 of 3 _CPnducted by: _ Conducted For: Schmitt Soil Testing, Inc. Name - - - Grand Properties, LP Thomas I Schmitt, CST 227429 Address: 712 Rivard Street 1595 72nd St. City, State, Zip: Somerset, Wl. 54025 New Richmond, WI. 54017 Phone: 715-247-2941 Subd.Name: Natalies Ridge ` Lot No.: OS Legal Description: /43't 1/ 1/4 S36 T3 ON R19W y ~ - Soil Boring Township of St. Joseph, St Coix County f~ A Bench Mark El. 100.00' Top of 2" pvc pipe jL Alternate Bench Mark El. yS%S Top of 2" pvc pipe Slope= Contour Line El. Scale 1" = 40' ~b - r__ w - - - - - - I -This soil report was done to fulfill a zoning requirement. -it may or may not be in a location suitable for-your use. Y } c#)I r i I I cl H.W.L.=918. ' T 3 B. .0 2 . .s 918 ).6 _ .j . ~ f L.B.O.= 916.5 i x 914.4 01 A 913.3 17 C.) 916.5 / =9 A .W.L. i 91 x "ol ilk L°OT<2 914.6 3.000 AC. • (2.T4 =AC.) L.B 0.= :915.5 x ~ - Lug Jessie Nye Subject: Schmidt / Grand Properties, Lot 30, Natalies Ridge, 479356 Location: St. Joseph Start: Wed 10/19/2005 11:00 AM End: Wed 10/19/2005 12:00 PM Recurrence: (none) Meeting Status: Meeting organizer 810 124th Avenue 36.30.19 i