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HomeMy WebLinkAbout030-2149-09-000 Wiscon'llPepartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix s afe ty ar Building Division INSPECTION REPORT Sanitary Permit No: 515234 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: Pelland, Mark & Melissa I St. Joseph, Town of 030- 2149 -09 -000 CST SM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: yvi ( 36.30.20.3034 TANK INFORMATION ELEVA ION DATA TYPE MANUFACTURER „ CAPACITY STATION BS HI FS ELEV. Septic 3 Benchmark j�.,t 1 5z Alt. QM Aeration Bldg. � � Sewer S. 7.as Holding SVHt Inlet / I TANK SETBACK INFORMATION SVHt Outlet /1 3 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet �\ 16o '>A S Septic o7 I 60 / /� / Dt Bottom Dosing Header /Man. IZ.IoS Aeration Dist. Pipe —7! ­ol Holding Bot. System 13. 13,E Final Grade / PUMP /SIPHON INFORMATION Manufacturer Demand St Cove tt ` GPM �'t C aJ CO• 1 /o�� Model Num TDH Lift Friction Loss System He T Ft Forcemain T ngt 1 ia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth ,j DIMENSIONS 3 / Z � �` �� SETBACK SYSTEM TO Co P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type Of System: / CHA CHAMBER OR �'✓� �� GA0 166 Model Number: J ; DISTRIBUTION SYSTEM / L � 60 •f -- /Co Header /Manifold ,/ Distribution x Hole Size x Hole Spacing Vent to Air intake Pipe(s) \ �� Length Dia Length Dia spacing SOIL COVER x Pressur Systems Only xx Mound Or At -Grade Systems Only Depth Over ! Depth Over xx Depth of xx Seeded /S !Ly-s xx Mulched Bed/Trench Center Bed/Trench Edges � Topsoil \, g] No yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: 1 1 Location: 243 124th Ave Hudson, WI 5401 (NE 1/4 SW 114 36 T30N R20W) Seven Oaks Lot Parcel No: 36.30.20.3034 1.) Alt BM Description 2.) Bldg sewer length = - amount of cover = / Plan revision Required? Yes No F 4 3 Use other side for additional information. Date Insepctor's nature Cert. No. SBD -6710 (R.3/97) 1, comrnerce.wl.gov Safety and Buildings Division County 201 W. Washington Ave,, P.O. Box 7162 scan s' n Madison, WI 53707 -7162 Sanitary Permit Number (t be filled in by Co.) I ttlepartmem of Comimerce •� �SZ3 !� Sanitary Permit Application ,J State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adro, Code, submission of this form to the ap ropria o mental unit is required prior to obtaining a sanitary permit. Note: Application forms for stet wned S e Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may for s p urposes in accordance with the Privacy Law, s. 15.04 I m , Stats. & 0 A � /�� I. Application Information - -Please P ' II Information N G Property Owner's Name � Parcel # � Property Owner's Mailing Address 1 A Property Location � 36 `� L3 G� T ,°� ' • / /J �' t Z Govt. Lot �+ ' City, State Zip Code / �J)one Number _ �/- !fi J y,, Section J� w < O�� N `tZQ w ry / r (circle one),,, H. Type of Building (check all that apply) Lo T 2 N; R o` Eor ❑ 1 or 2 Family Dwelling — Number of Bedrooms Subdivision Name tJ1 El Public /Commercia l - Describe Use Bloc t u �.� 4 1l .S' 1 Ms ❑ City of ❑ State Owned — Describe Use CSM Number ❑ Village of MTown of III. Type of Permit: (Check( one box on line A. Complete line B if applicable) A. 19 New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal <ermit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. TylLe of POWTS S stem/Com onent/Device: Check all that appl No n-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) tment Device (explain) V. Disp ersal/Treatment Area Information: 7.ts y9 C Design Flow (gpd) Design Soil Application Ratejgpdst) sal Area Prop d System Elevation LSD , 7 ./ G'y3 6 !i yjQ& / o. � 4 VI. Tank Info Capacity in f Manufacturer Gallons i o New Tanks Existing Tanks n !mo �✓ D 1 Dk 5Z5 a U ro C7 a Septic or Holding Tank Dosing Chamber VII. Responsibility Statement 1 , the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Pl Signature P RS Number Business Phone Number ,` lt' a •s'e�i�yn�Lk� G�/ 0?7 9 7 -3l� r Plumber's Address (Street, City, State, Zip Code) o c P/ KG e VIII. Cot! n /De artment Ilse Onl Approved ❑Disapprove Permit Fee Date I sued Issuing t S / ignet e teen Reason enial IX. Con fWasons for Disapproval 1. Septic tank, effluent filter and Gt/. 5t ��� I - 4 j +e 64 dispersal cell must all be servtces / maintained as per management plan provided by plumber. 2. All setback requirements must be nu Attach to complete plans for the system and submit to the County only on paper not less than a 1/2 x l l inches in size SBD -6398 (R. 02109) Valid duu 02/11 ma �e / /air rl ,C s� � .fie /r � .� /��.�ls' �7 - d ��P� J� ��" �' � oy .�d�/ 1' �U /DDS �� � s �- , y r i � �� s � �- � � W `� A � � ° o r N' � l32 �� ��,E � � � �. r � 1 �� %� � H ��a �` ��- _. __ �p�� - - �Eyk �e /ld�rr �.G a Se U e ✓ /J� 1ls' 7T �d �tiP� J� �: S 0 �e-f�5 n Q� �N 4&, Ore- 43 or d ► 2208 j SOIL EVALUATION REPORT Wisconsin Department of Commerce Page 1 of 3 Division of Safety and Buildings n rdance with Comm 85, Wis. Adm. Code A.C.E. Soil &Site Evaluations 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 0 0- 2149 -09 -000 Please pnnt all information. Rev' ed 8 Date Personal information you pro a may Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location � Mark & Melissa Pelland Govt. Lot NE 4 S 1/4 S 36 T 30 N R 20 W Property Owner's Mailing Ad ress� 1 ry Lot # Block # Subd. Name or CSM# 243 124th Ave. I U 9 Plat Of Seven Oaks City Pia l/t Num r J City J Village a Town Nearest Road Hudson WI i G OFFICE St.Joseph 243 124Th Avenue VI New Construction Use: V1 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD J Replacement I Public or commercial - Describe: Parent material Glacial Outwash Flood plain elevation, if applicable Na General comments and recommendations: Site sui for conventional POWTS dispersal cell with 0.7 gpd /sq.ft. /day loading rate. Trenches to be appr 4' b w existing grade at elevations 99.5', 98.0'& 96.5'. Boring # I Boring ✓0 Pit Ground Surface elev. 100.47 ft. Depth to limiting factor >106" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 1Oyr3/3 none 1 2fgr mvfr cs 2fmc 0.6 0.8 2 8 -18 1Oyr4/4 none Is Osg ml cs 2fmc 0.5 1.0 3 18 -30 7.5yr4/6 none Is Osg ml gw 1fmc 0.5 1.0 4 30 -51 7.5yr4/6 none s Osg ml gw if 0.7 1.6 5 51 -70 1Oyr4/6 none s Osg ml cw 1f 0.7 1.6 6 70 -106 1Oyr5/4 none s Osg ml - - 0.7 1.6 2] Boring # I Boring Pit Ground Surface elev. 105.50 ft. > 115" in. Soil Application Rate Depth to limiting factor pp Horizon Depth Dominant Color Redox Descript'on Texture Stricture Consistence Boundary Roots GPD1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -7 1Oyr3/3 none I 2fgr mvfr gs 2fmc 0.6 0.8 2 7 -18 7.5yr4/4 none Is Osg ml gs 2fmc 0.5 1.0 3 18 -30 1Oyr4/4 none Is Osg ml gw lfmc 0.5 1.0 4 30-42 1 Oyr4 /4 none s Osg ml gw 1 f 0.7 1.6 5 42 -62 1Oyr4/6 none s Osg ml cw - 0.7 1.6 6 62 -115 1Oyr5/4 none s Osg ml - - 0.7 1.6 * Effluent #1 = BOD 30 < 220 mg /L nd TSS >30 150 mg /L `i * Effluent #2 = BOD < 30 mg /L and TSS !� 30 mg /L CST Name (Please Print) Sign re: CST Number James K. Thompson s--� 3602 Address A.C.E. Soil & Site Evaluation Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, W154020 4/26/2010 715 - 248 -7767 Property Owner Mark & Melissa Pelland Parcel ID # 030 - 2149 -09 -000 Page 2 of 3 ]Boring # J Boring VI Pit Ground Surface elev. 100.14 ft. Depth to limiting factor >112" 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. *Eff#1 *Eff#2 1 0 -8 10yr3/3 none I 2fgr mvfr gs 2fmc 0.6 0.8 2 8 -15 7.5yr4/4 none Is Osg ml gs 2fmc 0.5 1.0 3 15 -28 10yr4/4 none Is Osg ml gw 1fmc 0.5 1.0 4 28 -50 10yr4/4 none s Osg ml gw 1f 0.7 1.6 5 50 -81 10yr4/6 none s Osg ml cw - 0.7 1.6 6 81 -112 10yr5/4 none s Osg ml - - 0.7 1.6 Several stones observed at 56" - 86 ". F—I Boring # - Boring _f Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F—I Boring # J 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 QP 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 ' - T ' 5E• Tosc��, � /��,4�e. . CrDiXG. tJ� � #030 - zu5<9-o9 -� &/-d� 3.0¢ re-,S 7 v a ° o ° aE 3'xG2 "U.c�. Ti-tnc/i e /ed2�.br,s 6t m \ � v � \, 1 ti 5�' b[ /off a�•i3Ei � �i'adc I Q 6. 6..tir_ : a oF�ou.��a I As su it ��� to l�•o�osedbc4;ldi ✓ be dl"CV let S�a(ahCe 0 81 I � r I I �G �o,n� dra��O-9e 3�7.SS" P�.3oF3 t Safety and Buildings Division County mmert:e.wl.gov Box 7162 201 W. Washingta , Madison, 7 Sanitary Permit Number (to be filled in by Co.) E 4t t L AS;pArtment �'onsin j 515 2 3 of Convuerce State Transaction Number Sanitary Permit Applica �,�, Wis. Adm. Code, submission of this f o ovemirtental In accordance with s. Comm. t fining 2), are Project Address (if different than mailing address) unit is required prior to obtaining a sanitary permit. Note: Application otms for submitted to the Department of Commerce. Personal information you ovide may be us �� � � p urposes in accordance with the Privacy m Law s. 15.04 1 Stats. �{" I. Application Information — 'Please Print All Informati O, Parcel # Property Owner's Name ce 21�1CJ 0 �' GNU NNN 0 O OJ6 T Property Location Property Owner's Mailing Address /NG OF C I /� T 'f a- �s� Govt. Lot 3 � Zip Code Phone umber �{j C y, ' /,, Section City, State (circle one T E If1 rA,cJ cPi - , �° Lott! II. Type of Building (check 01i that app y) ak Subdivision Name PC] or 2 Family Dwelling — Number of Bed ms /� S BI ❑ Public /Commercial —Describe Use ❑ City of SM Number ❑ Village of ll ❑ State Owned — Describe Use Town of �J d-I III, Type of Permit: (Check only one box on line A. C piete line B if ap able) A. New System ❑ Replacement System ❑ Treat t/Hoiding Replacement Only ❑Other Modification to Existing System (explain) Issued B. ❑ Permit Renewal ❑ Permit Revision [01 Change of P permit Transfer to New List Previous Permit Number and Date Before Expiration IV. Type of PO System/Coin onent/Device: Check that a Non - Pressurized In- Ground ❑Pressurized In- Ground t -Grade ❑ Mound > in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) Pretreatment Device (explain) V. Dis ersaUTreatment Area Information: Dis ers equired (sf) Di rsal Area Prop d (sf) System Elevation Design Flow (gpd)� Design Soil Application Rate f/ ` ', !n✓ CO s / Y v !� ,/,, _/ Capacity in Total ti of Manufe rer c $ VI. attic Info Gallons Gallons Units V v :t New Tanks Existing "ranks o Septic or Holding Tank Dosing Chamber f O (/J ` VII. Responsibility Statement- 1, the undersigned, assume responsibility for Installation of the POW TS s RS Num at B ess Phone Number Plumber's Name (Print) Plumber's Signature ,1 7y' >�E -_7 3127 Plumber's Address (Street, City, State, Zip Code) j ? .r'co ` _ h �Ya VIII. Cozen /De artment Use On{ Permit Fee � 3131 6 F7ee Date Issued Issuing nt Signatu �pproved Al / r Given Reaso Denial $ IX. Conditipl�4 easons for Disapproval l r,, - S ,aa *i��►►a {4$ep fit, effluent finer and ✓ pla.M, L4_' � ' 6 e-rt dispersal cell must all be services / maintainer as per management plan provided by ppkanber. al'e c t, Z AN setback tegtdrements must be sl s rted ttach to comp etc pans or a system and submit to the County only on pa r not teas than a ii2 x tl incbes in size SBD -6398 (R. 02109) Valid thru 02/11 � V `� `� � �t � � � � �� �. �� � � � ,� � � • _ � .m �� ��� •� � ��" f u� � �' �� � 1 � � �, _ � � � �, �� �U N Jg� � -� �3 � ; --� °� � i NQ �i n M ti L �, _ i1 03/30/2010 19:59 7152460318 STEELS SOIL SERVICE PAGE 01/03 ) VisGQn in SOIL EVALUATION REPORT #1761 Page I of 3 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Division of Safety and Buildings Steel's Soil Service, Inc. 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 parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. pending Please print all information, Revie d 6y Date Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m))• 3 �� �b Property Owner Property Location Pirius, Terry Govt. Lot na NE /4, SWIM, S36, T30N, R20W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 400 South 2nd ST. 9 na Seven Oaks City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Hudson WI 1 54016 1 715 -386 -0252 St.Joseph I 125Th St ® New Construction Use: ® Residentlal / Number of bedrooms 4 Code derived design flow rate 600 GPD • Replacement ❑ Public or commercial - Describe ne Parent material Knolls of pitted outwash plains Flood plain elevation, if applicable na ft. General comments Conventional system, system elevation 93.30ft. Trenches spaced and depth to code 3.50ft below grade. and recommendations: nn F i� Boring # ❑ Boring u Pit Ground surface Slay. 96.80 it. Depth to limiting factor 100 in. ISoil Application Rate Horizon Depth Dominant Color Radox Description Texture Structure Consistence Boundary Roots GPD/ft° in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 501 1 'Eff#2 1 0 -10 10yr3/1 none sil 2msbk mfr cs Ic .6 .8 2 10 -22 10yr4/4 none sic! 2msbk dfr cs if .4 .6 3 2233 10yr4 /4 none A 2msbk mfr cs na .6 1.0 4 33 7.5yr4/4 ! •:none cos osg ml Cs na .7 1.6 5 48 -100 7.5yr4/6. none cos osg ml na na .7 1.6 F27 Boring ❑ Boring Pit, Ground surFaC . Slav: 9r iS6 ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth " o ' nt Ct ReddirClascription Texture -Structure Consistence Boundary Roots GPD/ftz (n, unt, Color' Gr. Sz. Sh. ' 'Eff# 10#2 1 0 -12 10yr3 /1 "`none SO 2msbk mfr Cs iC .6 .8 2 12 -32 10yr4 /4 none sicl 2msbk mfr C5 1c .4 .6 3 32 -100 7.5yr4/4 none; Cos osg ml, na nd 7 1.6 /f " Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L " Effluent #2 = BOD !i. 30 mg/L and TSS i 30 mg/L CST Name (Please Print) Sjga@ture; CST Number David J. Steel 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 7127/2005 715 -760 -0347 54P -9330 (R.07100) 03/30/2010 19:59 7152460318 STEELS SOIL SERVICE PAGE 02/03 r°ropetty Owner Pirius, T erry Parcel ID # E nding Page 2 of 3 1 + I Boring ❑ Boring I _ J g Pit Ground surface elev, 91.30 ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftx in. Mansell Qu. Sz, Cont. Color Cat. Sz. St►. `Eff#1if#z X 0 -7 10yr3 /1 none sl 2msbk mfr CS 7-C .6 1.0 2 7 -16 10yr4 /4 none scl osg mfr Cs if .4 .6 3 16 - 7.5yr4/4 none Cos osg ml CS na .7 1.6 4 28 -100 7.5yr4/6 none Cos osg m) na na .7 1.6 F]Bor # ❑ 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 GPDtW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. '01#1 *0#2 ❑ Baring # ❑ Boring g, Depth to limiting factor in. ❑ Pit Ground surface elev. � Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsall Qu. Sr. Cont. Color Gr. Sz Sh. *Eft#t *Eff #2 m /L and TSS }30 < 150 m /L Effluent #2 = BOD K 30 mg /L and TSS -1 mg/L `Effluent #1 � BbD 30 _ 22d g _ g _ 5 5 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. SBD48330 (R.07100) Steel's Soil Service, Inc 03/30/2010 19:59 7152460318 STEELS SOIL SERVICE PAGE 03/03 STEEL' SOIL SERVICE INC. ° 3 David J. Steel Terry Arius 994200 th St. CST- POWTSM NEl /4,SW1 /4,S36,T30N,R20W Baldwim, W1 54002 Lic. #24$956 Town of St. Jocsph, St. Croix Co. Direct 715- 760 -0347 Lot, 9 Fax 715 -684 -3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend � 1" =40' A = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 99.65 ft 0 Top of 3/4" pve pipe = Borings Boring Elevations El- 96.80 ft B2 w 96.80 ft B3 = 91.30 ft 84 = 0.00 ft C c l COUNTY PLAT O SEVEN OAKS F: SIRUCNAES MAV K: ARECiFB BV wt J uILTwle Le.a (LOVESr e0E11M LOCATED IN PART OF THE NE7 /4 OF THE SW1 /4, PART OF THE NW7 /4 OF THE SE1 /4, PART 5/9X °P TXe"BUa a I. .'E 10 i s ° 'a °M OF THE SE1 /4 OF THE SW1 /4 AND PART OF THE SW1 /4 OF THE SE1 /4 OF SECTION 36, 2 EAa T. WIUKR SHNL K: WISCONSIN. ' ,•� 5 /o BEmoXYYS Frn DE9AHH1XC PROPBR T30N, R20W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, STRUCNPE DEYAliOp AND APPa0P21AM 9TE c1AdXa UNPLA7 _I'TD LANIJS_ _ ---- - --- -- __ -_____ _----------- - -- -'— 125TH AVENUE -- XD•3o'uTSmv.e3• -- a C ST- T 1 /4 U K —x69° 7' 852.91— _— ._�-- _— _ __ _ _'____ xox.n • IT :. 421.1 - __ors_ __._ _. ... .. .. ...... 1 1 � �... DRAINAGE 4444.... I ... 1... ... 1 .... .. .. ... .. .. .. 13 . ............ ........... EASEMENT.L, 4444....... .. I 2 \i \` I. I =' LINE TABLE 3.o0D AaES \ I _ uo.v�ev / aarclxW aAE ! rl y l y q1 1ASSS 50. R. \ \I V I IBb• 11 N9e'14]IY 14AJ)' `- 1 E, Im -ens DRAINAGE \ al•Iwnrr 75' --: 11 SJ.Ji NY saes' 1 1 ]EASEMENT "E' rnSFNENT T' PA ,• LINE TABLE I . sTJ°s•tTY s. In,+ 'J I T }16.16' 1 1 CI NGWJJ]1T 117 N59'teV1' 1 E NBI'Ie]t "W SJS)' �\ y y L_ - -_� —'44'21'W JJASI' w!z i 1 I CJ 111 "12'W 5216' .\ y l H _CH MAPo(: 1 I rs N6B:,1 mP of 1• 3a - rs 5J>JAVT "P.2a• R m �RSrW .IOYr Ar DRAINAGE Ra PwE. 1 1 r> s0B'JJ74'w 62AJ' OsvAnoX 1 SFE TrPICAI EASEMENT "M' N Xee 21E42s.29 JDXT y __ LINE TABLE aeAwAer - M'� .IN6 :s¢TPKAtiI 'u� wl NOO'JI)Yr as re �/ rasrNOPT x r' F MME�aN.2 J SN JYJ61v 1311' \fW 18t�4M.x SOB JYJe 1' aRAANAOC 1 1007 ACPFS YMF TDP rnsruCNr X,E- eslv7a22s m. r. DRAINAGE d• XXx I° I° 71• ��leo -baT EASEMENT 'K' pK, HWE -859.5 ` �� I ye LINE TABLE : N aw6rIHAV asT mou]rW 3 >e _ n1 snv.'1sw u)o 11 aj 1: NBSSS•re"w 1Ara' 10M AC1E5 o SBJS1.1P W S e 4Y Stir SJ 39" 6 180. `I B O6:UY 6�t6 *! I- �' BI tnei AOE I 41JJ6' > �Z6 9 NO536'r6Y 10.2.' R S 4 . \ G ,rlsrwlNr v 1 ' 1 W s >a .r10 N Na0vy4T Jas.' OWNER: I.I.C. \����'�' PIRIUS DEVELOPMENT CO. I.I.C. J \ 'u .. .\ I /.� MW4N28 • b0 SOUTH 2ND ST. DRAINAGE HUDSON. M 51016 \'� / s pi pS \\ 11 EASEMENT 'J" R LINE TABLE BY: a. PREPARED `\ . - ba ne o AaES 1 AI.iTO� BB \`.! / 121.x12 so. n. / aeanav asr. �.r5 D S RVO SB iL e w Y.M / \ \\ �`� 16o.97D.5 2920 EN Ja NoltO'2 »1' 10.642x' .�iy HUDSON. M 51016 /P B i 4 S e•1 \ 1 .0 NSTTIY6'w s2 %' EC (715) 366 -2007 1{ AVENUE' ,*c _ ,� \ Ik r Awerr t ssownz•w lust G / ' _ -124 5w A NCN> 1 •15 SwYA'O6'W %B /' y PREPARED BY: ts.a: c'S' ,� \ ! \\ sronls3Y 2612 ma \�, I� y AU1N CONSUL11NGf !� NsTac \\ \'\ l _ �' :. g ASSOCIATES . —._\ u _ c ................ 4444. 4444... 2920 ENLOE STREET '.(,. ,/ p5S � � \ \ �\ ... .. ..........6o'�n�oXls HUDSON. M 54016 '�'` u• \\ \:&` I 1FYPa1MY aT -61DBE (715) 361 -5277 v .. vAB ,, \ ByX •f0. ` \. �'� ............ \ � `�`• IsB r.`_._ -_ __ _- u___G6EwEX� 1 90AO� iEM190N / \ 1g2rot lr xJe.Ab -- -123RD AVENUE qP "�... caa mr uw.eTJI a �` 4444 IW I .. ........ ........................... .............�.......... DRAINAGE \ LINE T ° \ x LIN TABLE 5522 1 ff]IW YMK: TOY Al1:lB'JOT ra e0' S \ � 10. NOO 774 06' N _77T %JI' D 8 NI)5J'I6'W 8.Y' SB6'I JST DIES N6J20'0.6'W 0194' _ . %' 56224 ss 5{4,55 M .382 Sa F1• NTI rJYO'W %.44' ^ In � rn 9 Neen4'IS"w 1x216' i� f ] _ / BONCX YAPX lOP 11 B \ \ �1 6FVATC. M- DRAINAGE 1 EASEMENT LINE TABLE \ / aerCDON a5T / aNCCOaN aST. \ \ \ y 61 569Y8'JrT e1.6J' "I NJt'4 W T ra65' \ JI'E 14.16' G1J N 9YSTOY Jl. 11 111 21" 583541T 5). J1' \c\ HWE M5 / E CS 16113-21 9 C16 zsn *. srJ1e' \ DRAINAGE R c, Nts %;,W a e: crl N54112Ww 1 %.4s' �j EASEMENT 91° N5421 new uDOa cIB N5421'ae"w \ LINE TABLE ' t 2 Nas 24'vw Nr65J'stW v r w'r a s l "w g eBHUI YAXX: c1C — 14•aew c0. xr smn>tMY 6BZ.T %. usru2r�.>�11• ' p of r cn Psr1a•r lace Awnad ° N Ns4 •rA•w J . G N J7 O'SAT IPA)Y NI ____ 20).2 NI.xS' HME "884.1 \�`" [ASEYCN G � � :r3].SB' 4 SOn:U't)'w 1J)JO' \w y S1.A5' 9 7 N68 °16'37 "W 526.09' B cY N89 °00'75 "W 170.10' .w I PING 5'RGIi (SSS.T1 1 1_nT 1 I (sSBSaL) I L01' 17 PINK G ML'ADOIVS I _ _ I 1 01 1 I YI I CST Vol, VOI, 1. 1'G. 2DR I (•SM--------- I'G. 6R I "fRI;E MEADOWS _ _______ ____ 1 I 1,0 2 I I I 1 ��F I SCALE IN FEET 1" - 60' fio�O 60 SHEET 2 OF 3 SHEETS .we w MUMENT mAP1m 91 X 6 Xa 6161-02 DAM. 01/05/SCCo; Xensm: 03/10/2006 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYST SPECIFICATIONS Owner m CX Septic Tank Capacity g a l ❑ NA Permit # Septic Tank Manufacturer j ai 0, O NA DESIGN PARAMETERS Effluent Filter Manufacturer (0,A/v A cc, / O NA Number of Bedrooms 3 O NA Effluent Filter Model '�'.��" ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity a l ❑ NA Estimated flow (average) 1f5-0 g al/day Pump Tank Manufacturer Se ❑ NA Design flow (peak), (Estimated x 1.5) 5-,0 gal/day Pump Manufacturer � ❑ NA Soil Application Rate al /da /ft2 Pump Model O NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA O Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection O Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA O At -Grade ❑ Mound Fecal Coliform (geometric mean) 510' cfu /100ml ❑ Drip -Line O Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other' ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: months) (Maximum 3 years► ❑ NA earls) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once ever ❑ month(s) (Maximum 3 years) O NA p Y �j O'year(s) Clean effluent filter At least once every: mont year(s) h(s) ❑ NA Inspect pump, 13 month(s) E3 NA Ins p p, pump controls & alarm At least once every: r— — ❑ years) ' Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: At least once ever ❑ month(s) ❑ NA y: ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(sl shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third M) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by z certified POWTS Maintainer. 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 ce of painting products or other chemicals For new construction, prior to use of the POWTS check treatment tank(s) for the prawn that may impede the treatment process and /or damage the dispersal Collis). If high concentrations are detected have the contents of the tank(s) removed by a aeptage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill r g e d normal overloading the Collis) and M remitinthee backup or will be of discharged to the dispersal Collis) in one large dose, e e Servicing Operator prior to restoring effluent. To avoid this situation have the contents of the pump tank removed by a Sept g ually o perating the pump controls to power to the effluent pump or contact a Mumbef or POWTS Maintainer to assist in man restore normal levels within the pump tank. Do not drive or.park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area• perf ormance and prolong the life of the Reduction or elimination of the following from the wastewater stream may improve the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers meet I scraps medications; f a I; foundation drain (sump pump) water; fruit and vegetable peelings ;'gasoline; grease; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT rv the When the POWTS fails and /or is permanently taken aute o so Comm 83 33 � Adminiistrative Code: rnsure that the system is properly and safely abandoned in compliance with p • All piping to tanks and pits shall be disconnected. and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Ssptage Servicing Operator. removed and the void space filled with • After pumping, all tanks and pits shall be excavated and removed or their covers soil, gravel or another inert solid material. CONTINGENCY PLAN taken, to provide a code compliant If the POWTS fails and cannot be repaired the following measures have been, or.must be replacement system: an may be utilized for the location of a replacement soil absorption 13 A suitable replacement area has been evaluated n and nt area will system. The replacement area should be svu tug distu ineand wellsFailurre to protect the replaceme upon y required setbacks from existing, and prop 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. . Barring advances in POWTE 13 A suitable replacement area is not available due to setback and /or soil 1'xnitations. technology a holding tank may be installed as a last resort to replace the failed POWTS. sit( it An il and El T tanl f a n i~ /A e al of the biomat at th 13 Mound and at -grade soil absorption systems may be reconstructed in place following remov infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > OR SEPTIC. PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL UMS AND DEATH MAY RESULT. E CUE OF, ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER AN PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name . rr►�,�� y Name Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY UK Namel Phone ,one 11�- MAP — This document was drafted in compliance with chapter Comm 83 . 2 2(2)(b)(1)(d) &(f) and 8 3.54(1). (2) & (3). Wisconsin Adminia>rative Code. SEPTIC TANK "PUMP CHAMBER CROSS SL CTION AND SPLLUl J t%ijvimz) 4" CS' VENT PIPE 12" MfN. 'ABOVE GRADE WEATHERPROOF > 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE LOC COVER & FINISHED GRADE WARNING LABEL 7_ 4" CI RISER u^ MIN. is to IM IN. 6" MAX. ' N LET I , WATER TIGHT SEALS GAS- ` TIGHT + PPRO �� VED A . SEAL + JOINTS WITH ..... ; ALM APPROVER PIPE PPROVED B , ON 3' ONTO IPE 3' — F " SOLID SOIL N SOLID C RISER EXIT OIL PUMP OFF £LEV ., FT. P --- OFF PERMITTED ONLY D IF TANK MANUFACTURER HAS APPROVAL 3 " APPROVED, SEDDI NG UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE NUMBER DOSES PER DAY TANK MANUFACTURER: TANK SIZES SEPTIC GAL, DflSE VOLUME INCLUDING DOSE GAL. F LOWBAC K : 1____._-_-_ GAL • ALARM MANUFACTURER: l_•U45 Ca.Y� CAPACITIES: A = INCHES = 3� GAL. _ MODEL NUMBER: 4 B z - 2 INCHES 2 92 GAL. SWITCH TYPE % C INCHES = GAL. PUMP MANUFACTURER: G�c•;( -• — � = MODEL NUMBER: gA a D = INCHES = SWITCH TYPE: rn-of REQUIRED DISCHARGE RATE :ed_ GPM PUMP E ALARM WIRING AS PER ILHR - 16. 23 ' WAC ,� FEET VERTICAL DIFFERENCE BE PUMP GI'F AND DISTRIBUTION PIPE - -�--�- FEET + MINIMUM NETWORK SUPPLY PRESSURE """"""" FEET + FEET FORCEMAZN k F /I00 FT. 1�M FEET INTERNAL DIMENSIONS OF PUMP TANK: LIQUID ...; w +- •---- • DIAMETER DATE: SIGNED; LICENSE NUMBER: ,2 ?Q4�D — 1/88 [Q GOULDS PUMPS Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS ' Fully submerged in high ■ EP051mpeller: ThernloplaS- • Bearings. Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construmon• following uses: heat transfer. ■ Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation. Auto- resistance, • Heavy duty sump matic models include m Motor Housing: Cast iron (CSA listed model numbers end • Water transfer Mechanical Float Switch for effident heat transfer, in OF" or "C".) • Dewatering assembled and preset at the strength, and durability. factory. ■ Motor Cover: Thermoplastic CIO" riw is ISO soot 11091ANA SP ECIFICATIONS cover with integral handle and Solids handling capability, FEATURES float switch attachment points. • 3 /a' maximum. ■ EPO4 impeller.. Themroplas- g Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size; 1I li" NPT. seal protection. • Mechanical seal, carbon - rotary/ceramic- stationary, BONA -N elastomers. • Temperature: 104OF(40 continuous METERS FEET ._-- ---- r.__...._._.-- ._.. _._l..__ __... . -._ .. 140OF (60 intermittent. ` ` `` -- y 10 i - -.. - .... _ _ • Fasteners: 300 series G PM stainless steel. 9 30 �..._...._.___._. -.... ._.._.....i ................. • Capable of running I ....__....;. _.. ..._ . i... _- ............_ . - ._.., -. ,.:.._:.._...... 25 Ft dry without damage to x ; components. 251" __.._._ Motor. — v 6 20} f i • EPO4 Single phase: 0.4 HP, — i j- -.-- -- t. _. 115 or 230 V, 60 Hz, 1550 RPM, built in overload with 15 automatic reset. a q I _.._ _... _ }_.... • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, s to: - - -" -" i ^, built in overload with -" sPOa __.___ _ automatic reset. 2 5, ...__. -Power cord: 10 foot { ? l_ - - - - _ __.........�_._._._. - 1 standard length. 16/3 STOW with three prong ..... : l _......._ i _, i __, _ _ .... _ . �....... -.. ... . S0 GPM grounding plug. Optional 20 0 00 .... 10 20 30 40 foot length, 16/3 SJTW with three prong grounding plug o 2 4 6 8 10 t2 m� /h (standard on EP05). CAPACITY Goulds Pumps ITT Industries 0 2000 Goulds Pumps Wecthre February, 2000 89871 Mar.19.2010 08:42 NCCM Company LLC 7154255885 PAGE. 1/ 1 ST. CROI'X EVUNTY 715- Ph,'l r lu,:t SEPTIC TANK MAINTENANCE AGREBMP.NT AND r OWNERSHIP CERTIFICATION FORM n491 ili>•tg Address . /� ��1� �n ./Ufa / / Pruperty Address 3�L /fie _� fit/ ► 9 ,,/�� (V"cation required fn)trt Planning 8c Zoning Dgmbimt for new consituotion.) - -- iNty,'State._.L 4� WT T Payee) Identil9eadon Nuunher UA L& NSCRIUM Ft'opefry Location .A/ '/. `/. , See, S 3J, T _,f.)O N R _dQ W, Town of Subdivision _ vet7 bf ki Lot.�l Certified Survey Map # R , , Volume � , Page Warranty Deed # 91u8� _ , Volume .__ , Page 0 Spec house yes no Lot flues id"fiabie +tt+ SYSTRM, H1hI�VIIN& CE AND O R Q rA ON [naprVar rigs and mrdna;mace of your Septic eystonr could result in its pmeature failuto to handle wastes. Proper tnaiatenonee consists of pumping out utit sepde tmk every three years or sooast, if need, by a Ncensed pw, qw, W* yott put into the syeteta can afibct the function of ttic seprio took as a ttontownt "age in the waste ditgrwal system, Owner maintrneace it oporilibilittes arc spectfted in geomm. m.szq) and to chapter 12-SL tk it a way sanitary o,di 'The pneperty owner Agrees to eAwAt to St. (Aoir► County Ptetating & 7Antag Dgmv er t a cctdfualion &M sighed by the awper and by a master plumber, jotvwymn, plumber, restri ted plumber or a licensed pumper veri[yfng that (1) the on-aim ma stawata disposal system is in pmW operating condition awidlor (2) sRa inspimboa grin pumping (if neetaary), the septic tank is less than V3 Iu11 or Sludge. [Iwo the wtderAigted have rand die oboes requ*emartts orb. agree w awdntaho the private sewage dtsyc:sol system with the stendetds set ftxdh, basis,, as sot by the Depardaent of Comma= and the Aepast ow of Nasrrrral Reewnrul, Stato of Wiuontiin. Ceitiftcatioa stating that year septic system hu beco vaiaratrrad must he completed imd returned b dig tat. Cmrim Canty pb mms &. Zeroing Npann ont wi0iin 30 days or the ttuee year crgticadaa date. 1 /we ccrtify that all statenou% on thin ,fo►.m we tote to the beat of ray /our knowledge, L'we wdare: the owther(s) ref dw property described above, by vnttre of a watrnuy deed recorded in Registu of Dads Office, x Number of bed _ --mac 3l 8/�o X . .'fI1.JNA t`tt�i.' Ut" A!'PLI.I.,AIV 1 �J) urea c T A TIP ""Any intbrintflan that is misrepresented may result in the ssaiatry permit being pevoked by the Plasming & 7.a■oag vRo tirwrit. *�* melt c. with this upplicaflan a wya.wded watrwtly Mai atom the Rrgttucr of Drr.& Offloe and a copy of the ca ifiod arwvey rnap if refeienre is wads in the watmty dead (REV. 08105) !1111 1111! 11!11 l!!Illllll 111111 912286 STATE BAR OF WISCONSIN FORM 2- 2000 BETH PABST WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI THIS DEED, made between Pirius Development Company, LLC, RECEIVED FOR RECORD Grantor, and Mark Pelland and Melissa Peiland, Husband and Wife, As 02/24/2010 02:05PM Survivorship Marital Property, Grantee. WARRANTY DEED EXENPT 0 REC FEE: 13.00 TRANS FEE: 324.00 PAGES: 2 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: See Attached Legal: Recording Area Name and Return Address: Edina Realty Title, Inc. 400 South 2nd Street, Suite 1 ] 5 Exceptions to warranties: Hudson, WI 54016 Easements, restrictions and rights -of -way of record, if any. 917878 030 - 2149 -09 -000 Parcel Identification Number (PIN) This is not homestead property. Dated this 24 day of February, 2010 Pirius Development Company, LLC an M. Pirius, Member AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) St. Croix COUNTY. ) ss. authenticated this 24th Day of February, 2010 * * TITLE: MEMBER STATE BAR OF WISCONSIN (If not, Personally came before me this24th day of February, the above Ryan M. Pirius, Member, (Pirius Development Company, LLCI authorized by § 706.06, Wis. Stats.) to me kqown to be the person(s) who executed the foregoing in t d c w dge the me THIS INSTRUMENT WAS DRAFTED BY *H 11 ti Martin D. Henschel Notary Public, S to f Wisconsin 50 East Fifth Street, St. Paul, MN 55101 My commission i rmanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) 2/26/12 ) *Names of persons signing in any capacity must be typed or printed below their signature ier Notaa y Public WARRANTY DEEP STATE BAR OF WISCONSIN FORM No.2 -2000 1 of 2 Exhibit "A" Parcel 1: Lot 9, Plat of Seven Oaks in the Town of St. Joseph, St. Croix County, Wisconsin. AND Parcel 2: Together with an ingress and egress easement for a 66 foot wide Joint Driveway over that portion of Lot 8, Plat of Seven Oaks in the Town of St. Joseph, St. Croix County, Wisconsin, as shown on the recorded plat thereof. 2 of 2 � .968 Y.S .l•.E .t:Ot ,C.0 .ff-,4 C a R e m I F I I I I I b a4 $ E§ m N I 0 t! .8H4 CAA •9Ancrn .o- I I I 0 4 1 I Kas !� eto-* E II dn I 4 e .9A,sA nL m .9{1{ i --- - - - - -- zi " o I Z �{a'a if✓18•i ^ .o-.A 4 ' Jmt s 3'3114• b a 4• - a �— rs y�• w n . � q �1ane• e m a 4 .9fs cA c ea• 2• -9• Q 9 I � I x ra• C I n el I r .o-z p fyf8• An vs n r I $ w q .LA hL .tk'B:Z 9 ° co N A 1 1 iq N I a i � •s � d' m 7.11/4' 7- -11/4• 9'-0• SW W -11 2' -0i /Q• 4 =Y — •, AL- IV tyfB• B -1 f/2• Bd• - 1,4y f7'-0• DV 1N• ss• -11 fyfe• RECEIVED Ai sconsin SOIL E`V I REPORT #1762 Department of Commerce JUL 2 in fdgdance it m 5 Adm. Code Page 1 of 3 Division of Safety and Buildin s 9 Steel's Soil Service, Inc. p p p p �s Attach complete site Ian on a r not County St. Croix Qlp�pl�',��QlNttlelhes i size. Plan must include, but not limited to: vertical and hoPNqNIq fq WjrM point ( M), direction and G percent slope, scale or dimensio istance to nearest road. Parcel I.D. q Please print all information. viewed y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). T VfO Property Owner Property Location Pirius, Terry G o na NE1 /4, SW1 /4, S36, T30N, R20W Property Owner's Mailing Address L # Block # Subd. Name or CSM # Iv fI�YJ L O i q 400 South 2nd ST. na Seven Oaks City State zip Code hone Number City � Village ® Town Nearest Roa Hudson WI 54016 1 715 - 386 - 0252 St.Joseph I 125Th St ® New Construction Use: ® Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe na Parent material Knolls of pitted outwash plains Flood plain elevation, if applicable na ft. General comments Conventional sy stem, system elevation 93.80ft. Trenches spaced and dpeth to code 3.5 below grade. and reco en ations: z F11 Boring # F-1 Boring ® Pit Ground surface elev. 97.30 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDt t' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3 /2 none sl 2msbk mfr cs if .6 1.0 2 9 -22 10yr4 /4 none sl 2msbk mfr gw if .6 1.0 3 22 -110 7.5yr4/4 none Cos osg ml na na .7 1.6 I Q FT Boring # ❑ Boring ® Pit Ground surface elev. 97.30 ft. Depth to limiting factor 110 - 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 -12 10yr3 /2 none sl 2msbk mfr Cs if .6 1.0 2 12 -28 10yr4/4 none sl 2msbk mfr gw if .6 1.0 3 28 -110 7.5yr4/4 none Cos osg ml na na .7 1.6 Piz- I I u ' $ * Effluent #1 = BOD? 30 < 220 mg /L and TSS >30 < 150 mg/ * Effluent #2 = BOD < 30 mg /L and TSS S mg /L CST Name (Please Print) Signatur : CST Number David J. Steel 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 7/27/2005 715- 760 -0347 SBD -8330 (R.07 /00) Property Owner Pirius, Terry Parcel ID # pending Page 2 of 3 F-1 Boring 3.5 10 Fi-1 Boring # Pit Ground surface elev. 93.00 ft. Depth to limiting factor 110 in. ® Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 0 -10 10yr3 /2 none sl lmsbk mfr Cs 1c .6 1.0 2 10 -72 10yr4 /4 none cos osg ml gw na .7 1.6 3 72 -110 7.5yr4/4 none cos osg ml na na .7 1.6 ly ,f g F-1 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/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 'Eff#2 F-1 Borin # ❑ Boring g El 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/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 " Effluent #1 = BOD 30 < 220 mg /L and TSS >30 <150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS <30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Steel's Soil Service, Inc. 1 � 1 STEEL'S SOIL SERVICE INC 3 of 3 David J. Steel Terry Pirius 994 200" St. CST - POWTSM NE1 /4,Sw1/4,S36,T30N,R20w Baldwin, WI 54002 Lic. #248956 Town of St. Joesph St. Croix Co. Direct 715- 760 -0347 Lot, 10 Fax 715- 684 -3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N 1 " = 40' = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 99.30 ft El Top of 3/4" pvc pipe = Borings Boring Elevations BI = 97.30 ft B2 = 97.30 ft B3 = 93.00 ft B4 = 0.00 ft � 776 i��b Slate des �—b B3 / 37� a� y' a7P �o / fta ,, � f � o Pm 2 r0 mo u�iw; rljr as Raft Mr�w� y ic���t .. 1 1