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HomeMy WebLinkAbout032-2183-09-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Building Division INSPECTION REPORT s i Permit No: 463 417 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: Grand Properties L.P. I Somerset, Town Of CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 23. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPA TY STATION FSN ELEV. Septic Benc ar Dosing �, BM Aeration Bldg. Se r Holding �" St/Ht I t TANK SETBAY FORMATION St/Ht Outlet TANK TO /L WELL BLDG. ent to Air Intake OAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes U No j ] Yes j No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 648210th Avenue Somerset, WI 54025 (NE 1/4 NE 1/4 23 T31 N R19W) Gavin's Acres South Add Lot 9 Parcel No: 23.31.19. 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes j No Use other side for additional information. —- Date Insepctors Signature Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 3T. C e o / Y visconsin Madison, WI 53707 - 7162 Sanitary Permit Nu be (to be fil ed in by Co.) Department of Commerce (608) 266 -3151 Sanitary Permit Applicati n s tate Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal informati you provide A A maybe used for secondary purposes P 'vacy Law, s15.04 )(m) ^ p p O 200 Proje Ad /d-ressss f 0 (iiff differem tth ailjnd APR V - "' I. Application Information - Please Print All Infor L T. CROIX COON Y Property Owner's Name arce L # Block # it CIA kl+N,O P1 0i 0 c -e ir Z, 19. i Property Owner's Mailing Address Property Location 71a ST X N E 1 �, E / <, Section City, State T Zip Code Phone Number 5V01 ctj 5 T Vt/ T S T c� N; R E ot�V ) II. Type of Building (check all that apply) �j� 7 S� 1 or 2 Family Dwelling - Number of Bedrooms - S/u'bdivisi Q m er ❑Public /Commercial - Describe Use ^ ljf}V //US Acee / 10/0. ❑ State Owned - Describe Use h)fT Ce2.GS �� f City_ Village Township III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System y El Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. ❑Permit Renewal El Permit Revision El Change of El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System- Check all that appl I 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 ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter iX Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (expl ' V. Dis ersal /Treatment Area Infor a on: Design Flow (gpd) esign Soil Application Rate(gpdsf) A Dispersal Area Required (sf) Dispersal Area Prop stem Elevation �4S0 0. o 75 - 7 7 7. 5 D VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber P stir Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 100C !1 V n D C s >L_ Aerobic Treatment Unit li' 1, Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsib for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' ig ure MP/MPRS Number Business Phone Number J -,)f+ k) ' At m 1 fT c i f �? �3 7� Plumber's Address (Street, City, State, Zip Co¢ /5 TH s 50 /0 PS =T W r VIII, oun Ne artment Use Onl Approved El Disapproved S Fee (ro es Groundwater Issued Iss g A atu a (1I a s) Surchar a Fee 4 El Owner Given Reason for Denial IX. Conditions of Approval/Reasons fo"isapproval YSTEM OWNER: U �1 ep Ic tank, effluent filter and dispersal cell must all be service /maintained as per management plan provided by lumber. e ac requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) t PVC L ws Pt i ic��t1 f 6 , qvf �vs _ Appe. dew YS m ct. = 9q. o A Al EC = /00,0' ® A-t g m C . _ 111.3 .� PUS ® 4 0 , 1 07- 1 pt J 1900 (a AL S• T 4 ALr PRoPosev A ` 1 - 3 X 7 Od, ) 0u - 3 X 30.7 6r o©1<,�u ee TreCl (IE (C,3 U'�IVLWN"I ��1�I GC .S66 ��3Cr�rr� =rlri C A - 4cl'6 t11�� � e PrN d Ce 1 S L, �5omc,�s� WL Z� -Za3 /� PVC ,� 1vs Pr e cJ f (�A6piS App /irorU 0 - A _ j eftl EL = /0,9,C?' /4V ■ doe,- lvolt r 1o z J - /Oo t 310 S ALT � PROPOSE o W !3 �, AIC I�ouS _ 0 r _ _ f - 3 X 90.73 810, tt "! ?'r2EN K (/j � v � w ►� � IFS r ��r � ry i q -7`r`� c, /�? �� POW: IPJ 6_ r � oe F ,��rtJd _ SOi /l c "mss T /V —T �T X Pe __ _ __ __ ST CROIX COUNTY SEPTIC TANK MAINTENANCB AGRBBMBNT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 1 et4 iv e Pe cpc - erlt�S Z ld, IIK= Mailing Address 71Z )� i LI A L Si . �5Q r Tt= Property Address g aZ (Verification required from Planning Department for new constru 'on) City/State 5 0 n 1 eA� S 1 f T W Parcel Identification Number - o LEGAL DESCRIPTION Property Location V., V., Sec. (9-3 T 3 ) N -K Town of Subdivision r IT 0 N S P c y ES t'Jp �"��N Lot # _ P �; �i uni�� b s Certified Survey Map # of Page # Warranty Deed # 90 5 / , Volume 17 7 / Page # 3 9 Spec house yes ❑ no Lot lines identifiable if yes ❑ no SYSTEM MAINTENANCE Improper use and maintenanceof 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 )he 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 masw plumber, journeyman plumber, 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 113 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 y expiration date. S TURF O F APPLICANT DATE K3 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 owners) of the propFrty descn' bed bove, by virtue of a warranty deed recorded in Register of Deeds Office. SI ATURE OV APPLICANT DATE « « « « «« « « « « «« . Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Departm ent. « 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 FILE INFORMATION SYSTEM SPECIFICATIONS Owner Grand Properties L.P. Septic Tank Capacity 1 gal ❑ NA Permit # Septic Tank Manufacturer Week s C - P . 13 NA DESIGN PARAMETERS Effluent Filter Manufacturer Z a be 1 ❑ NA Number of Bedrooms 3 13 NA Effluent Filter Model A -100 ❑ NA Number of Public Facility Units 1A NA Pump Tank Capacity a l M NA Estimated flow (average) 300 g al/day Pump Tank Manufacturer ■ NA Design flow (peak), (Estimated x 1.5) gal/day' Pump Manufacturer 0 NA Soil Application Rate 0.6 al /da /ft3 Pump Model d NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit 0 NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Call(s) E3 NA Biochemical Oxygen Demand. (BOD 530 mg /L f0 In- Ground (gravity) '0 in- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L 0 NA ❑ At -Grade 0 Mound Fecal Coliform (geometric mean) 510' cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. F ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA ' 'Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency ❑ month(s) (Maximum 3 years) ❑ NA Inspect condition of tank(s) At least once every: 3 ■ year(s) Pump out contents of tank(sl When combined sludge and scum equals one -third (Y3) of tank volume O NA, ❑ month(s) (Maximum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: 3 0 year(5) /\j 6� ❑ month(s) ❑ NA Clean effluent filter At least once every: i I$ year(s) ❑ month(s) 0 NA Inspect pump, pump controls & alarm At least once every: ❑ year(s) ' ❑ month(s) O Nk Flush laterals and pressure test At least once every: ❑ year(s) ' Other. ❑ month(s) 0 NA At least once every: ❑ year(s) Other: ❑ NA` v 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(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any,..pond4 ` 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 (Y or more of the tank volume, the-e�tice.. contents of 'the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR­ J 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 a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page 2, 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 the 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 prl System start up' shill not occur whbn soil conditions are 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 calls) In one large dose, overloading the call($) and may'result in the backup or surface discharge of effluent. To avoid oils 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 foot down slope of any mound or at -grade 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; cbtton 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: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. rrr • 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 requ 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. _ ❑ A suitable replacement area is not available due to • setback and /or soil limitations. Barring advances in POWTS' achnology a holding tank may be installed as a last resort to replace the failed POWTS. yhe ts no en ova a d to identi a itable rep amen area. U n failure ti n ust a erfor ad t locate suitable epl mono area. If no eplace area is available a holding tank e tailed as las resort t re ce the failed WTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the b)omat at the. infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > INSUFFICIENT OXYGEN. DO NOT SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR ENTER A SEPTIC, PUMP OEf OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name' o n• SchAtt Name Owners choice Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name hoiCe Name St. Croix Ct . Zonin Phone Phone 7 15 386-4680 t Wisconsin Administrative Coda. This document was drafted In compliance with chapter Comm 83.22(2)(b)0)(d) &(t) and 83.64(1), (2) & (3), R �v►S�d A, r P 30 Wisconsin Department of Commerce SOIL EVA T r ot ORT Page 1 of 13 Division of Safety and Buildings in accordance with Comm 85, is. Adm. Cgde 1 V6 Tom Schmitt Attach complete site plan on paper not less than 8% x 11 inches in size. Plan m p? K Courot�y GO St Croix include, but not limited to: vertical and horizontal reference point (BM), direction an RO percent slope, scale or dimensions, north arrow, and location and distance to nea t road.Sl ONE Please print all information. Rev)114ed 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 W. Lot NE 1/4 NE 1/4 S 23 T 31 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# SR) UTH 712 Rivard Streeet, Suite 300 19 Gavin's Acr es: 'FAlt Addition City State Zip Code Phone Number City f Village ol Town Nearest Road Somerset I WI 1 54025 715 - 247 -5900 Somerset 210Th Ave. 16 New Construction Use: 16 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD I Replacement Public or commercial - Describe: Parent material Outwash (�^ n Flood plain elevation, if applicable na General comments le — �C and recommendations: Area is suitable for a conventional system a 0.7 gp rating. . Possi b s� � sqft m elevation for Area 1 is 94.0'. Slope is 5 %. Boring # : j Boring 16 Pit Ground Surface elev. 102.85 ft. Depth to limiting factor 96 + in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF 'Eff#1 'Eft#2 1 0 -14 1Oyr3 /4 none sl 2mgr mvfr as 2m,2f .6 1.0 2 14-25 1Oyr4/3 none sl 2fsbk mvfr gW 2m .6 1.0 3 25 -34 1Oyr5/3 - none sl 2msbk mfr gW .6 1.0 4 34-45 1Oyr4/4 none sl 2msbk mvfr gW — .6 1.0 5 45 - 96 1 Oyr5 /4 none Is 1 msbk mvfr — — .6 1.0 45-96 Y bands of 7.5yr4/6 sl 2msbk mfr changes rate to .6, 1.0. Boring # �j Boring 01 Pit Ground Surface elev. 101.90 ft. Depth to limiting factor 95 + in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfF `091 -Eff#2 1 0-12 10yr3/4 none sl 2mgr mvfr as 2m,2f .6 1.0 2 12 -29 10yr4/3 none sl 2fsbk mvfr gw 2f .6 1.0 3 29-40 1Oyr4/4 none grsl 2msbk mfr gW 1f .6 1.0 4 40 -95 10yr5/6 none ms Osg ml ---- -- .6 1.0 40-95 bands of 7.5yr4/6 sl 2msbk mfr changes rate to .6, 1.0. ' Effluent #1 = BOD ? 30 < 220 mgtL and TSS >30 < 150 mg/L ' Effluent #2 = BOD - 30 mg/L and TSS <,0 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 7/26/04 715 247 - 2941 I property owner Grand Properties, LP Parcel ID # Page 2 of 3 37 Boring# • Boring !g Pit Ground Surface elev. 101.9 ft. Depth to limiting factor 97+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots "Eff91 `Eff#2 1 0-14 10yr4/3 none sl 2mgr mfr as 2m,2f .6 1.0 2 14 -25 10yr5/3 none sl 2fsbk mfr gw 2m,2f .6 1.0 3 25 -36 10yr4/4 none Is 1msbk mvfr gw 1f .7 1.6 4 36 -97 10yr5/6 none ms Osg ml — .7 1.6 F—I Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots "Eff#1 "Eff#2 F-1 Boring # Boring I Pit Ground Surface elev, ft. Depth to limiting factor in. FSoil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff •Eff#1 'Eff#2 Effluent #1 = BOD 5> 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. ff 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 Cmiducted by: Conducted For: Schmitt Soil and Site Evaluations Name: Grand Properties, LP Thomas I Schmitt, CST 227429 Address: 712 Rivard St. Suite 100 1595 72nd St. City, State, Zip: Somerset, Wl 54027 New Richmond, Wl. 54017 Phone: 715- 247 -2941 Subd.Name: Gavin`s Acres, First Addition Lot No.: 19 Legal Description: NE 1/4 SE 1/4 S 23 T31N R19 W Township of Somerset Bench Mark El. 100.00' top of 2" Pvc Pipe Alternate Bench Mark EL 111.32' top of 2" pvc pipe Slope= % Contour Line EL WA Scale 1" — 40 t � log d� $z 32 V Y " l cu l d S--C .2 104-k 1230 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, W is. Adm. Code Tom Schmitt Attach complete site plan on paper not less than 8Y: x 11 inches in sae. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St Cfobc percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all infonnat brie. 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 19 NE 19 S 23 T 31 N R 19 W Property Owner's Mailing Addres s Lot # Block # I Subd. Name or CSM# 712 Rivard Streeet, Suite 30 APR 2 3 2004 f 19 Gavin's Acres: First Addition City State Zjp Cgde Pjng•ypmber J City I Village !M Town Nearest Road Somerset I WI ' t j 00 Somerset 1 210Th Ave. New Construction Use: 01 Residential ! Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement J Public or commercial - Describe: Parent material Outwash Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.7 gpd/sgft rating. Possible system elevation for Area 1 is 94.0'. Slope is 5 %. 1 Boring # Boring 1I Pit Ground Surface elev. 96.98 ft. Depth to limiting actor 96+ in. ng Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF *Eff#1 9E M2 1 0-10 10yr3/3 none Is lmsbk mvfr as 1f .7 1.6 2 10 10yrM none sl 2msbk mvfr gW 1f .6 1.0 3 26-35 7.5yr4/4 none Is 1 msbk mvfr gW — .7 1.6 4 35-96 1Oyr5/6 none s Osg ml — .7 1.6 Boring # J Boring tm Pit Ground Surface elev. 96.98 ft. Depth to limiting factor 97+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF 'Eff#1 '092 1 0-9 10yr4/3 none is 1csbk mvfr as 1f .7 1.6 2 9-22 1 Oyr4 /4 none is 1 msbk mvfr gW if .7 1.6 3 22 -36 10yr5/4 none s Osg ml gw — .7 1.6 4 36-97 10yr5/6 none s Osg ml — -- .7 1.6 ' Effluent #1 = BOD s a 30 < 220 mg/L. and TSS >30 < 50 mg/L ' Effluent #2 = BOD <30 mg/L and TSS <-X mg/L CST Name (Please Print) Signature: 0 1 CST Number Thomas J. Schmitt 227429 �n,� Address Tom Schmitt Data Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, W154017 4/22104 715- 247 -2941 r - Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 F $ Boring # Boring !� Pit Ground Surface elev. 95.55 ft. Depth to limiting factor 97+ in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots `Eff#1 'Eff#2 1 0 -8 10yr3/3 none Is 1msbk mvfr as If .7 1.6 2 8-16 7.5yr4/6 none Is lcsbk mvfr gw 1f .7 1.6 3 16 -36 10yr5/4 none s Or-9 ml gw -- .7 1.6 4 36 -97 10yr5ro none s On ml — -- .7 1.6 ❑ Pit Boring # Boring J Ground Surface ele-v. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD 'Eff#1 'Eff#2 ❑ Boring # Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots `Eff#1 'Eff#2 1 1 1 1 1 ' Effluent #1= BOD ? 30 < 220 mg/L and TSS >30 < 150 mgA- ' 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. Re4 -Lt W o • • ' Page 3 of 3 Conducted by: Conducted for: Schmitt Soil & Site Evaluations Name: Grand Properties, LP Thomas I Schmitt, CST 227429 Address: 712 Rivard St. Suite 100 1595 72nd St. City, State, Zip: Somerset, WI 54027 New Richmond, WI 54017 Phone: 715.247.2941 Subd. Name: Gavin's Acres, First Addition Lot No. /2__ IVS 1/4, Ne 1/4, S 23, T 31 N, R 19 W Township of Somerset BM EL 100.00' 7^ o 7 Alternate BM EL 2 " �yC Slope = _5% Contour Line EL I q Scale: I"= 40' 83 ,9y oS� S /0 % / j a A Q m rsz � i i prof esed 2o" 10+", Acre) This soil report was done to fulfill a Zoning requirement. It may or may not be in a location that is suitable for your use. No permanent lot markers were in place when the test was conducted. 7 1 9 ej 2 7 7 1 P 3 9 7 KATHLEEN H. W ALSH State Bar of Wisconsin Form 2 -2003 REGISTER OF' DEEDS WARRANTY DEED ST. CROIX C.O.. WI RECEIVED FOR RECORD Document Number Document Name 03/25/2005 10 : 30Alf WARRANTY DEED THIS DEED, made between Walter E. Germain and Debra C. Germain, husband REC FEE: 13.00 and wife ("Grantor," whether one or more), TRANS FEE: 1286.40 and Grand Properties, LP COPY FEE: ( "Grantee," whether one or more). CC FEE: PAGES: 2 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Recording Area interests, in St. Croix County, State of Wisconsin ( "Prop(.rty ") (if more space is needed, please attach addendum): Name and Return Address See Attached Exhibit "A" ki a sex P o goy jg8 ©s c eo (& C.J j S o A0 032- 106040 -000, 032 - 1060- 10-000 _ Parcel Identification Number (PIN) This is not homestead property. (is) (is not) I Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated (� ?7 -ZZ k�( (SEAL) (SEAL) * * alter E. Germain d� (SEAL) (SEAL) * *Debra C. Germain AUTHENTICATION ACKNOWLEDGMENT Signature(s) Walter E. Germain and Debra C. Germain, husband and wife STATE OF ) authenticated on ) ss. COUNTY ) *Kristine Op-land Personally came before me on , TITLE: MEMBER STA E BAR OF WISCONSIN the above -named (If not, to me known to be the person(s) who executed the foregoing authorized by W is. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: * Attorney Kristina Op-land Notary Public, State of Hudson, WI 54016 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED © 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 * Type name below signatures. INFO -PROTM Legal Forms 800 - 655 -2021 www.infoproforms.com - U 2771P 398 EXHIBIT "A" That part of the Northeast Quarter of the Northeast Quarter and part of the Northwest Quarter of the Northeast Quarter of Section 23, Township 31 North, Range 19 West, described as follows: Commencing at the North Quarter comer of said Section 23; thence on an assumed bearing along the North line of the Northeast Quarter of said Section 23; South 88 degrees 50 minutes 02 seconds East a distance of 155.50 feet to the East line of Lot 19 of the Plat of Gavin's Acres South Addition recorded in the St. Croix County Register of Deeds Office; thence along said east line, South 01 degrees 03 minutes 38 seconds West a distance of 377.43 feet to the point of beginning; thence North 88 degrees 06 minutes 54 seconds East a distance of 461.77 feet; thence North 58 degrees 36 minutes 56 seconds East a distance of 66.12 feet; thence North 81 degrees 02 minutes 19 seconds East a distance of 424.60 feet; thence South 13 degrees 57 minutes 14 seconds East a distance of 350.34 feet; thence along the arc of a curve to the left, a distance of 80.97 feet, said curve having a central angle of 06 degrees 02 minutes 55 seconds and a chord that bears North 64 degrees 09 minutes 49 seconds East a distance of 80.93 feet; thence North 61 degrees 08 minutes 22 seconds East a distance of 293.17 feet; thence along the arc of a curve to the left, a distance of 53.55 feet, said curve having a central angle of 04 degrees 00 minutes 01 seconds and a chord that bears North 59 degrees 08 minutes 21 seconds East a distance of 53.54 feet; thence North 57 degrees 08 minutes 21 seconds East a distance of 488.85 feet; thence South 32 degrees 51 minutes 39 seconds East a distance of 66.00 feet; thence along the arc of a curve to the right, a distance of 375.46 feet, said curve having a central angle of 28 degrees 02 minutes 51 seconds and a chord that bears North 71 degrees 09 minutes 46 seconds East a distance of 371.72 feet; thence South 00 degrees 27 minutes 40 seconds West a distance of 370.11 feet to the north line of Certified Survey Map Volume 11, page 2984 recorded in the St. Croix County Register of Deeds Office; thence along last said north line, North 86 degrees 56 minutes 25 seconds West a distance of 17.51 feet to the west line of said Certified Survey Map; thence along the west line of said Certified Survey Map, South 00 degrees 00 minutes 10 seconds East a distance of 922.50 feet to the north line of Lot 7 of Certified Survey Map, Volume 10, page 2953 recorded in the St. Croix County Register of Deeds Office; thence along last said north line and the north line of the Plat of Whitetail Trails, North 88 degrees 56 minutes 26 seconds West a distance of 2090.54 feet to the East line of Lot 18 of the Plat of Gavin's Acres South Addition recorded in the St. Croix County Register of Deeds Office; thence along said East line, North 01 degrees 03 minutes 38 seconds East a distance of 693.00 feet; thence North 88 degrees 56 minutes 22 seconds West a distance of 102.52 feet to the East line of Lot 19 of the Plat of Gavin's Acres South Addition recorded in the St. Croix County Register of Deeds Office; thence along last said East line, North 01 degrees 03 minutes 38 seconds East a distance of 248.44 feet to the point of beginning. St. Croix County, Wisconsin. f Somerset, St. Croix )37 at the Register of Northeast Corner North 114 Corner Section 23 -31 -19 Section 23 -31 -19 (established from ties) (found aluminum North line of the NE 114 Coun ty monumen t) ( .588'S0'02"E 2 S88.50'02 "E 255 36' 155.50' 170.38 210.00 54.50 "� S88_ 0'02'E 2707.86' 72.68 53.0 I 42.74 I 131, 473 sq. ft. 00 3 02 acres u i LBO = 950.00' (0 0 zl i I 5 88� 6 '22'E < I w w J WI 00 00 -(0 120.00' Z I 0o 21 20 MN of 1 ih W I O I 130, 851 sq. ft. ° N 131, 549 sq. ft. ° o co o `° 3.00 acres z 3102 acres z o o o Q I O ►.,I ° c % o - 0-1 I o � 00 0 11 N M z h ° a ° W ►`1 � o I o L s 8a s 22'E 1 120.00' _ I / S88 "E -- 390 .0Q'- 102.52' = - 1 80.00' 210.00 ,____ • 492.52., "E o S88 56 22 E � , --� — — -- -�-- -- — �N66 — 72.52 " co -� 3517' N N88 22 W V 492.52 210.00'- —21 , 'h I h --........► ............... 9 -_ ------ # �I go' Temporary cul— de—Sac 1 Easement (to be removed p 35' I upon extension of the road) o