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HomeMy WebLinkAbout038-1210-90-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 479449 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: Oevering Homes Star Prairie, Town of 038 - 1210 -90 -000 CST BM Elev: Insp. BM Elev: BM Description I Section/Town /Range /Map No: /crp c k,, 13.31.18.1147 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 3 Benchma y �Z,o+ 2 /dam (...dr I &A 3 -7 /03 /av A — / Alt. BM C )K� z , M • 3 Aeration _ Bldg. Sewer Z 5.5 9 1 Holding_ _ St/Ht Inlet _--. to . 4 TANK SETBACK INFORMATION St/Ht Outlet �o• $ �Co -� TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Dt Inlet SJ i Septic 241 1 A/ 8 2 1 ' Z f r Dt Bottom Dosing Header /Man. Aeration Dist. Pipe 7 7 °tk-v Holding Bot. System Q.. Final Grade ` � PUMP /SIPHON INFORMATION S• Manufacturer Demand St Cover , GPM Z•'T I ®1 • 3 Model Number TDH Lift Friction Loss System Hea TDH Ft T L S - ( Forcemain ngth Dia I Dist. to Well 7 O SOIL ABSORPTION SYSTEM BEDITRENCH Width 7--Length / I No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 13 / � '� SETBACK SYSTEM TO / P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer. QQ INFORMATION CHAMBER OR Type Of System: UNIT (` z. Z (v / Model Numbers -1 Co No 0- t ' .0 I�c� �V �7V oo r DISTRIBUTION SYSTEM o ( 4- / g,.,—L, ZZ af- Header/Manifold Distributi�( x Hole Size x Hole Spacing Vent to Air ntake Pipe(s) \ ` \ Length �2+ Dia '7 Length Dia Spacing a SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulc ed Bed/Trench Center Bed/Trench Edges\ Topsoil Yes [] No 1 Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: a / / ° I ection #2: Location: 1373 212th Avenue Star Prairie, WI 54026 (NW 1/4 SE 1/4 13 T31 RI 8W) Northgate II Lot 57 Parcel No: 13.31.18.1147 1.) Alt BM Description = r ' + � Ft�. CoJ2A, d- Jb j" o ✓,. 2.) Bldg sewer length = Z `7 - amount of cover = J 6C V, Ck I" Plan revision Re uired? X es No Use other side for addition rm atlon. o� Date Insepcto s Sign a Cart. No. SBD -6710 (R.3/97) Safety and Buildings Division County1 201 ashington Ave. P,Q, $az�L(2 -� -' ✓?D I�cons, b -3 adi W 5370 ...' Simi Permit Number (to be filled in by Co.) 08) [/ - / - I - / Department of Commerce � � ; State lan I.D. Number Sanitary Permit App 'o :?_ In accord with Comm 83.21, Wis. Adm. Code, personal information rovide Pro ec Address (if different than mailing address) purposes Law, s15.04 1 m) � �N r J may be used for secondary purpo Y ( ti'1 �;uQ1X (�U F I. Application Information —Please Print All Information - /37,3 2 jz A ,4 e, Property Owner's Name Parcel # Lot # Block # t S , 0eo Property Owner's Mailing Addresso p Property Locatibri l q 3 S it Yw yv�R�/ 4 J PL U ` /,, %,, Section < City, State Zip Code Phone Number L rr n / �, T 7 <� T c N; RE 1� II. Type of Building (check all that apply) 6 p Subdivision Name CSM Number Dwelling — Number of Bedrooms r 2 Family Dw g 4►c fir`^- ❑ Public /Commercial — Describe Use ❑City_❑Villag wnship of ❑ State Owned — Describe Use IIL Type of Permit: (Check only one box online A. Complete line B if applicable) 6 z — 7n -eTnC vious Permit Number and Date Issued System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Other Modification to Existing System B. ❑ Permit Renewal it Revision El Change of ❑ Permit Transfer to New Pre Before Expiration Plumber Owner t IV. T e of POWTS System: (Check all that appl — Pressurized In- Ground ❑ Mound ? 24 in. of suitable soil ❑Mound < 24 in. of suitable soil ❑ At -Grade ❑Single Pass Sand Filter El Single Treatment Unit ❑ Recirculatin Sand Filter El Constructed Wetland ❑ Pressurized In - nd ❑ Holding Tank ❑ Peat Filter g Recirculating Synthetic Media Fi ter hamber El Drip Line ❑ Gravel -less Pipe 1:1 Other (explain) V. Dispersal/Treatment Ar nformation: Area R uired Disper Area Pro sod (sf) S m El Design n t ds Dispersal eq (� Flow d Design Soil Applicatro e(gp f) p � (Sp d) VI. Tank Info Capacity in Total Number Manufacturer Prefab Site I Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing L✓ /� Tanks Tanks Septic or Holding Tank / ✓ Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement 1, the undersign ssume responsibility for installation of the POWTS shown on the attached plans Plum s ae (Print Plumbe ' ature MP/MPRS Number Business Phone Number b m Plumber's Address (Street, City, State, 1 ) r� /. ) `f VIII. C un /De artment Use Onl pproved ❑ - a ff Sanitary Permit Fee (includes Groundwater Date ssue Issuing nt Signatu a (N Surcharge Fee} x •� p ❑ O eason for Den U / IX. Conditions ofApprovaMeasons for Disapproval dMp I 'Qd woo M � f� • p► � P�" N'a'm by Pte• 2. a mint e. nMNR�MMd M N► �� C011! / 011NI1�I1bN. Attach complete plans (to the County only) for the system on paper not less than 81/2 111 inches in size SBD -6398 (R. 01103) 'A�gWp M'TS11= � ~ M � f�tMw.�M�l �I�M . t .�MwA� p b�No� n�lq !�+«rMwwn bMM�u'in+ �d 4wn + #,�� M S Aair�lno � siao ddtailq� � � Soil Test and System PLOT PLAN PROJECT Oeverin Homes ADDRESS 838 Summer Pines Circle Hudson Wi 54016 NW l/ 4 S E 1/4S 13 / T N R 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9/26/05 BEDROOM 3 CONVENTIONAL XXX IN -GRO D PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 IL BENCHMARK V.R.P. Top of Walkout Foundation ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. SameasBenchmark SYSTEM ELEVATION 95. Well is to meet all Plans Designed Using setbacks required by Conventional Powts WDNR Manual Version 2.0 Vent >6 „ Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area 6' Long 1 1 " 34" Grade at System Elevation B. M. N, 25' B -2 2 -3' X 69' Cells with >3' spacing Pro 3 Bedroom B -3 House 70' 25' 10' 5' 240' Property Line ST _ 1 15' 20' 2 Vents 30' Drainage easement 190' Wisconsin Department of Commerce SOIL EVALUATION RE Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County ! Attach complete site plan on paper not less than 8 1/2 x 11 inch in siz include, but not limited to: vertical and horizontal reference point i B M), d Parcel I.D. percent slope, scale or dimensions, north arrow, and location anc distance to nearest road. 3 b Please print all information. Reviewe y Date Personal information you provide may be used for secondary purposes (P ivacy Law, s. 15.04 (1) (m)). Property Owner I . PrOody1ocation 0e(J el i. I -ot? ! 114.5 114 S 3 T �� N R E( Property Owner's Mailing Add Lot # Block 11 1 S Name or City State Zip Code Phone Number ❑ city ❑ village XTown Neares7 Zt Construction Us esidential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or c mmerclal - Describe: Parent material Flood Plain elevation if applicable General continents and recommendations: 7 Boring # Boring 1) Pit Ground surface elev. 1 ft. Depth to limiting factor — s in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell J Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 2- - 36 c !VA 2a Bonng # Q Boring q q j v ' 0 ft. Depth to limiting factor / z U in. a Pit Ground surface elev. I / Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 Z / 31 Z- 2— 12 A s f- ci" 'L t� e l l Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 1150 mg/L `Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 �� ?Z/ 715- 246 -4516 r Property Owner _ Parcel ID # / Page of 3 Bor 0. Boring V &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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Z X 3 0 -� F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # C] 1:1 pit Boring Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 130 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. seD -8330 (RAM) r Property Owner _ Parcel ID # Page of Boring # Q Boring &Pit Ground surface elev. ft. Depth to limiting factor v in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef1#1 •Eff#2 o r - -- C' Z— N -30 d r S a 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 GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff #1 •Eff#2 Boring # ❑Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD 130 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 (8.6/00) County r Safety and Buildings'Div#�ion r � 201 W. Washing or. Ave. P. 0 1 11 MadisSanitary Permit Number (to be filled in by CoJ l sconS �� ( 8) 26 - 5/ 79 yl/ q Department of Commerce to plan I.D. Number Sanitary Permit Applic 6ov�le,. tion A )A- In accord with Comm 83.21, Wis. Adm. Code, personal inf ation vac Law, 15.04(l)(m) roject Address (if different than mailing address) nd purposes Privac y t my used for secondary rpo a be u azY P ./� I. Application Information — Please Print All Information BONING OFFIC COUNTY �f / s Z Z ' ar Lot Block # P # Property Owner's Na / �(-Q11! �C — el�L v /, 4 Property Location Property Owner's Mailing A s' 4 — '/,, �'/,, Section O Zip Code Phone Number City, State cvcl 4<4/1)l N; E r W 'S ub M CSM Number all that a S S ubdivision Name k a chec ) � S P uildin K I I.T eofB g( y P or 2 Family Dwelling —Number of Bedroo L r� dam ❑ pub) ic/Commercial —Describe Use �✓ d ` l ❑City _ ❑Villa ship '-• Gill ; ❑ State Owned— Describe Use z A t III. Type of Permit: (Check only one box on line Complete line B i , ' plicable) El other Modification to Existing System A ❑ Replacement System El tmenUHoldi Tank Replacement Only stem eP List Previous Permit Number and Date Issued B. El p Renewal El p Revision El Chan of o !, El Permit Transfer to New Before Expiration Plumber Owner 6 IV. a of POWTS S stem: Check all that apply) El single Pass Sand Filter ❑ n — Pressurized In Ground Mound ?: 24 in. of suitable so d < 24 in. of suitable soil ❑ At -Grade ❑ Constructed Wetland ❑ Pressurized In- and ❑ Holding A t Unit 101 Reci nk ❑ Peat 'Iter ❑ Aerobic Treatmenrcula og Samd� r Recirculating Synthetic Media Filter Chamber Drip Line vel-less Pipe ❑Other (explain) �l /�jC + d / V. Dis ersal/Treatmen Are Dispersal Area Requir sf) formation. Dispersal Area Proposed (sf) System El ati esi n Soil A lication Rate(gpds `' ( P _ Design Flow (gpd) D g PP P b Site Fiber Pl Manufa astic refa St VI. Tank Info Capacity in Total Number Concrete Constructed Glass Gallons Gallon of Units New Existing Z /ci s Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement I , the dersigned, a responsibility for installation of the PO S shown on the attached plans MP/MPRS Number Business Phone Number Plumber's ame (Pri nt) umber's ure y Z 00 (� Plumber's Address (Street City, State, 'ip D 0 VIII. Coun /De artment Us nl Dat Iss ed Issuing t Si afore (N Stam Sanitary Permit Fee (includes Groundwater g gn pproved ❑ isapprove Surcharge Fee) ❑ p n Reason for Disapproval ' A rov easons for Disapp / / Je, I t (P�" IX. Conditions of pp 3) e�n.aio SYSTEM O ER: 1. Septic t` k, effluent filter and b I v �„�, L... 4 el di I cell must all be services / m mber. �� rx.t� , J a k P 1 >n nagement plan provided by piu l d- o y � 2. AN requirements must be maintained &C-CAA a.( S fi 4,54eA as per applicable code I ordinances. Attach complete plans (to the County only) for the system on paper not les han alllA x r 1 inches in size Ge�i1 SBD -6398 (R. 01/03) iC�JI• 11"61- ;I 6 L j� ffi: AIWA `4� e 4vi'L6 LIJ11 _. P PLOT N PROJECT Oeverina Homes Lt,G � AD SS 838 Summer Pines Circle Hudson Wi 54016 NW 1/4 S E 1/4S 13 /T 31 N/R TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE8 /28/05 BEDROOM 3 CONVENTIONAL )00( IN- GROUND PR S E CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of ,pgambers 22 ,BENCHMARK V.R.P. Top of 1" pvc ASSUME ELEVATION ,X�0� Filter Zabel A -100 ❑ BOREHOLE O WELL H. R. P. Same as Benchmark 4' !Nt �.r �1 SYSTEM ELEVATION 95. 5.2 4' below qrade 4 � r Well is to meet all . ., Designed Using setbacks required by ," Conventional Powts WDNR Manual Version 2.0 Vent > 6" Standard Biodiffus Leachin g Chamber ' of Cover with 3 1. 1 ft2 of A 6 Long 1 1 " ' Pro 3 J4 Grade at Sy, em Elevation Bedroom House Please note: Additional. oring will be done to lowersyste elevation 30 to a ro er depth! P P A ST 2 -3 69' Cells with >3' Spacing 30' B -4 -5 Vents 40' B- 3 0' 240 Prop Line P Y B -1 47' B -2 25' 25, Top of 1" pvc Alt. B.M. is B M h. 255' 40' 46' pipe 89' 160' PLOT N PROJECT Oeverina Homes Ll-G a��l /K AD ss 838 Summer Pines Circle Hudson Wi 54016 NW 1/4 SE 1/4S 13 /T 31 N/R TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE$ /28/05 BEDROOM 3 CONVENTIONAL XXX IN- GROUND PR S E CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chadbers 22 IL BENCHMARK V.R.P. Top of 1" p VC ASSUME ELEVATION 1 , Filter ZabelA -100 ❑ BOREHOLE O * H. R. P . Same as Benchmark' SYSTEM ELEVATION 95.17A.2 4' below qrade �a Well is to meet all Plans Designed Using setbacks required by conventional Powts WDNR %' Manual Version 2.0 Vent >6 " Standard Biodiffuse ' Leachin g Chamber r of Cover with 31.1 ft2 of Area g 1191 ro3 6 Lon 3 4 Grade at Sys em Elevation Ho room F Please note: Additional,Forin g will be done to lowers y ste elevation 30 to a proper depth. ' ST 2- X 69' Cells with >3' Spacing 30' B -4 -5 Vents 40' 0' 240' Property Line B -3 B -1 47' B -2 Alt. B.M. is B.M. 25' 25' Top of 1" pvc 255' 40' 46' Pipe 89' 160' Wiscon$in Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Divi!giorr of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ' COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to ne roan. 038- 1055 -20 APPLICANT INFORMATION- PLEASE PRINT INFORM TIN XI WED BY AT 7 iD yj PROPERTY OWNER: I ' PROPER LOCATION tr" GOVT. LO NW 1/4 SE 1 /4,S 13T 31 ,N,R 18 )¢or) W Greenwood Enterprises, Inc. PROPERTY OWNER':S MAILING ADDRESS r� f > . LOT #- LOCK # SUBD. NAME OR CSM # 2141 Cty. Rd. "C" 57 na NorthGate CITY, STATE ZIP CODE P E NUl1dl CITY VILLAGE SOWN NEAREST ROAD New Richmond, WI. 54017 (7 5)2@ Ty r Prarie 212th. Ave. Ic ] New Construction Use [x] Residential / Number 641 .,y [ ) Addition to existing building (] Replacement [ ] Public or commercial descn Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd /ft gpd /ft Absorption area required 858 bed, ft2 750 trench, ft Maximum design loading rate .7 bed, gpd 1ft trench, gpd /ft Recommended infiltration surface elevation(s) 95.10 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem (3 S o u ®S ❑ u M ❑ U � S ❑ U 12� S❑ U [Is gl U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft .................. in. Munsell Qu. Sz. Cont. Color Gr Sz. Sh . Bed Trer>ch ................. 1 0 -18 10yr2 /2 none 1 lmsbk mfr gw if .4 ( .5 La::"" 2 18 -37 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 Ground 3 37 -84 7.5yr4/6 none co s Osg ml na na .7 .8 elev. 98-.A- ft. Depth to limiting factor + Remarks: Boring # 1 -9 10yr3 /3 none 1 2msbk mfr gw if .5 .6 2 _< 2 -19 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 3 19 -27 10yr5 /4 none sil lcsbk mfr gw if .2 .3 Ground elev. 4 7 -84 7.5yr4/6 none co s Osg ml na na .7 .8 9 9.1 ft. Depth to limiting factor Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. AvonoN Richmond WA 54017 Signature: Date: 4 - -99 CST Number: m02298 e PROPERTY OWNER Greenwood Enterprises SOIL DESCRIPTION REPORT Paget G( - PARCEL I.D. # 038- 1055 -20 ' Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botxxiary Roots GPD /ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -12 10yr3 13 none 1 lmsbk mfr gw if .4 .5 2 12 -28 10yr4 /4 none sici lmsbk mfr gw if .2 .3 Ground 3 28 -84 7.5yr4/6 none co s Osg ml na na .7 .8 elev, g B.8 ft. Depth to limiting factor +84" Remarks: Boring # 1 0 -14 10yr2 /2 none 1 lmsbk mfr gw if .4 .5 4 `< 2 14 -24 10yr4 /4 none sici lcsbk mfr gw if .2 .3 3 24 -37 10yr5 /4 none sil lcsbk mfr gw if .2 .3 Ground elev. 4 37 -84 7.5yr4/6 none co s Osg ml na na .7 .8 g�'7f I Depth to — limiting factor +84" Remarks: Boring # 1 0 -12 10yr3 /3 none 1 lcsbk mfr gw if .4 .5 5 > 2 12 -27 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 3 27 -84 7.5yr4/6 none co s Osg mi na na .7 .8 Ground elev. 9 9.1 ft. Depth to limiting factor +84" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) . PROPERTYOWNER .Enterprises SOIL DESCRIPTION REPORT Paget c .. PARCEL I.D. rf 038 - 1055 -20 Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench �3'"` 1 0 -12 10yr3 /3 none 1 lmsbk mfr gw if .4 .5 2 12 -28 10yr4 /4 none sicl lmsbk mfr 9w if .2 .3 Ground 3 28 -84 7.5yr4/6 none co s Osg ml na na .7 .8 elev. g 8.8 ft. Depth to limiting factor +84 11 Remarks: Boring # 1 10-14 102 /2 l yr none 1 msbk mfr yw if .4 .5 2 14 -24 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 Ground 3 24 -37 10yr5 /4 none sil lcsbk mfr 9w if .2 .3 elev. 4 37 -84 7.5yr4/6 none co s Osg ml na na .7 .8 Depth to limiting factor +84" L-j Remarks: Boring # 1 10-12 10yr3 /3 none 1 lcsbk mfr gw if .4 .5 r •, a c. : >: •:: • :: . .>: 5 < > 2 1 12-27 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 3 27 -84 7.5yr4/6 none co s Osg ml na na .7 .8 Ground elev. 9 2,L ft. Depth to limiting factor +84" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: CDI1_QQ4/1!D /C M7\ STEEL'S SOIL SERVICE Gary L. Steel Greenwood Enterprises, Inc. 1554 200th Ave. CSTM2298 NW4SEQ S13- T31N -R18W New Richmond, WI 54017 MPRSW -3254 town of Star Prarie (715) 246 -6200 lot #57- NorthGate This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 =40' BM.= top of 1" pvc pipe 9 el. 100.00 Alt. BM.= top of 1" pvc pipe @ el. 100.00 . AL (I. th b� Gary L. Steel. 4 -24 -99 Aggregate SAS �- f SYSTEM ELEVATION AND SIZING CALCULATIONS Below Grade Aggregate Soil Absorption Systems Permit Number 7/18/99 Date X •X• Gravity Distribution only 1 Pressure Distribution 3 ft Suitable Soil , 6 in Aggregate Depth 2 4 in Nominal Pipe Diameter 600 gpd Estimated Daily Peak Flow 0.80 gpd /ft Wastewater Infiltration Rate 750.0 ft Minimum SAS Size 95.10 Ift Proposed SAS Elevation Soil Surface Acceptable Finished Grade EL 3 (ft) Boring Grade Limitation SAS Elevation (ft) System Minimum Maximum Number Elevation (ft) Depth (in) Lowest Highest Elevation? 97.60 99.43 1 98.40 84 94.40 96.90 Yes 2 99.10 84 95.10 97.60 1 Yes 3 98.80 84 94.80 97.30 Yes 4 98.70 84 94.70 97.20 Yes 5 99.10 84 95.10 97.60 Yes 1. Depth of suitable soil required below the infiltrative surface for treatment. 2. Depth of aggregate below distribution pipe. 3. Based on chosen system elevation, and aggregate depth. The addition of fill for cover or the reduction of finished grade may be required to meet minimum or maximum code standards. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). SBD- 10553 -E (R.05/98) s ' .ru�'x►a�re rrmanc gr�nauavy, UU1L ANU b 11 t b VALUA11UN HI:PUM I t1spe 1 . iat>d� and Ftun�an ftelatloru avwon of Sai+ly & in accord with IL.HR 83.05, Wis. Adm. Code .-.... Attach oomplate site plan on 'paper rat Ism than 81/2 x 11 Inches in size. Plan must include, but St. C roix n tical riot kmbd to ver and horizontal reivence point (BAM, direr ion and % of slope, scsie or ARCEL I.D. •. dimensioned north arrow, and an location d distance ta . nearvst road. 038- 1055-95 APPLICANT. INFORMATION- PLEASE PRINT ALL INFORMATION REVI D !� DS PROPERTY OWNER PROPERTY LOCAT j GOVT. LOT NIN 1/4 $E t 14 ,813 T 13 N,R 18 R (off W PROPERTY OWNEWS MAILING ADDRESS LOT # BLOCK s $LIED. NAME OR CSM ti 141 CITY, STATE ZIP CODE PHONE NUMBER [�t'dTY []VILLAGE, MOWN NEAREST ROAD (]� New Car>etrtxblon use i J Reslden6al / Mynber o f bedrooms 4 [) Addison to existing building i I R t ). Public a commmiaa des<xibe Code derived MY flaw 600_ ppd ago 11110 ed deW IOading rate .7 bed, gf .L • W* AW*n area ra pired 858 bed, 111 '750 trench, tl Mw*num design ba*V rata _...2_. gpoltl MXM Recommended innlnaaat BurMnoe elevation{a} 94.90 ft (as referred to sre plan twWnark) AMftW design / sft aottsideralim na Parent material oL .wash _ _ -- Flood plain elevation, I applicable na It S s Suitable for system coNVt�lTIONAL MOUNO 1*010UND PRESSUFfE AT4MDE SYSTEM IN FILL MOLOMYQ TMM( U tlnsuiWale fa fi s ou ®S ❑ u ®s ❑u Q s O u u s o u D s au SO IL DESCRIPTION REPORT Boring # Horizon Deptl"t Dominant Color . Mottles Texture Structure Consistence Boucby Roots GPD /ft in. Munsell OU. SZ. Cart. Cola' Gr. Sz. Sh. Bed UJ none 1 2msbic mfr gK if .5 .6 2 11 -26 10yr 4 none sici Icsbk mfr Ow if .2 .3 Grotmd 3 26-84 7. 5 U 4/4 a law. na na • 7 • 9Q.7 it. Deo to limiting fttclor +84 Remarks: BorinS # A-4 ZQYZ 2/2 2 2 9 -I9 10 r 4 none a :fci 2ms1�c mfr if .4 .5 claw 9- 7 e 9 fL 4 7 kmlting 41411 r Renuaks ' CST name•- Pteaso Print L, Steel Ptow: 715- 246 -620f� Addnw: 1554 M ttt. MCA New Ricbmoa& WI 54017 \. Signature: Race. 11 -7.98 tySTNum6erc -aL298 f t - Wisc3osin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division bf Safety& Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 038 - 1 055 -95 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Greenwood Enterprises, Inc GOVT. LOT NW 1/4 SE 1/4,S 13 T 113 f ,N,R 18 fe (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # I SUBD. NAME OR CSM # 1416 Third St. 5 - a NorthGate CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE EFOWN NEAREST ROAD Hudson WI. 54016 ( 715 ) 386 - 3674 ( New Construction Use [ ] Residential / Number of bedrooms 4 [ J Addition to existing building j ] Replacement ( ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate _ bed, gpd /ft gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate _ bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) 94.90 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE 7 ,S'YSTEM IN FILL HOLDING TANK U = Unsuitable for s stem ® S ❑ U ® S ❑ U ®S ❑ U C S ❑ U � S ❑ U ❑ SU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1..'<'< — 10 r 2/2 none 1 2msbk mfr gw if .5 .6 2 11 -26 10 r 4/4 none sicl lcsbk mfr C1W if, .2 .3 Ground 3 26 -84 7.5 r 4/4 none cos 0SCI ml na na .7 .8 elev. 9 8.7 ft. Depth to limiting factor +84 Remarks: Boring # lfl 2 ?" 2 9 -19 10 r 4/4 none sicl 2msbk mfr 9W if .4` .5 Ground 3 19 -27 10 r 5/4 none sit lcsbk I mfi CW if .2' .3 4 27 -84 7.5 r 4/6 none cos os ml 7 .8 98 8 . . 9 ft. - Depth to limiting fac +o� � r Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ave., New RichmoW, WI 54017 " f Signature: Date: 11 -7 -98 CST Num er: mo2298 ' _ 1 PROPERTYOWNER Greenwood Enterprise DESCRIPTION REPORT Page2of PARCEL I.D. # 038 - 1055 -95 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botrxk3y Roots GPD /ft in. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 3,,..:.'< 1 0 -10 10 r 1 2msbk mfr QW if 2 10 -20 10 r 4/4 none sicl lcsbk mfr gw if .2 .3 Ground 3 20 -84 7.5 r cos 0sa rrLI na na .7 elev. 98 ft. Depth to limiting fact $ Remarks: Boring # 1 0 -10 10 r 2/2 none 1 2msbk mfr qw if .5 .6 4 ' >?` 10-23 mfr w if .2 .3 Ground 3 23 - 84 7.5 r 4/4 none cos 0SCI ml na _ na .7 .8 ev 91.9 ft. — Depth to — limiting facto +84 Remarks: Boring # - mfr QW if .5 .6 5 2 12 -27 10 r 4/4 none sicl lcsbk mfr yw if .2 ` .3 Ground 3 27 -84 7.5 r 4/4 none cos osg ml na na .7 .8 elev. 9 8.5 ft. Depth to limiting factor +84" Remarks: Boring # 13 Ground elev. j ft. i Depth to limiting factor Remarks: SBD- 8330(8.05/92) ` STEEL'S SOIL SERVICE Gary L. Steel Greenwood Enterprises, Inc. 1554 200th Ave. CSTM2298 NW- S13- T31N -R18w New Richmond, WI 54017 MPRSW -3254 town of Star Prarie (715) 246 - 6200 lot #57- NorthGate This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shom as permanent lot lines were not established at the time the test was conducted. N 1 " =40 BM. = top of 1" pvc pipe 0 el. 100 Alt. BK.= top of 1" pvc p ipe el. 100.00' 1�� o A°� I F t ° rl o' . 3T ©` Gary L. Steel 11 -7 -98 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM owner/Buyer �� L�• any( Ea.-/ k Mailing Address 3 `` Al, eV-� property Address (Verification required from Planning Department for new construction)- ---- -- T City/State Parcel Identification Number LEGAL DESCRIPTION ) /l� /�2C� /� /� i i /a Sec. / 3 T- N -R�'w, Town of Properly IACatl�n L�--�- / �'� , Lot # � - Subdivision Volume Page # Certified Survey Map # - — , . , Volume , Page # Warranty Deed # Spec houvi no Lot lines identifiable >(yes ❑ no S YSTEM MAINTENANCE remature failure to handle wastes. Proper maintenance Improper use and maintenance of your septic system could result in its P a licensed pumper. What you put into the system consists of pumping out the septic tank every three years or s in t h e disposal system. can affect the function of the septic tank as a treatment stag e by the owner and by a t a certification form, signed The property owner agrees to submit to St Croix Zoning DeP� rifting that (1) the on site wastewater disposal system masterplumber,loumeymanplumber, restrictedplumber or a licensdpumPer septic tic tank is less than 1/3 full of sludge. is in proper operating condition and/or (2) after inspection and pumping (if necessary), P rivate sewage disposal tate of Wisconsin. system with the standards read the above requirements and a to maintain the p Certifi Uwe, the undersigned have cation e the Department of Commerce as set b e and the Dep artment of , Natural Resourc s Zoning Office within 30 set forth, herein, Y feted and returned to the St. Croix Cow stating that your septic system has been maintained must be comp days of the three Year expiration date. a � r - �� DATE SIGNATURE OF APPLICANT OWNER CERTIFICATION o ur knowledge. I (we) am (are) the owner(s) of I (we) certify that all statements on this formdeed�recorded th e in Regist ° Deeds Office the property described above, by virtue of a warranty DATE SIGNATURE OF APPLICANT « « « « «« Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. warranty deed from the Register of Deeds office «• Include with this application: a stamped P a copy of the certified survey ma if reference is made in the warranty deed U 2 875 P S S t 6 4 E& KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 3 — 1998 REGISTER OF DEEDS QUIT CLAIM DEED ST. CROIX Co., MI RECEIVED FOR RECORD Document Number 08/26/2005 11:25AM This Deed, made between Earl J. Mielke, married Grantor, QUIT CLAIM DEED and Oevering Homes. LLC and Ear) L. Mielke.married EXERT # Grantee_ Grantor, quit claims to Grantee the following described real estate in St. REC FEE- 11.00 Croix County State of Wisconsin: TRANS FEE: 123.00 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address Daniel L. Fralick and Teri Fralick Star 2 Avenue Prairie, Star Prairie, WI 54017 Parcel Identification Number (PIN) O,3er _ /2 /O— YYD -oPa This is not homestead property. (is) (is not) Lot 57 of the Plat of NorthGate II, recorded In the Office of the Register of Deeds for St. Croix County, Wisconsin, On June 20, 2001, in Volume 8 of Plats at Page 55, as Document Number 648882. Together with all appurtenant rights, title and interests Dated this 25th day of August 2005 I (SEAL) (SEAL) r C w Earl J. Mielke (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ) ss. St Croi x County authenticated this day of Personally came before me this 25th day of Au ust, 2005 the above named Earl L Mielke. married to me known to be the person who executed the foregoing instrument and TITLE: MEMBER STATE BAR OF WISCONSIN acknowledge the same. (If not, authorized by §706.06, Wis. Slats) Ot. �- THIS INSTRUMENT WAS DRAFTED BY Notary Public, State of Wisconsin Coldwell Banker Burnet/Robert Nicholson 1301 Coulee Road My commission is pennanent. (If not, state expiration date: Hudson, WI 54016 a�l C"/6'F5- ) 5 -44785 (Signatures may be authenticated or acknowledged. Both are not necessary.) CHRISTINE FARRELL Names of persons sig in anv capacity must be ed or printed below their si natu STATE BAR OF WISCONSIN STATE OF WIS CS STATE Blank Co, Inc. WARRANTY DEED FORM No. 3 — 1998 Milwaukee, Wis. �i o .-. ON C LA o0 0 \ p C r o `° d O b 2 v Q ��o' Q\ -C m a r g 8 •Op- qoo, M r ri O � C7 I o / v' o ,n f D °c ° .-. LA -I 00 gy p• \ f �_ W / Ul Co I Cl Ln �, W I D m .. N o D �\ \ I I.- i £ a o M w � / N C' S• I 1 o m� o D I N I Iz IU, = Z I S so w N w� s t.A s ue? o D OD L4 cc) UI p� t� T Ut W °• r n D CD A .o V 1+ A V' r'1 -4 C r n M D ` ,� m W v r I �' j6�32.9S F m w m sv I V I I W N D A Z o n S NJ ru CD 0 o f66 �3 4 S E. i o C:) W 90.00' o P ONDING g w o 3�. W o MA X- POND E REV CE EASEMENT o 157.41' I STRUCTURES A 001.5 w c l 140.00' L�wED141.00, 160.00' 110.00' N 0'24'57`E 701.88' 0 EAST LINE OF THE NW 1/4 OF THE SE 1/4 — o I I UNPLATTED Lf C3 — - -- , New Ric In 0 7/8 mi. Z � ' tv ycn I , N Wo Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 S ontl cy Plan ption #1. 1 system fails, determine cause of failure, use alternate area and install new syste ested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715 - 246 -5148 Shaun Bird #226900 FROM :OEVERING HOMES LLC FAX NO. :7155311282 Dec. 14 2004 10:14PM P11 Aid , do A ._ ._-- ._ - - -_ - _- ' FF a 171017 v „ spa spa �a di v i — ................ Y N V � a d w C t e�i�ww'�s sf N FROM :OEVERING HOMES PLC FAX NO. :71.55311282 Dec. 14 2004 10:14PM P12 j sl t -- - - - - - w ywv a Lil w o 11 1 14 M�x N q L a r 1 Pa #: 038- 1210' -90 -000 09/06/2005 03:15 PM PAGE 1 OF 1 Alt. Parcel M 13.31.18.1147 038 - TOWN OF STAR PRAIRIE Current 'Al ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner EARL L MIELKE 0 - MIELKE, EARL L 865 CHARLIE RYAN RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 1373 212TH AVE SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1.522 Plat: 2227 - NORTHGATE II SEC 13 T31 N R1 8W NW SE LOT 57 NORTHGATE Block/Condo Bldg: LOT 57 I Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13-31N-18W NW SE Notes: Parcel History: Date Doc # Vol /Page Type 06/11/2003 725404 2271/366 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.522 28,700 0 28,700 NO Totals for 2005: General Property 1.522 28,700 0 28,700 Woodland 0.000 0 0 Totals for 2004: General Property 1.522 28,700 0 28,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00