Loading...
HomeMy WebLinkAbout038-1205-90-000 n v, O ',j 3 m n d 1 ° c °: 0 m �A •^ I T CD ° w °D r. O CD .G a CD U'a N 7• N K a cn O O d CD "',j CO O O D°i tD 0 CD CD 0 p p7 3 ? ° o CO C. 9 N O O ►� m v a m I m cr �' y a .. + W co !. c, + Er N 3 C. W O V O ° i .. Z O CD N CD 0 0 .ri C w a w F 3 .. _a c Z o O O O 3 l�l• P_ 3 N t N a' ice! d 3 O v CD x d CD .0 m . N oA CD _ � N N Z Z 4 D 0 o d Cn Z cn CD 4 l C N N CL O N CL CD CL C. CD 7 A Zn. N C + CL A 7 .. W � m j A Z 0 3 A o Z 3 m � N Z CD A A � N CD N a CD = O. O. C D =r O _ N N T 3 CD w _ C cn a a Co o. 3 d CD m 5.0 CD 0 0-5, y 0 0 W 0 3 0 0 O A CD = a 0 .w o °D 00 t ti N Cn O O C O 00 w 0 N O I a 7 A ti CD d0 V Efl O t o (D a °° CL Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less then 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel ID. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all Information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). Property Owner 6Go:vL rty Location Lot s 114 tiF 114 S T N R E (or)49 Property is Mailing Address Block # Subd. Name or CSM# 1 1 !z- S () D u t ���'� c City State Zip Code Plane Number ❑ City ❑ Village ® Town Nearest Road New Construction Use: 59 Residential 1 Number of bedrooms — Ile' Code derived design flow rate ��d �O O a GPD ❑ Replacement '. - yam- Flood Plain elevation if applicable General comments �G ,mod C c f-5 :S and recommendations: :e 2003 Boring # E] Boring M 13 Pit Ground surface elev. ft. Depth to limiting factor _ In. —tea - plicadon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ff? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 'Z 1b —bv — L Z M-A-- lb L 5 J Boring # E] Boring [ Pit Ground surface elev. a t.& _ ft. Depth to limiting factor in. Sol 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 a -I/ — �S & d /� c-r la-� /Is ° 9 Z I- o / — 5.G m r 'i l� Effluent #1= BOD > 30 220 mg/L and TSS >30 1150 mg/L ' Effluent #2 = 1301) 30 mg/Land TSS < 30 mg/t. CST Name iP Print) Signature CST Number 0 ,5 - 3 3 07 Address Date Evaluation Conducted Telephone Number Property Owner _ Parcel ID # Page - Z, of F 31 ❑ Borin p y, Boring # , 7 v ft. Depth to limiting factor . pit Ground surface elev. in Soi lion Rate Horizon Depth Dominant Color Redox Description Texture Structure Co nsistence Boundary Roots •tGPDAfEff#2 in. Munsei Qu. Sz. Cont Color Gr. Sz Sh. t _ - 6 L) u L F-1 Boring # El Boring ❑ Pit iGrouncksurface elev. ft. Depth to limiting factor in. Soi Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP In. Munsei Qu. Sz. Cont Color Gr. Sz. Sh. '01#1 'Etf#2 F-1 Boring # Boring Ground surface elev. R Depth to limiting factor in. ❑ Pit Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont Cobr Gr. Sz Sh. 'Ef1#1 '0192 Effluent #1 = BOD 30:S 220 mg1L and TSS >30:S 150 mgIL ' Effluent #2 = BOD 30 mglL and TSS < 30 mg1L 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•9330(R.07 /00) Y i / l r sys ew. (�cl, , pppp p, Oci Q ✓ `1�� Z �o I Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safetpandl3 ildog,Di�osion `� INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 430427 0 GENERAL INFORMATION 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: Wenin er, Greg Star Prairie Township 038- 1205 -90 -000 CST BM Elev: Insp. BM Elev: BM Description: Sectionlrown /Range /Map No: 14.31.18.1104 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer 00 JO 1 .7 Holding St/Ht inlet TANK SETBACK INFORMATION St/Ht Outlet g TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 5 + n p t , Dt Bottom Dosing Header /Man. 7 t s. X85- , J -R Aeration Dist. Pipe TC , s 4 4 - r ldin Bot. System . 3 v C; S • �/ Final Grade PUMP /SIPHON INFORMATION 4,15 't 7, S Manufacturer Demand St Cover GPM , ,t , tjCVI () S Model Num r �brir. 7,�� JO3,7 9S /U TDH Lif ion Loss System Head TDH Ft For main Length Dia. I. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length No. Of Trenches p2 Cells PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ' ,�-5 I C I chamb 6tvfz .10 1 o SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR J ,7 Type Of System: L✓ not orl UNIT Model Number: LOA V C14 > 5D DISTRIBUTION SYSTEM Header /Manifold �r Distribution ___�x Hole Size x Hole Spacing Vent to Air Intake 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 Ed es s ' es No Yes No J COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: %C / 31; / h Insp Location: 2160 128th Street Star Prairie, WI 54026 (SE 1/4 NE 1/4 14 T31 R1 8W) Prairie View Estates Lot 9 Parcel No: 14.31.18.1104 1.) Alt BM Description = str +i + 0,k ji- C 0V-iN 2.) Bldg sewer length = 1g (5) - amount of cover = 5j (3> ' M&A hp LC r U r - - - -- Us for additional in Yes U No I _ i g formation. I D - 1 0 - 1 ! 0 LJ l ou e other SBD -6710 (R.3/97) i Date I se ctor's Si nature Cert. No. Count �'- Safety and Buildings Division I Y 201 W. Washington Ave., P.U. Box 7162 ���� Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) 0 qa Department of Commerce I State Plan I.D. Number Sanitary Permit Application In accord with Comm 83.21, Wis. Adm. Code, personal information Yau provide may be used for secondary purposes Privacy Law, s1.04 {1}(m)'toject Address (if different than mailing address) fill L Application Information - Please Print All Information 0 i Parcel # Lot # Property Owner's Na me —_ e• 1' k Property Q ner's M ailing Address roperty Location T1. 4L AI ed�� s� -A, L� ��,Section /Y City, State Zip Code Phone Number _ (circle one) llt� u T 3 N; R. Z , &- E 0 t9 II. Type of Buildl g (check all that apply) aW l Ar S nn Subdivision Name CSM Number ❑ 1 or 2 Family Dwelling -- Number of Bedrooms S • , � - ❑ Public /Commercial - Describe Use ❑City ❑Villagehownship of ❑ State Owned - Describe Use s� Y III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 0'-� A. XNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision El Change of ❑ Permit Transfer to New Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that a I ) of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter Non - Pressurized ln- Ground ❑Mound > 24 in of suitable soil Mound < _4 in. ` ❑ Constructed Wetland ❑ Pressurized In- Ground ❑Holding Tank ❑Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter i Pi ❑ ❑ Recirculating Synthetic Media Filter ❑Leaching Chamber ❑Drip Line ❑ Grav el -less Pe Other (explain) V. Dis rsal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gp;Units Dispersal Area Required (sf) Dispersal Area Proposed (sf) stem Eleva o • �lSC3 e S /.7c� 0 2 oo e� Prefab Site iber Plastic VI. Tank Info Capacity in Total mber Manufacturer Concrete ConstTUC ed Glass l3^Q Gallons Gallons New Existing Tanks Tanks Septic or Holdi reatng Tank Aerobic Treatment Unit Dosing Chamber �.`� -S�V- VII. Responsibility Statement I, the undersigned, assume responsibility for ' t llation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnature MP PRS Number Business Phone Number 'l (tee. 1• t ;'c <!�Y �� ' 3 '/° ? T Plumber's Addre ss (Street, City, State, Zip Code) VIII. County /De artment Vse Onl Sanitary Permit Fee (includes Groundwater Date Issued Issuin gent Signature Wo Stampsj Approved ❑ Disapproved Surcharge Fee) 2� � El Owner Given Reason f or Denial IX. Conditions of Approval /Reasons for Disapproval. 3 ` � SYSTEM OWNER: ) n 1 Septic tank effluent filter and a�� ��-- r to dispersal cell must all be serviced I maintained r as per management plan provided by plumber. 2. All setback 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 X 01/03) AV J • � S���Ce /'� Y6 l � Cub by �i • 1✓� sG � r ,�IIlJ4 - At rs 6 tic COPY or �c�� a ' POWTS OWNER'S MAN UAL & MANAGEMENT PLAN page .5� ai " FILE INVORMATION SYSTIM SPIECIMATIONS Owner Septic Tank Capaolty ,2 ai D NA p d 3 Septic Tank M anufacturor O NA 0 2 Efflaent Filter Manufacturer Z $ 0 NA DESK1fN PAlRANIMM 0 NA Number of bedrooms D NA Effluent Filter Model A Pump Tank Capacity Q al fl NA Number of Public Facility Unite D NA Estimated flow (average) 6fl ands Pump Tank Manufacturer r S tic, O NA Design flow (peak). (Estimated x 1.6) �e L al /da Pump Manufacturer..0 / Pump Model O NA Sop Application Rata aVda lfta 13 NA Standard influent"luent testy Monthly average' Pretreatment Unit pats, Di! 1>t Grease (FOG) S30 mg /L 0 SandK3revel Filter ❑Peat Fiber Biochemkul Oxygen Demand I800 %220 mgiL 0 NA 0 Mechanical Aeration ❑wetland Totel Suspended Solids (TSS) 5160 mg /L D Disinfection 0 Other: Pretreated Effluent Quality Monthly average Dispersal Coll(s) O NA Biochemical Oxygen Demand (800,) 930 mg /L 0 in-Ground (gravity) 0 in- Ground (pressurized) Totai Suspended Solids (TSS) S30 mg /L ❑ NA O At -Grade O Mound Fecal Coliform Igsometric mean) 510 cfu /100ml 0 Drlp•Une ❑ Other: D NA Maximum Effluent Particle Size Y in die. 13 NA Other DNA her: 13 NA r Other: DNA "Values typ for d MW wastewster and septic tank effkwvt. ical or MAI!MM 6CNE0(1L1: Fi.nrlce Frequency serwloe Event inspect condition of tank(s) At least once every: 3 s �m 3 years) p NA Pump out oontera of tonk(s) When co mbined sludge and scum equals one -third (V of tank volume d NA months) (M 3 yeas) v NA inspect disperse( ceil(ol At least once every: cl month (s) Q NA Clean effluent faker At least once every: 'V r I n (s) 0 NA Inspect pump, pump controls A alarm At toast once every: --- Q year(a) (*! D NA Flush laterals and pressure test At least once every: Q s) months) 0 NA Other: At least once every: Q (s) 0 NA Other: MAINTF UMM MOTRUOMONS Inspections of tanks and dispersal calls shell be made by an individual carrying one of the following ISsfviCMg ppe�tp�atTank Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer. Septa9 inspections must include a visual inspection of the tank(*) to Identify any missing or broken hardware, identify any crooks or leaks, measure the volume of combined sludge and scum end to check for any back up or ponding of effluent on the ground surface. The dispereal cell(s) 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 pond(ng of effluent on the ground surface may indicate a failing condition and requires the immediate notificstion of the local regulatory authority. When the combined accumulation of sludge and scum In an` to flkequoai and disposed )ofrin more of the tank volume, the accoMsnce with chapter NR 113, contents of the tank shall be removed by a Septage Servicin R s Wisconsin Administrative Code. All other sw%Aoes,° including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any awylo ng at intervals of %12 months, shall be performed by a certified POWTS Maintalner, A service report shall be provided to the local regulatory suthorkV within 10 days of completion of any service event. Page ` Zef START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products of 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(*) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the Infiitrative surface. During power outages pump tanks may fill above normal highwatar levels. When power is restored the excess wastewater will be discharged to the dispersal call(s) In one large does, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintalner 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 15 feet 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; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain lsump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; most scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: e All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • 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 fails and cannot be repaired the following measures have been, or-must be taken, to provide a code compliant replacement system: ) 13 A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result In the need for a now soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. O A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. site �� p tank p Mound and at -grade soil absorption syst me steernsbrnuss rec omply p fo at that dime. a biomat at the infiltrative surface. Reconstructions of such Y < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. OC NO ENTER A SEPTIC, PUMP OR O A TANK MAY SE DIFFI UNDER R ANY IMPOSSIBLE- CIRC UM S TANCES , DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTE ADDITIONAL COMMENTS POWTS ALLEN pOWTS MAlNTA1NER ,`� /, u Name Name 4) ¢ Q L� Phone Phone SEPT AGE SERVICING OPERATOR IPUMPERI LOCAL. REGULATORY AUTH ORITY Name Name C Q) / C 6u.RTt"Y' n9 Phone Phone �6 . TNs document was drafted in compiiance with chapter Comm 83.22(2)(b)(il(dl &(f) and 83 .54111, (2) & (3), Wisconsin Administrative Code r ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address i/ a3 'LLPea jj 1 e'a v Property Address Q'? rX S ✓ (Verification required from Planning Department for new construction) ' City/State Parcel Identification Number LEGAL DESCRIPTION Property Location ' /�, '/4, Sec. Y, T SI N -R W, Town of � Subdivision �/ Yuo`tf� �, `��/S fi , Lot # _ Certified Survey Map # -�, Volume , Page # Warranty Deed # 73._a 3 , Volume Z , Page # Spec house ❑ yes Ono Lot lines identifiable, yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of three year expiration date. P/ /l / a_-7 SIGNATUYLE OF AP LICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATUM OF APPLICANT DATE '••••• Any information that is mis- represented'may result in the sanitary permit being revoked by the Zoning Department. '• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed SEP TANK & PUMP CHAXBER CROSS SE C iC?� AND SPiCIFIC�TiCI� 4 " Cl VENT PIPE 12" MIN. ABOVE GRADE 8 WEATHERPROOF >_ 25 FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHHOLL FINISHED GRADE - WARNING LABEL 7 4" CI RISER ---- - .__,. « MIN . 18 11 IN. 6 " MAX. sk e'e , 4 f t ' NLET t GAS. ; ' OF WATER TIGHT SEALS , TIGliT PPROVED A SEAL JOINTS WITH PPROVED - j--- i ; AL11 APPROVED PIPE IPE 3' H + �.-T- t ► ON 50L�DTSQIL NTO SO C OIL PUMP OFF ELEV . FT. OFF �` RISER EXIT ----- PERMITTED ONLY D IF TANK MANUFACTURER HAS APPROVAL 3" APPROVED. BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC i DOSE TANK MANUFACTURER: ,f ,'es� NUMBER DOSES PER DAY: TANK SIZES: SEPTIC �DG�' ._.. GAL. DOSE VOLUME INCLUDING ----- DOSE S6 GAL • FLOWBACK : /.� GAL. ALARM MANUFACTURER: CAPACITIES: A = INCHES = AL. MODEL NUMBER: SWITCH TYPE: leI-C-1 B = 2 INCHES S ? GAL. PUMP MANUFACTURER: C = S INCHES = 6AL. MODEL NUMBER: SWITCH TYPE: INCHES = _SAL. REQUIRED DISCHARGE RATE_ GPM PUMP E ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . . . . 4W FEET + g � 4 -P FEET FORCEMAIN X .2. FT /100 FT. FRICTION FACTOR . FEET TOTAL DYNAMIC HEAD 12,�Z„FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH DIAMETER,,, LIQUID DTFTH SIGNED: ._. LICENSE NUMBER: ?97s DATE: 1/88 r submersible Eff lu8u# Pump 3871 EPO4' EP05 p�N�1'i01M + =WX $ari • MY auk �+ high grade me oil for for otA*nt hit truer, + Ott of runn tubri vt t eat: lhd dwoft. =*arm dtfi t d>amaoe #a heat tnneier. B. ''Coeer,'I'hamoplu. comp"". A�nW W IVIO." end ft f ostwa�Mi nt OHWM Few + � Not: 8 hl": 0.4 HP, rnodils I I vial 0 + 115 or V, 60 HZ Igo Fiatt twt�lt Me�IN e� ■ r Cable: Sere duty • RPM, built In Overiol►d wltn pow d to %dory. rid oN and � rellont aut�ntttc Meet; ,upppeer erd lowor • EPO 1� ase; 0,5 HP, ■ del 0et(beerin0 11 ICAi"�1� 11 HO S54 RPM, FEAI'ii 0 "Wo m tip: d4 bulk With a 04 IMPO . Thermo- • ch hag > p swl -open duon lI KO !•'rnximum.' cut ve W*. 10 foot wdh pump t for ,,. • • up t0 65 t;AM. IW WO, 16/3 SJTD mwhuU eai pratact4on u • T=W UP to 94 feet. wb time pm q p curd g • Iolpeil �herf riQ' • = 1 sow. et plug, CPU" 20 foot c now now down n fa (M lieu mode► numbers sow. ctrbcm• lot*, t613 BJTW wills � o � end M "F' or "AC",) r �) elaucn�ere� N, ` on EPU�5)Inp plug • C�p en leer Rugged + � thermoDleadc deeign provldeti 1041 superior etranpth and 1401 rWC� ir�tentf r ae a PW i v Opole at ro dry demegt to a 3 , ooh• # --- � -•-. hpndiing cepebiiiy: a �'� �` tru�dmvm. � � ..f•.., • � G + e p t: up to u y G . Iy� � F� , ` ri�YY to 3� `�'j N /�t W � fV ` �y�iM ��raM. 1 W /T `, tad' r�bOn• e , e { dlWamers. � - �'—• -• 1 n+NF pm wftow j 14M. WMWL 2 o o N 0 mo a 4 I ll fni " dill 11 MR i, r,��ttt1;1 �����IlI1Clir�iu ioill l��11� f. - r �tt�Iti 4 ii`f Ilill�ri 0,1►1{iitti�r''� . i�tirlllf111 to STEEL'S SOIL SERVICE Gary L. Steel Ewlen Properties, Ltd. 1554 200th Ave. SE4NE CSTM2298 S14 T31N - R18W New Richmond, WI 54017 MPRSW -3254 town of Star Prairie (715) 246 -6200 lot #9- Prairie View Estates 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 NW lot stake @ el. 100.00' Alt. BM.= top of mid lot survey stake @ el. 104.70' lnn � F 1, V f�6 9d Gary L. Steel 12 -4 -2000 I 12 -2002 16:08 FR.OM:CSB HUDSON 715- 386 -1051 TD:7153862979 PAGE:02 L J J U i D -1 3 73Stb33 XATHLEEA H. WALSH STATE BAR OF WI FOAM 2 • t999 REGISTER OF DEEDS Document Number " 'WARRANTY DEED ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, trade between EWLEN Proeertles, Ltd., a Tt:xv 08/1212N3 OMAN 08AN Limited Partnership, WARRANTY DEED EIEWT 1 Grantor, and I M ehelle M. Wenineer and Gre¢ory R. REG FEEi 11, 00 TRAITS FEEL 118.58 arital Drnnarty COPY PAGESi 1 Grantee. Grantor, for a valuable consideration, oonveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (it more space Is needed, please attach addendum): Recording Area Lot 9 iris View Estates. Township of Star Prolrle, St. Croix County, Name and Return Address scone 038 -- 1205 90 — OD O Parcel Identlacation Number (PIN) This 18 361 homcakad property. 01) (it not) Exceptions to warranties: Easements, restrictions and rights - of -way of record if an F Dated this 26th day of July 2003 EWLEN ro ertles d. • • >; : o ohnson AUTHENTICATION ACKNOWLEDGMENT Signature(:) STATE OF WISCONSIN ) ss. County ) authenticated this day of , Personally came before mo this 0 0 1 "� day of July 2 aM the above named Ewlen Properties, Ltd., a Texas Limited Partnership, by Foy Johnson TITLE. MEMBER STATE BAR OF WISCONSIN (if not, to me known to be the parson's) who executed the foregoing ina men' and ackn led ad the soma authorlxcd by 4 7Q6.06, Win. Stets.) g THIS INSTRUMENT WAS )�iVENDERSON Attorae Krtsaaa land Notsl Public tart' ublic, State of Wisconsin H udson. o y Comm to is psr'�ent. If t, stat noe expiration date: (Signatures may be autheatieatcd or acitnowte zed. ]Both am not necessary.) � �/ �� ) • Names of persona tiding is amy capacity must be typed or printed below their slgnaturt. WorAt n Frewsbner ComWV Faroe LaC W WARRANTY DIED STATE BAR OF WISCONSIN aoa;sa:mr FORM No. 2 - 1999 I •� .( k�iflf•# /fit .C1N`7C7t7 �ovn auTr�,if ►f ^a+ya r/i ;,9 �u �v �,vf lsv� – _ 00'909 M,O� 00,00S 99'OL£l M.01,,00,0p$ .3N/711�1N33 _ --- – – — .. ,6'£61 V) LO'9LZ 3_OZ 3 'ou•3'0 fu M.0k,00,OOS `" � � •�. 'L �00$ 03t 'WI" v! /QP/ 3/MYA/.iO4 n[ all 1^JK13OAYA1 A7ltJ4! 1 r 0: OSZ m O k 000.00 g h W tr jr I K $ _ V_v 3�OZ,l.l.00S I � ^. a � v n ? , lNxav�Aifwn,�� N � Is CV ........... ............ . ti ... �"' L� `" �' :$ ry . I r I v Y y O 5' z Y i a)/�VHL�S 9N /07 //1B4OU! r 3 .......... Al N a o � t 90 I m n 31 + 2 Ld ' z 2 .— �� Iri cn 10 • ,70B9L ' 7,OY,00,(ptl ,60•►LL ea Irs kor,Omoos lL'90Z © v ,.c9'ICZ v 0sz M OYOO.00S • � � to � 8 � a A s° ,n 'K ® wy . ...... �........... . albs ON /07/!19 : or • / J � � Q ,rz•►I► iurAOOON ' it 41 a ... ....... �I V A -41 Li ao g I C7 W� aN q Z I M� m JI ,19'►C4 3_0,0O,OON S w,sL,oa �• M ♦y � ' ai•9zY ^ 7 _OY.00,00N x �. i ri d ci EMIT ON/07 8 ,OS . 1 ... ... .L . L. }� Wmf - L� b c�` �'LL9 3.0►.00.00N • ' ' y fi 3g ,91V 3.0►. 0(lOON O / ©© 1.�- X e SZOOnuN I ; ......I...... ........ �'K� i q W cf� ^ ,n o i� I 6 Mhf" Wisconsin Department of Commerce SOIL EVALUATION REPORT Page -L— of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must 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. Reviewed by Date Personal information you provide may be used for secondary purpo nva Law, s. 15.04 (1) (m)). Property Owner ; - Property Location Alen Pro pert ies Ltd. Govt. Lot SE 1/4 NE 1/4 S 14 T 31 N R 18 Ekor W Property Owner's Mailing Address __ Lot # Blocic # Subd. Name or CSM# 1430 220th. Ave. "' ° 9 na Prairie View Estates City State Zip Code PhoB6 IQ~ ❑ City ❑ Village [Town Nearest Road TY New Richmond WI 54017:•, ( o �7a13 Star Prairie CTH " " New Construction Use: Q Residenti al (LVttrii r of rc*6(7 4 _ Code derived design Flow rate 600 GPD [I Replacement ❑ Public or con r l des Parent material rliltw o ver glacial dEift Flood Plain elevation If applicable ft. na General comments and recommendations: trenches @ el. 106.00 spaced to code 3.00' below grade F1 -1 Boring # Boring ® pit Ground surface elev. 104.70 ft. Depth to limiting factor + in. Soil 6PO22tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 0 -9 10 3 3 rione T. 2msbk mfr 2 9 -26 7.5yr4/4 none sic! 2msbk 3 26 -90 7.5yr4/6 none ms Os mvfr a Boring # Boring ® pit Ground surface elev. 104.50 ft. Depth to limiting factor +84 in. = GPD/ffff Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -8 10 mfr 2 8 -17 10yr4/4 none scl 3 17 -45 7.5yr4/4 none co s Os 4 45 -84 .5yr4/4 none s! 2msbk mfr Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/- ' E uent !=BO_ 30 mgn- and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Gary L. Steel 02298 Address Date Evaluation 06nducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 12 -4 -2000 715 - 246 -6200 Property Owner Ewlen Properties , Ltd. Parcel ID # p di aq Page 2 of 3 -] Boring # F] Boring 3 pit Ground surface elev. 109.00 ft. Depth to limiting factor 90 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 1 0 -12 1 mfr 2 12 -54 7.5yr4/4 none Co s 3 54 -90 5yr4/4 none sl 2msbk mfr Boring # ❑ Boring 4 g ® pit Ground surface elev. 10920 ft Depth to limiting factor +85 _ 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 I 'Eff#2 1 0 -9 10 4/3 none S1 2msbk mfr 2 9 -63 7.5yr4/4 none co s Q MI CJW if 1.2 3 63 -85 7.5yr4/4 none Sl . Boring Boring # Ground surface elev. ft. Depth to limiting factor in. El Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fg 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 = B0D < 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.6 /00) Wisconsin department of Commerce SOIL EVALUATION REPORT Page 1 —of _3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must 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. Reviewed by Date A Jam Personal information you provide may be used for secondary purp6 iivaay Law, s. 15.04 (1) (m)). Property Owner �� Property Location Ewleri Pro perties Ltd. Govt. Lot SE 1/4 NE 1/4 S 14 T 31 N R r) W `. __ Lot # Block # Subd. Name or CSM# Property Owner's Mailing Address `� I 9 na prairie View Estates 1430 220th. Ave. City State Zip Code PhoBi ❑ City ❑ Village [Town Nearest Road New Richmond WI 54017 ( ° �0m(7313 Star Prairie M " " ® New Construction Use: Q Residential /� lym o €k� roo fs 4 Code derived design flow rate 600 GPD El Replacement El Pub or com I �e Parent material Hilt rash ncrg — giaGlal &_.f— Flood Plain elevation if applicable ft• I 11a General comments and recommendations: trenches @ el. 106.00 spaced to code 3.00' below grade Boring El F1_1 Boring # ® pit Ground surface elev. 104.70 ft. Depth to limiting factor +90 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 1 0 -9 10 3 3 none T. 2msbk mfr 2 9 -26 7.5yr4/4 none sicl 2msbk 3 26 -90 7.5yr4/6 none ms Os mvfr F 2 Boring # Boring 2 ® pit Ground surface elev. 1 04.50 ft Depth to limiting factor +84 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 I - Eff#2 1 0 -8 10 3 mfr cs 2f A 2 8 -17 10yr4/4 none scl 2msbk mfr 3f .6 3 17 -45 7.5yr4/4 none co s 0SCf ml 4 45 -84 5yr4/4 none sl 2msbk mfr ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOQfA 30 mg/L and TSS < 30 mg/L Signature „ CST Number CST Name (Please Print) g 02298 Gar L. Steel ��� Address Date Evaluation Ctinducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 12 -4 -2000 715- 246 -6200 Property Owner Men Properties Ltd. Parcel ID # 1 ng Page 2 of 3 3 � F Boring # ❑ Boring Pit Ground surface elev. 1 09.00 ft. Depth to limiting factor 90 in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0 -12 mfr 2 12 -54 7.5yr4/4 none co 3 54 -90 5yr4/4 none sl 2msbk mf Boring # ❑ Boring 4 ® pit Ground surface elev. 109 ft. Depth to limiting factor +85 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 1 0 -9 10 4 3 none sl 2msbk mfr 2 9 -63 7.5yr4/4 none oo s 3 63 -85 7.5yr4/4 none sl Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Avolication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/(f in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff #2 Effluent #1 = BOO, > 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.6/00) Wisconsin Department of Commerce SOIL EVA TION REPORT - , Page / of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. e Coun Attach complete site plan on paper not less than 8 112 x 11 Inches in size. Plan must 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. Please print all inlbrlmatlon. viewed by Date 3 Personal information you Provide may be used for secondary Purposes (Privacy Low, s. 15.04 (1) (m)). Property Owner • Property Location C 3 m, A ( C Govt Lot 5 G 114 Al 1 /4 S f T N R E (or)<S Property f's Mailing Address Lot # I Block # Subd- Name or CSM# I l Z (-) t (Z, U : o v r.' c c City State Zip Code Plane Number ❑ City ❑ Villagii ® Town Nearest Road ' ' G New Construction Use: 0 Residential / Number of bedrooms.3 —"� Code derived flow rate y�d to a GPD ❑ Replacement e a - Describe: - - -- Parent material _ - - -_— _ Fbo Plain elev 7bon le General comments _ _N1�— ft• / �� �G o cv z and recommendations SyS-fr� e-1 V F Boring # �S /(' ft. Depth to limiting factor _ O s ^ in. Pit Ground surface elev. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence rWry Roots GPDIf! in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 a -/6 o 1^ m I r S - , L /W<C r l� Boring # tEl� Boring Pit Ground surface elev. Lip _ ft. Depth to limiting factor in. Soa A Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 - Eff#2 a -I� I 3/ — SL ✓ Cs I 'V.4 ,S` - 9 z i - o / — S,G rr► r l� s e Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 1150 mg/L ' flue = BOD < 30 mg/L anJ < nrg/L CST Name P Print) Signature /D CST Number 9 Address Date Evaluation Conducted Telephone Number Property Owner __� Parcel ID # Page of F31 Borg # ❑ Boring Pit Ground surface elev. 1 ft. Depth to limiting factor _ in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary GPDIIP In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'EW1 'Eff#2 L - ? m� cs < 9 •-�. ors � -� � � � F-1 Boring # Boring ❑ Pit Ground,surface elev. ft. Depth to ('uniting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfP in. Munsell Qu. Sz. Cant Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # ❑ Boring F ❑ Pit Ground surface elev. ft Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence i Boundary Roots GPD in. Munsell Ou. Sz. Cont. Color Gr. Sz- Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD,> 30:S 220 mglL and TSS >30 <_ 150 mgfL • Effluent #2 = BOD < 30 mglL and TSS <_ 30 mglL 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- 03018.07100► . 1 ' G/ I i a_ DVS �vv� Arm /O% v i 8 _ Iil � iR 8-1 Qi rl J 9Y, A9