Loading...
HomeMy WebLinkAbout038-1206-20-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 453431 0 GENERAL INFORMATION (ATTA 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: Thielke, Dominick I Star Prairie Township 038- 1206 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: / 0D. /CYO. O p� - v o ' ( CST 14.31.18.1107 TANK INFORMATION ELEVATION DAT TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark M oo /� �� col• �d n9 ,t10 eil I CI Alt. 13M ! 9 . Aeration Bldg. Sewer Holding St/Ht Inlet -5 q'f4 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 5 y n t b 3` f Dt Bottom \ Dosing - Header /Man. V. 3 3• Aeration Dist. Pipe �i • is Holding Bot. System / / // 9 Z L �Q d l� a PUMP /SIPHON INFORMATION Final Grade 3, Manufacturer Demand St Cover 99 O PM Z . Model Nutnber TDH Lift ction Loss m Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM / a. (p SUS (a It C BED/TRENCH Width I Length No. Of Trenc PIT DIMENSIONS No. Of Pits In de Dia. Liquid Depth DIMENSIONS I SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING FManurer' k INFORMATION CHAMBER OR Type Of System: t /I UNIT m t JAL} DISTRIBUTION SYSTEM Z (d Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air In f 1( Pipe(s) Lengt Dia_ Lengt A Spacing `^ SO COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over j xx Depth of xx Seeded/Sodded xx Mulch \d Bed/Trench Center Bed/Trench Edges Topsoil F Sgt s E_ No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: D . jns)ection #2: Location: 2161 127th Street Star Prairie, WI 54026 (SW 1l4 NW 1/4 14 T30N R18W) // �W2 Parcel No: 14.31.18.1107 1. Alt BM Descri 2.) Bldg sewer length = 34 - amount of cover 5. Plan revision Required Ye ., No Cl Use other side for adds Zonal 1n ormatlon. L___J_.__1_1_i —_ ___ __ Date Ins ctoes Si ture Cart. No. SBD -6710 (R.3/97) N VA Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 r D �SC���I Madiso WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) 608) 6 -3151 S De arIment of Commerce °; Sanitary Permit Appl o State P lan I.D. Num� In accord with Comm 83.21, Wis. Adm. Code, personal in o on on provide ' `� maybe used for secondary purposes Privacy Law, s15.04(1 ) '� a� t #i Project Address (f difkmt &an mailing address) L Application Information - Please Print All Information 2 Property owneesoalpe Parcel N Block g �' .t'� Property owner's Mailing Address � /1 � Property Location t� City, state li Zip Code Phone Number section U) �r� nt ti (CS Z5—/ N. E W IL Type of Building (check all that apply) 1 2 Family Dwelling - Number of Bedrooms —3 " " ��-- Subdivision Name CSM Number Public/Commercial - Destxlbe Use e / r-- State Owned - Describe Use l T. G .S (� City Village o ��N III. Type of Permit: (Check only one box on line A. Complete line B U applicable) C i► Z iytp/tJ o2 / ? �'Li �a A " ew S s Replacement System TreatmenNHolding Tank Replacement only Other Modification to Existing System B. . Permit Renewal rnu' v'�ton grange of Permit Transfer to New Ust Previous Permit Number and Date Issued Before Expiration Plumber owner 4� J4 7I3b / d IV. LPMe of POWTS System: (Check all that a 1 ) n - Pressurized in- (around Mound 2t 24 in. of suitable soil Mound < 24 is 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 Chamber Dri Line Gmvel-less Other (explain)4 V. DispersaVrreatment Area Y ortmation: Design Plow (gpd) Design Soil Appli tier Ra Dispersal Anew (sf) Dispersal Area posed (s ovation VL Tank Info Capacity in Total Number Manufiictimeir Prefab Sitc S Fbgr Plastic Gallons Gallons of Units Concrete Constructed Glass Now I Edstiog Tads Tanks Septic or Holding Tank Aerobic Treatment Unit t Dosing Ctta+nba VII. Res ottsfbility Statement- 1, the m -k-ign v#AR— P.WbIllty for installation of the POWTS sbown on the attached. lairs. Plumbees l ame (Print) Piulnbet's MP/14IPitS Number Business Phone Number Plumber's Address (Street, City, State, Zip w) 0 VIII. Coun /De artment Use Onl Approved Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Signature (No tatttps) sari Fe`) Owner Given Reason for Denial EK. Conditions of Approval/Reasons for Disapproval �'04 - 3� 0 aJ'Ar S S Yip . Q.UI Z.o� c� q 2. `l q q 2. to y 01 ate. y 4�ro�te place ( /��h cd�i ,tor d�::ys on pa not thanes x 11 inches is sift r J31/R PLAN PROJECT Dominick Thielke DDRESS 1860170th Ave New Richmond Wi 54017 SW 1/4 NE 1/4S 14 1 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9 BEDROOM 3 CONVENTIONAL XXX IN -GROUN ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 808 # of chambe S 26 ,BENCHMARK V.R.P. Top of Foundation ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE • WELL H.R.P. Same as Benchmark SYSTEM ELEVATION 93.6/93.4 Well is to meet all setbacks required by WDNR Town Road Vent >6 „ Standard Biodiffuser Plans Designed Using Leaching Chamber Conventional Powts of Cover with 3 1. 1 ft2 of Area Manual Version 2.0 6, Long 11 3499 Grade at System Elevation p- Pro 3 S 1' Bedroom House 40' 50' ST 40' -3 20' 2 Vents 80' B -1 B -2 40' 40' Town Road • alb t (, I "L° f Wisconsin Department of Commerce SOIL EVALUATION REPORT Page r of ?' Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code CountyJ,+.,, Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must l 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. 03�- Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Govt. Lot Lj 1141YCl A S& T N R j E (d Property Owners Mailing Ad ress Lot # Block # S Name-or M# City &tate Code Phone Number 0 City J ❑ V Town Nearest Road '� ®/ ( ) ew Construction Use: esidential / Number of bedrooms Code derived design flow rate J� GPD ❑ Replacement Public or c�om / Aercial - Describe: Parent material b /C(�J�' `. / Flood Plain elevation if applicable ft. General comments r • I and recommendations: 5"15 P 17 1 Boring # [] Boring Ground surface elev. �2. Depth to limiting fact or � in. 9 -Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2 ©- 16 Z. Ce _ &O. 2" Boring rin a XPit Ground surface elev ft. Depth to limiting factor -A 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 r h, t ..C�- Effluent #1 = BOD > 30 1 220 mg/L and TSS >30 1 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ��� --a G ' 715 - 246 -4516 Property Owner _ Parcel ID # Page of a Ong # ❑ Boring ,kit Ground surface elev. i ' Dft. Depth to limiting factor �u i n. F*Eff#1 Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#2 F ❑ 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 Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit 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. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Ef fluent #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 (RAW) .. vavw" n ll -, vt-j- uuiviu Nurcnasing or 45.83 45.20' S16'2514.5' 32'49'09' S 00'00'40" W S 32'49'49" W St. Croix County Planning, Zoning 45.82' 45.20' 549' 14'23 "W 32'49'08" S 32'49'49" W S 65'38 57 W Town Board for advice. 342.97 134.46 S 57' 10 11.5E 245'38' 17" S 65'38'57" W N 00'00'40" E 146.41 126.82 S 13'13'08 "W 104 S 6538'57" W S 39'12'41 E BEARINGS ARE REFERENCED TO THE 117.45' 107.18' S 81'16'15 "E 84'07'08" S 39'1241 " E N 56'40'11" E NE 1/4 OF SECTION 14. TOWNSHIP 64.86 63.10 N 33 46'27.16 N 56'4011" E N 1012'55 E WHICH IS ASSUMED TO BEAR SOO'0 14.25' 14.23' N 05'06'47.5 "E 10'12'15" N 10'12 55' E N 00'00'40" E ALL LINEAR MEASUREMENTS HAVE E 91.65' 86.72' S 49'48. "W 65' '17" '4 " W S 65'3 7" W HUNDREDTH OF A FOOT. ALL A 342.98' 134.46' S 57'10'11.5"E NGU A 245'38'17" S 65'38'57" W N 00'00'40" E THE NEAREST FIVE (5) SECONDS 102.45' 95.59' S 28'57'49.5 "W 73'22'15" S 65'38'57" W S 07'43'18" E 87.99' 83.62' S 39'13'51.5 "E 63'01'07" S 07'43'18" E S 70'44'25" E 90.77' 85.98' N 7 '4 ' 3" 65'00'24" S 70'44'25" E N ; E 61.77' 60.25' N 2 '07'55.5 "E 44'14'31 N 00'0 '40" S89 2643.19' 210.00' - - --1 210.00' 210.21' N�� UNE or 7t - --- 1984.51 - -- 371.00 I 87,387 S4. FT. 30 31 ' 32 2. 01 ACRES ..' 74,688 SO. FT. 74,688 SO. FT 3 72,494 SO. FT `, Ln o 1.71 ACRES N 1.71 ACRES 1.66 ACRES o MIN. F.F.E. =368.0 .°° U o 6 o O M O LO O ° ° o to I z z ... ........................ ......1..... ��' 2 r 210.00' - - - 210.00' - - • / Z6 i _ 79.01' - © 5 6ti i i i ON O O / • • • - - -- 346.19'- - - - - -- -� 33 N89'01'50 "W ' r - 154.62' -�� I i 92,4& 2.121 co ...........1........ N - -50._ M 18 � I N�° 0 � 1 95,191 SO. FT ° N I 89, 4 SQ. FT 2.19 ACRES _ c'�•, -Co I - 2.05 ACRES MIN. F.F.E. =370.0 00 . 00 I N r7 � 3 rn . LO I ° I S89'01'50 "E LO rn 38l ov w w S89'01'50 "E I o ' I 350.05' 346.11' o° 0 N I o I50 ° o ° 1( ' ° . z , .. 13 ° _ Iz z -s s -- i 88,918 17 77, 508 SO. FT N N 2.04 A • © I = a 1.78 A CRES N 87, 324 SO. FT [ I I 2.00 A rPFS' . • / Safety and Buildings Division County /1 2o1 W. Washington Ave., P.O. Box 7162 ' f 1, V consin � Madison. WI 53707 - ,7162 Sanitary Permit Numbs (to be filled in by Co.) (608) 266 -3151 JC3 3 Dep artment of Commerce State plan L Number ` Sanitary Permit Application 1A In aceotd with Comm 83.21, Wis. Aden. Code, personal information you provide project Address (f different than mailing address) may be used for secondary purposes Privacy Law, s15.04(1Xrn) , ai& L Application Information - Please Print All Informadon Block i s Name Pastel t« Lot;lt Prope �s Prop /) I , aca t t / ion 110 Addrers _ 5 ✓.Y se city. State section n `` Zip Code Phone Nmber = ) l�V t I T ___L N: 1p F� J w 7 II, a of Banding (check all Wat app ) 6l, Al S ion Name CSM Number or 2 Family Dwellin8 - Namber of Bedrooms d?/t �L► I PublirlComrnataal - Describe Use I l City-. VillageXaanship of State owned - Describe Use �` tS� ' e 17I. Type of Permit: (Check only one box on line A. Co ete line B applicable) A. t w System Replacement System T of Tack Replacement Only Odra M n to Exiatug B. permit Renewal Permit Revision Change of Permit Transfer to New List us N Pre Before Expiration Plumber r1Ct N. a of POWTS System: ((ham all that app Non Mound a 24 in. of suitable soil Mound < 24 in o itablq soil At Grade Single Pass Sari Filter constructed Wedand Prrssurized Ia Holding Task Peat Filter is Treatment Unit Recirculating Sand Filter S aftdc Media Filter Chamber pLinc Grovel -less ZZ V. Di tment Area o on: U / R � (� to m (SO S � n IF gpd) Design Soi! Application Raee(gpdsf) Area Manufacturer Site Fber Plastic fo c in T otal � of u Constructed G lass Gallons New Fsisdog Tanks Tanks Tack �� ent Unit r VII. Re s othslblll Statement- I. the bill for itasta isdon of the POWTS d-- on the attached INS. Plumber' i BVIMPRS Number %0- 7N p1 � a� (Print ' t fi��" r✓ plumber's (S City. state, zip ) 0� VIII. Co Use O Date Issued Age ) < Sanitary Permit Fen Surcludes Groundwater - �2� Appro Disapproved Surcharge Fee) �f a � , � � 6 0 Owns Given Reason for Denial `� ]X. Conditions of ApprovaUReasous for Disapproval 1 YS� 3 , S' 2- O dispersal cell must all be serviced / maintained _ as per management plan pro by plumber. 2. All setback requirements mus amtamed - as era l i to the Coun yty only) for me cystew ou paper not less than Sll1 x 11 inches in sire Attad► t oatplete plans :N/ LO' AN PROJECT Dominick Thielke j RESS 1860 170th Ave New Richmond Wi 54017 SW 1/4 NE 1 /4S 14 /T 31 1:8 W TOWN Star Prairie COUNTY ST. CROIX 7/26/04 BEDROOM 3 00 MPRS Shaun Bird 2269 DATE CONVENTIONAL XXX IN- GROUND R SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE P 00 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambe s 22 BENCHMARK V.R.P. Top of 1" pvc Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 98.0/97.6'4' below qrade Plans Designed Using Conventional Powts Manual Version 2.0 97' A1t.B.M. is top of 1" Well is to meet all PVC Pipe @ 100.1' setbacks required by 84' WDNR Vent B-4 38' >6 9? Standard Biodiffuser Leaching Chamber of Cover with 3 1. 1 ft2 of Area q616 Vents 45' 11 6 Lon S -2 Long Grade at System Elevation 34" 56' 2 -3' X 69' Cells with >3' Spacing B. M. 140' 10' B -3 28 25' Pro 3 Bedroom 25' 97' House B -1 C 94' Property Line 350' Property Line ' PLOY PN PROJECT Dominick Thielke TRESS 1860 170th Ave New Richmond Wi 54017 SW 1 / 4 NE 1/4S 14 /T 31 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 7/26/04 BEDROOM 3 CONVENTIONAL XXX IN- GROUND PR SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE , 00 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambe s 22 BENCHMARK V.R.P. Top of 1" pvc Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 98.0/97.6' 4' below qrade Plans Designed Using Conventional Powts Manual Version 2.0 97' A1t.B.M. is top of 1" Well is to meet all PVC Pipe @ 100.1' setbacks required by 84' WDNR Vent B -4 38' >6 " Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area V 45' 7 11" j 6 Lon g 3 4 Grade at System Elevation -2 56' 2 -3' X 69' Cells with >3' Spacing B. M. 140' 10' B -3 28' 25' Pro 3 Bedroom 25 ' 97' House B -1 94' Property Line 350' Property Line ST CROIX COUNTY a SEPTIC -TANK - MAINTENANCE AGREEMEN T SE Z,� G AND OWNERSHIP CERTIFICATION FORM 7 � G . r o 3V' Owner/Buyer N) 'c Z. Mailing Address � ` -7 o Property Address D arrtnent for new construction) (Verification required from Plas�g � fication Number parcel Identi City /State a LEGAL DESCRIPTION Lot � T �I N- W, Town of cati,or�j 1 / 1 /•� Sec , Property Lo � a �" # Subdivision Volume , page # Certified Survey Map # !o p # warranty Deed # D Volume Lot lines identifiable yes ❑ no Spec house ❑ yes S rjCU+ tore failure to handle wastes. Proper maintenance SYST �"-F What you put into the system Improper use and maintenance of our y septic system could result its byL Ucensed pumper• is out the septic tank every thTeG Yew or sooner, if needed o stem consists of pump g treatment stage is the waste disposal sy can affect the function. of the septic tank ass at a certification form, signed by the owner and by a St. Croix Zoning Departme on -site wsstewaterdisposal system t to S that 1 the . owner agrees to submit rasedperverifymg () than l/3 full of sludge. rt3' lice P ess The r or a is 1 P� lumbe tic tank. lumber, restrietedp in if necessary), the Sep � masterplumber, journey�►P after raspectioa and pump g ( Operating condition and/or (2) is in roper op disposal sys tem with the standards P private sewag eats and agree to maintain the p cation I/we, the undersigned have read the above requirem artment of Natural Resources, State t Zo�g Ot � 30 set forth, herein, as set by the Department of Commerce and the D� d and r eturned to the St Croix County our septic system has been maintained must be comp stating that y _ days of the three ear expiration date. / 26 / - � DATE SIGhN�A -rLTRE OF APPLICANT O WNER CERTIFICATION our) knowledge. I (we) am (are) the owner(s) of are I (we) certify that all Sit vir tue of a warranty on flits form recorded in R of Deeds Office. the property described above, by virtue I ZG iN DATE APPLICANT P De artment. * * * * ** An informatio a that is mis represented may re sult in the sanitary Permit being revoked by the Zoning p cation: s stamped warranty deed from the Register of Deeds office li deed •* Include with this a P • a copy of the certified survey map if reference is made in the warranty 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 ('j'� Ln e y Plan 1 system f ails, determine cause of failure, use alternate area and install new n tested 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 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _- _ 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. � �� Z j 2— eE j –OUP percent slope, scale or dimensions, north arrow, and location and distance to nearest road. J ri Please print all informa Rev, ed b Date Personal information you provide may be used for secont�afy �p�s�s (!Priv9cy.!Law ,15.04 (1) (m)). Property Owner fv ,. , % �► Propqrty Location + Govt. b t SW 1/4 1/4 S T N R (or) W T\T Ewlen Prop erties, L d � - — r 31 1A Property Owners Mailing Address / _ Lot #" Block # Subd. Name or CSM# 1430 220th. Ave. n 1 City State Zip Code Phone um er El 0ny 1 ❑ Village ® Town Nearest Road New Richmo d W . 5401 ( 71 -9 24�8 A 3 i' t "C" Ek New Construction Use: ER Residential / Numb er,bl bedrooms 4, '�. ` ode derived design flow rate 6 00 GPD ❑ Replacement ❑ Public or commercial � es i y Parent material OUtWdSh '`- -- ! Flood Plain elevation if applicable na ft. General comments and recommendations: trenches @ el. 98.10, spaced to code 4.00' below grade ❑ Boring # Boring 1 [� pit Ground surface elev. 102-10 ft. Depth to limiting factor +1 00 in. Soil A 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 1 -1 2f .5 .8 2 10 -33 7.5vr4/4 none scl 2msbk mfr gw if .4 .6 3 33 -80 ) .5yr4/4 none Ls os mvfr gw na 1.2 7 5 r4 6 none ms Osq ml na na 1.2 �r Boring # Boring ® Pit Ground surface elev. 102.1% Depth to limiting factor +100 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 1 0 -15 10 r3/3 none L 2msbk mfr cs if .5 .8 2 15-3E 7 5 r4 4 none sicl M na qw if .0 3 38 -1 0 .5 r4/4 none Ls osg mvfr na na Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L tVuent #2 = BO [h 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature „f� CST Number Gary L. Steel e'M / 02298 Address Date Evaluation Conducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 12 -2 -2000 715 - 246 -6200 Property 0 ,, wlen Propertie Ltd Parcel ID# pending page 2 of 3 Boring ❑ Boring g ® pit Ground surface elev. 1 00. 20 ft Depth to limiting factor +96 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 -10 10 r3/3 none L 2msbk mfr cs if .5 .8 2 1171-14 1 3 3.1-961 7.5 r4 none Ls Oscr myfrl n 7 1 F Boring # ❑ Boring 4 [ pit Ground surface elev. 100.2 ft. Depth to limiting factor +96 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 -10 10yr3/3 none L 2msbk rnfr CCZ 2 2 10 -30 7.5yr4/4 none scil M if .0 .0 3 20 -96 7.5 4 4 n Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. F-1 pit Soil lication Rate Horizon e Texture Structure Consistence Boundary Roots GPD/fF D tfi Dominant Color Redox Description rY P Pti on in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD, > 30:5 220 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 (P -fiW) 1 STEEL'S SOIL SERVICE Gary L. Steel Ewlen Properties, Ltd. 1554 200th Ave. CSTM SftNE4 s14 -T31 N -R1 sw ' New Richmond, WI 54017 MPRSW -3254 town of Star Prairie 715 ) 246 -6200 lot #12- 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 1" pvc pipe @ el. 100.00' Alt. BM.= top of 1" pvc pipe @el. 100.1 � 0 r 1' Gary L. Steel 12-27-2000 r C STATE $AR O WISCONSIN FORM O 8 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED - RE CO. D EEDS This Deed, made between EWLEN Properties, LTD.. a Texas RECEIVED FOR RECORD Limited Partnershiu Grantor, 07/28/2004 10:00AN and Dnminick D Thiel - - .Tarlyn M- ThiPlkP, Dann" T WARRANTY DEED Thie1ke, and Diane L-Thielke Grantee. EXEMPT # Grantor, for a valuable consideration, conveys and warrants to Grantee the following escribed real estate in St. Croix Cou State of Wisconsin REC FEE: 11.80 8 �'' TRANS FEE: 109.50 (if more space is needed, please attach addendum): COPY FEE: Lot 12, Prairie View Estates, Township of Star Prairie, St. Croix County, CC FEE: Wisconsin. PAGES: 1 Recording Area Name and Return Address 53:1 S 1Cr,owles ale �a,v �ic.4�►Y`••�d c.J - -40 03 8-1206 -20 -000 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and right -of -way of record, if any. Dated this �� `1 day of July ' 2004 n �� E EN Properties TD. * * BY: Paul Ande rson /6ct Y /'t�,,� a...+ i; 44G V r '+ tom' Ct ✓�N k * AUTHENTICATION —�- ACKNOWLEDGMENT Signature(s) - STATE OF /e�( (} ) ) ss. _ _ C w r County ) authenticated this _ day of _ Personally came before me this % day of July 2004 the above named E WLEN Properties, LTD., a T exas Limited Par tnership, * BY: P aul Anderson TITLE: MEMBER STATE BAR OF WISCONSIN (If not, _ _ _ to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Slats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland * QMan, Leh Hudson, WI 54016 Notary Public, State of My Co mission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) _ U� �� slj" ��ct ,) * Names of persons signing in any capacity must be typed or printed below their signature. tiw�Awiw ' ���Td du La., Wf STATE BAR OF WISCONSIN °" +X ATHENA M. KOENEN 800 -65s 2021 WARRANTY DEED FORM No. 2 -1999 ,A r �'^ Notary Public, State Of Texas My Commission Expires %:�� August 23, 2006