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0 ■ ° 2 J k � Q $ w E/ 0 °&@ m& S = — e Q $ - c } \ J \ K ; \ 2:f ) \ 2 g $ G CD / ■ 3 CL 0 E E§ 8 . � 2 @ v > 2 CL E e E i / Co = � k § 0 0 -4 f FP z CL § § § § k 2 / 2 E 2 ov 2 \ 0 0 0 2 ; -• 0 § m co CA ■ - $ CO a / ƒ rc3 / CA 2 [ / §' 2 CL z S z z / E = 0 > > @ . \ e /CD km 'E R 3 2,� o f 2 _ ■ ) i \ $ U E ¥ z 7 [ § E ■ T 2) OD \ E § z \ 0 7 2 q z � \ � % � k > . � k � 0 0 E N t � g . k o x CD § \ �} . � 4 P AP R VOL PAGE 4699 . , f KAT}ILM N. WArMT -- %:; REGISTER OF DEEDS ST. CROIX CO., MI N 2 (� p x i` ° 1 '€ RECEIVED FOR RECORD m C p g 1 ""'' ,, 02/04/2004 03:00PH V\j �m i I % � 0 0 CERTIFIED SURVEY MAY C 1 1 REC FEE: 13.00 S rn m m m COPY FEE: 3.00 g g ,o ° 0 a PAGES: 2 D MmM o �"' a o z Vii- c �o �N� O oo° � N a c -4 rt m { a aD * - m p � 9 -: za m m <o Z mez a �r cn 707 -� z I to O 0 m m m�v�i O pc = �D f1f1 r Z� � p c �O- O i Oz w co cn c o cn r o m p �z r 0 c S _� (% c CA 0 z 9 Z v 31 o n � s tn A m o m Z v G1 n y �T . 0 O �� m z� Q m � � m o X =1 O 00 _ z n �" b m< C9 =� ow Q. ➢ In - o v m �n r ° 7D m g C) A Cn °� �n �a co a r pz z v m am Om zc N�� �Z� �o � z p= er El K c^ m- c1 z �z� m C:) z 1 G7 N n a z z D : m _ Z m m m rn a T m n 00 A n b� a r p - - - - - - - - NOO °21'49"W 2646.97' 13 - r 1323.48' 23.48' V _ WEST LINE OF THE SW7 /4 cw n a �fn' co rnvwNCn m *��OC=a i�az � znra do vi 0? y 0 m m c> Om cnmmO - 1 cur i a a Ow c: z0 a - O-nm cx Zmmr J D� [nDm! 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I 1 I Z j' �F C !' it w f \ -'z S D o m 1 00 :r f1� f m 0 rn� Z :........ z / co 10 US - 02 yA Tf z G io .�'y+``~ �.d Cn I �GjI v� O cn Fn p OD -n \0\ O Q qA 2 i , tv rZ� O (' BEARINGS ARE REFERENCED , SHEET 1 OF 2 SHEETS \� � , n WEST LINE OF THE SW11/4 OF SECTION �9 - 1 { 18, ASSUMED TO BEAR NOO°21 Vol 18 Page 4699 1130 . Wisconsin Department of Commerce SOIL EVALUATION REPORT - Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Pldl<r4 -Oede� I V Q Tom Schmitt Attach complete site plan on paper not less than 8% x 11 inches in size. Plan m st County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction nd A 0 11 D + percent slope, scale or dimensions, north arrow, and location and distance ton arest ro . 0W— /- Please print all information. sr. CR01x C X064 - owed fiY Date Personal information you provide may be used for secondary purposes (Privacy taw, s. I L0jW I N G CO F F 1 C E Property Owner Property Location Grand Properties, LP Govt. Lot SW 1/4 SW 1/4 S 18 T N R ,,, 48 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 25 Rolli g Oaks City State Zip Code Phone Number City Village ✓ Town Nearest R d Somerset WI 54025 715 - 247 -5900 Star Prairie 8 St. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a mound system. System elevation is 110.59' based off contour line established at 109.09' Slope is 7 %. - ❑ Boring # Boring ✓ Pit Ground Surface elev. 108.49 ft. Depth to limiting factor 18 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10 r3/1 none sl 2m r mvfr cw 2m, 2f .5 .9 Y 9 2 9 -18 10yr5/4 none sl 2fsbk mfr gw 1f .5 .9 3 18 -26 10yr4/4 m2d 5yr5/8 7.5yr6/2 sl 2msbk mfr gw if 5 9 4 26 -32 7.5yr4/6 m3p yr5 /8 s( 2msbk mfr ---- - - - - -- 5 9 Boring # Boring ✓ Pit Ground Surface elev. 108.79 ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -7 10yr3/2 none sil 2mgr mvfr cw 2m, 2f .5 .9 2 7 -19 10yr5/4 none sl 2fsbk mfr gw 2f .5 .9 3 19-26 10yr5/4 m2d 5yr5/8 sl 2fsbk mfr gw if .5 .9 7.5yr6/2 4 26 -30 7.5yr4/6 ni2Tyr�2 /8 sl 2msbk mfr - - -- - - - - -- .5 .9 * Effluent #1 = BOD? 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD :S mg /L and TSS < mg /L CST Name (Please Print) Signature: C CST Number Thomas J. Schmitt thy+ - g yro 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 11/14/02 715 - 247 -2941 Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 • Boring # Boring ✓ Pit Ground Surface elev. 107.89 ft. Depth to limiting factor 18 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rood GPDR in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr2/2 none I 2mgr mvfr cw 2m, 2f .5 .8 2 8-18 10yr5/4 none sil 2msbk mvfr gw 2f .5 .8 3 18 -22 10yr4/4 �56j28 sl 2msbk mvfr gw if .5 .9 4 22 -31 7.5yr4/6 m3p 5yr5/6 sl 2fsbk mvfr - - -- - - - - -- .5 .9 5 r6/2 F-1 Boring # ✓ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 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 < 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 --4 — t — .1 ;n — altP...otA f —t „1.— r f—f thA A-- t—t of (.ntt_7!(._1I G1 — TTV 4r12- 7(.A- 2'7'77 7 L s Ro t(. -, Aq L T f' o ff'' ! G �r e L. /'02, .2 2 6rl�f � r L ,y✓ /9, �9' ta i i i S his 1 .s J'� Se- ,4 A /Z, 4 sal / s s � sly T -?llWl#4J 1130 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), di ion and percent slope, scale or dimemsions, north arrow, and location arNietarto nearest road. parcel I.D. Please print all inf ocaraon Reviewed By Date Personal information you provide may (Privacy L.,'9 16.04 (1) Property Owner `(C roperty Location Grand Properties, LP O M. Lot SW 1/4 SW 1/4 S 18 T 31 N R 18 W Property Owner's Mailing Address L # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 °" 25 Rolling Oaks City State Zip ode P Nu6ber City Village ✓ Town Nearest Road Somerset WI 715- 247 -5900 Star Prairie 81St St. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a mound system. System elevation is 105.62' based off contour line established at 103.87' Slope is 22 %. ❑ 'I Boring # Boring ✓ Pit Ground Surface elev. 103.51 ft. Depth to limiting factor 1 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f in. Mureell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff# * ff#2 1 0-9 10yr3/1 none sl 2mgr mvfr cw 2m, 2f .5 .9 2 9 -17 10yr5/4 none sl 2fsbk mfr gw 1 f .5 .9 3 17 -22 10yr4/4 75� sl 2msbk mfr gw 1f .5 .9 4 22 -32 7.5yr4/6 m 5y ryr2 /8 sl 2msbk mfr -- - - - -- .5 .9 ❑ Boring # Boring ✓ Pit Ground Surface elev. 103.50 ft. Depth to limiting factor 15 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10yr3 /2 none sil 2mgr mvfr cw 2m, 2f .5 .9 2 6-15 10yr5 /4 none sl 2fsbk mfr gw 2f 5 .9 3 15 -20 10yr5/4 7 5yf6 /2/g sl 2fsbk mfr gw if .5 .9 4 20-30 7.5yr4/6 m2v 5yr2 /8 sl 2msbk mfr ---- —�-- .5 .9 * Effluent #1 = SOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 130 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature: r CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, WI 54026 5/23/02 715- 549 -6651 Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 Boring # Boring be Pit Ground Surface elev. 99.15 ft. Depth to limiting factor 16 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 `Eff#2 1 1 m vfr 2f .5 .8 0 -8 Oyr2/2 none 1 2mgr m cw 2m 2 8 -16 10yr5/4 none sil 2msbk mvfr gw 2f .5 .8 3 16 -22 10yr4/4 � 5 / 2g sl 2msbk mvfr gw If .5 .9 4 22 -31 7.5 r4 /6 map sl 2fsbk mvfr - - -- --- -- .5 .9 y 5 rr6/2 6/2 F-1 Boring # Boring Pit Ground Surface elev. fl. Depth to limiting factor in. Sop Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. *Eff#1 "Eff#2 F-1 Boring # Boring Pit Ground Surface elev. fl. Depth to limiting factor in. FSoil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 " Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or nno mwtPr:al in on Q11PrngtA F rmot nlwacP . nr+to..t the AAR- 7Af. -11 G 1 — T'I V f( -Q777 l 103, Y7 1 Ok ol i S� Ly / L ' S 1 HC ILAN 1 I�.I�nAAlO 11 i t ..nrcw 1110 As: s,o ou -.�. \ ... s28 > C. S. M IN , \ \ 1 ees Aowai " ••7 aO R • 1�, 1 01.10+ b A Ik • \ 124.014 p waTsa VOL 14, P013638 4•. \ = : ' , - - — — - — — — — --_ All 2S ! / �� s � 1.e�:s,la 4 Bi'3�'i E rsA, +.na Ab;;;O ♦ sa•'dp� - 04274 so R GOAW so Fr 4 90AIN so Orr 10 t ^� NAIp ♦ /. _ J y1't ys.s�• MAI. ( 4• 044"'WPT 8 Zjtow +eRSrAw M7wR C 01.0" w r► +la • Non-awl, + � w eae.ar a.L4u In \ .ee• 'w +1rMb/ -es i + ; I Co sno- as+arr \ � <1 = +0»L. r 20 a z1 LrL. _ **A" io R i ` *A&* +w »A011ai 1.wwalai -- • . Yf ` �.... ACAee • }a[ e4e,a ew R ® ma me 00 R VIA" AON[i arc -+raa ' It ® I ® •iio81 $ _J L — �+.Ax1R w 71M sw OWCATED TO THE PUBLIC N 0rir1Ar w 043" — H av W s aa2.4a� -- . Aw L 210TH AVENUE Wr 1 Oelete _ U39 - /��— cx� -cxso 1 A. i6 15 14 13 18 r sma A. +om a 21 ftA A. 20 doom A. � 1eM Ar 28 27 26 25 80 A. • r � 1 Ar 1 j� N m Ar ~ 32 rw +sam Ar gi N N N ., w ++1 s.n e.... M Ex ha 39 lro ' ° /l 840.88 — r .�J.41' a•1.•Y 1 •w.°� 00.0 4wM MIG4 . a4l Qwi' I L_ /I `` VATCR lWC - pry v,f TL AND - t aw. 821.0 C. S. M. /N ,.• 42 Ao a so•rwcnu o •1 wa• •,.o•sw n 1 J ^$ s�'' • �� / 1 s1.w, son tS � � , ,� J , 2 to + . VOL_ 14 PC.3838pi +. 0 0 .✓ ?� t A / 1•.oe 11 7 16 1.037 ACRES — •� ° 6 89'33`69' E 3375.44• n \ \ N• 3 A�AIla / ` `i d �� ,� $4.374 co rr .004 so rT .as.I m 22 , 2.004 ACHES � 4 w.••• son 10 $ 1.577 ACHES A ir .a• 9 S' w.7" so rr MAL 114 O � � 17 as a Pro �' 9 1 B L s a.7 Acwes ,J ACHES -" Le• 1.417^00464 WTA47 W rr EE,E•4 son 7p, fg 1.y ,os.wE Eo FT ° 3 t,,, ACREE I R 3 R "k • +E er — w Eea"S w B ,O • oe ,sE.7r _ a 7 ,.a— ACHES O a so FT sEeulr e� t < I <�I r ► z f sasri r •20 e 2f .tLO — — 4j t� �i 8 ti Ya 8 L 1w 1800 Fr j4 ®i. E4.4 ."Saa ° 6 I. A CRES 4 1A 17 60 IL 1 � I � ,2 Eo n ?G s ' 'prof ,• 4- SI ON r,rE MEMIM owTi!4 or ,.z9 L S e-,!�- VAA,.) s Ilk s �� p4 YOOm Ar K ,9M Av °�: a 28 27 26 25 3 R S 19aM Av 91 Av GG fig { a AV rn u 3 34 32 194. Av 1 e 1 ,6M A+ caNW « ! M « See- vAU Wiscolasi i Department of Commerce SOIL AND SITE ��[AI Division of Safety and Buildings ? '-- Page A— of _ ,Bureau of Integra '�a rv ices In accordance witl l m rh 63.09, Wis. Adm. Code Attach gomplete r to P� r 1 inches in s(ze: Plan milst- County ' include, but not ce point (B"�. direction and } G(� percent slope, 2 ation and distance to nearest road. parcel I.D. # APPLICAP t all inform0ion. R by Date Personal infor urposes (Privacy baw, s" 15.04 jt).(m)): D 260 . -- Property 0 Property Location Govt. Lot 1/4 S c,,�fl/4,S 1 8 - T3 I ,N,R I S E (or)�@ Property Owners Mailing Address Lot # _ lock# Subd. Name or CSM# City State Zip Code Phone Number ❑ City Village ® Town Nearest Road New Construction Use: CgResidential / Number of bedrooms _ ' Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow t gpd Recommended design loading rate � bed, gpd /ft !�2 trench, gpd/11 Absorption area required lZ CSC) bed, ft L000 trench, ft Maximum design loading rate .S— bed, gpd /ft �! trench, gpd /ft Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design /site considerations Co44o, r 6- 0 Parent material Flood plain elevation, if applicable It S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = unsuitable for system ❑ S ( U ®S ❑ u El S Ea u ❑ S 14 U ❑ S ®U ❑ S P U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ; Trench Ground 3 - O VOL IP. S 4/ v E C elev. —_ •Zdft. ' Depth to limiting factor 2Y in. Remarks: Boring # 10 3 Ls Ground elev. Depth to limiting factor Z Remarks: C& Name (Please Print) Signature Telephone No. A q A Zy -- 'too - v- Address Date CST Number oo SOIL DESCRIPTION REPORT PROPERTY OWNER �s Page �_ of 3L PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 j. in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 2iii� 77— C -S i= Ground 5 t 6 F= 2 3 S Y. LS Jt 6 var- elev. U46 111. Depth to limiting factor p Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # S Ground elev. ft. Depth to limiting factor in ' Remarks: Boring # ;p Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R.9/98) k • PAGE_3_OF_3�_ NAME S J + LOT# 13 LEGAL DESCRIPTIONSCII 1 /� /4,S I FST 3 / ,N,R t FSE (or) IDS SCALE: F'= o O BM 1 ELEVATION IC)(- a BM 1 DESCRIPTION , V -,'I BM 2 ELEVATION I0 y BM 2 DESCRIPTION - , v,;.: 1 Z " �gn4o_ - SYSTEM ELEVATION pG•� O ALTERNATE ELEVATION c/ J4- CONTOUR ELEVATION ?$ • G d AV 9 ` ti i • a SIGNATURE ATE Parcel #: 038 - 1217 -50 -000 09/14/2006 08:54 AM PAGE 1OF1 Alt. Parcel #: 18.31.18.1197 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/04/2004 00 4 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner RETIRED GRAND PROPERTIES LP O - GRAND PROPERTIES LP, RETIRED Districts: SC = School SP = Special Property Address(es): • = Primary Type Dist # Description ' 2124 81ST ST SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 1.862 Plat: 2419 - ROLLING OAKS 2 01 SEC 18 T31 N R1 8W SW SW FRL LOT 26 Block/Condo Bldg: LOT 26 ROLLING OAKS 2 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 18-31N-18W SW SW Notes: Parcel History: Date Doc # Vol /Page Type 02/04/2004 753478 2504/153 WD 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 03/28/2005 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 COCA � v w v O fD SR I CD CD CL V 1 O z' n i y CD C CD OD c j .. C CD SD 3 0 j 07. i O O f OZ 7 M N (D 9% N o 0 O n A i � N 00 O 1 N - `R` ' W O O ' QI 00 ! r r C CD , a) ! T• i .�� c a 3 �, • o N xsi: CD CD F h Z UZ C o 0 C1 CD � ED L7 ; 0] 00 Wiz. C, m n , a a (1) C :(D ^► j a Z % y � v o1% m� z� z m 0 D 0 N c N (� afa oii All A c i A a p CD 3 i N°o c co m 7 r 2 D) f co co i /� a 7 r O �P Z A cn �`'" C e€ CD N O O (� �. O CO rl � N W O7 A , Z O Ch CD CD CL Ch CL CD a O x / ci C E < Z . 7 E G a N v CD o n c j m CD Li r ,.� Gi ✓/ i a a� 4 a r C o O C �, « 'b < ( r D O ryw a 9 f0 j ✓"s v r ✓" � � Q o �r m m D O n MOs a�'� �. Z„ y F n C D) a s � co � r r g co a [' € i C • < � , n ? O -p �• 0 (a ol E a 0 r r w 0 c � T n cn K ;U zƒ Z Q 4� G) 1 Q 0 0 0 Ul @ =r r- a CA) 0 CL CD — = a 0) CL N. 90 CD 3. m 0 CD Co CD (D -4 CD CD a a CL 0 3 CD 0 44 M E r CL . 03 v > m CL Co CD C . CL CD 3 0 -4 CO (D CD r. rr 7 cn :2 0 ID cn 0 r-a ;o = OD 0 0 1.3 ■ ■ ■ CD 0 0 a) co 0) 3 CA N) CL z 0 z z 0 > > 0 m CL CL CD M cn M C. 0 @ 0 r x 2 2 ■ m z 0 SE (D E5 cn 0 3 Im T m m CL z 0 r! 3 z =L (D 0 z CL 0 CD tr 0 CD < / ? r / ¢J E V @ � � / (f E c E ° w @ \ $ S. } k k e C -0 k � K i , w m E _0 / o m 19 (n a : . BCD M CD \ \ ■ ® / CL ( E E $ § @ v > \ ° CD Q e CL j / 0 4 i c CD \ / / / ( / m \ @ n r ■ .0 $ # a § c / k § . § § m / ƒ 7 0 00 $ 1 - 3 1 ■ ■ @ �' 2 0 0 gE2I _ - 8 7 � \ � Z 5 > > o \ @} R �. E_%_ �/ \ t m, E 2�a 2 8 � \ f z \ � � � / M / \ § / § 7 \ § E . E 2 -4 . E o l k g o C/) =r q \ & Cl) % # > CL 0 § � � f 0 R m % � � a � � ƒ � 7 � . � 2 0 A § _ o w ,consin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix safety and Building Division INAECTICN REPORT Sanitary Permit No: 453161 0 GENERAL INFORMATION (Ai lCH�1 O 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 Q N � : Grand Properties L.P. Star Prairie Township 0 3 ° - CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: c-5 zt.1 18.31.18111 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I ' s /® Benchmark W l 3.3L 1U3-3 goo, b Dosing Alt. BM c cow Aeration 1 6o Bldg. Sewer I Z qO , 3 S . c.� Holding SUHt Inlet -_ 13.57 4 91, 3 TANK SETBACK INFORMATION St/Ht outlet J3.75 87 TANK TO P/L WELL ]BLDG. Vent to Air Intake ROAD Dt Inlet Septic . 7 ! , 1 •7 1 Dt Bottom 1�,+� G / .6 h o Dosing �7 t / l Header /Man. G � O Aeration Dist. Pipe , 1 q Holding Bot. System ! I g Final Grade PUMP /SIPHON INFORMATION 1 G�ooJ 6� Manufacturer Demand St Cover q G GPM 3 A �• Seti. 1 ' ! � cS Model Number b� U . TDH Lift Frictio Loss System ad TDH Ft Forcemain Length Dia. I Dist. to Well �00 SOIL ABSORPTION SYSTEM c n 1 ov -r -5111 Z t Z- t+ . v 1 G - BED /TRENCH Width Length No. Of T� PIT NSIONS No. Of Pits Insi Dia. Liquid Depth DIMENSIONS -// l _� 3 t SETBACK SYSTEM TO `P P/L At WELL LAKE /STREAM LEACHING Manufactur@r: INFORMATION CHAMBER OR _ Type st m: /6 � 1 �l 1 UNIT 9lb L(I Model Number: DISTRIBUTION SYSTEM � Header /Mani Id Distribution / I x Hole Siz x Hole Spacing, ( Ve t to r Intake -3 r _ Length Dia (lZ Length Dia 1 ' f Z ' Spacing -36 "1 �� d G SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over I Depth Over xx Depth of� xx Seeded/ d xx Mulched Bed/Trench Center /, /_ Bed/Trench Edges Topsoil (O Yes I No " Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: 7 / o `f Inspection #2: / / M,w �vJ. Location: 81st St Unknown ( SW 1/4 1/4 18 T31N R1 8W) Rollin g Oaks Lot 28 Parcel No: 18.31.18. � 9i 45 Bab,r,, bF 1.) Alt BM Description = , 2.) Bldg sewer length = g - amount of cover = 3Av" 3.)Contour= 9l,.7Z sae? J r SQ►�� = %8 2� Use othes de for information. No �f I I 6 � � � ✓i -- SBD -6710 (R.3/97) Date InsepASignat Cert. No. n r + Safety arSd Buildibgs Division County ,. in by Co.) hi W 201 W. Washington Ave., P.O. Box 7082 S j a` C Madison, WI 53707 - 7082 Sanitary Permit Number (to be filled oins� n De artment of Commerce (608) 261 -6546 't I Sanitary Permit Application State Plan_ I.D. Number g�f s 7 - �,,, s, / ) In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s 15.04(1 xm) Project Address (if different han mailing address) I. Application Information - Please Print All Information - ✓ ` Q S� , Property Owner's Name arcel k Lot #.28 ock N Property Owner's Mailing Address Property Location City, ` su1 'A, _b(� Section ty , Zip Code Phone Number - 2 j _ circle o II. Type of Building �� T,�L N, R�E o yp g (check all that apply) St�rH.� ®I or 2 Family Dwelling - Number of edrootps Subdivision Name CSM Number ❑ Public/Commercial - Describe Use r K fo 1 7 1OLLIAI .E ❑ State Owned - Describe Use �� D ct = (•SD ❑Ci ❑villa e p ty_ g Iipr ONTls h l of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' 111 New System ys C1 Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS system: Check all that appl ❑ Non - Pressurized In -Ground 6 Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter .❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdso Dispersal Area Required (so Dispersal Area Proposed (so System Elev VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit h Dosing Chamber 19 10) . VII. Responsibility Statement- I, the and igned, assume responsibility for installat' POW TS POTS shown on the attached plans. { Plumber's Name (Print) PI be 's Signature M PRS Number Business Phone Number AW4 ( [ 2 1=1 7 V I J Plumber's Address (Street, City, State, Zip Code) /t E VIII. ounty /De artment We Onlyi l oApproved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing gent Signatur No Stamps) Surcharge Fee) t _ O / O ven Reason for Denial IX. Conditions Approv e i SYSTEM OWNER: > -�-. S '! 1 Septic tank, effluent filter and dispersal cell must all serviced / maintained C-tQ� 2 J as per management p provided by plumber. n 2. All setback requirements must be maintained t( `N Wall as per applicable code /ordinances J , Attack compkte pleas (to the County only) for the syst apk not kss than 81f2 z 11 Caches to atze SBD -6398 (R. 08/02) S N Rn1 = T o P of Z V pIP,� tL, = /00 VC) ' Ci ' 8 11 - ToP Z" PVc BCQr HFoL � s ON V Ou4 L,Nc A Sc 4 A 9 _ .o 5' sET BK ° % p w .a w w COD 6 At S.T , °� y ,h�v wIZAgcL A -loo ca PR� /� OR��EW law c, / COM, 0(4R �y ® / � : ,✓ B E[., 9'6.69.' _ . ! 77D. — )ncu*J fifty t J/D 0 i f3 o q,, c 97 a l? j. o ,pQ/W /N . �� - .. .OR�4w�� a r'o�' � J=4�n 7/2- �►1Iµ�D S% ..Sw,Tt /00 �SO /)ICESc T /i1f 1 .�o,�i &esET 1NT .S Yd oZ ' ,� r i Y 'i �� � N. 5L" x 1 4'i Safety and Buildings P 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 visconsin w,ro,a.commerc .wis ons Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary June 30, 2003 CUST ID No.223760 ATTN.• POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 586 VALLEY VIEW TRAIL 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/30/2005 Identification Numbers Transaction ID No. 878441 SITE: Site ID No. 660748 Mike Germian/Grand Properties Please refer to both identification numbers, 81st Street above, in all correspondence with the agency. Town of Star Prairie St Croix County SW1 /4, SWl /4, S18, T31N, R18W Lot: X, Subdivision: Rolling Oaks FOR: 2 6 Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 908607 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01/01). • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. r - SCHMITT & SONS EXCAVATING � 4 40 586 Valley Kiew Trail � Somerset, WI 54025 715 - 549 -6651 MOUND SY.4TEM sS�� For: GRAND PROPERTIES L. P. Address: 712 Rivard St. Suite 100 Legal. SW a SW a S 18 T 31 NR 18 Township: Star P r a i r e County: St. Croix Rolling Oaks Lot 26 Contents Page 1 Plot Plan Page 2 System Cross Section Page 3 Pipe Lateral Layout Page 4 Dosing Chamber Page 5 Pump Curve Page 6 Management Plan Attachment 1 Soil Evaluation Report Attachment 2 Map Mound Component Manual (Version 2.0) SBD -10691 P(N. 01/01) Pressure Distribution Component Manual (Version 2.0) SBD-1 0 706-P(N 01 /01) By: MPRSw 223760 Date: June 9, 2003 DENIRTtJifhT Ui CG,�. ".�i�C DIYISIGN iDfJAFETY ANL bUILDlNGS t SEE CC f RcS NDE,,JCE ROLLI)IJ& OA K5, l / z A B = To oi Z P C rL. = /oo,oa ' N_ a/4C7 ' 8 rtil - TO c p Z,' P V c P oc tL. = ID� Boa's }•� c� E s _ ° cop 9(0.69 - 5/ 7% ° v yy ' s gAC� a `W" � u � OOD 6 AL S.T / •a�i s h y wIzAsa A -100 1 P,Q�cK} / oKi�Ew eao 4L, '� CoarouR uN _; a. /oo' z" Fo�c c ntia,N ,__ 87.6 �x 36a f m c u N p - -- �/- Boy 8M _ eo e Va yj. - � I ' -- 7/ L Vµe-O Si. Su.Tt /OD sontEeSc Page 2 Cf 6 1 Straw, Marsh Hay, Or Synthetic Covering ASTMC33 Distribution Pipe Medium Send w a 6 Topsoil xs tses R SY5.1l;LEV. 9�9 % Slope Sod Of 2 Force Main Plowed Aggregate Layer (6", be low Ptpe) Q 1.50 Ft. E 2_ 52 Ft. Cross Section Of A Mound System Using F 2.79 Ft. A Sod For The Absorption Area G 0. 60 Ft. A 7.0 Ft. H 1.00 Signed: B 6 4.3 Ft. K 11.7 Ft. License Number. 223760 `87 . 6 Ft• Date: June 9, 2003 J 5rr Ft. Alternate Position 126.4 Ft. of W 36.9 Ft. Force Main �'`^�► ....,....- L -- --- -- I Obaii lson Ips ' 115 To i /i4 B Ftom'St►d at Bed ..._ K �r ------------ r ---------- + A Force Main .. r. « «........r }( — r..• r.r .. .ter � Di$trtbution 9ed Of, Pips Aggregate nt Markers Permanent observation Pipe . 0 C o 4140 6 From W of Bed pion View OI Mound uts n'a A Bea For The Absorption Area Page 3 of 6 Turn -up with Cleanout Acoess B r � Plug or Bali Valve PVC Force Main Distribution Lateral S PVC Manifold P �T x xx I Xl2 Distribution Lateral Layout P 31.5 Ft. . 4.0 Ft. X 6 I nchw; Hole Diameter 33/16 Inch +' Signed: lateral 12 Inch es) t License Number: 223760 Manifold " 1 , 2 -_ Inches Force Main " 2 Inches Date; June 9 2003 # of holes /pipe_ l i__ . 69 Ft. Invert Elevation of Lat+�ral$9_ PA CA, r 4 of 6 PUMP CHat'1P�[.R CROSS SCCTt'QW AtJO SPC0rfCAnok'S lb V C 1JT CAP 4 C. X. VENT P1PC � WCAT14EK PROOF ArPKOVEO LOCKIAlb .ulAS eox VfAANHOC.S COVICK � r h' t M+rl4 lurull . � I IiNuuw u lt ra«a►s "'' i Atli IIJTAKE a Im. � caaJCU1T � --' w.rrw�.��r�Nr 10 'M iAI. \� � 1 irrn+.r PROVIDE I — — ••• •••'•• MLK T ____ AI RTIC:►IT K AI_ APPOV0 41 APf140VE0 Jowl/ A f W /c,Z, PIPE 21 . 76gal . /in . { I I { ALARM LVEMCIM& 3' CKT9M011A 3' I OW1'O AGL D iplL ONYO i01.Ip f0 ►L I I I f ow C � I u.CY. 9 f T. off PUMP --.� ;__J p j COUCKETC 5LOCK , • ft15CK CXIT Pr6KM1TfEG CuJLS IF TANS. MAAiUFACTURCK HAS SUCH APPROVAL. SEPTIC 5P C. I FICATIOP.IS . 0059 . Week's C.P. +or -5 TAWKS M�►NU�wcruttClr ACA OF 0GiC8: PCft IN" TAJJK tolZE 800 GAI.Lollis DOSE VOLUM[ & u _ KmL mAmurAGTURCIt: Septronics Tankm t o INCLUDIW* OACKOP60w: 87.04 QrAL�ONt MOiiCL IJUfAbtR: TM -1 CAPACITIES. A a .. 2 IUCHES OR 41 _.,.4 4WLL0g0 sWITGN TUP6:.,.. , Mercury ...�.. {1JCME6 O!l 4 ....3 5 ft WI— Lii tiMP MAtJUPAZTU1tCR: Zoeller C p._....4 ,.IUC11CS OR 8 .. 7' 04 W►L60WS AkODEL IJUPASIM' 152 _ p s _.._12 IMCHBS OR 26 �. 1.:.1?GALLOUrb swrrcy 'Type; _ Mechanical � E: PUMP AN A RE TO OL MMIlmuM 0lSc jAj%C E RATE' 2 9. 04 (;p v► INSTAiLEG 01J SEPARATE CIRCUITS VERTICAL alffEREMCE 6ETW&rM PUMP OFF AIJO.DISTRISUTION PIPE.. 10.0 FEET + M IIJI I^UfA wCTWAKK SUM-ti PKESSUitC . . .... .. 3 25 MET + 1 _ 0 ..0... F[ET OF P•OItCC MAIN V. 3 F /pOttFRICTIOW FACYOR.. 1.83 FEET r. T O TAL D'JIJAMIL MCAD 15.0 8FErT i#ITER1sA�. 0IMLW6IQwf Of T'AWK: LLM( w7H.;Wi0TF4 ......jL,IQU10 orApTM ..�, .... 91GIJE O: 22376 LICEUSE WUM6kit: phTEt....�....�. Page 5 of 6 TOTAL DYNAMIC HEAD/CAPACITY PER MA UTE HEAD CAPACITY CURVE DEW EFFLUENT AND EWATERINC MODEL 152/153 w 1 MODEL 152 153 M� 50 Feet Meters Gal. Liters Gal. Liters 153 5 1.5 69 261 77 291 12- 40 10 3.1 61 Z31 0 70 265 152 15 4.6 53 201 61 231 = 20 6.1 44 167 52 197 30 25 7.6 34 129 42 159 8 30 9.1 23 87 33 125 20 35 10.7 -- -- 22 85 0 40 12.2 4 Lack Volve: 38.0 FL (11.6m) 44.0 Ft. 10- 014500 0 20 40 60 80 100 GALLO_N5 LITERS 6 1/4 O 80 160 240 320 27/32 4 5/8 FLOW PER MINUTE 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS 4 Timed dosing panels available. ® 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Owik -Box available for outdoor installations. See FM1420. • Over 130 °F. (54 °C.) special quotation required. I ` I 1521153 Series 12 1/8 1511153 MODELS Control selection Model Volts -Ph Mode Amos SImplex I Duplex 5 1/8 N152 115 1 Non 8.5 1 1 2 or 3 BN152 115 1 Auto 8.5 Included 2013 �• , eK208< E152 230 1 Non 4.3 1 2 or 3 SE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2or3 8N153 115 1 Auto 10.5 Included 2 or 3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 1, Single piggyback variable level float switch or double piggyback variable level float 8E153 230 1 Auto �5.3_ Included - �2or3._ switch. Refer toFM0477. a cAU7lolu 2. See FM0712 for correct model of Electrical Altemator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10.0225 used as a control activator, speolty duplex (3) licensed electrician. All electrical and safety codes should be followed Including the most O 4 float system. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. - MAa. To: P.O. eox 16347 LoulavJUe,Ky 40256-0347 Manufacturers of.. SNIP TO: 3049 Cane Run Road Q li p , LoulInfie, KY 40211 -1981 QXwry Pie S ,wit, (502) 778.2731' • 1 ON) 918 -PUMP httpa /www.zoeller PUMP PAX(502) -- — © Copyright 2001 Zoeller Co. All rights reserved. FILE INFORMATION SYSTEM SPECIFICATIONS Owner Grand Prop erties L.P. ❑ Septic Tank Capacity 1000 al NA Permit #, Septic Tank Manufacturer Week' s C . P . ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Zabel [3 NA Number of Bedrooms 3 ❑ NA Effluent Filter Model A -100 ❑ NA Number of Public Facility Units 0 NA Pump Tank Capacity 800 gal ❑ NA Estimated flow (average) 300 gal/day Pump Tank Manufacturer Week C . P . ❑ NA Design flow (peak), (Estimated x 1.5) 450 al /da Pump Manufacturer Z oeller ❑ NA Soil Application Rate 0 .5 al /da /ft' Pump Model 152 ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ■ NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) E3 NA Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- Ground (gravity) 0 In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At - Grade ! Mound Fecal Coliform (geometric mean) 510' cfu /100m1 ❑ Drip - Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA " Other: ❑ NA "Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency ❑ month(s) (Maximum 3 years) ❑ NA Inspect condition of tank(s) At least once every: 3 ■ year(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA r. ❑ month(s) (Maximum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: 3 M yearls) ❑ month(s) ❑ NA Clean effluent filter At least once every: .(0 ® year(s) ❑ month(s) 13 NA Inspect pump, pump controls & alarm At least once every: 1 ®yearls) ❑ month(s) ❑ NA x4 Flush laterals and pressure test At least once every: 1 ® year(s) t =' ❑ month(s) p NA Other: At least once every: ❑ yearls) j.U, Other: [3 NA``` ,xw MAINTENANCE INSTRUCTIONS a Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank J inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface... The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any pop dIng ` of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the f immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113;, Wisconsin Administrative Code. i All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals-of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. R` , START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may 'result in the backup or surface discharge of effluent. To avoid this situation n have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring manually operating the pump controls to the effluent um Y P power to pump or contact a Plumber or POWTS Maintainer to assist in m 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, • meat scraps; medications; oil, herbicides; P ' s gasoline; , d vegetable peelings; cease; he g 9 water; fruit an P foundation drain (sum p ump) 9 (sump 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 safe) abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: P Y Y • 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: • 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 r result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS., technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area: If no replacement area is available a holding tank;: may be installed as a last resort to replace the failed POWTS.; i d in place following removal of the biomat at the Mound and at -grade soil absorption systems may be reconstructe infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. x's ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER y Name John Schmi t Name O wners choice Phone P hone P ne h — 4 —6651 715 5 9 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name St. Croix Ct Zonin own ers choice Phone Phone (715) This document was drafted in compliance with chapter Comm 83.220(b)(1)(d) &(f) and 83.5411), (2) & (3), Wisconsin Administrative Code. ir� , k il• � �; `' �� In � � .` •t '[�,i y X .ac°. .. t' 1... cweni• 3 .tA•K�O R « VCTLAND J. " » � •OI7� 4�t••iee� ! Yol_ FL '"ma ,,� + V. .�•,�,.' 113 78 44- 23 xr.L. ^N AY t►w t tlo et low 29 ION. .f •. . .��• '1. =' - � /•.' , / ' i ,:.:�.�• .ti �• ,'� • fir, . fa v+«wen— A rr.awowa• . Si f o , t A10 R • •.M•aR ` , !.rpm •'•vtyi,t�•a ..•... � w«+:tni•W ' : . • PC Aa AC exam �•t 1 1 ti»wena• �' - r•� • +� :. D�Dt�A `CD P(J8LJ0 • wy�ax}ew..�ir � N8• W 7 sdZ.4a' + ► " ^ ' t i•Ywnir L 21 OTH NMI%U B 7. trp.o.•.wtwport•a. • 'tun , � of � ... t •ts as i A. a. A. 14 Y3 Z8 t tldh. A ►• • Av . 20 4f :� 27 26 .25 30 ^' Y92rd Av pl N • ai r AV �• lw a a ,nt Ae 34 Z •' teal• A. C&Nw N w �• '.•: • 'If • «. . .a � ~ �Yu•Si . r r 1151 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on Paper not tens than 8'/: x 11 inches in size. Plan must County St. Croix include, but root 1 to: vertical and horizontal reference point (BM), di ection and percent slope, scale or dimoonsions, north anow, and location and dWWnce to nearest mad. Parcel I.D. Please print all information. Reviewed By Date Pssarai inbmation you provide MY be used for seamdarY WnPoses (Privacy Law. s. 15.04 ( (m))• Property Owner Properly Location Stout, Richard Govt Lot SW 1/4 SW 114 S 18 T 31 N R 18 W Property Owner's Mailing Address Lot # I Block # I Subd. Name or CSM# 1353 Awatukee Trail 26 Rolling Oaks City State Zip Code Phone Number City Village ✓ Town Nearest Road Hudson I WI 1 54018 1 Star Prairie 81St St. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, d applicable no General comments and recommendations: Area is suitable for a mound system. System elevation Is 98.19' based off contour line established at 96.69' Slope is 17 %. Boring # Boring ✓ Pit Ground Surface elev. 96.97 ft. Depth to limiting factor 18 in. Sod Apoicallon Rate Horizon Depth Dominant Color Rail= Desalp ion Texture Structure Consistence Bourrdary Rools GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 1 0-6 10yr3 /3 none I 2mgr mvfr cw 2m, 21f .S .8 2 6-14 10yr5 /3 none sl 2fsbk mfr goo 2m, 2f .5 .9 3 14-18 7.5yr4/6 none sl 2msbk mfr goo 2f .5 .9 4 18 -30 7.5yr4/4 r .5y 6/2 sd 2msbk mfr -- 4 6 i a Boring # Boring ✓ Pit Ground Surface elev. 96.89 ft. 2 De th o limiti � in. p t n factor Sol 9 Application Rate Horizon I Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Rook in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 E 1 0- 6 10yr3/2 none I 2mgr mvfr coo 2m, 2f .5 .8 2 6 -14 1Qyr&3 none sil 2fsbk mfr goo 2f .5 .8 3 14-20 7.5yr4/4 none sicl 2msbk mfr dw 1f 4 s 2d 5 4 20 -36 7.5yr4/4 m 10yr� /8 std 2msbk mfr .4 .6 Effluent #1 = BOD > 30 < 22 m > _ Q mg/L and TSS 30 < 150 s _ mg/L Effluent #2 = BOD <30 mg/L and TSS 1 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Tom Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 / � _ s loroz 715 -za7 29a1 i Property Owner Stout, Richard Parcel ID Page — 2 — of 3 F ] Boring # Boring ✓ Pit Ground Surface elev. 92.84 ft. Depth to limiting factor 21 in. Sop Application Rale Horizon I Depth Dominant Color Reda Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff02 1 0-6 10yr3/3 none sit 2mgr mfr Cw 2m, 2f .5 .8 2 6-12 10yr4/3 none all 2fsbk mfr gw 2f .5 .8 3 12 -21 7.5yr4/4 none sic! 2msbk mfr dw 1 f .4 .B 4 21 -32 7.5yr4/4 m2d 5yr6/6 sicl 2msbk mfr -- 4 6 LI F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sob pppdcatlal Rob Horizon Depth Dominant Color Redox DesaipGon Taxtae Structure ConsI ftce Boundary Roots In. Munsell Qu. Sz. Cont. Cola Gr. Sz. Sh. 'Eff#1 'Eft#2 F—I Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sol Applicati Rate Horizon Depth Dominant Color Redox Description Texture Structure Comisterloe Boundary Root GPDAIF In. Mnxrsed Qu. Sz Cord. Color Gr. Sz. Sh. 'Eff#1 'Etf#2 • Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg& • Effluent #2 = 80D <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 n—A material in an altomatn fnm+at M-aao n^nt*r# the A. a'tmant at Ane_Imr Z 1 i 1 nr• 7 AnR_7"_R777 . � _ � fr • r = ; � O T' i ,Z N " � ��- f. �'e �L- QG �?�eG r fit. f' G,'. le ` - >~'` /off � f . G'm l.�' � � si "Ili a N rat ; arc=; I • _ . .{ ` � y r qI00 J4.1 q3-0 q 9,� : js T" to Ak a�sP: 4-1 s o/ f leis' - 72r Y`7 -ol9ql Stia S. Sr!� - 0iwei eU . _ _ �• 1151 ' SOIL EVALUATION REPORT Wisconsin Department of Commerce Page 1 of 3 Division of Safety and Buildings in accordance with Comm 5, Tom Schmitt Attach complete site plan on paper not less than 8% x 11 inches in size. Pla must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direct nand reel I percent slope, scale or dRnemsions, north arrow, and location and distance nearesfwr t) 7 Please print all information. f you provide m be used for second , T (riiy� V � X Y D may secondary Purposes (Privacy Law, .15.04 1 ��< t �, Reyi D Personal information ����a -i � /// Property Owner L l Stout, Richard Govt. Lot SW 19 SW 1/4 S 18 T 31 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1353 Awatukee Trail 26 1 Rolling Oaks City State Zip Code Phone Number City Village ✓ Town Nearest Road Hudson ( WI 1 54016 Star Prairie 1 81St St. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a mound system. System elevation is 98.19' based off contour line established at 96.69' Slope is 17 %. ❑ Boring # Boring of Pit Ground Surface elev. 96.97 ft. Depth to limiting factor 18 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -6 10yr3/3 none I 2mgr mvfr cw 2m, 2f .5 .8 (o 2 6 -14 10yr5/3 none sl 2fsbk mfr gw 2m, 2f .5 .9 , 3 14 -18 7.5yr4/6 none sl 2msbk mfr gw 2f .5 .9 . 4 18 -30 7.5yr4/4 rr� 5yrb /2 scl 2msbk mfr - - -- - - ---- .4 .6 Boring # Boring ✓ Pit Ground Surface elev. 96.89 ft. Depth to limiting factor 20 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10yr3/2 none I 2mgr mvfr cw 2m, 2f .5 .8 %p 2 6 -14 10yr5/3 none sil 2fsbk mfr gw 2f .5 .8 3 14-20 7.5yr4/4 none sicl 2msbk mfr dw 1f .4 .6 4 20 -36 7.5yr4/4 "'jp /8 sicl 2msbk mfr - - -- - - - - -- .4 .6 I * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg/L and TSS S mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt A'_ � 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 6/10/02 715 -247 -2941 vc e Zocafoel a /- a /p pc 6o IV raotz 1,iA fo S lope 0% I 1 0 0 :r i A6. q q ra-%.j N, f c, t"w,r 5+01,1111- ru,w IL+ 13 Aw,,kkle l T'rA ; l CS 7w► a a , w SVO14 15 72,,W s ,�. ST CROIX COUNTY SEPTIC TANK MAINTENAINCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM r Owner/Buyer CROA 10 _ a0,Q F/c' %/E S Mailing Address � l 1210 S/ Property Address crification re wired from Planning Department for new construction) City/State S2ae/1sFT Parcel Identification Number LEGAL DESCRIPTION Property Location 549 '/4, -9&- V4, Sec. IS T_2,/_N- R_,A.W, Town of .5 7 Subdivision _ `0-4L l leZ 4, N< Lot Certified Survey Map # 7S3 44 2 ) volume /6 , Page # F Warrant eed # 7 , Volume s C� �f , Page # �„ • ty -� q.t�� Sp house 12 yes ❑ no Lot lines identifiable ® yes ❑ no l i SYSTEM MAINTENANCE G 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 i The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner an Perk' P d 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic)system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days oTthe three vear ex irai n date. NNN M . 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 s the,pmperty describe above; by virtue of a warranty deed recorded in Register of Deeds Office. ST TCT�CI? �LICANT DATE •. *•4 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 offioc a copy of the certified survey map if reference is made in the warranty deed 4 k yui .onalif.Department of Comma-a - OI L AND SITE EVALUATION tv Sri ti ti 1 DivNion of Safety an _ Page _A— of Bureau of Integrated rdance wit c Mlt7f s33 OR, Wis. Adm. Code . °• Attach complete site �- ches i 'size: Plan,.mus'f' Co unty include, but not limitr c pint M) ,directio� acid percent slope, scale an stance to nearest road. Parc I I.D. # APPLICANT INF Y'� �cT I� (formation. idwe by Date Personal information yot _ __ jPrivacy Law, s. 15.04 (1) (MY). Property Owner Property Location c. AiLI? D VT Govt. Lot 1/4 Sc -4j /4,S ( 87 T 3 ,N,R/ E (Or K @ Property Owner's Mailing Address Lot ff:: _.... f3bck# Subd Name or CSM# t 3 3 fz& v tL - V'� (o �z-o kk o F�kS City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Star •,, -Y Z/C' r' ` S � • ® New Construction Use: Residential / Number of bedrooms 3 - 4 Addition to existing building ❑ Replacement E] Public or commercial - Describe: Code derived daily flow ,,- ,, �v () () gpd Recommended design loading rate bed, gpd /ft -.&— trench, gpd1ft Absorption area required 1Z G U bed, ft 00 trench, ft Maximum design loading rate S bed, gpd /ft gpd/ft Recommended infiltration surface elevation(s) 9'Fll"d ft (as referred to site plan benchmark) Additional design /site considerations 0 M 4uy t l - Q u • Y 9�1 / d Parent material Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S a U ® S ❑ U ❑ S [E� U 1 ❑ S ® U ❑ S [�7U ❑ S 8 U SOIL DESCRIPTION REPORT 0 4W 6. a � Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft Boring Texture Consistence Boundary Roots a in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench L) -C- (t� 3 K t2 C-5 1 S 6 -Zu 10. 2 N 4 5L - Z-Y-4:V`r3V1 ►^�� -� � Ground R 3 - 2 iMU i LS -- elev. � ft Depth to limiting factor Remarks: Boring # 1 - v -,19- 31 6 SA L�4t3K Ground elev. Depth to limiting factor ?j iz_in. Remarks: CST Name (Please Print) Si lure Telephone No. 5 C 2 - tiso Address Date CST Number o 0 5 SOIL DESCRIPTION REPORT'" ' PROPERTY OWNER -S \SN l )T SOIL of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench o -U In Ground 3 3i Z 2 �� ; S elev. 9 • cs ft. ; Depth to limiting factor 2f Remarks: Boring # 03 Ground 0 3S 1 Z D ) elev. ft. Depth to ���� limiting factor Remarks: � Horizon Depth Dominant Color GPD /ft2 Boring # in. Munsell Qu. /,, GZ _/ l J Bed ,Trench z . , : Fwd Ground elev. jJ �j?/YL Ctrl Yj t� (r— ft. �/ltii SC l /r /66 Depth to / limiting factor in. Remarks: ,- Boring # MX q,s Ground elev. ft. Depth to limiting factor ' Remarks: SBD -8330 (R.9/98) SOIL DESCRIPTION REPORT 1� .. "I FIROPERTIf OWNER _S1SZ. 7 Page _� of 7_ 6. i PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots Geptft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 0 - 5 .S Ground C S S 6 elev. Depth to limiting ; factor Remarks: Boring # 1 Ground elev. ft. , Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ; I Ground elev. n. Depth to ; limiting factor in ' Remarks: Boring # M Ground elev. ft. ' Depth to limiting factor ' Remarks: SBD -8330 (R.9/98) PAGE 3 OF NAME V A- LOT# / y LEGAL DESCRIPTION T3 I ,N,RI 8' E r SCALE: F'= Inca BM 1 ELEVATION �I BM 1 DESCRIPTION - w- •• i . • ^ C9 �G � 4. BM 2 ELEVATION loo. O BM 2 DESCRIPTION / fir-• "/ SYSTEM ELEVATION Y � ALTERNATE ELEVATION q/ CONTOUR ELEVATION ' ( d Ijodde � L• n q s a� o` c SIGNATURE --- ----- DATE �G " ° c-1 LLB . wu. ' f' .° + J �vC ILMeO • Q'� � 1 1`'tK iL/w0 � 11 � i t , .re Aw. q.0 �iRG !/ 1 ♦ ; s�.y.� i {1 ` M \\ C C.S.M.. IN �• � 1Nt A01t1V• �S � .t .o �► ) y — — fv \t 28 2 > _ SAM alt VOL 14. PC. 383_8 .• 1 � l 1 �. /1 ttat»• t � - i 4� 16 t qowmwwm 416.000 so Orr lit/ O tAM2ACAM I 4 twos! la n 10 • l AC R la 064" so FT 1"300 so FT ♦ •� fi „t A o FT ; 1 ; � 41 I �• '•I N no-avi w 017e.7T - I r I� � \` \ � t �'� � w I � tt� i• w.oe LtI.G� = Y Ntl \ { M p FT s o l:ttRaatr. /tstr \� et z tm4ata i 20 21 au. w..>•w lr j tw »Aatrl r 1.Nwwt:1t" lls.l • R AO 8 •l l "AIR tla R ® le.7el M R A �}� 1J11A0Ftl 1AM ACMS d 1w.eis W R = L .t.tt7la►r J I�_ 1� ® Y$ lii.i acc -Ntl �t���yy/��W�m^ YA w Puma N 49 W 04i7f — 1 N1N'At1R W 7M 1A` wMnv,�i ` -- � V THE 4 N 89 33.y0' W 7 482.40' L 21 0TH AVENUE "A°' °A" MAN ft6Y IA 16 is Ao 1a 13 >r 1s v !«4 Av teM 21 20 v� t 11N111v AID 6 . 28 27 26 25 30 ol tone n Av t AV C � � 1 o 3 34 « 32 JUVQAW FUR • `' N . 010 111 It— P._ .A 44 N N ,iOC 1 SY 101 � � f � ." e� t ♦ � 4 .' �� �a�? F�y ,r' .' » 1 VIE FA-1 Ow '`v ,r fi I • °' °4 t� ,, - + +f ,{ v . � �� C6 F/ � �/��/� a ... ;•` ; ♦aa ei 4 ���" , ti �A j i ''�� r ' t � ^"`e C. 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Datoc tilts 17f-t day of jan-ipr�c ISEAL; (SEAL) Richard Q, Stout P. S k=t_ (SEA ,SEAL) XUTHEPTICATION ACKNOWLE0 S16macur-41 statc of Wisconsin. St. Croix county. PrMenely carne ;afore me Ms i 3uibenlcatid this of 1004 t:k abcv- named p44h,wA n af-4-it -CA Z-Uo* ME: MEMBER STYE BAR OF WISCO j. Qf of me known to be 1Z e p"at avhcrimd ay 5705.05. Ms. Statsk) Lnswi nest and acknowled !hip sip ?mwNs'rPvwsN . r WAS DRAFTLP eY A Janet P Stout U800 1353 hwatulkee Tr- f4oury PLN. Scats of K wixonsir e MV ccremilsjoz; 6N P 11 r (Signature: may Sip sitheAligeted at adulaw'aandT g ch ah ore nal STATE RAP OR %V(SCONSM lmuoren L@Vei "4 Cn.• t WARP.Ah" QM FOAM N.. 1 1510 r - - 11 163 two.a. .T .a•WI' : a.ut .wAw Olt L l 1 ( :ma \ YI. lL0 C.S.M.. IN :d* y Al !XFA -W.o yy d J 7 2 A" , 26 t'NI /" - 1 34. 074 4a R;: 111.1 VOL. 14. PC.3838 •. `.•`�, ' i " "'�� -,� � � i N .�+ .3.jh"w , tMor a 1..2 k 4 A ROG 4 �� 3 ,� �� t1.a;s.an 11......pR uiA.' LI.L� P• \ � � I 9 � I 4 46?0 So FT /A► T.. 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I O N N — CA lr Z p O O A A is „0„ • � I 3 p O Z o o 0 cn c N �) 3 3 N N y O p o m D O v c O =3 °-' m c y N < 3 CL 3 Z B, :3 D o 7 7 � CL 3 p N j N II A N p � !I 3 w � o a 3 rn Z cC p G A Z 0 y ? z O y0 '^ J W T w ao J a z A .Z1 3 co N Z CD ? I w f I CD a CD a CL m' c m z a I N p N C N N a CD I F m i c v �I ti a I O I q o _ b n I N rn O ►•� o0 I O F ~ i 1151 SOIL EVALUATION REPORT Wisconsin Department of Commerce Page 1 of 3 Division of Safety and Buildings in accordance with Comm , i unty - Tom Schmitt � Attach complete site plan on paper not less than 8% x 11 inches in size. Pla must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direct n and percent slope, scale or dimemsions, north arrow, and location and distance nearer z Rarcel I. . Please print all information. A U 5 Personal information you provide may be used for secondary purposes (Privacy Law, . 15.0441j (r4r U 1 X C 0 l N 1 By D Property Owner Stout, Richard Govt. Lot SW 1/4 SW 1/4 S 18 T 31 NR 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1353 Awatukee Trail 26 Rolling Oaks City State Zip Code Phone Number City Village ✓ Town Nearest Road Hudson I WI 1 54016 1 Star Prairie 1 81St St. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a mound system. System elevation is 98.19' based off contour line established at 96.69' Slope is 17 %. Boring # Boring ° p Z m I f — � - ✓ Pit Ground Surface elev. 96.97 ft Depth to limiting factor 1 8 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -6 10yr3/3 none I 2mgr mvfr cw 2m, 2f .5 .8 (o 2 6-14 10yr513 none sl 2fsbk mfr gw 2m, 2f .5 .9 {o 3 14 -18 7.5yr4/6 none sl 2msbk mfr gw 2f .5 .9 4 18 -30 7.5yr4/4 m� 5yr6 8 scl 2msbk mfr - - -- - - - -- .4 .6 I Boring # Boring ✓ Pit Ground Surface elev. 96.89 ft. Depth to limiting factor 20 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 10yr3/2 none I 2mgr mvfr cw 2m, 2f .5 .8 (p 2 6-14 10yr5 /3 none sil 2fsbk mfr gw 2f .5 .8 3 14-20 7.5yr4/4 none sicl 2msbk mfr dw 1 f .4 .6 4 20 -36 7.5yr4/4 lOy f6 /2 sicl 2msbk mfr - - -- - ----- .4 .6 * Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <_30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt ��„� , µo 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 6/10/02 715- 247 -2941 Property Owner Stout, Richard Parcel ID # Page 2 of 3 31 Boring # Boring ✓ Pit Ground Surface elev. 92.84 ft. Depth to limiting factor 21 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10yr3/3 none SO 2mgr mfr cw 2m, 2f .5 .8 to 2 6 -12 10yr4/3 none Sil 2fsbk mfr gw 2f .5 .8 3 12 -21 7.5yr4/4 none Sid 2msbk mfr dw if .4 .6 �{ 4 21 -32 7.5yr4/4 m2d 5yr6/6 Sid 2msbk mfr - - -- - 4 1 6/1 - - - -- .6 F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QFDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or +,aP.i m�tariol :., a„ oltPm�tP f rma+ .,IAOOP n..n+ort ths. /rAh ?t'tHlPf+ �+ (.11R_7!.!._21 G 1 nr TTV lf1S2_'�/.A _52'7^1^! P2 o C 2 /! �u� p )`Pe, zoc4Jga GAT an � i j ( s Q t'o� d !l �10�I� L� �tGae e�-r. `G�Q✓ / JJ qo� Sao P e I7o r a q610 a3J° R9 -o g� �r4A -) t j : Svc/ ( 1 Sir 7� s � /-4t hs� M / S S�.�l S l8 731 t2ie�,