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HomeMy WebLinkAbout040-1269-70-000 r . � m 20 � , R g � � f$q�$7 � 7 � 0 2 z C - o c a> o . n o g$ a § j f J $ / ; / § \ § 2 / k § G. ° 3 k ® �§ƒ; } f \/ l o } ° 7 />I \ / co o ƒ \ § o / 1 R G\I O CL « o § i n r $ 2 k I § & ( " _' Z } 0 0 0 0) ° E * % * / _ :2. E $ _ / / i M v � - } \ID a ��k \ \ 7 E CL ! § o / } \ ƒ 9@ E G ! 7 0 E a ; @ _ / % j \ M 7 = $ 0 § E $ $ 0 q / < 0 _\ $ k \ /_ \ CD � n=> . \K3 7 / ® [E/ 7) 2 § ƒ \ = 7��kf( . �D 0 7 ID % 0 =r C & 'CD $ e2 %0 % K0 k . \aka � ! u cr 0) , 2E � K � o ] / § % ® \/ �\ , o � Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453260 0 GENERAL INFORMATION (ATTAdH TO P 'ER MIT) 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: Day Farm Investors Troy Township 040 - 1269 -70 -000 CST BM Elev: Insp. BM Elev: BM Desc ' tion: Section/Town/Range/Map No: q) 3 7- 3 M2_- t'Vc,- 17.28.19.1484 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / A /' n / 2 Benchma6A 2 � 4 Dosing _ nt',>.LJC- G -xyptA vt h.G— Alt. BM T, n . `� 6 '76 • 59 Aeration (� Bldg. Sewer 1,C1 Holding t Inlet 9 � TANK SETBACK INFORMATION St /Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > � Z � � ` Dt Bottom f Dosing Header /Man. 8 l a Aeration Dist. Pi p )�" 2 11 1 74 133 $ Holding Bot. SystemI Ta � Final Grade PUMP /SIPHON INFORMATION in'k`d S 2. 3 Manufacturer GPM ema nd St Cover , r , j g S / 3 G C� Model Number ` TDH Lift Fricti ss Head TDH Ft ` SZ / ' / Forcemain T ength Dia. Dist. to Well J SOIL ABSORPTION SYSTEM r f 23. BED/TRENCH Width Length No. Of Tren h s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 1 Lf[ / � � -- SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM ACHING Man / INFORMATION HAMBER f 1 J (� Type Of System: r UNIT 3 0 �- Model Number: DISTRIBUTION SYSTEM !h I Header /Manif Id Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) If 3 / Length y/ Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil l/ 0 Yes LE No H Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: D / / /D Inspection #2: / / Location: 440 Crocus Hill Rd Unknown (Unknown 17 T28N R19W) Troy Lot 8 Parcel No: 17.28.19.1484 1.) Alt BM Description = c 3 2.) Bldg sewer length = Z �� , -dam amount of cover = r Sys� 'Utvl cff �Z2'/L� �✓L� ly/ , tr Plan revision Required? '] Yes /No /� I Use other side for additional information. _I l�' L_.— Date Insepctors Sig ature Cart. No. SBD -6710 (R.3/97) Safety and Buildings Division 201 W. Washington Ave., P.O. Box mr-tst. /sCOn //t Madison, WI 53707 - 7082 Permit Number (to be filled in by Co.) De artment of Commerce (608 Sanitary Permit Applica n lan LD. Number In accord with Comm 83.21, Wis. Adm. Code, personal inf you provide may be used for secondary purposes Privacy Law, s l5. (1 xm)t p A Y 2 S ? O O Pro t Address (if diffenxtt than mailing address) 1 I. Application Information — Please Print All Information �, _ / 31 , cfROlx (hint o' I149 ' TO • Q�fU ,« Property Owners Name E_ Lot # Block # DAY ft" 7" S 'k Property Owner's Mailing Address Location 3 3 Z �i�;v- r✓.�s� s r• �' ,+s 7-- Noy City, state `� /J , Zipp Code- Phone Number bS • � 'Al section ' • P Ata Aw . • J S(10 T N R i9(circle II. of Bail (check W T�'Pe thug ( htxk aU that apply) � 5 tM r 5L or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number ❑ Publie/Commercial - Describe Use r ` 7*6 yro6 t7 Q ❑ State Owned - Describe Use ty Village &bwnahip of z x IiL Type of Permit: (Check only one box on line A. Complete line B If applicable) A. t New System ❑ Replacement S J ` ystem ❑ Ttestatent/Hokling Tank Replacement Only ❑Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New Ltst Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl P iNon -Pressunzed hn -Ground ❑ Mound >24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ single Pass Sand Filter ❑ Constructed Weiland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Fiber ❑ Recirculating Synthetic Media Fiber ching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dis ersaUTreatnwnt Area Information: , p L Design Flow (gPd) lhxtgn Soil _APPlication Rate(gpdsf) Dispersal Area Required (sf) D 7 s � gyo Propos S E>�a S VL Tank Info Capacity in Total Numbs Manufacture Prefab Site Steel Fr Plastic Gallons Gallons of Units to " E „� ^ f tl,� /a Concrete Site Glass New Existing t4 Tanks Tanta Septic or Holding Tank e>�Q Aerobic Treatment Una Dosing Chamber VII. Responsibility Statement - I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu ber's Signature UP/MPRS Number Business Phone Number 2.z IPP,feA7� A- z s 715 - •3y� Plumber's Address (Street, City, State, Zip Code) VIII. County/Department Use On Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater a Agent Signs (No Stamps) Surd- Fes ❑ Owner Given Reason for Denial IX. Conditions pprova 1 SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced ! maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Athch compkh plans (to the Canty •sly) fir the system on papa sot has than gl/2 x 11 inch" in" SBD -6398 (R. 08/02) ,v o GO T G+�v� Z 3 f SYSTEM SHALL t HIS POWT P.R COMM. IP►CORPORATE PROPER ZABEL J D FILTER M Iva 9a o v SY5r�� `. �` . . si TjM e I 0 CK 10 . rye p of y� tt • \ d 9Co ,4 i yTle��- V ()E o� SAD eD PROPO -. Ste!' Ti G a p ; A 0 SW 0%) car l/ 0 �P y� 'PIP hyll ` ULBRICHT & ASSOCIATES CO. 2812 10th Ave. • Spring Valley, WI 54767 Reg. DesVrws of Engineering systems 715- 772 -3442 Private age consultants PROJECT INDEX PLAN ID # DATE A14Y 26 ' 0 1 41 OWNER P _4)66tQ TN tit` ,S ; r-- S PHONE Z Z 2 ' , 55 ADDRESS 33 2 / /!/l//WSD •S�• �j¢S T �7� 7 LEGAL DESCRIPTION ST. PA t ' 00 ty. � �" � 8 - 7izoy • s tc�, s� . � � T z 8� , � , t w TOWN OF . C12p1 1C. COUNTY CSTM � LOCAL AUTHORITY/ SUPERVISION 5'1'. Ctc-d J 1t ' COY . PROJECT DESCRIPTION: h�,Af 0 hsl ' 4V wfsk h, Ik-c— P4�Asdo APP1,e, 7;eere tg) r _ f J Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring Valley, WI 54767 P9•1 INFILTRATOR SIZING WORKSHEET P9.2 SYSTEM PLOT PLAN P9.3 CROSS SECTION OF SYSTEM, WITH ELEVATIONS Pg.4 to it 11 It P9.5 OWNER MANAGEMENT PLANS & ZABEL FILTER SPECS P9.6 (OPTIONAL) CROSS SECTION AND SPECS FOR DOSING TANK. PG.7 (OPTIONAL) PUMP PERFORMANCE SPECS. The attached plans and specifications are based on "In- Ground Absorption Component Manual For Private Onsite Wastewater Treatment Systems. (Version 2.0) SBD- 1075- P(NOI /O1. 52 - kS CL CL. < DOGS v, o� �n' x kA Vi �N Q 1 SHALL SYST Com pOWT CONS RATE PER Z7"'L 1NCOR O A PROPER 83.44()M # l A 5Y37i" 1� w y 13H o Jo Sy54-E;4 �S n ck °� 5%� � ROPO P D A M 54 4WA � • � i �s t Lot fie R 5 a� 04 0 Iff - - 1 4 CIVO 5-5 5 TIOAJ 7Af /U64�� yt *& C -+?AGle ry w' �= rfid�• ra - cam PA, Jeer r1leoi ►fir 1 �rii Y 9 2 •D OVER: See Reverse Side for Vent/ Observation Pipe Details. OWNER's MAINTAINCE .'OF ""- SEPTIC SYSTEM F , - POWTS (landowner) is reponssble for maintenance of this system. Regular proper operation and servicing is necessary g periodic inspections and Y for the safe healthy operation of - this s Ystes. The owner is required b maintenance /inspection reports tocthe controllinail necessary g , authors °ties: SPECIFIC CONTACT AGENTS ,Governmental authority/ inspectors: .s]- G1VO1X * Licensed installer, responsible for maintenance.. ^Users" manual: providing an operation/ '* Licensed service / inspection agent other than installer: lr�w (��2V30, . * Electrician, for_.pump,.electric controls � . wiring units: IMPORTANT OWNER MAINTENANCE RE UIREMENTS 1 • Winter traffsc'(sleddin area shall not be g, shovegring, etc.) across the the cell permitted, or frost can /will penetrate into. , freezing up the s stem• winter. Y Di_scontinuos Use A vacaction.tr.ip, results" in the lead to..,freeze ups.` _ resultin in no water use can'also .,2-.Water _ r conse rvation • need - tb be exercised! hydrolically overloaded Or system can be and destroyed. This sys� designed for a em was maximum wastewater flow of 3 . POWTS are O'`gals. daily. not t a _ disposa esigned to accom P 1 un• odate it was e or s a from ro m Y of a A h n Other ar b Y introduction Of such waste nmaterialsuwill overaste. age destroy this system. load and. 4• If a power outage Occu s "� or a a temporary overload Pump fai in Is it may result c of a €fluent being Pumped -into� the ell, which recommended may adver sely impact the cell allows" licensed pumper empty (leag$ge). It is g the pump to return to dosin p Y the dosing tank, Consult your installer immedia the correct amounts. iatel for Y advi g Neglect of vxce. erosion the vegetative cover preventive) can lead (the cells insulation traffic also can destroy to failure. Compactiou or REGULARLY WATER the Ay THE VEGETATIONSYstem. It IS NECESSARY eavy stem beneath IS OVER A SYSTEM!! RY t yl �covsr. NOT sufficient alone Ef fluent in t� maintain a ., fi. Perioa'c inspections by the owner necessary, Inspection , or his agents, is into the system: Pipes and ports have been incorporated inspecti on the mound basal area laterals p cleanout terminals on (e €fluent level . at each tip - for flus the pressurized out.: The Tilt hzn er s ste g and clew ' ground cover Y m in the tanks ( a Wing the laterals ' person /manhole). Only a licensed locked above & severe safety be performing this work whicheinvolveli�ied Yseve safety risks. Evidence s health s 's tre ?tment cell of effluent shall also be regula in the Y ins ect P ed. �D ' ,3u y� •" /3.// P,e��t sDw , �� A p Ip(..e T2ec Q � �s RE 6( 09t6 ,l✓AL SoiL TEST Rft+ Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must County ST C2 ��� ./ /� 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. ©/ Z 70 " Please print all information. R 'ewed by to Personal information you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). �210 Property Owner /A1 VeS727V3 4- . Property Location P (?L &/ i 1�0� Govt. Lot /4 1/4 S T Z� N R /? E ( or Property Owner's Mailing Address Lo Block # Subd. or CS&W 33'1- M /NN,eso S t �i4S f � S/4y V Te ywo c City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road s T PfVL I PAI 1 SSJOI 1 ( 65 , 213• SSSS Te Ai // New Construction Use: 9 Residential / Number of bedrooms _ Code derived design flow rate GPD ❑ Replacement ❑ Public or comme Describe: Parent material S AMP y oV �/�" /.. Flood Plain elevation if applicable " _ I Yv ft. General Ards and recommendations: Pout TS — i 3O+1 C -7`O P ce l(S Boring Q I � # [] Pit Ground surface elev. ' / d ft. Depth to limiting factor y in. Sod )cation 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 o 3 s L sbg ) w 3f .G I•o Z io yR 3 -- 5 f± 1 rn%f R cw - F - • 7 3 / •a!o io �16P io � S ♦� Z,v� k f� a 1 �F � . 8 7•S --- - d . S'd Z Boring # C1—]� Boring O El Pit Ground surface elev. ��• ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsed Qu. Sz. Cont Color Gr. Sz. Sh. •Eff #1 I 'Eff#2 0 -// /D) 3/ I st 2 S bK ke w 3 f . & /- z ' 1 q o // - 5 ! hk 1w - F 9 c4i ! f • t • 7 3 7• S VA / 4- 0, Se, w U fP a-S — . 7 / Co • So --- nwed . S d et cS 7 (- 5 0 4k 1 /0 W 7 S Q. �- hC 8 Effluent #1 = ROD > 30 < 220 mg/L and TSS >30 150 mg& ' EfBuen #2 = BOD < 30 mg/L and TSS c 30 mg/L CST Name (Plem Pfint) Signature CST Number Address Date Evaluation Conducted Telephone Number 7/9 - 7 -1 •3y 'l L Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring Valley, WI 54767 ORIGINAL <<��6/ c D oT 8 7 w o o v Z 3 Property per Parcel t0 # Page of ❑ Boring 9 1 — � # Pit Ground surface elev. / O f[ ! to A , im Sal Rate Horlma Depth Domirwd Redox Description Texture Stru Consistence Bocaxlary Roots GPDII< in. Munset Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'F1f#2 o • ID 3/ S� L fs 2 4J 3 f AO R 1-S D. CS — 7 /4�- B oft F] # ❑ � U ❑ Pit Ground surtace dev. ft Depth to 8rniting tailor in. Raw Hormrt Depth Dorr*mntCoW Re&w Description Texture Structure Consistence Boundary Roots GPW In. Murrell Qtr Sz Card. Color Gr. Sz Sh. 'E-ft#1 'ice Boring # i F ❑9 ❑ pit Ground suriace slay. ft Depot So uniting factor in. Scii Rate Horiaon Depth Dar=t Redox DesatMon. Texture Struchae Consistence Boundary Roots' "" GPOW inn. Musd Qu. Sz. Cad. Color Gr. Sz. Sh. 'EW1 `Eif#2 a# ❑ , ems,,. Sot, Rate Barton pW& Dominantcolor Description. TOO" Structure COMWW de BamdarY Routs GPDAE im MunseM Sz Card. color Gr. Sz- Sh. `Eff# 1 IBM i C- lftuerd #1 = gpp > 30 < rrg& and TSS >30 < 1511 mglL ' i itwnt #2 = SM <_ 30 mgiL and TSS <_ 30 mWL 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. sewW0LAW) w o 3o LIN N r L1 � Cpc1 v iC' S �yo � d 1 i 13 \� s. p i y 90 , Tom` 9� to a OF. "16 P o Gk e' 0 0 0 0 4WA ,p� c nc �� 05/13/2004 13:47 17157723442 ROBERTULBRICHT PAGE 02 45T CROIX COUN'T'Y SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSI111 CCRTtfFICATt- N r-no Owner/Buy 5A%� Ftom Mailing Address - 3 32 - 1-11;t1,VYS 7 . 151 7 /y0 s W Property Addrep JY QOC 14111 Road 7/ v v t • CIO t X Cvu.f. (Veri/icatiDm required from planning Department for new consltecoon) CityJState 7 fu Tt)uMSl+r Tat it ore yF� Patcel Identification Nornber q(J - /.269 - 70 -uoo L. %GAG UESCRIP')<'IUN v Properly location t /., r/. Sec. 7 I b N -R I / W, Town of Toee Subdivision 1 &1a0 Z2 Lot # Certified Survey MAT # ----- �,ff Volume �, q �, p age # _ Warranty heed # lfii `l� 7! 7 , Page # Voiotia Spec house X yeS O no lot lines identifiablex yea d no SYS TEM TEN, irulaoper Me and maintenance of your septic system ceoid tcayll in its ptemadtre faihrre to handle wastes, Proper mainte"a consists of immptng Dirt the sepfic tank every three years or aoortor, if needed by a licensed p idler, Wlgt y pu Wt into fire ayat can affect the rtmction of the septic tank as a beatment stage in the waste disposal syalcrrL The profinetiy owner agrers to submit I St. C Zoning MPIttrocttt a cettiftcatitrn form, signed by the owner and b nester plumber, jonrneymanplUrnnber, testtic(editiomberor a licensedptnu}xr vtcifying that (1) the tm -site •rastewatctdiapoaai syai is in proper operating conclifivn and/or (2) after ins ction and pmnping (if necessary), the septic tank is less than 113 tuft of aludt l f o orth, herein, as se th e ndcnf se have read the above requirements se and Met to maintain the private sewage disposal system with the stands set ft by the and of Comme agr tcc and Ute es ed _ stating first your acpfic system has been maintained most be completed a the Sit f� emat � ing OW � thin days er the (Itme your expiratiert ditto s e rt rH Ve.i &.0e / .4 - �- -TUiE U j p la . �kG,.wta.� S1 /iilj 2 ou:� slt3NATVlt,� vf• nrri.lcANr VATS OWNER URRIIF CATTO_ l (we) certify that all statements on this fattn are bye to the best of my (ottr) knowledge. I we a the Preperty described above, by virtue of a Warranty deed recorded in Register of OM ORice. ( ) (m) wa owne(s) !a y Fa r.a 3'rtvl s ZVO's L I C. �L x� �4 0 -4 • IS,,t; ,i t ka Ulm OF APPLICAN'r s1 t3tJAC7 * X s i / aooY BATE Any information that is iris -t eptC3eT+ted tray remelt in the sanitary permit being revoked by the Zoning Depattinent, a +a '• include with this ahpltcafina a stamped warranty deed f rom the Rogister'or Veeda once It copy of the certified survey trap it reference made in the warranty deed D s'I' cKolx eovNTY eO SEP]'IC "I'ANK MAINTENANCE AGREEMENT U i V� AND 6 S/ 2- 7-- SSS S P(QQ OWNERSITIP CERTIFICATION FORM Owner /Buyer FJ(i4 :7 57D/,? S ( - '0" & ;Ile A,1 Mailing Address 3 111 (IIW567 S7 e5�fS . d Property Address L F D u 1 � (Verification required from Planning Department for new construction) City /state Parcel Identification Number � 7 � ' l � � �' 70 ' 0 - 6D LEGAL DESC12IF I'ION Property Location t/., ` Y,, Sec, /7 , ' 4 14-R W, Town of Leo Subdivision - F)eo to - 0 D 0 , Lot # Certified Survey Mall # , Volume , Page # C � Warranty Deed 06& Volume 1 ,page # I s Spec louse �( yes Cl no Lot lines identiftable yes O no SYSTEM 141AINI'ENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintena consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the sysi 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 b / master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wasiewaterdisposal syst is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludt V%ve, the undetsigned have read the above requirements and agree to maintain the private sewage disposal system with the stands set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certificat stating that your septic system f +as been maintained must be completed and returned to the St. Croix County Zoning Office within days of the three year expiration date. SKINATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form ate true to the best of my (our) knowledge. I (we) *m (are) the owners) the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. StCYNA'i•URE OF APPLICANT / / DATE Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department."" ** include with this apptication: a stamped warranty deed from the Register of Deeds office a copy of the certified map if tefetence is made in file warranty deed 1 1 ,r 1326 Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Gustum Septic Service 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), direction and parcel ID percent slope, scale or dimemsions, north arrow, and logatipa.and. §tance to nearest road. . . pending Please print all irxriglptl�o _' r Reviewed By Date Personal information you provide may be used rs, a ary purposed (Privacy Law, s. 15;04 (1) (m)). Property Owner ) , r j •-tom 'r I I Prooerty Location Humbird Land Corporation . ; Govt. t 1/4 SW 1/4 S 17 T 28 NR 19 W Property Owner's Mailing Address �� ^ r �, - ,' Lot # Block # Subd. Name or CSM# 332 Minnesota Street, East 1404 ;` '. 8 n/a Troy Wood Subdivision City State Code Phone�Ntpey �,, City village se Town Nearest Road Saint Paul I MN 5 1 T`', 4 W Troy E Cove Rd / Crocus Hill Road New Construction Use: i Residenttau ffu f c 3 Code derived design flow rate 450 GPD J Replacement Public or comrrl% cribe: Parent material outwash plains Flood plain elevation, if applicable n/a General comments and recommendations: Part of 1.86 acres. BM #!= 100.0'. BM #2= 92.4'. Recommend system elevation89.9' along 91.4' contour. M e Boring # _ I Boring Pit Ground Surface elev. 91.4 ft. Depth to limiting factor 5 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft *Eff#1 *Eff#2 1 0 -7 10yr3/2 none sil 2msbk mvfr as 3f,lm 0.5 0.8 2 7 -20 10yr3/3 none sit 2msbk mvfr cw 1f 0.5 0.8 3 20 -30 10yr4/4 none sit 2msbk mfr cw 1 f 0.5 0.8 4 30 -38 10yr4/6 none gr.sl 2msbk mvfr cw - 0.5 0.9 5 38-49 10yr4/6 none gr. s 0 sg ml cw - 0.7 1.2 6 49 -55 7.5yr4/6 none sl 2msbk mvfr cw - 0.5 0.9 7 55-62 5yr4/3 c2� b 10 8 /2 sl 2msbk mvfr - - 0.5 0.9 F2 ] Boring # ) Boring Pit Ground Surface elev. 88.0 ft. Depth to limiting factor >70 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /If *Eff#1 *Eff#2 1 0-8 10yr3/2 none sit 2msbk mvfr as 3f,1m 0.5 0.8 2 8 -14 10yr3/3 none sil 2msbk mvfr cw 1 IF 0.5 0.8 3 14 -30 10yr4/4 none sil 2msbk mfr cw 1f 0.5 0.8 4 30-41 10yr4 /6 none sil 2msbk mfr cw - 0.5 0.8 5 41-60 7.5yr4/6 none gr.Is 1msbk mvfr cw - 0.7 1.2 6 60 -70 10yr5 /6 none gr. sl 2msbk mvfr - - 0.5 0.9 * 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 CST Name (Please Print) Signat CST Number Tom Gustum 227618 Address Gustum Septic Service Date Evaluation Conducted Telephone Number N13450 937th St., New Auburn, WI 54757 11/16/00 715 -658 -1344 property Owner Humbird Land Corporation Parcel ID # pending Page 2 of F Bor # 3 ng fa ctor Ad Pit Ground Surface elev. - - - 91 .4 - -- ft. Depth to limiting 58 ___ in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft _ -_ "Eff#1 'Eff#2 1 0-8 10yr3 /2 none sil 2msbk mvfr as 3f,1m 0.5 0.8 2 8 -15 10y13/3 none sil 2msbk mvfr cvr 1m,1co 0.5 0.8 _ 2msbk mvfr cvr If 0.5 0.9 3 15 30 7.5yr4/4 none 9 r. sl sb 4 30 -46 7.5yr4/6 none gr.ls 1msbk mfr cvr - 0.7 1.2 5 46 - 10yr5 /6 none Is 1 msbk mvfr cvr - 0.7 1.2 6 58-65 1 0yr5 /6 c2 -3d 10yr7/2 7 5 /g sl 2msbk mvfr - 0.5 0.9 Boring # _j Boring iJ Pit Ground Surface elev. _,_- ft• Depth to limiting factor -- - in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots - _ -- GP�IfP__ -- 'Eff#1 'Eff#2 I F Boring # Boring _f Pit Ground Surface elev. - ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ S�PDtI * _— — • '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 <_.�0 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. w a r �X 0 U) ti Ct A W � � 75 1Ifl:. 1 799PArE595 'y STATE BAR OF WISCONSIN FORM 3 - 1998 6663 KATHLE H. WALSH QUIT CLAINI DEE11 IRE6IST N OF DEEDS Document Number ST. CROIX CO., WI This Deed, made between Humbird Land Corporation, a Minnesota RECEIVED FOR RECORD Corporation 12-26-2001 10:30 AN QUIT CLAIM DEED Grantor, and Day Farm Investors, LLC a Minnesota Limited Liability EXEMPT # 152 CERT COPY FEE: COPY FEE: TRANSFER FEE: RECORDING FEE: 15.00 PAGES: 3 G ranice. Grantor, quit claims to Grantee the following described real estate in SL Croix County, State of Wisconsin! Recording Arc. Name and ReturnAddre- Day Farm Investors,LLC 1% 332 Minnesota Street See legal description dated 12/20/2001 and E 1404 attached hereto as "EXHIBIT A" St. Paul Mn 55 1 01 see attached "EXHIBIT B" Parcel Identification Number (PIN) This Is not homestead property. (is) (is not) subject to casements, restrictions, covenants and rights of way of record, if any Together with all appurtenant rights, title and interests. Dated this 20th day of December 2001 Humbird Land Corporation by President Austin J. Baillon, President AUTHENTICATION ACKNOWLEDGrvIENT s'l - ATEOF WISCONSIN Signature(s) ) ss. Ramsey COLIIII%. 1, 1 --nully cause anic bcl'(,)rc itic this 20th day of authenticated this day of December 2001 the u — N) — venamed Austin J. Baillon TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, authorized by § 706.06, Wis. — Stats THIS INSTRUMENT WAS DRAFTED BY ( ":-° NOTARY PUBLIC•MiNNESO'IA Paul A. Baillon, Attornev at ]Law My Commission is pcnnunellt. (If no(, state CNI)ira-111 'ale (Signatures May be authenticated or acLnowledged- Both are not necessary -) January 2005_ *Narnes ol'persons signing in any capacity should be typed or printed below their signatures STATE BAR OF WISCONSIN QUIT CLAIM DIEVID FORM N...% - 1998 INFORMATIfW PAOFIbsIONALS COMPANY FOND DIJ LAC, \V E 8110-55-2021 v. 1799PAGE 597 EXHIBIT B To QUIT CLAIM DEED From HUMBIRD LAND CORPORATION To DAY FARM INVESTORS, LLC DATED December 20, 2001 TAX PARCEL IDENTIFICATION NUMBERS 040-1269-10-000 - - - 040 1269 -20 000 040 - 1269 -30 d00 040 - 1269 -40 -000 040 - 1269 -60 -000 040 - 1269 -70 -000 040 - 1269 -80 -000 040- 1269 -90 -000 040 - 1270 -00 -000 040 - 1270 -10 -000 040 - 1270 -20 -000 040 - 1270 -30 -000 040- 1270 -40 -000 040 - 1270 -50 -000 040- 1270 -80 -000 040- 1271 -10 -000 040 - 1271 -20 -000 040 - 1271 -30 -000 040- 1271 -40 -000 040 - 1271 -50 -000 040 - 1271 -60 -000 040- 1271 -70 -000 040 - 1271 -80 -000 040 - 1272 -00 -000 040 - 1272 -10 -000 040 - 1272 -20 -000 040 - 1272 -30 -000 040- 1272 -40 -000 040 - 1272 -60 -000 040 - 1272 -70 -000 040 - 1272 -80 -000 040- 1272 -90 -000 040 - 1273 -00 -000 040- 1273 -10 -000 040 - 1273 -20 -000 040 - 1273 -30 -000 040 - 1273 -40 -000 � 1799 1 EXHIBIT A To QUIT CLAIM DEED From HUMBIRD LAND CORPORATION To DAY FARM INVESTORS, LLC DATED December 20, 2001 Lots 2, 3, 4, 5, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 19, 22, 23, 24, 25, 26, 27, 28, 29, 31, 32, 33, 34, 35, 37, 38, 39, 40, 41, 42, 43, 44, 45, Troy Wood, Town of Troy, St. Croix County, Wisconsin And All interests the grantor has in the following easements Easement Recorded Easement in St. Croix County Recorded in St. as Document # Croix County in 637835 Vol 1582, page 182 637836 Vol 1582, page 183 637834 Vol 1582, page 181 All in Troy Wood, Town of Troy, St. Croix County, Wisconsin. I oo„ mss• I o33.00'r 566.85' N82 r Z z,.94 _ 11 1 11.51 ACRE ' \ 1 65,965 SQ. 1 \\ \ 1.60 ACRES, 1 1 \69,563 SQ. FT-1 1 1 1 �) \ 1.69 ACRES \ a \ \ 1 , °\ ; .000, 73,717 SO. Fr \ 1 s ` \ '�► & N\ \ a\ \ 100 \ \ v loe 1000' / \ ��o \ �' / \ rn 1000 < \ 1. 6 AC ES 11 1% 80 Q. FT. , e \\ \\ 1.8 ACRES --,,.81,450 SO. FT. l / 12 \� 00N% zl 2.00 ACRES \ \\ \ � �'•' F� \,` j i `, / NI 87 84. Fr . � looe f, y X 20' DRAINAGE \ \ \ 6 0 o I EASEMENT \ \ \ 1.95 ACRES o I \ \ \ 85 SO. FT. 1 $ o ` I IS 2.00 ACRE 5 \ \\ \ I i I 87,027 SO. I )9 ACRES 541 SQ. FT. , AGE EA M — _ At