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042-1012-80-360
n (n O g v 0 �1 M M �1 • 3 r► y C U 01 (D (/1 3 X O C) N O N O � C CIl A `1 • W a m OD N m CD_ C CD M to N Q j to O J � ^t O iG m n O N W y O 3 a ; N O O 0) M CO C> CD O d v y R cfl m G" � a ? CD �� n cn W C a 0 C p 0 0 rq a CD Z �i O N N N p p N O C a �(� S cn 3 � A p_ M T T N . �I • z O O O w l t�i1 ° ao r <-4 z 0' a to t� to ° D cr v v v o. 'm m N a) q D CD K N w • W �1 a Z ' 0 0 D D o v O � O (D N tV • � A �1 0 O l� C _ `f W (D O a 3 m Z = C ? Z n p a p` z O m m O 3 o Z cn W 9 m ro (� m co z I a � o C .. m o0 N Z CD a A � rj m D o3 ate' n C v -j N '"' G N a m d C y O Z d S 7 Q N I N p N 3 O N M, ` �+7 I � m N n Z N _ d N N N O O y 7 O CD V O C � I • b A O (D a ti 1777 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations 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 I. D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. 042 - 1012 -80 -360 Please print all information. Revi By Date Personal information you prods _ Law, s. 15.04 (1) (m)). 29 O C)Cr 1112T 3 7 Property Owner Property Location Jeff Krenz Govt. Lot /4 1M SE 1 S 5 T 29 N R 18 W Property Owner's Mailing Addrc as A R, t, ,i 0 2 Lot # Block # Subd. Name or CSM# 3027 Jupiter Lane 7 CSM Vol. 16, Pg. 4438 City State Z rsbde , PhdM Numbe _J City J Village ✓J Town Nearest Road Saint Paul OF F 73 Warren 1 1141 109Th 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: Install m ound syste at elev. 104.50 at 6" above 104.00' contour. Boring # Boring ✓� Pit Ground Surface elev. 104.40 ft. Depth to limiting factor 42 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 1Oyr3/3 none sl 2fsbk mvfr cs 2fmc 0.6 0.1 2 10 -17 7.5yr4/6 none scl 2msbk mfr cs 2fm,1c 0.4 0.6 3 17 -37 10yr4/6 none sl 1 msbk mfr aw 1fm 0.4 0.7 4 37-42 1Oyr5/4 none sil 1msbk mfr cw 1fm 0.4 0.6 5 42 -53 1 Oyr4 /4 f2f 7.5yr5/8 sl 1 msbk mfi gw 1 fm 0.4 0.7 6 53 -88 7.5yr4/4 f2f 7.5yr5/8 sl Om mfi - - 0.2 0.6 Boring # Boring Pit Ground Surface elev. 102.52 ft. 40" in. Soil Application Rate Depth to limiting factor App 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 - 1Oyr3/3 none sl 2fsbk mvfr cs 2fmc 0.6 0.1 2 8 -18 1 Oyr4 /4 none scl 2msbk mfr cs 2fm,1 c 0.4 0.6 3 18 -40 7.5yr4/4 none sl 1msbk mfr cW 1fm 0.4 0.7 4 40-63 1 Oyr4 /4 12f 7.5yr5/8 SINS 1 msbk mfr gw 1 fm 0.4 0.6 5 63 -86 7.5yr4/4 f2f 7.5yr5/8 sl 1 msbk mfi - 1 fm 0.4 0.7 H#4 consists of an unsorted ure of s Ifs. Redox. concentrations observed at interface of textural changes in Ifs. ' Effluent #1 = BOD ? 30 < 220 mg/L and SS >30 < 150 ' g/L ue = BOD .S 30 mg/L and TSS <�0 mg/L CST Name (Please Print) Signature: _ 5.S_30 CST Number James K. Thompson 1_� 3602 Address A.C.E. Soil & Site Evaluations ate Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceol 54020 4/122004 715 - 248 -7767 Property Owner Jeff Krenz Parcel ID # 042 - 1012 -80 -360 Page 2 of 3 3] Boring # Boring 16 Pit Ground Surface elev. 102.94 ft. Depth to limiting factor 40" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GFDff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'EfW 1 0 -5 1Oyr3/3 none sl 2fsbk mvfr cs 2fmc 0.6 0.1 2 5 -9 1Oyr3/3 none sl 2 pl mfr cs 2fm,1c 0.4 0.6 3 9 -17 1Oyr4/6 none scl 2msbk mfr aw 1fm 0.4 0.6 4 17 -22 7.5yr4/6 none sl 2msbk mfr cw 1fm 0.6 1.0 5 22-40 7.5yr4/4 none sl 1msbk mfi gw 1fm 0.4 0.7 6 40 -73 7.5yr4/4 f2f 7.5yr5/8 SIMS Om mfr - - 0.2 0.6 Platy structure exhibited in H#2 part to 2fsbk structure when disturbed. Lceding rate reflects projected loading rate after platy structure has been plowed and has been reoriented and broken into blocky structure. F—I 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 GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F—I Boring # I 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 GP 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 need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. .• ■ Sod eVa /a � 4*,. n d ,moo se � I (� ,Pe, ,9 1777 /oe 7 Csal deb /G, Ele ' - — 63 o ■ 8cn c.l, ►►r1 'oe To o ff' /,( r°✓.e.p.p�. o3 so le �tss�•ed i1eµ =�ao.00' Q cA ' io ✓.So -- - - -- R4d C S i E2 � J v� 9 1 0 ,C 1789 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations 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 dimensions, D. sions, north arrow, and location and distance to nearest road. 042 -101 80 - 0 P leas r t„ t all inf ormation. Reviewed By Date Personal information you pfovic4 may be s y (Priv Law, s. 15.04 (1) (m)). Z 1 {� Property Owner Property Location Jeff Kranz i APR r, Govt. Lot NE 19 SE 19 S 5 T 29 N R 18 W Property Owner s Mailing Addr Lot # Block # �Sub Name or CSM# 3027 Jupiter Lane 7 CSM Vol. 16, Pg. 4438 City State I�tumber J City J Village �/ Town Nearest Road Saint Paul MN 55125` 612 - 20 - 73 Warren 1 1141 109Th St. W1 New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD I Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Evaluation completed as addendum to report dated 4/12/04, Ref. #1777, to evaluate compaction and structure of lower part of A horizon and upper part of B horizon. Boring # Boring �/ pit Ground Surface elev. 103.06 ft. Depth to limiting factor X36 in. Soil Application Rate F Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef1#1 *Eff#2 1 0 -8 10yr3/3 none sl 2fsbk mvfr cs 2fwc 0.6 1.0 2 8 -18 10yr3/3 none sl 2msbk mfr cs 2fm,1c 0.6 1.0 3 18 -25 10yr4/6 none sl 2msbk mfr aw 1fm 0.6 1.0 4 25 -36 7.5yr4/6 none sl 2msbk mfr - 1fm 0.6 1.0 F-1 Boring # - I Boring /f Pit Ground Surface elev. 103.11 ft. Depth to limiting factor X40" 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 -7 10yr3/3 none sl 2fsbk mvfr as 2fm,1c 0.6 0.1 2 7 - 18 10yr4/4 none scl 2msbk mfr cs 2fm,1c 0.4 0.6 3 18-40 7.5yr4/4 none sl 1msbk mfr - 1fm 0.4 0.7 * Effluent #1 = BOD 30 < 220 mg/L a TSS >30 < 150 g/L t #2 = SOD <30 mg/L and TSS <30 mg/L CST Name (Please Print) Signature: CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, 1 54020 428/2004 715- 248 -7767 SOIL AND SITE EVALUATION 1789 Page of 3 PROPERTY OWNER: Jeff Krenz PARCEL I.D.# 042 - 1012 -80 -360 A.C.E. Soil & Site Evaluations REPORT MEMO Original soil evaluation report dated 4/12/04 as Ref. #1777 indicated moderate platy structure identified in lower part of A horizon in soil pit B -3. This evaluation completed as addendum to that report to evaluate compaction and structure of A and upper part of B horizons directly downslope of proposed system area. Evaluation of the soils in soil pits B-4 & B -5 do not exhibit platy structure. Further evaluation of the location of B -3 indicates that this location had experienced heavy equipment travel (tractor) in the past, resulting in compaction of the lower A horizon. ■ So l e as • moose /'c/�' -tom°` N Qet 1 /ot 7 CSM deb /G, n ,q 1E . ,6. rn. To of �s� "/� ilm- Z2o. ll ------ - - - - -- — _ 63 • o n • �o3.ad 8cnchwto./K To of dq /� p ✓.C.P�A�. o3. so' 3 =' BS p,Ji' k9 � �PEhfb�u 6" "Ict 'j, S i EZ. z 0 C �a Y anent of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix ig Division INSPOCTION REPORT Sanitary Permit No: 453185 0 IF NFORMATION (ATTACH TO PERMIT) State Plan ID No: nation you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Krenz, Jeff Warren Township 042- 1012 -80 -360 CST BM Elev: Insp: BM Elev: I BM Description: Section/Town /Range /Map No: too- 1 (0 0. () 05.29.18.77C20 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. �2t.t/ �i Septic 1 /w 1 2-s— Benchmark q N,t /I ,� Dosing ��� Alt. BM �-, � V� �0 /• 7� Aeration Bldg. ewer � � ,� w � I , 2 •� q y 2 Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION -�`- TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet �r Septic / t 1 `O Dt Bottom SZ S So 1" Dosing j I, Header /Man. Aeration Dist. Pipe rox. `YP / .3 /os•6,r Holding rF ot. tS stem / i nal G e -o.1 /67 PUMP /SIPHON INFORMATION V �A.( ol�L 7 ! Manufacturer emand St Cover r GPM 6f 3 �S`r !O(o•E� 5- � 0� . �S Model Number � �� T Li Friction Loss System Head TDH Ft , H. S9 2 . , d.(. X2.4(, -5 n3•'� F orcemain Length Dia. y Dist.`; ` W�e ^ �II / \ SOIL ABSORPTION SYSTEM BED /TRENCH Width �) Length No. Of Trenches PIT DIMENSIONS No. Of Pis Liquid Depth DIMENSIONS - 7 t 641- 1 SETBACK SYSTEM TO BLDG WEL LAKE /STREAM LE CHING Manufacturer: INFORMATION CHA BER OR Type Of System: 6 5 IT Model Num DIST T N SYSTEM x S '� 1 Bead /Manifold Distribution Y Hole Size x Hole Spacing Vent to Air Intake N Pipe(s) f rI 1—— Length_ Dia Z Length - 7 Dia 2 Spacing_` 2 `� 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 /.4' Bed/Trench Edges f, o Topsoil O -{ Yes 7 No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspec ion #1: 7 /1 Inspection #2: - 7 Location: 1141 109th St Unknown (NE 1/4 SE 1/4 5 T29N R1 8W) NA Lot 7�u V "`� Parcel No: 05.29.18.77C20 1.) Alt BM Description LL � I&,?— 2.) Bldg sewer length =10 SGNl lih 7 ate r - amount of cover = lIt� 3. Contour= - - - -- - -- -1 - - -- - Plan revision Required? Yes o _ p N / L l Use other side for additional information. _ �G G CSC SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. Safety a Huil ings Division c oi y � 201 W. Wssbington Ave., P.O. Box 7082 Sanitary Permit Numbs (to be filled in by Ca) �0���� Madis 2 53707 - 7082 g 608 261546 �53i0 State Plan It). Number pepartment of Commerce lieati0n Permit App pplD °( ( t 2 - +23 r ewc- . Lw SaS anitar y P and mailing aderess d COI personal infotmetion You pr ojcct Address (if different than mal 8 1st accord witb Conlin 83.2 1. Wis. Adm. a Privacy l,aw, s15.04( MAY be used for secondary Purposes tion - Please Print All Informatio -- rata l� - Block N ' tionIato k R �0� P 17! t� I. Appltu �� Parc LO Property owner's Name } V�' Property Location property Owner's Mailing Address i j . oi .. �%s �S Section i Zip Code / circ one) \ City, State I T� N; CSM Num II. Type Of BuildlIIg (check all that apply) 1 or 2 Family Dwelling — Number of B rooms 0 T I — 9 � Ci Villa ownship O ❑ PublidCorOStcerciel- ikscnbc s � 4 ,a (Z Saw,r� — ❑ State Owned - Desrnbe use Po IIL Type of permit: (Cheek only one box on line A. COMP Site Ilne B If applicable) 0 other Modification to Existing System Tank Replacement Only A. New system ❑ Replacement System Trestateathioldt n g m List Previous Permit Number and Date issued [] C)apge of ❑ Permit Transfer to New B. ❑ Permit Renewal ❑ Permir Revision Plumber owner Before Expiration IV. T a Of POWZS S Stem' Ch k all that 9201K d � of suitable soil ❑ At•Crradc ❑ Single Pass Surd Filter ❑ > 24 in. of suitable soil m 24 in. t Unit ❑ Recirculating Sand Filter ❑ ❑ Non — Pressurized In- Ground ouOd— Aerobic Tank ❑Pees Filter ❑ / constructed Wetland C3 urized lo- Ground 0 1'01diag [I other (a lain Chamber ❑Drip Line ❑Gravel - lext Pipe Racirwlatin Synthetic Media Filter C3 Lai Soil pli s System Flevatio j D Req uired (sf) Dis D persals Propos (f) V. Dls ergalrPreatmeat Information: Design Flow (gpd) esign Apcation Rate(gpdsf) l A�� Plastic Prefab Steel Site -60j Mann uror Glass Capacity in Total Number man � Co e VL Tank Info callow Gallons of Units Nle,e Es ing T Tucks septic or Holding Tads Aerabis TA mteat Uni � / -� on the attached p IanL Dosing 3s armor 7t `� Lion of the POvers shown ineca Phone Number VII. Responsibility Statement 1, the unde b rs ed. tgnature assume r esponsibility for i RS Number Eus Plumber's Name (Print) Plum plum ber's Address (Street, Ciry, State- Code) ssu* a Agent Signs (No Stamps) artment Use nl Dsce Issued ` VIII. COUn /D Sanitary p F (ine]udes Groundwater Approved ❑ Disapproved Surcharge Fee) 35 ' Owner Given Reason for Denial 1 IX. Conditions of Approv easons for Di I 1 SYSTEM OWNER% I 1 Septic tank, effluent filter and dispersal cell must all ben serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach eoatptete PLa' (te the CoustY only) for the system as paw got less tba $112 t it inches In sirs emn-4 (R. 08102) PLOT PLAN I 1 Jeff Krenz ADD R ESS 2466 10th Ave Osceola Wi 54020 1/4 SE 1 /4S 5 /T 29 N/R 18 W TOWN Warren COUNTY ST. CROIX 4/18/04 4 BEDROOM PRS Shaun Bird 226900 DATE CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 MOUND XXX SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE 1 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Top of 3/4" Pipe ASSUME ELEVATION too' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 95.0 175' Property Line Well is to meet all setbacks found in Comm. 83 AIt.B.M. is top of 1.25" Pipe @ 100.0' To 109th St. b2.R4 103' Area 15' below B.M.❑ B - 3 system is to remain undisturbed X 1-93. Tank is to be 3% 94' --� properly bedded and Slope provided with B-1 0 lockdown covers with approved warning labels Pro 4 -10 Bedroom House B-2 Grading is to be done Property to divert run -off _ Line � ffcutt Combo Tank away from system System area is not a concave slope 374' Property Line Scale = 1/4" = 10' co r APR -27 -2004 02:09 PM A.C.E. Soil & Size Eval. 715 248 7764 P.01 1777 80 EVALUATIO REPOR 1 d 3 I WlaoortaMrpagatltnentd � Pop Division d av* and BdkNnp In a000rdano 0 VJM Comm 85, V1lls. Adm. Cods A.C.E. Eoll 8 Oft Evoludlons ANsch cwnplole mils plan on paper nol lap then VA x 11 nrdow in sim. Plan must Count► St Crobr indude, buf not Nmred b; vm*W snd horlaomal relkaroa poM M dlscho snd percent slaps, sale at dmammiorm, north arrow, erd W -11, and db1 enos b nOMM mad. Partial I.D. 042- 1012- 80-360 P he" A*w sN bflbrtnrwtlfor . Reviewed By Data Pb�nel k0awwdan You rwkb nW in and ler ummley pepwa (Mmy Lm, e. ISM (t) (mp Property Owner Pn*wtV Loealion Jeff Kranz Govt. Lot NE 1/4 SE 19 S 5 T 29 N R 18 W Pmp" Owner's MaI*Q Atldeae Let sr Black B I Subd_ Name or CSMIV 3027 Jupfter Lane 7 CSM Vol. 18, Pg. 4438 City Swe Zip C " City W VNiapa jJ Town Nearest Road Saint Paul MN 55125 12- Warren 1141 109Th St New Candnidlon Use: /A Residential / Number nonrs _ 3 Code derhretl deelpn flow rate 450 GPD I Replacement Pubse or eemmorNal - Deaerlba: Parent MOWN Gl acial TIN __ ........ .. Flood ploln elevation, N appk0ble no Generalcorlynertla , , / T^ � 416 -7 -1 Z and reaomesndstions: Install mound system at aim. 104.50 at e" above 104.00' contour. (2 5/y 44704� 2 q 9orYtg f1 J 9o" . 1d Pk Ground sr&I=@ elev. 104. 40. 1t. Depth to rimming factor - _' ....in. Sd AppNCom Rate Ho4w Depth Domirsnt Calor Raft Dwalptian T slfudure 8oundsy Roots in. MLq" 0u. Sz. Cont. Color G. 82. ch. 1 0 10yr313 none al 2f&bk mvfr ce 2fmc 0.6 0.1 2 10-17 7.5yr418 none ed 2msbk mfr cs 2fm,le 0.4 0.8 3 17 -37 10yr4/8 none sl lmsbk mtr aw lftn 0.4 0.7 4 37-42 10yr5/4 none ON 1 msbk mfr cw 1 fm 0.4 0.8 5 42 1 Oyr4/4 0 7.5yr5/8 a! 1 msbk rtd 9w 1 fm 0.4 0.7 8 53-88 7.5yr4/4 fZ7.5yr5M al Om mfl - - 0.2 0.8 earn° ICJ PIT around surface W w. _ 102.62 R. Depth to Nmldtq Mdor 40" in. saN App& aa*n PWO Depth Dmkunt Calm A&*xD=wIpiiw exit" NOW Canwterlos m. WWII! Cm S T. Cont. Color Or. S2. Sh. " f1B1 `�ili F 1 0-6 t0yrw none $i 2fsbk must cs 2frnc 0.8 0.1 2 8-18 1Oyr4/4 none ad 2msbk mfr cs 211m,1c 0.4 0.8 3 18-40 7.5yr4/4 da 1 msbk mfr cw 1 fm 0.4 0.7 4 40.83 10yr4/4 M 7.5yr5/d *We 1 msbk mfr ow 1 fm O.t 0.8 5 83-88 7.Syr4 /4 fZ7.5yr5/B td lmsbk mfi - 1fm 0.4 0.7 oona�ts of an iaisoAadrtt6Aiiia of sl aR MOInce UfftdUrIlIl WOn9e8 m ft. E11Ment 41 = BOD i c 30 4 710 mg/L and T 4 ■ Eflklent 92 - BOD . 30 mgIL and T33 -9_W mWL CST Name (Please PtMrt) CxT Murnbw James K. Thompson 3802 A A.C.E. Sots 8 Site EvWudlons Ott Cmtdualed Tdaphane Number 3,o Paulson LWO famine, Osceola, V 4112rdM 715 -248 -7787 I APR -27 -2004 02:10 PM A.C.E. Soil & Site E "al. 715 248 7764 P.02 Property Owlw Jeff Kranz — _ psmal ID • 042 Pqp z et 3 Q go P oring go 1 – 1 PR Ground surfalles Nev. _. 102.94 }t. Oeiplh to IlmkhO %dw 40" In. gpl pre Reis Horizon NO Dominant .nun Struclum Consisiormi Root in. Murmd Gu, Sz, Cam. Color or. at flh. 1 1 0-5 10yr3/3 none W 2bbk mvfr m 2fmc 0.6 0.1 2 5-9 10yr3/3 none sl 2mp1 mfr ce ,1C CA 0.6 3 9-17 10yrd/g none ad 2msbk mfr aw Urn 0.4 0.6 4 17 -22 7.5yr4/8 none al 2rnsbk mfr xw Iffn 0.6 1.0 5 22-40 7.5yr4/4 none sl 1msbk mfl Ow 1f`m 0.4 0.7 8 40-73 7.5yr4/4 TLt 7.5yr5/8 Wft Om m* - - 0.2 0.8 Pledy sductum exhlbbd In H02 pert to 21abk struawra wharf disturbod. Loodnp rate r -11—to pr* dad leading rata aRsr platy structure has been vba and has been rsorMnbd and Mahon Into blocky stndeture. Borfrp S J ;;) Pit Grand 5urrax elev. _ ... ..— R to YmNfr+g factor i SW Application Rate Horizon Depth Dominant Color Raft Deapiplion Te GvLn s Consislarm BowWwy Roots appe in. WORK Ou. Sz. Cont. Color Q. Sz. Sh. •EWI •EfW2 a so" d J BorNtp J Pk Gro nd Surface OW. _ A. Depth hs Yn11NNrtg laser In. Soli Application Rate Horizon Depth Dominant Color Redw Description Texture Structure Conaistence - in. PANd Ou. St. Coni. Color Or. St. Sh *EMI •Eff�2 ll EffkwW 01 - BOD a 30 < 220 mg/L and T33 a30 < ISO n A- • Ef tlwnt 02 - BOD S 30 mg& and T33 -.;0 "1& Tho Tk penmen of Commme is an equal oppoftueity service provider and amployddr. If you nood awmilanoe to ocean wMaes Or need malaria) in an alrernatle format, vlcaso contact the depatbnent at 66&266 -3151 or TTY 608-264 -8777. APR -27 -2004 02:10 PM A.C.E. S oil & Si Ev 715 248 7764 P.03 ■ Sa /eta art • S,YeA I64 f~di 48'.,; /" /at 7, e&q 4. s1.: I rA •f �p•/�• n Mr✓IC� Ti' . II kit • AV- a0' aie! P i ss 4 %0 i A mW i�r sob .pa.r /ird. %4 SrEc 1 Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.commerce.state.wi.us /sb www.wisconsin.gov Department of Commerce Jim Doyle, Governor Co L. N ettles, Sec April 29, 2004 CUST ID No.226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMIC14AEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/29/2006 Identification Numbers Transaction ID No. 992723 SITE: Site ID No. 682310 Jeff Krenz Please refer to both identification numbers, 1141 107TH Street above, in all correspondence with the agency. Town of Warren St Croix County NE1/4, SEI /4, S5, T29N, R18W Lot: 7, FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 954498 Maintenance required; 600 GPD Flow rate; 40 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 /01); Biofilter 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. CptToafl No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, r%1-tr. a stats. it The following conditions shall be met during construction or installation and prior to occupancy or use: V EPARTMFNT e �7 N Sit General Approval Requirements: SEE CORRE • 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.01 101) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01 /01). • Per manual cited above, 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. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. ` SHAUN R BIRD Page 2 4/29/04 • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the P P g Y q g P designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A cony 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 m4y include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /instal lation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerel, Fee Required $ 175.00 J' Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz .J POWTS Reviewer II , integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 I . API vFp Cover Page 34F e7 } ° 2004 " ' D OS S pIV Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 04/18/04 Owner: Jeff Krenz Location:NE1 /4SE1/4 S5 T29 N,R18W Lot 7 1141 109th St. Warren System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section r"t 6. Pump Curve FCOMMFRCs 7 -8. Maintance and Contigency plan `Y UILD 9 -11. Soil test JPDND E Shaun Bird Signature License num r 226900 i r - - PLOT PLAN PRNECT Jeff Krenz ADDRESS 2466 10th Ave Osceola Wi 54020 NE 1/4 SE 1 /4S 5 /T 29 N/R 18 W TOWN Warren COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/18/04 BEDROOM 4 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 600 # of chambers none ik BENCHMARK V.R.P. Top of 3/4" Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 95.0' S tOS.o 175' Property Line Well is to meet all setbacks found in Comm. 83 Alt.B.M. is top of 1.25" Pipe @ 100.0' To N 109th St. 103' Area 15' below B. M. B-3 system is to remain undisturbed 103.5' Tank is to be 3% 94' properly bedded and Slope 5 /� provided with B-1 lockdown covers (� with approved warning labels Pro 4 Bedroom House B-2 Grading is to be done Property to divert run -off Line Huffcutt Combo Tank away from system System area is not a concave slope 374' Property Line Scale = 1/4" = 10' "Designer No Date Non -Woven Filter Fabric 4 Observation Pipe Perforated ,Distribution. Pipe Below Filter Fabric ASM4 C -33 Sand a Topsoil 7. Stope Bed Of 1 J�— 2 %2 Force Main ��Ffowed 3 Drain Rock From Pump Lcyer • I.D ,. Cross Section Of A Mound ' S stem Usin f d A Bed For The Absor tion Area G .� - � A Ft- 6 iQ Ft. J Ft. Ft. K �, L , Ft. Ft. � / ` Tk wP � L 4� Pipe _ K +---- a r q A - - -- Moin ------ - - - - -- - - - - -- From Pump W ed Of Distribution Pipe Drain RocK I \ 4 Observation PiPe `,-Ca�_EJ Permonent Marker ,4W pp i pe or Rods Pion View Of Mound Ut►in A Bed For The Absorption Arlo Perforated pipe Oetoii End Vier �Perforotco �• y ' PVC P.pt ,a0� L p rtofef I.OLOted On 8011am, Are Equally Spates All R Q �'✓ t Ir r PVC Force Main 1 7 FIRST KoLL AtsxT re GanntL }!er PVC Moniloid Pipe Oistrioutlon Noe [,c r h — [.L os �y' ©isfributiOn Pipe Loyout F Ft R Ff . To �✓ h bra � � � Inches Yp2 1 inches Signed: Hole Diameter�l 'Inch Lateral a2- . Inch(es) License Number: Manifold_ Inches Date: Force Main " Inches # of holes /pipe Invert Elevation of Latera s /JS -, - ` Ft. 0 K SEPTIC TANK L Pt�MP C ;AMBER CRO SS SECTION AND SPECIFICATIONS WFATHERPRWF APPROVED " I4IM. ABOVE GRADE C jUNCTION BOX MANHOLE COVER VENT DooR , WINDow OR WITH CONDUIT w/ PADLOCK 6 FROM OflR FRESH AIR ;ISTAKE E � wARK ;lib LABEL ro r�/-V 4 st yZ1i . FINS ::: "D GRl�E a. � MGM• iB° ItI M INLET GAS- R TIGHT SEALS T IGT s a � E0 WITH wATE _ SEAL ALI"M APPROVED PIPE 3s OM SOIL APPROVED PIPE 3 9 C OFF SOIL 3QLI0 PwjmP OFF ELEV . �FT- D SO TANy- CRETE PAD 3a APPROVE g pl�[G VI+EDE SPECIFICATIO DOSE S PER DAY = HL}Ii8E5 f j / SEPTIC / DOSE UME INC D Dfl5£ y{yr, / 7 GAL - T ANK 14ANUrACT I ER: 3--s— GAL- L - � � • J = `7 Jam(, GAL - TANK SI ZES ; SEPTIC GAL - DOSE CAPACITIES= A $ _ .2 INCHES = -.- GAL. ALARn MwJFA,C113RER,: _ MODEL NuPISER = , e J INCHES �— 7 s SWITCH TYPE: C �°/ 2NC14ES L PUMP � FACTORER . D L e1UMSER ` PER ILHR 16. WAC TYPE= pU M WIRIisG AS SWITCH Kp TE Z-7 GPM - s � A L.AR PIP£ FE�.fS- REQUIRED DISCHARGE '► TION FEET PUMP OFF AND DIST t FEET VERTICAL DIFFERENCE $E E PRESSURE - •FT. FR TIO4 FACTOR FEET + MINIM NETiiORK SUPPLY Z� � FT /7.QQ TOTAL DYNAMIC HF1�D i + FEET FORCEMAIH X = = ' H � ; DIAMETER F PUlL? ^SANK. L�. tflD � LNTERI�AL DIMENSIONS Q L Q (} AT £ = LICENSE NUMB�.R SIGNED*- 3jg8 TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE HEAD .CAPACITY CURVE EFFLUENT AND DEWATERING MODEL 1 52/153 W MODEL 152 153 C 50 Feet Meters Gal. Liters Gal. Liters 153 5 1.5 69 261 77 291 10 3.1 61 231 70 265 12 40 152 15 4.6 53 201 61 231 20 6.1 44 167 52 197 Uj v 30 25 7.6 34 129 42 159 8 30 9.1 23 87 33 125 L 20 35 10.7 - -- - 22 85 0 40 12.2 -- -- 11 42 ~ 4 Lock Valve: 38.0 Ft. (11.6m) 44.0 Ft. (13.4m) 10 oi4soa 0 20 40 60 80 100 GALLONS - s 1/4 LITERS 0 80 16 320 3 27/32 a 5/8 FLOW PER MINUTE 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS - • 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 Qwik -Box available for outdoor installations. See FM1420. • Over 130`F. {54 °C.) special quotation required. I 152f153 Series' 12 1/s 1521153 MODELS Control Selection 4 Model I Volts•P Mo Amps Simplex Du lex 5 /8 N 152 115 1 Non 8.5 1 2 or 3 BN1521 115 1 Auto 8.5 Included 2 or 3 t �- Sx2064 E152 230 1 Non 4.3 t 2 or 3 SE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 SN153 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 BE153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FM0477. o CAUTION 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 specify duplex (3) licensed electrician. All electrical and safety codes should be followed Including the most Of (4) float system. recent National Electric Code (NEC) and the Occupational Safety and Health Act(OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. YAtl To F0. 1 O 16347 LouisvNe, KY 40256 -0347 Mamhcturersof . . L: SHIP T0: 3649 Cane Run Road Louisville, KY 40211 -1961 QILdL /lY/ - LIMPS ,/iNCE �9��7 r PUMP !O. (502) ne- 2731 .1(800) 928 -PUMP http: / /www.zoeller.com FAX (502) 774.3624 0 Copyright 2000 Zoeller Co. All rights reserved. ' y - T PLAN Pa ge of ' PowTS OWNER'S MANUAL 8� MANAGEMEN 1 SYSTEM SPECIFICATIONS FILE INFORMATION Septic Tank Capacity al ❑ NA owner " Septic Tank Manufacturer ❑ NA Permit #. Effluent Filter Manufacturer ❑ NA DESIGN PARAMETERS 0 NA Effluent Fitter Model ❑ NA Number of Bedro oms pump Tank Capacity � ail ❑ NA Units NA Number of Commerrlal Pump Tank Manufacturer Esdmatad flow (average) Ma avda .PumManufacturer �G�P�c� E3 NA Design flow (PeW, (Estimated x 1 .5) :avd ,c�'�/ r' �""Z- ❑ al/da Ift� Pump Model Soil Application Rate • p Unit Monthly average' O Sand/Grgvel Filter ❑ Peat Filter Influent/EHiuent Quality FOG) s30 mg/L Wetland Fats,. Oil & Grease ( ❑ Mechanical Aeration ❑ ch Demand {GODS) 4.20 mg/ [3 Disinfection 0 Other. Bioemical Oxygen 150 Manufacturer Total Suspended Solids (TSS) 5 /L Monthly average" Dispe rsal Cell(s) (pressurized) Pretreated Effluent Quality [3 In-ground (gravity) p�'9round (p en Demand (SODS) S30 mg/L ❑ At -grade and Bioctlemi t al OuY9 SS 530 mg/L [3 Other. Total Suspended Solids (T SS) 510` du1100m1 ❑ Dri ine Fecal Colifbrm (geometric mean) Y, inch diameter Values rypfcal for domestic ( " °"�"fT1e�l) vrastavrat°r and Maxi Effluent Partide Size septic pnk.efrtuenc " values typical roe pretreated wastewater. MAINTENANCE SCHEDULE Service Frequency Service Event .1 p month ear(s) (Maximum 3 yrs.) At feast once every y of tank volume Inspect condition of tank(s) sludge and scum equals one-third (,) When combined s - 9 Maximum 3 yrs.) Pump out contents of tank(s) [3 month earls) cell At least once every , ins dispersal (s ) ❑ onths yea months � At least once every ea s O NA Clean effluent filter ❑months ear (s) 8, alarm At least once every ❑ NA ump controls months ear(s) Inspect PU MP , P O press test At least once ever �S Flush laterals and press y At least once every ❑ months ❑ year(s) ❑ NA COW. ❑ months ❑ years) ❑ NA Oliver At least once every MAINTENANCE INSTRUCTIONS n carryi one of the following licenses or Inspections of tanks and dispersal cells shall be made by an individual clot POWTS Maintainer, Septage Master Plumber Restricted Sewer: POVYTS to inspe a missi or broken C efgftcabons: Master Plumber, Servidng Operator• Tank inspections must inducts a visual inspection of the e and to and check for any up cracks or leaks, measuro the volume of combined sludge inspected to check the effluent levels hardware, IdentHy any In surface. The dispersal call(s) shall be visually ndi of effluent on the or pond g of effluent on the ground for any ponding of effluent on the ground surface. The � ulatory authority in the observation pipes and to check uires the immediate notification of the l reg ground surFace may indicate a failing condition and req or more of the tank volume, the When the combined accumulation of sludge and scum in any to operator a disposed of in accordance ti' d' NR entire contents of the tank shall be removed by a Septag 113, Wisconsin Administrative Code. onents, pretreattment components, and any The servicing of effluent filters, mechanical or P 2 months or less shat be Performed by a certified POWTS Maintainer. Of vent intervals o service e at of other maintenance or monitoring at 10 days of conlPletton o y A service report shall be provided to the local regulatory authority START UP AND OPERATION for the presence of painting products or other c high c oncentrations ling products are Construction, prior to use of the POVVTS check r treatment a the dispersal cell(s). For new s and/or 9 chemicals that may impede the treatment process a septage servicing operator prior to use. detected have the contents of the tank(s) removed by i r Page of I conditions ace frozen at the infiltrative surface. System start up shall not occur when ,oi , is restored the excess es um tanks may fin above normal highWater levels. When Po result in the During power outag P the d persal cell(s in one large dose, over loading the cell(s) and may wastewater will be discharge of effluent To avoid this situation have the contents of the pump tank removed by a b e r opeta prir.td o odm power to the effluent pump or contact a Plumber or POWTS Maintainer to Sep contrnis to restore normal levels within the pump tank assist in manually operating the P 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: antiblotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation diem (sump pump) water, fruit and vegetable peelings. gasoline; grease;. herbicides: meat scraps; medications; oft painting products; pesticides; sanitary napkins; t and water softener brine. ABANDONOMENT arse taken out of service the following steps shall tke taken to insure that the OWTS When the P fails and/or is perm �Y doned in compliance with ch_ Comm 83.33, Wisconsin Administrative Code: system is property and safely aban 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 property disposed of by a Septage Servicing Operator. e 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 measures have been, or must be taken, to provide a cede If the POWTS fails and cannot be repaired the following compliant replacement system: on of a replacement soil p A suitable r system. Th e r r e ea P la ce be t are prot�ed f d stu and compaction and should not absorption system. be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will res ns must comply with the n effect at that tirne�blish a suitable replacement area. Replacement sys p A suitable replacement area is not availabl as a last resort o repl i the failed POWTSng advances in POWTS technology a holding tank may i The site has not been evaluated to identify a suitable replacement area_ Upon failure of the POWTS a soil and ite evaluation must be Performed to locate a suitable replacement area. If no replacement area is available a olding tank may be installed as a last resort to replace the failed POWTS. rid and at -grade soil absorption systems may be reconstructed in Place following removal of the time. at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANK MTBY K UNDER ANy GEN. CIRCUMSTANCES. DEATH MAY DO NOT ENTER A SEPTIC, PUMP OR OTHER RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDMONAL CO MMENTS POWTS INSTALLER POWTS MAINTAINER Name,, Name `/2 d/ Phone , f J Z Phone ULATORY AUTHORITY SEPTAGE SERVICING OPERATOR PUMPER LOCAL REG / . m L Agency ) �f Name Phone ?J Thls document meats This document eras dratted by the surfs of the Green Lake. Marquette and Waushara County Zoning and Sanitato . U,6 of es. this document does not the minimum requuements of ch. Comm 83.22(Z)@Kt)(d)&(f) and 83, WI). (2) & (3). Wisconsin Administtatim Co e. Use GMW ( 210i) guarantee the performance of the PpV(rr5. i APR -28 -2004 04:56 PM A.C.E. Soil & Site,Eval. 715 248 7764 P.02 1780 SOIL EVALUATION REPORT p i of 3 wbMnNlt p wtialtt of Commerce MyMm d t3 * and BtlildhtAa In aocardenos with Comm $5, We. Adm. Cone A.C.E. sal a 8roe C- valuatkns County Abloh ow "ptete site OW on paper not less than IPA x 11 inchn in Stae. Man muff! St C roix Mude, but not limited to: votical and hormontal rafarence pant (", dMictim and PafoN I D Weent slope, Soak or dimemsiorls, north arrow, and Location and dabnce to nearest road. 042 80 please print all mit" r don. Reviewed B Date PUXW irda Mee" You FoVft may to used rbr eeca WMY pr pox P XWY LM, e 15 04 (1) (m)) y Owner Property Looaw Jeff Krertx Govt. Lot NE 1k SE 19 S 5 T 29 NR 18 W _ _.. .. party Owner's Haling Address — Lot !� Block tl Subd. Name or C5MM 7 CSM Vol. 18, Pp. 4438 3027 Jupiter Lane _ city State Zip Code gone Number City } Village 11 Town Named Road Saint Paul MN 1 55125 1 612 209 -7373 Warren 1141 109Th 3t New Construction Use: iM Resklentfel / Number of bedrooms 3 Code derived design flow rate - 450 OPO Raptecetrlerd Public or camnt@MW - Describe: 19 Parent mderm glacial Ti Mood plain d°NoOn, if ne Ostend comments on end srtd motions; Evaluation completed as addendum to report dated 4 9 12104, Rot. #1777, to evaluate compaction structure of lower part of A hartZon and upper part Boring S Boring >3 M. oil Appkablm Rate ill Pit Ground Surface elev. _ 1 03.06 __ ft. S Depth to IImag factor . Hptizon Depth Dominant Color Raft Description TaMe tm"Gwil a Consistence ' + R ,E R in. Munsell Qu. Sz. Cant. Color Gr. Sz. Sh. 1 O.g 10yr313 none el 2fM* rnvfr on 2fmc 0.6 1.0 2 8.18 10yr313 none al 2msbk nt(r ce 2fm,1c 0.8 1.0 3 18-25 1Oyr4ro none el 2msbk mfr ew 1fm 0.6 1.0 4 25 -38 7.5yr4/6 _ none _- s1 2msbk mfr - 11tH 0,6 1.0 L.� Boring0 Pit Ground surface etev. _ 10 3.11 R Depth to krrlitirlg factor• X4 0" in. sat Appicaiiarr Rate Hum Depth Dominant Color Radox Description Tatum Structure Consistence Boundery Roots * fF#1 E� in. Munsell 4u. Sz, Conn Cola' Or, St. sh. 1 0-7 10yr313 none el 2fabk mvfr e& 2fm,1c 0.5 0A 2 7 - 18 1 none scl 2msbk mfr _ ce 2fm,le 0.4 - 0.6 3 1 8-40 7.5yr414 none st 1 msbk mfr - 1fm 0.4 0.7 " Effluent N1 = Boo ? 30 <_ 220 mg1L TSS >30 < 150 L 02 = BOD C 30 mglt. and T53 -c-M MO& CST Name (Please Pr") Signature: CST' Number James K. Tho mpson � A DWEveWlcn 3502 �-� Address A C.E. $ol & Site Evaluetions 2 Conducted Telephone Number 340 Paulson Lake Lane Osceola, 54020 4288004 715- 248.7767 A P R -2 8 -2004 04:57 PM A.C.E. Soil & Sit Eval. 715 248 7764 P.04 ■ Sa /¢Ualua�+ doi t cam Ae • Sa'/t�Iks��A►� ■ moose � « r of Jgo•do. xto, w' • • /ot.ed So" : To eir 8'f ,�ssw.�td skµ•�dD.AO,' , � io+�lM epee- �/e�as� ■ 3 �� Ip'±�` ■ g , - r sb' 1, �Pjo/lo�. ■ , so a.Z w G APR -28 -2004 04:57 PM A.C.E. Soil & Site Eval. 715 248 7764 P.03 SOI AND SITE EVALUATION 77 1789 pogo of 3 PROPERM OWNE : ]arfxrana "ACL 6C o�aot2.so GQ n C.>w Sall a an. �wbumam• REPORT MEMO Original soil evaluation report dated 4/12/04 as Ref. 01777 lndlcated moderate platy structure identified In lower part of A horizon In soil pit 8-3. This evaluation completed as addendum to that report to evaluate 00mpwbon and structure of A and upper pert of B horizons directly downslope of proposed system area. Evaluation of the soils in sob pits B-4 A &B do not exhibit platy structure. Further evaluation of the location of B-3 Indicates that this location had experienced heavy equipment travel (tractor) In the past, resulting In compaction of the lower A horizon. I - 1777 Wisconsin Department of Commerce SOIL EVALUATION REPORT p 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations 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 percent slope, scale or dimensions, north arrow, and location and distance to n t Parcel I.D. 042 - 1012 - 80 - 360 Pleas R iewed By Date Personal information you provide be u secon�lPrivaoy aw, s. 15. I ' Property Owner A P sl 2 �) Property Location Jeff Krenz Govt. Lot NE 19 SE 1/4 S 5 T 29 N R 18 W Property Owner's Mailing Address �_(_ CRC, I it ; 1J U NV Lot # Block # Subd. Name or CSM# 3027 Jupiter Lane FICE 7 CSM Vol. 16, Pg. 4438 City S umber _J City J Village 01 Town Nearest Road Saint Paul MN 55125 1 612 - 209 - 7373 Warren 1 1141 109Th St. 0 New Construction Use: iOl Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD I Replacement J Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Install mound system at elev. 104.50 at 6" above 104.00' contour. F 71 Boring # I Boring 1/ Pit Ground Surface elev. 104.40 ft. Depth to limiting factor 42" 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. I *Eff#1 *Eff#2 1 0 -10 10yr3/3 none sl 2fsbk mvfr cs 2fmc 0.6 0.1 2 10 -17 7.5yr4/6 none scl 2msbk mfr cs 2fm,1c 0.4 0.6 3 17 -37 10yr4/6 none sl 1msbk mfr aw 1fm 0.4 0.7 ` 4 37-42 10yr5/4 none sil 1 msbk mfr cw 1fm .4 l 5 42-53 10yr4/4 f2f 75 /8 sl 1 msbk mf gW 1fm 0.4 0.7 6 53 -88 7.5yr4/4 f2f 7.5yr5/8 sl Om mf - - 0.2 0.6 F-21 Boring # Boring Pit Ground Surface elev. 102.52 ft. 40'� in. Soil ✓� Depth to limiting factor ` Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Coker Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/3 none sl 2fsbk mvfr cs 2fmc 0.6 0.1 2 8-18 10yr4/4 none scl 2msbk mfr cs 2fm,1c 0.4 0.6 3 18-40 7.5yr4/4 none sl 1msbk mfr cw 1fm 0.4 0.7 4 40-63 10yr4/4 f2f 7.5yr5/8 SIMS 1 msbk mfr gW Urn 0.4 0.6 5 63 -86 7.5yr4/4 f2f 7.5yr5/8 sl 1 msbk mfi - 1fm 0.4 0.7 44 consists of an unsorted ' �e & Ifs. Redox. concentrations observed at interface of textural changes in Ifs. ' Effluent #1 = BOD ? 30 < 220 mg/L an TSS >30 < 1 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS <_W mg/L CST Name (Please Print) Signatur . CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 4/122004 715- 248 -7767 Property Owner Jeff Krenz Parcel ID # 042 - 1012 -80 -360 Page 2 of 3 3] Boring # Boring i/ Pit Ground Surface elev. 102.94 ft. Depth to limiting factor 44 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Coni. Color Gr. Sz. Sh. I 'Eff#1 *Eff#2 1 0 -5 10yr3/3 none sl 2fsbk mvfr Cs 2fmc 0.6 0.1 2 5-9 10yr3/3 none sl 2ri® mfr cs 2fm,1c 0.4 0.6 3 9 -17 10yr4/6 none scl 2msbk mfr aw 1fm 0.4 0.6 4 17 -22 7.5yr4/6 none sl 2msbk mfr cw 1fm 0.6 1.0 5 22-40 7.5yr4/4 none sl 1msbk mfi gw 1fm 0.4 0.7 6 4 -73 7.5yr4/4 f2f 7.5yr5 sl/Ifs Om mfr - - 0.2 0.6 Platy structure exhibfted in H#2 part to 2fsbk structure when disturbed. Loading rate reflects projected loading rate after platy structure has been plowed and has been reoriented and broken into blocky structure. F—I Boring # I Boring _f 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—I Boring # I 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 I Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD <_30 mg/L and TSS a 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. J ■ Soi l e 1/a l(, a- � Pl & • � dose /�-� ,Qet 4 il777 /ot 7 CSnt de( n A ,6. rS 4- : T of Elea - /ao.4 • • ° /o3.ad e.ar•EoK� 8cn ca, wlar�� T of io ✓. So' /o od 8ui/d;�lj ez �u s 0 ,r ST CROIX COUNTY SEPTIC TANK IvfAIW15NANCE AGREEMENT` AND OWNERSHIP CERTIFICATION FORM owner/Buyer V��" r I f� n� All S`l � Mailing Address o7y6 a- O Property Address 9 (Verification required from Planning Department for new construction Parcel Identification Number p,�2 " 1012 Zo City /State LEGAL DESCRIPTION Town of Properly L.o cation � ' /,, /•, Sec. . T� Lot # Subdivision '-- Certified Survey Map # 5 Volume 1 , Page # �� Warranty Deed # �4 3� 2 , Volume Z`fl 2 Page #� Spec house ❑ yno Lot lines identifiabXyes ❑ no SYSTEM WNANCE tics stem could result in its premature failure to handle wastes. Proper maintenance Improper use and maintenance of your septic y y Pumper What you put into the system consists of pumping out the septic tank every three years or sooner, if needed b a licensed umpe can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a ber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system masterplumber, journeyman plumber, restcictedplum the se tic tank is less than 1/3 full of sludge. is in proper operating condition and/or (2) after inspection and pumping (if necessary), P Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards Department of Natural Resources, State of Wisconsin. Certification set forth, herein, as set by the Department of Commerce and the pace within 30 stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning day f the three y expiration date. DATE S A' OF APPLICANT OWNER CERTIFICATION deed the in Register of Deeds Office I (we) am (are) the owner(s) of I (we) certify that all statements on this form are the pr perty describ d above, by virtue of a warranty 0/ 1 DATE S ATURE OF APPLICANT * sss ** Department. Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 7 40372 \( U 2•yl•�P 539 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH REGISTER OF DEEDS Document Number WARRANTY`DEED ST. CROIX Co., WI RECEIVED FOR RECORD This Deed, made between White Pine, Inc., a Wisconsin 09/17/2003 03:00P1! Corporation Grantor, and Jeffrey M. Krenz WARRANTY DEED Grantee. EXEMPT # Grantor, for a valuable consideration, conveys and warrants to Grantee REC FEE: 11.00 the following described real estate in St. Croix County, State of Wisconsin TRANS F 186.00 (if more space is needed, please attach addendum): CC COPY FEE: Part of the NE 1/4 of the NE 1/4 of Section 5, Township 29 North, ange PAGES: 1 18 West, St. Croix County, Wisconsin described as follows.-(jPt_7 of Certified Survey Map filed January 7, 2003 in Vol. 16, Page 4 438, Doc. No. 704934. - Recording Area Name and Return Address RIVERBANK 880 SIXTH STREET NORTH HUDSON WI 54016 r 042- 1012 -80-300 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restriction and rights -of -way of record, if any. Dated this ` ZWL- day of September 2003 White Pine, Inc. * By: * Hank Fogel Presid * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) Hank Fogelberg, President STATE OF ) County ) authenticated this Z day of Sew mber , 2003 1 / Personally came before me this day of the above named * Kristina Ogland 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. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogtand Hudson, WI _ Notary Public, State of My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co.. Fond du Lac, W I STATE BAR OF WISCONSIN 800 -655 2021 WARRANTY DEED FORM No. 2 - 1999 Y+ r 704934 APPROVED VOL 16 PAGE 4438 ST, CROW CO UN TY KATE - M H. M -- Planninn 7r,^� REGISTER OF DEEDS ST. CROIX CO. wi IAN 0 7 2003 01/07/20R02E 003 00PM REC FEE: 17.00 it not wcoiciou nays cf COPY FEE: 5.00 C CERTIFIED SURVEY MAP z LOCATED IN THE NE1 /4 OF THE SE1 /4 OF SECTION 5, T29N,R18W, TOWN OF ° WARREN, ST. CROIX COUNTY, WISCONSIN. ALSO BEING PART OF LOT 5 OF uo n a THAT CERTIFIED SURVEY MAP FILED IN VOLUME 13, PAGE 3768 IN THE c ST. CROIX COUNTY REGISTER OF DEEDS. .qa LEGEND _ WHITES P SUBD IV I D ER NL . do - INDICATES SECTION CORNER MONUMENT HANG FOGELBERG 308 MIDDLE PINE COURT m o • - INDICATES I ") OUTSIDE DIAMETER IRON STAR PRAIRIE, WS. 54026 3 i u PIPE FOUND. NQ - INDICATES 1" X 18" (OUTSIDE DIAMETER) IRON w J PIPE WEIGHING 1.13 LBS. / LINEAR FOOT SET. ( R) - INDICATES PREVIOUSLY RECORDED INFORMATION. mw - INDICATES 50' BUILDING SETBACK LINE FROM :D 6 'N ° - - -0 RIGHT -OF -WAY. El/4 CORNER. SECTION 5 °w UNPLATTED LANDS EAST -WEST 1/4 SECTION LINE ( 1" IRON PIPE FOUND ) ( OUTSIDE DIAMETER ) U�a N i — — _-- 97300 —E - - - N90 o 00 '00 "E 5 - - - - -- - - -- _ _ _ m. ' 0 W — — N90 OG'00 ° _ m 115TH AVENUE_ — — w �- m 4630.72 ' 6 �— wU S89o26'47"E + Q1 c° 73.00' o m I LOT 1 OF I I zo w 1 /4 CORNER SECTION 5 cn w . m °o v I �ERIIFIED I I ( ESTABLISHED FROM 40 N I SURVEY MAP a � w TIES OF RECORD) sew '1 .W I VOL. , PG. 2324. m -ia o Cu 7 . 0 :' 33 . I- - 8 - - - I n1 I 0 o iDWEtiir� F i �W I N GARAGE ED w g i L -- - -1 1 ial Wm �IWI o PARCEL DESCRIBED �O ca 1 >� LLI IO m m IN VOLUME 1908 1 Dl� o Nom �l QI $ o o Qi PAGE 85- 86. - -- I _jIL�w m 1 woo co :510-1 Q °z , o S, II =� o I " F-I o $ °� I UU -� g i "rn z O $ �� I I O U] JILL $ 2 -A I V �I i L)NQ l 31 DWELLING N 0 ` 7'54 "E I o 0 0 0 +ri \ 2 '155.17 w I Qa> >I v 2 -B Lo I c CIE NOTE: FOR CURVE m o I ° m INFORMATION SEE o ° o. i 0 I w Y w m cn SHE 3 OF 4. 00 `p ti o0 1 0:5 r N W cu m ( R N89°59'47'E) I Z >H- NB9 59 '48 "E 720.00 ' DRIVEWAY. W DRIVE wav N89 59 '48 "E H w a 6 30 0 3 m �! a 660. ' o 0.00 ti I o 6 1 ' a a u of o, o wxo" cc N/ N o w 92.609 SQUARE FEET o �`• •••�•••' / 'j' LOT 9: z 33' ( 2.126 ACRES) Lo JO EP • . 90,605 SQUARE FEET a ^' GR RG 't * C ' ( - 2.080 ACRES) a 3 S77� cr) N = NEW RI HMOND i m 7 X2'12 °E 374.77, t C 3 m � 0 En . ...... SUw 5 4' © 'ar cc 97°2B'01' �O LOT 98.663 SQUARE FEET o L n �j NOTE: THE LOTS SHOWN B O 5 -A ( 2.265 ACRES) o $ a En HEREON ARE SUBJECT TO O; o = I A 12 WIDE UTILITY /- 5 -B m EASEMENT ADJACENT TO AND PARALLEL MAT CH M > >o TO THE RIGHT -OF -WAY 2g �.1 LINES OF 109TH STREET. CI 4 13. � LOT 1 ( SEE SHEET 2 OF 4) °0 0 PREPARED B SCALE IN FEET 1 = 15t) Y: 0 6RANBoR& SURVEY I N6 N 91 1239 C.T.H. 0 75' 150 300' NEW RICHMOND, WI. 54017 PHONE ( 715 ) 246 -7529 THIS INSTRUMENT DRAFTED BY: JOSEPH W. GRANBERG JOB NO. 02 -030 SHEET 1 OF 4 Vol.16 Page 4438