HomeMy WebLinkAbout042-1012-80-396 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
% INSPECTION REPORT Sanitary Permit No: 538744 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Moulton, Timothy & Monica I Warren, Town of 042 - 1012 -80 -396
CST BM Elev: Insp. BM Elev: BM Description: SectionrTown /Range /Map No:
05.29.18.77C71
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing Alt. BM
Aeration Bldg. Sewer
Holding St/Ht Inlet
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic Dt Bottom
Dosing Header /Man.
Aeration Dist. Pipe
Holding Bot. System
Final Grade
PUMP /SIPHON INFORMATION
Manufacturer Demand St Cover
GPM
Model Number
TDH Lift Friction Loss System Head TDH Ft
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System:
UNIT Model Number.
DISTRIBUTION SYSTEM
Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s)
Length Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /
Location: 1136 109th Street New Richmond, WI 54017 (NE 1/4 SE 1/4 5 T29N R18W) NA Lot 13 Parcel No: 05.29.18.77C71
1.) Alt BM Description =
2.) Bldg sewer length =
- amount of cover
Plan revision Required? ❑ Yes ❑ No
Use other side for additional information.
SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No.
$ LAID
commtance.wl.gov Safety and Buildings Division County C�j
v ) / r -
201 W. Washington Ave., P.O. Box 7162 i
SC4113 � h Madison, WI 53707-7162 Sanitary Permit Number (to fi led in by Co.)
i, t)epertment of l.omtnewe _ 5 3 �S 7�
_ ... —_ State Transaction Number
Sanitary Permit Application S PP
Y
In accordance with s. Comm. 83.2 1(2), Wis. Adm. Code, submission of this form Of
t •ec Address (if different than mailing address)
unit is required prior to obtaining a sanitary permit. Note: Application forms f state- 7umd:,econd l
submitted to the Department of Commerce. Personal information you provide y be / [
u ores in accordance with the Privacy Law, s. 15.04 I /0 m , Slats. J
I. AI► lication Information -Please Print All Information Parcel
Property Owner's Name
l�� �oId
Prop t� 1
erty Owner's Mailing Address Location t
/ N
/ � �/ CZ Govt. Lot 15 �� 1
City„ State Zip Code Phone Number y. /4, Section
T � J trcle , o ( ► W J —7/)
11.1 ype or Building (check all that apply) bk Lot
Subdivision Name
r 2 Family Dwelling — Number of Bedrooms G'm._
Bloc S
❑ i'ublic /Commercial — Describe Use City of —
CSM Number village of
❑ lid ate Owned - Describe Use — -- 16Town of t(
III., 'Type of Permit: (Check on y one box on line A. Complete line B if applicable)
A
El other Modification to Existing System (explain)
f[ 1 w System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only
List Previous Permit Number and Date Issued
B mit Renewal El Permit Revision El mit Transfer to New Change of Plumber ❑ Per Expiration Owner
IV.. T e of POWTS 3 stem /Com onent/Device: Check all that appl
Ion- Pressurized In- Ground El Pressurized In- Ground El At-Grade ❑ Mound> 24 in. of suitable soil ❑Mound < 24 in, of suitable soil
❑ Ifolding Tank 11 Other Dispersal Component (explain)_. —_ ❑ Pret ent Device (explain) —
V. Ais rsal/Treat nt Area Information: t
Dr. s�grt Flow (gpd) Design Soil A plication ate( Dispersal Area Required (s a Area Proposed
leva} n
H. Tank Info Capacity in Total it of Manufacturer o
Gallons Gallons Units a v ; y r�
New Tanks Existing Tanks / — r U rA p a
1
Sep is or holding Tank
busing Chamber
V 11. Responsibility Statement- 1, the undersigned, assume re Ibility for installation of the POWTS shown on the attached plans.
Plumber's Sign MP/MPRS Number Business Phone Number
Pham_ber's Name (Print)
I
Plumber's Address (Street, City, State, Zip
,' IL oun /De artment Use Only_ — `
" Permit Fee
Date Is ed Issuing Age ignature
Approved tsap $ ,/"757 7 //��
even Reason ial
'�/ r
I"i. Coadi asons for Disapproval A
1. Septic tank,. effluent filter and J IG
dispersal cell must all be services / maintained \ Crw�,Ka� l'A6 {�
as per management plan provided by plumber. �j�P,w�-
2. t�sc
AV sk lequifemnts e must.be mntain
aied
� � ,i,i. �.nelw / ei►rBewrr
—.�
Attach to complete plans for the system and aubmlt to the County only on paper not less than 8 112 a 11 fnc s In size
SBD -6398 (R. 01 /07) Valid thru 01/09
PLOT PLAN
PROJECT Tim Moulton ADDRESS 2718 Shadv Drive Lane Menomonie Wi 54751
NE 114 SE 1 /4S 5 /T 29 N/R 18 W TOWN Warren COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 2/16/11 BEDROOM 4
CONVENTIONAL XXX IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1543 # of chambers 76
IL BENCHMARK V.R.P. top of rebar ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE O WELL *H. R P Same as Benchmark
660' Property B.M.*
Line SYSTEM ELEVATION 95.0/94.7/94.3/94.0 2' below qrade
40' 40 B -1 160'
10'
20'
25'
B -2
6% Slope 20 ' B -3 5'
4 -3' X 78' 30'
cells with >3'
spacing B -5
Vents 50'
B-4
ST
30'
Pro 4
Bedroom
House
260' Property Line
Vent Well is to meet all
setbacks required by
> 6» Quick4 Standard -W WDNR
of Cover Leaching Chamber
with 20.0 ft2 of Area Designed Plans Desi Using 152' Property
12" 5.8ft 2 /pair of end caps g g Line
4' Long Conventional Powts
34"
Grade at System Elevation Manual Version 2.0 To
— 109th
y St.
Cover Page
Shaun Bird
Bird Plumbing Inc.
1008 192nd Ave
New Richmond Wi 54017
715- 246 -4516
Date: 2/16/11
Owner: Tim Moulton
Location:NE1 /4 SE1 /4 S5 T29 N,R18W 1136 109th St. Warren
System type: In- ground absorbtion system(conventional)
Manuals Used: In- ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4 -5. Maintanance and Contingency Plan
6. Filter Specific;ationsS
Signature
License numbe
I
PLOT PLAN
PROJECT Tim Moulton ADDRESS 2718 Shadv Drive Lane Menomonie Wi 54751
NE 1/4 SE 1/4S 5 /T 29 N/R 18 W TOWN Warren COUNTY ST. CROIX
MPRS Shaun Bird 226900 2/16/11 4
DATE BEDROOM
CONVENTIONAL X00C IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1543 # of chambers 76
BENCHMARK V.R.P. top of rebar ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE O WELL *H. R. P. Same as Benchmark
660' Property B. M. *
Line SYSTEM ELEVATION 95 . 0/94. 7/ 9 4.3/ 9 4. 0 2' be l o w qr
40' 40' B -1 160'
10'
20'
25'
B -2
6% Slope 20' B -3 5'
4 -3' X 78' 30'
cells with >3'
spacing B -5
Vents 50'
B -4
ST
30'
Pro 4
Bedroom
House
260' Property Line
L8ftA2/pair Well is to meet all
setbacks required by
> 6 uick4 Standard -W WDNR
of Cover eaching Chamber
ith 20.0 ft2 of Area
of end caps Plans Designed Using 152' Property
Conv 4 Lon entional P owts Line
Grade at System Elevation Manual Version 2.0
34
To
— 109th
St.
i
Cross Section of Quick 4 Standard -W Leaching Chamber
Typical cross section for 2 of 4 cells
Quick 4 Standard -W Leaching
Chamber with 20.0 ft2 of Area per To be >1' above grade
Chamber 5.8ft ^2 pair of end plates - / Finish grade elevation
Yp
T icalInstallation 97'
Vent AC I Grade Vent
4' 4" A 41 X30/34 Septic Tank
4' Long 5' 1
34" Grade at System Elevation 3 477 Grade at System Elevation
Spacing 5'
4 -3' X 78' Cells
Same on other end Observation tubeNent
n end of cell
A
B
System elevations: C
A__95.0 D
B 94.7
C94.3
D 94.0 19 chambers per cell
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extend the maintenance interval of the filter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
- ntinge,ncy Plan
ption #1. If system fails, determine cause of failure, use alternate area and install new
s tem in ' sted replacement area.
Option #2. Install system at a lower elevation, by removing chambers, removing biomat,
and install new system.
Option#3. No adequate area is suitable for replacement area, and system elevation
cannont be lowered. Install holding tank as last resort.
3. Replace any other failing components as needed.
Plumber: Shaun Bird 715 - 246 -4516
St. Croix County Zoning 715 - 386 -4680
Pumper Tom Mondor 715 - 246 -5148
Shaun Bird #226900
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Uh H O CT $ KATHLEEN H. WALSH
cr- t0 L ((j;;� REGISTER OF DEEDS
ST. CROIX CO., WI
»• »•� �,P RECEIVED FOR RECORD
g7 cam AM 09/19/2008 04:OOPM
DAWW"S EECOM CERTIFIED SURVEY MAP
VOL: 23 PAGE: 5566
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8020954
STATE BAR OF WISCONSIN FORM 2 - 2000 Tx :4015343
Document Number WARRANTY DEED 932333
THIS DEED, made between White Pine Inc. a Wisconsin Corporation, BETH PABST
Grantor, and Timothy T. Moulton and Monica A. Moulton, husband and REGISTER OF DEEDS
wife, as Survivorship Marital Property, Grantee. ST. CROIX CO., WI
Grantor for a valuable consideration, conveys and warrants to Grantee the 02/16/2011 2:46 PM
following described real estate in St. Croix County, Wisconsin: EXEMPT #: N/A
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF REC FEE: 30.00
TRANS FEE: 159.00
PAGES: 2
Recording Area
Name and Return Address:
EMS Really I IN IFIC.
400 9 eee id Street, Suite 115
HudSUM—,771754TM -T-,f
Exceptions to warranties: 042101280396
Easements, restrictions and rights - of - way of record, if any. Parcel Identification Number (PIN)
This is not homestead property.
Dated this 10th day of February, 2011
White Pine Inc. a Wis nsin Corporation
BY:/
Hank Fog I rg, President
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF W (SCOhSIk - )
authenticated this 10th day of February, 2911 COUNTY OF rC d
Personally came before me this R b ! the above
Hank Fogelberg, President, White Pine Inc. a Wisconsin
TITLE: MEMBER STATE BAR mF IA(J ^, r, Corporation to me known to be the person or persons who
(If not, 1 A executed th ore ing instrument and acknowledged the same.
authorized by §706.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED �llr� -
Martin D. Henschel Cheri Brown
6800 France Avenue South, Suite 410 Notary Public, State of Wisconsin
Edina, MN 55435 My commission is permanent. (If not, state the expiration date:
(Signatures may be authenticated or acknowledged. Both are 02/27/2011)
not necessary.)
'Names of persons signing in any capacity must be typed or
printed below their signature.
WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 -2000
1 of 2
r
EXHIBIT "A"
That part of the NE % SE % Sec. 5, T29N -R18W being part of Lot 4 of Certified Survey Map Volume 10, page 2869
described as follows: lot 5 of Certified Survey Map recorded In Volume 13 of Certified Survey Maps, page 3768, as
Document No 614731, except a part of Lot 5 of that Certified Survey Map in Volume 13, page 3768 described as follows:
A parcel of land located in the NE114 of Section 5, T29N -R1 8W, Town of Warren, St. Croix County, Wisconsin further
described as follows: Commencing at the E % corner of said Section 5; thence N90 along the East-West %.
section line of said Section 5, 437.56' to the point of beginning; thence continuing N90 74.97' along said East -
West % section line; thence S00 0 38'10 "W 180.07'; thence Southeasterly 107.15' along the arc of 16T 00' radlus curve
concave to the Northeast whose chord bears S1 7 100.00'; thence S36 0 07'27 "E 100.00'; thence Southeasterly
96.81' along the arc of 233.00' radius curve concave to the Southwest whose chord bears S24 08'02 "E 96 81'; thence
N82 0 27'54 "E 155.17' to the West line of Lot 6 of that Certified Survey Map filed in Volume 13, page 3768; thence N00°
00'16 "W 184 06' to the Southeast corner of Lot 1 of that Certified Survey Map filed in Volume 8, page 2324; thence
S89 207.44' along the South line of last said Certified Survey Map; thence N00 0 0933 W 245.09' along the West
line of last said Certified Survey Map to the East — West % Section line and the point of beginning. St. Croix County,
Wisconsin
f
1
I..
I
I
WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 -2000
2of2
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
_ OWNERSHIP CERTIFICATION FORM
Ow ner /Buyer.
O Z-
Mailing Address 22
Property Address
(Verification required from Planning &Zoning Department for new cot ru tion.
City /State 2°vf5 Parcel Identification Number 704
LEGAL DESCRIPTION
Property Location /vf !i ,Sec. I
�— TN R-ZYW, Town of
Subdivision Plat: 3
Lot #
Certified Survey Map # Volume '--� ,page #
Warranty Deed # - 3 c; 9 before 2007)Volume Page #
Spec house yes no
Lot lines identifiabl - yes no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
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. Owner maintenance
responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site
wastewater disposal system is in proper operating condition and /or (2) after inspection and pumping (if necessary), the septic tank is
less than 1,/3 full of sludge.
I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin.
Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning &
Zoning Department within 30 days of the three year expiration date.
I /we certify that all statements on this form are true to the best of my /our knowledge. I /we am/are the owner(s) of the
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Numb - of bedrooms / V
SIGNATURE OF APPLICANT(S)
DATE
** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * **
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 08/05)
� F o � w�► so
`- 1.4'k31
D SUR YEY MAP
Located in the NE %4 of the SE 1 /4 of Section 5, T29N,
R18W, Town of Warren, St. Croix County, Wisconsin,
being a division of Lot 4 of that Certified Survey Map filed Ic
in Volume 10, Page 2869 in the St. Croix County Register I�
O of Deeds. 1 _ XIMM
10 I Im lv i �
�"' .o
Scale 1" = Z$0� E1/4 CORNER, SECTION 5, 11 = I - oIC �N
UNPLATTED LANDS T29N, R18W cn G) &0 ( 1" IRON PIPE) 1 ly I ICI
115THAVE (FOUND) 1
EAST - WEST 1/4 SECTION ( R EAST 585.48'
LINE
(R EAST 4630.7E N 9 00' 00 85
" E 5.54' �g
147.96' . 207.46' — '2 ' 1
N Or 00' 00" E 4,630. S 1!2:2E 4T E 508.3 _ 011
W114 CORNER, SECTION 5, TLOT 1
_ 18.35 '4.
207.47' • 0153.53'
T OM TIES) °Ui gg g —I o (R 153.47-) 4
I-- �g m . *SEE DETAIL ON
7 6 c4 w N �O sSi O g SHEET 3 OF 3 cc X
Ud
LO_T_2 LOT3 _b » 207 -� � ` § LOT 6
�
�- 59 m
CERTIFIED SURVEY MAP isl °• 8 (R EAST) OR:
'
VOLUME 10 2869. g +' c
C101 I _ _ � Z o
II afl qq�� - 2
C I Yuji 7+S � m� Z O
¢ o
If �
JI I (R WEST) C15 p Q 0 S m C p ►Z-
W N 89° 59 48" E 720.00 �I Coll 220.8' �" m A I�
g' IU N 88° 59 4T' E
v
WEST LINE OF LOT 4 OF CERTIFIED SURVEY MAP (> D � O M I C
IN VOLUME 10, PAGE 2869. UI �� a c N my I
to
ly
to
W LOT b Iz
1,082,937 SQUARE FEET ( 24.861 ACRES) � CU
INCLUDING RIGHT -OF -WAY I
X 1,078,006 SQUARE FEET ( 24.748 ACRES)
EXCLUDING RIGHT -OF -WAY I
I
SOUTH LINE OF LOT 4 OF CERTIFIED SURVEY MAP
IN VOLUME 10, PAGE 2869.
(R N89'S512'1N 1300.40' )
N 89' 55' 21" W 1,299.59 — `
U&LPLATTEQ LQIIIQS IC
THIS INSTRUMENT DRAFTED BY: JOSEPH W. GRANBERG
ICn I
LEGEND NOTF-- LOT 6 CONTAINS 134,706 SQUARE � Ip
- Indicates Section comer. FEET ( 3.092 ACRES INCLUDING R. -O. -W.
( as noted) 127,697 SQUARE FEET ( 2.932 ACRES )
• Indicates 1" iron pipe found. EXCLUDING R -0. -W.
O Indicates 1" X 24" iron pipe SCALE IN FEET 1 ' = 250' SURVEYED FOR:
weighing 1.68 lbs. / lin. ft. set. LOUIS ROLF
(R) Indicates previously recorded 0 125' 250' 500' 750' 1099 115 AVE
information. NEW RICHMOND,
o Indicates soil boring Bearings referenced to the East- West '/, Section W1• 54017
Indicates 100' roadway line of Section 5, previously recorded as and
setback line. assumed to be N9(P00'00 "E ( R EAST).
Vol. 13 Page 3768 SHEET 1 OF 3
1564
Wisconsin Department of Commerce SOIL EVALUATION REPORT p age 1 of 5
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & 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 -101 80 3
Please print all information. Reviewed D on.
information you provide m be used for seconds (Privacy Law, s. 15.04 (1) (m)). g Z
Property Owner Property Location
White Pine, Inc. - H. Fogelberg Go NE 1/4 SE 1/4 T 29 N R 18 W
Property Owners Mailing Address JUN L a 2 002 # / Subd. Name or CSM# _2/- 5:af
P.O. Box 504 rem Proposed 4 Lot CSM
city Stre Zlgp Village ''jA Town Nearest R --
Hudson I 54046 jLC; (716 *66 - 823 Warren 3 01A 1 5Th A
JIM New Construction Use Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement Public or commercial - Describe:
Parent material Glacial Till Flood plain elevation, if applicable na
General comments
and recommendations: Evaluation completed to facilitate creation of 4 lot CSM from existing lot 5, CSM vol. 13, Pg. 3768. Install 3
trenches using 49 leaching chambers a elev. = 93.00'.
AA 3/•
Boring # 23 Boring 10 ❑
Pit Ground Surface elev. 95.76 ft. Depth to limiting factor „ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W
*Eff#1 *Eff#2
1 0 -13 1Oyr3/3 none sl 2msbk mvfr cs 2fm,1c 0.5 0.9
2 13 -28 10yr5/4 none sl 2msbk mvfr cw 2fm 0.5 0.9
3 28-44 7.5yr4/4 none sl 2msbk mfr cw 1 f 0.5 0.9
4 44 -58 7.5yr4/4 none scl 2fsbk mfr cw 1 f,vf 0.4 0.6
5 58-89 7.5yr4/6 none r sl 2msbk mfr - - 0.5 0.9
Horizon #5 consists of an unsort mbd re of 2msbk 7.5yr4/6 sl, 1 msbk 10yr5/6 Is & Osg 10yr6/4 s.
❑ Boring # `` " Boring
Pit Ground Surface elev. 94.71 ft. Depth to limiting factor 60" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
*Eff#1 *Eff#2
1 0 -9 10yr4/2 none sl 2msbk mvfr as 2fm,1c 0.5 0.9
2 9 -16 1Oyr4 /6 none sl 2msbk mvfr cs 2fm 0.5 0.9
3 16 -35 1Oyr4/6 none Is 1msbk mvfr cw 1f 0.7 1.2
4 35 1 Oyr4 /4 none sil 2fsbk mfr aw 1 f,vf 0.5 0.9
5 60-62 10yr4/4 f2d 7.5yr5/8 sil 2%bk mfr aw - 0.5 0.8
6 62-80 7. none sl 2msbk mfi - - 0.5 0.9
Redox concentrations in H#6 are sil With underlying sl and are indicative of periodic saturation.
3.op ,t
*Effluent #1 = SOD 30 < 220 mg/L and TSS i < 150 mg/L y l 5 t ' #2 = BOD S mg/L and TSS <30 mg/L
CST Name (Please Print) Sign ure: CST Number
James K. Thompson o L 4 3602
Address A.C.E. Sal & Site Evaluations ate Evaluation Conducted Telephone Number
340 Paulson Lake Lame, Osceola, WI 6/14/02 715- 248 -7767
t
Properry'Owner White Pine, Inc. - H. Fogelberg Parcel ID# 042 - 1012 -80 -300 Page - 2 - of 5
31 Boring # Boring
Pit Ground Surface elev. 96.04 ft. Depth to limiting factor 78" in. Soil Application Rate
Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots
*Eff#1 *Eff#2
1 0 - 12 10yr4/2 none sl 2msbk mvfr cs 2fm,lc 0.5 0.9
2 12 -24 7.5yr4/6 none sl 2msbk mfr cw 2fm 0.5 0.9
3 24 -39 10yr4/4 none sil 2fsbk mfr cw 1f 0.5 0.8
4 39-60 7.5yr4/4 none sl 2msbk mfr cw 1f,vf 0.5 0.9
5 60 -78 7.5yr4/6 none sl 1 msbk mfi cw - 0.4 0.6
6 78 -85 7.5yr4/6 f2f 7.5yr5/8 , sl 1 msbk mfi - - 0.4 0.6
�3 t
4 ] Boring F Jid Boring 31e
Pit Ground Surface elev. 96.66 ft. Depth to limiting factor >85" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP
*Eff#1 *Eff#2
1 0 -13 10yr4/2 none sil 2fcr mvfr as 2fm,1c 0.5 0.8
2 13 -20 10yr5/4 none sil 2fsbk mvfr cs 2f,1m 0.5 0.8
3 20 -26 7.5yr4/4 none sl 2fsbk mfr cs 1 f 0.5 0.9
4 26-43 10yr4/4 none Ifs 2msbk mvfr cw 1f,vf 0.5 0.9
5 43-63 10yr4/4 none sil 2fsbk mfr cw 1f 0.5 0.8
6 63 -85 7.5yr4/4 none sl 2fsbk mfr - - 0.5 0.9
Redox concentrations in H#5 are located at the interface of sil with underlying sl due to the greater matric potential and are not indicative of groundwater.
Boring
F - r) I # Boring
Pit Ground Surface elev. 97.41 ft. Depth to limiting factor >$$" in. Soil Application Rate
Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots
*Eff#1 *Eff#2
1 0 -12 10yr3/3 none sl 2msbk mvfr cs 2fm,1c 0.5 0.9
2 12 -24 10yr5/4 none SI 2msbk mvfr cw 2f,1m 0.5 0.9
3 24 -39 7.5yr4/4 none scl 2fsbk mfi cw 1f,vf 0.4 0.6
4 39-88 7.5yr4/4 none sl 2msbk mfi - 1vf 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
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.
` - Praperij; Owner White Pine, Inc. - H. Fogelberg Parcel ID # 042- 1012 -80 -300 Page 3 of 5
F ] Boring # 3 Boring it Pit Ground Surface elev. na ft. Depth to limiting factor 54" in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDilP
*Eff#1 *Eff#2
1 0 -13 10yr3/2 none sil 2msbk mvfr cs 2fm,1c 0.5 0.9
2 13 -36 10yr5 /4 none sil 2msbk mvfr cw 2f,lm 0.5 0.9
3 36 -54 7.5yr4/4 none Is 1msbk mvfr cw 1f,vf 0.7 1.2
4 54 -59 10yr5/4 m2 7.5yr5/8 & f2d 10 /2 sil 1fsbk mfr gw 1vf 0.2 0.3
5 59 -102 10yr5/4 Qd 10/ 2& sil 2 med. pl mvfr - - 0.2 0.3
F-1 Boring # Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
*Eff#1 *Eff#2
F " Pit Boring # Boring
Ground Surface elev. ft. Depth to limiting factor in.
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP t
*Eff#1 *Eff42
* 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.
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SOIL AND SITE EVALUATION 1564 Page _jr of 5
PROPERTY OWNER: White Pine, Inc. - H. Fogelberg
PARCEL LDJ 042 - 1012 -80 -300 A.C.E. Soil & Site Evaluations
REPORT MEMO
Lot lines not established at time of soil evaluation. Additional soil testing may be required after parcel creation to
accomodate lot line locations. Dense tree cover limits ability to explore soil conditions throughout parcel. Further
exploration after lot lines, building site, driveway, etc. are established may reveal more suitable system area.
RECEIVED 8 'Co- 6 e
VOL 22 PAGE 5375
KATHLEEN H. WXUSH - - --
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