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651291 022-1060-50-100
' 2023 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township GREEN PASTURES FAMILY FARMd TOWN OF KINNICKINNIC CST BM Elev: f Insp. BM Elev: BM Description: epa . a oo. o fTO P" &P s; TANK INFORMATION TYPE MANUFACTURER w� 06JA2i CAPACITY Septic W [C SE 2 j6o0 (aoo Dosing t Aerati Holding. TANK SETBACK INFORMATION TANK TO P/L WELL Vent to Air Intake ROAD Septic a� l EBLDG. Dosing « l Aerates Hold PUMP/SIPHON INFORMATION umof-, �? ADV_ Manufacturer 1—[ Demand UO GPM 2.6- `j Model Number 2 S` TDH Lift Friction Loss System Head TDH Ft 30 Forcemain Length Dia. tt Dist. to Well r 2z SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 651291 State Plan ID No: Parcel Tax No: 022-1060-50-100 Section/Town/Range/Map No: 21.28.18.327B STATION BS HI FS ELEV. Benchmark i 5.D oS.o D,0 Alt. BM Bldg. Sewer • �� f r SUHt Inlet SUHt Outlet Dt Inlet / Dt Bottom Header/Man. rr Dist. Pipe Bot. System te- Final Final Grade � ��D IDI•So` St Cover TR NCH Width Length Af SD hesPIT No. Of TL3) DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 QED, SETBACK SYSTEM TO P/L BLDG IWELL LAKE/STREAM LEACHING Manufacturer INFORMATION Type Of System: I ! CHAMBER OR UNIT 11 -� Model N tube r 9i Flow — DISTRIBUTION SYSTEM Header/Manifold istrib n ole Size x Hole Spacin Vent to Air Intake ,'A rr Pi s) Length Dia ength Dia 9- 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: I2-4/ 2,23 Inspection #2: Location: 263 LIBERTY RD Ia` See✓ . r o�7ykvo`ren �t' 1.) Alt BM Description = xl..�t _ Rb.55 V � w. lot 2.) Bldg sewer length D` `Ta Sal �� ev�cQC,,Q - amount of cover = �� f Gj ^ So r nil = a . so 9 } go ,� t7ic.�sS-Se^Sr"rbff ceQc.s i w- f�,,ea0 ®.. 7i3�1o2y Plan revision Required? 11131 Zq �/ 2 Use other side for additional i ormatio ��1►7� CS Date Insepctor'sSignature Cert.No. I PEI RECEIVED Department of Safety county 09/11/2023 & Professional Services, ST. CRQIX 1 Paid via Ascent Industry Services Division Permit Number (to be tilled in by Co.) Sanitary Per %5121 1 # 31272 - IAN-2b2S-204 Sanitary Permit Application State Transaction Number In accordance with SPS 383-21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit NA Project Address (ifdifferent than mailing is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Ptotcssional Services. Personal intorntation you provide may be used for secondary address) purposes in accordance with the; Privacy Law. s. 15.04(1)(m). Slats, 2-61 L lgo_- r k,Ai4FF� 1. Application Information -- Please Print All Information Property Owner's Name Parcel N (1 GREEN PASTURES FAMILY FARM & RENTALS LL - % 022 -1060 - 50 0a0 o-C) Property 0%vner's Mailing Address Property Location 263 LIBEWrY ROAD Govt. Lot NA City, State Zip Code Phone Number RIVER FALLS, Wi 54022 218 - 371 - 0700 SW 11/4, NW h, Section 21 •1• 28 N R 18 11. Type of Building (check all that apply) l.ot # Subdivision Name r-X1 or 2 Family Dwelling - Number ofC3edrooms 3 NA NA Block # Public/Commercial - Describe Use NA 171 City of ❑ State Owned - Describe Use g' 11 Village of _ . CSM Number 33—�zSio amG bce-.1130 T, rKown0f _KINNICl:.I-NNfC 111. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if a lie e. • New System Replaecmcnl System 01her ylodification to I xisting System (explain) , El Additional 1 retreatmcnt Unit (explain) C ONN1-C l IN6 BATHROOM FOR SrIFD Holding tank x IN Uround ❑ At•Gradc Mound Individual Site Design ❑ Other Type (explain) (conventional C. ❑ Renewal Before Fxpiration ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner 1 ' �,,.n �e,Q 1*6 : `ii.2S - '_r_r a iV. Dispersal/Treatment Area and Tank information: aI 2 Resign Flow (gpd) Design Soil Application Rate(gpd/s Dispersal Area Required (st) Dispersal Area Proposed (sf) vstem l:levatioil C}5(� 0.7 642.i36 fi50 s i `i: - r; 'rank Capacity in Gallons Total Gallons # of Units Manufacturer , Information r � ''^� o y(10 CfC+ w ' �° M NewTanks I. cisting'I"anks � " n. U vt in �z 3 C. Septic gr Holding Tank 1000 1000 1 WIESER X Dosing CEiambei V. Responsibility Statement— 1, the undersigned, assume respon db Iity for in)tallation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu�b�cr' ME'IMl'Ei5 Ntuliber Business )'hone Number MICHAFT, RODEWALD �i31384 715 - 425 - 6200 Plumber's Address (Street, City. State, Zip Code) 285 C.'I'.II. SS, RIVI^lZ liALI,S, WI 54022 V1. County/Department Use Only Approved ❑ Permit 1"ce Date Issued issuing Agent Signature $ 53S J ZULJ� oven Reason forvial Conditions ol'Apll ovals I nc t G�11 5 SYSTEM 3)�s OWNER: 1. Septic tank, effluent filter and dispersal cell C&b ® sew /. must be serviced I maintained as per �, Se t� 0-�6 ff a^^^x^''P"`D` — R��t�2oz3 management plan provided by plumber. LQ �G�� JedQ w� Zj , 2. All be ��"``� setback requirements must maintained re�_� i S q / as per applicable code ordinances. Attach to co lete plans for the system apq submit to the County only an per oar le tthf j 8 112 x 11 iJc s iu sloe W0'V �COJ �✓1. a� S D•6398 COPY W-B3 Eke IsTr At AsSm Af%e t► Bldg. -,00,46", y Pat" shill PrOPozed Lot 5 Existing Lot I collibefUjit'MyAlap, � Pf7C?P 4480. Docillplellt NtIfl, PAGE 1 OF 4 In -Ground Gravity Plan Index & Cover Sheet Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: Enclosures: PREVIOUS PAPERWORK (SOIL TEST& POWTS Application for Review ASBUILT Soil Evaluation Report & Site Map Project Name / Description GREEN PASTURES FAMILY FARM & RENTALS LLC Owner Name(s): GREEN PASTURES FAMILY FARM & RENTALS LLC Phone: 218 - 371 _ 0700 Owner Address: 263 LIBERTY ROAD, RIVER FALLS, WI Zip. 54022 Project Address: Govt. Lot: NA SAME SW L" i1/4 of NW 0114, Section 21 , T 26 N-R 16 E ❑ or W ❑ Township: KINNICKINNIC County: ) I CRDIX Project Parcel ID #: 022 - 1060 - 50 - 000 Designer Information Designer Name: MARY JO HUPPERT Phone: 715 - 426 - 1775 Designer Address: 25720 FIREFLY LANE, WEBSTER, WI zip: 54893 E-mail: hyllisterdesign@outloo .com License Number: Remarks: y r� .Z J`.� �•'r -, •�.r Y`11. •r r \ems Signature: Z ,, L': Date- 09"- �23 Origina ignature required 9fifach subm tted copy. RECEIVED Septic -Dose Tank Cross SMW WyPump Performance Specifications Tank Manufacturer Wieser Tank Model Number 1000/6001 Total Tank Capacity Max. Bury Depth Filter Manufacturer JPolylok Filter Model Number IPL525 Minimum Pump Performance Required 25.00 GPM I @ 1639 Ft TDH Pump Manufacturer Liberty Pump Model Number 253 Alarm. Manufacturer SJE Rhombus Alarm Model Number AB Alert SwitchType Mech Total Dynamic Head (TDH) - Feet Elevation Head 6.08 Distal Pressure 0.00 Network Loss 0.00 Force Main Loss 0.31 Total 6.39 Outlet Manhole Min. 4" Above Grade With Locking Device. Inlet Manhole Manhole Min. 4" Above Grade 6" Below Grade Sealed Watertight Securely Mounted With Locking Device Weather-proof --�/ Junction Box Finished Grade Depth of Cover Vent Min' de Disconnect Above Grade Ft With Vent Cap Means { {}; y{ }< Outlet Outlet Filter Inlet Inlet Baffle f ___-- _ _ -__ ik< } >i>}i ❑ }i Switch, Settings and Reserve Capacity [}/ '< ,�477 Tank Volume = 16.76 GPI >{ ;< Weep >�. Dimension Inches Volume Gal.}{ B < Hole }{ ><> reserve A 19 1318.44{'{ } }{> (alarm) B 2 133.52 }a Off Elevation C }t (dose) C 7 117.32 E}< Ft y` { Bottom (dead) D 8 134.00 }` D >{ Elevation Total 36 603.28 <°< } > }{ > S{{{ Ft S i i GENFRAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The farce main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the sleeve is sealed watertight. Electrical service complies with NBC 300 and Comm 16.28 WAC. 02105 LJ Page of RECEIVED s FEB 13 2024 ST. CROD( COUNTY CDD b to ot" PnaS 0 25 20 15 6.39 5 "$O Pi Id11171I131R LITERS PER MINUTE 20 40 00 80 100 120 14Q 160 180 GALLONS PER MINUTE Cnpyii9hl'(P181-RVIlyPt, kill, I,kQ. ,�11ri6hun.,rnrJ. ti1+, iGc�iliumM4,j l�aelxu>�cuilhaaltaiawr. +a ,iv 7 G 5 2 1 ubew �'LL1i1�Si Itevin Grabau From: Bettendorf@dishup.us Sent: Monday, September 25, 2023 5:58 PM To: 'Mary Jo Huppert'; Kevin Grabau Subject: RE: Green Pastures permit Attachments: green pastures revision submittal.pdf Follow Up Flag: Follow up Flag Status: Flagged This email originated from an external source. Verify the legitimacy before clicking links or opening attachments. Hi. Page 1 are the 3 soil tests we are using, Wegerer #2, 43 and Hollister 44. All three are using the same BM 100.0 = bottom of siding on shed. Page 2 is my way of visualizing the soil tests, however it's not designed for a sloping site like this one when your doing a depth below contour. Page 3 is the revised page 3 showing the contour el and the system el. I made a math error on the 15t version I sent. In my mind this works. Mike From: Mary Jo Huppert chollisterdesign@outlook.com> Sent: Monday, September 25, 2023 1:27 PM To: Kevin Grabau <Kevin.Grabau@sccwi.gov>; bettendorf@dishup.us Subject: Re: Green Pastures permit It has to be at 5 ft. not 6 ft. From: Kevin Grabau <Kevin.Grabau@sccwi.gov> Sent: Monday, September 25, 2023 12:23 PM To: 'Mary Jo Huppert' <hollisterdesign@ outiook_.com>; Bettendorf Excavating - Mike Rodewald <bettendorf(Tdishup.us> Subject: RE: Green Pastures permit FYI Kevin Grabau I Community Development - Land Use Planner ST. � R �-UNTY From: Kevin Grabau <Kevin.Grabau@sccwi.gov> Sent: Monday, September 25, 2023 12:01 PM To: 'Mary Jo Huppert' <hollisterdesign@outlook.com>; Bettendorf Excavating - Mike Rodewald <bettendorf@dishup.us> Subject: Green Pastures permit Hello Mary Jo & Mike, I am not seeing how the system elevations are working for this one. The system elevation of 95.5 for the lower trenches, puts the system elevation at 6.0 feet below grade. Then add the 36" of described soil required by code, requires a minimum of 108. The new boring B4 is described down to 96 inches. The system elevation cannot be raised since that would put the system elevation outside of the 0.7 GPDeft rate that the system is designed for this permit. Can you show how it will work? Thanks Kevin Grabau I Community Development - Land Use Planner 1101 Carmichael Rd Hudson WI 54016 T: 715-381-4382 Kevi n.G ra ba u @ sccwi.g ov ST. SR�.UNTY r _ RECEIVED — SEA' � G 2023 - fait i;rauncl suliace elev.1XCOLWARniting factor l �S In. '9 on Depth i7cminant Color Redox Description Texture Structure Consistence Boundary Roots In. Munsell' '' Qu. Sx, Cont. Color or. 5z. Sh. Soil Application at GPD/W 'Efi#1 °Eff#2 ��; lb•� D �'-Lrz : 3 3 � � t � � S � �. yw�`.t�- cr.�J w-- 3 a i Lo�isc:'V'!6 o .. � ! �` A 5 - a -A .z ..�.. p " ESfiuent WI w 8013 > 30 < 220 mglL and TSS :�-30 t 150 mq/L • Effluent #2 = BOD$ � 30 niglL and TSS < 30 moll,. : CSiTName 1pleasa Prtnty ��s ^lpnature `, CST Number l Ar. tmhuar i�e Wee>^ex� G t w .J d 2202.54 8M ,o46 f�o#O1AW Sf�in}i SjiC� f'rs�i�7rfy ia\+nar ] t L L Nroel ID # -- Q page of . B ling irk �.� Borinn y I � � � lD •-f & - gC, round surface �d � a � p Pit slay. r7epth to limitlno factor_, . In• _ Soil Ap llcafi on hate I arizon Depth l]ominant Color Redax Description Texture Structure Consistence Boundary Roots GPDiftx In. Munsell. Ctu. Sz. Cont..Color _ _ Gr. Sz. Sh. ZaVrz_s1, R BoringV V r� ln. ! eleV.rly2K:ft. r j Baring # ' � pit Ground surface elev. 11�t� K."It. Depth to limiting factor I'd llt��� __... �'" '' So4l Application fiats GPOIFtz Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •E 9 �Efw In. Munsell Qu. Ax. Cont. color Gr. Sz. Sh. ail)o r et n,r x nq, j y7 C4 Ba ring Boring l� �� pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. I Determining Lowest Allowable System Elevation SEP 2 6 2023 Boring #1 Ground Elevation 100 ft. ST.CROIXCOUNTY CDD Limiting Factor = t9i 08 inches Limiting Factor =.00 feet (inches converted to feet) Ground Elev 00 ft - LF (ft) 9A0 = 91.Q0 Limiting Factor elevation Limiting Factor EL 91.00 + 3ft = 94AO Lowest system elevation at this boring Boring #2 Ground Elevation 103 ft. Limiting Factor = 108 inches Limiting Factor = 9.D0 feet (inches converted to feet) Ground Elev 103 ft - LF (ft) 9.00 -F 94.00 Limiting Factor elevation Limiting Factor EL 94.DD + 3ft = 97.00 Lowest system elevation at this boring Boring 43 Ground Elevation 101.5 ft. Limiting Factor = 96 inches Limiting Factor = 8.00 feet (inches converted to feet) Ground Elev 1D1.5 ft - LF (ft) 8A0 = 93.50 Limiting Factor elevation Limiting Factor EL 93.50 + 3ft F 96.501 Lowest system elevation at this boring Lowest Allowable System Elevation between all 3 Borings = 97.00 ft. Designers Proposed System Elevation = 96.5 ft. (must be higher than Lowest allowable) Ground elevation Ft Proposed System Elevation system loading depth @ rate at boring in. depth Boring 1 100 96.5 42 Boring 2 103 96.5 781 0.7 Boring 3 101.51 96.51 601 0.7 Maximum loading rate of 3 borings = 0.7 lowest of 3 IN -GROUND GRAVITY DISPERSAL AREA Stepped Elevation Trenches with EZ1203HP Bundles 3-ft Trench (down -sizing credit) I GeOteXtlle Cover — SOIL COVER ��■■■••■•V ■•� *■y/■•■■■■` ■■■■■■tea■a` �sn•■•■■■*■ depth CONTOUR System Elevations = SYSTEM L 97.25 TYPICAL TRENCH rein- 12^ (typical) Septic Tank(s) Manufacturer: 0101:•4:1G7 Septic Tank(s) Volume(s): 1 000 gal gal gal gal Effluent Filter Manufacturer: POLYLOK Effluent Filter Model*-. 525 TYPICAL TRENCH CROSS SECTION VIEW (No Scale) ft; Lowest Trench (as applicable) 96.75 96.50 (Show location of inlet 1 Outlet pipe connection on plan View.) P LAN VIEW 4ir 0 Observation pipe shall be irstalled at ju�ciian between two units. (No Scale) Perforated Lateral Observation Pipe (typical) LL (typical) — — — — — -!— — — -- — — - ------------.------����----- B = 1 @ 50 ft (typical) 450 GPD 10.7 LR = 642.86 Vr Z1203H Bundle INSTALL FZR)T4 (ZkIX 642.861 50 EISA = 12.86 UNITS (typical) 13 10-ft bundles @ 50 ff EISA/unit = 650 �L Cy2 GR 13 X 10 FT. = 130 FT. (mfd by Infiltrator systems, Inc.) Install pursuant to manufacturers instructions, + 5-ft bundles ccb 25 ff EISA/unit T ft2 (2) 3 FT. X 40 FT. AND (1) 3 FT. X 50 FT. TRENCHES Provide minimum 3 ft Separation between trenches. OBSERVATION PIPE DETAIL ;No Scale) ft; ft Screw -Type or Slip Cap (loose) 4'0 PVC Pipe Top of pipe to terminate at or above finished grade (4) V4"-1/2" X 6` slots 10 @9D apart ft (typical) Anchoriro Device -- - = Proposed EISA;OjK ob = ft2 Required Infiltration Area = 642-86 ft2 X*x trenches = Proposed Total EISA = 650 ft2 RESET Finished G ade (mulched & seeded) Topsoil Cover (min. 1 foot) . Infiltration Surface 0 T1 o Ili G) X v rn a � < Z M o —h v Distribution Method: branched manifold Kevin Grabau From: bettendorf@dishup.us Sent: Tuesday, September 26, 2023 11:08 AM To: Kevin Grabau; Mary Jo Huppert Subject: Green Pastures Attachments: slope soil cross section.pdf This emai# originated from an external source. Verify the legitimacy before clicking links or opening attachments. Hi Kevin, I have graphed the cross section to show why this will work. My lowest system EL (LSE) worksheet doesn't work on a slope like this. LSE at WB3 EL103 is 97.0 LSE at HB4 EL101.5 is 96.5 When graphed LSE at T1 is approx. 96.8; T1 System EL will be above LSE at 97.25; Upper line of the sand should be approx. 98.75 When graphed LSE at T2 is approx. 96.6; T2 SY EL at 96.75; upper line of sand approx. 98.0 T3 is on Hollister B4 contour. LSE at 96.5; SY EL 96.5; upper 0.7 at 97.5 Thanks, If MM?IN Iff- MITI, IN Mike Rodewald Bettendorf Transfer & Excavating 285 GR-SS River Falls W1, 54022 715-425-6200 1 RECEIVE SEP G 2023 SZ CROIX COUNTY CDD /0 GRI 166 Rf iF f -?j r6 f �� H - I I I-SE� jai. g2L. W-B W-B3 f ---, 1 PrOPozed Lot U 40 000 (.r)l1lay t fl Pat" shill Existing Lot I Pf7clp 4480. Docillplellt Non IN -GROUND GRAVITY DISPERSAL AREA Stepped Elevation Trenches with EZ1203HP undies 3-ft Trench (down -sizing r, dit) PH SOIL COVE hyPicai) e 1 000 gal 1 i Q,V 1 T TCAL TRENCH SS SECTION VIEW (No Scale) Highest Trench Lowest Trench a cable) System Elevations = ft; 9 . 0 ft; ft; TYPICAL TRENCH (Sho ocation of i t / outlet pipe connection on plan view.) PLAN VIEW 4" O Observation pipe shall be installed at junction between two units. 10 ft (No Scale) P rforated Lateral Observation Pipe (typical) (typical) (typical) -------------��--------------- L--------------��24AO----------------- Septic Tank(s) Manufacturer: Septic Tank(s) Volume(s): gal gal gal fflue Filter Manufacturer: nt Kilter Model #: �bvide minimum 3 ft ration between trenches. OBSERVATION PIPE DETAIL (No Scale) ft Screw -Type or �.� :W,• Finished Grade Slip Cap (loose) (mulched & seeded) 4"0 PVC Pipe ` Topsoil Cover Top of pipe to terminate (min. 1 foot) at or above finished grade (4) 1/4"-1/2" X 6" Slots @ 90 apart Anchoring Device Infiltration Surface A = 3.0 ft (typical) B = 1 @ 50 ft (typical) 450 GPD 7 LR = 642.86 IN ALL P�#X)T(&b�C Z1203H Bundle 642.86 / 5 ISA = 12.86 UNIT: (typical) 13 10-ft bundles @ 50 ff EISA/unit = --� ftz OR 13 X 10 = 130 FT. (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturer's instructions. 5-ft bundles @ 25 ff EISA/unit = ftz (2) 3 FT. X 40 AND (1) 3 FT. X 50 FT. TRENCHES = Proposed EISAXXX*Mi = ftz Required Infl ation Area = 642.86 ftz Distribution Method: X*X trenches = Proposed Tot a EISA = 650 ftz branched manifold RESET El PAGE 4 OF 4 In -ground Gravity Management Plan IMPORTANT: The owner of this in -ground gravity system shall be responsible for its perpetual operation and mairtenance pursuant to requirernerdsof SPS 382-384. Wisc. Admin. Code. Pursuant to SPS 383.52 (2). Wisc. Admin. Code, this system shall be considered a human health hazaod f not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a regbrIered POVI/TS Usintainer in accordance with SPS 383.52 (3), Wisc. Admin_ Code. MaXIMAIm Dtsners it Area Onem6no Umits- Design Flow = �S� gpd; SOD. 5 220 mgL-1; TSS 5150 mgL-'; FOG 5 34 mg1_ i Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance-lactoss (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e-, pumps -maker switches, floats, etc.) o material fatigue (i.e.. leaks, beaks, cornusion, etc.) o solids volume in anaerobic trimbrent tank(s) and any distribution appurtenanoe(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceedirtgdasign capaditim. prohibited activities, etc.) o extent of ponding in distribution cell priorkydosing o dosing irregularities - if applicable (i.e_, pump re -cycling, float switch settings, etc.) o etechkal component - if applicable (i.e.. wiring, connections, switches, controls, timers, alarm, etc.) o distribution lateral or lateral orifice plugging (meame lateral pressure —compare to designspecification) o surface discharge of effluent or sewage backup -into stnxure served Naantenance Checklist MAINTAIN EVERY 3 YEARS (or when necessm) o aftWie and dose Sprit tsl shall be pta nped by a certified sepiage servicing operator lased under s. 281.48 Wis. Stats. when the ve6m& of sofift in the tank(s) exceeds onenhird (113) the liquid volume of the tank(s) or as required by local ou2nance. Disposel of contents shall be pursuant to NR 113, Wisc. Amin. Code. o Eftent 111(ecisl shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated soids ocooMing to mamAacturees lions A servicing mtv -wiN-elweys be greeter than 12 months. System wagWeaaooe reports shall be submitted to the proper local govemment unit it accordance with SPS 323.66 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company:- M I Kd6cl_ /u,—r-_ rLi . Phone Local gon+exrrmerhi unit . ST, � rx le M u N r r'f_ ptN �W e M-E NT Phone: `"";t _' - -- Local gawaumicit unit address- Ulm-`50n) I UAT zip: _21L P4- Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383,51 (1), Wisc. Admin. Code. Repair or reptaawmrit of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be usedvnless approved by the depadmard in accordance with SPS 384, Wisc. Admin. Code. Coo�ncv Plan In the event that any failed treatment component of this POWTS cannot be repaired. it shah be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and mproeed by a implying dispersal component in a one -determined area of suitable soils. Sywbmn Abandonment If use of this POWTS is discontinued, it shah be abandoned in acrardance with SPS 383.33. Wisc. Admin. Code. EXHIBIT A Lot 1 and Outlot 1 of Certified Survey Map recorded in Volume 17 of Certified Survey Maps, Page 4480, as Document No. 714135, located in the Southwest Quarter of the Northwest Quarter and the Northwest Quarter of the Southwest Quarter of Section 21, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. St. Croix County 1159936 Page 3 of 3 Y % WISCnslnQep�itR1 &? — , Page 1 of 4 Oivision of Industry Se ZPORT AUG 1 22D 3 SOIL EVALUATION C S _X 23 �3,5 18'a ccordance with SPS 385, Wis, Adm. Code County ST. CROIX Attach complet site plant bn p4ipCr'rndt'W55 thax 11 inches in size. Plan must include, but not limited t int (BM), direction and percent slope, Parcel I.D. ,.�vt . scale or dimensiDns, north arrow, and location and distance to nearest road. 0222 - 1060 - 50 - 000 Please print all information. R %� Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). 7 Property Owner Property location GREEN PASTURES FAMILY FARM & RENTALS LLC Gov- Lot SW % NW '/. S 21 T 28 N R 18 W Property Owner's Mailing Address Site Address 263 LIBERTY ROAD (SAME) PROPOSED LOT 4 PENDING City, State, Zip Phone Number ❑ City LJ Village LA Town Nearest Road RIVER FALLS, WI 54022 ( 77 R ) 171 . n7nn KINNICKINNIC I LIBERTY ROAD ❑NewConsbvMon Use, QResidential/Numberofbedrooms 4 Cade derived designffowrate 600 GPD qReplacement 0Public or commercial — Describe: Flood Plan elevation if applicable NA ft- Parent material SANDY OUTWASH AOonroa *L t4n1J1b Bcf4a-- GcNoucs -TO BY -TAN AR&A Q� "WA;G General comments and recommendations.. FOR RENTAL - SOIL TEST CONDUCTED FOR APPROVAL OF CSM CONVENTIONAL IN -GROUND TRENCHES -- 0.6 I 1 Baring # [] Boring Pit Ground surface elev- 97.03 ft. Depth to limiting factor 86 in./ elev. 89.86 ft- Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou- Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftl •Eff#1 'Eff#2 1 0-16 7-5YR2.511 — sit 2f-ma&sbk n* cs 2vf-co 0.6 0.8 2 16-26 7.5YR2.5/3 .. sicl 21-msbk mfr cs 1 vf-m 0.4 0.6 3 2&34 7.5YR4/6 -- sl 2fsbk mvfr cs 1vf-f 0.6 1.0 4 34-51 7.5YR416 Cos Osg dl cs tvf-f 0.7 1.6 5 51-86 10YR5/6 s Osg dl — 0.7 1.6 Horizon 4 as some gr EBoring # QBOn^9 86 in. / elev. 90.48 ft Pit Ground surface elev. 9797 ft. Depth to limiting factor Sail A00lieation Rate Horizon Depth In Dominant Color Munsell Redox Description 4u. Az. Cont. Color Texture Structure Gr Sz. Sh- Consistence Boundary Roots GPD/Ft7 'Eff#1 -Eff#2 1 0-24 7.5YR2.511 — sil i 2f-ma&sbk mfr cs2yf-co0.6 0.8 2 24-36 7.5YR3/4 scd 2f-msbk mfr cs 1 of 0.4 0.6 3 36-44 7.5YR4/6 SI 2fsbk I mvh cs 1vf-f 0.6 1.0 4 44-54 7.5YR4/6 cos Osg dI gs 1vf-f Q 7 Ilk 5 L4-72 10YR5/5 cos Osg dl gs 0.7 1-6 6 72-86 10YR5/4 s Osg dl — OY 1.6 some gr CST Name (Please Print) Signal "1224832 CST Number MARY JO HUPPERT Hollisters Sail Testin & n Address Date Evaluallon C ucted Telephone Number 25720 FIREFLY LANE, WEBSTER, WI 54893 04 - 12, 2023 4! O — ?iI -5 715 - 426 - 1775 Effluent #1 = BOD 7 30 s 220 mglL and TSS a 30 s 150 mg1L ' Effluent #2 = BOD, s 30 mg/L and TSS s 30 mg/L SBD-8330 (Ro3122) GREEN PASTURES FAMILY FARM & RENTALS LLC ❑ Borng 3] Boring # P Pit Ground surface elev. 97,37 ff_ Page 2 of 4 Depth to limiting factor 90 in. I elev. 89.87 M. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Du. Az. Cont. Color Texture Structure Gr. Sz 5h. Consistence Boundary Roots GPDJFt' 'Eff#1 I 'Eff#2 1 7.5YR2.512 stl 2f-ma$sbk mfr cs 2vf-co 0.6 0.8 2 24-36 7.5YR414 sic! 2f-msbk mfr cs 1,f-co 0.4 0.6 3 36-49 7.5YR416 -- sl 2fsbk mvfr cs 1vf-m 0.6 1.0 4 49-90 7 5YR5/4 s psg dl - -- 0.7 1.6 some gr C4 Boring # Boring Pit Ground surface eiev. I I , Depth to limning factor in. f etev'13."'Yft. Soil Awlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az, Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt' 'Eff#1 'Eff#2 — 3 Zz-4V '7.5 Z. 1 I 2�.-� K IJI I.a 5 73 G.7 1.4, 7 E — s i, 0 l.W ' -!� 1 L- • Q t 11RUDY a Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. 1 elev. Pt. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDfFe 'Eff#1 'Eff#2 Effluent #1 = BOD } 30 s 220 mglL and TSS > 30 s 150 mglL ' Effluent #2 = BOO, s 30 mg/L and TSS 5 30 mglL Plot Plan Page of� PROPERTY OWNER: &RCW T-A5TuRLs'FAMILY;Fxoy� j. &ATALs LW— 1" _= 40 FT. . (except where noted) Legal Description: LOT I � Csm V 17� 'P ` M; S%4'/4 0,1;- TheLOA sEC - Q = backhoe pit ;;_,I,` i, 2AM, StVW. Tow pi OF KW41Ckf6mvC sr. r� IX CaUuT4 /0.Dx -AC({ftS WIOZZ—ro&a DOD North d. t t� oc�k p�l 1 1� 8 wr,37 $3 0 �r i2^4t ^ go-n#M OFs1d►�6 1.45' ,gBDvit 6��DE �SSt�MED f d0, CO ll Site location: CP q7, 97 Up J'tr RSA Bldg SYziKY� Y-W 0/ 8fdg• r1A $9r t}15 � aA Proposed Lot 4 Scala In Fowl Corr#airr frr#av�f� � {Conloirrs obtainatf fo- St. Croix Corrrity ! ft)Ah it silo Corn —930 `` 1 Palo Shed sSu A^.t:Ac�- OGDEN FN(-;INI I fb0.ac` 781do.] �� GiVfI E{i[,fiif!f^f 114(i �7. Proposed Lot 5yrw;+f., �rte1 .7� xSD` Existing tot 1 / ®ate: 4-2! �920- Volume 17 Page 4480. Document 1Vumber 7?4f3&-- 1 t J o b No. 2 � 1 �926 , �, "fit 924 ..,•,....... v El Asconsin Department of Commerce SOIL EVALUATION REPORT � D'vtsion of safety and Buildings Page of in accordance with Comm 85, Wts. Adm. Code 2-/' 2e. ! 32 ` al Aitach complete site plan on paper not less than 6 112 x 11 inches in size. Plan must County �ST, C' �•Z.� ` include, but not limited to: vertical and horizontal reference point (SM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road, Parcel I.D. Z Please print all information. Revi wed by Date Personal inforawtion you provide may be used for secondary purposes (Privacy Lase. s. 15-04 (1) (rn))_ Property Owner 2S ZCD5 _ _ 7 Property Location C rr4: sf +a 1/4 �3 f. 1/4 S j T N R g E (o.11 .WW Property Owner's Mailing Address Let # Black # Subd. Name or CSM# City State Zip Code Phone Number [� City I] Village ®"Town Nearest Road t Lt S wf a rZ - [-`�! y 1-�j � a� � C h aa�rtL � �`s�f asp u New t onsuucnon Use: ' d Residential 1 plumber of bedrooms �E _ Code derived design flow rate 60 GPD Replacement © Public or commercial - Describe: Parent material L-t7 g �'C� i 1}L Q LJ�►,.� �� General comments Flood Plain elevation If applicable }-� 41 ft. � � �� and recommendations: ~ � r X . 5 'Lvov L'V) D Uv i-JS OF p,u { j Baring # U Boring r4 e..A s,% � � ��3 . z to --� Pit Ground surface elev. LC) 1� • ©h. Depth to limiting factor �C�� In. Horizon Depth Dominant Color Redox Description Texture Structure Consistence 3cundary Roots Soil Application Rate GPB1- 2 ln. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Etf#1 •Eff#2 — ij 94 I- T Borng # C❑C Boring tL�l Pit Ground surface elev. fL Depth to limiting factor i 8 in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPDIfi2 In. Munsell Qu. Sz. Cont. Color Gr. Sm Sh. 'Eff#1 'Eff#2 313. 51 Z'! 5�12 `Y C. •5 �i • Effluent #1 = BOD5 a 30 r 220 mg1L and TSS >30 a 150 mg/L. • Effluent #2 = BQD$ t 30 rngfL and TSS 30 mg[L CST Name (Please Print) Ar bhur L , tdegerer ignature -: _c CST Number Address If e g e r e r Soil Testing & Design S e r v i c e Date Evaluation Conducted 421 220254 Telephone Number X. Main St. River kall.•s, U1 54022 C - —0 715-425-0165 Property Owner �^j i L i`sParcel ID # _ 1 �J "� — d [�j Page of FAg ❑ Boring �j( f Burin # Pit Ground surface elev. pth to limiting factor D it Solt Appllcatlon Rate Horizon Depth Dominant Color Redox Description "Texture Structure Consistence Boundary Roots GPDfft' In. Munseff Qu. Sz, Cont..Color Gr. Sz. Sh. 'Eff#1 'Eff#2 k�l Iz. 3 1' -- f z `Fs hAn I cw c ,�U -- - ; 3 7-Io �n�rZs`6 S C7 S9 Y4�- Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor In. Sail Application Rate Horizon: _ Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPt7lft' ansell fn. MQu. Sz. Cant. Color Gr. Sx. Sh. 'EFf#i •Eff#2 F Baring # ❑ Boring 0 Pit Ground surfers etev. ft. Horizon Depth Dominant Color Redox Description Texture In. Munseil Qu. Sz, Cont. Color r r ' Effluent #1 = BOD55 a 30 t 220 mg/L and TSS >30 < 150 mg/L Depth to limiting factor in. Soul Application Rate FStructure Consistence Boundary Roots GPD/ft2 -Gr, Sz. Sh. 'Eff#1 I 'Eff#2 ' Effluent #2 w BODE ¢ 30 mg1L and TSS c 30 mWL 11c Department ofCorrmuerce 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 TI'Y 608-264-8777, SOD-Wo tx.a/aoi Property Owner L'i Parcel ID # "S U �} !� page Z- of 3 Q boring # ❑ Boring Pit Ground surface also.• d ft. Depth to limiting factor 1 D Horizon C] th D Soll Application Rate ep in. aminant Color Redvx Description Texture Structure Consistence Boundary Munseil Qu. Sz. Cont,,Coior Gr. Sz, Sh. 1 c-18 ��`� ���. - ) `Fs�� 3 37_ld�j r. - q7-so 6 6 1fc z. F-1Baring # ❑ Boring ❑ pit Ground surface etev. Horizora: _ Depthj Dominant Color Redqx Description In. Munsell Qu. Sz. Cont. Color Roots GPD/ft; 'Eff#1' "E11#2 ,-I l' ft. Depth to limiting factor In, Soil Application Rate Texture Structure Consistence Boundary Roots GPD/fV Gr. Sz. Sf7. 'Eff#1 ! •Eff#2 nBoring # ❑ Boring u ❑ Pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Fiedox Description Texture Structure Consistence BoundaryRoots GPDM2 In. Munsell Qu. Sz. Coni. Color Gr. Sz. Sh, 'Eff#1 .Ef .. r r Effluent #1 = BODE' 30 a 220 mglL and TSS >30 < 150 rrig/L • Effluent #2 = BODE a 30 mg1L and TS S s 30 mgfL 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. S8b6330 (H,000) CERTIFIED SURVEY MAP Located in the SW 1/4 of the NW 1/4 and the N N 1/4 of the SW 1/4 of Section 21, T28N, 1118W, Town of Kinnickinnic, St. Croix County, Wisconsin, being Lot 1 and Outlot 1 of the Certified Survey Map recorded in Volume 17, Page 4480, Document Number 714135. 6` NW Corner, Section 21 T28N, R18W (Aluminum Cap) 33.01' ❑ Bldg. ap Qriv�,k,� N I N 33'l House N 89'27'50"' W z . 196.4D' A B M-1111,111 . Unplatled Land ,areas Lot 4 2.735 Acres F 119,14I S. F. er l Including Road I © Right -Of -Way I r- 2.551 Acres o l 111,129 S.F. O I Excluding Road Right -Of -Way silo Q 0o co I a Cam 14, Lot S p0 Cabs 0.: 7.370 +/- Acres 321,030 +1- S.F. j l In Including Road Observat[on Pole Lot 51 to Right -Of -Way Bldg. Pipe, typical Stied a' i W „ = l 7.000 +f- Acres Septic Easement, tD a d (See Document Approximate boundary `� t + ri 304,925 +1- S.F. of FEMA Mood Zone AE •- t a o i� Excluding Road I r Number ) o f as M Right -Of -Way c• i — 3 _ — I _ o 'N 83°43`t1"- 289.1 I Q ua Approximate d Edge of ;5 m $ �_ �� m ti. ��• Wetland Z; cc,c 3 Z VI�$y�1 oFl`r�F36 TO JI R u+ q?3 typy 3/e r t� � 84 Meander �� �a` �I III. I on p to T Z Wetland, per WIDNR ` 1I' ' c l w 3 1z L I Surface Water Data Viewer l� I L= T z 4' Ln n Cutlot 1C.S.M., V. 17, _ ` 33' I 6 -4 , ------------ o P. 4480, Doc. No. 714135 8' — — — — — — — — — — — — — 1Cinn1ckln r?J l:nar-f#ist 114 Section 1.in,, 1 nic 1?iver % W 114 Corner, Section 21 659 + . - - •_- - - - - c� 33.07' T28N, RI8W 582.05' 2 _ 77'+1- S 89'27'50" E 596.09' ® 563.0111- sw �y'N'" Ala 114 Sol B ring, tvpjcal Lot 4 Garag 8 18'48'52" W / 76.00' Well / N 89`27'50" W 341.46' it Sri / 1 N 89'27'50" W 692'+t- f6as'•/J f N I 616, ` N as°53'57" w Ins 89 4'06 w) p l c 46.87' Lot 1, C.S.M., V. 11, P. 3132, Doc. No. 547232 West line of - - - - - - - — — — -------------• 1 N Cn N the SW 114 Legend NNW 7A4-SW 1/4 Cn SW Corner c 1 Ln q 1 ® Section 21 County Section Corner 1 p T28N, Rl8W monument, found "Survey l (Steel Mark Nail", N� unless otherwise noted). Scale In Feet j v • 1 114" (o.d.) Iron Pipe, found. 0 60 120 240 1 114" (o.d.) x 18" Iron :, 0 Pipe weighing 1.68 Ibs.! Ui Z linear foot, set. rl `� I Alrto (70QC1I1) Previously recorded dimension Daniel P. Kugel S-2684 Professional Land Surveyor Ogden Engineering Company 1234 South Wasson Lane River Falls, WI 54022 Job No. 23-3695 Date: April 26, 2023 ,�tid1111 t 111 N I I I I I I H I !!11 yi�l fi i DANIEL P. See Line Table on Page 2 for "getter" dimensions. This instrument drafted by Daniel P. Kugel <— Proposed Driveway Owner & Subdivider Green Pastures Family Farm & Rentals LLC 263 Liberty Road River Falls, Wl 54022 Page 1 of 3 S-2684 RIVER FALLS, �9 �' s URJ, a'�►�m�nnm�►�r� Scale I 9 Y r�b �Z-m K) i -q z4P U b -q1 _.. _ . 11 wv �I-q-D3 T15-425-Q165 220254 CST Signature Date Telephone No. CST No, Job NO . Kelly Becker From: Mary Jo Huppert <hollisterdesign@outlook.com> Sent: Sunday, June 11, 2023 1:48 PM To: Scott Eickschen; Kelly Becker, Kevin Grabau Subject: Re: CSM Soil Test Attachments: Scan_20230611 (4).pdf IThis email originated from an external source. Verify the legitimacy before clicking links or opening attachments. Hello. I made some notes on the attached as -built drawing. In a recent Zoom meeting with the State it was mentioned that a replacement area might not be available on a new site. Trenches can be placed under existing with suitable soils. Please review this. thanks for your time and attention to this matter. Mary Jo From: Scott Eickschen <scotteickschen@gmail.com> Sent: Sunday, June 4, 2023 8:24 PM To: Kelly Becker <Kelly.Becker@sccwi.gov>; Mary Jo Huppert <hollisterdesign@outlook.com> Subject: Re: CSM Soil Test Kelly and Mary Jo, 1 wanted to connect with you both and to see where things are at with our CSM in regards to soil tests. Mary Jo mentioned that she may have some verbiage from the state which gives some clarification on this and might suggest that we won't need to do the extra borings. Either way, let me know what the best route is. 1'd like to make sure that we have everything in place well before our meetings in the coming weeks. Thank you both very much for your time. -Scott On Wed, May 10, 2023 at 8:42 AM Kelly Becker <Kelly.Becker@sccwi.gov> wrote: Hi Scott, I started review on the CSM, and consulted with our main Sanitary specialist on staff about the soil tests and locations of the septic. We decided we will need another couple borings done on lot 5 where the new septic system will be going. Although one of the borings from the soil test used for the existing system is in the area the new system will be, this will not be enough to adequately describe the soils for a new system AND the replacement area for that new system. A soil test for a conventional system needs to describe area for essentially two systems, the original and replacement system. The soil tester can use the existing boring on the new soil test to supplement additional borings, but must be able to tie in the new borings with the elevations from the original test. Also, do you have documentation you could provide on the grazing permits for the cattle in the area south of the river? Thank you, Kelly Becker I Community Development - Land Use Planner 1101 Carmichael Rd Hudson WI 54016 T: 715-386-4676 1 C: 715-821-8722 Kelly.BeckerC@sccwi.gov ST. C R NT'r 'J� War Scale 1's J ' f5W bT he 4 a6 V-M �TE bi'taU ,o I CI Za G[ a�7 6 9�a3�6� c �R4�1oc efd .yy�� �s P ! � � R� 5v 5� cN- y tF-ti 8 h r4z ` . 3 f+-eit es w/b1Q Y �4 _ .. ]tO 0 `.0),] t1�ttU 1.. OF..`3!A1�l6=1 k 5 CST Signature copy 715-425-0165 L J% 220254 ()3 - lso Date Telephone No. CST No. Job NO. Wisconsin Departme tOfSafety&PirdesslonalServirPs DNts.tdn Of Irldvstry SeNrt:eS s SOIL EVALUATION REPORT In accordance with SPS 3a5, Wts Adir i Code `'ouinty Aitacn comp,ele slit, plan on paper not less than 8 1.2 x. 11 irr_hes in size Plan must include, Farrel I.D out not limileC to vemcal and hOnzontal reference point fBMI. direction and percent Scope 022 1060 50 000 Seale o' Cirrmens.ons Borth arro% and location and distance to nearest road Please Print ell information. Reviewed by - - __.. _ ..__ _ __, n.,rzf_A ;Prrvacv Law s 15 04d11(m)i -.. ST CROIX Page 1 of 4 Dawe ❑ ❑ Property owner Property location GREEN PASTURES FAMILY FARM & RENTALS LLC GCYI Lot SW NW `• S 21 T 28 N R 1g T�xR9t W Property Owners Mailing Adaress Site Address or CSM and Lot # 263 LIBERTY ROAD SAME, PROPOSED LOT r4^yPENDING Phone Numbef 0City 0 Village Uf To,,, Nearest Road City State zip { i I LIBERTY ROAD RIVER FALLS 'NI 5402, l l 218 1 3� �y70d L KINHICK#NNtC _ ❑NewConstnictron Use QResldenlratlNumber ofbetlrooms_� r codF,.ir"we.::krsIcln�lswrate � GPa El or commerclal - Oesv'be NA ft " v �' e � anon ,r appticabte Replacement - _ "`�� � Q Diciti fL 4 k 4b $[ Rlwt° • 4: u I,.C'1 F.s% +C iL`f E*4D APC.l t[[t. UUS1.4ts -PW U#+il-' parent materlat SANDY QUTWASH � L tits r FLFL REJJ-, AL- ' General commenRs and recommendations SOIL TEST CONDUCTED FOR APPROVAL OF CSM -• C :>tiVENTIONAI IN -GROUND TRENCHES •- D 6 iifr_j ❑ Boring y 1 Boring cprt Ground surface erev 97 03 It Dep'r` F ^acia 86 in r elev. 89 gfi ft Horizon 'I Depth Dominant Color Reddx DescnptOn Texture Structure In Munsetl Qu Az Cont Cola Gr Sz Sh 1 0-16 7 5YR2 11 - sit 2f-maBSbk 6 7 �5YR2 ! _ sid]]� E�;I 7 51 2fsbk 4 34-51 7 5YR4r6 cis 5 51-86 10YR5B s on Horizon 4 has l__ ` Boring e 05aring 4Prt Ground surface eiev 97 97 ft Sal Appllcatlon Rate Consistence Boundary { Roots GPDrFt- -Efho1 'Elf#2 m1fr cs 2v! cq 06 08 m!r Cs 1 uf- 04 06 mvtr cs 1 v}-! 0 6 t 0 dt cs 1 of-! 07 1 6 - 07 16 Depth to limiting factor 86 in + e*v 90 08 it Soil Application Rate Horizon I Depth 1 In Dominant Cola htunseti Redox Description Texture aul Az Cont Color Stnxxure Gr SZ Sri Consstence Boundary Roots GPDrFI. Effuf 'Effu2 1 0.24 ' 5YR2 511 - sin 2f-and&Slak mfr cs 0 6 08 2 2436 7 5YR3+4 sct 2f-msbk mTr cs 1 v1 04 06 3 36-44 7 5YR416 si 2fsbk mvfr cs 114-1 as t 0 4 44,54 7 5YR416 cos Ogg dl gs l vf-f, r 7 16 5 10YR5,16 cos Osg dt gg D 7 16 6 72-8e 1 DYR54 S Osg di 07 16 same gr I CST Name lPlease Print i stgnatwv CST Number MARY JO HUPPERT Nollrster's Sod Testm & n "e24832 Address ,, Date Eval fan G911tluded t 1 7elepnone Number 25720FIREFLY I.AAIE WE.95TER VVI 54$93 04 - 12 2023 °' ' r- rf _ =i ? 15 - a 26 - 1775 ' Effluent All = BOD s 30 s 220 f1 WL and TSS - 30 s 150 rnWL ' Effluent 1r2 = BOD s 30 rrVL and TSS s 30 mgiL SBD-83341R01221 — .. .......I • cln..a..r ,t - ann < Rn innl * M TSS c V)mrvt GREEN PASTURES FAMILY FARM & RENTALS LLC � ` ❑ Boring F 3 7 Boring # Q PR Ground surface elegy. 97.37 ft. Page 2 cf 4 Depth to limiting factor 90 in. I elev. 89.87 ft- Q'il P-- —+i— Pt. Horizon Death Ir,. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftl "Eff#1 'Eff#2 1 0-24 7.5YR2.5/2 — sil 2f-ma&sbk mfr cs 2vf-co 0.6 0.8 2 24-36 7.5YR4/4 sicl 2f-msbk mfr as 1 vf-co 0.4 0.6 3 36-49 7.5YR4/6 _ sl 2fsbk mvfr cs 1vf-m 0.6 1.0 4 49-90 7.5YR5/4 s 0sg dl _ 0.7 1,6 some gr CI Boring # Boring 0. Pit Ground surface elev. 1, 1 t. Depth to limiting factor 0& in. / elev, �41�G C ft. Sail Aoolicatian Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/FP 'Eff#1 'Eff#2 73 6,7 44, 73 I ! z. - wk! EL EBoring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Sn'rl Annliratlnn Rata Horizon Depth In. Dominant Color Munsell Redox Description Qu, Az. Coat. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFF "Eff#1 `Eff#2 ' Effluent #1 = BQD > 30 �G 220 mg/L and TSS > 30 s 150 mg/L ' Effluent #2 = BGD, s 30 mg/L and TSS s 30 mg/L Pl Cats Page of 41 IN L2 40 FT. P opERTy OWNER: (except where noted� -A, =z: backhoe Pit Legal DesuflPliDn', f" AT� North 0� I . Site I locatiq- � / \ � Scale AI 14,0/ Heal SOO proposed Lot 5 -tier 70135 \ `\ t _ Q r— LO 20 t' Lai RMR 1 1 s a _ r k i 4 l -Whom, I" ^ ^ -•... Kati , � ; ! '""�'.�"�€'- ' . ,He scant - 1 a^ Cor-'Pkr a • r �'^ .�� 'S;' ff6P�YMP :r 0 .�4 - ♦S Y h '._ a. .� Vi isconsin Departrnent of Commerce SOIL EVALUATION REPORT Page � If -11 Dt"Wsion of Safety and Buildings 2 /- 2 $. )9. 3 2� • + in accordance with Comm. 85, Ws. Adm. Code county'. C�O Attach CCw•nptete site plan 0ri paper not less than 8 1!2 x 11 inches in sire, Plan must indude, 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. too — Please print ail information. I Re ' wed by Date Persona[ infor"100M you provide may be ueed for secondary PurPeses (Privacy Law. S. 15,04 (1) (m)). 2 S -CUE Property Owner Properly Location CDvl! �o !� 114 114 S } T N R E (pry yy Property Owner's Mailing Address l.nt # Block # Subd. Name or CSM# Z C 7�> L-t )m�.Zvy r- 7 City State ftp Code Phone Number City (] Village Er Town Nearest Road FZ.[ 022—`I~(571 New Construction Use; [21 Residential I Number of bedrocias - �4 Cade derived design Bow rate _ I� C} --- GPD 2 Replacement I] Public or Commercial - Describe: Parent material �. L g C7 L?' E iti t _ Ci l M-j A g H _ Flood Plain elevation it applicable g. General comments and recommendations: -il - I k�!ftC HL 3 ' x E a . S " LL)VV G t Jl 10 Uu I-TS D t= J ju F; FT] Boring # ❑ Boring tjnbk a� M {� . 2 Mtj ---Y ® Pit Ground surface elev. LQ3 . ©n, Depth l0 limiting factor in. Sail Application Rate Horizon Depth ln. Dominant Color Munsell Redox DeScriFtion Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDW 'Eff#1 •Eff#2 60 - ti e 1 D�ttiz VA wf 91 10 Goy to �- Boxing # ❑ Boxing pit Ground surface elev. 0 Q it Depth to Uniting factor i in. e�1 a.,,,r:... 9— onto Horizon Depth in- Dominant Color Munsell Redox Description Qu. Sz. Coat Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots - GPD1It2 *F-01 'Efl#2 1 a l Lojg-3 [7- -S 1b �6o 10Il Effluent #1 = RODS a 30 c 220 nV& and TSS s30 c 150 marl • Effluent #2 = BOO,_ 30 my►L and TSS _r 30 nV& CST Name (Please print) tore CST Number Artthur L. Wegerer �, J--7S-- SO 220254 Address R e g e-r e r Soil T e s t i n¢ & Design Service Date Evatuadw Gonduded Telepeone Number 421 x. limn St. River Falls, 111 54022 (5 0 715-425-0165 PPr-opperty Owner VIJ V �� � � h'1 S Parcef ! D # U � � ' � b � � r S � � � Q Q Page � of Boring # ❑ Baring Ground i Q Pit rounsurface slay. Q�� it, Depth to limiting factor 7 t g in. Soil Aoolicniten Rate Horizon Depth In_ Dominant Color trlunsell Redox Description Qu. Sz. Cont..Color Texture Structure Gr. Sz. Sh. Consistence Boundary Rook GPDJft' 'UM TAW 1 0-)8 1611-LBI-L s i 4 z`E3� t cLj es bk m u fP - c w - • ` r z 3 37_iot3 1fl��s16 - O S9 1 t- Z �4C Z Boring # ❑ Boring ❑ pit Ground surface elev. ft_ Depth to limitJng factor in. AonliraHnn Ralrz Wit L_ _rJ ❑ Pit Boring # ❑ Boring Ground surface slay, ft. Depth to limltlnp factor In. 0 Sail ! Mcation Rate Effluent #1 = 800, n 30 < 220 rnglL and TSS >30 c 150 MQtL . Effluent 92 = 80D, < 30 ntplL " TSS < 3a ffWL 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. SB"M i 6M) Property Owner �� �L Nk� Parcel ID # �Z� ~ V �O "3 u —Da V Page of Baring # ©Baring I [c 14 o l Chngfac►� `�� C��t Ptl Ground surface elev. � �- � Rl DeP�to Iimitin{� faciar � � in. Rnil Aendratiorr Rate Horizon Depth In. Dominant Color Munsell Redox Descriplfon Qu. Sz. Cont-.Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDtW 'Ef1#1 'Eff#2 s}1 ?`FS 6 iL CL3 �s t't- - 'fB I S \ems b�L W, \1`P1- 3 3_Iu iovm - 00,9 �r 4 Boring # ❑ Boring El pit Ground surface elev. lt. Depth to limiting factor In. Sufi Aoellmtinn Rate Red9-K- Description Boring # ❑ Boring ❑ Pit Ground surface elev_ ft. Depth to lirniting factor In. Soli Appticatlon R.3ie • Effluent #1 - BODS a 30 a 220 mgtL and TSS �,30 a 150 mg(L ' Effluent #2 = 8006 < 30 mglL wW TS^a c 30 rnWL 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 T Y 609-264-8777. s®uasw [ R. SMw Boring Pit Ground Surface Depth to limiting factor ing # L3 _'I 1�� Pit . O i i(� kiiii0ng for- in. 'S(A App; icz- flo'l Rate 11L)i : ill J"In't Color Re (�()x )e Pi -n Texture �1!1 (;l1l L17 Consisterim Boundary' Roots 1) pl� IM 111 '3 PI Qu. Sr_. CQni. C(qor nz. S; I. 'Efr#,] L`ffl42 111. Jo -BOD� '.sO 220 in ;,L a ni f I ',' S ) >30 150 mg/L ".-2. BOD5 <30 mg/l, ;�n 'd 'VSS < SO rngiL C N, m," 1: e'ns 1 161 A) ignature Q3 T Numbe 220254 /00.od- 8#7q&1A 01 �1041047 .5 eb ge ftrCel ID # Pa Ling 0 JA 13orIng CMlkaA� A-1 Oepth to lin-iting factol- Pit in. Soll Application Rate Horizon Depth Dominant Color (a C 0:1sitAct"Ce liar.'l',jWY: Roots GPD1ft2 In. Munsell QU. Sz, GirSe'. ill. Eff#V *Eff#2-. 4A Boring # jkc� QP Boring # 0 Boring Pit Ground surface elev.ft. Depth to limiting factor__jn. Scale r Lu L'T Kt4ju rnt'c i' 4 . LI fs D R-M 35 ►ti u�l�: i i - r 1 y. a a7969 9�a3�e� 7. GkA\&nt MCI I� L ew/1;60 aE Se rG �s; s IvewAes w�li Q y C-6 V. 6trs, }�► e c�t Y $t � L �. D' n2 I -. )EL . jtin.0' OJKJ -RUtIZIM. 017 S I b V�-t COPY TIC' \ � 4 1 � CST Signature 715-425-0165 ZZOZ54 Date Telephone 'Ho. CST No. Jab NO. CERTIFIED SURVEY MAP Located in the SW 1/4 of the NW 1/4 and the NW 1/4 of the SW 1/4 of Section 21, T28N, R18W, Town of Kinnickinnic, St. Croix County, Wisconsin, being Lot 1 and Outlot 1 of the Certified Survey Map recorded in Volume 17, Page 4480, Document Number 714135. See Page 3 for Animal Structure NW Corner Note and Shoreland and Section 21 Floodplain Zoning Note ,y T28N, R18W LO I h 6 LO 6' 1 (Aluminum Cap) M%+� ^�I 33.01'C3 Bldg- o I Qo d�ivekaY i U)I co r e.0 a I a N a 41 NI I � 06 1 I House 133' 33' I �) N 89°27'50" W 229.4 1 Uj I C CU I O I a- 196.40' man; A B w C N I Z a Bldg. X 1 3 � Bldg. „ N Septi sepa C bNS3°43.11"-E Z H" - N1 \ o Id1I0 i •'•—�(�°3,'" per U i o eapder Vi i 6 oCl�l �iciilJl p L WI IP ��. � b WE 33' M 33' I 'E Outlot — — � - z - =P. 448( W 114 Corm rn I 33.01, T28N, R181 ri I q 1 (N o0°5352" W1 0o �I I "I. 616' I N 00°53'57" W o I ?a o 46.87' Lot 1_C. S. M., V. 11, P. 3132, Doc. No. 547232 �I �� 1? N WestiineOf tleSW1/4 — — — --- --,1— ------------- Legend NW'/4-SW114 c l M o I u� SW Corner County Section Corner p 1 Section 21 monument, found I o T28N, R18W (Steel "Survey Mark Nail", Z unless otherwise noted). C�; Q Scale In Feet C 1 v I `4 g� 0 60 120 240 O I e UI I ,,, e=1 zI Note 1 See Line Table on Page 2 for "letter" dimensions. 1 1/4" (o.d.) Iron Pipe, found. 1 1/4" (o.d.) x 18" Iron Pipe weighing 1.68 lbs./ linear foot, set. (2oaoo9 Previously recorded dimension. Proposed Driveway Location. — - — 75' Shoreland Zoning Setback. Owner & Subdivider 1170488 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 08/28/2023 03:14 PM CERTIFIED SURVEY MAP VOLUME: 33 PAGE: 7286 REC FEE: 30.00 PAGES: 3 Lot 4 2.735 Acres 119,141 S.F. Including Road Right -Of -Way 2.551 Acres 111,129 S.F. Excluding Road Right -Of -Way 7.370 +1- Acres 321,030 +/- S.F. Including Road Right -Of -Way 7.000 +/- Acres 304,925 +/- S.F. Excluding Road Right -Of -Way Daniel P. Kugel S-2684 Professional Land Surveyor Ogden Engineering Company 1234 South Wasson Lane River Falls, WI 54022 Job No. 23-3695 Date: April 26, 2023 Revised: August 18, 2023 Revised: August 28, 2023 This instrument drafted Green Pastures Family Farm & Rentals LLC b Daniel P. Kugel River Liberty Road Page 1 of 3 Y g River Falls, WI 54022 g Af 'S DANIEL P. KUGEL S-2684 RIVER FALLS, Vill S UR St. Croix County 1170488 Page 1 of 3 33 — -)2, yc CERTIFIED SURVEY MAP Located in the SW 1/4 of the NW 1/4 and the NW 1/4 of the SW 1/4 of Section 21, T28N, R18W, Town of Kinnickinnic, St. Croix County, Wisconsin, being Lot 1 and Outlot 1 of the Certified Survey Map recorded in Volume 17, Page 4480, Document Number 714135. Survevor's Certificate 1, Daniel P. Kugel, Professional Land Surveyor, hereby certify that I have surveyed, divided, and mapped this Certified Survey Map located in the SW 1/4 of the NW 1/4 and the NW 1/4 of the SW 1/4, all in Section 21, T28N, R18W, Town of Kinnickinnic, St. Croix County, Wisconsin, and is described as follows: Lot 1 and Outlot 1 of the Certified Survey Map recorded in Volume 17, Page 4480, Document Number 714135. This parcel contains 10.105 acres, more or less, being 440,171 square feet, more or less, including road right-of-way, and 9.551 acres, more or less, being 416,054 square feet, more or less, excluding road right-of-way. Subject to all easements, restrictions, covenants and conditions of record. I certify that I have made such survey, land division and Certified Survey Map by the direction of the owner of said land, that such map is a correct representation of all the exterior boundaries of the land surveyed and the subdivision thereof made, and that I have fully complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the subdivision rules and regulations of the Town of Kinnickinnic and St. Croix County in surveying, dividing and mapping the same. Date: April 26, 2023 Revised: August 18, 2023 Revised: August 28, 2023 'Ctt0�rN'S'W// Daniel P. Kugel S-2684 Job No. 23-3695 "o": Professional Land Surveyor /'' by Ogden Engineering Company 1234 South Wasson Lane i DANIEL P. River Falls, Wisconsin 54022 KUGEL S-2684 = Owner & Subdivider RIVER FALLS, Green Pastures Family Farm & Rentals LLC 9 � 263 Liberty Road yC�� River Falls, WI 54022 Line Table Line Bearing and Distance Line Bearing and Distance A N 89°27'50" W 33.01' H N 83'43'11" E 255.97' B N 89°27'50" W 118.69' 1 N 79°46'30" W 185.36' C N 89°27'50" W 77.71' J N 22°42'24" W 137.78' D S 18'48'52" W 44.02' K N 56°28'08" W 162.81' E N 77°40'35" W 65.28' L N 55°29'56" W 88.67' F N 00'32'10" E 28.46' M N 55°29'56" W 48.33' G N 83'43'11" E 33.16' N N 55°29'56" W 40.34' Page 2 of 3 33^ 77a3� St. Croix County 1170488 Page 2 of 3 CERTIFIED SURVEY MAP Located in the SW 1/4 of the NW 1/4 and the NW 1/4 of the SW 1/4 of Section 21, T28N, R18W, Town of Kinnickinnic, St. Croix County, Wisconsin, being Lot 1 and Outlot 1 of the Certified Survey Map recorded in Volume 17, Page 4480, Document Number 714135. Animal Structure Note A violation of the St. Croix County Code of Ordinances, Chapter 15 Zoning, will be created if a structure is used to house animal units at a setback distance less than allowed by the Ordinance, or, if the amount of animal units exceeds the maximum allowed by the Ordinance. Shoreland and Floodplain Zoning Note This map contains areas that are subject to the Shoreland and Floodplain Overlay Zoning Districts;. additional restrictions apply. Contact the Community Development Department for further information. County Treasurer's Certificate Approved State of Wisconsin ) AUG 2 8. 2023 SS St Croix County St. Croix County ) Community Development I, Denise Anderson, being the duly elected, qualified and acting treasurer of the County of St. Croix, do hereby certify that the records in my office show no unredeemed tax sales and no unpaid taxes or special assessments as of August ag, 20&a affecting the lands included on this Certified Survey Map. —� Au4usb a4, aoa3 obloncoo .� nrc���� Date Denise Anderson County Treasurer St. Croix County Note Each parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e., wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Community Development Department and the Town of Kinnickinnic. Date: April 26, 2023 Revised: August 18, 2023 DANIEL P. KUGEL S-2684 RIVER FALLS, y WI �Q Daniel P. Kugel S-2684 Job No. 23-3695 Professional Land Surveyor Ogden Engineering Company 1234 South Wasson Lane River Falls, Wisconsin 54022 Owner & Subdivider Green Pastures Family Farm & Rentals LLC 263 Liberty Road River Falls, WI 54022 St. Croix County 1170488 Page 3 of 3 Page 3 of 3 3 '3 - 7a 3� Document Number Document Title Do, :8997710 Tx:5179352 1170489 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 08/ 28/ 2023 03:14 PM EXEMPT #: REC FEE 30.00 PAGES: 5 Recording Area Name and Return Address 016 -10 60 S-®- No Parcel Identification Number (PIN) �S� %�acu�ner�/�' %I.lu�6er 1174�88 THIS PAGE IS PART OF THIS LEGAL DOCUMENT —DO NOT REMOVE. This information must be completed by submitter: document title, name & return address, and PIN (if required). Other information such as the granting clause, legal description, etc., may be placed on this first page of the document or may be placed on additional pages of the document. WRDA Rev. 12/22/2010 St. Croix County 1170489 Page 1 of 5 Name and Return Address Parcel Identification Number (PIN) REAL ESTATE, SANITARY EASEMENT AGREEMENT Green Pastures Family Farm, LLC and Scott and Alexa Eickschen St. Croix County 1170489 Page 2 of 5 REAL ESTATE, SANITARY EASEMENT AGREEMENT THIS AGREEMENT is made on August 23, 2023, by and between Green Pastures Family Farm LLC of Z'b I Liberty Road, River Falls, Wisconsin 54022, hereinafter ("Grantor"), and Scott and Alexa Eickschen of U3 Liberty Road, River Falls, Wisconsin, 54022 hereinafter ("Grantee"). Recitals J A. The Grantor is the owner of certain real property commonly known as �� I Liberty Road, River Falls, Wisconsin, 54022. B. The Grantee is the owner of certain real property commonly known as 16 Liberty Road, River Falls, Wisconsin. C. The Grantee desires to acquire certain rights in the Servient Estate. 1. Grant of Easement For valuable consideration, Grantor hereby grants to Grantee an easement on and across the following - described portion of the Servient Estate. 2. Character of Easement It is the intention of the parties that the easement granted appurtenant to the Dominant Estate, in that the easement benefits the use and enjoyment of the Dominant Estate by The sanitary system easement is to encompass the dimensions and location of the sanitary easement as laid out on page of CSM Volume , created and filed in the year 2023. As such, grantee is granted rights to operate and use the property's existing sanitary system servicing the existing dwelling. At such a time the existing system fails, lot 4 shall install a new system located entirely on lot 4. Grantor grants access rights to grantee for regular maintenance, repairs and inspection of the existing system.. 3. Duration and Binding Effect The easement shall endure through the life of the existing sanitary system. This Agreement is made expressly for the benefit of, and shall be binding on, the heirs, personal representatives, successors in interest, and assigns of the respective parties. 4. Purpose of Easement The easement will benefit the Grantee by The sanitary system easement is to encompass the dimensions and location of the sanitary easement laid out on page of the new CSM, created and filed in 2023. As such, grantee is granted rights to operate and use the property's existing sanitary system servicing the existing dwelling. At such a time the existing system fails, lot 4 shall install a new system located entirely on lot 4. Grantor grants access rights to grantee for regular maintenance, repairs and inspection of the existing system.. 6. Exclusiveness of Easement The easement, rights, and privileges granted by this easement are exclusive, and Grantor covenants not to convey any other easement or conflicting rights within the area covered by this grant, or nonexclusive, and Grantor reserves and retains the right to convey similar easement and rights to such other persons as Grantor may deem proper. 7. Grantor's Rights Grantor also retains, reserves, and shall continue to enjoy the use of the surface of the land subject to this easement for any and all purposes that do not interfere with or prevent the use by Grantee of the easement. Grantor's retained rights include, but are not limited to, the right to build and use the surface of the easement St. Croix County 1170489 Page 3 of 5 for drainage ditches and private streets, roads, driveways, alleys, walks, gardens, lawns, planting or parking areas, and other like uses. The Grantor further reserves the right to dedicate all or any part of the property affected by this easement to any city for use as a public street, road, or alley, if the dedication can be accomplished without extinguishing or otherwise interfering with the rights of Grantee in the easement. If the Grantor or any of Grantor's successors or assigns dedicates all or any part of the property affected by this easement, the Grantee and its successors and assigns shall execute all instruments that may be necessary or appropriate to effectuate the dedications. 8. Grantee's Rights and Duties Grantee shall have the duty to repair and maintain the property subject to the easement and shall at all times keep the easement property free and open for the benefit of Grantor and any other concurrent user. Grantee shall at all times act so as to safeguard Grantor's property. Grantee shall have the right to keep access to the easement open by removing vegetation and by cutting or trimming trees or vegetation that may encroach on the easement property. Grantee shall have the right to cut and trim trees or shrubbery that may encroach on the easement property. Grantee shall dispose of all cuttings and trimmings by hauling them away from the premises. 9. Termination This easement may be terminated by written agreement signed by all owners of record and other successors to the respective interests of Grantor and Grantee in the Dominant and Servient Estates. Grantee, his/her heirs, successors, and assigns may execute and record a release of this easement at any time. This easement shall also terminate if the purposes of the easement cease to exist, are abandoned by Grantee, or become impossible to perform. 10. Failure to Perform Should Grantee fail to perform any covenant, undertaking, or obligation arising under this easement, all rights and privileges granted shall terminate and the provisions of this Agreement creating the easement shall be of no further effect. In such a case, within thirty days of receipt of a written demand from Grantor, Grantee shall execute and record all documents necessary to terminate the easement of record. Should Grantee fail or refuse to record the necessary documents, Grantor shall be entitled to bring an action for the purpose of declaring the easement to be terminated. 11. Entire Agreement This instrument contains the entire agreement between the parties relating to the rights granted and the obligations assumed. Any oral representations or modifications concerning this instrument shall be of no force and effect. Any modification of this Agreement must be in writing and must be signed by both parties. 12. Attorney's Fees If legal action is initiated by either party for the purpose of enforcing or interpreting this Agreement, or to compel the recording of a release, the prevailing party shall be entitled to recover from the losing party reasonable expenses, attorney's fees, and costs. St. Croix County 1170489 Page 4 of 5 The parties have executed this agreement on the above mentioned date. By: Green Pastures Family Farm LLC GRANTEE: By: Scott and ft ACKNOWLEDGMENT Date: oate� eg e3 STATE OF WISCONSIN - St. Croix Coupty. Personally came before me this ---)SY_ day of �� �d 3 the above named person(s) who executed the foregoing instrument and acknowledge the same. Notary Public, State of Wisconsin My Commission is permanent. If not, state expiration date: Date: na --D & -3aaS 7Coit GiAIM ,of * = JULIE A. PETERSON 17 to me known to be the r St. Croix County 1170489 Page 5 of 5 CERTIFICATE OF ACKNOWLEDGMENT NAN STATE OF WSIMA Florida County of Osceola This instrument was acknowledged by use of communication technology on 10/07/2022 by Jon Scott Williams and Susan Elaine Williams married to each other (date) (name with marital status) who produced driver license/passport as identification. who declared that _they are located in Osceola Florida (he/she/they) (is/are) (county) (state) Nia A Hamilton Notary Signature \���\\PR NIA A HAMILTON Notary Public - State of Florida 70 P_111 = - g a l\ Commission # HH27454 ji9�6`//O'fIIIF Expires On August 3, 2024 My commission expires: 08/03/2024 My notary commission number Is: HH27454 Notarized online using audio -video communication Rev. 7.19 St. Croix County 1159936 Page 2 of 3 cF' DEMO NORTH ELEVATION SCALE: I/4" — 1'-0" ICI 000R 1 101 1 o w�,« NEw 0 1 w�Noow DEMO EAST ELEVATION DEMO JUEST ELEVATION SCALE: I/4" = 1-0" SCALE: 1/4" — 1'-0" DEMO SOUTH ELEVATION SCALE 1/4" = 1-0" Kevin Grabau From: bettendorf@dishup.us RECEIVED Sent: Tuesday, September 26, 2023 2:49 PM � To: Kevin Grabau Subject: Green Pastures additional info �p Attachments: Green Pastures replacement plan.pdf; GREEN PASTOR NN�9-23},pdf This email originated from an external source. Verify the legitimacy before clicking links or opening attachments. Kevin, Attached is the plan set and the replacement plan. The replacement plan would he to replace under the proposed trenches with a 11.5ft x 40ft 2 cell Geomat bed at system EL of 96.25 Geomat has a max cover of 42" so the upslope/overburden would have to be cut, as to not to exceed 42" of cover. It may require a retaining wall on the up slope/end slopes. Geomat only needs 24" separation to limiting factor. It lowers LSE to EL96.0 on the 103 boring and EL95.5 on the 101.5 boring. Loading at 1.2gpd/sqft the required basil area would be 375sgft. A 11.5' x 40' two cell bed will have a basil area of 460 sgft. Thanks, JN&e J Mike Rodewald Bettendorf Transfer & Excavating 285 CR-SS River Falls WI, 54022 715-425-6200 1 RI8W ' (Aluminum Cep) 4 �//yy■■ 33.oit 0 Bidg. D ID 39F £)ciVe way F[oodplain Zoning Note •S 89'027050.o E 596.09' Ui?PfaftE'd Land ® 563. VLj 114 Soli Boring, typica# Lot . -I House Well N 89"27'50- s■ A196-4'40T B Garage S 16'46`:2- W a6.0D' i79QLe 6 1SOve W 341.46 e silo 0 RarR —] 229.41 r--., z Manhole � 3lag. �Ar� 5-F�•l ��PZ�rc�...-e�.� L Se /jq* se > i ;o ° . zS +� N 83043111" � f_ vr} AP S f6Oe --OIL- MAX eaue - a� co I a3 Cribs 1 Q I Lot late boundary (] I Food Zone AE T I � � r '►� V , Approximate v` :q = Cale C� '-.__ NN, Wetland Edge of and 120240" - � cs A R L/-, ;a m N 0 c V! rn ri] O .� m C Lh jI i 2 A 2. R ILi 7.: 32 16 LO 7.0 30,C Exi Rig c . FARM STAY PLAN SET l'-0 FLOOR PLAN NUMBER NOTES L EXISTING MI DROUAAND FRMETTOBEOVEAAD PPATCH AS REO'D. DOOAOEE42Ex STING D FRAIME ED ATCH . AS REO'D_ 1 REMOVE EXISTING WALL AS REQ'O. FOR NEW ■NDOW OPENING; VERIFY W/ G.C. 4_ KF2 WALL SHOWR HATCHED. INSULATION TO BE ADDED AT TALL5 BETWEEN UNITS. S. INFILL WALL AS REO'D. L. NE5 W!NSDOW THIS LOCATION; VERIFY STILE W/ OWNER 7. NEW DOOR T45 LOCATION; VERIFY STYLE W/ OWNER. A. NEW BAT41 TUB IRTH CERAMIC TILE SUIRROUND. VERIFY SIZE W/ Q%ER. 9. RE& SHOWERHIEAD THIS LOCATION. VERIFY V/ OCRNER, I0. NEW SLIDING GLASS SHOWER DOOR; VERIFY 7t/ Cm7NER. R. NEW CLOSET ROD AND SHELF. M NEW STAINLESS STEEL DOUBLE BO:P KITCHEN SINK. I3, NEW COUNTERTOP UTH BASE CABINETS AT 9V AFF. PROVIDE BACK SPLASH. K NEW PEDES7AL SINK, SEE PLUMBING PLANS B, NEW Sr SHOWER WITH CERAMIC TILE AND BASE. VERIFY W/ OWNER. K. NEW WATER CLOSET. IT. NEW SHOWER DRAIN AS REO'D. 19. NEW OCUNTERTOP IITH BASE CABINETS AT 3R' AS-F. PROVIDE SACK SPLASH. 19, EXI5TIN0 WINDOW/DOOR 70 REMAIN. 30, FURNrrJRE SHOWN FOR SPACING ONLY. 7L NEW WOODBURNING FIREPLACE: VERIFY STYLE W/ OWNER. 22 NEW PTAC UWS DEMO FORT" OF Fag5MG WALL AS REO'D. GENERAL K07ES: A) FROVm REr FLOOR MSHES TMFOVT B) ALL SLEEPING AREAS TO HAVE SMOKE DETECTION C) FIELD VERIFY ALL EXSTING WAILS, WROMS, AND DOORS b'-2" 8'-7" E ST, 19 E5d8T. 19 18'-3w I _ _ _ _ _ _ _ - VERIFY >V 8 f I� 12 IS Il 2 4 n II Id D °° u exlsT. BATH ; L II 14 1 14 2 BATH 4 --- 13 7 -' LIVING ; CI a I4 14 NEW i 4 I 244E 244 2f 4 �i244B NEW f n 2448 I12 7-1 ;rrrr — 48 � I S` I C I 5 j ri l l�1 �L J L - - y 1 r �i _ y- 10 NEW ---� 3 ADJOINING in `� aB�E)R00M 1 3Q4S a2 BEDR-OOM "AN t" D D O NEW 3454 24'-I' 4 4 4 4 - - 254 4254 4254fi� e�y I e_--� L DEMO NORTH ELEVATION SCALE: 1/1' - 1-0" DEMO EAST ELEVATION SCALE: 1/4" - 1'-0* DEMO WEST ELEVATION SCALE: !/f' = 1`-O" N Alm 6 m r— m 0 z m E 0 70 -4 m r- m 0 RECEIVED raii- mom ii Emmons r rra■r uz ON oL'9as=i■■■■■■■■■■.■■�® u_rraMUE! ■� r wilTi,iT.iTiri!Silifai■i Woo �■ iw mom rrrrzru■iir;i�i,ru �a �rarraa r■# L'a=■■■■z■zu■r farlwaor■■ ■ua■■uaar■r■rw ir�r�w�ririziziriaraia:=� �illizz000■■■■■■■■■■r■■■r iii� y_as 1a A R!�Ts aar■, z�aa�■�r �imi�A��� MEMO i i aarorrrr � rrir{{orr rararrr■r�ti�r rr1■o a rr■■r■■■■rI ■zr z■■■■■ rzarrz ■ rrwwziri■ ■■■orwrr■i■■z■za STATE BAR OF WISCONSIN FORM 2 - 2003 WARRANTY DEED Document Number This Deed, made between Jon Scott Williams and Susan Elaine Williams, husband and wife (Grantor), and Green Pastures Family Farm & Rentals LLC, a Wisconsin Limited Liability Company (Grantee). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate together with the rents, profits, fixtures and other appurtenant interests in ST. CROIX County, State of Wisconsin. SEE ATTACHED EXHIBIT A 1159936 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 10/14/2022 10:38 AM EXEMPT#: REC FEE 30.00 TRANS FEE 3,075.00 PAGES: 3 **The above recording information verifies that this document has been electronically recorded & returned to the submitter Name & Return Address Burnet Title 7550 France Ave A, Suite 300 Edina, MN 55435 Burnet Title 2167022-09717 022-1060-50-100 Parcel Identification Number (PIN) This is homestead property. Exceptions to warranties: municipal and zoning ordinances and agreements entered under them, recorded easements for the distribution of utility and municipal services, recorded building and use restrictions and covenants, present uses of the Property that violate the foregoing where such violations were disclosed by Grantor in its Real Estate Condition Report and in Grantee's purchase contract, and general taxes levied in the year of closing and thereafter. Dated this 7th day of October, 2022. Signature(s) �;IBY.n Scott W' liams and Susan Elaine Williams (SEAL) Jon Scott Williams (SEAL) *BY: Susan Elaine Williams AUTHENTICATION ACKNOWLEDGEMENT State of Minnesota } SS. Authenticated this day of County of TITLE: MEMBER STATE BAR OF WISCONSIN (if not, Authorized by §706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY: Burnet Title -Andrea Noble, 7550 France Ave. S., #300, Edina, MN 5543512167022-09717 Personally came before me this day of , 20 , the above named Jon Scott Williams and Susan Elaine Williamsm husband and wife to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. SEE ATTACHED ACKNOWLEDGMENT Notary Public, State of Wisconsin My Commission (is permanent) (expires: (Signatures maybe authenticated or acknowledged. Both are not necessary) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED WARRANTY DEED © 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 St. Croix CouhTyrt1,69 j;&Ip2 66nVt6fE3• SFr: CR0 P(JNFile #:TY SANITARY SYSTEM office Use a►�r r I :"r''`.`�'� OWNERSHIP/ADDRESS FORM Created212021 Y Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. RECEIVED OWNER/BUYER INFORMATION Owner/Buyer GREEN PASTURES FAMILY FARM & RENTALS LLC �'Cj0XC0UUWC Mailing Address 263 LIBERTY ROAD City/State/Zip RIVER FALLS, WI 54022 Phone Number (required) 218 - 371 - 0700 Email Address (required) scofteickschen@grnall.com grnail.com Parcel Identification Number 022 - 1060 - 50 - 000 {found on the property tax bill) Property Location SW '/4 , Subdivision Plat: NA NEW SYSTEM: LEGAL DESCRIPTION NW 1/4 , Sec. 21 , T 28 N R 18 W, Town of KINNICKINNIC : :Lo '33 Certified Survey Map # � � ,Volume , ,Rage Warranty Deed # Ij before 2006)Volume _ Page # Number of bedrooms 3 Spec house 13 yes N no Lot lines identifiable ® yes E] no New Property Address (Staff Initials) OFFICE USE ONLY Rd ,'_ 11,r SyD 2 2 (Verification of new address required from Community Development Department for new construction.) 2 26 Z3 (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form 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. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center cdd@sccwi,gov 1101 Carmichael Road, Hudson, WI 54016 715-245-4250 Fax www:scCWi ov (-." fit'. CROIX COUNTY 210 I �AOVY Qp . �� PREVIOUS OWNER (-IPAGV PkMM5 �K(��' FAeM - - UC, PLUMBER KIM_ • I 334 r ' TOWN OF Y4N1yy,,yuA)Af ic, SEC IT 2S N9 R (fin 11 S600) 65`1 2� � CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. 1 1.1) ISSUING OFFICER - DATE I 15-' UNLESS RENEWED BEFORE THAT DATE VIS,ULE FROM THE R . / r • OD-0649A4L.I.AO)1 1 �� ��