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HomeMy WebLinkAbout008-1035-95-100 nsin Department of Commerce PRIVATE SEWAGE SYSTEM ...cry and Building Division INSPECTION REPORT GENERAL INFORIIXATION (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 x Township Boston, Chris Eau Galle Townshi CST BM Elev: Insp. BM Elev: ~ BM Desc' lion: i ~YyJ~I ~ ~~'(~ ~~ ~ ~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing ~~ ~d~ ~3 a Aeration `~b~ Holding TANK SETBA~K INFORMATION TANK TO P/L ~ WELL ~_ BLDG. Vent to Air Intake ROAD Septic .~ ~~/ 7 ~ ~~ t'/ I f O Dosing ~ ~3 Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number ~s~--- TDH Lift Friction Lo Syste~He d T[~ . ~ Ft Iii) r Forcemain Length ) Dia. 2 ~( Dist. to w` II r~ ~ ~ /v ~ SOIL ABSORPTION SYSTEM ELEVATION DATA c°~nty: St. Croix Sanitary Permit No: 420528 0 State Plan ID No: a~~ Parcel Tax No: j 008-1035-95-100 T TION (~ ZI DZ ~S ~ oS _ FS ELEV. i3~ ~ t~ Benc mark ~ ^ tt •~ q~,2 lLb,6 Alt. BM .~~ ~/ ~g_ ~s- Bldg. Sewer SUHt Inlet d. 3 • i SUHt Outlet ~ / Dt Inlet Dt Bottom tlb• ~f ~- ~,~{ ~• 0 6.9 ~ fig. °~ Bader/Man. Dist. Pipe Bot. System q. 3I qG .~`i Final Grade QI~• L(o St Cover , -7 q p, ~ ~s3~ 3 ~l BED/TRENCH Width Length r No. Of Trench PIT DI~jI EDISFANS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ '~ ~d ~ .- SETBACK INFORMATION SYSTEM TO P/L~ BLDG WEL ~ LAKE/STREAM LEACH Manufacturer: Type ystem: r 1 I ~Q ~ UNIT Model Number: l/" ~ ~' ~ ~~ DISTRIBUTION SYSTEM Header/Manifold t ~ LengthDia ~ Distribution ~ Pi e s ~ ~ ~ / Length Dia Spacing -~ / ~ L P tt// 9~~ ZT 7 l'C~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over ~ r, ,pwJ ~'" _ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ~ ~/ Bed/Trench Edges Topsoil -- ' Yes I~_ No Yes ,'al No ?~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ / Inyyspection #2: ~/ /~j / 6 Location: 421 270th Street Baldwin, WI 54002 (SW 1/4 SE 1/4 12 T29N R16W) NA Lot 1 ~~~Uwr~~~Parcel No: 12.28.16.183A10 t Alt BM Description = S~• vpV~ sewer length = /IIl~f'%h y~~'y ~~ g(~+~ ~ _f cover = / -3~ - - _- - ~ __,_11-T - ~ --- , ? Yes ~ ° ~ ~ ~ n ~ i off- J ~ ~ ~(~ (Z,/ lj l/ `~ - -- ~ / ~ ditional information. ~ _ _ __._- _ _ _ ___ ____ .__ _ ___ ` -------~ ~-- -- I ~'i Date Insepctor's Si nature Cert. No. ' / W ~ " '1.~CoK S ' x Hole Si a Ho S acin Vent to Air I take ~~ "' Safety and Buildings Division 2 County c~ 01 W. Washington Ave.. P.O. Box 7162 cJ/ isCO~~','~ Madison, WI 5370? - 7162 Site Address ~ l7e artment of Commerce S~ . ~ Z~O Sanitary Permit Application ~~y Permit Numb err ~Q ~Z~J~ U In accord with Comm 83.21. Wis. Adm. Code, persoml information you provide ^ Check if Revision ma be used for Privy Law, s15. 1 m I. Application Information -Please Print All Information "~ Sta1x Plan I.D. Num r ' Property Owner's Name 1 Number ` -~ z; [,002 03 - 4 -IOD ~3~- O Property Owner'a Mailing Address perry Location ~;;x C,OUiv i Y R, ''' CE f~~ ~~ I i Sf;S T N,R E City, State Zip Code Lot Number ~ Block Number ~ ~ ~~~ ~ Subdivision Natrre CSM Number ' ~" '` ~ s / ~ ' P ~flbs II. Type urlding (check all that apply) ~ s ~ I ~ 1n~,,,~,~ QJCa.+~a ~i ty or 2 Family Dwelling -Number of Bedrooms ^ViHage ^ Public/Co tal -Describe Use ~[ w ~ hi S' ~ o ns p .3o ~ 9 ^ State Ownedd tr > 1 1 ` ~ `` ' ~ Neares,~Roai~ ~/ ~ . o (Z ~ ~ = x s~ n~a~.,d wQ.Q C / t;~5~`- III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. ew 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For Coin use stem Tank sxm B. ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued Iv. Type of Permit: (Check all that apply)(numbering scheme is for internal ase) 44 ^ Non -Pressurized In-Ground Sound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Groin 4/1 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic 1Yeatment Unit 49 ^ Recirculating 30 ^ Other V. tment Area Informat ion: Design Flow (gpd) Dispersal Area Dispersal Area Sor7 Application Percolation Rate System Elevation Final Grade Required Proposed ~ Raoe(G a ls./Days/Sq.FK.) (Min./Inch) Elevation '~` ~v ~ ~~~ ~ 5~0 / ~ / r ~ L ` ~D ' ~ x ~ ) rJ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fier plastjc Gallons Gattons of Tanks Concrete Constructed Glass New F Taaka Tadrs Septic or HoklinY Task ~, _ Dosing Chamber 6 'Gy VII. Responsibt7tty Statement- I, the understgn , responsibility for installation of the POWYS shown on the attached plans. Phrmber s Name (Print) Phmrber' MP/IvIPRS Number Business Phone Number Phmrber's Address (Strut, City, State, e) ~ ~ j/~ . Coun /De artment Use Onl Approved ^ Disapproved ~~Y Permit Fu (inchdes Groundwater Date Ltsued Cooing Agem Signature (No Stamps) ^ Owner Given Initial Adverse Surcharge Fu) ~ 3z5-~ Determination J U IX. Conditig~ o~j ApprovaUReasons or Disap~rovv~at ~. re wia hll acX[ ~ h~ ~-J~ ~. . .~ ,w~ t''~'~~' t~ /,~AtUu '~`~I1~=--~~ c~a A'~` v~t9c~it~Q~ c ( '- n r ~ ~t+~ t+~* (to the ool~) f tLe s~mm on not ta. gtn :1 tachrs !a atu /, SBD-6398 (R. OS/O1) PLOT P N "Chris Boston ~ AD S 401 Walnut Drive Woodville Wi 54023 '~ 1/4 SE 1/4S 12 /T 28 rt/R OW EauGalle COUNTY ST.CROIX RS Shaun Bird 226900 10/2/02 DATE BEDROOM 3 CONVENTIONAL IN-GROU SSURE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 450 # of chambers none BENCHMARK V.R.P. Top Of 2" Pipe ^ ASSUME ELEVATION 100' Filter Zabel A-100 BOREHOLE O WELL *H.R.P. Same as Be nchmark SYSTEM ELEVATION 96.3' Grading is to be done to Well is to meet all divert run-off away setbacks found in from system Comm. 83 Tank is to be properly Pro 3 bedded and provided Bedroom with lockdown covers House with approved warning labels Huffcutt Combo Tank 500' Scale = 1/4" = 10' B-1 6% 7\~ B-3 Area 15' Below System to remain undisturbed `' 96' 120' ~' B-2 It. 95, .M. 450' 94' 40th Ave r ~ ~r iscons~n Department of Commerce Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www.commerce.state.wi.us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary October 23, 2002 CUST ID No.226900 SHAUN R BIRD BIRD PLUMBING, INC 1008 192 ND AVE NEW RICHMOND WI 54017 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/23/2004 SITE: Chris Boston 270TH St Town of Eau Galle St Croix County SW1/4, SE1/4, S12, T28N, R16W FOR: Description: Mound 450 Gpd. Object Type: POWT System Regulated Object ID No.: 875180 Identification Numbers Transaction ID No. 796465 Site ID No. 651914 Please refer to both identification numbers, above,'in all correspondence with the agency, The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • This plan action is subject to designer notes /comments on the plan. • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" Version 2.0 SBD-10691-P (N.Ol/Ol) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD-10706-P (N.Ol/Ol). • Comm 84.10, All materials used in this installation shall conform to the provisions of this chapter. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. ' The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operatic maintenance of the POWTS. Sincere y, Thomas E Devereaux Plumbing / POWTS Reviewer II ,Integrated Services (715)634-3026 , 7:45 am - 4:45 pm Mon. -Fri. tevereaux@commerce. state.wi.us cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 WiSMART code: 7633 ~, ~~ ~~~~~~ Tom. Vii` `: <, ~ ~ ``~J ~Y ~.~ • -,~ Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Cover Page Date: 10/2/02 Owner: Chris Boston Location: 270th St. System type: Mound System Manuals Used: Mound Component Manual version 2.0 (01/31) Pressure Distribution Manual version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-9. Maintance and Co tigency plan ,Ry ~. ' ~~~~~ ` 10-12 Soil test d~ t ~ ,,, E ° EP:T n ` AND u1LD1N~s 0~ 5^ ~ Signature License nu r 226900 = co~~''ES` 5 ~ ~ ~C7 10/2/02 ' ~ ~ , PLOT P N PROJECT Chris Boston AD SS 401 Walnut Drive Woodville Wi 54023 ~SW i/4 SE i/4S 12 /T 28 N/R Ow. EauGalle COUNTY ST.CROIX 10/2/02 3 MPRS Shaun Bird 226900 DATE BEDROOM CONVENTIONAL IN-GROU SSURE CONVENTIONAL LIFT HOLDING TANK 1000 gallons XXX LIFT TANK SIZE DOSE TANK SIZE 630 SEPTIC TANK SIZE MOUND HOLDING TANK SIZE LOA D RATE 1.0 ABSORPTION AREA 450 # of chambers none BENCHMARK V.R.P. TOp Of 2" Pipe ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 96.3' Grading is to be done to Well is to meet all divert run-off away setbacks found in from system Comm. 83 Tank is to be properly Pro 3 bedded and provided Bedroom with lockdown covers House with approved warning labels Huffcutt Combo Tank 500' Scale = 1 /4" = 10' B-1 6% ^ ~ Slope B - 3 Area 15' Below System to remain undisturbed m B.M 9 6' 1 2 0' B-2 It. B.M. 95' ~ 450' 94' 40th Ave r Date 4" Observation Pipe Perforated Below Filter Fabric A.S'III C- 33 Sand Topsoil -.-t 'r. 5tope ~~ ~k ~n ~~~ bed Of ~~ 2 %2 Drain Rock Non-Woven Pilter Fabric Distribution pips H ~-'' 1 r ~~= - o i Forts M.oin From Puenp G ~~~ ~Piowe d Loyer~ .:';D ! , .~ f~~ G ~ h Cress Section Of A Mound System Usin A Bed For TAe Absorption Arta A v Ft. 6~ ~ ft. I .3 Ft.- - J 7~-~ fit. L ~, ~ t~t. ~~ b Ft: -- L J 4aObservotion Pipe-~-~ --------- E - K r..._.. ~.._.. ~. __- - - ---- ~ . . A -. . ° { _ _ __ ~ ~ Force Moin W = ~~-- -r--------- ---------- From Pump 3 - •t ~ Distribution Bed Ot ~Z~- 2 %Z PipC ' Droin RotK i lM 4 Obcervotion Pipe Permoneni Mocker Pipe or Rods - -- ~_ .• Plon View Ot Mound Uclnq A Bed for Tfie Absorption Areo PNGE OF ~/'~a ~ ~~o~sd oa gotion-, 's Egnedl- Spscse Fi~tSS t+tot.L *isxT ~te Ga+nK}"ar Signet - t}istribefigt PipR LOyout Q~% Ft _ License Ncrm&er: G~ t~90Q Date: 'D --~ vL Nole Diameter ~ Inch lateral ~" 2 Inch{es) Mani fol d " ~ Inches_ Force Main Z Inches ~ of holes/pipe %~ Invert Elevdtion of lateral,s~~d~Ft. R~Ff. Inches Inches Pertoratsd pips Oetoii • Nape Utz v SEPTIC TANK ~ PElMP CIfAMHER CROSS 5EGTION AND SPECIFICATIONS y" CI VENT PIPE 12" MIN. ABOVE GRADE ~ > ZS' FROM DOOR, WINDOW OR FRESH AIR INTAKE FI e~.r. r{fE INLET WATER TIGHT SEALS ~.. FILTER --~~"' A "-~" APPi~t1YED e FIFE 3` "F-' ONTO SOLID / C SOII. c~ ~ FT. PUMP OFF ELEV . --~-- D NEATHERPR~F JUNCTION HOX 1~ITH CONDUIT ;- s. A ~~ ~~ ~ `. GAS- i '~ TIGHTS SEAL ~ ~ ~- ~ r I APPROVED MANHOLE COVER W! PADLOCK 6 WARNING LABEL 4" MIN . t8~ MIN. JOINTS MtTH APPROYEO PIPE • SOLID AIL 3" APPROVED BEDDING UNDER TANK ~~ ~S~0~N~CRETE PAD SPECIFICATIONS SEPTIC ! DOSE ~ TANK MANUFACTURER: ~~'K NUMBER DOSES PER DAX= AL: TANK SIZES: SEPTIC~0-- G _ D05E vOLJt1ME INCLUDING / t8AC K : ~~ -S GAL F L01 GA ~ DOSE _1z ~ s --- / ~ Z• ~AL ALARt4 MANUFACTi,iRER: ~ . INCHES = CAPACITIES: A """'-' MODEL NUMBER: 8 = ~~ INCHES =~D GAL. SWITCH TYPE: ~ C = dj -' INCHES = ~~ GAL. PUMP MANUFACTtlRER: '~"~ MODEL NUMBER : ~ ~ GAL. INCHES = -s G D SWITCH TYPE: _ . - REQUIRED DISCHARGE PUMP ~ ALARM WIRING AS PER ILHR 16.23 WAC E ~ FEET g'Z AND DZSTRIBt1TI0N PIPE VERTICAL DIFFERENC ` 3 FEET + MINIMUM NETWORK SUPPLY PRESSURE FEET FORCEMAIN X ~FT + ~ . - - /100 FT. FRICTION FACTOR FEET _ /,, ~ TOTAL DYNAMIC HEAD ~ FEEE~ : DIAME'TER ~ Df~ ~ LENGTH L ~ ~ INTERNAL DIMENSIONS QF 1~UldP TANK: ~ , . ~_, oL _. LIQUID D SIGNED: LICENSE NUMSE3t : ~~~~~~ DATE;~r~~~ 1/88 N ~ W 50 153 12 ~ 152 x ~_ ~ 0 ~ 20 f- 0 4 0 HEAD .CAPACITY CURVE MS3QEL 152/153 80 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING MODEL i52 153 Feet Meters Gal. Liters Gal. liters 5 t.5 69 261 77 29t 10 3.1 6t 231 70 265 15 4.6 53 201 61 23i 20 6. i 44 167 52 197 25 7.6 34 129 42 159 30 9. t 23 87 33 125 35 10.7 -- -- 22 85 40 12.2 -- -- 1.1 42 Lock Valve: 38.0 FL (1 i.6m) 44.0 FL (13.4m) 3 CONSULT FACTORY 40 60 Sfl 160 240 320 if PER MINUTE SPECIAL APPLICATIONS • Tuned ding t ava~aWe. •° • Etecbicat atterrlators, for duplex s are avagable and suppled with an alarm. • Val level coned swr~es are • able for controNi~ig ~~ t • pi~rbadc variable tend tb~ switches are available for variable level long and shat eyrie controls. • Sealed t~w1c-Box ava~bie foroh~iOOr irr~. See FM1420. • t~ver 130°F. (54°C.j speaai giiot~on requ~ed• 491f53 Series t Msdel VaarPh lode N1St 115 1 Non 8S 7 2or3 aN152 tt5 :r Auio 6S ~aea zar3 E152 230 1 Ilan 4.3 t 2or3 HE152 x10 1 Aldo 4.3 lach+ded 2or3 53 1 1 lion iQ5 1 2a X1153 115 1 Avb tOS h-cAded 2a3 Et5;1 x{p t -Jpr 5.3 t 2a3 6E153 23D t Aub 5.3 Mduded 2a3 s cAUno~+ Ay lashlatloa ~ coab»is. protection dsidca sad ~ should bs does 6y a 9~~ iceassd Nectricire-. Al etertrtcai sad setety cedes should be toloered huNrdhry ihs moat recent Netloael Hecirle Code l~l sad tlm Occups8onat Satehr m-d HsaNh Act (OSHA} ~z ~/s s~ECnos curve sz ~ 5 r/s 1. Sargle piggyback variable ravel float swddr or double piggybadr variade level float swNdr. p;~rbFM0477. 2 See f~10712 for sorted model of Hectricat Atlerrrabr EPak. 3. Variable level contrd swdch 1Q-0225 used as a cortlwl acrvalor, spedty duplex (3) or (4) ~ system. RESERVE POWERED DESIGN for unusual catditiais a reserve safety factor is engineered inb the design of every Zoeller pump. Maintenance and Contingency Plan for a Mound System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Dose Chamber is to be pumped at the same time as the septic tank. 3. 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. 4. Once every 3 years the mound is to be inspected via the inspections pipes in the at- grade. The laterals are to be inspected via the cleanouts. 5.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 6. Pump and electrical components are to be checked at the time of the pumping. 7. Owner agrees to leave the area 15' below mound undisturbed. 8. The owner agrees to save this plan. 9. Trees, shrubs, and other similiar vegitation are not be planted on system. The system is not be driven over. 10. Effluent Quality is not to excede the requirements found in Comm. 83 Contingency Plan 1. Pump alarm goes off, call pumper and pump out dose chamber and septic tank if needed, then bypass pump float and try pump with out float. If this works, float is bad, replace float. If pump still does not work, check power at the pump with a electrical device such as a hair dryer. If no power, check breaker inside house and call a electrician. If there is power, then pump is bad and needs to be replaced by a plumber. 2. If mound fails, determine cause of failure, test another area or remove pipe and sewer rock, retill soil, install new mound system. 3. Replace any other failing components as needed. Important Phone Numbers Plumber: Shaun Bird 715-246-4516 Pumper: Tom Mondor 715-246-5148 St. Croix County Zoning 715-386-4680 Shaun Bird #226900 10/2/02 ' ~ Page POWTS OWNER'S MANUAL &. MANAGEMENT PLAN ' f . ar IpNS SYSTEM Sf,ECIFICp1 ~ - t.E INFORNtATiON Sic Tank C G`2y© ~ tJA Ownef ~ Septic Tank ~ DNA Pet1i1~ ~. Feet ~~' C ^ tdA t~tGN PARAM~S ~ . d ~ 6p a Na 1 °~ Bedt ~ p~`NA Pump•Tank ~ ~ ai O NA N of t;oTrurTer+dai units © pump TarTk ~~ a NA tk~ (aver) ~ i O NA x t.5) + Aow (P~~ (~ .~" Q ~ -~ -- .Pump Mar Pub Model /-~~ O NA Soa App Ram Q M ~~ p Unh . I7 SeuTdlGrAv~el t O Peat tta jf tnftuentlEflhtent ~ ~ (FOG} Fats s~o mgll. ^ Med gerratiori O wetland - . Oxygen (i~~ ~ ~- 0 otl,~ o o~ Tobd ~ Sogds ~} ~'~ ~~ Pty Eti 4Y - NA Mom fie,. Ceps) ~ [71n-grotmd (PTessc i ~ST~`v~y) Timed) ~ Oxygen Demand (BODE s3o mgJt.. ~ ,nd Toted ceded Sogds (f~) mean} i 530 ~- 510` c[u/tAOmt p C! Other: . c Fend (geoTT,etr K ~CfrdiarTteter • VaM~s h ~ ao~c c~w*co~.me~ .na E(guetTt Paetide sine ~num m~xanw~. .. v ter n Service Event inspect cond'rtkm of tanic{s) Pub out contents of tank(s) inspect dispeTSad ohs} q~n T~Auent t insped ~ i controls 8~ alaTrn Flush laterals and test servl~e F~~ D TT>anihs s) (Maximum 3 yrs.) At least once every OTI@^thlyd (1~j OT ia(ilC ywu~~~c When combined sludge and scorn At least once evmy At I~st once every At least orTOe every At least once every At least once every At least once every a ~ rTlOiltlt~ O ^ months ~ rrTOnttTs s} (Maximum 3 yrs.} Ks) ,year(s) O NA ____ s) DNA D yeau(s} ^ NA D yew(s) DNA NiAiNTENANCE q~ISTRUCTiONS t~ shatl ~ made by an ~ ~Tg aria of the fagowin9 gcerTSes or Mons of tardcs and d plumber Restricted Se~srer; POVYTS inspe~: P~ ~''~`• ate= ~ Tit e a v ~sire~ ~ the taNa(s) ®o ide~dY any 9 Serves O~,or Tank icTSp ~ y of combi<ted shidge ~d sarrre a<Td b dTedc for any ~Ierre~is ~~y a„y cracks or te~cs. rfao ceq(sj sh~l be visemgy inspe~ a, the a paxtln9 of efilueret one for arTy P of efAuerTt on the groued ~ bc~ ~~ autho[ity 9~0 a faNng ~~ atTd the m rwt~6on acid scum ~ ~Y one-tl~d {y,} a more of the tank volume. the Whet1 ~ ~ $pp~ulaticxr of stodge a e Smvicin9 Opp and m kT accordance vnth ch_ NR entire contents of tlTe tank shag be removed by Sepm9 . . NYt p~in~~trative Code. - Pn~~tfcrTerTt components. and any ical or ~essuTized POWTS c POyyTS Maintainer 'The servic~9 of tom-' atintenais ~ 12 months or less stTa~ be P ~ a ~~ event ~ vrrfhitT 10 days of compiele~ oih~ rr~ to tlTe kx:ai regulatory auth~Y A setvige shag be Proms s for the p of ~~ t~~ or other STARTUP ANO Op~pTlONto use of the PovvTS check t () s if are Fc~~~~~ the treatment Process an~or damage ifie~d g }~' to use deteded have the oonterTts of the tank(s) removed try a septage CONTINGENCY PLAN ~ the 9 ~ Have ~, ~ must be tataan. bo provide a Dods tf the POWTS fps and caintlot be r~si compliant replao~nent system: D A e ropnt~area ttas been evaklated and maybe u6Taed for the location of a repla~errlerlt sod - The roprlt an~a should be protected from d~firrbanoe and oompadion and should not be alfir~tged upon ~ s from exisdn9 acid proposed strtwtlma. lot and weds. Failure fp p~,ed the ieplaoetnent at+~ wN tesu~ ~ the need for a new sod and site ~eva~orr to e~abNsh a suitable ~ area. R;el~aoetrlertt systems must oompfy with the rules in effect at that tune. D A suitable replacement atea is not available due to setback and/or the faded POWTS. advarrc~ in POWTS tecFlnology a twtdrcg tank trray !~ ~~ as a Last n3sort to replace The sd~e has not been evafuabed bo identify a ~ ant area. Upon fadut+e of the POWTS a sod and ~ ~~qon rra~t ~ perfotrrled to Locate a satiable rl;ptaoenlent area. ff no r~laoement area is ava~dable a ~-~ t~ullc R181y be wed as a fast resort tD reptaoe the faded POWTS. Mound and at-grade sod ~ be n~ ~ t~ of the biomat at ~" the v+er surface. Reoonss of such systems must oompiy wdh the Haas ~ etfed at ttlat tirrm. <`'VYARNINa'> TANKS MAY COMAW LETHAL- GASSES 1U~tfXOR MtSUFFtCIFM OXYGEN. SEPTIC. PUMP AND OTHER TREATMi~1T DC) NOT ENTER A SEPTIC, PUMP OR oTi'I~ TREATMENT TANK UNDER ANY CgtCL1MSTANCa. DEATH MAY RESULT. ,RESCUE OF A PERSON FROM THE ~~ OF A TANK MAY BE DIFFlCUi-T OR pN1'OSS1~- room©NAL COfYtdilEN'TS POWTS WSTALLER P01iY'fS MAINTAINER < Name c~l~.r/~/i' Name R. .Phone . ~ Phone ~ S- L~ 6 '' J e ~ SEPTAGE SERVICMIG OPERA70R LOCAL REGULATORY AUTHORITY ~` Dun Name o / Phone ~ ~; ~~?~~r O Phone ? J ,.~r.~ vl l- .T ~ Ttds doam~ meets Yhis doaunenl was d~aRed ~'!- ~ s~ d Cw ~eai lakes and Wws~e CaWnh- Z,onin9 and Sang - me "'~ d ch. Gomm s3.~NXtiX~I and s3.5K~). tZf 6 C3). ~"~" ° Cade. Us"e ot>tais doaorrent does not taww (1/01 guaraneee u.e pie ~ qie pOMViS. y ibeparbnerN ~ Cartrnaoe ~ ~=-6- awA a~YVi4 SOIL EVAIUATtON REPORT ~ ~ y~yww\ v. ~~.> ~._~. _~_~ . _o _ y 7~A~ V{~f~A~i ~ ~ I'M-w ~IOQB ~( ~~..// l~MiyYY~/~,y ~~~r~~M~Y~P~~B (~/~rx~1~1 /~R~ (~~/. r~Y~~~ ~/~ and locada~ and distance 10 nearesttaad. rraf1f18troM/ ~ ~ , frl8f at18. peroarrtabpe.8Cale Or I u13 ~O ~ /-/~OiV ~{ N/ ~.tN..~~r- V ~ D`~ ~ Prw~ae/r~.ea-r~+a~mnr~,~ai«roc~+-~.,aar~ ~u~. . ~Pe~Y L /!~'I1/,r DSf'~J~~ PropertyLACation (30~ut. td s~ 'IH S~ 1H S 7,, T ~ ~ Ai R E (aI propeKyOwaer's t GG , Lot ~ 81oclc * Subd. Name a CStu~ ~ Pftone Number t Zip Code ^ ^ TO'~ NawGorrstnicGan JNumberoibedioonrs r~ _ GPD ^ ReP{sp t~rtic a - Oesarbe: - -- ~~ ~ R ~"°"`"'~ ~ ~ ~i 0 3 2002 and ~,or„~rarrdaeona: ST. G`tOiX COUNTY i~~ ~- zorail~0 oFFicc a ~~ 9 A Oe~h b ~8 ~ ~^' g~ Role levl `r ~ o © * G d < . s e f°' P~ roun aur a 3 Carrsisleaoe Y Rooms Ha~arr ' ~ ir Oorrinant il~xiaef Redaat DesaipYon Llu. Sz. CorrL Cda Ta~dune Struo ~ne Gr. Sz Sh. 'ELF'! '~F2 . 3/z O --- S ~ .r - S ~/f !N 'T iG . l L a~ S ~~ l ~" ~ `3 ~' r ~ ®HorMg ~ ~ `r ~ it De~h b 6~n9 fades' -~11- m' S i Rsle ~ o Gramd surtaoe star! . Harpoon ~ Dorriant Redax Oesaiption TexWre Sbudure CArrs~erroe Boundary Roota GPW~ in. tiAra~se0 Qu. ~. Cant Color Gr SL Sh. '~'1 '~ `)) i31~ S/ L1 , S 2 ~.. L ~ z. <----- u/ - ~-~' ~ Y 6 ~ L `~ ~-- I • Efiuent 1F1= 80D > 3 0 <?20 mg-l. and TSS >30 ` ~ •~=BOD <3DmAflandTSS~~~ CST Number _- _ _ Properly Owner Parcel ID # Page of Borfrrg ~ ~~ ~ hound surface ele+r. ~ ~ R Depth to rur~g actor ~ ~ Sod Rafe tin Depth Damirrarrt Color tiedox t7escx~stion Texhee Strru~ure Consistence Boundary Roots GP DVIiz fn_ MunseH flu. Sz Cora Color t'~r_ Sz Sh. 'EtTtkt 'E>~2 1 ~ Z 31L t----' S /~I ,/' C~ ~ -,~ U S ~- li - ~ Nl~ tii/~ ~ 3 - .~ plt t~roru,d staPace elev. R Dew tD thru"~ng in. Sod Appicetion Rate a~ Fiorimn Depth Dominant Color Redaor Description Texture S~cdse Cons~tence Botmdary Roofs GPOVfP in. MeurseM Qu. Sz Cant. Color Cr. Sz Sh. 'Et~'1 ~ 'EfF~2 ~9 # ^ ~9 ^ ~ Crotutd surface elev. ft Depth m 9 factor in. Sod App>i~rr Raba t-lorimn Depth Dominant Color Redact Desch Texhue Sfirchxe Consistence Botsrdan- Roots in. llAcrnsed t2u. Sz Cont_ Color (~r. Sz. Sh. 'Eff#'1 f 'Eff~2 'Effluent #1 =BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent fK2 = BOD$ < 30 rrxyL and TSS < ~ rrglL The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services ar need material in an alternate format, please contact the departrnent at 608-266-3151 or TTY 608-264-877?. sso.s3soc~mroo> Project Name Chris Boston Address 401 Walnut Drive Woodville Wi 54023 Lot Subdivision ----°- SW 1/4 SE 1/4S 12 T 28 N/R 16 W [~ Boring Q Well PL Property Line BM or VRP Assume Elevation 100 ft. ~. '+Vlll MVG Soil Test Plot Plan Shau ~S'1~M ~LLbyUU Date 10/2/02 Township Eau Galle County ST. CROIX Top of 2" Pipe System Elevation 96.3 *HRpSame as Benchmark • i Ownei'Buyer Mailing Address P~pe~ Addziiss SEPTIC TANK MAINTENANCE AGRBEMBN'1' AND OWNERSHIP CERTIFICATION FORM s~d~~ (Verification rcgnii+od firnn Planning Department for stew C"rty/State Parcel Identification Number ~$- (°3S--4S-1 ~ ~. Ig3 h- _~o) LEGAL DESCRIPTION ~ ) 2 ~ / o~ ~~~~~ Property TACation`~ y,, ~~ %,, Sec. ~ T N-R~-6 W, Tows ~f Subdivision _ .Lot # Certified Survey Map # 6 ~~ ~ .Volume ~ S -..Page # `fl b.~ warranty Deed # ~~ Z S `~ Z . Votmne ~ ~-~ 6 .Page # 3~ Spec house ^ y~.no Lot lines ide~tifiab_ ~~es ^ no ~M MA~a~rrENANC~ It~coper tree and xof your sc~tic systemcould result in its prematare faihue to handle wastes. Propermainbeaanee ooa~ts of pumping oat the teak every throe years or sootttG if heeded by a hcensod pumper. What Y'~ p~ itao ~ caa affect the of the septic tank ss a treatment stage in floe waste disposai systr.m. The ~+operiy owns agttxs to subtttit to St. Croix Zoning Deparm~trt a ~ sigoed ~ ~ °~ and by a mssttxPl~y~PI~~Poraliexosodpw~averifYingthat(I) tl~ean-sibewasbevvat~dispcsalsysbem is in proper opt condition andlor (Z) after inspoctian and pumping (if necessary), ~ c tank is kss than 1i3 Sill of shtdge. i>~ the nndemignod have taut the above ~ std agree to maintain tier pcivaLe sewage disposal system wifli tbme standards set forfl-, herein, as set by titre Departtmeat of Cee and tiro Department of Natural Resotnces, State of Wisoottsin. gating that your septic system has boon maintained taust be completed and reta>tred do the St. Crone Comfy Zoning Offi+x within ~ of flte throe expiration date. ~~~z SIGNA OF APPLICANT DATE OWNER CERTIIICATION I (we) «atify that all statenyeuts on this form are tcue to the best of mY (our)lonowledge. I {we) am (are) the ownex(s) of 'bed above, by vntae of a warranty deed rocorded in Register of Deeds Offme. / / SI(E+TA OF APPLICANT DATE be' revoked b the «"~"` «««««« Any i~otmation that is tnis-represented may result in the sanitary permit tug Y ~~g fit' *« Include with this application: a warranty decd from the Register of Deeds officx a copy of the certified survey ntaP if referwce is made in the vvaaant3- doed vol. ~. 7ci6Pi,~E3'79 STATE BAR OF WISCONSIN FORM 2 • 1999 Document Number 1 WARRANTY DEED This Decd, made between Victor O. Lee, a/k/a Victor Lee and_ _ _ Elizabeth A, Lee, husband and wife ~,^_ _ ___ ____ ---- Grantor, and Christopher Boston and Jill Boston, husband and wife Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of W isconsin (if more space is needed, please attach addendum): Part of the Southwest Quarter of Southeast Quarter (SW 1!4 of SE 1/4) of Section Twelve (l2), Township Twenty-eight (28) North, Range Sixteen (16) West, Town of Eau Galle, St. Croix County, Wisconsin, more particularly described as: Lot One I of Certified Survey Maps filed September 24, 2001, in Volume ertified Survey Maps, page 4165, as Document No. 655898, office of the Register of Deeds for St. rotx County, oast . Recording Area 662542 I:flTHLEEN H. WAl.BH kEGISTEf: OF DEEDS ST. GkUIX GD., WI RECEIVED FOR RECORD :"eL-2001 A:25 AM ;dAkkAMTY DEED E.tEnpT it CERT COPY FEE: COPY FEE: TRANSFEk FEE: 231.90 kECDkDIHG FEE: 11.00 pAGES: 1 Name and Return Address Thomas A. McCormack 1020 IOth Ave. PO Box 2120 Baldwin, WI 54002 008.1035-95 1 "' Parcol Ideni on Number (PlN) ss not _ homestead 1u~ (is not) Exceptions to warranties: all easements and restrictions of record. , ~- Gt~~ Dated this 2001 / day of ~P , _ AUTHENTICATION Signature(s) authenticated this day of ki /l ~ ~ __/'.~ ~~-.~--- + Victor O. Lee .X + E izabe A. Lee _ ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. St. Croix County ) Personally came before me this ~ day of (~~,~~ 2001 the above named Victor O. Lee and Elizabeth A, Lee, husband and wife TITLE: MEMBER STAT£ BAR OF WISCONSIN to me known to be the (lf not, _ _ -- instrumen d ackno~ authorized by § 706.06, Wis. Stars.) ~+- THIS INSTRUMENT WAS DRAFTED BY + 1-A~-us Thomas A. McCormack __" _ ___ ___ __._____ Notary Public, State ~V Baldwin, W 154002 _ My Commission is pe` (Signatures may be authenticated or acknowledged. Both are not necessary.) _ + Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN WARRANTY DEED FORMNo.2.1999 oN(s 12o xecuted the foregoing ;ed e•sa n • .t ~i:~~~,t°~ ace expdauon ate: Intormalan Professlpnalt Company, Fan Ou Lac. Vrl ecobss-zost .~-~ ~° i~ n. r ,''~ 655898 i';A'THLEEN H. WALSH f=; f.-:GISTtR GF DEED5 a i . CFi!IX CU. W1 RECEIU£D FDk kECdkD 09-04-2901 12:05 PM CDPY FEE• 3.00 RECORDING FEE: 12.00 CERTIFIED SURVEY MAP Victor and Elizabeth Lee Located in the Southwest 1/4 of the Southeast i14 of Section 12, T 28 N, R 16 W, Town of Eau Galle, St. Croix County, Wisconsin OWNERS' ADDRESS 268 P A WOODVILLE, W1.54028 pd ~ ~ ~d ~ S1- qs~--~~~r. • ~~53~4--i°~ .~1NP.~'ITED LM?D~ ~ (R = S 89'44'23' F ~: - ~ S 88°45'08" E 83.44' .. . /' ~~, i•. qty ~' ~., I q I ~~ ~ I I~ ~ ~ 3 I 3 ~ t' . I I s N ~ ~ ~ SCALE IN FEET l" _ 300' o 3 3 z I BEaRIN65 ARE REFERENCED TO THE SOUTH , IZNE OF THE SE i/4 OF SECTION i2, ASSUMED BfARIN6 S 88°41'56" E. 80UTH QUARTER CORNER BECTION12,T28N,R1eW (FOUND BERNT9EN ALUMINUM CAP) -••151.55-- 9 8iY1:55" E ~, ',~~9 G oNS~,y4juUGW ~~ .. kc~ LAUREN E~ 1 w MURP~IY * 9'1713 . 9 RIVER ~ R ~j ~".. FALLS. ,. y0 ~dj ~`. Wlo .~, pIL -p~ 9J ~, U~`rGp~10 Lq raP ATEH: AUGUST 3U, 2UU1 '[leis Insirwnent Drafted by Mark W. Peavey NORTH LINE $W 114SE 114 ~ • ~ • ~~T 1 15.734 ACRES OR 1,120 968 SQ. FT. 24.181 A~ OR 1,043,342 SQ. Fi (EX0..R/W) • • • N 88°4f'58" W /669.25' LINE SE tU SECTION 11 CEN7ERUNE .... 9 8Y'11'58` E I6U.BQ' ... . 11nkI~A7TF,A I.Aly1zS LEGEND f ~ ~I ~b h ~ "' °i I ,.~ N QI S .a, N ~~ 2' ' 30UTHEA3T CORNER SECTION12,T28N,R1iW (FOUND T IRON PIPE) p tndiwtes 1" x 24" Eton Pipe Set (Min. Wk -1.13 Ibs.llln.lk) ' ~ Found 314" Iron Rod e Indicates soil boring ~ol 1~ 0 Section Corner Monumon ' ~9f ~ (as noted) - x ---- Indicates Fenoe (R = ~ Recorded As SHEET 1 OF l Vo1.15 Page 4165 Parcel #: 008-1035-95-100 03/2912007 08:59 AM PAGE 1 OF 1 Alt. Parcel #: 12.28.16.183A-10 008 -TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -BOSTON, CHRISTOPHER & JILL CHRISTOPHER & JILL BOSTON PO BOX 185 WOODVILLE WI 54028 Districts: SC =School SP =Special Property Address(es): ` =Primary Type Dist # Description SC 0231 BALDWIN-WOODViLLE AREA SP 1700 WITC Legal Description: Acres: 25.734 Plat: 4165-CSM 15/4165 008/01 SEC 12 T28N R16W PT SW SE (SUB TO FLP Block/Condo Bldg: LOT 01 830/250) NKA BEING CSM 15/4165 LOT 1 25.734AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 12-28N-16W SW SE Notes: Parcel History: Date Doc # Vol/Page Type 12/23/2002 703344 2088/573 EZ 11 /20/2001 662542 1766/379 W D 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/06/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 22,500 248,800 271,300 NO AGRICULTURAL G4 22.734 2,500 0 2,500 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2007: General Property 25.734 25,100 248,800 273,900 Woodland 0.000 0 0 Totals for 2006: General Property 25.734 25,100 248,800 273,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 655S9S KATHLEEN H. WALSH kEGTSTEk qF DEEDS RECEIVED FOR RECaRD 09-04-2401 12:05 F'M CORY FEE: 3.00 kECORDING FEE: 12.40 rr CERTIFIED SURVEY MAP Victor and Elizabeth Lee Located in the Southwest 1/4 of the Southeast 1/4 of Section 12, T 28 N, R 16 W, Town of Eau Galle, St. Croix County, Wisconsin OWNERS' ADDRESS 2684 P AN LA1~E WOODVILLE, WL 54028 ~~. t~NPL~TTED LANDS (R = S 89°44'23" E) ~•~iA • • .S B8°d5'OS" E 832_dd' .. . NORTH LINE SW 114SE 114 • • ~~ • ~( 'IE ~I . ~; 9i tD wI r [~~ OO .'~ 3 yyy~~ o M•+ N ~~- i M SCALE IN FEET 1" = 300' 2 3 3 ; BEARIN65 ARE REFERENCED TO THE SOUTH 'I LINE OF THE SE i/4 OF sECTION i2, assUMED BfARIN6 5 88°41'56" E. SOUTH QUARTER CORNER SECTION12,T28N,R16W (FOUND 9ERNTSEN ALUMINUM CAP) • • 452.5S .. • 3 88.41:$8" E ~~ oo~'~ GONS -""p0 ~o°° `5 ~~ ~~. o JJ . > , ~pGo o ••,., o • i ••LAUREN E y~ W. / - MURP Y 1k • 9'1793 'A/R~veR ~ ~ ~, FALLS, ," .l~ !~ WI. ~~ O~U~O ~~ •LA NP ogvh~"~ DATA: AUGUST 30, 2001 `` LOT i I~ 3 25.734 ACRES CR 1,120 9b8 SQ, FT. 3~~ ~.~ S 24,181 ACRES OR 1,0'3,342 SQ. FT 3 S ~ I~ (EXQ.R/V~ z ( W I Z ( w ~' ~~ ~~ • H z" 'deb. II' ~' • • N 88°41'56" W 69.25' - - 50UTHLINE SE 114 SECTION 12 CENTERLINE ••••388.41'S8"E 2843.80'•••• uIYPLAxTIF.A J,~A~D.i? LEGEND N M r ' ~iP• N ~_ o ~ ~ ~1 ~ ! ~~rs~,.w ~~ ._ , ,•'SOUTHEAST CORNER SECTION12,T28N,R16W (FOUND 2' IRON PIPE Indicates 1"x24" Iron Pipe Set ~~ ~ (Min. Wt. -1.13 IbsJlin. ft.) • Found 314" Iron Rod ~ , s Indicates soil boring ' D~ I o 1 Section Corner Monument ' g9 0 (as noted) x Indicates Fence ~ This Instrument Drafted by Mark W. Peavey r±R =) Recorded As ~. SHEET 1 OF 2 Vo1.15 Page 4165 • ~ y ~i Wisconsin Departrnent d Commerce Division of Safety and Buildings SOIL EVALUATION REPORT 1453 Page 1 d 4 A.C.E. Shc $~ Site Evaluatiot>s Attach complete site plan on paper not less than in size. PIS must ~~ St. Crobc include, but not limited to: verttcak and ~l: drceclron ~ p 'en a?d'~ ce to nearest road. percs~nt slope, sc~e or dimensions, Parcel I.D. 008-1035 -A68-'ID#12.28.16.183 ~ Please p `~'~nfo ~~ Personal information You provide m for ~ •" •l^t~s. 5.04 (1) (m)). By D 3 2 P~ ~~~~~ Q tf ~ z ~ +.. ~~" Location lot SW 1l4 SE 1 S 12 T 28 N R 16 W property Owners Mailing Address ~ r ~X 2684 Pecan Lane z ~-~Y # Block # ubd. N a CSM# ftrepvsed CSM ~ S l City Stake Woodville ~ WI ,h - 8 City ~/Ilage / Town Nearest Road Eau Galte L/ 270Th Street / New Construction Use: yr Residentiat / Number d bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or carrurrercial - Descn'be: _ Parent materi~ Glacial drift Rood p~ elevation, if applicable na General canments i / /Gs L / Z2 ~ ~-~ Z ~' and recarrunendakions: Mound system elev. = 100.50' at 6" above 100.00' contour. (/~ ' wl .J ~ ' / Pit Ground Surface elev. ~~ # ~~ 100.46 ft. Depth to limiting factor 31" in. Sad AppdcaGon Rate Horizon Depth Dominant Cobr Redox Desafption Texture Structure Cons~tence Boundary Roots P DMt' *Ef~1 1 0-10 10yr4/2 none sl 2isbk ds as 2fm 0.5 0.9 2 10-21 10yr5/3 none Ns 1 msbk ds cs 2fm 0.7 1.2 3 21-31 10yr4/8 none Ifs 1msbk ds cw 1f 0.7 1.2 4 31-76 7.5yr4/6 f2f 7.5yr518 s/Is/sl Qm dh - - 0.3 0.5 H#4 consists s red layers d Osg s, 1 msbk Is Om sl too numerous to d' Redox. features observied m c~ars~ makerials at ' ace wdh underying sl. Loadmg rate adjusted to reflect most restrictive condition fourM within trormon. Z ~n9 # / PR Ground Surface elev. a ~~ 100.02 ft. Depth to limitirg factor 48" in. Sod Appfx;atial Rate Horizon Depth Dominant Cokx Redox Description Texture Structure Cons~tence Boundary Roots GP DIft= *Efl#'1 1 0-9 10yr4/2 none sl 2fsbk ds as 2fm 0.5 0.9 2 9-23 10yr5/3 none gr. ~ Osg dl gw 2im 0.7 1.2 3 23-48 10 r4 none gr. is Osg dl cw 1f 0.7 1.2 4 48-75 7.5yr4/6 f2f 7.5yr5/8 s/ls/sl Om dh - - 0.3 0.5 tf#4 Oonststs s layers d Osg s, 1 msbk ous to differerrtiake. Redaoc eatures obsen in co~ser dials at intertace witl~ underlying sl. Loading adjusted reflect mast restrk~ive condition found within twrizon. * Effluent #1 = BOD y~ 30 <_ 220 mgll-and TSS >30 150 mylL * E = BOD < 3p mglL ~d TSS <.~0 rncyL CST Name (Please Print) Signakure: CST Number James K. Thompson ~--- 3602 Address A.C.E. Solt 8 Site Evaluatkxrs Date valuation Conducted Telephone Number 340 Paulson Lake Lane, Osceda yyt 8/21 /01 715-248-7767 Property Owner VitbDr ~ Paroel ID # x-1035-95-000, If3# 12.28.16.183 Page 2 of 4 Boring # ~~ / PR Ground Surface elev. 94.85 ft. Depth to Itrniting factor 38" in. Sal Appi~ation Rate Horizon Oepth Dominant Color Redox Description Texture Structure Carsistence Boundary Raris 'Eff#1 *Eff#2 1 0-14 10yr4/2 none sl 2fsbk ds as 2fm 0.5 0.9 2 14-27 10yr5/3 none gr. Is Osg dl gw 2im 0.7 1.2 3 27-38 10yr4/fi none gr. !s Osg dl cw 1 f 0.7 1.2 4 38-59 7.5yr4/fi f2f 7.5yr5/8 slis/si Om dh - - 0.3 0.5 H#4 consists of stratified layers of Osg s,1 msbk Is 8 Om sl too numerous to differentiate. Redaoc features observed in coarser materials at interface with underlying sl. loading rate adjusted to reflect most restrictive corWitior- found within horizon. / Pit Ground Surface elev. 98.92 ft. Depth to limiting factor 30" in. ~ gppticebon Rate ~~ # ~~ Horizon Depth Dominant Color Redox [Jescr~tion Texture Structure Caraisterrcx Boundary Roots 'Eff#'I •Eff#2 1 0-10 10yr4/2 none si 2fsbk ds as 2fm 0.5 0.9 2 10-19 10yr5i3 none gr.ls Osg dl gw 2fm 0.7 1.2 3 19-30 10yr4/6 none gr.ls Osg df cw 1f 0.7 1,2 4 30-55 7.5yr4/6 f2f 7.5yr5/8 sJ~/sl Om dh - - 0.3 0.5 Ft#4 consists of strattfed layers d Osg s,lmsbk Is & Om sl too numerous to differentiate. Redaoc. features observed in coarser materiels at irrterface with underlying sl. Loading rate adjusted to rafiect rr~st restrk~ive condfion found within horizon. Boring 5 ~~ # / Pit Ground Surface elev. 102.88 ft. Depth to limiting factor 30" in. ~ p Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Carsistence Boundary Roots *Efi#1 `Eff#2 1 0-9 10yr4/2 none sl 2fsbk ds as 2fm 0.5 0.9 2 9-17 10yr5l3 none Ifs 1 msbk ds cs 2fm 0.7 1.2 3 17-30 10yr4/fi none ifs 1 msbk ds cw 1 f 0.7 1.2 4 30-82 7.5yr4/fi f2f 7.5yr5/8 s/Is/sl Om dh - - 0.3 0.5 H#4 consists of stratified layers of Osg s,1 msbk is 8~ Om sl too numerous to differentiate. Redox. features observed in coarser mater~ls at interface with underlying sl. Loading rate adjusted to reflect most restrictive condition found within horizon. • Effluent #1 = BOD ~ 30 < 22q mglL and TSS >30 < 150 mglL ' Effhrerd #2 = BADS < 30 mglL and TSS <,,~0 mjyL Tt~ Dnpartrment of Conuneroe is an equal opportunity servxe pq+ovider and empbyer. If you need assistance to access services or need. material in an alterra~ format.. vlease cxxttact ttre . s~_608 266 31.5:1 or't"F~ 608-264-f377T. Propertyt3wner 1/~bctr ~ -. __-- _-_.-- ParCeI1D# .008-1035-95-000, ID#12.28.16.I83 Page __3.... of. 4_- v ~k~ ~- / Pit Ground Surface elev. 100.43 _ ft. De~h to limiting factor 11" in. Soil AppNcatiai Rate a ~~# ~~ Horizon De th Dominant Cda Redox Description Textwe SUudure Consistence Boundary Roots p "Eff#1 'Eff#2 1 0-9 10yr4/2 none sil 2fsbk ds as 2fm 0.5 0.8 2 9-11 10yr4/6 none sil 1thinpi ds is 2fm 0.2 0.3 3 11-26 10yr4l8 mt2dlp 6/2~ sil imsbk ds cw 1f 0.2 0.3 4 26-38 7.5yr4/4 mlpSyr4/4 & t2d1 ~ scl Om dvh aw - 0.0 0.0 5 38-50 10yr4/4 m2d7.5yr5/8 si Om dh - - 0.3 0.5 7 ~~ # / Pit Ground Surfaceelev. -104.36 ft. Depth to thniting factor 18" in. Sod Application Rate ~~ Horizon Depth Domin~t Cda Redox Descriptior- Texture Stnrcture Consistence Boundary Rods `Eff#1 *Eff#2 1 0-9 10yr4/2 none sil 2fsbk ds as 2fm 0.5 0.8 2 9-18 10yr4/6 none si! lfsbk ds cs 2fm 0.2 0.3 3 18-30 10yr4/8 m1p7.5yr5/8 sil lmsbk ds cw 1f 0.2 0.3 4 30-49 7.5 r4/4 y m 1 psyr4/4 & Qd10 r6/2 scl Om dvh aw - 0.0 0.0 Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate ~~ # ~~ Horizon Depth Dominant Cda Redox Description Texture SWcture Consistence Boundary Rods 'Eff#'1 'EtyAf2 ' Effluent #1 =130D 6> 30 < 220 mglL and TSS >30 < 150 rrglL ' Effluent #2 = BODb <_30 rrlgll. and 7SS <~0 rnglL The Department of Commerce is an equal opportunity service provider and empbyer. ff you need assistance to access services or need material in ~ alternate format, please contact the depanme-rt at 608-266-31 i 1 or TTY 60&264-5?77. uo ~' ~' /~t~--~ F335'- ^ Sa%~ Eda /ua~'on ~'E ~dF'F,~,'sF~ny ~ncc%ne ~ tee. ~ ~o a n o Ya ~ Cba*: . o offi"r I E/e~ - ~oo• ~. /7.2'* o~ 2 ys,. ~ 82 Q, c~ ' 5 c~^ iuo o ' ~~ b , ~~ r I~5 ^ ^ L CS ~O 'o ~E ~(v ^ ~ ^ e~ r/tc~o~ Lee ~~oN~i~ j Sw5E~ S./2, 7n. of'EQaGo~~ei • C~Oi,r Co.~ W/, ~~; 8 f~S't S/0~.4de . ~~. yaf Parcel #: 008-1035-95-050 Alt. Parcel #: 12.28.16.183A 008 -TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address' Owner(s)' O =Current Owner, C =Current Co-Owner O -LEE, VICTOR O & ELIZABETH VICTOR O & ELIZABETH LEE 2684 PECAN LA WOODVILLE WI 54028 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 12 T28N R16W 40A SW SE (SUB TO FLP Block/Condo Bldg: 830/250) FKA 008-1035-95 (183) NKA 008-1035-95-050 (183A) W OF THE TOWN RD Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) ADDED TO PARC 008-1035-70-050 (180A) 12-28N-16W SW SE Notes: Parcel History: Date Doc # Vol/Page Type ~nn7 c11MnAeQV Bill #: Fair Market Value: Assessed with: 0 008-1035-70-050 Valuations: Last Changed: 01/04/2002 Description Class Acres Land Improve Total State Reason Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: 03/28/2007 05:14 PM PAGE 1 OF 1 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00