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008-1041-95-000
Wisconsin Dep~rtmentofCommerce PRIVATE SEWAGE SYSTEM Safety and Building Division, ~ ' , ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Rens, Tim & Re ina Eau Galle Townshi CST BM Elev: Insp. B>M Elev: BM Description: `~ ~ C~~ Q /~C~ V " ` TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~'~ fLS-c1-- 3~: I Z.cX~ Dosing ~i~ ~~c~., Z.w1-..~5~- /~- I~ ~ Holding _ TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~~ ' ~ ~ ) ~ ~ , ~ , Dosing ,~ ,~U, „ I /~ V7" / ~ Z/ Z ~ ~ Aeration l v Holding __-- PUMP/SIPHON INFORMATION ~ i"~ ~~~yll i vn ui ~ ~, ^ n wuvi' • I ~ .~ya~cn i ncau ~ vi i~~ • ~"~ Forcemain Ltength ~ Dia. i~ Dist. to Well ~ ~a Z ~~. SOIL ABSORPTION SYSTEM county: St. Croix Sanitary Permit No: 463204 0 State Plan ID No: Parcel Tax No: 008-1041-95-000 Sectionlrown/Range/Map No: 14.28.16.2146 ELEVATION DATA STATION BS HI FS ELEV. Benchmark ~, /a3. `~ Alt. BM Jv~ 5~• Ga ~- .~` ~.L ~ ,, 17 Bldg. Sewer /~ ,~~ ~Z ~~ SUHt Inlet 1~,~ q~ r8 SUHt Outlet Dt Inlet Dt Bottom IS.oS ~~.3 Header/Man. ` ~ ~ ~ , a Dist. Pipe ~ 3 ~, lS7 Bot. System SesL ~ ~~ ~a Final Grade ,~ `` JJ ~~•'i" St Cover ~ ~ Z ,;~ ~ t//8 ~• Z ~7~Z- BED/TRENCH Width ~ Length i ' No. Of Trenches PIT DIMENSIONS No. Of\Pits Insi a Dia. Liquid D\h DIMENSIONS 3 ~ '~ ~~~,.t~ a SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: _r r , ~ INFORMATION CHAMBER OR '~ f~ ~ /~ d' ~ ~-. Type Of System: t , / ~ a A l ~ UNIT Model Number: /~ + ~ cr d a ~~ w ~ ~~ ~ ~ J DISTRIBUTION SYSTEM ~ ~,' Header/MaQnifold /~ Length t~ / Dia_ Distribution Length Dia ~ Spacing ~ x Hole Size ~, x Hole pacing Ven/t to Air Intake/ y e ~..,~ L d,,~ 'S/.~ Z 1 inn !~ -7 y- fl ; l~ E+'...n.` `Jts Td-~ ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems OnIV ~ ~ cl/ v Depth Over / Depth Over xx Depth of xx Seeded/Sodded xx Mulc ed Bed/Trench Center Z ~ ' Bedffrench Edges ~ Topsoil \ < Yes ~ No "Yes [] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: I / Location: 2556 Cty. Rd. N Woodville, W/I 54028 (NW 1/4 SE 1/4 14 T28N R16W mete & bounds Lot 1.) Alt BM Description = ~` CaJ~`~uw~~ C~q~ ~~ t{--' ~a~5 ~ /~- 2.) Bldg sewer length = 13'' 4 ~ ~ . -amount of cover = 3.5 1 Plan revision Required? [] Yes No Use other side for additional information. Date SBD-6710 (R.3/97) Inspection #2: / / Parcel No: 14.28.16.2146 ~.. Cert. No. ' ' ' Safety and Buildings Division County Z ~ ~~~ _ ~ 201 •VJ. Washington Ave., P.O. Box 7162 ~~~ / o / ~ ISCV~~I ~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) a Department of Commerce (~8) 266-3151 Sanitary Per ppliea pc~+ f^a In accord with Contm 83.21, Wis. A ItGLE~VELS personal infor tian you provtde late Plan I.D. dumber ~~ may be used for secondary purpos Gaw, s15 l1<i(1)!m) roject Address (if ditferent than mailing addre s) I. Apphcatton Information -Please Print Alt Infor• i ~ ~ C, ~~ C ~~ ~ ~ NTY` __ _ _ __ ~ Property Owner's Na me `~ ZONING OFFICE ~ Black f{ reel ;f Lot it Property Owner's M ailing Address ,O / Property Location ~/~, `~ ~ 7 \ Sec on '7 '/o ~R ~'~ . -~ __ r~r~ ~ • ~-- City, 5rate ~ Zip Code '- Phone Number Sl ~ ~ ~ ' (circle once~G'~ •~ l H.~~`,.(1 zi'OO:z°- . o o ? ~- 'r ~ N; R~E o~ II. T of I3uiltiin a ype g (check ail that apply) ~ ~~ - 3 ~ lli b f B ~ D -N d 1 2 F il Subdivision Name 'M Number _ er o rooms we um e or am y ng ___~ ~, ., ~ ^ Public/Commercial -Describe U s e ~ ---- _ ~ 1 ~f~Sf --~7-~ ~ ~ aka ~"`c~ 3 ^ State Owned - Describe Use --` ~~=~-`'`ti~i .__~ 1 ^City ^'Vil!age~Township of ~ j~l - +~~~G~~ -- ---I III. - Type of Permit: (Check only one box on line A. Complete line B if applicable) _ _~~ `~' ew S s ^ Replacement System U Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System T~ 13. ^ PermitRenewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date lssued i Before Expiration Plumber Owner _..~_ ~~ - ----- lV. WTS System: {Check alt that ap T e of PO ply) _ _ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable sal ^ At-Grade ^ Single Pass Sand Filter Constructed Welland ^ Pressurized In-Ground ~ Holding Tank l-i Peat Filter LJ Aerobic Treatment Unit LJ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter e r ^ Dri ine ^ Gravel-less Pipe they (ex ' V. Dis rsallTreatment Area Information: llesign Fiow (gpd) Design Soil Application (gpdst} Dispersal Ar a Required (sf) Dispersa (sf) Sys ~ eva~ ~'`1 / ~ ~~ ~o~ ~ 3 LAS ! Ca acit in Total Number Manufacturer ~ Prefab Site Steel !Fiber i P1SStiC VL Tank Info P y i Gallons ~ Gallons of Units Concrete Constructed I Glass i New Existing ~ Tanks Tanks Septic or Holding Tank ~~©~ ~ L? ~G. Aerobic Treatment unit ~ l ~ ~ /~ Losing Chamber i ~~L 1 ~ `. s'~ p~ __.___ _ _ Responsibility Statement- I, the undersigned, assume responsibility for ' allation of the POWTS shown on the attached plans. _~y VII N . umber f P PRS Number I Business Phone Plumber's Na me (Print) Plumber's Si gnature 11 _ l a~~~y94 _, ~~s^3~~-3~~1 J l( n 1 , . ,~c 1 Plumber's Addre ss (Street, City, Stott:, Zig Code} I VIII. oemt !De artment Use Onl Sanitary Permit Fee {includes Gruurxiwater Da Issu ssuin Agt: Sig (No Stamps) Approved ^ Disapproved Surcharge Feel ~a ~, r~ ~ ~ l ~~ (~ iiu~~ ~ ^ Owner Givet: Reason for Denial IX. Conditions of Approval/Reasons for Disapproval 3 ~~~~~ ~,~,:, ~~ ~~G~ Uyt l / f ~ 3f D ~ l ~'+ TEM OWNER: ~ U~vvt G~P~GI S~'.,.~p'yt ~~c¢.2G~n~ ~~ ~,~ 1 ep lc ank, effluent filter and YYl ~G>;G n'I ~2 d t maintai ~f/ ; be .. dispersal cell must all be servi d as per management Ian rout 30 ~, G~~ad.~. ~ si ~~' ~~~n ~S~v~a'y/ate 2. All setback re uirements must be ntait 'ained l S~ 'D~C9vrr'~w~ 6 6 b~f ~-Y~ l `~ ~ 1Tz e < w ~F ~ r'e O ,~ as per applicable co a or In only) rowsystem on paper not ~.- -~ - „ ~ I1t-- ~~I s ~tS.c~' XI'~~.,!l%- /~'/yU olP? ~v3CJ 'v/ °` ~/C'/ ~, t ®~ ~m 1 ~GGz ~ -fi / r % 1!Q r ;~~'~ il~r.l,'.~,,+~,~ ~ job ~ 3~' (~ c ~~ fi ~ n' ~~ ~ ~ ~ ~i -~ ~ ~ ~ d ~~ 0 ,~ f; G t ~ ~©~y 8~(,JS~~ ~3 ~ ~ ,~~z~,~,~~- ,,~' 161 .~ 1~ ~~ ~~ ~~~ S , ~/~~~~ .~'' as ~~' ti 4' ° ~I ' ~^~ ~ ~. ~~~ d'~ ~~~NL _CXPC 1?" M,TN, ABJVi G:iAA~ ~ ~ ~$' *'ROM nC?UR ~ Wi~rDOW OR f RES~i AIR zNTAKE I"INSSh1ED GRAI;E ...,.. ~-'" C Z' RISER ---.~.~ ..j i f! ~ + A pp , ~ W'A a wl~ ~ ` ~ Tl~dfi SEAL5 ~ ' ~PPROVE~A ~r~h~ (~~ } ~~Y ~4~~ j SOIL '~ +~ A ""~ ~ s "~,"" PUMP 0*F I;LEv . ~~iT . ~ i C '.~"" ~~D +~EAT~!ERpR00~ JL'NCyyp±r $vX '-~I:H CONDUIT ~, .~ ~' t ~' i t GA5- ~ ' ' T1G~iT ~ `s SEAL ' Ft ~4P2IC r DC1SE ~`ANK MANrJi"ACTJRER: ~1vK Si~ES; SEt"'YC DOSE ~" APPRwVED $EDD:NG U~tiDER TA~~~K SPECIFICAT+NS ~~~,.~.~. SAL . ....t~,~~. GP.~. . 3LAR.~ MAh1i3FACT~fRwg; SWITCH TYPE: ~~~ ', MANLrfACT'VRER ; NUMBER . ~~~~~ ,~.r' SwiTCK Typg; ..... 'y~~ iREA D -5CHARG£ RAT n ~ .~ P: a, AF~'RO`!ED 'sANNOiE LO'J ER w d PA,~ ~.oe x ~ wARxz~~ ~.AB~e~ ~ ~~ an ,;~ °~ ~PROVE~ y oON;RWTE PA3 ALM , i sOINTS ~f:TM P Y fl ~C~E 0N f ~ ~ ~ ~ ~ SOLID, SAIL ~Fi ;~ ~aa RZS£R EXIT ' IFRI~I T TE7 C~1LX ~ TAhK ~ !'lANUFAC?'JRER ~ }' HA 5 A PPR dt'A ~ Z.ni?~3SR ~©MES PER DAY: ,....~..-,.~._. DOS4 V C:.U:~E Z i~C w'JDIMG 1"LOS~$ACK: d-......,.9 ..~... GAS, . CAi~q~i«IES: A : ~~ I„~;CHgg ~ ~~CfG. ~~AL. 9 ~ ,...,? INCHES ~ `GAL. C a INCrIE$ = r~ GAS. p4+~3P E A;,,AicM k TRI NG ~-S rER I LHt~ 2$. Z3' +~'A~ ERT;,o,A~, 'JiFFi.R?~~11LE BE». MINIMUM NETWORK SUPP v Gi ~' AND ^ISTP.I 6U i I ON Fi PE l«? ~, FEET FORCIN xR ~ ~~ I'Tl100 ~iT, ~ ~ *~.; ~ iEET Ste- boa FR. ,. Z. ON Fqr ~~ FEET TOTAL D~'~,'AM2C MEAD ~ s ~ ~rI:T . ~'~"'ERNAi; DIM£:~'~:045 s.F rt~I~ .' TA~~r'~': ~ FEM: ~~ ~tiED: ~~ 5ti ~ti I • M ~ (~ GOULDS PUMPS Submersible Effluent Pump ~~ 3Q~1 EP04 o . EP05 APPLICATIONS Spedfically designed for the following uses: • Effluent systems • Homes • Farms * Neavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: '!+" maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge sue: 1'/~" NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fastener: 300 series stainless steel. • Capabie of running dry without damage to components. • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- maticmodels include Mechanical Float Switch assembled and preset at the fattary. FEATURES ^ EP04 Impeder: Thermoplas- tic Semi-open design with pump out vanes for mechanical sea! protection. ^ EP05 lrnpeller: Therrnoplas- tic enclosed design for improved performance. t Casing and Base: Rugged themnoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplastic caver with integral handle and fioat switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING ~' Canadian standards Aaodation (CSA listed model numbers end in "F" or "C"J Goulds Pumps is ISO 9001 Registered. Motor: •EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, bath in overload with automatic reset. • EP05 Singie phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automata reset. • Power cord: l0 foot standard Length, 16.13 S1T~W with three prong grounding plug. Optional 20 foot length, 16/3 S1Tt+V with three prong grounding plug (standard on EP05). 0 2 4 6 8 10 12 m'/h CAPACITY Goulds Pumps ®2000 Goulds Pumps Effective February, 2000 83871 ITT Industries r ui~k4~ STANDARD CHAMBER 4uick4 Standard Chamber SIDE VIEW FRONT VIEW MuttiPort End Cap _. I',~ ~ ~_.__~ - i ' _~ SIDE VIEW 2 s a v ',~, t4ulsk4~5tacda'rd C ambe Noiminal`Speclfications "~'~~~,} Site(WxLxH) ,, '34"x52"x12" - Effeciive Length' 48^ Invert Height g^ INFILTRATOR SYS~T ZINC STANDARD LIMITED WARRANTY TOP VIEW Slze(WxLxHj' `' 34'x16"x12" Invert Height 8" or 1.25" (al Tt+e structural inteynly ul ga~-.n ~;h,y»bar, enc plats. wacige and Gtltgr aa~ 5sory m7ltulaclurer.', by InldnalrN !: "Unnts"j, what installer; ar:d opera;H1 m a Isactdak: bt an ensile sap+ir. system in accordance with !rrthator inslmC ohs. ~ wurrarned t> Ih i. qu,al P rd-raser ("Ht'dc '1 ayamsl deferiNe materials and workmarrsii(~, Inr rvto year hen tna dale etas tlta sepl~ {wrnrt s issued Tor g,e sepl c ,,y ,xr c:r laen.rg Ina Ur i.s; pnw,rWd. rxavever. Thal it 3 septic parmll i5 rx+! r9yUlfed 5y applicatrla dW, the Wanamy I,ar~od Vrll :ky~n upon rfq dale Illai Inalalldlion df Ihb 9gj~lG 5y<'em ('grclmeflba$. To exercise its wanarny rights, Holder must rwi;fy hahratctr in writirv;(a s; unrporale tiearkluano s 11 Old 6aybraoN, Cortrtact cut w,lign FIIrnNrt (15l days ca tits e?iegeNt n. o(acl. !rdit!reirrr will supply rapiacgmerd Ur1M1S ka U. -as ae;IHnlirtsb try Inlilti eta to bs o-aV2red rN rtes tirnikv} Wyrunl y In4tlratyS lability specrK,yyy axdudes Iha oast of mmUVal andrs~ mstailoliwt of the unrca- Ibl THE UHaTf.D WAgf?ANT\' AND gEMEpIES iN SUE3PAgA(igAp(~ ktl Aqf ~X(Atl'.:IVF.. tit N. %~tE AHL ni{i J1 HER WARFAfJT1Ev WI'rhl HESPEGT iCi I HF. I~JITu, !NCLI tDING NO !M?LIED WPRRANTIES (S fNERCNAN7AUILITY OR r~ [N _~S FUR A fAHTICULAR PUHPG\St. j.) -t -g Umitetl Warranty stroll cxa vuKl if arty pan of ti.a ehamlt¢r sygte n ` ,lan,;ta(burxl by uty- np Weer 1h~m eUaralor. Tiro Lmitgd Warmr!ty dogs roi ektand to incidrnlal, consgryugntral, spectia a erdirt*a damages. nllt ator shall rxN b i I able kx pE tal9pg a IiyulUatetl aarnayes, mcludirlg losg of ;rtoduc;tion and profits, poor and materials, overhoaa aura, a other losses ar :.t:ponses incuned by the Hoder Dr arty Third party Spoci&cally gvch~ded 6om Lanited Wananry coverage are damage to the Urns due to rtr(Grtary wear ahd tear, aReraten, ac+:irisrd, misuse, abuse or neglect of 1rre Units. the Unite being subjecteA to vehicle Iralfic pr othea ooettlNiorts which are not pgrrr,UtrvY by tlt0 ;nsta!latibn instructions: lailure 1G InaNain Ihs mimm~rm ground covers set lorth h the installation instructions; IM placem~x of improper ralanals into the system crxtlairnng IM Units; !~Iure d fire Unng Or the 5eptiC ay51Em due 10 Inlprbper Sling br implUper si2hg, ezc9SSI4e tVatP.r l ISat}a, tmpiapar {j'aae9 dlgltpaal, q Imptbpgr Operalgrt; IX any bN:ar event nDt caused by InGP1ra(or. This Limitetl Warranty shall be vdd rt tits Holder bds to comply wllh all M the tarns sat lcdh 1n th:s limrte>ai Warranty. EuriF,ar, dt no eualtl shah Inllilrala bs resrwnsible is arty bss or damage to IYi. Holdsr, the Units, nr any mire party resultag Irxn instatlFNron or ship. meni, or hom any product iiabilly c a ms of Holder or any third pony. For Ihig Lrniiiad',Nauanry to apply, Iha Units rrurst Dg Installed it accadan;e w%h all site GonUdlons regtrirad by s!als and ltreal COda6: all other applicaNe laws, arul InGlrra;cu v uts{a1laUOn C15truClroM_ tdl trn rWraser'R.allVe pi Inralralor 1~ Iha aulhxiry to cnanyY. pr Dotard !his Li,nrod W'arutty ho warranty app~es to arty parry pater than Ilre oriyr- rval Folder The aECVa rapresatts the S4utdara t.imitarl Warranty oaaeo by infiltrator q iirnitad r.,rtrber of stelae at:<I cbimlies Mva dllerrenl warrally regwre- mntts, Pory ptrChasor ul thit5 ShliuM GOnfaLt UrlltraWr'6::Urpbralg tigadrtuarterx ut C>1d Saybrook, ConrwcGrut. prgr tb such purchase, b oWam a c-spy nt the appkcatYe warranty, and shwld care>tlNy read that wananty prior to tfta Wrchaso al Unjs. i • a O SYSTEMS I NC EgvilOrllJietrt8! OASrf@ UWdSiCWBtLY SOlUtf0f7S~ 6 Business Park Load • P.O. Box 768 41d Saybrook, CT 06475 860-577-7000•FAX 86fl-577-7001 B00-221-4436 v.v. rwunra. v,roa.oot; a,l/I r,lwl; a,iDb,4tl21; b.:73D,U11; 5,4UI,llb; b,4U1,41y; S,b11,yU3; 5,7t6,t63; 5,588,778; 5,839,8A4 Canadian Paienls: 7,3c^9,959; 2,OOA,564 Other patents pendir?g. In'iltrator, Equalizer and SideVJinder are registered trademarks of Irilithatur Syster-rs inc. Intifcratar is a registered hadernant in Frarx',e. intiliralor Systems Inc. SECT{ON VIEW Computer #: 008-1041-95--000 Parcel #: 14.28.16.2146 Municipality: Eau Galle Township Address: 2556 Cty. Rd. N Woodville, WI 54028 11/03/2004 Rens, Tim & Regina Pam Quinn new sanitary application had soil report that did not have replacement area and the soil appeared out of character from the mounds and holding tank (replacement across the street at 2559) required by nearby properties. Am concerned that this SW corner of this parcel had been filled - appears to be gravel and sands mixed with silt and sandy loams, but not a natural deposition. Found a broken bottle neck mixed in with the soil at approx. 18" below grade near one of the borings. Will require additional soil testing before we issue a sanitary permit. 11!15!2004 Rens, Tim & Regina Pam Quinn 11/13/04 -soil on-site completed to add a boring and extend tested area to provide for future replacement system. Soils OK to 82" deep, where mottled clay loam encountered. Gravelly sandy loam and silt loam inclusions were observed, but did not make up a significant portion of soil profile. These inclusions were discontinuous and were observed below the proposed 30" deep system elevation. _ _ 11/1412004 08;57 FA% 715 2a3 0998 CertiYied Soil Testins -~ St Croix rid~1~t19~iCr+~~ t wiaconsin oepartmefti of Cornmerce SOIL EVALUATION REPORT n:..:..:......r c<,cefi. ~.,.~ Ruildinns '- ----~---- ._.a~ rte..- ac w:. ndrn Cede ~ 002 2051 Page 1 of 3 Certified Soil Testing gtiech aumplete sds plan on paper r,pt less ll-an eY. x 11 Mrches In sae. plan must St. CroiX _ _ but not limited to; vexlical and horFtontel referMrce point (BM), direclbn and include parcel I D. , peroent slope, sane or dirnemslons, rglth arrow, and lopatbn and dlstarrrx'' to nearest mad. . 0 ,1041-95-000 _ Please print all iniomra>ifon. ~~,f la{e Rev I~erwnat Inlonnation you pi+ovlae may ha ueee for aacadery Pr+D~ Ir kaN, s. f5,o4 (1i (m)). l ° ,~ Property Owner Property Location lot NW 1/4 SE 1 T 28 N R lb ~N Dow R®nz, Tim Property Owner's rAailing Addrer$ . Lot # Block # SrJbd. Na ortCSMiI „ b ~`~t Q~ 17ti1 Rotterdam - •- - City _. State Zip Code Phone Number iii". City ~» , Village ~ Town Nee st Road Baldwin ~ WI 54002 715.884.5668 Eau Galle CTNW N 'tti New Construction U~~ ~ Residential / NUmtrer of bedrooms ~_ ~a derived design flow rate 450 GPD Replacement ice, Public or comrnerclal -Describe: parent material outwash from till Flood plain elevation, if applicable NA Gener-dl cornet®nts end recommendations: Install "conventional" irt-ground trench system ~ system elevation of 97.5 w/ 0.7 gpd/sq ft leading .~~--' ~' ~~ a ^ Boring M .~ Boring Pit C3round Surfam elev. 100.0 R. Depth to limiting factor ~ 74 in. Soa Application Rate Horizon Depth Dominant Cobr Redox piton Textuns Sbueture Corl9btence Boundary Roots G ' In. Murwell Qu. Sz Conk Cdor Gr. Sz. Sh. 1 0-8 7.5YR 3/3 - 2 m gr mvfr cs 1f/m .6 1,0 2 874 7,5YR ais - s 0 sg~ ml - 1f .7 1.6 orrzon has oc~sron gr v. occasional small rnGusrons R 4!6 scl (1-2" in diameter) ~~' Boring 2 Boring # Pi t Huriton Depth Dominant Cobr H. Mansell 1 0-3 '~.SYR 3/3 2 3-8 7.5YR 3/3 3 8-29 10YR 4/4 4 29-74 7.5YR 4/6 Ground Surface elev. 100.0 ft. Depth to limklny factor y 74 ---in• 5oil Application Rata Redox Description Texture 51mch+rv Consistence Boundary Roots Olft' 0u, Sz, Gont, Dolor Gr. 5z. Sh. E~1 -"E~#2 - sl Z m gr mvfr ge 1 f/m .6 1.0 - sl 2 f sbk mvfr cs 1 m .6 1.0 - Is 0 sg ml ~ 1 m •7 1 •g - s 0 sg ml - - .7 1.6 ` .,rte , Q ~~ ._. `Effluent fit = BODs> 30 _< 220 mgfL and TSS 0 ~ 1 SO mg/L ' Effluent #2 ~ BOD < 30 mgrl and TSS < 30 mgr CST Name (Please Print) Sig t e: CST Number Henry F. Grote 222774.., Address CtRifled Soil Testing Date Evaluation Conducted Telepnona Number .~~~ ~~~..r ~.._ .ae......,.,.,~ un ea~a~ 4/3/2004 715-233-0399 11/14/2004 08:58 FAX 715 233 0998 CertiYied Soil Testing ~ St Croix ' Property Owner ~~Z. Tim Parcel ID # 008-1041-95-000 , ".( Boring '~ Boring # ~ Pit 100,0 R, Depth to ilmiking factor > 74 in. Ground Surface el®v, Horizon Oapth in. Danlnanl Color Munsell 1 0-4 7.5YR 3/3 2 410 7.5YR 3/3 3 10-16 10YR 414 4 16-7a 7.5YR 4/6 f~j o09 Page _ 2 of 3 Sol Appltaation Rafe dary Roots •E1f1! s 1 f/m .6 s 1 m .6 s 1m Baar c .7 range horizon 4 has occasional gr & cob and thin, irregular, dlscontinuoua 10YR 4/d sl band -n is-co ~ Boring / ~ 4 Boring iM ~ Pit ... R. urfdee elev. ~- C7f'ou Depth to li miting factor 82 _ i n, Horizon Depth Dominant Cdor Redax Description Tattrae 8tludure Consiatanq t3oundary In, Murrell Ou, Sz, Cont. Color Gr. SL 3h. 1 0-6 7,5YR 3/2 _ sil 2 f sbk mvfr cs 2 6-15 10YR 3/3 - sll 2 m sbk mvfr gs 3 15-82 10YR 4/4 ~U ~ s o 0 sg ml as 4 82.gq 2,5Y 4/4 C1d 7.5YR 4/6 ra 0 m mfr - ,. _ n „ /~ n isolated I"_""I aryl C..nn'. Redox Deaaiplion Qu. Sz. CoM. Color Te~dura re Gr. Sz, Sh. onablenw sl 2 m gr mvfr 9 _ sl 2 f sbk mvfr Is 0 sg ml ~ _ s 0 sg ml ~/ I G./J J~ .~ cy(iT ~ r small, «" diame r, in fiorizon 3; this pk a ~r i ~ 1f/m ,6 1f .6 1m .7 - 0 _ /1, .. , ._.. 1.0 1.0 1.6 1.6 ,8 ,B 1.6 0 examined by Pdm Quinn on-site Effluent ~t = BODS> 30 < 220 mg/L end T55 >30 < 150 mglL • Effluent #2 r GODS < 30 mg/l and TSS < 30 mglL 'fhc Ueprlrtment of Commerce is an tqual oppoRunily service provider and employer. if you need aosistance to (tccess scrviccs or need muttrial In an sltemate format, ples.~e contact the department ai 6013-26G-3151 or TTY 608-264-8777, CMtlll~d SoH TeuLg SHO-Y710 (A07lW) 11/14/2004 08:58 FA% 715 233 0398 ti flA Q" d ~' J ~ ! ~ ~ Z, a J 3 s. ~4 s d a ~I ..r f a 0 9 ~~ i a ~J Certified Soil Testin6 -~ St Croix f~joo4 ~ ~ ~ • /' ~ ~ ~ ~ ~ r ~+ ~ ~jY] ' 0 ~/~ 9 -}' ~ y ~ - J p r"'~ _Q o ~ ~ ~- '.~ ~ ~_ J ~ ~~ d a ~~ ,~ ~' d .mss ~ ~ S j .~ ~ ~ J i~i,_,y ~-~Y ~ °~ o ~ `sue 3 x .~ ~ ,, o, • F~ ~; ~ 0 0 ~ o .a- ! ~-r ~~ ~ c ~~ ~ r ~. ~ o m `i' E-- t=r' ' ~ ~ ~ ~ -'- ~ y ~ ~ ~~ J n a s~ < .. ~ ~ <. o ~° ~, - < j ~ ~, J J _ ~ ~ Y ~ ~') O r" ~ ~~ ~ 3 1 ~3 r it 1 S V ~' a .a-~ ~ ~ 3~ ~ , i Y~ ~ ~ s ~ c ~ ~3 d t 4 "~ r~~~~~~~ Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in arcnrdance with Cnmm A5 Wis Adm Code 2051 Page 1 of 3 Certified Soil Testing County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to. vertical and~,horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. 8-1041-95-000 Please print all information. Revi ed B Date Personal information you pr a used for secondary purposes (Privacy Law, s. i5.04 (1) (m)). GG,(~yvr1,` I ~ 2, Property Owner Property Location Rens, Tim ~ Govt. Lot NW 1/4 SE 1/4 4 T 28 N R 16 W Property Owner's Mailing Ad 1761 Rotterdam r r ~~N ~ ! 2004 - Lot # ~ Block # Subd. Name - r CSM# City -- fate ~~ ~Pho~~~yrltber - - ~ City -- ;Village ~; Town Nearest Road Baldwin ~ I ~ 54cDa8~lG O~IR~84-56 8 Eau Galle CTHW N / New Construction Use: y Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD _._; Repla~men fi H' Publi~r cor~tme~~ D~sgab~ Q_ ~ _ __-_ ~~ ri o ash fr m till P r t t ~ a en ma e _ _ Flood plain elevation, if applicable NA - - t-/~/{ ---- - --.------- General comments ~-S~ 3/ ~~`"tQf/!'n {'-l a i/Y(d 1~~/Y~IL-~ aund(recommendations' instal "conventional" in-ground trench system @ system elevation of 97.5 w/ 0.7 g pd~/sq ft loading " f v~ Qom- ~l'l/ ~ ~d,c,t' ^ Boring # .; Boring ' P ~ 74 / it Ground Surface elev. 100.0 ft. Depth to limiting factor - in. Soil Application Rate Horizon Depth I Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO#t= in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ; 'Eff#1 'Eff#2 1 0-8 ' 7.5YR 3/3 ~ - st 2 m gr mvfr cs 1f/m .6 1.0 2 -74 7.5YR 4/6 ~ - s I 0 sg ~ ml ! 1f i .7 1 1.6 1 __ 1 ~ -- , -~ , ' - i '~ ~ - - - -- -~---1 I i ~, - ---- _ - horizon 2 has occasional f gr ~ v. o ccasional small inclusions 1 0YR 4!6 scl (1-2" in diam eter) Boring # _. Boring / Pit Ground Surface elev. 100.0 ft. Depth to limiting factor ~ 74 in . Soil Application Rate Herizen Dep!h Dominant Color Redox DescrpEen ~ Texture Structure Consistence Boundary Roots ! G PDIft' in. Munsell I Qu. Sz. Cont. Color Gr. Sz. Sh. ' i 'Eff#1 'Eff#2 1 0 3 ' 7.5YR 3/3 ; - sl 2 m gr mvfr gs ~ 1f/m i .6 1.0 - ~ 2 3 8 7.5YR 3/3 sl 2 f sbk ~ ---- cs i 1 m ~ .6 ', 1.0 3 8 29 ~ 10YR 4/4 - Is 0 sg ml cs ~ 1m G .7 1.6 --- --- --- ~ - -- 4 29 74 7.5YR 4/6 s ~ ~ Sg + ml - ~ 7 1.6 __ - - r __ - -- -- -- , -- -- - --- --I - - ' - -~- .__. it l - _ _ '' _~. ii trrwent rt-i = rsws> su < <zu mgyL ono 155 >30 < 150 g/L * Efflue # = BOD < 30 mg/L and TSS _< 30 mgC. CST Name (Please Print) Signature CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E 4366 353rd Ave., Menomonie, WI 54751 4/3/2004 715-233-0398 1'... ,. J Property Owner Rens, Tim ___ __ Parcel ID # 008-1041-95-000' Page 2 s of 3 a Boring # _.. Boring 100 0 Depth to lim ft iting factor > 74 i J Pit . Ground Surface elev. . - n. Soil Application Rate Horizon ! Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell ' Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 1 0-4 7.5YR 3/3 - sl 2 m gr mvfr gs 1f/m .6 1.0 2 4-10 1 7.5YR 3/3 - sl 2 f sbk mvfr cs 1m .6 1,0 _ _ _ . ~ 3 10-16 - 10YR 4/4 _ i-- Is 0 sg ml ~ cs - - 1m .7 1.6 4 16-74 ~ 7.5YR 4/6 - s 0 sg ml ~ - ~ - ~ .7 ~ 1.6 horizon 4 has occasional gr & cob and thin, irregular, discontinuous 10YR 4/6 sl band in 24-26" range ^ Boring # .Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth ~ Dominant Color Redox Description Texture Structure Consistence Boundary , Roots P : in. ' Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. i 'Eff#1 'Eff#2 I i _~ ~_ i I ----- _ -_ _ _ -- -..._ _ - --- ~ - I 1--- - ~I ~ I i (, i I ^ Boring # Boring - 'Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary ~ Roots in. i Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. _ 'Eff#1 'Eff#2 - --_ ~_.__.. _ ---i--- ---_. _ -~-_ _ --- - ~ _ - I -~-_---~-- - ~ ~--1-- I ~ --_...-~- --t -- ~----~-- ~~ -_ __ s_ _ _--- - _ ------- I ! ~ ', i ~ - - i j I ~ , --_.:.. _ . - ~ --- -----~..---- i ~ i i ~- ----- - _ _--- _ ---- --- ,I ~ i +---- i i 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/Land TSS < 30 mg/L "I~hr Chnarunent 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. SBD-83 i0 1 R.07/UU i Certified Soil Testing t ./ `' r ~~ V ` i 3 s Z r~ 3 fl S , rF N ~~ 1' s 4 i~ ..- ~ ~- ~ 1 U q \n 0 ~• ~ ~ ~ ~ ~ ~~ Z ~ ~ ~ 7 .~ ~ ~ ~~ O ~ vu ~ ~ n / ~ ~ J YS ~~ V s n 4 ~ Q ~ ~ fl ~~\ ~ ~, ~- u ~.{j-~ „~ i ,..~ •.. ~~ ~ ~ ~ ~ r~ ~~ °U ~' -%6 ,--~ ~ .,~ ~. 3 ~~ ~. a~ ~s ~ ~ (~ V \ ~. `\ v ~~ ~ O S ~ `' ~ ~ ~ fl 9 oft""".". I C ~ f -~ / ~' '~ ~ ~~- /y a S c i ~~ O i 6` ' ~ ~' o r .. l a , F------. _t---- ~, , ~ m c i ~_. ~ / ~~ ~ f A ~ ~~ ~ - ~~ J i 1 J r ~ l= / ~ ~ ` 9 ~ n ~ f ~ o ~ 1 i r ~ ~ ~ ~ ~ e- ( ~.i, a ~ s s / j ~ -- ~ 1 - ~ J N v ~-- --- J -- ---~ ---- ~ t o ~ ~ .:.1 'O *^1 .0 r I.Z 1 s ~3 J S v /~ s d n~ ~ ~_~ 3 3 70 ~_ ,. ^~ d d ST. CROIX COUNTY WISCONSIN ZONING Ol7'ARTMENT ST. CROIX COUNTY GOVERNMENT' CENTER 'i'f01 Cartnkhael Road Hudson. WI 54016-7Tt0 Phone: (715)38G-4680 Fax (715)38G-4686 F~ 7 ~ s - 7Z ~- ~?s~ Pa~gex 5 ~ ~n~e~ Plwne: ~~ (o ~ c~S ~7 !?ate: / / 6 O ~ Ucgent For Review Please Comment l7 Please Reply ^ Please Reey/de (/ ~ ~~~ ate- /~~~-,2- ~a~ ~ ~~~~un~.S s~rn a~ ~ d G2~ G~~ ~ r ~-~~ rte, /~ ~ ~~~ ~~~-`~ 4~ ~~-~ d`~Y~- V~.~.e, low' ro (~~ --~ a~ --~~~'- q( Cep" ...rr ~~ ~ ~ ~ ~ M 3 N 'V -~~ ~ ~ zs' --A N s ~~ q ~, ~ n ~/1 ~ij a g ~ i ~ s f ~ 3 ~ .,i ZJ ~ `~ ~s.J ~ ~ s ~ ~ a 3 j Q o ~ ~ ~ ~ o ~ ~ ~ ~~~ ;_' ~ M o ~ ~ 3 ~ ~~ ~ ~ ~ ~ a .~ ~ / ~, ~~ ~ v~ t ~ s- a ~° c ~ N ~' ( o r m ~ ~ ~- ~' .~ ~ - M Z ~ { .3r .~ ~ j 3 3 .# _ ~ - ~- ~~ ~ b y ~ f ~ ,,,_,e s^ i ~ ~ __ ~ d 0 ~ (~ ~` s J 9 ~ ~ ~ I t ~ ~ CY ~ 0 ~ e: ~ ~ ~ s ~/ ~ ~ ~ ~ ~ t- o ~ 0~.~ d' , I ' ~ C ~ ~' 3i~ l P~ O - ~ -~ cJ r o ~' s ~~ -- I / ,\\ ~ C mPBrou d .Q ~ ~ I / ~~ ~/~ ~ ~\. 0 \~ l raz L / ~ ~ • - i - o /lea Gavel Pit ~ o __ app I //os ~ ~ ~ ~ ~ ~ `~ 1 L...~~-~ - ~ ~- i l~ l ~ - - ~ I ~ ~ ..~ ~ ~ ~ ~~ ~~ ~ l-~`~ 0 __ ~A - --,~-------~ - ~-------a---- - ~ 0 4 I r~ /~/~ i ~ ~ ~...,o ~ ~ l~ / m l ~-; ~ I ~ °~ ~ II ~ j ~ ~ ~" / . 2 - t- - ~al -- ~I f I---/, ~, ,~~ I ~ .~S,Q~ vei it ~~ ~ ' I I ~~~' I I //~ / / 66 ~ 111 ~ © G Ve It I 11.= _____ ~~~°~ I IIO~..~ ~ ~ I I \ ~~ ~ ~~ f VeN It J ~ t~~~' ~` -~ ...~ ~... // \ ~ ~ 1 I \ /~ j1 I ii ~- I I. 2 I / / 72 • QI/ ' ~~ •..\ n ~I N Z60 ,- II NO O ~-~ -.. .. ... .~~ ... ~,.• ^ ... II I ~ -.~ .. ...1 `\ I / /083 1 I II O. 11 I ~ I 1 ~ II ,2S„C a el P u ~ . ~ LJ '4~ I 1 I u- /236 /783 ~ 1 //73 I/39 ~ t ~Bf Okvill / .^ 1226 1 ~ - I ~~~~ ~~ ~/ I ~ ~ I o 11 I , 1o nh t I ~~~ I /zoo I /l3C / 200 ~' ~ / 1 ~ -- - ^ - - ~~ --- ~ r I LJ p O + ~ i _ i I ~,~ o. I .~ I I --___- // II II Q 5 - ' I '~ ~... - - -- I _- - ~. - _._ - 2 ~ ~ I l 752 ~ /ras ^ •r t -- ~ I - -E--- ~ ~iaWOOa `~ i, y, ~ ~ ~ I o ~_ ---- I ~~ :~ ~ ( ~ i' I ~~ ) ~ 1 /zs - ~ •~. y5 ~ 7232 ~ ~ ~ /~ ... ~ /~ ~O ~ _ ~ I ~ ~ C~ ~ ~ ~ ~~ - - - A . //oo- ~ "~°o ~ ~ I _ _ ~ ~ ~ _ _ I -- - , I ~ ~ - ~, I ~ ~' ~ I ~= i - //79 I - __ _ _ r/~ l _ - - ~ \ ~ .. ~/' I ~ ~ \ ~/ ~ r-- ~ ~~ ~.I ~ --~ //39. ~~ ~°o ~ ~ I 1 -~ ~ ~~ o ~ 1 / J ~~ / i _ - - - I I ~ I ~ -- --~1 ~~ . _ ~ ~,~~.. aF~.~ I Wi~Ohsiri Department of Commerce SOIL AND SITE EWALUAT~,M ;,• >, ,-, Page _-1 _ of 3 _ Division of Safety and Buildings ~ in accord with Comm 83.05, W is. Adm/~drti ~ - ~ ~ ~~ A.C.E. Soil & Site Evaluations Attach complete s8e plan on paper not less titan 8'!: x 11 incites in size. Plan must County include, but nd Nmited to: vertical and horizontal reference print (BM), direction and _ ---~ St. C__rolx _-_-_-_ _-_ percent slope, st~lle or dimerrisions, north arra~v, and location and distance to rtearest road. parcel I.D.# ____008-_1042-10-000 __ _ APPLICANT INFORMATION - Please print all information. Reviewed By ~Date Personal Information you provide may be used for secondary pu es (Privacy Law, a. 15.04 (11(m)). -- _' -- -` _ -- ____ Property Owner _ ,(~ Property Location Bill Kitchner (lilt Govt. Lot NW 1J4 SE i/4 S 14 T 28 N,R 16 W -. _ _ _ _ --_ __ Properly Owner's Mailing Address Lot # I Block # Subd. Name or C 2616 Sandier Lane __ _ _ __ _ J - - ---- -- - ----- ---- --- -- P P - - _ -- - - --- -- -- Ci State Zip Code P~ eNum r ^ City [_J Village ~jTown Nearest Road ~ Eau Crane County Highway "N" Woodville WI 54028 715-698-2657 L] New Construction Use: ~ Residential I Number of bedrooms 3 ~JAddition to existing building [_ "] Replacement U Public or commercial describe 450 d Recommended desi n loadin rate 0 bed, gpolfl2 0 trench, gpd/ft' Code Derived daily flow 9P g g Absomtion area required 0 bed, ft~ 0 trench, ft' axtmum design loading rate 0 bed, gpolfl~ 0 trench, gpd(ft' Ret~mmended infiltration surface elevation(s) ~~ ~ ~~ ft (as referred to site plan benchmark) Additional design 1 site considerations site does not con n area suitalbe for OWTS as allf'iwcd by WI. Admin. Code Chapter Comm. 83 due to limited Parent material loess over racial rift- ~ ~ S. i a wer Fkxx! lain elevation,rf a .liable NA ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system I [] S l~ U ^ S~ U U S~ U ^ S [~ U [~} S t~ U p S ~l U Boring# 1 Ground elev 98.78' ft Depth to IimiGng factor 6" 2 Ground elev 99.16' ft Depth Dominant Color Mottles Texture Sere Consisten Boundary Roots ~ - GPDIftZ ---- Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ;Trench I 0-6 IOyr4/2 None sit 2fcr mvfr cs 2f 0.5 0.6 2 6-12 10yr4/1 cip7.5yr5/6 sir I thin pl mvfr cs If 0.3 N.P 3 12-28 10yr4/4 c2p7.5yr5/8 sir 2msbk mfr cw -= 0.5 0.6 ---- - 4 28-41 10yr6/3 m3p7.5yr5/8 sicl Om --------- mfi ---- - ----- - - ' N.P. 0.2 ---T- --- Remarks: 1 0-6 10yr4l2 None sir 2fcr mfr cs_ 2f 0.6 0_5 ; 2 3 6- t 5 15-25 10yr4/1 - 10yr5/3 - c 1 p7.5yr5/6 ---- c2p7.5yr5/8 sir sicl 2 thick p1 _ Om dsh mfi aw _- i f ___ , N.P. 0.3 N_P. 0.2 Depth to {inviting factor 6" Remarks: --- --- - ---_ --- - - - -- -- -- -- --- --- ----- -------_ CST Name (Please Print) Signat Telephone No. __ _Jam_es K. Thompson 715-248-7767 --- - - - Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson I.alce Lane, Osceola, 54020 9/18199 3602 1104 PROPERTY t'r11MER: Bill Kirchner PARCEL LD.f1. 008 1042 10-000 3 Ground elev 90.11' ft Depth to limiting factor 12' 4 Ground elev 83.44' ft Depth to limiting factor 16" 5 Ground elev SOIL DES(3,RIPTION P.pRT u~. = : ~ »~ Page ' 2 of 3 r-' f ,) ,L._~ e~ d ~ e r G Soil a Sae Fvslustinns ~- th De Dominant Color Mottles Structure i t d B Roois GPDIft2 _ Horizon p in. Munseli Qu. Sz. Cont. Color Texture Gr. Sz. Sh. s ence s oun ary -Bed ~ Trench 1 0-6 10yr4/2 None sil 2fcr mvfr cs 2f 0.5 0.6 2 6-12 10yr4/1 None sil 1 thin pl mvfr cs if N.P. 0.3 3 12-28 10yr4/4 c2p7.5yr5/8 sil 2msbk mfr cw - 0.5 ~ 0.6 4 28-41 IOyr6/3 m3p7.5yr5/8 sicl Om mfi - - N.P. 0.2 KemarKS~ _ _ _ . 1 _ __ -- 2 0-5 5-12 10yr4/2 1 Oyr4/1 None None sil sil 2fcr 1 thin pl mvfr mvfr cs cs 2f 1 f 0.5 ~ 0.6 N_P_ 0.3 ---_ __ . 3 12-16 10yr4/4 None sil ------ --- - 2msbk ------- -- mfr ---r - cw_ ---- - 0.5 ~ 0.6 4 16-24 -- 10yr6/3 - --- m3p7.5yr5/8 -- sicl Om mfi - - N.P. 0.2 KemarKS: 1 0-6 10yr4/2 None sil _,2fcr mvfr cs 2f 0.5 ~ 0.6 2 -------- 3 4 6-10 -------- 10-20 20-28 10yr4/2 -- ------ 10yr4/4 10yr6/3 _ clp5yr5/6 -------- c2p7.5yr5/8 m3p7.5yr5/S sil sil sicl 1 thinpl 2msbk Om mvfr mfr mfi cs cw _ - if - - N.P. 0.3 0.5 0.6 N.P. 0.2 , _ 91.57' ft Depth to limiting factor 6" 6 Ground elev 101.83 ft Depth to limiting factor 6' ttamancc• 1 0-6 IOyr4/2 None sil 2fcr mvfr cs 2f 0.5 0.6 2 6-14 10yr4/1 c1p7.5yr5/6 sil 1 thin pl mvfr cs if N.P. 0.3 3 14-24 10yr4/4 c2p7.5yr5/8 sil 2msbk mfr cw - 0.5 ~ 0.6 4 24-39 10yr6/3 m3p7.5yr5/8 sicl _ Om mfi - - N.P. 0.2 Remarks: __----. ___ _ . _ -- ~ ~, ~. ~c ~ ~ ~ ~ p J 1 ~~ 1 J I~+ ~U ~~ ,0 ~ ~ 3 ~~ ~ ~ ~~ . ~ y ro ~ to r ~,~ U ~~~ ~~~ ~~~ ~y N °o Cv ,. ~~ loo w P~~*~ l~V l,J p~ ;~ p,-t ~--- u a ~: A ~~ n DU ~, ~ .S ~ 8~ ~ ~~ .. .. ~t p , ~_ 1 ~ A J R ~~ I I 1 ~, T II i ~ ~. C~ ~~~ G ~~~ E ~ ~ ~ ~~ o ~ s ~ ~ s .~ ~ u ~ , ~~ ~ ~ ~ J ~y N °o ~ ~ ~ ~ S o~ ~E------ (~ PRjVATE gEV1iAGE SYSTEM ~~~dtti ll VED NGS ~~~tSIpN pF SAFES'( AND BUIIDI ~~ SPONDENCE SCE CURS . w ~~ U ~~ a p` ~~ ~ 3 b ~ ~ ~~ ~ ~ ~~ ~ ,w w ~ m° ~~~_ ScR.Le~ / ~ = so ` ~ Soil Obs~'da~,a.~ p,-t W d~'ive c.~y ~~~~ ~ ~ ,.. > ~~~ ~ ~e ,~ ~~.~ •--~ 4' 0 t ~ ,~ w o pJ ~~ ~ ~~3 N ~ N s ~ ~ ,~ ~ ~ ~ ~ S ~ ~C -~ ~? ~ Du n ~ n ~ ~ ~ ~ ('~. ~ 4 ~ w ~u v 8 ~ ~ ~ ,{ 6~ ~~ P. ~e~~ N 1 1 ~~~ ~._ ~ ~ `° ~ ~ ~ ~ a '° ~ D 2422 2433 z4za N 2447 ~ w N z4so 2465 2as4 2475 g ~ 2474 _ L 2484 V ~ N 2512 ~~. N 2548 ~. 2549 ~''~ 2555 ~~ j/ 2581 ~ $~ ~i°i t0 ~ W r W / VV ... v 1 V ~ ~ 2637 ~' ~ ~ 65th ~\ 2661 2509 zs31 ~-+ zs3o 2533 JJ A ~ 2559 ~~ -~ ~~ ° , cJ Z 2582 2581 ~- P~ X; l ~~ / • I i ,v ~ ~ ~ W • St ~' e//~J ~_ J ~ V s n a C ash/- ~ ~ -~ ~~S ~ o ~ CD ~ - .. POWTS OWNER'S MANUAL & IWANACiEMENT PLAN Page ~ of Number of fi3sdrooms ~ [] NA Number of Public Facil+ty EJnits 0 NA Estimated fbw leverage) ~f00 ai/da Design flow (peak), tEstimated x 1.5} ~~ ~' al/d Sop Application hate ~~..__ at/da rite Standard Intfuent/ts'ffluent Quality Monthiy average' Fats, Oi! d: Grease iFOGI S30 mglt. \ / Biochemical Oxygen Demand {BOOB) 5220 rrgri~ ~y NA Total Suspended SoNds (TSSI 51 b0 mgr). / ~ Pretreated Effluent nuallty Monthly average Biochemical oxygen Demand (eons) s30 marl. Total Suspended Solids ITSS) S30 mgn ^ NA Fecal Conform Igsamstric mean) 510` f;a ml Maximum Efftuent Particle Sire ~ in die. DNA Cthsr: DNA "Values t1IPiCeI for dixet~/tiC wastewater and septic tank efflusrrt. MAINT>±NANCE SCIiBCt!(i.E SYSTEM BPECIFICATIONB Sepik Tank Gspaoity ,~ d at l] NA Septic Tank Manufacturer O NA Effluent Flltar Manufacturer ~ g DNA Efffue~t l=dter Model dd' d NA Pump Tank Capachy al 4 NA Purnp Tank Msnufacturer r~, ~, , DNA , Y Purnp Manufacturer ~,,,,,,~ / DNA Purssp Model ~i~C~ O N Prstreatmertt lJnit NA O Send/t3ravel Filter O Peat Filter ^ Maahanicai Aeratbn ^ Wetland ^ Disinfection ^ Other: Dlapersal Ceftls) DNA ~~. \ _.ound (gravity} Q In-Grot-nd tpressurized) - r e ^ Mound ^ 1}tip•Line ^ Other; Dther DNA Outer. Q NA ' ^ NA Bererbe Ev~tt fisrvice Frequency Inspect carulkion of tsnktal At least once every: 3 ear al s tMatdmum 3 years} DNA Pump out contents of rankle) When combined sfudga and scum equals one•third tYy) of tank volume DNA Inspect dispersal cell(s) A# feast once every: ~ na)lsJ (Maximum 3 years) ^ NA Clean effluent Ether At least once every: (r ~ ~ a) 0 NA lrspect pump pump controls 8C alarm _ At )seat once every: manthla) ~"" !~ earls? O NA Flush laterals and pressure teat At leaa# onto every: momh(s) '""` Q earls) DNA At (seat once every: month(s) --- p earls) ^ NA (hhsr: Q NA MAINTf~IANCE tN8TRUCTIONS inspections of tanks and dispersal caNs shah be made lay an individual carrying one of the following Iloenses ar certfflcations: Master Phimber Master Plumber aaestricted Sewer; POWTS inspector, POYVTS Mttuntalnsr• Septage Servicing Operator. Tank inspections moat include a visual inspection of the rankle) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum artd to check for any back up or ponding of effluent on the ground surface. T'he dispersal csli(s} shall be vlsuaily insFscted to ;,heck the effluent levels in the observation pipes and to check for any pcnding of effluent on the ground surface. The ponding of effluent on the ground surface may indicste a felling condition and requires the immediate notification of the bcal regulatory authority. When the combined accumulation of sludge and scum in any tank equals ens-third 4Ys1 ar more of the tank volume, the entire contents of the tank shall be removed by a iaeptage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin AdmlMatrative Code. Aff other services, including but not timited to the servcci»g of effluent filters, mechanical or pressurized components, pretreatment units, and any servbk-q at intervals of 512 months, shall bs performed by a certified POWTS Malntalner. A service report she!! be provided to the local regulatory authority within 10 days of completion of sny service event. Df:~iQN _PARAMETfYRS .,, ~_ rage ~ of START UP AND OPERATION roducts or other chemicals For new construct4on, prior to use of the POWTS check treatment tanklsi for the presence of~painting p that may impede the treatment process andlor damage the dispersal ce4!(si. If high concentrations are detected have the contents of the tanktaf removed by a septape ~rvicing openttar prior t0 uso. System start up shall not occur when soil canditians are frozen at the infiltrative surface.. • , , luring polder outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s1 in one large close, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump Lank removed by a Septage Serviainq dperator prior to restoring power to rmaleevletsnwithinthe pump tank. Plumber or POWTS Maintainer tv assist in manually operating the pump controls to reatara na tea net drive or park vehicles over tanks and dispersal celiss. po not drive ur park over, ar atherwisio disturb or compact, the area within 15 feet down slope of any mound or at-grade sail absorption area. Reduction or elimination of the foAowing from ti•,e wastewater stream may improve the performance ~~ Persl disinfectants tat pOWTS: antibiotics; baby wipes; cigarette butts; condoms: cotton sws~ ned 9 ease rherdbic des;~meat ECfapS; medications; oil; foundation drain !sump pump! water; fruit and vegetable peelings; g painting products; pesticides; sanitary napkins; tampons; and watssr softener brine. ABANDONMENT When the POWTS falls andJor is permanently Laken out of service the following steps shall be Laken to insure that the aYStem ~s properly and stlfoly abandoned in compliance with chapter Comm 83.33 Wisconsin Administrative Coda: e Aq piping to tanks and pies shall ba disconnected and the abandoned pipe openings sealed. e The contents of all tanks and pits shall be removed and properly disposed of fay a Septage Servicing Operator. After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with Boil, gravel or other inert solid ~materiaf. caf~TlNaF-NCY i' 1f the p0WT5 is and cannot be repaired theLLfol~owing nyeaaures ha/vie, bean, aru~ taken, to prav4~de compliant mast stem: -/ _ J ~J~~~ ~ C.~ `~I ~~~~~ r lion replace R~ ~ I for the location of a replacement soli absa p A Suit system. The replacement area ahnuld sna csed str~uctuorse. ldnttii esnar~a we 1a m Fails~soe top tactt he repiacam®nt areanw I required sett-acks from existing a d p R result to the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems mua comply with the rules in effect st that time. Q A suitable replacement area is nnsta iedlasla last reso t tto replace the failed PO g s• Barring advances in POWTS teahnotogy a holding tank may be ~ site ~ T tank ~A e Mound and at-grade sol! absorption systems may be recansiructed in plate gsforil~ffect alt at time,tha biomes at the D infiltrative surface. Reconatructiona of such systems must comply with the < < WARNtNO > > f3EPTIC, PUMP AND OTHER TREATMENT TANltT M NK UN~~ ~Y C RCUMSTANCEfizpr DF.ATN MAY ~SU4TYaR SCUE QF A ENTER A SEPTIC, PUMP OR OTHEA TRIFATMEN PEfR8ON FR0i1A THE INTERIOR OF A TANK MAY SE ptfFlCUtrT OR IMPOBSIRLE. AOWTIONAL, CAMMENTS POYYTS INSTAL4ER POVV'i'S MAINTAINER Name ,' , Name ~~ ~ ~c ~.-, c. Q l^ Phone Phone ~ I.OCAI. REDt1tATORY AUTHQRi'i Y St:PTAttE f'sERVICiNtii OPERATOR (PUMPER} Name Name s~--, _.._ Phorde ~ Phone ~~~ Ties document wee dratted in compliance with chapter Gamrn $3.Z2(21tbs(t1(dl&{f1 atxi 83.54tti, (Z1 ak (3i. Wisconsin Administrative Dade. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address ~P~Y ~~~ city~state Property Location C Subdivision ~ for.. i~ Lot # Certified Sarvey Msp # ~`h~-- . Voltuae .Page # Warrtuity Deed # ~~ ~ ~ ~ 3 .Volume 2(v 0 2 ,Page # ~ .lO/Z~~/ Spec house ^ yes .~ no Lot lines identifiable ^ yes ^ no SYSTEM MAIlV7~ ENANCE Impt+opez use and maintenance of your septic system could result is its premature ~fiiluro to handle wastes. Proper maintenance consists of pumping out the septic tank every three yeas or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment :rage in the waste disposal system. The property owner agues to submit to St. Croix Zoning Department a certification form, signed by the owner and by : masterplumber, journeytnanpiumber, resorictedplumber or a ficensedpttmper vcrifyingthat (1) the on-site wastewaterdispossl:ystem is in proper operating condition and/or (2) aRer inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the shove requirements and agree to maintain the private sewage disposal system with the standards set forth, hcreiq as set by the Ikpactimeat of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year a 'on date. ,r,,,, f d~ l p~ a~ SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pr ~ ~ above by virtue of a warranty deed recorded in Register of Deeds Office. ^r' .Ld ~ ro ,~ SI ATURE OF APPLICANT DATE ssssss Any infomnation that is mis-represented mry result in the sanitary permit being revoked by the Zoning Department. "sss• DC ~ - lc ~/~- 9'S - o~~ ®. , sue- ~~'`~.$ j~-e Towel of ~ ~~~^ ~~~~~ is Include with this application: s stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is rgade in the warranty deed Note to the file. Date: August 27, 2003 Property owner ~'rarl{~ ~i-egine %' Location: Section 14, Town of Eau Galle Ciimpuier _Number: 00.8.-.104.1-~5-000 Parcel Number: 14.28.16.214B I discovered a mapping error with a 9-acre parcel owned by Fregine in Section 14. This 9-acre parcel is not contiguous to the 175-acre farm parcel when the town adopted exclusive agriculture in 1978. In the 78' ordinance amendment, the town forwarded a resolution recognizing those property owners wishing to have their land amended into the agricultural district. In the resolution, Garland Fregine enlisted 175-acres in section 14 and 23. This amount accounted for the 175 contiguous acres, not the 9-acres north of County Road N. I spoke with Bill Peavey as well and he could only recall at one time the 10-acres, once owned by John Hamilton (now the Sanchez, 008-1042-10-000) belonged to the Fregine family and maybe that's why it happened. Steve Fisher thought this was an error and it could be corrected without a rezoning. The mapped was changed because of this research. Rod Eslinger Zoning Specialist .1 STATE BAR OF WISCONSIN FORM 1 - 2000 I WARRANTY DEED Document Number This Deed, made between Garlend Freqine A/K/A Garlend D. Freqine and Sharon Freqine A/K/A Sharon K. Freqine, husband and wife Grantor, and Timothy J. Rens and Regina A. Rens , husband .and wife as survivorship marital property Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (the "Property") (if more space is needed, please attach addendum): The West one-half of the Northwest Quarter of the Southeast Quarter (W '~ of NW ~ of SE 'n) of Section ~~~~~~3 /~ ~ ~~Z3~aS~ ~/. Zia 2~Q 0l 14, Township 28 North, Range 16 West, St. Croix Recording Area County, Wisconsin exce tins therefrom that part South of Highway N. Name and Return Address Q~"~,2`j~ ., ~~~~ Edina Title 008-1041-95-000 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Roadways, Easements, and Restrictions of Record. Dated this _ ~ f day of Jul 2006. r o *Garlend Fre ine *Sharon Fre ine AUTHENTICATION Signature(s) authenticated this day of K~V V• ~ Notary Public * State o 1 n TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Michael H. Forecki, Attorney Eau Claire, Wisconsin (Sienatures may be authenticated or acknowledsed. Both are not necessary) ACKNOWLEDGMENT STATE OF WISCONSIN ) St. Croix C ty. ) Personally came before this day of June 2004 the ab a named Garlend Fre ine and Sharon Fre ine to me known to be the person s who executed the for "' g instrument and ac w ged the same. * Kav alm Not~y Public, State of Wisconsin My Commission is permanent. (If not, state expiration date_ *Names of persons signing in any capacit;r must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000 Attorney Michael H Forecki 3452 Oakwood Hills Pkwy Ste 1, Eau Claire WI 54701-7928 Phone: (715) 835-3029 Fax: (715) 835-4112 Title One Premier Group T7897172.ZFX Produced with ZipFormTM' by RE FormsNet, LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 48035, (800) 383-9805 www.zioform.com Parcel #: ' 008-1041-95-000 11/0212004 10:10 AM - PAGE 1 OF 1 Alt. Parcel #: 14.28.16.2146 008 -TOWN OF EAU GALLE Current ^X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): ' =Current Owner *RENS, TIMOTHY J & REGINA A TIMOTHY J & REGINA A RENS 1761 ROTTERDAM AVE BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA ,~ SP 1700 WITC Legal Description: Acres: 9.000 lat: N/A-NOT AVAILABLE SEC 14 T28N R16W W1/2 NW SE EXC PT S OF lock/Condo Bldg: `~ -- HWY N - ------ 61~-`TLQ~ ~ ~(.1'i/~~~~-~-~ Tract(s): (Sec-Twn-Rng 401/4 1601/4) 14-28N-16W Notes: Parcel History: Date Doc # VoliPage Type 06/23/2004 766743 2602/01 WD 457/49 ~nnd cl IM11AeQV Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/19/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 9.000 1,100 0 1,100 NO Totals for 2004: General Property 9.000 1,100 0 1,100 Woodland 0.000 0 0 Totals for 2003: General Property 9.000 1,200 0 1,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ~1 ~, '~ ~' r. .c, 4-:,: \~~ V ~~ AD I I I (A ry T. ~ Z ~ ~. < N ~ I ~ ~ Q ^ ~ ~ N ~ ~ c ~ ~ 0 N N Q N 6~ O O ~ n p~j ~ N C N C I ~ I I ~ to ~ D O ~ ~ N N I j ~ Q W I o ~ O = I O a w N I Z I o = -~ ~i fD C I o' o m I -' W I ~ N ~ I p_ m' Z 0 I I ~ O_ O 3 ~ N f~D C w (D ~ n 3 Z ~ ~ 7 N N I I I I a O. 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Skelly ~ ~ ~ SALES AND SERVICE ~1 rid SERVICE s NEW AND USED CARS STATION KELL Sp 698-2463 - WOODVILLE, WISCONSIN I-94 & County Trunk "B" ' Phone: 698-2997 Q EAU GALLS PLAT T-28-N • R-16-W (Landowners) See Paje lit For Additional Names. f BALDWBV PAGE 40 2100 2200 2300 .. ~ ~~ ~ Charles Mderson th AVE 240 a ~~ re 3 ' 0 n -_ 2500 ~ 2ti00 601hAVE 2700 BALDWIN ~ ~ ~ •0 N v ~ ~ ~ ~ l4 ~ t rr~ ,,,~ 30 2: 140 ~oulton ilmothy 8 .re H I ~ a K~ N t 3 AVE 96 ~ `' Pamela $qve s~ i x » Denata & ~ ~ 120 ~ aaat s= •.•Q ' 1 >a~. u ,.K , c~ a ~ „ , fx ~. ° m n S 100 't=on u ,~ o IS n.w.. r< ~ r r KtlsBne HBkteaa 4 m DILL N ~ a _ r.rea y (p@ 137 .e f++r•v MP ~ 67 - / 136 38r-t Flaldaeon 4j Donald bt J th ~ x ~ n 4 $ a . a s - ~ 72 ~ zo - p - _ - _ 148 N~ 3 ss g ~ E a ~ ~ n Michael &~loY v ~° ` avid & inzd a rm ~ ~ ~ a w , wars . f sz £ f) gg N8~ ~ +~' ~ - a • _ ~i 3 - n~ f r Glmda s ~~n d at a 94 ~ m I ~ia ~ Reinach SOIh AVE 70 s Gng 8 `~ T ~ 53 es a c«e n~ r m• u. _ AV 4t ~ ' ao . ;1 F, H Wertz 1.ufs - ~ wn n Laurence 8: ~ W7 ~ r$ N near 4 1...~a l = ~ ~ ~~& OBvee& tom Malay a 39 Chrisrdc t,.,W « 3o NLu~son Jacobson Ham, .SI w`i° >+ I o as r ~~ Ttrpstra r a s zo se.toe NoM dckm 60 lc s9 S 40 AVE Ar1rne Women 80 Donald do udith ~ d~ crust Walter & 6 Dorene s ~ ' Randy r¢ Sande Baguette g I ldk a„vu a Kevin rcoenins t p $ a 38 B 22 o 75 WBma 160 Donald a ~ Jawbson I Nelson ~ ~ sY c-ua N r ~ ~ ~ ~ F ~ y C Sexier ~~ ood ~, M j„o \Hageseth noW a °1ior m. LN ¢ David ~ss 159 N N 15 `~` m ~ Trust ~ ~,'~ $ O ~ y r 4 . ao 114 n 267 Benck C cv 240 fxo 77 N _L ~ 2nd VE R g GaP r.t J 8 s s y tK« zo S ~ - n ~ 100 r _ 60 ' 117 - 90_ _38 _ ~ vo r~ ~~ ~ 18 ~ ~ ~ 100 v~eraon 50 19 $ ~ s 26 a 7 and ~ 1 ~ ~'a 4on'A~ 4pthAVE y 91 1 ° Elmer Set[et rs'aoe°a. a ~°'°` u ~ ~ BM 4 60 ue, 103 Mar L ~ WBBamB: 40 ao shy 7o EBzabeth I r a m 4! ~ 144 •, :o nO ~ ~s o9 eon _ can ~~~Y ~ ~ ABce ~- .. Lee s , ~ 142 I A3VE r a C ~ x Gbrla ~ a+ha c- te ~~ Gkn ~ H 1 ee ^ v m r J)iaet N Q 1 wn ohn PECAN {~ 1 LN b~ ,1e aMBr s ~~ 39 * a .a - w. as ore 3 ~ ernia Heasley ~ PC lG^ p Iamd Deeds 40 IE)urkwo ~ m rsr. zih 62 as . s 141 , s aria ~- a •• A n ~39 ~ w"i d a.` y ar rs 40 IL m rasa ~ 100 116 ~_ ~ ~ ~ IarY G~°nR a ~~ - 306 ~ ~ ~~ a + j j r 30th A (~ AVE ~ Bcuu F ey 0 + ~ .~ (I CB T 76 ~ 40 00 ~ a r e 152 ~ ~d~ ~H I y a 8 La y, a a~clcron y ^ ~ f or r"•ma t. IS w o g a-sa x _ ~ r a ttandal Asa a°°°a.w. n~ l"°°p a Iw 60 ) ~~ Bauer S~e 3 6 . ~ l , r ~e.oe DaM ~ ~ ~ '.~ C 109 ~ ~ ! ~9~A 35 8 s _ A ~ r ~ ~ ~ a (aura xanem a ~ ~~ ~ x ~• Tmg do ~i K ao ~ ~ 143 1 46 40 40~ a-. o. a. ~ss^ +o ~ yVan6 °-" ~1y~ P 25 AVE 82 131 ~ to 97 12 AAh~¢ 1 a = q" PinYVa~ care a ~ yy~ ~ Stem Cork a p BamO 38 ~n101 :1 Falde ,~ ~~ 8 E ~• ~ a l a~ ii a' e ' 3 ~°° ~~ Donald ~ )on Ricky dt a Ltnda 80 u N ~ ~ noH so r~uy rs au see 4 el ~ 2OO Larson Johnson ~ ~ ~ Sturtevant Wos~epnh~ine ~, sands g )Thomas & X~ ~ ~~d 60 0 20th AVE 80 Albrigrson 80 8 e~ _~ Fla EBehon aedty man N °+- ~ a RC 13 o as s r 3 _ a14 _ _ _ 80 2 3s 6p °'tI n Gerald •' ~ oo Vab'n i`;o ;';, ' n ,~ I sy Delmar •~ ~ ~ - T Limon F w ° Berk- P~y,d, oat H `tfefaeion Bluest- t` u~ ~~ al'm"~- Trust c 7hommeslk ~ P'~ Seth S1tlva m ~ s8 53 t 34 I nix of 4f ~ 48 ~~ S I~anod~Cl m°~~ ~`aaa Kevln& 60 ~e~9 Ltd ~~ .9958 'a C!N yy~ it ~' S9 x „ Barbara p a p ~ Mrkmm 3r 160 C ~ a 15th AVE Larson 2 ~ ~ I ~ v~id4.z~t I 119 g 119 33 tOy~ ~. ~ ~ A Q1e r 3 S z OrvNe d[ ed Dennis Bc H ohn dt 60 s v za rn 46 5 u"3 G7' p BB r a c +r 1, Darlene scy,~, ~ epe ,w zs ~ ~ a a : KGrk~floe a « •. Peter A"°°°'°° ~ Lien 101 40 121 RorLe~ O 8 _ 60 Waltman ~ : ~ ~ ~a ~ ra a ~ Shemn ~ ~ a e K c t..~u.. ~a 2M AV 30 ~a ~ ~ a 266 40 279 ms, : S 1 s o3 - hates Krnt m Se SO ~~ a~ o 10th A « DOni1d r of w _ _ 115 m A n $ 52 v w a ohn J & ~ cc oAnn N D 20 ~ ~ _ Diane a ~ PaK 60 ~~ 40 sa z M ~ It ~ o CVyk BOSTON «tl I St ~e 79 ~ H 9 ~ Anderson ~ 3 .c K ...~, F- 70 L 2 ~ y s 275 C 80 80 pq ~ ssp 5 A 150 F,B„~,h r 8ient $ _ s S z a &! ~ ~ .°,O , a~ I~eY A ~ o-u.a a.e.~ ° Sttvm 8: .. 5 , m ar 20 v WBdwood K~ 3 a~ , .•• Rudesill 111 '~ lames o weam a Merth ~,t al ~ ~` . RlrLard Brooke a a X20 -'- Jon Anderson g0 n a t m ~ ~ ssama ..a T Incw ~ ~ O 100 40 ar . g zs g oar ,~ `~ ~ ~ S V y ~ em eakrm« Harry ~ « ° n 1140 satasaa ~ $ rata s 80 ao " 4a fl ys VOOna so 120 40 s~~ o Bluer ~ ~ ~ oh°SO° ~y s D p Anderson gp , ^ oss e n ao 40 r 3 139 PIERCE CO. PIERCE/ST CROIX RD N a Stampings • Subassembly a ® ® Phone: (715) 698-2471 Fax.' (715) 698-2335 t:~e~r ~~~ JACOBSON INC. ~sso 10th Avenue SONS TOOL INCORPORATED Baldwin, WI 54002 460 THOMPSON ROAD (715) 684-4600 WOODVILLE, WISCONSIN 54028 ~~ r~~~~®~~ , 2051 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings ;n flrrnrrrnnro wi4h mm AAA wiw m Certified Soil Testing '~~t+Cl1/tp Co my Attach complete site plan on paper not less than 8'/: x 11 inches in s' e. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (B direction and P cel 1 D percent slope, scale or dimemsions, north arrow, and location and di lancet t adr 200 ~ ~ . . 008-1041-95-000 Please print all information. R viewed By Date Personal information you provide may be used for secondary purposes (P acy t.a~ .1rE'.~~~(n~OUNT?' Property Owner Renz, Tim Govt. Lot NW 1/4 SE 1/4 S 14 T 28 N R 16 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1761 Rotterdam City - State Zip Code Phone Number City ~ Village Town Nearest Road Baldwin ~ WI 54002 715-684-5668 Eau Galle CTHW N /j New Construction Use: ~ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD _ Replacement _ ' Public or commercial -Describe: Parent material outwash from till Flood plain elevation, if applicable NA General comments and recommendations: install "conventional" in-ground trench system @ system elevation of 97.5 w/ 0.7 gpd/sq ft loading Boring # Boring /' Pit Ground Surface elev. 100.0 ft. Depth to limiting factor ~ 74 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-8 7.5YR 3/3 - sl 2 m gr mvfr cs 1f/m .6 1.0 2 8-74 7.5YR 4/6 - s 0 sg ml - 1f .7 1.6 horizon 2 has occasional f gr & v. occasional small inclusions 10YR 4/6 scl (1-2" in diameter) Boring # -i Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor ~ 74 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-3 7.5YR 3/3 - sl 2 m gr mvfr gs 1f/m .6 1.0 2 3-8 7.5YR 3/3 - sl 2 f sbk mvfr cs 1 m .6 1.0 3 8-29 10YR 4/4 - Is 0 sg ml cs 1 m .7 1.6 4 29-74 7.5YR 4/6 - s 0 sg ml - - .7 1.6 'Effluent #1 = BODS> 30 < 220 mg/L and TSS 30 < 150 mg/L 'Effluent #2 = BOD < 30 mg/L and TSS < 30 mgC CST Name (Please Print) Sig to e: CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 4/3/2004 715-233-0398 ~. ~. Property Owner Renz, Tim Parcel ID # 008-1041-95-000 Page 2 of 3 Boring # °--' Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor > 74 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots 'Eff#1 'Eff#2 1 0-4 7.5YR 3/3 - sl 2 m gr mvfr gs 1 f/m .6 1.0 2 4-10 7.5YR 3/3 - sl 2 f sbk mvfr cs 1 m .6 1.0 3 10-16 10YR 4/4 - Is 0 sg ml cs 1 m .7 1.6 4 16-74 7.5YR 4/6 - s 0 sg ml - - .7 1.6 horizon 4 has occasional gr & cob and thin, irregular, discontinuous 10YR 416 sl band in 24-26" range Boring # "__ Boring y; Pit Ground Surface elev. ^' 99.0 ft. Depth to limiting factor $2 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 0-6 7.5YR 3/2 - sil 2 f sbk mvfr cs 1f/m .6 .8 2 6-15 10YR 3/3 - sil 2 m sbk mvfr gs 1f .6 .8 3 15-82 10YR 4/4 - s 0 sg ml as 1 m .7 1.6 4 82-84 2.5Y 4/4 c1 d 7.5YR 4/6 cl 0 m mfr - - 0 0 isolated inclusions 2.5Y 4/4 cl, small, <2" diameter, in horizon 3; this pit added, 11/13/04 @ county request, examined by Pam Quinn on-site ^ Boring # -Boring _! Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L `Effluent #2 =GODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. 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