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018-2001-08-000
Vvisconsin D~,pariment oiCor;merce PRIVATE SEWAGE SYSTEM I .safety and Building Division ,, INSPECTION REPORT i~ENERAL {NFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 ('I)(m)]. Permit Holder's Name: City Village X Township Richard Construction, Inc. Hammond, Town of /(~0, 15 ~ /GD•~ TANK INFORMATION TYPE MANUFACTURER / ~pti, CAPACITY a~ ~i 5 Septic Dosing l rr. ~ P ` / 750 ~ a ~ uL ~ / ol,,,, l a 7i~ ice. .r 6 Holding I TANK SETBACK IN FORMATI ON (DANK TO P!L WELL BLDG. vent to Air intake ROAD Septic 7 SD 7Z, z) ~ l "° ..Dosing t 7 ~ 7~J ~ Zf ZI ` ._.. EAeration i tHoiding PUIv1P/SIPFION INFORMATION ,,,... Manufacturer ~; + ` ` j ; ~ \ G~~ nd Model Number l ~ T ! `•..Jk"~- ~~, ~~1 -rnu i ~;. Cr{•.4i.~.f I „~~ _ S stem Head TDH Ft orcemain ILengt~h/_ . IDia. / `aOIL ABSORPTION SYSTEM t3~D/TREi~CH 1Nidth / ~f_eng~~ DIMENSIONS ~, 'S i SETSACK SYSTEM TO INFORMATION Type f System. Ov t ;ICTDIRI ITIJIAI CVCTGM s ~ ~~ I sy w ELEVATION DATA County: ~ St. Croix i Sanitary Permit No: 506234 0 State Plan {D No. Parcel Tax No'. 018-2001-08-000 Section/Town/Range/Map No: 14.29.17.572 STATION BS HI FS ELEV. Benchmark IQ CJl^ pJ~ps' Bldg. Sewer g ,q~l9 q z. St/Ht Inlet 'g . a~ ~ '°P! ~ O ~! St/Ht Outiet ~ ~ ~ r Dt Inlet ~ ~ { } \_ i ( Dt Bottom 1 ~, toQ ~. 7 ~ ~ b Header/Man. ,a.Z'J /ja.'$`7 Dist. Pipe 3 z3 /Qd , v7 Bot. System 3 ~ 5a /Od ~ Z Final Grade , i ~ •z3 ~, .~~1 4- / St Coveyr:~ C..btJ ~ee--• ~/ 3~ `T • ~, ~S' ~ j ~ ~ ~ - ~ / r0 ~~~ ~" w,l f L`' t~ CE/STREAM LEACHING CHAMBER OR 1~ UN17 Inside Dia. Liquid Depth ~ ~~ Manufacturer: Model Nurnber HeaderlManifgid J ~ ~ ~ Distribution / t / Pipe(s) ''']~ ~j ~/} `/~ /~ "'' ~ x Hole Size ~ / J 3 I,, /`~ x Hole Spacir~ t ' ~~ Ven~ Air to e L`^"~' Dia .Length Spacing Dia Length / I a 1 jOiL COVER x Pressure Systems Only xx Mound Or At-Grade Systems only ~ - a.~iti. Cep±n Over Depth Over xx Depth of xr. Seeded/Sodded xx Mulch..d Br~diT~ench Center / J / - ~ ~f3ediirencl~ Edges ~„ iTOpsoil ~ es No Q es ;. No ` V ~ COMMENTS: (inciude code discrepencies. persons present, etc-1 lnsaection #1:_~ _'_-/,(~~~ /_ ©~ ~~Inspectior~ #2 _____! ___ Location: 940 193rd Str et h{1ammond, WI 54015 (NE 1/4 SW 1/4 14 T29N R17W) Forest Rid~l~~s'tate~o~~~~ Parcel No. 14.29.17.87-2 1.) Alt BM Description = ~+ ~ ~ ~C I'CJ'' 3~~ '/ ~ ~~ ~~' ' " ~~7 d 7'G"" "° WtZ~ f mo`'`'t ~l~ 2.) Bldg sewer length = 3?,~ tt 5~~ ~~" ~`' /~~ {~1t IT~QI~ l~/ ~~~ - amount of cover = `` t ( ~{ ~ ~"b ,~ ' ~ `J ~..+~ ~, l ,1~.. 3 tS ~ ~ ~.t_.., ~ L d~ 5 LW`el~- b~I~t/`~ ~', Plan revision Required . c~ Yos No ~6 ~ i , ~ -~ a ~ J Use other side for additional Information. L_ I ~_~ ~~., ___~_-_~ - Cert. No Date Insenctor's Si ature `.;BGi;110;R ;!971 y-~ ZS Dist. to Well Z! Z~. 7 1 ~ No Of Trencl s ~~ 3 COmmerCe.wi.goV Safety and Buildings Di ~ ion County 201 W. Washington Ave., ox 7162 T ~ ~'U + i sco n s i n Madison, WI 5 07- 162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce ~t/'1G ~ 3 Sanitary Permit Application State Transaction Number ~ ~ 5~ In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropr to go ntal / J / unit is required prior to obtaining a sanitary permit. Note: Application forms for state-own P are project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used r secondary purposes in accordance with the Privac Law, s. 15.04(1 (m), Stats. ,` 9`TQ /~ 2~,STi I. A lication Information -Please Print All Information /~~ i I Pronertv Owner's Name Pazcel # ,y~ ~)) //~~ ~\ Property Owner's M a iling Address t ~ Property Location // ~ ~ b ~~ f ,~~~~~-cam/ ~ ~ Govt. Lot (~ ~~ °~~ City, State Zip Code hone u er ~ ~ '/,, s'W '/o, Section b+{ ~~~(~~~ ~ ~ ~ 1 ~ ~d G ST. CROIX COUNTY ,2 "i (circle one) ' " II. Type of Building (check all that apply) - t # ~ ~ w ~ N; R ~ ~ 1 or 2 Family Dw elli n g - Number of Bedrooms ~ Subdivision Name ~ ! ~ / ~ Q ~ (~~I:p'CL.~~7 ~~~~ ~~~ ^ G~~L~a~ / Block# ~ ~oCe aj'~ IC,YC~< Public Commercial -Describe Use City of ^ State Owned -Describe Use ~~(/ ~ ~ CSM Number ^ Village of .__._- Town of ~~ ~ ~ ~ III. Type of Permit: (Check only one box on line A. mplete line B if applicable) `~ ®New Sys ^ Replacement ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System (explain) System B. ^ Permit ^ Permit Revision ^ Change of ^ Permit Transfer to List Previous Permit Number and Date Issued Renewal Before Plumber New Owner Ex iration IV. T e of POWTS S stem/Com onent/Device: Check all that a 1 ^ Non-Pressurized In-Ground ^ Pressurized In-Ground ^ At-Grade ^ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ^ Holding Tank ^ Other Dispersal Component (explain) ^ Pretreatment Device (explain) ~ ii V. Dis ersal/Treatment Area formation: ~iia Ct Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) is er A ea Pro a st) System Elevation VI. Tank Info Capacity in Total # of anufacturer w Gallons Gallons Units / ~j 1 r ~ ~ p ~ v New Tanks Existin Tanks ~ ~' )~"~J ~ 4 y , l •~ f / l~ {'~ g y :. - a O ~ ~ ~ ~ ~ a Septic or Holding Tank ~ ~ J v ^ ^ ^ ^ Dosing Chamber _ ~~ r I~v ~ ^ ^ ^ ^ VII. Responsibility Statement- I, the undersigned, s ume r ponsib' i for i alla on of the POWTS shown on the attached plans. Plumber's Name (Print) Plu er' Si ure -__.. MP/NiPRS Number Business Phone Number David Luedtke 231287 715-933-0747 Plumber's Address (Street, City, State, Zip Code) 13762 220t1i Ave. Bloomer, WI 54724 VII Coun /De artment Use Onl Approved _ Disapproved Permit Fee Date Issue 1 ing Agent gnatuCe ~ ' ,~ Owner Given Reason for Denial $ /l~, G~~, ~. ~ / ~,~ _~~.A ~~~ f~ c~>~s~~i~jgp~~lpproval/Reasons for Disapproval ~ ~ ~ S /~~f_~:. ~ ~, C~~~/~ ~~- 1 Septic tank, effluent filter and ~t~t-~~i/ ~'`~' dispersal cell must all be serviced /maintained G~t~i ~'ulo ~~rn~+ as per management plan provided by plumber. ~ ~~z ~p,~, f ~j'?,t~p/L ~c,~~ ~~ 2. All setback requirements must be maintained ~ ,~ y~'t-~?=~ ~ , ~ ~ ,~ _ ~. ~ Attach to complete plans for the system and bmit to [he County ri y on paper not less+than 8 t/2 x 11 inches in size ~ . ~,~:, c'7'1 ~( <~,;~,Lcc~<_~c~>> ;~ .. ~c'c~t y,,~~ ~~4 ~ ~.cc J,~l~l~ ~~~~~ _ ~c ~ ~ SBD-6398 (R. 01/07) Vali thru'O1/09 ~ -~~~ 06/11/2007 11:31 Q N 7157209901 ASS PAGE 01 ~S-GifG. ~t1v~~~ Cs~ ~~l~G~ ~~l`i ~ ~i~~~~ ~5f~~`e iri -fir ~ ~o,rGS`~ ~`tc~ P, ~~~~-'S ~ u~/dt d ~,+~r+~o{,~ $'~ C,Fb 1~ ~~~ ~(P,~r~fi C~~1c~ hilt-per f ..~ Q ! ~. . ~l rd l a~.c ~ vVG (,l ~ -_ ~ v~ _ ~V c~ ~~; ~~ ~c«~w4~- F - (~, T-! ~. r ..~j 'G<r ._ ~. _ ~~.~?~ tv1-~ IL~G ;,,,~' ;~ f',~. ~.'~-tr~^-~f .~e'- ~` ~~ ~ C7 ~~ ~` ~• ~ t~~t Sit ~`7 . commerce.wi.gov ^ iscansin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. co m m e rce. w i. g o v/s b/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary June 11, 2007 CUST ID No. 222022 ERIC J SCHOENBERG AWS 20382 75TH AVE CADOTT WI 54727 ATTN.• POWTS Inspector ZONING OFFICE ST CROD~ COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/11/2009 Identification Numbers Transaction ID No. 1395457 SITE: Site ID No. 725389 Mark Sylla~ Please refer to both identification numbers, County Highway E above, ul all corres ondence with the a enc . Town of Hammond . St Croix County . NE1/4, SW1/4, S14, T29N, R17W Lot: 8, Subdivision: Forest Ridge Estates , FOR: Description: Four Bedroom Mound System /New construction Object Type: POWTS Component Manual Regulated Object ID No.: 1131293 Maintenance required; .600 GPD Flow rate; 19 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1) 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(71- A conv of the annroved clans. specifications and this letter shall be on-site during construction and men to inspection by authorized representatives of the Department, which may include local inspectors. P.O.W.T.S. Conditionally ERIC J SCHOENBERG Page 2 6/11/2007 Owner Responsibilities: • .The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans.. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 maybe made to me at the telephone number listed below, Drat the address on this letterhead. The above left addressee shall provide a copy of this letter to the. owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ~`~~~~~ Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon ~ Fri, 7:15 am - 4:00 pm jeny.swim~a wisconsin.gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 ,Friday, 7:00 A.M. To 3:30 P.M. L _~ h~AY p ~ ZC'07 MUUNQ AND PRESSURE DISTRIBUTIQN COMPONENT ©ES~Gn~AFE'~'y ~ ~~~~ ~~~'G5 INDEX AND TITLE PAGE Project Name: Owner's Name: Mark S 1la Ci0 Dave Luedtke JGI~i9r~l~ ~, j~;~/~j~~ /~ I Owner's Address: 13762 220th Ave. Bkwmer Wl 54724 Legal Description: rie,sw,44,29,17w Township; Mammond County: St. Croix Subdivision Name: ~_o_r9ast Ridge Estates Lot Number: Black Number: Pat~Cel I.D. Number. Plan Transaction No.: Page 1 Index and title ~•,`~` ......... „ ~i~~s Page 2 Data entry a '~_' ERIC ~. ;.S} RG ~ SC Page 3 MourKl drawings ! D 1738 E Pie 4 Lateral and dose tank S ~: CADOTI; Page 5 System maintenance specifications '•~ wi ' ~' : Page 6 Management and contingency plan •• • O • .......,. •• FS N~. '~ •• Page 7 Pump curve and sl~~ciflications • .. IG Page 8 Pkrt Plan Page S Fitter Maintenance Designer: Eric Schoenberg License Number: Date: 05.... 7~ Phone Number: Signature: 222022 720-9901 Designed Punwent to the Mr)und Comment Manual for pOWTS Version 2.0 SD8-101391-p (N. 01!01 j, and SSWMP Publication 9.13 Design of pressure Dsstsibution Networks for 3"f-SAS (01/81 } Version 4.0 (R. 04103) .. OIV15-0N f SAFELY ANli IsIJIL~jNGS Page 1 of 9 *` °- SEE GORR / CaNDENCE '06111/2007 1.1:20 7157209901 Mound and Pressure Distribution Component sign ~~sign 1lVOs-ksheet 1 •LZ 5 3 ~k PAGE 08 3itt~ tnfarmatiart Note: Sand fNl (D) p~latlans aasurr~e s ._. --- R Residential or Commetrial Qesigri Table $.3-~ in-allsj soiE U`9+1 for f~l . - 400.00 estimated Wastewater Flow (0~ conform of s• a8 irtchs¢. ~. 1.if0 Peaking Factor (e.g. 1.6 ~ 15096) 600,OQ Design Flaw (gpd) Site Slope (96) _ 98. Corttaur Line irlevatian ft /~~ r~= _, __ 17 @ 1 O i77 ink FHdor {tll) ~,, D ~i ~ "' - tl,>ZO I situ Soil Application Rate D . ~5" ""~ ~ ~ 2 -7w-a~"_rv~,;~' U~~~ Distributiart Ce[i lnfarmation ~__._ s0.b0 Dispersal Gell Length Along Contour (ft) = 7.50 Gell Width (ft) 1.00 1 Dispersal Cetl Design Loading Rate (gpdttt~ __ f ~- 1 Influent Wastewater Quality (1 or 2) Are the laterals tie highest- i~~ in the distribution Y Fr~assure DisAbtrtion irrfamaatian network? Frttpr Y er ~ e banter or end Manifold elevatlan th 2.50 Lateral Sparing (ft) e If N above, enter 3 Numk~er of Laterals of the highest ppim- i ._~ 1aif ' 0 ariflce Diameter (in} (e-g. 0.26) . ~,....- 3.T5 ~:~•Ef.rr~~te~,f t7rifice Sparing (ft) ~ 0-52 ftz/orifice ~-~~~~ 2.00 ~-- ~ 35.80 Forcemain piameter (in) hoes the Forcernain Lepgth (ft) r-~~~ forcem$in drain hack? L~..~--.~ Ta kn ~lewatlon (ft) inter Y or N 5.71 Foncemain Drainhatlc (ga#) 108.18 5x Void Volume (gal) 119.89 Minimum Dose volume (ga#) 41.29 System Demand (gprtt) 3-25 -System Mead {tt) x 1.3 11.58 VerticaE Lift (ft) 1.22 Friction Lass (ft) 7 5.06 Total Dynamic Head (ft) Lateral Diam~r S®iection in_ rile. a ons choice U.75 1.00- 1.25 1.50 x x 2.00 x 3.00 x Treatment Tank information _125fl.OQ Se is?ank Capapty (gap ~HUFFCU-l7' Kanufacturer aws Manifold Di~tmr Seiecttan in, rile. o ions choice 1.25 1.50 x 2.00 x x 3.00 C3aliansltnch Calcuietor (c~G3sic~«,~i? 7t38.U0 Tatai Tank Capacity (gal) 45.00 Total V(torking Liquid pepth (In) 17.t~7 gaiCn {enter reeuR in veil B48) Dave Tank Ird`antnktion Eftiuettt Fitter information - .768.00 nose Tank Capacity (gal) Best f=ilter Manufacturer 17.07 Dose Tank 'Volume (gaMCn) Cif-10 Fitter Model Nurrtber HUFFCIJTT Manufacturer Pralec.:t: Page 2 of 9 ~~ ~~ 06f11~2007 11:20 7157209901 A~JS PAGE 09 Mound Plan View ::.ate .P~ . ::~ ~::::. s.w , y ~ . _~.,~,~ -.ter A ........ ........................... 1 -+-7 Mound Campanenlt Dimensions A 7.50 ft E 21 •?i~ in ~ f30.00 ft ~ 9~.5i0 in D 19.00 in G 0.50 ft 600.00 (ft~} Dispersed Cell Area 7.5Q (gpd/R} Linear Loading Rate Mound Cirs Aggregate d l=iniShed C3rade ~~-~ (ft) n~spersal Cell Elevation H 1.00 ft K 10.48 ft T 10.22 ft 1, 1Q0.$3 ft J 7.9i ft W 25.83 ft (ft) View H 100.513 {ft} Leit~r~i Invert .50 (ft} Contour [:iev8tion 3.i) % Site Slarpg t3eotextlle Fabric Cover Shading Key ,~ ~~ Dispersal CeN See lateral detaifa a~ ,: , t, Topsoil Cap 1.5 ft Page 4 fQr number, atze, ~ ~ ~ end spacing of Gerais. ~] ~~.,..•,...~ Subsoil Cep a o ~ '~ ~ ' Laterals are equally ~:: ASTM C3~ Sand ~ 0.5 ~ Tye l F spaced from the ~] TiNed Layer c ® dlstrtbutian cell's ,~ Aggregate ~ _,~._.. ~ centerlines in trie ~"'-""~"- A ~"-`-"~ distri6utlon cell {Ax8}. 1'ro(ect: E~Sai Area Avaifabie !10 ~ 4bs- Pipe P1atx:tile-ttiG- /~ J~~! ~ `,~sn Cj~ ~ - Y.. p'a$e 3 of 9 f'~ (~~~ end Cnnnectiory L.a#®ra! Layout [7i~gram C4f1Rat ~h~la6Ka1^a+/•r 1waA6(~imMfrbn f~Tur~'~-+~p wlh~ll++ww~or o1~11nout plug { P -- -~ AN IaMI+MS arm IArfltloal ~# X ^.-^} I Holrf Mwd Of/ ~N boU~om Of Sht ~aMral ~ ~+ilf aP+~+'d --~_ Lat~tiFF 6 fWO+maln d1 RYG =Oh 40 ~ ~crw main ocmraNon via tee w gvass rzo mwMfoj4 ae ~rq p'~"• Project: Number of Laterals 3 k.atera! Diameter 1.50 in Lateral Length (P) 7$.80 ft Lateral Spacing (S) 2.50 ft Lateral FIQw Race 13.76 gpm System Flow Rate _ _ 41.29 gpm ~`ota! Dynamic Head 16.06 ft Orifice Diameter Qrifice Spacing (1R C?rtifices per Lateral Orifice C)ensity Manif'rild Length Manifdld Diameter Farcemain velocity d~8 TaMk lt~farmatian a.i >~ p.r NEC soo and ~---~- Comm 1~:26 WAC Tfinic canpanefrt fs property veftibed HUFFCUTT Ca cit 788,11(1 Volume 17.07 Manufacturer GaUans galrnch Dimension Inches Gallons A 24.32 415.13 B 2,00 34.14 C 8.87 113.86 D 12.00 204.84 '>tatal 44.69 7#38.OG Di®cCMSCt _~ A i~ G ~D tank. Afarrrt Manuafactursr S.J.ELECTR~ Alarm. Made) Number 101 HW Pump Manufacturer LITTLE GIANT Pump Model Number ~9EH Pump Must aeiiver 41,29 gpm at 16.08 ft TDH t.oclUnp over with wamJtt~ Irlei{ and bcldnp dfivioa and aadsd wabrtipM 4 in. min. ~~ AIE9rikdb 4~RIst loctrtiort 1~11ro4rnrin diap1EE91' ~ ~ In. WfiOp i141s or sntl- device p~ ump..att awatior~ tt 89.00 #~k fifrv~ttort (ft l~$,i}~ page 4 of S ~ 5~~ 5~ ze ~~ad sib i~s~ez~5z~ ~z:ii ze0z~ii~9e M s em M ' nce an fc one 3ervica Provider's Name AWS ~2?2022 Phone 745-`720-9901 PC'3WfS Regulator's Name St Gmix Go. Phone Tt5-~aF-4880 8vstem FIa~_~-a~~ad p~ l7esian Flew -Beak B00 gpd 14faximum influent Partite Size 1i$ in Estimated Flow -Average 400. gpd Maximum BdC15 2.20 mglL Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Sail Absorption Gamponent Size 1300 ttz Maximum FOG 30 ma1L Type of Wastewater i?c~mestic Maximum Fecal Golifarm >1gF4 ctu/i00 mL Septic end Pump Tani ~fftuent Piitei Dump and Cornmle Alarm Pressure system Mound Qther in andlor service ante eve 3 ears Should i and Dean at least ante eve ~ e8rs Test once ~av ~ ears Should test month Laterals should be flush+~ct and sure tested eve 1.5 ears In far ndi and see a once eve 3 ears i. Clbservatiatti pipers are slotted acrd materials conform to "able Comm 84.30-1, have 8 watertight cap, and one s8ct~red in as shown in the mound camponerrt malnuai. 2. C?lspersaf tali aggregate conforms to Comm 84.30 (8)(f), Wis. Adm. Code. 3. Ali gravity and pressure piping materials confarrn to the requiremerits in Gomm fit, Wis. Adm. Cade. 4, Village of the basal area i$ accarnptished with a rrrgkt board pr chisel plt~w. 5. Th8 mound structure and other disturbed areas will be seeded arld mulched fry prevent soil erosion and hetp seduce frost penetration. lateral Tumi-up Detail Finished .+,,,*.,.,,...... C3rade 8-f1" Diameter Latim _.____~. Sprinkler Valve Box f~istribution Lateral Project: ~. •....t...•*~arY threaded Gleanaut Plug or t3all Valve Lang Sweep 90 or'I`wo 4S free Bends Same Diameter as La#erai Page 5 of S se ~~~d sr~~ ie6s~zc5ic ~z:it cee~~ii~9o Maund 3yatf~tm M~rr~i~ement Ptan Pursuant ~ Care-m 83.54, Wis. Arltn. Cock 1'hfa ayWam stall ba apexalad in aacdrAarlce >Mlttt t,afnm BZ-84 Gp~. and trFall rtwlyd8if11d in aaaordafxx with ilea' C~arripa'~'rt rrl#rMials [S8l}1 UftD1-P [N.t)1lDf } ttrrt sswMP' PuaYa+~den g_s (Ot l81 }]and war or sleets nri.a pattakinp to syWltrt rrgpirttaranca and rrafntreanoa nprtrthrp. No txw ahaufd aver mortar a aeptk pr pprnp tanK slncee Ganp~ra Dsaea mqy b9 praaent tftat could t~acrse Beath. ~w and Pt+nlP farfk a6andonrrrtrtt shtlif be in eex¢xd#r+aer wild carren $3.39. yt(ar. Adm. Gartl~r mottle flea tarns are na lor>per uaad a5 pCW'rS aarnpantxfar. Saptit: ar pump t~rrJc rtwrrttofe titers. a40bat fissile and cpvers shoaldd be inepectad far Wa19! tlptttrena and eourtdrass. Aoc~s opening used far ttsivfca an0 aeeeeaitant stroll ba aaaled w.owitpht uptxt iha gompNitiort of tarvi~. Any apeftirtQ detirrad unewnd, dafactlve, or tares to failure must lie reQleped. F~naad alacern: opaiwge greeter flan a-sodas in dienatar' stwW be eeaured bil an aifaa4iva wctdr~ dwlch m ~ tx unrttetrorlrad arttry kMO a mric ar aomportari_ $aotiG'~arNt The etsPtic tank shop sae riaeintained by an 'udi+Rdtloi t:attiNed ~ senesce septic ttnks tl-tdtr a- 281.48, StaCS. The t'ts of the septic tsrnk stall Imo diapaa*d of in acaardrrtce with Nti 113. WR- Adm. coda. Tha aparlMlrrp oantiitlOr+ d the ttaPlia bnfc and o+tttrt fii6ar Wrtll be aeseta;ead at moral ottae awry 3 yae>ea 6y hwpeaNar+- Tfw prrtlet 1"Iltpr >flat ba clYaried as Abceieary kr etauue proper aparatiwr. Ttte trltel' thattMd not be nemaved unlaaff pl'aVISkH'rs are n+#da to tMtafrt etalida in the ifvtk @aet rrafy ettxrph pit the tlphr' wtean nrrearad fr>tim (t# arudo~srn'a. It tits f Ater i# pripi~ wqh an alarm. the fifer stall 6a ararVioad if' iha #larm is ariiveAed Cpntitludtrely. ITderm~ filter alarms mlht aurprr tfaWS tx #n {rnpendlitQ gaifnutkis Wamti. Tha aaptio t9rrt stK~ll flaw Id: parttaitta rrnwv#d man the volurrra of sludge and scum in tits tank atresaris 113 the Hquid rWia»e pf the tarn. If !hw carr6ants p? tta belt an not rartarad +lt ttts lima of a triermfef aaaatrarnertt, ~ PK~~ Ml~d srlviat ttie rwrnar of when the rid seivica r-esds b be psrfamed b neei~in t.ae than rrra~rrw,rn acute and eludpa accwrtu>etiort in dtie tarn. The additianai t,foloyical ar dtMtsiaal redcifR~res bn antartoa uric perfarirtarrce hs eat r#gt„rad. Hayravar. if swan prodt,cts are urad they alail 6e eppro+~d >or snpUa hwrr ties h'Y the t~ep#ttrrtrra pf Contmeree. The pump (dpeirtp] broil stay !w iitspet~d at le#Bt artoe qty 3 years. AY ewdctr~s, altmis, +Pr1d Fx,mpa +e~ii ba tested b verity Proper aparation. If an aflhratt tikar la irataNed wihn iha tank it rttadl da In~eo6ad and aatvMCad as t+eaeeaary. rip troes or ahntrbt tnofiMd be pl*rr4d an the mowxl, l~leriktpa may be natde araaed the mound's psrimeEer, and the Maund ~I ba seeded and rrartahed ae nap4etrry !a prwsrd erasion and to prauida sorpte prGbecWon firm front per+~atwn. TrefYlc (atlear titers far vegata6ve rtrairsierweoe) on B-a mound la eat reccrrwnessded sirsce taN pcxrspalctlprs may trindet aeration of the ks~tw aurteaa within the mound srlrf stww asrrtpactiati in the winter wfd ptt>tvNOEe frost ~. Cold +nreettsar insMYa6aris (Oatpbar-Febn~wy9 diCtBte feet tfa mound be tieavly mulched at froth hae~la. Inf kkmk quaNty iota flee rrsakrrsd eyetetn miry opt e:a:e.d ~ rnplL t3oDa, S 50 moll. ts5, end 30 rrrplL FOG fr<7r tanK effluent pr 30 mg1L t3oos. 3tt rrrplL TSS, 1D rr~tt. F~DCd, tnd t A' ptW1 t~ mi. far t,~phy tr-~amae amuerd. Influar>t ttpw a'ny not a> rnnfxknrnn daaiyn flaw s~ocithd in ftra prrtrld ear 1Mu inlprlatiorr. Tha prw'eue~s diidributiarr syeianr is prtividad with ^ tiuWSirsd point at the end pf ae>ch Ia6erW, and It Ie recar>tra<rded that each fahrW ba ftuGfsed of aaelunillettid toilds at leset craps angry 18 rrnrita_ WFan a presiaura feet is perfonirad r sFeould be cpmpP•rad tr- the irrllasd lest when the sy+tlrn moss IrretaMed b delierrrrine if arirtoe clc~inp tars oaxartd ant'! H orifice cisanirld is raqukad to rxpelrsafn spool dietNksutipn wrhirt the dinpMesl sell. or<uwvalibn pipria within tea dirp.rsal call atatll !ra ctracNrdtl for ecflueru prxldirrg. ~ lunrels staeu t» raprxted tp iha awrraf, and any levels abov.6 ineterrs a+raiderad as an impterxtirra hytirarttia falkwe r~equk+np •QdlNanal, more >t rrsarrJbwtrsp. Catsatri~ntatcti- Plan If ttra ae~ptirs tonic ar array pf de aprlrPonarlts baepirra defactiva use tank tx oornparser+t alteN pe railaired pr r+bplacatd to weep pte system in prapar tAltdMtarl. If flea do~p perk, p1Mr1P, PAP corirota, Warm ar rafrfied wiPktp bet:Crnte dedecctlvs the daftectiw cprnpans-rr(aj sttelt qe immediatsfy repaired ar rapieced trrNts # cgirrriar>•rd of Bra same or aqurlt parforrrrarloa. It ttw nrourrd pariporiw,t (ail. my aoaept wYlrfsMMMti ar ba dta~harpe rvastaw~ar ba ttre yrpirr-d surfaCa, tt mow f» repairt+ed a rep~art In ~' lrretent IoGStlart ay uKmeptnq Iaaai ones if toe taatcape at:aera or bit roorlspvintt t><aiopiceiliy ck alsearptlpn arxt aiaperaaMi media. and related piping, ar-d raplsoirrp said mnrpanearbe ee duenrred rrepaetery to txtnp the syWmn irtfp proper aper+BnD ~^'- 8+e S pt pat PMen to Iha rams and tW.ptrorra rxrrnbar of your IoCW ie~WTS noytliittor rrw suvice PrKwidac, per; F~age 8 of 8 I~~S`~ 5 1 1~0 ~Jdd Sf~tl T0660Z1.9ZL 0Z ~ZZ L00Z1ZZ/90 , ~ ~ _ ,^'_ . _ `~ ~' ~: ~. • _, Spe+~ificati~r~s - NODEL GRT, S01.lOS S17,E RUNNOiG PEt9FOHMAtfCE iQ~ ~ BEAR- SHNfOFF 61.. P p~• ~• ~~~ OIAtEN910NS N0. N0. L1E11NG HP VOLTS (Oia.ln.l ANP3fWA'1T3 q 90' 1S' 20' I~•} . ,. (FCf... ILbLJ IH x i z Wl 0Et1•CIM 609530 UUC$A 4/10 115 3/4 13.0 1000 i1 69 60 ~9 32 13,8• 29' 27 9.11 x ! l.~ a d.J~l 9EH~IM 50A340 UllCSA d/10 230 3/d 6.S lOW 7i 68 BO 48 32 19.8 20' 27 9.91 % I l.td x tl.l4 9F11•CIA•AF6 50x950 UUCSA 4fi0 115 3f4 13.0 1000 71 B8 60 49 32 13.fl 29' 27 r~'9.11 x1i.t,dxd.0•: 0EH-0IA•AFS 500960 uUCSA 411A 234 91A 6,5 1404 71 68 60 4A 32 19.8 20' 27 ~ 9.11 z l 1.b4 z u.y< Fl.4W- ~IT~R5/N~IiR a laaa 2000 3004 I I I I -, 3~ w W21 a ,z w _ ~I t i ~ ~ + ~ u GU 9u bU ~E.OW~ GALLQNS/MINUTE PI~~iP P~t~FC7RMANCE CL1RV~ IiSV oOHZ au 7,5 w F 5 ' a z.~ 0 ir~A~Si'tr~C'>Z101'~ Matox' Houszrtg _... Im eilez Material ~ Epax Coated Cast Iron _..._ . )?oly Cariz'anate ~ . ___ .. „ Im etler T e Closed Vane _---- _ , Volute ~S --., ----.. 1't~wez Cord SJTW A .__ _... ,Mech~,i.cal Shaft Sea! Nitrite with carbtin ~uYu ceramic faces _ Fr~stenexs _ Staill~liess Steel _._. __ .. _. Shaft Siai~iless Steel ~_.... . . Bearings i i ~PF~'r Sleeve >wd ~i1WLY .Ball Bearings ~~~ = v / ~~ ~~ ' ~~ ~+ tart rent r~Ga~l"f~11~11 PO Boar IZU~ 0 `'~ .(~hUne: ~tf15.Ja7_.;S i 1 4kl>x. City, OK 7315? ". Eag:.1.1]S_'1{1.5G;a ~~.;71~~~~~~~.>mi~Ir~l~. ~ ~~ 50 3Jt7d SI~1t~ T0660ZL9ZL 0Z ~1<T L00~ITt190 06f11f2007 11:31 7157209901 AWS PAGE 01 ~r !V ~~~ p~~d ~~Gc ~' ~ a c.~ ~'ia ~. ' // 4u.f rf4 l~.S~-G ~ ~ ~u ~~c ~' 1 '~~~~ ~~sa ~ aw~~v. ~..~ L~~~~rsfi C~~1~ ~`i({-pal` r ~,' l 1 1 i --~a, ~~t ~~ ~ ~r,~ ~f ,r ~~ ~ ~- "• ~`f a p~~r . ~ • ?~1 w F~ Q L ' as a~ a~ w a . ~ ~ ,~ ~, ~ y a {+-=~ '~ ~ Q ~ ~~ b ~ ,yW '~ .~~~ ~~~ ~~ ~~~ ~ U ~ 6~5 ~_ b c~ ,~ ~~ O ~ ~ ~~ c~i F., ~ .~!, ~ w ~ ~ .~ ~~ ~ ~~~ ~~ v .~ ~ ~ ~~ ~ O '~~n ~ .~ ~ ~ ~~_~ N F "~ :o a~ eM+n i.~ Q ~~ ~~ T.v a C~ Q]r .~ ~ viii ~i .,~ •~ O 'id G '~ ~ ~ ~~ ~3"' A a~ ~ a"~..+ F~1 ~ ~ O „~ ~ o °' ~. .^ ~~ ~w '~ ~ a °} a~ ~ 4. ~ "~ O .3C ~ .'. ~ ~ ~~ ~~ 4l Gh ~~ ~~ b CS .:.; ~ a~~i Yl1 p. C ~ `1 ` e~•i t~+ CJ~ CA .~ a~ ~ ~. as ~ ~ w _~, ~ F .~' m~ ~ i? • M ~~ ~~ a~ ~~ ~~ ~~ a ~~ :~ y ~ U "Cf CC ~ o Q '~ aS U 4 ~~ U '~ ~'', ~~ '~ ~+ a ,w; ~ ~ ~~-~' rc ~ M, ~ w a ~v ~~ ~ `~ U OA ~~ ^ ~ ~~ O ~1 ~ .~ ~ 'Y ~~ U ~ C'~i ~ ~ v: ("f`~ r L Q C y~ ~+ ~, o ~~ ~a ~ ~ ~~ ~ ~ ~z ~, . x ~ ~ ~ ~ 1w 0 ~- H ~ a ~' ~ ~ 13y 5~I 5.l L9 ~~~Id SMd I966BZG5ZL O~~T~G L9~Z/TLa90 ~~~~~~~ MAY 0 2 ZOOF Wisconsin Oeparbnent f Commerce OIL EVALUATION REPORT Pege ~ of Olvis-on of Satery and Ilding~~r (;ROIX IVl r ZQNING ~Jf--t•ft:~nce h Comm 85,1/VIs. Adm. Code Coun AnaGt complete site plan on paper not less than 8 tl2 x t t Inches in size. Pion must ry T ` t include, Ix;t not limited to: vertical and horizontal reference point (BM), direction and Partx'1 1.0. i ~W l -'~~ percent slope, scale or Cimenstons, north arrow, and location and distance to nearest road. ~/ Plesso print alt Information. R ew y Date Personal 7nfomslbn yo,i prortEr, may bs ured Ior ~r.COnOsry pufpoaes {Privacy Lew, ~. i5.0~ (t) (mtj, a ~ ~~~ Q property Owner Property Location ' /'~~~r''~C4~t. S-~~GI,G+ to r..~ ~£ N4 Str.~ 1Id S I~ T ~~ N R 17 tN Property Owner's Melling Address Lot # Block # Subd. Name tx CSM# t t t ~-t w, o,~ ist orV s-~ . _ ~j --- or~s7" Rl D~~ a/sT~t-t~ Ciry State IJp Code Phone Number j] City ^ Vllage ~] Town Nearest Road ~t~~~c FAt.t3 wr Syoz c'7 is 't2 ~-48o Hit ,uw I e.rlt E New Consbvdion User' Residential ! Number of bedrooms ~ ~ Code derived design flow rata _ b 00 ~..__ GPD Q Replacement ^ Pubis or commercial - Describe: , n Parent material _ ?t t.L! DLI't'iw~:S~"t Flood Wain etevatbn if appNcable ni ~ _._.-._ General comments t /1 n_ 7 Q/ ~ O_ and recommendations: ~L1 ~A,til~ S~(STEM (. ~~ St•Wi1 F ~ V` ~ ~ •~~+'t GcXir/ rte. p.5 vo~-ot13~ ~-t E C. 9~ 6 2 ~ gtiz~~o~2~i.~ G.d~ A~~ial~tivt/ ~ Uo-~~ ! 5 ,, ,,, / r---~ 8ori~ # ~ porjng Graund surface elev. _ q9.3~_ h. Depth to Limiting factor Z~ in~ ~ ~CTv't~y~ v L~~ Soil Iication0 Rale i Horizon Depth Dominant Color Radox Description Texture Structure Consistence Boundary Roots GP D fP in. MunseM Qu. Sz. Cont. Cotor Gr. Sr Sh. 'Eti#t 'ER#2 ~ o- n ~z ~ ~ ab -co n.5 .8 z ~{- t 2. ... .... ~ __,_ _.. z - d a.b . 5 0. 3 t - 10 ~ -- L ., sb a 5 2v - . 4 a. b 4 -z to. 3 -' ~ m sblt d s oc.s 1 0• a S ZLI - 3 ~ ! 5 i sb d 5 -- ~ N.P. CNn ~-{ b ~t2' K ZO r s/d~ ~ a L ~ 1 _ Boring tr O Ong Ground surfPCe elev. _~I S. 7y^ ft. Deptfi to Rmlting factor ~ ~~ in, '75r SoN Lion Rate Horizon Depth Dominant Redox Description Texture Sirtrctura Consistence Boundary Roots GPDIfP in. MunseM Qu. Sz. Cont. Color Gr. Sz. Sh. 'E~ ~ D -'~ ~ (7 3 2 ~a r- d.5 Q.Jn `f lJr' ~ ''z J (t Sb t7 ~ s ~ zs~-L o 3 y s - s d lv Z4- tay~3 ~ SI ~nsb/ ~s l" n~.P' __ 61e: 6 zt~r3 t s ' Effluent tY1 = BOD > 30 < 220 rnglL and TSS >30 < 150 mglt. ' Elnuent #2 = BOD ~< 30 ntgA. and TSS _< 30 mglt. ~CtlS~T Name (Please Pckft) T Signature CyS~T Ntuttber • ~ 1 A ~ ~ H L t. .~i 1 ~. ~ r ~ ~ G G. .74 Address ~~~~ Data evaluacon cotxwaed Telept-orte Ntxtnber ~J9a~s b9o~~A_~~UE~FAU.S~WI 5`iozZ O~C-Ok-o~- -its yob-~~~5 ,~Ey~s~n : 09- tg-oz Page 1 of 2 Pam Quinn From: Swim, Jerry M -COMMERCE [jswim@commerce.state.wi.us] Sent: Friday, June 08, 2007 12:03 PM To: Pam Quinn Subject: Sylla Mound Pam - I am going to go with what Leroy had to say about thise existing boring on nearly the same elevation; Eric will have to either move the cell upslope, (which may be tough fora 4 BR, or do an additional boring downslope). I will keep you in the loop as to the firestorm that may develope at the teleconference also. Who would've thought this site would stir up so much trouble - oh well, you'll have that! Jerry To: Eric Schoenberg From: Jerry Swim Re: Email from Leroy Jansky to Mary Jo Hollister Eric -Below is an email from Leroy to Mary Jo regarding the Sylla site. In addition, the rest of your originally submitted plan is still referencing mean level elevations so they need to be changed to reflect your plot plan you changed earlier today. As I look at the current plan with Leroy's comments in mind, there really isn't any borings below the toe of the cell. Mary Jo has placed all of the borings on nearly the same contour, (within 9" of each other except for the ROW boring which is the highest and most eastern). Therefore I believe Leroy is correct in that it should be moved up the slope to the east to use B84 as the lowest soil pit to represent the site. Your plot plan also notes an 80' cell length not a 75'. Depending on the relocated cell, it may end up over a concaved slope as Leroy suggests. From: Jansky, Leroy G -COMMERCE [mailto:ljansky@commerce.state.wi.us] Sent: Friday, June 08, 2007 8:05 AM To: Pam Quinn Subject: Off Lot Boring -Richard Construction 6/ 11 /2007 Page 2 of 2 I have reviewed the soil and site referneced above and do agree that the boring locations are not the best and that your additional boring would do the job of identifying a site. The following is part of an e-mail I sent to Mary Jo Hollister this morning. E-m_al to MarX_Jo Hollister:. Brad Johnson has scheduled this issue for the next plan reviewer teleconference where it will be hashed out between all sides. Hopefully, a determination will be issued at that time and I'll let everyone know the results. R~ardn~ the specif c issue of the Mark S~ila~Richard Construction soil. and site evaluation, I just got a copy of your report from St. Croix County and must honestly admit that I too might have had a issue with the soil boring locations, but not that one was off lot. It appears to me that there is not much up/down slope width identified between soil borings A, B, and C. The mound really should be installed along the 99.3 ft contour which means it would need to dog leg to the SE. Otherwise, I assume it would be crossing a concave slope which is a no-no. Anyway, there appears to be a boring in the ROW that should resolve most issues (except the off lot issue - if there really is an issue). In my opinion, it will be difficult to design a mound to fit this site, especially fora 4-bedroom home. The dispersal cell within the mound will likely need to be 10x60 ft (10 end/ft LLR) and be pretty much tight against the ROW since an installation contour of about 99.3~t would need to be used. Well this is my nickel's worth of comments. I assume that common sense will prevail at the next teleconference and that just because a soil boring is a bit off the lot that the interpretation of soil suitability between all borings used is deemed to be valid enough to site/design a system. Leroy G. Jansky, PSS Wastewater Specialist 13 E. Spruce Street Chippewa Falls, WI 54729 (715) 726-2544 Voice (715) 726-2549 Fax Leroy.Jansky@Wisconsin.gov 6/ 11 /2007 (,t..D-~ ~~ 4 C I~END1 ~ ~~ -- Z of P~ ~ PAY Ovrner E _ Pan K S~ 1~ t iD # _ P 71 ~ ~~ D ~~ ®' Plt Gnxu~d surface elev. J d I , t7 tt. Depth to IktwiMg factor ----.~- in. Sal t~ ~ Horizon Depth Dominant fobr Redox pescription Texture Shucdtre Consistence Bo undary Roots GP 'Eff#f DIfE 'Eff#2 in MunseN Qu. Sz Cont. Color Gr. Sz Sh. ~ . o-~ ovK.''~2 .- L ~ m eb •S . B O .s . ~ 3 lt-1 V it -- X11 -rR n.bK fir' CS Z~ O.5 O. 3 z-t . i o z 0 0 3 3i -- 5~ 1 t~- albK r t~ - . . _Ltm } O 4rL (~ 4-zit ta~ttt~i~ Boring # ~ Boring O ^ Pit Ground surface elev. ~[ 8• ~ 2 n• Depth to Cimitin9 fador ~,_.t_ in. ' Effluent #1 =800, > 30 _< 220 mglL and T55 >30 _< 150 rnglL ' ErilueM #2 = t300, < 30 rnglt. ar-d 7SS _< 30 mgR. The Departrnent 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 608-266-31 S i or TTY 608-264-8777. SaDJ.)~1R.6IDD) ~~•~ wm-~sbK vrf+ - o.z o.3 ~~ # ^ Bow in. ^ Pit Ground surface elev. n• D~ tO IimNf~ factor Sw7 (2aie ~~ Depth po~~nt Redox Description Texture Struchxe Consistence Boundary Roots Gr. 5t. Sh. 'Eft#i 'Ett#2 in. MunseN Qu. Sz Copt l:olor 171 /r1r Y~ A ~ ~ i ~i~~a.,_s`~ d_... i Wiscons!n Depanment of Commerce SO1~ EVALUA~'il}3N R PORT age _~,~ of Z- D(vtsion of Safety and Buildings II ST_ G(1CIX C;~_;;~; i Y - in accordance with Comm 85, Wis. Adm. bode _~,t~,, r;_;~}_ I Attach complete site plan on paper not less than 8 t/2 x 1 1 Inches in slzo. Plan my t ' include, but not tlmltr3d to: vertical and horizontal relerence point (BM}, direction en Petrel LD. percent slope, scale or dimensions, north arrow, end location and distance to neare~t road. Q (g' / 0 Z- ~ 4~~ 00 Please print all information. ~ •. Ravtewed by pate Personal tarormxrion you prowde msy bu Wad for satondary purporos (pllvacy taw, 1. 15.Q~ (1) (m)). Property Owner Prop Location A lZ >a11JTj N '` 4} IE~.~ ~V E, 1/4 Stn/ 114 S / 4 7 ~ N R I'7' r W Property Owner's Maitlng Address Lot # Block # Subd. Name or CSM# Zot a(3~ ~~ ~1~ ~ _ ~' ~ - FoR~sT 'Rt l~ FSS'A~'t~ City ~ State 27p Code Phone Number ^ Ci ^ Vilage Town Nearest Road S3~Ati>vE, iM~ ~ss434 ~ (~td3 ~~a~-gtigta p Gr•rf. ~ New Conskrudion ltse:Residential 1 Number of bedrooms _.~ .~ Co e derived design Aow rate _____ ~Q Q~.____ ~ GPD [y Replacement ^ Public or commerdal - Desa~be: _._~ I ,,._. ___.__. ._ ~----- Parent material ___Zl„ ~,__ ~[~~k~~ _~Fiood FI in~ levatton ii appligbie _ ..~_~;__ ..._ 8• G©nerai comments GG//CCKK..~~CJi f~ll~a''22.~t//!!~~ (/"L/~c~,Cp ~.L and recommendations: MD UJJD S~S~EM I,0 r ~ Fl l.L. -f '" ' Dt~.6 E ~~ j' ,, 9 ~ Boring # ^ Boring Pit Ground surface ale .,/ jQ~ zo ft. Depth i o Iimitlng factor 7,FL__ in. Sob icalion Rate ~ `H on ' e Dominant Color Redox Des p6on Texture S cture Conuistence 9oundary Roots GP DIfF ~ , " in. Muaselt Qu. Sz. Cont. Color Gr ' St. Sh. 'Eti#1 'Eff112 ~ Z- 0 - ~ 3 --- Si ~ M , 5- O. ,, f I ~C Boring q ^ Boring ~ '~ pit Ground surizce elev. _j~`7`S~ ". '~ep~^' -- te ?lmltrg factor ~S In. Soil • ilCStian RSte kiotizcn Depth ~ Dominant Color Redox Descrtptlon Texture t ructure Consistence Boundary Roots GPD/tF in. Mansell Ou. Sz. Cont. Color G . Sz. Sh. 'Eff#1 'Eti#2 ( t7-S D Y 31z - stI v O.5 Z 5-I`5 to K3Jz -- 5~ A • 5 3 13-ZS 0 3f -` 5 t h !< r . S 8. s- 3 to 1~ c s~ 1 L _ f --- ~ o_s o. f H•0_ _ ZnNs 3 ~ f'FRUE ~c.l a i _ -- ' Effluern #t =SOD, > 30 < 2Z0 rrxyL end TSS >30 < 150 rna/L • Effluent t72 = ©DO. < 30 mall and TS5 < 30 mg/L CST Name (Please Print} ignature '. CST Number Nl .~4 ~i0tt_ S~"~ ZZ 83~ Address _ i Date Evafuatlan Conducted Telephone Number ~,J`tg?5 t~9o+hAt-e, RsVEt~FAU-S, I,Jt 5~+o2Z ~ ay~/l D3 --e`~tS yzb-1'17s I E ~T -U ~b. Z'~ ~' ' Lor 9 ' ' ~ ! ! ~ ( l,~~lQ, - - ~ ~, ,~ ~, - dot ~ i ~~~/'^A~'~ ~~- ,~.~ ` i 1 ~ ~ ~ ~J`i G.12DLlN RS" ~p~ E GXA If ~ \~ L Af ~ t ,t T ~ ~ - ~J ~' Z C~AAJY s K. .., t 7V l V ) L.t,~Y. . ~ I, 1 o ~ E t_ 1181,5'7 ~ ~, '~ 1ftC i-.1 G.C ~-'~ . \ ~, ,,, ,~ ~ ~ ~ ~ ~ 2 ~~, ~~~ ~ ~~ ~ ~~ . . ~~- ~ \ ! o I ~ \ ~ ~ ~J ~. ~. ~111.2.~' 2 ~{\~/ S • ~ ~ •,. ,~ ~ J \ ~ 1 c +-- -~ ~ ~ . rr~ ~~ ~ 8 . ~ ~ ~~ T2~.u ~ K t~ ~1 ~ f . 0•all~r"?[413- •l~i: -_ a; ' ~, . 1 1F4~~5;~;ha nor uN<, ~z !'!E~_i~RER '3i AIL TE=:TII•li PLOT PLAN Scale 1" yo ~ ~ ^~1'u vtZ ~- , l L ~ g orny ~ u~ CE q to ~~ ~ - ,~ \ t ~.~_~ ~ Nor curt !~ r~-e r-\ -~' ~ , . bl~ ~ ~91"U4Z(~ :~ ~ 3~ T x'13 ~'L~ ,~ '~` ~~. \~ $OCZ..~ h1 ~ \ ~ i ~~~~ ~ ~r F• ii~E ~?1 Page 3of '~ ~i.' yti~ ~ ~~i, O ~ '---- ~I` ~ ~ ~ ~ _ ~' ~ ~ c~o~o ~ vTl~-~'M ~, n~ \\ ~ ~ ~; ~ r / ~ ~J \~ 1a\ . £ \\ ~\~ ~, ~ _ gr~ 1r--1 ~ i / ~, ~ V ~~ ~"1CX1It..~ ~ `~ It1 S UJ P ~~ ~> ~ v v~--s t D F `~ 'C ., o ~ ~~ L ~}"\ t~~~ ~p ~~qe ~ U~ ~ U ~l L 17~ ~~ 1~'1 ~/ 1 ~' , ~v~y~C~ -Qv~ ~-t- is `atz s. o r`- `rte- T~`T~D ~z...~ l b~ ~ 1 L.L iv 6 13 IU ~~ ~ , ~~~~ ~,~c ~--- i L ~--~.- ~-.ttig8,s4'~ o.q` c PVC P~t~-w F Cl -„~~+- z _ $o, ~~ 1 esc~-moo s T ~-. _-_ _ NOTES: I. Elevations shown are existin f 2, Tnstali 4^ observation g 8round elevations unless o[hervise noted. 3, Septic tank to be pipes With appr'ved ceps. ( required). --.__~_, gazzon capa~ity manufactured by 4- $ench mark. ~. Divert surface eater around system to event pondfng at the uphill side. p ~~ ~~ ,. ~~ ~ ~~ ~ ~ ~~~ ~~ ~ ~ ~_ ~ -~, ~3 , ~ ~ ~ ~ `~ ~ (~ ~ ~ ~ b-d LzebsabsiL ~_~~ 00 ~e~~ o° 00 oh A1- / o 0 ~A- ~ ~~z _ ~ F 3 r E~ ~or.o~ oCR~eW ebb=60 LO SO u~C -- qB - ~~i..'a9'q'N' t , i . I Wisoons!n Department o1 Commerce SO{lr EVALUATICpN F Dfvfsion of Safety and Buifdings in accordance with Comm 85, Wis. Adm. bode .I Attach complete site plan on paper not less than B 1/2 x 1 1 inches in size. Plan mu t include, but not Ilm!ted to: vertical end horizontal reference point (BM), diredlon an percent siopo, scale or dimensions, north arrow, and location and distance to neare~t road I Please prtrtt a!I information. Personal inrormerion you prowoe mey bo used for fecondsry purpo~os (P!wxcy Uw, ~. 15.11< t) (ml). Property Owner Prop Local F% t` ~ ~ .. ~.sJ ii O RT ~~ age _..~_ of Z - ~~ ~~C;,~ vt- c.- Pareel I.D. pig-loo. i g00o0 Revi~ by ~ - Date/~/fj~ /1 1 + `' v'im`` . N >~ tie sin! tra s 14 T 29 ~ R ~ "J r w }~ Black # Subd Name or CSM# Property Owner's Malling Address q(71'^ ~~ ~>~ ~ ~ Lot ~' FoK;EST Rt L~ 1~'f}~ Zol City Stara Zip Coda Phone Number ^ Ci ^ Vllage Town Nearest Road L. A >, !~ ~ L I Mn1 155431 t'7~'S )'7qb- 94 g(o Q C.T ff. ~ New Constn,utlon ,l Use:l~Rastdential t Number of bedrooms ,.3 _ ___ Co a derived design flow rare _ j~ Q~ GPD .J. _ ~.- - rdal - Desalbe: m bli ^ P ~ --- -' `~ ~~~ ^ Replacement _._ _. c or com e u ~ ~ ~ ~ f iP Flo Od b efevatlon i(applicanie ~ ~in .. . --.. Parent matenal ___~(,(_~ --- General comments and recommendations: Mp WAD SVS'SF,JYU ~~~ r ~ Fl l.~- D.y i nAnrAf ti R/! -' ~ Boring (~ ~ Bonng # ~ Ground surfers elev. t. ep Pit 9L' o m ng factor ~Z...__ in SoU lication Rata POJtf r Horizon Depth In. Dominant Color Munself Redox Description Qu. 5z. Cont. Golor Texture S Gr' aura Sz. Sh. Consistence Boundary Roots ~Efi#~ Eff#2 L p_ ~ 3 -.-- Si ti M . S D. !~ ~ -yr ~._ rn.,rvSlu ,n C u/r,. i 5t) ( n~sbK - -m O.Z O.~ Boring ~C . Boling q • - ~7F ~ ;~,r ~r~-r~._s ter,,; 114?, SU n Dec to tlml'Jrt9 factor ~ ln. ;nit a,cotirauo;r ,4d;a , Horizcn Depth I in. Dominant Cotor Mansell Redox Description Du. Sz. Cant. Color Texture G trudure . Sz. Sh. Consistence Boundary Roots GPDflf 'Eff#1 'Eff#2 ~ 5~t3 io +c3)Z - 5~ a . s 3 13-ZS 0 3 -' S t( < r . S b. s- 1c~)4 ~ s~ ~ ~ _ ~ .~- _rn o_s o. ~ r r u' -__ i i l I ~ ~ . Y~c . ~n .....n Effluent q1 = BOD > 30 < 220 mgll and TSS >30 < 150 mglL ~ tmuern ff~ = ow, _ ~~ ..ro.~ ~..... --- - -- _ - CST Name (Please.Prtni) ignature 4 C,S7 Number h1 ~a ~~o~~ s-~~ - zz 8.~ Address ~ i Date Evaluation Conducted Telephone Number t~}9g75 ~9o+~AVer KIdE FAL.-.S LJT S~+OZZ i Dy~/l l13 L~7t5 N.tb-1"176 ~ZEUtS~A~ 04-ZI-D3 E ~~ ~ ~ ~,d•, Zoe ?' ~ L_o'~ 9 ,. - ~ '~j ~ ~' ~ p'B70 ~ ~ ~ ,. B ~$ ,~~ i ~ ., ~ ~ ~ ~,,ti G+~ouN~ RC ti ~,u[8 ~ ' ~-,~sg4~ ~ ~ TRH ~4 ~ ,. ~' , ~~ ~~ i I \ 04 - ~ t-off ~k ~ ~ ~ ~ '~ oy- 2`--03 ' \ ~ „ , \ ~ ~~\ l~ ~. \ r~ ~ `\ ~ - ~° \ . ~ ~ ~ '~ ~ - S ~. .~ ~ J~ ~ , ., ~. _._ .. ~ ~ _~ o ~ ~ . _ - I Y ~ ~ ~, ~° -- ~~ ~. ~ ~ ..~ ~ . I` ~•, X ~ ~ ~ ~ ~ ~ ~ C~ ~ 8 ' ~\ OT AVG. . . I ~ \ '' 1 -r1,-~, tit,-,., ~ , i \ i --- - i .. .•- i --x~:r; 4; '~ ~ t'~, ~, ; 1",~ t ~~' ~ " ' ,~~ ` ,', :i iIL TE=~TIP1~ F•:»,~E 01 Page 3of 7 PLOT PLA~~ Scale 1" yo' i g '~'ZOvtZ ~ C~~ 8 ~ ~~ u Lr~r LINE fit, 1 i~~ .8 ~Z - ~ ~"~" ,, ~. ae ~, , , t °'~i \ ~~ '~ ~, , ~'''\ ,, i I \lgtO ~ ri-~.u g. ~ ~ ~:. '~`~#.. ~tZ__ -O tom. w~~C~ -Qv~ t~r- 1 S ` o~z 9 l3 0~~--1-iv ~ 1 g IU ~~ ~J . ~ i c~~ LuT •\ ~, o ~ ~~ L L ~"'"~ ~ - ~Z... t 1 q 0 , 'S q ~ pN o . q `l~i-C PVC P ~ 1~t'- w j Fd3-CE`1~ S 7', ~~ ~_'""['~ z.- ~'L , t ~ a 8 . So' o~ ~ [ cLE- I o~ q ' *1-8ov~ .G t2.ct.~p ~ti :.T1Z~~ • -_ _ NOTES : j _ ~ I. Elevations shown are existing ground elevations unless otherwise nvted- 2. Install 4" observation pipes with approved ceps. ( required}. 3..Septic tank to be ~~ gallon capa~ity manufactured by 4 - Bench mark ~- 5. Divert surface Water around system to prevent ponding at the uphill side. .# f ~ = ~ a -- , .~ ~,.,,e.~ -i ~ I ~7 ~ 7v~ ~~ ` ~u~ ~ ~S~- ~ B~ . / . 1£ ~ , ~ Z s~ -~-~ ~- V ,~ `~_ ~ ~ ~, uS 1.~P~' ~, ~ > U V,r-S t ©~ \ ~ ~D'p l~ U U P~-L_ `~l April 25, 2005 r~~~~ ST. CROIX COUNTY WISCONSIN PLANNING & ZONING DEPT. ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4684 Ms. Mary ]o Hollister, CST #224832 Hollister's Soil Testing W9875 690m Ave. River Falls, WI 54022 Re: Revisions for Soil Evaluation Reports -Forest Ridge Estates, Hammond Twp Dear Ms. Hollister: On April 21~ I performed on-site verifications of data reported for lots 27, 28, 29 and 30 to determine the cause of discrepancies between the engineer's preliminary plat elevations and those on the soil reports. There was an error in your method for calculating the benchmark elevations in relation to mean sea level contours, which resulted in the contours not matching the elevations described for soil borings and test pits. While on the site, I walked all four lots and found that some of the distances between test pits and hand borings did not match measurements represented the scale used for their associated plot plans. In order for mound systems to be designed, corrections need to be made. To summarize my findings: 1. All lots whose reports used mean sea level elevations need to be revised so that the benchmarks are based on an assumed 100.0 ft elevation. This will require using your field notes and, starting with every BM #1, add the back-sight rod reading to 100'to give a new height of instrument. Then re-calculate (subtract from HI) all the foresight rod readings to obtain test pit and/or boring elevations related to the BM #1 and draw up new plot plan correspond with the new contours. Lots reported using mean sea level were 1, 2, 3, 4, , 8, 0, 17, 21, 24, 26, 27, 28, and 29. 2. Do not exclude any previously reported test pits. They must be included in revised evaluations and shown on the plot plans. This will help avoid confusion when locations for mound contours are being established. The distances between test pits within, tested areas need to be updated from the original 2002 plot plans. 3. Original signed and dated revised reports must be submitted to our ofFce so that they can be attached to the previous submittals to track changes made. 4. I evaluated a hand boring on lot 28 that was next to a test pit that had been marked with a lathe labeled " 29A" (from the original lot numbering). It was approx. 95' southwest of the corner benchmarks and 20 ft. west of the test pit you now show as "A". The original site was an excavated pit, not a hand boring, as evidenced by backfill. Regardless, both test pits were - -,„ ~-_ _.-.~ Hollister -Page 2 described as having redox features within 3 inches of the A-horizon. I found mottling in the sample I examined just below the A-horizon boundary, so am requiring that any mound design be restricted to the northerly test pits B, C, and E. 5. Based on the soil evaluation for lot 28, all four lots fronting on Cty. Rd. E appear to have serious limitations for POWTS installation other than the tested areas already documented. This means that a_y damage to existing tested areas may eliminate the possibility of POWTS installation, unless an A+0" mound design is approved by the Dept. of Commerce after the requisite on-site evaluation by Leroy Jansky. I will send a copy of this letter to the current owner of the lot to forewarn him of this situation. Would you please re-establish the marking tape to indicate the locations of these areas, since you are more familiar with the terrain? Sanitary permits cannot be issued for the lots referenced above until the soil reports in question have been corrected and/or completed. If you have any questions regarding the above requested changes and/or additions to the soil reports, please feel free to contact me at the Zoning office number and schedule a meeting to discuss the soil data for Forest Ridge Estates. Sin ~ Pamela Quinn, CST 665054 Zoning Specialist Cc: Mark Sylla, Developer Kernon Bast, Edina Realty Leroy Jansky, Dept. of Commerce POWTS Wastewater Specialist Subdivision file ~. ,~ d ' Wisaorrsin Department of Commerce SOIL EVALUATION REPORT Pafle _,,(_ of Otvlsfon of Salary end Bultdings In accordance with Comm 85, Wirt. Adm. Code County n1~,, Attach complote site plan ort paper not less than 8 7J2 x t t Inchos In afze. Pfen must _ J~rr ~IX Include, but not Iirnittid to: vemdat and horizontal reference point (BM), direalon and py~ I D ~ percent 51ope, scale or dimendona, north gnaw, end iocetbn and distance to naarwt road. ZNp t P/easa print a!I lnfointaflon. Re wad Gy Oate s+fon~i lnfOnn~rbn you prDVIC~ mt,y Oi uudlor ucond~ry purppssa (PgreCy Lrrrr. 1 13.0 (~) tfntf• f O __ _ Q Proporry Ovmer Property location AQ t~A ~£ iJ45th1 11d S 1y T ~t~ N R ~ l W Property Owner's Malffr>g Address -~ Lot x 81ock it Subd. Name or CSMN t i 1 t{ W , o~~ -5t o,J st , __ g -- o1¢t~~T RI D~,Ir ~s-r~T~s Cfry State 7Jp Code Phone Number (] Gry ^ V,Hege $] Town Nearest Road R,-~~>Ft ~AU~ wr SyQ2 (715 ~tzb-'~8o Nit qua I a.r.~: E New Construction l1se:~' Rssldentlaf /Number of bedrooms ____ 1{ Code derived design ilow rate ,__ (o d0 _______~__ GPO Q Replacement [] Public a cortirnerCial -Describe: _ Parent material _ 7_ { l_L.~ O -[' .1 5 '?-t Flood Wa1n elevation it apptlcabte__,,,~1~,,,~,,~~,.4~ f1. General comments -_T~ and recommendations: ~~pV.taD SyS'1'EM 1•~~t Sq~p ~~L-~'- ! ~~ Bodng a ^ 6odng ~ J 0"Y-~ 0 -'fi~-~.-. ~1'~J ~ ntr Groune surtaro pion 1 la~ _Z9 n n.....~ ,,, .: 7_U _ - ________-_ -_......_ ..........y ..._.... -.-_ ~ ..,..._-. _ _ _ ~ Soil ication Rate tirxizon Depth Dominant Color Redax Desuiptfat Texture Stn,,cture Consistence Boundary Roots GP O in. MunseN Qu. Sz. Cant. Color Gr. St:. Sh •Erigt 'EfTp2 --- . - r~.lo (7.S .8 Z `~-1 z `1 ~/Z -- '~- 2 - d orb . s o. 3 1 - 1 ° ~ -- ~. - 9b a g zv - .4 0, b 4 -2 ._ I K ds ac.5 lu 0. D. S - 3 ~ y IS ~ ds N.D. ~No o ----1 ---- - _ _. I ~j Boring tl U Goring Pit CirounA x~elirs nln.. t tQ'1- L9 v '1 h _._.._..~ _ __,,,,, ,,, ,,,,,,,,,v ,owe -;._~c__ ,,,. Soo cation Rate Horizon Depth Dominant Color Redox Dasutption Texture Structure Consistence Boundary Roots GP D/fP in. MunseN Qu. Sz. Cont. CGOr Gr. Sz. Sh. 'Ettat 'EftN2 ~ ~~ 3~ ~ ~ ds ~ ' ~ `~'~ ~ _ L z - sbK ds _ . S .8 3 4 ~~' -tom s-z0 ZU-L o~~~ ~ LO Y 3 - -' ~ _ s11 't ( g b z - 0. S` O~ S 0,8 D ~S ~ '~- loy~3 S I ,b ds -- - f~. p, . ~~,.._ ' ~ ~ 13 - - - --_1 •.,~, ~ .~ w ~ on ~,w , r ov m8n• ' ERlva Mt frZ ^ t3QD4 < 30 mgrl. and 7SS < 30 mgrL CST Name (Please Print) _ Signature CST Nurtrber ~RRY .~o Hot_~~sT~.+~ --~ S rzyi~ Addreaa Date Evaiuatian Corxiutled Taieptxxte Numbs ~19g'IS 69o~``A~~RtyE>~,~~1~ 54022 OS~-O$-OZ i,-,~rs,~yzb-1'I7S t ,.~.. ..---._ ...~.._._..._ . _ ,..r. ~._. _ ' ' ~~ ~~ t>,opsrty owner /V1~t~1C sy L L41 Paroat to # _ C P~tJ t t~ ~ t'aga Z-_ of P 7 ~ ~~+no U B°'~'° eJ °q ~~ ~~ ~ pit Ground surface etev..~`I r • e r n. Depth to tlmitlnp taaor ~ t+r. SoN k~tfon Rate Horizon Depth Dominant Golor Redox Deaaiptlon Texture Structure Consistence Boundary Roots GPD/fP In. MunseN Qu. Sz. Cont. Color Gr. Sz. Sh. •Effttl •Eff#2 ( 0~5 o~tK.'~2 -- L f- mom' eb ,s z 5-1 z o 2/z -' L es -co .5 0.8 3 2- t~ 0 4 K.3~t-I S- I ab C O.5 4 - o ~~~G -~ 't I I~- atitK r ~ _ 0, z 0.3 zL-L J 0 y ~V HG si. ~! ~ • 1 { m Sb?~ imf - r' 0 . z 0 , 3 eorln ~''~~- Sod C" lL'r,fa l n• Ground surface e~ev J in. Dsptn'to {lmiting (actor ~._ N S n Ra tl i Plt . o ca o Horizon Depth Dominant Color Redox Description Texture Stricture Conslatenca Boundary Roots GPD/tP ln. MunseU C!u. Sz. Cont. Color Gr. Sz. Sh. •EfiNt •Effll2 0- ~{tC3!'2- -- L 3~ mfr 0.~ o, $ 3 ~-- ~ 0-b 0, 5 O.~ 2 2 0 0. __._ ~ ~ mfr 4S _ O , S 0. -1 _ ~ l7_t4 -ovrL~+11. ~ ~ r~~'6Is~- ~ c1 _m~ f -- ld~ a. z o iV~ n Boring rwr~riy n GtOllrld surlBCa elev. +_,___, ft. Deptr to umaxig rauvr ^~. ^ Pit Horizon Depth Dominant Cobr Rsdoz Description Texture Struct<xe Consistence Boundary Roats fn. Munaeil Qu. Sz. Cont. Color Gr. Sz. Sh. Soil icatlon Rate GPD •E~#1 •Et~2 'Effluent #t a BDDr > 30 _< 220 myL and TS5 >30 3 1St! m9~ ' Effuent #2 ° BODr 330 ~- turd TSS ~ 30 rngtl The Depsruncnt of Commerce is sn equai opportunity sen~ice provider and employer. If you Hoed asaiatance to access services or recd material in an alternate format, p{eaac ctmuct the departrnsnt at 608-266-3151 or TTY 608-264-8777• SRGalM4RSloo1 J + . -------_ X ~ ~-- gq,$6 ~ ~G o ~o. V""~~ ~ P+fCPI~~ .4 fkb+~ 5&C.+v G 'C2vs x~~v ~'~ If~B ICJ ,. ,. ~• i ,• ~ - -- _ _ Z •pti~ ule wEs ,~ ~ k~uts~ , 0 ' t8- Z / / ,~ ,• , ~~ I .' ~ , - f , i'' ~ - . -. r ~ ~~ / '-~ ~~ .' ~ .l , s~ ,. ~ / /, j ~. ~/ i ~ / ~/, / ' ' . ~ ~~ ~ ~ r . - ,~ ~ , ,, -~d ~ / ~m ~Z ~'r Q, onn ~ , ~~',~ly fy,~ ,nog- ,~ ~ ri~~gi~ ~-1 ~L r. ~ ~' t4 Y~ ~ ~ , f ~, J J r ~ ~ I I I ~ ~ ~i f ~, «f 3~ • ~ f !! 1~ I '' ~ ~ ~ 1..:.v Q1' n ~ ', ' ~ ___ S 8 ~. ~~ ~ ~ ---- • ~ .~ Q ~ ~ 1 1. ~ i ', : ~ ~~, ~. 1 ~1-i:1194~9 ~ (..1 ~. ~ ~ ~~•• FROM RICHARD CONSTRUCTION, INC. PHONE N0. 7156469332 Jun. 21 2007 12:49PM P2 ~~ L~,.. uu,sti rnn rir ~ut~ fuou ^ Y~7~'•TV 1002 -~. •~. 1. ~~~i C~ 41., 1 i ' S;c YTTC TANK N~AiNTEN gNCE AGREfiMEN T A'~1D t'JWNEItSH]I' CERTIFICATIO?~" FOIL'V.I Owrer,~l3uycz' ~ I L;~-),~} ~°~• ~' l~l.:~!-re.1/L~~~ 1 /~G. ~98.11J]~ Address __._.~_1~.._ _ f~i{ ?~~~C r~1 C~'_„~, ~/~iJ2/f~~$'~ J Pmpor?y Address ~ O~ }~ 1~'UJF'~~ ~ /fit ~~' ~S~/9T~~_S" (Vetit'ication required from planning ~ Zoning DepArtmcat for :iew wnstnuti~r_,.1 " ~•., ; ~ _ ~i~~ Stt;tt ~ ,__~ Parcel fderttific.?tirnt.lvttttt~er Dj Z~ 1 .. (~ - sob . LEGAL ~E5CRIlt'~'IO,,, ~TOAe~ty L;scation I/LC !~. , ~ 1.,1 r/ ,, Sec. ~~, T Z ~ N ,R~ZV4', To~wtti of {^/r~! ++ trh ~,.i/? .~._. Subdiv~;sz~u ~~~"' l~ . r ~~ 7~'_S _,_ , l,ot # ~. Cert~~ed Sun•ey Mttp # ~,_,~„ . Voluttze _ . ,Page # v~'srrant~r Deed as ~ D 7 ~ Z~ _ , ~ olti-~e 21 Z g , Yage # L~3'D Spec htrvso yes ~ Lot litres identifiable yea ao ~S~'~'CEiV! 1•7AIN'I'F~TAN~.~4>~...Q~>3 CER'TIlP'ICA~,IQN Ie~raper use sad maintcaance of your septic syst~rrs could rest;lt is it4 premature failssre to batydle wastes. Pzoper triaitrie>?itnue ronstats of pnilrping aril t>re septic tank Decry three years ar soaaer, if needed, by a hiceasad pwuper. What yen pt~t info the systetri can affect the fimctiom of #te aCptic lard[ as a tr-atucat stage :;t the waste disposal sys~mi. Qwtiwr' ixsaiotGtusnce :~sponaibilit;as are speciSed is gCoenm. 63. ~2(1~ sad in C'lsaptar l Z - $t GYoit covxaty Ssroitz;ry Ordiaence. Tl<e property ov~cr agrees to submit w 3t. CroiX County planning &. Zoning nepsrtruent a cer*ificatiCrs form, Rigged by the ogaer s~t3 by a masirr plt~bcr, ,joumeyrasn p]sam3er, rest•'iceed plumber or a litae.~ed purtpet verifying that (1) the on-si:e wastewater disposal syssem is in proper operating coadriori and/or (2 j aflnt iaspce:ior. and ptm~pitfg (if *~axy), eke saptia tend: is lass than 1/3 full of sludge,. Iiwo, the wtder3ignad have read the above requiretmeatg ar~,d agxee to roaiatairt the prlvas sewage disposal sy5rrta with the standards set forrh, hereitr, as set by the Departarent of t`.oronerrr_ and the I)epartmcnt of Natraal Resources, Stabo of Wiuscouain. Gtrtif cation stating il~at yos:r septic systetc has been rnaitstaioed rawt be complclmd and retuuurd to the St Croix County Plsmiag ~ 2oselAg Depatumenr wXrhir: 3G days of the three year expiration dare. Ua-e certify ttr9t ail staters®nt5 en this fertp ate trte to the befit of ttp}/oux krw~+i~.d~. Lwe atr/a~ ~e owner(s) of the propest5~ des~ibed above. by vix:ur. of a warra.*~ry deed recvtded in Itegisitr cf Deeds Office. Nulmbt~r edroan~s ~ ~ /L~~ ~,ro?(I Dom` j NATURE OF APPLIC ~' ~ DASE '`* `Any infbnaation that is misreprbser#ed a,ay ras:tlt in the sar,:tary perastt being revoked by the Planning ~ Zosrlag ]Depsrlreeau. +" Ircinde with this application a recorded w8tianty dead from flta Register of Deed's OEfrce turf y Dopy of the certified ssassey map if lefer~ is made ir. the wanaety decd. f REV. 08i0S~ ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHII' CERTIFICATION FORM Owner/Buyer ~)G~~~,(~ ~~5~,/l~Uz=-~~ ~'NG, Mailing Address Property Address l-O~ ~s7-~~~s (Verification required from Planning & Zoning Deparhnent for new construction.) ~ ~~~ ~ 9'~~ [~: City/State>~~C,~l/~ ~, ~ Parcel Identification Number ~ j ~ ' ~CJ+~ 1 -' ~g - X30 b t~,~,,~ U~= J,h9n~ LEGAL DESCRIPTION Property Location /t/~ '/4 , $ ~'/4 ,Sec. ~~ , T ~~ N R~W, Town of ~r~ r~ m u,.i~ Subdivision ~~E'-~v /e-l~~s~ ~',~ ~~ ,Lot # ~. Certified Survey Map # Warranty Deed # ~ ~ ~ ~ ~ ~ ~ ,Volume ~! Z g ,Page # Volume ,Page # Spec house yes no ~~~~~ ~ r.OGr~' Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 03a Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1}the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIGNATURE OF APPLICANT(S) _/_/_ DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) FROM: RICHARD CONSTRUCTION, INC. PHONE N0. 7156469332 Jun. 21 2007 12:49PM P1 RICHARD CONSTRUCTION', INC. Y-ESTER P, RrCHARD 1688 ~'ATTERSON COURT CENTURIA, wZ 54824 1~ACSIMILE TRANSMI??AL SHB$T TO; PROM: . ~ ~~ ~~ d.r. .' . d 7 c ~.:~ h 5 lcanx P 8c Debby S Richard. COMPANY: RATS - ~ ~- ~/~ ~ 2007 PAx NUMSSR: TOTAL NO. OP PACBS INCLUDING COVER: ~~- (7I5) 646-9332 ~ PNONfi NUMBBk: (715) 646-2329 NOTES/CO1vIMENT3: ~~~~ (~ ~,-c,,(t-.e. ~J • parcel #: 018-2001-08-000 os/os/2oo7 03:51 PM PAGE 1 OF 1 ~ Alt. Parcel #: 14.29.17.872 018 -TOWN OF HAMMOND 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 -RICHARD CONSTRUCTION INC RICHARD CONSTRUCTION INC 1688 PATTERSON CT CENTURIA WI 54824 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description ' 940 193RD ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 2.940 Plat: 1961-FOREST RIDGE EST 1/30 018/03 SEC 14 T29N R17W PT NE SW FOREST RIDGE Block/Condo Bldg: LOT 08 ESTATES LOT 8 (2.940AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 14-29N-17W NE SW Notes: Parcel History: Date Doc # Vol/Page Type 02/03/2003 707925 2128/030 WD 01/14/2003 705829 9/46 PLAT 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.940 43,200 0 43,200 NO Totals for 2007: General Property 2.940 43,200 0 43,200 Woodland 0.000 0 0 Totals for 2006: General Property 2.940 43,200 0 43,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 12/03!2004 12:28 PM , Parcel #: ~~ $-ZOO1-~$-OOO PAGE 1 OF 1 Alt. Parcel #: 14.29.17.872 018 - TOWN OF HAMMOND ' Current ~X~, ST. CROIX COUNTY, WISCONSIN ~ Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * =Current Owner * RICHARD CONSTRUCTION INC RICHARD CONSTRUCTION INC 1619 COVEY DR RIVER FALLS WI 54022 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 940 193RD ST SC 2422 ST CROIX CENTRAL SP 1700 W ITC Legal Description: Acres: 2.940 Plat: 1961-FOREST RIDGE EST 1/30 018/03 t7 SW FOREST RIDGE Block/Condo Bidg: LOT 08 ESTATES LOT 8 (2.940A Tract(s): (Sec-Twn-Rng 401/4 1601/4) 14-29N-17W NE SW Notes: Parcel History: Date Doc # Vol/Page Type 02/03/2003 707925 2128/030 W D 01/14/2003 705829 9/46 PLAT ~nn.t c~ innnneQV Bill #: Fair Market Value: Assessed with: 271,200 Valuations: Description Class Acres RESIDENTIAL G1 2.940 Last Changed: 07/15/2004 Land Improve Total State Reason 43,200 0 43,200 NO Totals for 2004: Genera! Property 2.940 43,200 0 43,200 Woodland 0.000 0 0 e Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 'J 2128P 030 ~ STATE BA R OF WISCONSIN FORM 2 - 1999 Document Number WARRANTY DEED This Deed, made between E. W. Homes, Inc., a Wisconsin Corporation, Grantor, and Richard Construction, Inc. Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lots 8, 10 and 15, Forest Ridge Estates, Town of Hammond, St. Croix County, Wisconsin. Recording Area 7t~7925 KATHLEEN H. WALSH REGISTER OF DEEDS sT. cROIx co. , liI RECEIVED FOR RECORD 02/03/2003 09:35A?1 EJIf:rPT # REC FEE: 1 i. 80 TRANS FEE: 43$.88 COPY FEE: CERT GOPY FEE: PAGES: 1 Name u~EDETfE VAN HEl First National Bank PO box 166 ji River Falls, WI 54022 Part of 018-1030-50-000 & 018-1030-40-000 Parcel identification Number (P{N) "this is not homestead property. Q~) (is not) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. ~~'~ ~ Dated this _ ~~!~_ day of January 2003 E. W. Homes, Inc. ~~~~ * * By, Mark B. Sylla, P sident « * AUTHENTICATION ACKNOWLEDGMENT Signature(s) E. W. Homes, Inc., a Wisconsin Corporation, by STATE OF WISCONSIN ) Mark B. Sylla, President, ) Ss. County ) ti authenticated thi day of January 2003 ---- ----- ----~~~- Fersonally came before me this day of the above named * Kristine Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stets.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY * Attorney Kristine Ogland Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) •~ * Names of persons signing in any capacity must be typed or printed below their signature. irnom,aibn Praessioneis company, Pond du Lac. Vvl STATE BAR OF WISCONSIN 800!55-2021 WARRANTY DEED FORMNo.2-1999