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018-2019-06-000
G' (S' Zb r t- b Co -- oc>o 2 Q. 2 . (-7, s 560°13 �„KW,Q-,,....0 (). , r\ `' �O , 5 „µhi Vs' FIELD INSPECTION i■ SERVICE REPORT INSTALLATION AUTHORIZED SERVICE PROVIDER Pc/4-, #,//S cF/7.,7,,ndD o/ ,Q,L' .E. .60,/-0t'.5. e✓c✓cceb‘jer75,LLB: Installation Address: 5-7 Name:-ra�,nej X-< o rr2P0C.7 Owner Name: ,a,g l' nelols Street: Nlail Address: ,' ,s"/ 7aLAke. Mail Address;, /,/ rno)cd 35l0 pa.cv/.s” LaAe 61-ne, City State w/, Zip 50/3"- City QSCep Lei StateO/• Zip 5510.E Phone Fax Phone (745).24-776/Fax e-mail e-mail ACe-W/ rd.ri rr6-Q,r-nei•ne6 INSTALLATION INFORMATION ��11 \lodel No. Blower Brand and Serial No. Date of Installation Date of last pump-out 461e icrOdr, Size !/i'i &Sec'. 4, 002 of /0 0/ ` // EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS- OPERATION EN NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel s won Visual Alarm O.eratin_ .111MMI 1 Audio Alarm Operating (if•resent • Air Inlet Filter Clean _M. (020.4 0- • Blower Hood Vents Clear 111111M1 Excessive Noise E xcessive Vibration i . Treatment Unit s : Unusual Odor -IMIIIMIIIIr System Vent Purn out Re.uired: / Prima Settlin: Zone � t - U i ,s Aerobic Treatment Zone , ' //v., ..- EFFLUENT: LIMIT RESULT 1 i Estimated Daily Flow 1.4.-- .,.~vt, •H (Standard Units 6-9 S.U. Color Clear 'S j Tern >erature Dissolved Ox :en effluent MEM . Odor Slightly Musty odor X6, �iy4 �,a (not se.tic C./ QQ OWNER SIGNATURE ow ` A ' !ire 1 •7 SERVICE DATE ,V/. ., / _ , 1 - d 2a/ L1/8- za a(v- 600 l7, 17.6(0 N1 tnlan D 566373 FIELD INSPECTION & SERVICE REPORT INSTALLATION AUTHORIZED SERVICE PROVIDER i/s cF a,nmc (�' . .�o.%9t S: �S✓ u4 'cr�S,G ' Installation Address: 5— Name; a,,,z X� i Owner Name: Street: Mail Address: Av,5-1 7a-'U4 0e.. Mail Address �, �-l�,�t�n��xd 310/��.u�/sor� Lade Lc►�••�e ' State W/ Zip -50 s city Leo 64 Statet,)/. Zip 55/0- Phon:. Fax Phone (;r/5).2 7J67 Fax e mail e-m a i 114 C `ca s) a e� INSTALLATION INFORMATION Model No. Blower Brand and Serial No. Date of Installation Date of last pump-out .Biv C!'p&e s Size EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS— OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel(s) Visual Alarm Operating audio Alarm Operating / if resent ✓ Blower(s): Air Inlet Filter Clean p j Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Unit (s): i_:nusual Odor S�stern Vent Pum gout Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT: LIMIT RESULT Estimated Daily Flow �,�� — yju. ✓ H (Standard Units) 6-9 S.U. Color Clear Temperature Dissolved Oxygen effluent 2 m /L Odor Slightly — Musty odor ti not se OWNER SIGNATURE I TEC NICI N SI A RE SERVICE DATE �-- .20/3 Wisconsin Department of Commerce ' PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township ROliin Hills of Hammond LLC Hammond, Town of CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANU FACTURER CAPACITY Septic //11 ~~~~ / ~ Y-L ~ W ~'u ! //~S PbZ D/g VV t~ -- 2 ~~ Aera ' ~ 1 ~'f" /hf Holding .. L ~ ~ ~ ~" /. TANK SETBACK INFORMATION TANK TO / ~- EL 5~ ~ BLDG. Vent Air Intake ROAD Septi I 2 / t~ + ~;~ ~J V Dosin i ~7 L.rj ~ '/ 7 3 .S ! ~ ~ ~Sl ~ ~ T ~ !~4/ N1 D Aeration ~Zf ~j' ~~~ ' ' Holding PUMP/SIPHON INFORMATION Manufacturer ~ d ~ Demand V GPM Model Number ?J~,~ ~~D ~ TDH Lift Friction Loss System Head TDH Ft 'Forcemain Len th / Dia. ~ !, Dist. to well C!'111 AQC/1DDT1llAl CVCTGRfi /~ i6 r /1~.. / c°unty: St. Croix Sanitary Permit No: 506393 0 State Plan ID No: Parcel Tax No: ~~~''~~ '~ 'O~=~G~C~ Section/Town/Range/Map No: 29.29.17. ~~~~' ELEVATION DATA (,, (~~'Ll•' T TIO 2B~ /os/ r B c mark .0 1 ~"~. ~ !,~/~ ~ iJa Alt. ~. tb Q,a~l1/ A Bldg. Sewer ier I - yr~i'(J r,~y-„4, ~ _' - /off ~ SUHt Outlet / Zv,f ~ D D=am`' 3 t,~.y ~us~ Dt op mr~-~ ! 5.O ! i- Header/M r~ ~ p-y~~ y ~,°' Jew 106. ;r Final Grade Q'~(~ ~ ~ St Cov r .. .. ~, /j.tP* ~6 Y (v R A/ J /'li ~/~/Si d p '~~ /. 7 BED/TRENCH Width / Length ' / No. Of Trenches PIT DI NSI NS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 4' ~ D ~ SETBACK SYSTEM TO P/ BLDG WELL LAKE/STREAM L CHING Manufacturer: CHA E R INFORMATION T f S stem: i' / ype y ` ! ~ ~ _ _` (~ / Model Number: r Q - / ~ ~- - ~ i~~ ~ a~~Li~ ~ ~ ~r ins ~r~ ~ F. nn ~~~r~~Ti i[1[r ~n.r r.t ~.. n c ~ i MAO l A/ ) ~ " ELEV. ~~ In /~~. ~' ~ a6 _~ /, 3 /~-.~ 6 ~2.8 G 7. ~O ~. .o _ 0/- /o ~ /,-3~ ~. ~ ioa ~ ~~ 2 . vO~.ix/ Gs1.(~lho ^~~ Header/Manifold !~ . Distribution g 7 / Pipe(s) ~ x Hole Size !i l x Hole Spacing // Vent to Air Intak a ~ l N'~ 2 „ ~ . S i ~ Di ~ O Length Dia pac ng.^ _ a Length Cnll r'`f1\/f=D .. o-_~~..~~ r..r~.....~ n..i.. .... nn.,~~nrl nr Af_Rrarla Svctamc Only / iQ.Qdi~iW~/l /A~ Depth Over Depth Over ~ Depth> a xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil (~!-~ ~ J Yes LN ~°+'i Yes ~ I No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: .-a / c. ~~~/ ~='~ ~ Inspection #2: / / ~ ' '~ Location: 1651 72nd Avenue Hammond, WyI 54015 (SE 1/4 SW 1/4 29 T29N R1/7W) Rolling Hills Farm Lot~7 "~ Parcel No: 29.29.17. 1.) Alt BM Description = ~ ~ _ ! 't <<...~,fw=.~ "'° t'v{~+.<~`. ~^ ~~ ~uJ -c.e.., 2.) Bldg sewer length = ~~ ~ ~ / ~~ ~• ~ ~ ~ -amount of cover = ~ H ¢' `~-~: ~ t L a..-+ 1 ~ `.y~~,,~~ ~1~ti..a ~~'C_ Plan revision Required? 'i Yes "~{'(lo /" /~~ ~ /'~"'~/v ~ Use other side for additiona4 information. (U V e G -~ Date Insepctor's Signatu Cert. No. SBD-6710 (R.3/97) IFtr a~~l commerce.wt.gov Safely and Buildings Division 2Ol W. Washington Ave., P.O. Box 7IG2 ' County _ ~~ O ~ . • I ~w/"~ N ~' i~1 ~ Madison, W ( 5 3 7 07-7 1 62 tt _ umber (to be tilted to by CoJ Sanitary Pe~rm'it~ti f , 4- V i / ~ v~~~~ ros ` ts-en t o f Cotntne (3ePart Sanitary Permit A~plica State Transaction Number ~~ ~~ ~ ~ bmission of this tbp mental s Wi Ad C d 21 2 u m. o e, ( ), s. In accotdame with s Comm. 83- unit is r,quned prior to obtaining a sanitary permit. Note: Application loans or state-owned POWlS are Project Address (if different than [Waiting address) submitted to the t7epattneent of Convnerce. Persona! information you provide Wray be used for secvttdaly t 4 i S ~ ^ ' r( ( )(m), la s. ~u x75CS m accordance with the Privacy Law, s. 15.0 I. Asti licatian tufonnation -Please Print All tuformation _____ ' ogee[ s Name Property Owner I ~ o ~\\ ~~ ~ \~~\\s O~" ~ arc, c~mo~a. ~ ~L. C F r ,~ 1 2 2D0 Property O wncr MaHing A res~s ' j~ ~( ,L Q ~. ST. CROIX COUNTY ~ ~ C.~ / ] ~ ^ l ~ J''LC.Ci tv J /J Y t'`l~(/Y~l? 1' Govt. t ~ I one NuWibot p Code Z i City, State ~_ y,, S ~- /, Section • ~ `` ~ I ~ ~C~`~t:~ tv ~~ J ~ ~ ~ ~ _~(~~i7° '~~ ~U ~ (;;ircio at~y>~ ? N: R I`~._ E o! W Z 1 e of Buildin (check all that apply) T Lot # - ~ . yp g L,~ ~ ,~ ~ ~ ~ Suirdivision Name G''r ^ 1 ar Z gamily Dwelling - Numl+er of Bedrooms .___If~.rw •._ ~no~-nom. ~ ; 131ac;k # - p 1\0 1~\h ~ iiLs y D PubliciCnmmercial - Drscnlx Us ~ / ~ ~ ~ ih l ~- __._r_.~ ~ S~TI "`~"'~ ~Q'n /~ ~ 0~: 3 _ _..~ _ ^ City of ----- -- e of ^ Villa . 1 ^ Stdtc f)Wfll'd - DCS~I"lul LGSC 1~~~ ~ CSM Number t _ _ g -•~ ~ ~ ....__ h ~.... !s ~n1 ~TOWn Ol -- lll. Type of Perrnit: (Check only one boz on line A. Conytiete line B if applicablt} A. lain) t m (e i S i i E ~ ^ ys e xp ng on to x st Other Modificat y ^ Replacement System ^ Treatr~entlHolding Tank Replacement Only New S stem List Previous Permit Number and Dace Issued li • ^ Pcrt)tit Renewal ^ Permit Revision ^ Change of Plumber (~ Permit Transfer to New i Before Expiration I ..p~xner / II'V''.''T'~e of P~WTS SystemJCornponentlDevice: Check aH that a a tl ~ t!~ _ ~ w---~~~~~J` ~- ~ {i ..) Nan-Pressunaed In-Ground 0 Prosaurized 1n-Ground ^ At-Grade Mound > 24 in. ofsuitable soil ^ Mound < 24 im. of suitable/s~oi~ ~~5 7~ ~ L'N ~ ~1 ( l i D i ' ^ ~ ^ ' ~ ,. ce ~ exp a n)~ ev Ho1dntg l ank Other Dispersal Component (explain} ~ Prctrcaunent V. I)is ersal/TreatmeniAgea Information ~ ll./ . Design Fiow (gpd) Design Soil Applicaticm Rate(gpdsQ Dispersa6 rsa kequired (sl) Dispersal Area roposed (sf) S stem L' v n f Vl. Tank Info Capacity in ~ t Tatal # of Manufacturer ' O .:'. Gallons ~ Gallons [Jolts ^ z, ~ ~ New Tanks Bxisiuig Tanks S~.y, -~/~ 57~~ Z w ~ ~ ~ ~ ~ ~ `d ~ u C a . 7 . { r% U rn 1 i r Septic or Holding Tank _ -~ { ~~~ r/ - / a h N ' G: '' f° Y' dosing Chamber 2~d0 , ,~ 5"e t/' Vtt. Res onsib'slity Statement- t, the underslgnt:d, assume responsibility for installation afthe POWTS shown on the attached plans. Plumber's Name (Pant) Plumber's Signature MP~MPRS Number Business Phone Number r YI umber's Address (Sneer, City, State, Zip Code) ~ ~ VIII. punt ~/De artment se Onl _ / pproved ^ Disapproved Pe~•mit Fee , i Date Issued ~ a~ S ~ r ~ ' Issuu~ Agent Si nature ` ~ ^ Uwner Given Reason for Denial ~ ~ lj ~ `~ ~Y~ ~°t^~j'~I~ ~~.T-~~t 1~3>t~ tApproval/Reasons for Disapy,raval ~ ®~~r~~'~ '/"~ 'y~'1 ~~n/~~'tCln~- ~~ ~~'' , _ ~] Septic tank, effluent filter and GUt-t.~ h S~ ~f~~~.~t,`v /~`/„ G~ f~! ~ -~iz~ G,G'~ •/'r i j dispersal cell must all be serviced /maintained /" t~e.~ Lv~ t ~ ~ ~ ~ '''t ~ c-" ~ , Qa~ ~ n - ~ as per management plan provided by plumber. (,~~;~G~ G All setback requirements must be maintained (,~.~j~ h `,gi ,y„/ G~dCl~~.cR-.l as per appucaote cot7tantYumlltai~itRftee pt tt fu; the system and submit to the (=ounty otU}' on paper nor refs than a ui x t t mcaeson alts ~~1/~ rz~t.rL Gc ~ "-c~~c~ -~G~~ £ `~..e, UCi.~t>z~ . 5f313-639$ (R. UliU7) Valid ihtu Ul/U9 ,f `~ ~ ~[ 9 __ _ ~ ~ ~ ~-~ - ~ 89.88 ~ ~ .,.\ Rollin Hills Fa m Lots 5-7 Plo ~ ` ~ ~ ~ g t Plan S..~uP _ _ ".~ i .ox ----~-----1 -------rte \ ------- - - `;-/ / / / ~r 87.SS ~ 0 `C r/ / ~ ~ ~___ iK ~ 106 ~/ / ~ _ / \ - / ~~ i \ ~ ~ .. ~ ~ ~ ~ ., '_ ..- . ~~~ `, 82.99 ~ ~0 / ~ - _ - ~ / i i OO 0~ STS BSriJ ~ ~ ~~`~~~ 83.4 ~0 ~iHST~t ~6' i`\ \0 ~ ~~in°,EFr w ~. ~ ~~ ~ inv~i Ni' \ ~ ~ ~ , . \`~ ~f0~ \ ~ \~~ -~ _ ~.' /f~ ~I 79.27 ~ ~ taaucr ' ` ' ~ ~rypical locations, `?Vie , ~ ~ , ~" ` - 975/1425 BIO/SE.''TI _1 p 80 % : _ _ -~a, ~ oo\~ ,. ~ _ tanks wJ Biomicr,~~i ~~,. ~ _ _ .si ~ ~` FAST 0.75 ATIJ~ ' ~ ~`, \ ~ ~ r , 76.63 ~~~ \\ ..52 .2 `~~ ~\ \ " - 4~ QS f t.-e..t ' ~ ~ _ -, , ~, L.. Pic ~- - -" '" a ~ 75.28 ~ i } 4'O $ o'<. Q. w tH s ~ ~' ~ ~ ; ~ ~_~ ~... -4-p-.,1'c. 72.77 - - - \~ / ,6Py ~ ~ - _ ~ / / T / ` ,~' ` 4qy~: 7 72.67 / - ' ~ ~ r1~ r~" .~ / ~ +..~ .~ ._. r &9.50 84, i i ~ ~. ' ~ r-~`~+~,f ~~ X5-8 ~ , -- '~ 6x8.30 ~' J _ _ . v-sWALe-wl ~, - ~ ~` ~ ~ i r b~ kleo'ro~` ~~1~ 4 1 SIDE SLOPES ...... - tfT AIIN. DEPTH ~r / ~ v ~ 4- 1 <.lu..a.~i- S~O~~ --(SEE DETAIL) X r / ~ o ~~ Kt~~ 66.10 66.83 cow ~~~ ~ 05.2 ~ ~ ~ ~ ~ ~ ~ i ~ x i ~ _ / 64.b3 i / ~ ---' I ~ E5.1 ~ /~- 63.60 63.98 ,--~~-- " i - - ~ i . ' - i / ~ '_ / / / / ~ _ ~ ~ / ~ 61.10 i ~ ~ ~ ~_"`\ ~ ~ b 6 .00 ~ ' / ~ / .~. / / / / ~ k / , ~Y-SWALE & BER1A /~J/ ,//~_~~--060/ W1FT~A1IN.DDEPTHES -~ NORTH ~ ~ (SEE DETAIL) ^ Soil Test Pit _ SCAt_E: / 0 Cleanout for 4" / ^ - - - - _ \ r..-~ _ effluent line ~ ~ ~ / ~' - - - p - 40 -' • Benchmark 100.0 (1074.5) $~ 160 elevation on top of/4" PVC pipe 1 I ~ `1 ~ ~ I ~ / i' / ~ ~'_ ~ ~ ~ ~ \ / ~,--_' page 3 01- a h ~' ~ \ ~ ~ ~ l \ \ \ \ ~ ~ / ~ \ ~ commerce.wi.gov i ^ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD lA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.com merce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary October 23, 2007 CUST ID No. 222774 HENRY F GROTE CERTIFIED SOIL TESTING E4366 353RD AVE MENOMONIE WI 54751 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/23/2009 SITE: Rolling Hills Farm 160TH Street Town of Hammond St Croix County SE1/4, SW1/4, 529, T29N, R17W Lot: 5,6 &7 Identification Numbers Transaction ID No. 1476311 Site ID No. 731612 Please refer: to both identification. numbers, above, in all corres ondence with the a enc . FOR: Description: Mound /Common System for Lots 5,6&7 Rolling Hills Farm Object Type: POWTS Component Manual Regulated Object ID No.: 1157879 Maintenance required; 1,800 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System: 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); Aerobic Treatment Unit, Biofilter 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. C~1IA~" The following conditions shall be met during construction or installation and prior to occupancy or use: q ~ ~ ~+~ Reminders ~p ptti°~=~'~ ' " QF Fl • This system is to be constructed and located in accordance with the enclosed approved plans and with the com alanu s listed above. EFE CCc`` ``~ • This installation is for`lot 6. omm 83.22(2)(b)5.b., Wis. Adm. Code reads in part "...plans for a POWTS w is serve a ne structure or building shall be accompanied by... a copy oaf a recorded legal document that identifies all the parties that have ownership rights and are responsible for the operation and maintenance of the POWTS." When the additional lots are cTeveloped, this plan will require a-revision or the review and a copy of the recorded legal document. • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required • The Bio-Microbics 0.75 FAST unit must be installed in accordance with the manufacture's printed instruction and system sizing criteria found in Comm 83, Wis. Adm. Code. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. HENRY F GROTE Page 2 10/23/2007 ;/ • A maintenance and monitoring contract for the Bio-Microbics 0.75 FAST unit is required for as long as the unit is in service. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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 POWTS 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. Stat • Comm 83 22(7) A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. 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. • Comm 83.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ,~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday :Friday Charles. bratz@wisconsin. goy Fee Required $ 225.00 Fee Received $ 225.00 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. William C Schumaker ,Schumaker Plumbing (Plans Mailed To) Rolling Hills Farm Mound Common System Design fo Lots 5-7 .Construction Materials and Techniques A~~E~~F p~ j I D SAFE, 8 200 ~S, ~ SU~~~~N All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (O1/Ol) Location: SE '/a, S W '/a, Sec. 29, T 29 N, R 17 W Town: Hammond County: St. Croix Date: October 12, 2007 Owner: Rolling Hills of Hammond, LLC Address: NS~~~i ~ ~~\ C o S ~~ S '• • 54016 .` Hudson WI . •. ~ Y F ~ Designer: . ' HENR Henry Grote GROTE ~:*. p-1699 ENOMONIE ~ Signature: M Wis• N~~ ~~` D '~~ License: ES I G ~i WI D - 1699-007 i~~~ ~ ~ ~~~~ Attachments: SBD-10577 -Plan Approval Application SBD-8330 (3: lots 6, 7, & 8) Engineers final grading plan, 1" = 80' Maintenance affidavit Page 1: cover 1 a . overview 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management F~~ry :~~~D =~MMER E ~M° f+vcs ~ND~NCE page 1 of 8 Overview This system design is intended to be of sufficient size to be capable of handling an increased wastewater load in the future. This plan complies with the St. Croix County Code of Ordinances, Land Use and Development, Chapter 12, Sanitary, Enacted July 1, 2005. A Conservation Development, Rolling Hills Farm, is designed for 77 lots serviced by a proposed 22 adsorption/dispersal components located on common ground. Appropriate easements and maintenance language are required by the ordinance prior to preliminary and final approval. This design will have common pump tank and dispersal components to service three lots, lots S, 6, and 7. Soil tester pits and benchmark for lot 6 have been located to scaled dimensions on the engineers final gra mg p an. of tester benchmark for lot 6 is 100.0 at engineers nominal MSL 1074.5; the system esign contour is 99.5 at nominal MSL 1074. The 99.5 (1074) contour is slightly concave. Measured, scaled concavity is approximately 10.4 foot in 160 feet of run along the engineer's 1074 final grading contour, about 6.S% concave. Increasing the rock cell length to 160 feet yields a calculated effective chord length of 157.3 feet which is greater than the minimum required length of 1 SO feet for a six foot wide rock cell. The scaled, measured chord length is 156.8 feet. Each lot is projected to accommodate four bedroom residences. Each residence will have a combination tank with aseptic/trash tank compartment ahead of an aerobic treatment compartment. Septic/trash compartment outlets will be equipped with filters equipped with filter alarms to facilitate proper maintenance. Thus, highly treated effluent could potentially be created in estimated flow of 1200 gallons per day or design flow to 1800 gallons per day. All this effluent will flow downslope to a dosing/pump tank located just southwest of lot S. This system is designed with surge capacity and timed dosing of the mound component. Surge capacity is approximately 1014 gallons represented by the pump tank volume between the timer off liquid level and the alarm float. The surge volume is about 84.5 percent of the estimated daily flow assuming potential future loads. Timed dosing is designed to spread the full potential firture design load of 1800 gallons per day over 24 hours in 1 S separate dosing events. With drain-back of 16.58 gallons, a dose of 136.58 gallons translates to an effective dose of 120.0 gallons into the mound component. At a calculated total dynamic head of 21.3 feet the Goulds 3871-EPOS pump is estimated to yield 42.5 gallons per minute which indicates a timer on setting of 3.2 minutes or 192 seconds. Since fifteen doses per day are anticipated at full design load, the timer off setting should be 92.8 minutes (5568 seconds). Careful measurement of pump tank liquid level drop is required to field calibrate these estimates and assure a 136.58 gallon timed dose including drain- back. The liquid level drop should be 2.76 inches per dose prior to drain-back. It can be noted that the 120 gallon delivered dose is five times the lateral volume and will provide S doses per day for a one residence load at full initial design load. The common effluent collection line must be constructed with schedule 40 PVC and installed in accord with Comm 82.30(11)(e). In particular the trench bottom must be over-excavated a minimum of three inches and the elevation of the pipe established at the pipe invert with at least three inches of clean sand. Pipe backfill shall be in accord with Comm 82.30(11)(e)2.a for the initial twelve inches. The collection pipe should be installed at a nominal depth of eight feet below grade to facilitate gravity collection from future residences. The Comm 82.30(11)(e) installation requirements also apply to the system force main. Page 1 a of 8 Design Criteria & Calculations YES Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL ~'~S Treated Residential Wastewater Contaminant Load: 30 mg/L < BODS Septic tank + "highly-treated" effluent 30 mg/L < TSS Fecal Coliform < 10,000 cfu/100 mL ~' Bedrooms x 100 gal/bedroom/day x 1.5 ~ ~ gallons/day hydraulic load, current ~Z Bedrooms x 100 gal/bedroom/day x 1.5 ~ gc ~ ,potential future In situ designed loading rate o•35 gallons/sq. ft. per day Depth to estimated high ground water ~~ ~ ~ in. Depth to bedrock ~ °~ b in. Cross slope at system ~ , 3 % ~^•~ ~ y Force main length ~ e-'~ ft. of 2 in. t ~,• 3 Manifold/header length 3 ft. of ~ ~~ z in. o .2.g Drain-back I b.sg gallons Lateral length ~'"' @ ~- g .~3 ft. of ~~l 4 in. Lateral elevation ~ ~o ~S' ft. @ bottom of lateral Lateral hole size ~~ ~ in. @ 4-~, o in. ( ~ .3 3 ft.) Spacing ~-4 holes/lateral ~ b holes total Lateral volume 2 ° ~ ° S gallons Total lateral discharge rate 3q,~~ gallons/minute @ ~~~ ~ ft. head Network pressure compensation losses ~ ~ ~ ft. Elevation difference ~ ~ • ° ft. Friction loss 3.3 ft. @ ~~ gallons/minute Filter head loss ~ `S~ ft. Total dynamic head _ 2-1 ~ 3 ft. Pump 4 S~ gpm @ 2 Z • 1~ ft. of head Manufacturer ~• o `^ ~ ~ s ~ `~ ~ t Model # `~ ~' ° S~ Dose volume ~ 3h, S g gallons Lift tank ~' ~ ~ ate, ~ ZS ~ M 2 Z~-u-o gallons Pump tank filter 'S ~ ~ ~~-~ STF l,-o C~ z Septic tank ~~ ~'+ey 9~~114z-~ ~1O1S~pTlc Septic to?nk effluent f lter ~ ~ e~.ao FT o~Z- ATU \~~oH~c2o t3~c.i U,~-S' P~(-~(CT Measurement pump timer enabled on-off 4' • ~ Dose pump timer on setting 3 ~Z- Dose pump timer off setting between doses `~ Z ~ `a Height alarm from tank bottom ~~ •~ Reserve capacity 1 Z~~ .~~ specs.calcs z4'~'~ gallons, 1 current + 2 potential future t' ~4' ~A , 1 current + 2 potential future _ , 1 current + 2 potential firture _ in. _ min.; field verify dose @ 1~6.5~ gallons _ min. _ in. _ gallons Page Z of ~ ___ _._. ~ 00+Li ~ ~ ~ - - - - ~ TRA1L ~ ~ ~,/ 9 ~ _ ~ _ ~ ~ 85.0 -,- ~~` ------- - ~/ `~ ~ , ~ ` 89,88 ~ - .,.\ Rolling Hills Farm, Lots 5-7 Plot Plan 5••tMP _ ~ ~ t \ ~ " ,~ `, ~ \ ~ .81.38 ~ ~Ox .ox - ~s le'cua / ~ \ \ ` / / ~ ~ fl m I.ox ~ \ - - - - - .- -- ~'- ~ 87.85 "~.~ Owe 'C r / ~ '~~.` ~ / r 108 ~ -- ~ ~ ' - -- ~' ' ~% i rte``` x'82.99 ~ O'~0 ,a0 ~ 5u esr 7 ~ ~ - - ~ / ~` ~ IINSTA,,j ~ \ \ - _ ~ ~ ~. 83.4 wRpr [.tit ~ ~ - ~ 7 00 vlv a ~ # ~ ~ ~ ~ ~ / ~ I, INTER i P~ ( ~ `~ ~„ ~~ ~ l SIN VERi Wl \ ~ .- \ i ~' ~' B \ ~ '_ _ ~ 7 ~ ~ ~.~ 79.27 ~ ~ Typical locations / / ~~ ~" :Wieser 8 ~~ \ ~ _ 975/1425 BIO/SEPTIC 10 0 ~ \\_ _ -7a. ~ o0 ~ _ tanks w/ Biomicrp~bics • / _ _ •s`2 ~ ~ ~ , - ~ FAST 0.75 ATUs ' ~ \~~ - ~ -' ~ + ~ 7..52 \ ~ . "" ' 76.63 ~ i ~ ~ ~ s ~ a~- -' ~~5~~ L.,~~~ ~~---~ 5.28 _~/ \ ~ ~~ ~`~ e. ~..,...: H } • ~ ..a s^ ~ ... ~~ 7+2.77 - - - - - i ~ ~ - -----_ „ °''~/ ~ ~ Cq~i,SS 7 .50 72.67 -' -~ ~ / ~ \\~ ~-. /~ 1 ., , C. ~ ,. -- ~ ~>, ~ ~ ~°' ~ i ..._ ~~' r. ~..r ... r '' ~ 69.50 84 ~ ~ `~ ."tiS-E ~' / i 2_i 11070-1__~~~` 6%8.30 ----~~ - ~ ~ ~ / ~ ~ b' xltop' Fo~-`~ c_al~ 1fTSMIN, DEPTH - - . ~ ~ ~ - ~ / ~w 4- l ~.SaJ.~i- S,O~~ --(SEE- OETAIL) 'X ~ - ~-~, ~ 4e.~C L ~ ~ ~4 N~~~ 66.10 66.83 1 .' ~~~~.~ ,/ / /~ ___ I i - ~ / / - K I / ~ i .~ ~ _. , - - .~ i 64.63 I ~ F.S. / i .- ~ ~ li i~~ 63.60 63.98 ~~,` ~ - / / ~~--~- - - - ~ I i'- I _ /' / \ / / - / ' ~ ~ I / 61.10 ~ ~ '~ . i ~ ~ ' ' ~ / /~i ~ _ ~ ~ /r / ~V-SWALE & BERM ~~~/ //~^_~~--1060/ WiFT~MIN.DDEPOPES -"~ NORTH ~ (SEE DETAIL) ^ Soil Test Pit _ SCALE: / D Cleanout for 4" effluent line ' ~ ~ / -' ~ ^ - - - - - - ~ Benchmark 100.0 (1074.5) _ . 0 40 80 160 elevation on top of/4" PVC pipe I ~ ~ / \ / ~~ i'- \ ~ \ \ ~ ~ ~~~-~'~ page 3 of ~ \ ~ \ \ \ I / ~ - ~- ~ t ., ., - ~o e~ / 1 Z~r 1/~O4k 0.tt~1 Mt (4~R~t Vrl ~i\O~+n! etL.~o O v ~ 1 w.~ s.v w~ 4 ~ ~ w ~ "7 ¢X cv . ~ 1 ~ 1 ` o•o ~ p ~ f1tr+~ ~c + o,p t ~'~ 1 ,~ O ~ ~ y` ~ t.ti j ` 1 ~.~d$ h I w..~ ` ~ b s4bco;, ---_-~-3.~- .. ~~, a 1, N c~~t ~, o~~ ~.~ ay kw,~ ~~" o.S? 3' ~1114~ e.w~,c.~.`a~t~ iC9~~~'1 l , i ~: .. .. i. ,4'~ . i i. ... •~~ ,., .~ µ~v ~r 1 1 d. ~n v i 2.~ ~ o ~,, . 3, o~ ....~~. l.s~ 4, o ~ o, 1~b.g~ ~ __-~- I~2 b .I ~~ ~~Z~ ~.~~ T ~. o' 3~ q' 2S. g' v,.~~~ 1~8.Z` ~• ~ ?~ O'. 4~ ~- a ~ ~p •.~ (~ v C o ~o b ~r v ~ ~t o ti ~,,.'a11 ~ i-O b • ~ t o .. o ~ r o c. K ` U l 1 ~ (~ t l Y • ~ •, ~ e ~. e... v e. M • e.1t. ~+ r.: ~ Y1 ~ ~e 0 ~ ~ o ~r ~ ~`j 1 S ~ . ~ ~ e ~ ~ oc l~ vt `'/ ~ , S 7 a dC.a. ~ l 4c,1:.. \ l .~. \ \ ` ~_. ( (~ n ' 1. a T Q~~ -.` l..) L T ~ ~ \ ~ ` ~ J ~j , ~~ c o-\ a~L ~ a-K ~. ~ ~bL, H .i ~ ~uL 1~1.~ 40 i-r~a1. v.aSh ~ .~n ,,J t 1- V L C c,~ ~ S ~ o~p 1.~ i-o aC.1r .5. ~i•a ~ w.1 (~ ~1" 1_ V lC 1 c,~ q-J 1 ~.~ar••`S ~~~L PuGCu~~ ~.u ~.'~Fa...~`1 ~ i -~?-k- ~ I [7~ 1 lu Iw T y. ©.~ ~ / l1 1 • l g ~-. 01\ ~ S c .. 1 .1\'~ ...`~ ._~ l\ca-..'t +.Xq ~ c 1~ `c r. ~ l:.+ a.1.3 ~ ~ ~ ~ ~ ~ ~~ e.~ -4- (3 ~~ ~ ~ ) i. ~ ~ o \ ~ m ~ 1 a. ~i ~x a_ 1 b ~ 1n c 1 t~ •Y D ••t• a.~ U ~~ 4 \o v e •~ -~. ~• a~ "+i v «l ~ ~ b e K a r .rte w•~v .~.~ t,...W ~.~, ~ o ~ ~ Yy +~ ~ _ ~ ~ ~ PUMP CHAMBER CROSS SECTION Page of ~ Min. 2' Vent Pipe V~th cap 2 10' from door; wtr,dow, . or fresh air intake ,~..- VenL Cap • Y ^~ Weather Proof JunCCton Box Npproved ticking manhole cover w/ warning label 12' MIN ~19C~~ ~~~~~~~ I Final 1 / ~ a / ~ Elev. "~t~ Grade ~ 11 a 4'MIN I 1 ~ 18' MIN ConduPt ~ ~~ i 11 ' / S ~ ~, `C ~.w ~ Inlet S't' F~ e n A Z I ._ _ Approved ~ / ~-' Provide i ~ \ ~ . Joint \\ ^ Nlrtight Seal I I ~ Approved Q ~ I I Joirres // I III // 1 6 I ~ l Alarm // `-~ \\ ~C \~ ,,2vt,Q I I ~ N~6~i} ~~•S EL- v~Fc ~~ ~ Off ~/ ELEV. fz p ~ 1 1 ` Concrete flock ~ ~ ~ E12v. ~ 5~,~ 3' approved bedding maurial under tank liquid level o ~~~~' ~O gallonslin. rt"~~`~ SPECIFICATIONS Note: Pump and alarm are on separate Number of Doses: ls. Per Day circuits as per \Ns. Adm. Code Gallons Per Day /# of Doses: DLO Gallons Volume of Backflow: I b ~~ Gallons Tank Manufacturer: ~ ~ E-'* ~.., Total Dose Volume: \~ u~s `~ Gallons Tank Size: '`•~ 25 °~ • ~R Gallons / Alarm Manufacturer: S~ F4<-~•~o Capacities: A ~4•~ inches or ~Z\~=~~ Gallons Model Number: ~ o\ Nw B ~~~~~ inches or ~\~.da Gallons C ~' inches or ~g~-~~ Gallons Pump Manufacturer: ~'°~,`os D ~ inches or `~4s,1~ Gallons Model Number: ~g~~~ ~ PAS' Total ........ _. s~ inches or ~~°, S Gallons Minimum Discharge Rate: ~~ ~¢ GPM • `~• ~~ Vertical Difference Between Pump Off and Distribution Pipe :............ : \~•~ Ft. Minimum Re wired Su I Pressure• + sTo Ft. ~~•~~ 9 PP Y ................................................. ~ °•~ ' ~ o-~ Ft. of Force Main x 1.3 Friction Factor/100 Ft .................. + 3.3 Ft. ~? `+~ a~°~ Z Total Dynamic Head = z1,3 Ft. ,, ~ Internal Pump Tank Dimensions: Length IS^¢'S width ~8 Depth to inlet S ~~ ., • ~, GOU LDS PUMPS APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: '/:' maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1'/:° NPT. • Mechanical seal: carbon- rota ry/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60~C) intermittent. • Fasteners: 300 series stainless steel, • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. •EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 16/3 SJTOW with three prong grounding plug. Optional 20 foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). ®2000 Goulds Pumps Effective February, 2000 83871 Submersible Effluent Pump "Q 1 EP04 3 V ~ 1 EP05 • Fully submerged in high ^EP05 Impeller: Thermoplas- gradeturbine oil for tic enclosed deslgn for lubrication and efficient improved performance. heat transfer. ^ Casing and Base: Rugged Available for automatic and thermoplastic deslgn provides manual operation. Auto- superior strength and corrosion matic models include resistance. Mechanical Float Switch ^ Motor Housing: Cast iron assembled and preset at the for efficient heat transfer, factory. strength, and durability. ^ Motor Cover: Thermoplastic FEATURES cover with integral handle and float switch attachment points. ^EP04 Impeller: Thermoplas- ^ power Cable: Severe duty tic Semi-open design with 'rated oil and water resistant pump out vanes for mechanical . seal protection. METERS FE°' to~- 9 8 z x u_ 6 5 0 ~ a 0 ~ 3 i t 0 0 2 4 6 8 CAPACITY '~ a ~. ~ ~~ ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING ~' Canadian Standards Assodation (CSA listed model numbers end in "F" or "C".) Goulds Pumps is ISO 9001 Registered. ~~ w arm 10 12 m~/h Goulds Pumps ITT Industries ~ .~ System Management ` Management of this system is critical, As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, Aseptic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Aerobic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic, treatment or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run-off; final settled slope should be 2-3% over the system or 2-3% diverting surface run-off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank and aerobic treatment tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require snore frequent filter cleaning; initial inspections of the septic compartment filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. This system has an aerobic treatment tank which must be inspected every six months according to specifications and contract. 6. The aerobic treatment system has a blower which runs continuously; if blower operation has stopped a licensed plumber should be notified for service as soon as possible. 7. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 8. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 9. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 10. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 1 1. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 12. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitorin~~ may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83. ~4 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing. and/or installation of additional treatment components or repair/replacement of the adsorption system may be necessary. Page 8 of 8 ` ~1~`~ ,~~, SOIL EVALUATION REPOR #1926 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Steel's Soil Service 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 dimensions, north arrow, and location and distance to nearest road. Parcel I.D. nding Please prin or ion. Reviewed'By Date)/ Personal information you provide may be u d for s~ryr ~i~~wacy L w, s. 15.04 (1) (m)). / ~ ~ / < / 2~~ i Property Owner roperty Location Rolling Hills Of Hammond LLC. j ovt. Lot na SE1/4, SW1/4, S29, T29N, R17W Property Owner's Mailing Address of # Block # Subd. Name or CSM# / ~- ~ 400 2nd st ST. CROIX COUNT 6 na Rolling Hills Farm ~ ~ C City State ip Code Phone Number ^ City ^ Village ^ Town Nearest Road Hudson WI 54016 715-386-0230 Hammond 160Th St ^ New Construction Use: ^ Residential ! Number of bedrooms 4 Code derived design flow rate 600 ^ Replacement ^ Public or commercial -Describe: na Parent material Silty sediment and underlying reddish sandy loam till Flood plain elevation, if applicable na General comments Mound design, system elevation,yQ1.05ft based on contour line elevation 99.55ft. Minimum of X18 iiJn~cl and recommendations: of ASTM C33 mound sand. li,/n/ ~_'~ y~~-~~ ,~ ~ ~ J,, ~ ~ j~~/V L A GPD ft. Boring # ^ Boring v~ - - Pit Ground surface elev. 99.85 ft. Depth to limiting factor 21 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efflkl *Eff/f2 1 0-9 10yr3/1 none sil 2msbk mfr cs if .6 .8 2 9-15 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 15-21 7.5yr4/4 none sl om na gw na .2 .6 4 21-48 7.5yr4/4 f2d 7.5yr5/6 sl om na cs na .2 .6 5 48-50 5yr4/4 c2d 7.5yr5/6 cl om na na na .0 .0 Boring # ^ Boring Pit Ground surface elev. 99.85 ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/1 none sil 2msbk mfr cs 1f .6 .8 2 8-14 10yr4/4 none sicl 2msbk mfr cs if .4 .6 3 14-19 7.5yr4/4 none scl 2msbk mfr gw 1f .4 .6 4 19-46 7.5yr4/4 f2d 7.5yr5/6 sl om na cs na .2 .6 5 46-50 5yr4/4 c2d 7.5yr5/6 cl om na na na .0 .0 * Effluent #1 = BODS> 30 < 220 mg/Land TSS >30 < 150 mg/L * Effluent #2 =GODS < 30 mg/L and I ss < su mgi~ CST Name (Please Print) ,~~~~ Signature,;. CST Number David J. Steel ~' f~ ~ 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 6/12/2006 715-760-0347 aau-a»u ~ic.u uvu~ Prpperty Owner Rolling Hills Of Hammond LLC. Parcel ID # Pending Page 2 of 3 Boring # ^ Boring ^ Pit Ground surface elev. 98.05 ft. Depth to limiting factor 18 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 0-9 10yr3/1 none sil 2msbk mfr cs if .6 .8 2 9-18 10yr4/4 none sicl 2msbk mfr cs 1vf .4 .6 3 18-44 10yr4/4 fif 7.5yr5/6 sicl 2msbk mfr cs na .4 .6 4 44-56 5yr4/4 cid 7.5yr5/6 scl om na na na .0 .0 ^ 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 GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 ^ 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 GPD/ft2 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 = BODS < 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. SBD-8330 (R.07/00) Steel's Soil Service .~ David J. Steel CST-POWTSM Lic. #248956 This soil evaluation was conducted to satisfy a zoning requirement, it may The location of this test may or may not be as shown, as permanent lot lin time the soil test was conducted. STEEL'S SOIL SERVICE Rolling Hills Of Hammond LLC SE 1/4,SW 1 /4,S29,T28N,R17W Town of Hammond, St Croix Co. Rolling Hills Farm Lot 6 es were not established at the or may not be suitable for your use. Legend N 1" = 40' • =Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe ~ =Alt Benchmark Ele. 100.00 ft ^ Top of 3/4" pvc pipe = Borings _. ~ ~~~ ~1~ -~'. ~- ~ ~ .? _ ~-D 994 200' St. Baldwin, WI 54002 Direct 715-760-0347 Fax 715-684-3449 3of3 Boring Elevations ~~ Cc~rn~r AFFIDAVIT Pursuant to Wis. Admin. Code Comm. 83.22(2)(b)S.b STATE OF WISCONSIN ) )ss COUNTY OF ST. CROIX ) Dave Peters, being duly sworn, states and certifies as follows: I am manager of Rolling Hills of Hammond, LLC, a Wisconsin limited liability company and am authorized to sign this Affidavit on behalf of the said company. Rolling Hills of Hammond, LLC is the owner of the following described property: Plat of Rolling Hills Farm, recorded in the Office of the Register of Deeds of St. Croix County, Wisconsin, on February 5, 2007, in Volume 11 of Plats, page 19, Document No. 843836. The above property contains or shall contain one or more private onsite wastewater treatment systems (POWYS) regulated under Wis. Admin. Code Ch. Comm. 83. Rolling Hills Farm Residential Property Owners Association, Inc., a Wisconsin non-stock corporation, is the private legal entity that own the POWYS and is responsible for the operation an ~ntenance of the POWYS, as provided in the Declaration of the Rolling Hills Farm R ide tial Prope Owner's Association. Dave Peters ~v~ STATE OF WISCONSIN ) )ss. COUNTY OF ST. CROIX ) ACKNOWLEDGMENT Personally came before me this ~ ~"day of February, 2007, th~ kno to be the person who executed the foregoing instrument and ac ~~;_ w~~ Notary Public, State of Wisconsin h~'~!l iei~ ~ My commission 1 - a - ~ l rVOt~ty State of U This Instrument was drafted bv: Lommen, Abdo, Cole, King & Stageberg, P.A. Attn. Brent R. Johnson Grandview Professional Building Suite 2310 400 South Second Street Hudson, WI 54016 1~~~~~ ~~ ~~, ~~~~ ~~,~,~ ~~ F3r+42t~~ KATNLE£H }!. WALSN AFFIDAVIT kEGI~T£R C-F DEEI-S Title of Document ST. CkOI7E CO.. ~iI Document Number RECEIVED FOk RECORD 0~ 10~ / 20Ql7 Z 2 :1 °~F'H AFFIDAVIT rzE~~~r x REC FEE: 13.10 TRANS FEE: COPY FEE: `2.00 CC FEE: PAGES: 2 Recording Area Name and Return Address Lommen Abdo Law Firm Attn. Brent R. Johnson 400 South Second Street, Suite 210 Hudson, WI 54016 018-1065-20-000;018-1065-30-000 018-1065-40-050; 018-1065-50-025_ Parccl Identification Number (PIN) Plat of Rolling Hills Farm, recorded in the Office of the Register of Deeds of St. Croix County, Wisconsin, on February 5, 2007, in Volume 11 of Plats, page 19, Document No. 843836, located in the NW'/4 of the SW'/4, the NE'/4 of the of the SW'/4, part of the SW'/4 of the SW'/4 ,and part of the SE% of SW'/4 all in Section 29, and part of the NE%4 of NW'/4 of Section 32, all in T29N, R17W, Town of Hammond, St. Croix County, Wisconsin. ~~ INFO-PRO (800)655-2021 www.infoproforms.com ~1~ S~: Cro~~ ~L~CTRIC A Touchstone Energy® Cooperative ~~~"~J1 ~--_ The power of human connections TO: Dave Peters RE: Revised Contract for Services Sanitary Inspections FROM: Mark Pendergast DATE: Apri13, 2007 Dave -per your request the scope of the work to be performed by St. Croix Electric under contract to the Rolling Hills Farm Homeowner's Association has been expanded. The enclosed contract for these services dated March 27, 2007, now includes performing the FAST and septic tank inspections for the private lots. In consideration of the additional work to be performed under this new contact over a five-year period, we have reduced the St. Croix Electric administrative fee on total billings from the pervious 12 percent to 10 percent. It shall be the responsibility of the Homeowner's Association or their representative to contract Jerry Van Someren at our office when construction is completed and a new home becomes occupied for purposes of initiating the FAST and septic tank inspection, and drain field upon the initial commissioning of the drainf`ield. Jerry can be reached at 796.7000 or jerryvs(ascecnet.net. We look forward to assisting the Homeowners Association and residents of Rolling Hills Farm with this important inspection and scheduled maintenance program utilizing the services of our partner EcoCheck, Inc. . For purposes of maintaining a current file on this project I would ask you to forward one copy of the covenants and. any related property owner documents regarding the sanitary sys . I'd also like you or another authorized representative of the Homeowner's A oc tion o s' n, da nd return a co y of this memo for our records. Date: y 9- oT S' nature - olling Hills Farm Homeowner's Assoc ~~~v~~ ~• ~~~e Print Name St. Croix Electric Cooperative • 1925 Ridgeway Street • Hammond WI 540 1 5-503 9 715-796-7000 • 800-924-3407 • FAX 715-796-7070 • E-mail: scec@scecnet.net • Visit our Web site! www.scecnet.net t ~~ Wastewater Operations Proposal To St. Croix Electric Coop for Rolling Hill Farms March 27, 2007 ASSUMPTIONS The following assumptions were considered: EcoCheck Assumes the Following: 1. EcoCheck will be granted access to the private lots to check septic tank solids levels, the individual FAST unit and related components. 2. EcoCheck will be granted access to the easements for the pump tanks and drainfields for operation purposes. 3. EcoCheck will provide 24/7 emergency services in the event they are needed. Emergency service calls will be responded to as soon as possible. Most service calls are responded to within a 24-hour timeframe. 4. EcoCheck will bill St. Croix Electric for emergency services that are called for by a homeowner in the easement areas or private property. St. Croix Electric will pass on the bill to the Association, depending upon how St. Croix's contract is set up. 5. The duration of this contract is for 5 years. 6. If permit or regulatory changes occur during the contract period, the terms of the contract will be revised to reflect the increase or decrease in monitoring to maintain compliance with permit requirements. 7. Contract price will increase annually based upon the regional consumer price index starting in 2008. The CPI that will be used is "water and sewerage maintenance" for the Midwest region. 8. Mobilization costs are included in the hourly fee charged for emergency services. 9. EcoCheck may need to partner with one of our industry partners to assist in making mayor repairs. 10. St. Croix Electric will inform EcoCheck when a drainfield initiates operation to schedule for inspection services. 11. St. Croix Electric (or the developer) will notify EcoCheck when a new home becomes occupied after a process is set up between the Developer and St. Croix Electric on how to best communicate this. 12. EcoCheck will notify the Homeowner and Homeowner's Association when septic tanks need to be pumped. St. Croix Electric will receive a courtesy copy. EcoCheck assumes that we will not be scheduling or attending any of the pumping events when they occur. Below are other responsibilities of the Owner: 1. The Owner shall control access by snowmobiles or all terrain vehicles from the wastewater system and other wastewater treatment system components. 2. As-built drawings will be submitted to EcoCheck to assist in operations. 3. A remote telemetry monitoring system or other individual will call out to EcoCheck in the event of an alarm condition. ~, 4. The Owner is required to confirm that the individual homeowners pump the septic tanks as directed by EcoCheck. EcoCheck assumes this responsibility will be communicated to the HOA and a process be set up. This Contract Excludes: 1. Septic tank pumping costs are not included in this proposal. II. PROPOSED ECOCHECK SERVICES: Below are the tasks EcoCheck proposes to provide: WASTEWATER OPERATION SERVICES Below is a detailed breakdown of the tasks EcoCheck is proposing to provide for the site visits. General Operations 1. Perform 2 site visits for the first 2 years of operation and thereafter one site visit. This is applicable to the private and commonly owned wastewater system components. 2. Provide e-mail correspondence on items that arise at the wastewater facilities. 3. Note maintenance activities required at the site and maintain a logbook. 4. Complete reporting to St. Croix Electric on site inspection reports. 5. Provide a year end report detailing system performance and summarizing operation and maintenance conducted during the calendar year. Septic Tank and FAST Unit Operations 1. Check septic tank sludge and scum depths. 2. Determine if tanks need to be pumped. 3. Correspond with homeowner and Homeowners Association on the need to pump the tank. 4. Check to see if the baffles are intact and working properly. 5. Make visual inspections of the FAST unit (assuming a viewing manhole is equipped with the unit). 6. Test voltage supplied to the unit and take an amp draw of the blower (if equipped with an accessible control panel without entering home). 7. Determine if the FAST system needs to be pumped. 8. Perform a visual and audible inspection of the airlift, blower and other mechanical components. 9. Check the air filter of the blower. Clean the filter if possible. 10. Take a water sample to test the strength of the wastewater. This will be used to determine if the system is operating properly. Pump Tank and Drainfield Operation 1. Read elapsed time meters and event counters from pumps (if equipped). 2. Observe components in the control panel for proper operation. 3. Coordinate with the analytical lab for analysis of samples. 4. Test pump operation through amp draws and voltage checks. 5. Adjust equipment settings if necessary. 6. Perform a visual observation of the drainfield. ~. 7. Check floats for proper operation. ADDITIONAL TASKS 1. Provide service calls as needed. Service calls are events that fall outside of the "Wastewater Operation Services" tasks and need urgent attention (i.e. alarm light is on, a broken pipe was observed, etc). 2. Perform other services as requested by the Owner that are beyond the scope of this contract. III. COSTS OF ECOCHECK SERVICES Wastewater Operation Services will be invoiced in the month the work is performed. Services are split between work conducted on private property, and work conducted on the commonly owned components. Services will be charged on a lump sum basis in accordance with the schedule below: Work Conducted on Private Property Basic Services for Individual Property Inspections (Septic Tank and FAST Units) Task Hours Subtotal Individual System Inspections 1 $80.00 Project Administration and Reporting 0.25 $20.00 Misc. Project Expenses (analytical tests and misc 1 $40.00 project expenses) Total Cost per Individual Home Inspection* $140.00 * -For the first 2 years, 2 inspections are required. The total annual cost per homeowner is $280. Work Conducted on Commonly Owned Property Basic Services for Each Individual Drainfield Inspection Task Hours Subtotal Community Drainfield and Pump Tank Inspections 3.0 $240.00 Project Administration 0.5 $40.00 Misc. Project Expenses (test kits, field equipment, I $10.00 mileage) Total Cost per Drainfield Inspection $290.00 Schedule of Costs per Drainfield Inspection Number of Inspected Drainfields Cost per Range of Costs per Inspection per Visit Inspection* 1-3 Drainfields Inspected $290.00 $290 - $870 4-6 Drainfields Inspected $210.00 $840 - $1,260 7-13 Drainfields Inspected $185.00 $1,295 - $2,405 14-22 Drainfields Inspected $170.00 $2,380 - $3,740 * - EcoCheck recognizes there will be cost efficiencies that can be passed along to St. Croix Electric as new drainfields are placed into service. 1 Additional Tasks will be charged as stated below: Service Calls (Item 1 under Additional Tasks) will be charged at $100 per event, plus time and materials in accordance with the EcoCheck Standard Billing Rates. Other services (Item 2 under Additional Tasks) will be provided as requested on a time and materials basis in accordance with the EcoCheck Standard Billing Rates. This will include changing out the air filter if it cannot be adequately cleaned or other non- routine maintenance items not included in this scope of work. PROPOSAL ACCEPTANCE - St. Croix Electric Coop for Rolling Hill Farms The Owner accepts this proposal including the attached General Terms and Conditions, and EcoCheck is authorized to proceed with the services described herein. This proposal is valid for 30 days. St. Croix Electric Cooperative EcoCheck, Inc. By: By: ~~~~~ Name: ~fjAj~ ~~~ipST Name: Judy Lissick Title: ~jQfsj~~~~Q Title: Sr. Vice President Date: ®/E~ JG, ~~ ~ ~ Date: March 27, 2007 ~l ECOCHECK STANDARD 2007 BILLING RATES for WATER AND WASTEWATER OPERATION SERVICES POSITION Project Principal Senior Water/Wastewater Operator Junior Water/Wastewater Operator Field Services Apprentice Operator (Operator in Training) EXPENSES Mileage Field Supplies and Subconsultants Lodging and Subsistence Expenses OTHER OPERATION SERVICES Confined Space Entry Use of HAZMAT Monitoring Equipment STANDARD BILLING RATE $105.00/hour $80.00/hour $70.00/hour $67.50/hour $65.00/hour EMERGENCY SERVICES/SERVICE CALLS* Service Call Labor associated with repairs or services $0.50/mile (prevailing rate) At Cost plus 10°l0 At Cost $75 per entry permit $40/hour (minimum 1 hour) $100 each response Time and Materials in accordance with standard billing rates 82 11+35 Document Number I TRUSTEE'S DEED William F. Hued, Jr., as Trustee of the William F. Huee, Jr. Trust dated April 3. 2002, as amended, for valuable consideration conveys without warrantyto Rolline Hills of Hammond LLC a Minnesota Limited Liability Company, Grantee, the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Legal description attached hereto as Exhibit "A" KATHLEEN H. NtALSH REGISTER OF DEEDS ST. CROIR CO. , kI RECEIVED FOR RECORD 03/24/2806 12:45P1! TRUSTEES DEED EXEMPT # REC FEE: 13.00 TRANS FEE: 7184.40 COPY FEE: CC FEE: PAGES: 2 Recording Area Name and Retum Address Edina Realty Title, Inc. 400 South Second Street Suite 115 Hudson, WI 54016 ~tle w~-t5~`~ 018-1065-20-000,018-1065-30-000 018-1065-40-025 018-1065-50-000, 018-1070-70-000 018-1070-60-000, 018-1071-00-000_ Dated this °~ ~ day of M !v~ U~- 2006 * ~ Trustee AUTHENTICATION Signature(s) authenticated this _ day of ___ __- ______ * TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY _ Brent R. Johnson Lommen Abdo Law Firm, Hudson, Wisconsin (Signatures maybe authenticated or acknowledged. Both are not necessary.) Parcel Identification Number (PIN) * William F. Hueg, Jr. _~, __ Trustee ACKN~JOWLEDGMENT STATE OF ~ ~ O •Y ~ yt O~ ) -rJ- -- ) ss. CQ ~ ~ ~ •d- ~ County ) Personally came before me this ~_ Q_ day of ___~~~~__^_ 2006 the above named _William F. Hucg, Jr., as Trustee of the Willtam F. Hueg, Jr. Trust dated April 3, 2002, as amended _ ______ to me known to be the person(s) who executed the foregoing instrument and acknowledged th dame. r Notary Public, State of ~~~~ __ y_ _ My Commission is permanent. (If not, state expiration date: .) • Names of persons signing in any capacity must be typed or printed below their signature. _ oprofomu.com THIS IS ANON-STANDARD FORM ,~'a,'yt>,, Iti1luHEl KOKOS .' : r~1v coMMlsslora a on so~e3 TRUSTEE'S DEED "' ',.:. ~''•-~~~, EXPIRES; January 10 2010 t of 2 ~'''-i'if;,'+~ wed 7tru NohrY Flblc IkidwNrlwn ~3 EXHIBIT A PARCEL 1: Located in the NW '/, of the SW '/,, the NE '/, of the SW `/,, part of the SW '/+ of the 5W '/,, and part of the SE '/, of the SW '/., all in Section 29, T29N, R17W, Town of Hammond, St. Croix County, Wisconsin; described as follows: Beginning at the West '/, Comer of said Section 29; thence N89°47'59"E, along the east -west '/, line of said section, 2620.29 feet to the north -south '/, line of said section; thence S00°12'21"E, along said north -south '/, line, 2632.15 feet to the South'/, Comer of said section; thence N89°57'56"W, along the south line of the SW '/, of said section, 468.83 feet to the east line of Certified Survey Map recorded in Volume 19, Page 4988 at the St. Croix County Register of Deeds Office; thence N00°02'04"E, along said east line, 445.13 feet to the north line of said Certified Survey Map; thence N89°57'56"W, along said north line, 1621.71 feet to the west line of said Certified Survey Map; thence 500°02'04"W, along said west line, 445.13 feet to the south line of said SW %,; thence N89°57'56"W, along last said south line, 528.25 feet to the Southwest Comer of said section; thence N00°14'20"W, along the west line of the SW '/, of said section, 2621.42 feet to the point of beginning. AND Located in part of the NW '/, of the NW '/., part of the NE '/, of the NW '/., and the SE '/, of the NW '/, of Section 32, T29N, R17W, Town of Hammond, St. Croix County, Wisconsin; described as follows: Beginning at the North '/, Comer of said Section 32; thence S00°07' 13"W, along the north -south '/, line of said section, 2636.25 feet to the east -west '/, line of said section; thence S89°53' 19"W, along said east -west '/, line, 1311.14 feet to the west line of the E '/: of the NW '/, of said section; thence N00°09'29"E, along said west line, 1979.71 feet to the south line of the N '/~ of said NW `/, of the NW '/,; thence S89°59'53"W, along said south line, 1309.83 feet to the west line of the NW, '/, of said section; thence N00°11'44"E, along said west line, 660.74 feet to the Northwest Corner of said Section 32; thence 889°57'Sb"E, along the north line of the NW '/, of said section, 528.25 feet to the west line of Certified Survey Map recorded in Volume 19, page 4988 at the 5t. Croix County Register of Deeds Office; thence S00°02'04"W along said west line, 11.86 feet to the south line of said Certified Survey Map; thence S88°40'45"E, along said southerly line, 1443.70 feet; thence N89°07' 15"E, along said southerly line, 1?8.40 feet to the east line of said Certified Survey Map; thence N00°02'04"E, along said east line, 41.43 fee[ to the north line of the NW '/, of said section; thence 889°57'56"E, along said north line, 468.83 feet to the point of beginning. AND PARCEL 2: Together with a 40 foot Agricultural Access Easement, over and across part of the SW '/, of Section 29, Township 29N, Range 17W, Town of Hammond, St. Croix County, Wisconsin, the centerline of which is described as follows: Commencing at the southwest comer of the SW %, of said Section 29; thence East, assumed bearing, along the south line of said SW %,, a distance of 1830.76 feet; thence NO1 °17' 11 "E, a distance of 8.90 feet to the north right of way line of County Trunk Highway "J", being the point of beginning of the centerline to be described; thence N21°00'00"W, a distance of 63.21 feet; thence N02°14'34"E, a distance of 237.00 feet; thence N45°00'00"W, a distance of 28.98 feet; thence N88°54'38"W, a distance of 537.90 feet; thence N82°57'49"W, a distance of 191.82 feet; thence N41°28'55"W, a distance of 44.95 feet; thence North, a distance of 52.52 feet to the north line of the south 445.13 feet of the SW '/, of said Section 29, and there ternvnating. 2 of 2 Parcel #: 018-1065-20-000 11/12/2007 01:04 PM PAGE 1 OF 1 Alt. Parcel #: 29.29.17.444 018 -TOWN OF HAMMOND Current ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/05/2007 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -ROLLING HILLS OF HAMMOND LLC ROLLING HILLS OF HAMMOND LLC 1551 PAYNE AVE ST PAUL MN 55101 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 29 T29N R17W NE SW 40A Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-29N-17W Notes: Parcel History: Date Doc # Vol/Page Type 05/02/2006 82143 11/19 TD 10/21 /2003 20 2441 /56 OC 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Description Class RESIDENTIAL G1 UNDEVELOPED G5 Totals for 2007: General Property Woodland Totals for 2006: General Property Woodland Last Changed: 08/20/2007 Acres Land Improve Total State Reason 14.500 1,087,600 134,000 1,221,600 NO 05 25.500 100 0 100 NO 05 40.000 1,087,700 0.000 0 40.000 4,800 0.000 0 134,000 1,221,700 0 0 4,800 0 Lottery Credit: claim count: o Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #` 018-1065-50-025 11/12/2007 01:03 PM . PAGE 1 OF 1 Alt. Parcel #: 29.29.17.447A-10 018 -TOWN OF HAMMOND Current ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 12/28/2005 02/05/2007 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -ROLLING HILLS OF HAMMOND LLC ROLLING HILLS OF HAMMOND LLC 1551 PAYNE AVE ST PAUL MN 55101 Districts: SC =School SP =Special Property Address(es): ` =Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 29 T29N R17W SE SW EXC PT TO CSM Block/Condo Bldg: 12/3497 &EXC PARC DESC IN WD1351/129 EZ-IE-1345/564 &EXC CSM 19-4988 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 29-29N-17W Notes: Parcel History: Date c Vol/Page Type 03/24/2006 821435 TD 07/26/2005 2851/278 RELEASE 06/02/2005 796530 19/4988 CSM 06/02/2005 796530 19/4988 CSM more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment ValUatlOllS: Last Changed: 08/20/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 8.500 573,800 0 573,800 NO 05 AGRICULTURAL G4 17.000 1,900 0 1,900 NO 05 UNDEVELOPED G5 5.065 100 0 100 NO 05 Totals for 2007: General Property 30.565 575,800 0 575,800 Woodland 0.000 0 0 Totals for 2006: General Property 30.565 3,400 0 3,400 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 OWNER ROWNO NILL60F NAMMONO. LLC ROLLING HILLS FARM ATTN: DAVE PETERS aoo s. secola0 s1WEET LOCATED IN THE OF NW t (4 OF THE SWt/4, THE NEt /4 OF THE SW1/a, PART OF THE SWt14 OF NuosoN, w eaate SWt/4, AND PART OF THE SEt/4 OF THE SWt /4 ALL IN SECTION 29, AND PART OF THE NE//4 OF THE SURVEYOR NWt/4 OF SECTION 32, ALL IN T29N, R77W, TOWN OF HAMMOND, ST. CROUC COUNTY, WISCONSIN. EDWIN C. FUNUM ~ a ° NORl HLANO 6URVtY1N0. INC. ~~"~ 808 A HW>'ee-\ P U. 60X t 4 ° 0 ~^ L Li:GENO STORMWATEIi MANAOEMFNT F CILIT E6 MAINTENANCE PUN ANO OWNER RESPON6161LTE8: RORERTB, WI e4029 9 0 ~ w _.- ....... .oreee q.n~ •ee'a .•w n wece nM wnm= wwc,wn endw wrecu i. w rolbw+. 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' ~ '~ ~-- -- - -..Ir--~--i .. `p .~ °i:•,"'~.~ ~ ~.~ s f, LOT ~ h„ ry -' zsyo ~,,;a~.-.'" t LOT 'LOT LOT SEE SM 4 "fi h 24 ~ r'` s,yu?. ~ ~ ~ ' , ~. - ', I TO 9 8 LOT7 ~ - I `~~ LOT ~ E, ~~.~ ~ ~~ ~ LOT ~ OUTLOT 1 ~ ~ ~ LOT 6 ~ g ~ ~ Pr ~ ~~ 23 ~ y" LOT LOT t t ~\ I SLOT 5 ~ ('r st ,prc°'~i~t'-`b'I° i LOT ~ 1 = _,q,~'` o ~ , +a i Lar a ~, .- .o" .i i LOT ~ MATCH LINE SE£ SHEET 3 MATCH LINE SEE SHEET 4 1 'LOT t 5 ~ O I SCALE IN FEET 3" = t 00' asw / -y\\~ - e SHEET 2 OF 5 SHEETS R"rz"."i~ mse~ona sr waww xeea aoo ,'~~••\w' 18SEE SHEEP 3 \1 ~ - 100 o too 100 OWNER ROlLINO HRLB OF NAMMOND. LlC ROl6.ING HILLS FARM ATTN: GAVE P£fERB LEGEND eo9 6. 6ecoND sTREET LOCATED IN THE OF NW1 /4 OF THE SW1 /4, THE NE7/4 OF THE SWt/4, PART OF THE SW1/4 OF THE H~DSDN, vn boots SW7/4, ANO PART OF 7HE SE1/4 OF THE SWS/4 ALL IN SECTION 28, ANO PAAT OF THE NE1/4 OF THE oxnex goxux.et rauno SURVEYOR NW7/4 OF SECTION 32, ALL IN T29N, R17W, TOWN OF HAMMOND, ST. CROIX COUNTY, WISCONSIN. ~ o.tu,..as ara uxl.a EDWIN C. FIANUM ~ _ wu°xx `~ 6TORMWATE(i MANAGEMENT FACItIRE6 MAINTENANCE PLAN AND OWNER RESPON61BILiTIE6: f{Oi NORTHLAND 6URVEYING. INC. ~ _ - - -' 9ba A HW V `bb" 1 P.O. BOY t9 ~ h y~ n, laayx .nwl .oeuxa me m«w,ws a,nl yM w awwctlm.. x.wmnwnaM weanw. are e. slaw. , ~ ~ ~ ROBERTB. VN b4023 ~n rr'°"rO"`reO~'M~e"rM 4P 8438310 . • rm' PHONE Ttb-7AB-1Tte az ,.ao<xone MM ~~«mea emwly~.e wwl nn erowmw«erom, m.nw. quren rexwp.onw. o, m..wa e,. AFGIgtrA'SO:'FT(T: a. HUn xrxaalauno FAX 7t b-749-tTtB "' ~ ~ ,xammsrMeC ro mn me erw «Mw, wMn mrnHmrwa gexe eMWa a pwronnan. ~ 4 . ,,n..x Md n.ax. rwu net a rlewM ro sax.. me rro. x,w r.la..wae o. eamPllw «ww..ra. w..w wqn a «enww ~ r. rAna co. wls' :. ,,.soxua. xa.~.onxn ENGINEER ~~~° :arw xe.gw..«am.. aaxq.nw..rw.w,n.an.a.am w.,.wxenxw.I,wP.atl Y..;.Arw ih65thm . .ooluox wne.ow.a Wax xr.aw weM ar me.x an av arx.n F«.ew..l. xnv r ar we?L MATT MIEa gg [[ ~qr ndw c,aew~il aantleam wetle«Oiw~eww~r~tereeegme emm,wew mwweemwx °"ll-~o'~.~ '"i Ise. no iaox wp[v°uxv AUTH CON6ULTiN4 AND 2 ~ W 4 w n~«werwe wan. tm emoioaul wael«xxon xw Nvnexw,wlrt xroamn nerolwx Iw tlw Preee,w xwtlew 1. s, a a -'- • a. -_a~ (xc31a AS60CV.TEa V11~5-__-.- ~._- _° t C ° n. `i.... ens weaw.'.x«.aan aw. ma„ w,.H.,. Mx, Iw,P.atl«w «.. w,x.. n,rnwn.,w. rwgn n. renw.-w a«n,x. re . .._. _, ~~1., • <:Q o.o.lxoa w.cs«wtl 2920 ENLOE 6TREET -~ HVD80N. WI 69018 ~3~ ewxnwsw a,xmwn~em regYtlw. 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W.L. 1036.2 ~' ~~~ xlt33run wa.~ax9 s3vncxmLV: PRIMARY BUILDING SETBACK UNES - ~ ~ ~ ~~ -~ _- a..wens aw.uxelwstxuFb xrxrwwwua wsiurcxorsn rxox TYPICAL ....._.. xmt xn owx.a oxxaxoexr sxxu oawxrrHnowwcn ~xo. .owtlw,nwo orsnlno scant onuxR3un snowx ox rws xui n¢weusnuiuso ee ~. __.i.... __...__.... __._ .. .. waulennearus wrm oacxaxosrxaoxwtmv °rtne ixer.run•Hlwxux astxxee arm rxosl aeviw ullsa. aaaxovuo coxxxsxexw.e waiul axrxuai•«oxou swot s.sivx axaxawn wx.«sx..aa..snaes.tli...slxs...,E,a.,w.w<..x,..aE.« II I _ e.~oao«rw+.oxtxlsv~,vAnsixeu,x.anxlranor ~ - - ~ oaw,:`~",*x. ..u xe lxsrxusaawwlwux.oa I ~ ~- ~~ .. -- rEeis,axmwz axaMwiFUx°s" wn.,. ~- ~r Qsa~ae«nr~l x .i v 'I_ h a b 'ti, ~eum ¢xxencxr~acacx,cb. wo ~ - ) ~ werw cw. xxc ,,cc ...16.15.216.14, 23f._O..a1211i 21,1)~nJ (2) xuxtcxaxeE F.SC exr [x3[Heut3wnw ixrwsirnc Eeeewe«ruuna a,nm.s,..lwx.xo '.iOne°.`s~ I j, or.nr alv no nc...nnro rxuntl.ares.atew x"xrzxuxcn i ~ "7 - f -~I '; '; _so;A~c~ior~eron a*n ciui,E~n. w.\~. :l ar!Jw nv.. 12.w~,. sw... nnugm~ wottnox ,, !!!!`p I # ..-tl ~ ~ I rns 9Nxr mr s~sx exm~:Me: :uocurw n..s r"uvrni:o~ s f~~a9111Mt'~/...~U.`~3a ~~,.. oa . xawxaxan.beaglA~33np~aira / ~p~4c ~~1 , '6,~. Euax aHKS a rH,P 1o[nkl vpoil i ;, - '~ i I ~waAi~iatlns"`rrve.wL:lµva"rNxilunHat a¢E, nccsss _ - ~;,;~ 1 c ;~ ~_~ i ae~~era~~wka.wxaaxcer~aM,xa ~4 -~ i.~ht ' I "v,e ~L 6Xm .°+ie?`?i ,"o~„„°,aa~~.xai,Rxw~i~e`: `a:,l.o.xo.ox , `Y j ~~ ~ I -- ~ _.' aawnc NBB°47'69'E 2620.29'-^ . ._ _ _._ _- __ _._. .- 1 ww wwex. ecvr. wLtt wuna xeenoxu __~ ._ __.._ .__ ._. __.. ~ ' . ._,tn.tr _.... _. _._. .. __ _ ..__ .__ _..__ ...._ _... t.ro ~ _._ _.. .. ., ..._ ~• STORMWATER I I ~_ .- MANAOEMENT 1 / ~.- itlxro33 _._ _.._ _. AVEN~ .... ~.. H W L. 1092.1 fl° ~rW I OUTLQT 3 ~ et - r 'h 1 ~ ~. II i ~ ~ 1 I '' ~I a ~!, ~ LOT LOT ~ LOT 1~ LOT ~~ LOT ~~ LOT f y LOT ~ ~ / N /~ ~/,/, ::.. ~ LOT lOT ! L07 ~ 52 53 ~ 54 b 55 56 ~ 57 ~ 28/ ry I ,.. l ~ i / ' ~ ` ~ 49 ~ 50 51 /~ tsl.o. ' ~/ .:>3, so -H.re1 sa I Im. ~ a i ~ i, >. I ~ ~ _- ,. 'gals r', ~ ` ~. ._1 Jua-.~.-3-y-°=.~t - ,,.e„oe lartc,r I 1~e° s;{cr, , ~U ('r 58T w k +~ ~ 6 rr r' ~I , ,~W N s 19k ~. I 'i \, ~ w \y ~ ~~''dt~s°,~. ~ _~„ / r' r- -1~~ `OT ., _L'~ ~~z'L I I ~.~ ~~ 1'd xs~.s~y~ e \ + °2~*y~ ~ /n~a' C..~_ '~ ~+}~ f>. 2t ~ ~~c~` '~ 1. 81 \~. `/ r ~ I ~ c I _ y~ J ...__. _.._.. _ __. I 1 ~ .. I 3 A : -1_ ! 11 LOT 47 ~ uy~;, \ I } ~ ~- ~ x,,tet sn ~ ~i LOCATION SKETCH I I '~. 1 , I ) --_ ~g 40~... q " I.._ _, I 1 _,y3~ca-wuze"" a OUTLOcw.aT 2 ~ . . _... , I, _.,, - :~ i ~ ~ I LOT 48 ~~ -fi `~ ~@\ \ +~ o n as z Y /~ I A" -- II ,I _. r -.._} I I ~._. . 3 -,e:a+r we .. ~.. i 1~ .r, .,, ~ .. ANA ~ EM - ~' / \\ LOT 36 I ~! i ' ~ ' ~~ I ~ I I L01Tn45 8 '~. f;~ I I ~i I d i ~~ X ~~ .. ., zi ; I. ~ ~ I I . !sl * . --°ww,reowe,uKO I / ~.5 I ~~ LO To~ + _....._~ 1 ._ mm+r z. ~ L0T3 I 8 N _ I q ! u x I I LOT 43 i II` -. II ~;..._ i SF..' mn la AwmoRwe~.rwx or tot ,_ _ ,`~ u7 .._ -__._. I ' ; _ Sc '" i I I~ - LO sa R2 Ig H.w.t. lame fvr i. ... ~+'R ~I (=p I r1~ ,__ - I , ~. ., I ~ 6 - _ \ J ,i i ;. `A w,,. I I -h LOT 41 ~ j ~'~ ~ " = L ~' -~ ~~ I '. :,rut sa w I _.. T29N. R17W ~ ~. I ~ I I ~ -seo~a-za3r-- R~~~ ~-Y`~ {\ ~`., .. _ _ _. _. •I ~'I ~. I 1 _ .-",'v' r.°r. „~ it ~-; 1073Q0 : U .~~ ~` I T 1 I ` l0 I __'- ~ __ w. _I ?.~~ I I \ sa ._ _ ai,ss s' v:r vro+a~6ar. J.. ~ IN II I 1 ~' -'£ ~,3~ri ~A I~ \ u`~ .... F ~~ I ~ ~ ip ~ LO s 88 .~.~ .. ':. ` '\ . 11 ~ \~ \,1 1 LOT `\ _ ~~ ~~ 1 i ~'.~,S~,.v«ast ,` xonn, lwew rxe s, or "~ -{' _... .... ^`.1 \._.... \ I'~: \\27 ~~~~. , ...... _.. ._ .._.__ _...._ D .. I y awY.aY ? ocste i ~ ~.( \ 25T \ 2gT G ~~t} ~. n x,v , \ \ 2 N ~I { * .,. l's ~'"trss• J 1.~ ~'\ 9~\~ L07 \ P`R'~ E r I I ~ \~pl ~Ty.}.~- ~ % \ 24 \ \ _T4N0 ~ ~. '~ ~ ~' `r MATCH LINE SEE SHEET 3~ ~ 28 A /~ , DID 3, A ' W i LOT ,- . ~~ ~ i 12T v ...~. o- 1. i E 1, ~ ~ •~ LOT 22 ~ / /~ \ LOT 'y h. I i \ ~ ;~N.w.t. toxe \1 ) /~ {.OT 13 A o ' / 14 • _ z -~ \ ; ~ sTORMwwTER \y ~ E~ ~. ~ II MANAGEMENT '~~:,'. \ i 1'c yt• I w \,~, AREA 5 G~ ., € ` ~~CYd'. C ii; I \ _ ~ ~ ~i ~ ~ SCALE IN FEET 1" = 100' reewn sera ~~ I ; ~ too 9 tag s99 SHEET t OP 5 SHEETS ~` ~~~~~~~ Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT 5, Wis. Adm. Code k_ ~ a.~ _.~ . ` #1925 Page 1 of 3 Steel's Soil Service '~$ County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must incl de b t not limit d t rti l d h i l f i d St. Croix u , u e o: ve ca an or zonta re erence po nt (BM), direction an percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Pending Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Rolling Hills Of Hammond LLC. Govt. Lot na SE1/4, SW1/4, S29, T29N, R17W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 400 2nd st 7 na Rolling Hills Farm City State Zip Code Phone Number ~ City ~ Village ®Town Nearest Road Hudson WI 54016 715-386-0230 Hammond 160Th St New Construction Use: ®Residential /Number of bedrooms 4 Code c(erived design flow rate 600 GPD Replacement ^ Public or commercial -Describe: na Parent material Silty sediment and underlying reddish sandy loam till Flood plain elevation, if applicable na ft. General comments Mound design, system elevation 100.68ft based on contour line elevation 99.60ft. Minimum of 13 inches and recommendations: of ASTM C33 mound sand. Boring # ^ Boring Pit Ground surface elev. 99.80 ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-11 10yr3/1 none sil 2msbk mfr cs if .6 .8 2 11-30 10yr4/4 none sicl 2msbk mfr cs lvf .4 .6 3 30-42 7.5yr4/4 f2d 7.5yr5/6 sl om na cs na .2 .6 4 42-50 7.5yr4/4 c1d 7.5yr5/6 scl om na na na .0 .0 Boring # ^ Boring pit Ground surface elev. 99.80 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-11 10yr3/1 none sil 2msbk mfr cs ivf .6 .8 2 i1-16 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 16-24 7.5yr4/4 none grsl om mfr gw na .2 .6 4 24-45 7.Syr4/4 c1d 7.5yr5/6 sl/Is om na cs na .2 .6 5 45-50 5yr4/4 c2d 7.5yr5/6 cl om na na na .0 .0 * Effluent #1 = BODS> 30 < 220 mg/Land TSS >30 < 150 mg/L * Effluent #2 =GODS < 30 mg/Land TSS <_30 mg/L CST Name (Please Print) Hato CST Number David J. Steel 248956 Address Steel's Soil Service ` Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 6/12/2006 715-760-0347 SBD-8330 (8.07/00) `,t~: lperty owner Rolling Hills Of Hammond LLC. y - Parcel ID # Pending Page 2 of 3 Boring # ~ Boring ® Pit Ground surface elev. 98.30 ft. Depth to limiting factor 23 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efr#1 'Eff#2 1 0-11 10yr3/1 none sil 2msbk mfr cs if .6 .8 2 11-23 10yr4/4 none sicl 2msbk mfr cs if .4 .6 3 23-31 7.5yr4/4 f2d 7.5yr5/6 sl om na gw na .2 .6 4 31-50 5yr4/4 c2d 7.5yr5/6 cl om na na na .0 .0 ^ 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 GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#t 'Eff#z I I ^ Boring # ~ Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Descriplion Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#t 'Eff#2 I 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L 'Effluent #2 = BODS < 30 mg/Land 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 608-266-3 151 or TTY 608-264-8777. SBD-BJ30 (R.07/00) Steel's Sofa Service ~~ ~• ,r David J. Steel ,' ' CST-POWTSM Lic. #248956 This soil evaluation was conducted to satisfy a zoning requirement, it may The location of this test may or may not be as shown, as permanent lot lin time the soil test was conducted. STEEL'S SOIL SERVICE Rolling Hills Of Hammond LLC SE1/4,SW 1/4,S29,T28N,R17W Town of Hammond, St Croix Co. Rolling Hills Farm Lot 7 es were not established at the or may not be suitable for your use. Legend N 1" = 40' • =.Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • =Alt Benchmark Ele. 99.90 ft ^ Top of 3/4" pvc pipe = Borings 3of3 Boring Elevations B 1 = 99.80 ft B2 = 99.80 ft B3 = 98.30 ft B4 = 0.00 ft cJ' "/ /O `J'( ~'" ~~.~ / ~~ 994 200' St. Baldwin, WI 54002 Direct 715-760-0347 Fax 715-684-3449 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND Owner/ uyer ~ Mailing Address Property Address OWNERSHIP CERTIFICATION FORM S/ ~~ h~ ~- (Verification required from Planning & Zoning Department for new construction.) City/State f ~j,~y,~,,~,.,~,~,/ ~ Parcel Identification Number _p,~h ~-~-~ ~;~' LEGAL DESCRIPTION Property Location S~ Subdivision Plat: Certified Survey Map # '/.~ , SUS' y~ ,Sec. ~ ~ , T ~ G/ N R ~ 7 W, Town of ~~ Volume ,Page # ~ ,, Warranty Deed # ~~ ~ ~ (before 2007)Volume _ ~, Page # Spec house ' 'yes :_? no Lot lines identifiable 'i/yes i no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Lot # ~. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1!3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Nu be of beorm~ ~, : '" C SIGNATURE OF APPLICANT(S) U ~ti~ /~~~ 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. ~~~~~~~ (RED'. 08/05) ~ w ~ ~ ~ 12 /~D~~C~ / J Q/UI.X/~ ~I ~ EcoCheck 11347 North Avenue, Suite 4 Chisa o City MN 55013 ~ ! ~~~~ , g ~ ~ Ph 20 1 ~g- ~t~a-4„ Vale Fax: 651-257-4490 Wastewater Operation and Maintenance Inspection Summary Hill m ~ R lli F ,~ ~ o s ng ar 1~ Residence at 1651 72nd Avenue Septic Tank and FAST Unit Operations Freguency Check septic tank sludge and scum depths 1 /year X Completed Not Completed Check baffles to ensure they are properly fastened 1 /year X Completed Not Completed Perform visual observation of the FAST system 1 /year X Completed Not Completed Test voltage to the FAST control panel 1 /year X Completed Not Completed Check FAST system sludge level 1 /year X Completed Not Completed Perform visual inspection of the airlift 1 /year X Completed Not Completed Perform an audible inspection of the airlift 1 /year X Completed Not Completed Check air filter of the blower 1 /year X Completed Not Completed Test strength of wastewater 1 1 year X Completed Not Completed Findings of Inspection Do septic tanks need to be pumped? Yes X No Are baffles intact and working properly? X Yes No FAST Unit working properly? Yes X No Any follow-up necessary for St. Croix Electric? X Yes No Any follow-up necessary for JW EcoCheck (service provider)? X Yes No Any follow-up necessary for the homeowner? Yes X No Field Notes: Tank Scum Death Sludge Death Septic Tank I 10 FAST Tank 0 0 Comments In previous site trips, the FAST system was not installed. The system is installed now; however the airlift does. not appear to be working properly. The water in the tank was more anaerobic than it should be. Troubleshooting was conducted and the blower was operating properly. The piping in the FAST housing was intact and air was not escaping. It appears there is either a break in the air line between the blower and the tank, a plug in the airlift or the air pipe is not extended to the tank. A problem was found in the drainfield dosing tank, which may be related to the issues observed at the septic/FAST tank. This issue will be reviewed further in 2010. This is not a time sensative issue -but is somethine that should be corrected for the lon¢ term operation of the mound system. Future Maintenance Needs Observe air lift operation in 2010 inspections. Re aired Follow-u St. Croix Electric JW EcoCheck Homeowner Communicate with homeowner on lock need and future work. Observe airlift o eration in 2010. Recommend lacin a lock on the se tic tank lid. "We're more than just operators...." Providing experienced water and wastewater operations, maintenance, and management services to homeowners associations, local governments, and residential developers. r~ EcoCheck 11347 North Avenue, Sufte 4 Chisago City, MN 55013 Phone: 651-257-3511 Fax: 851-257-4490 Wastewater Operation and Maintenance Inspection Summary Rolling Hills Farm Draintield Servicing 1651 72nd Avenue Draintield Operations Frequency Read elapsed time meters and event counters from control panel 1 /year Completed X n/a Observe components in panel for proper operation 1 /year Completed X n/a Test pump amp draws 1 /year Completed X n/a Test voltage supplied to pumps 1 /year Completed X n/a Observe settings of the panel 1 /year Completed X n/a Perform a visual observation of the disposal field 1 /year X Completed Not Completed Observe alarm for proper operation 1 /year X Completed Not Completed Findings of Inspection Event counters and elapsed time meters operational? Yes X n/a Panel components working properly? Yes X n/a Amp draws in line with expectations? Yes X n/a Supplied voltage within tolerances? Yes X n/a Panel settings OK? Yes X n/a Disposal field working properly? Yes X No Alarm working properly in test model Yes X No Any follow-up required by JW EcoCheck X Yes No Any follow-up required by St. Croix Electric? X Yes No Field Notes: T.~ Event Counter Amy Voltage Timer on Pump # 1 COULD NOT DO COULD NOT DO COULD NOT DO COULD NOT DO COULD NOT DO Pump #2 COULD NOT DO COULD NOT DO COULD NOT DO COULD NOT DO COULD NOT DO Comments Drainfield dosing tank had complications in the past and issues were observed again in 2009. The pump breaker was tripped at the right of way. After resetting the we found the DumD's electrical plus was also disconnected. This was all reset and the Dumb activated and Dumped the tank down. The alarm box was not functioning Future Maintenance Needa Required Follow-uD: St. Croix Electric JW EcoCheck Review the electrical service for an issues• determine if breaker size is OK. Install a new Tank Alert Alarm box when a roved b St. Croix Electric. Coordina e a royal of installin anew alarm box. Noti EwCheck to roceed. "We're more than just operators...." Providing experienced water and wastewater operations, maintenance, and management services to homeowners associations, local governments, and residential developers.