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018-2011-45-000
~nsin**:partment of Commerce PRIVATE SEWAGE SYSTEM ;ty and Building Division _ INSPECTION REPORT GENERAL RO MATION LA TO PERMIT) Personal inf mation you provide may a used for secondary purposes [Privacy Law, s.15.04 (1 m)]. Permit Hol er's Name: ~ ~~ / Cit Village X Township ~ Bast, rnon ~yn~ / ® Ham ond, Town of CST BM Elev: Insp. BM Elev: BM Descrip' n: ~Q~ `A' ~ , v` TANK INFORMATIOIV~~ a _/ ELEVATION DATA TYPE MANUFACTURER ~fy~J CAPACITY Septic ~ r ^~' W ~` S~~ ' ~ ~ dOL~ Dosing v~b Sl I r1 ~o ,off. 5ZS Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD septic ~ sd/ „~ o~ 23 > ~ 1 Dosing ~b~ `7G)/ Z 3/ ~ Z3 ~ -^ Aeration Holding PUMPISIPHON INFORMATION ~i!~ Manufacturer Demand D au GPM ! Model Number w h ~ ~ TDH Lifer ~P 7 Friction Loss Syst ad jj TD t 3 ~ ~ ~ r Forcemain ! Leng#]y Dia. r Dist. to Well ~ ® /s z ~ a SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: ~5~1r194~ 0 State Plan ID No: Parcel Tax No: 018-2011-45-000 SectionlTown/Range/Map No: 30.29.17.1060 STATION BS 5.01 HI /4 FS ELEV. Benchmark ~` 7 ~~*~ / ADO Alt. BM , , °i ~ t,Jt.S2~L. /~ ~ /0 3 . ~ 1 Bldg. Sewer i ~ Z ( /S. ~~ SUHt Inlet ~ ~~ z„ 9'y. $, SUHt Outlet Dt Inlet ~ ~ Dt Bottom .Z %0-~1 Header/Man. ~° ~~ / 7 Dist. Pipe ~~ fQ6 ~~ Bot. System ~ ~ ~ ~~ Final Grade ~ ~ 6 / / 7 St Cover ~ ~~ G ,1 o.t~ /~ ~~ o~u C ~ . ~ 94 ' 1 ~ a~ BED/TRENCH Width Length ~ No. Of ench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ,~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHA E OR Typef f~ystem: ~ ~ ~~ uN T Model Number: rte / 1 ~Z , ~ ~ -~ b v , DISTRIBUTION SYSTEM G~Id-- HeadeNManifold // Distribution // J 4 r L !/ L x Hole Size ~~ ' x Hole Spacing , Vent Air Intake Length~_ Dia /'~ n gth /i ~ ~ Dia ~`~ Spacing / O ~6 V SOIL COVER x Pre Svstems Only zz Mound Or At-Grade Svstems Onlv Depth Over Depth Over xx Depth of xx SeededlSodded xx Mulched Bed/Trench Center J' ~ ~ BedlTrench Edges Topsail ~ ~ Yes ~ No Yes ~ No v. ~,~ ah COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: + ! I I / ~$ Inspection #2: / / Location: 791 152nd StrGeet Roberts, WI 54023 (NW 1/4 NW 1/4 0 T29N R17W} Emerald Acre/s 1st Add Lot 45 ~ `T1 Parcel,N~Q30 29.17.1060 1.) Alt BM Description = C i' ~ ~~J~_ ipso ~ 26 ~ ~ ~~ ~""'~ ~~ 11 ~ P~ o~ i 2.) Bldg sewer length = Z, 5 Gv~* At ^~ ~ ~ tr t~7H'MllAtiGt3.t+Wl.gt1V Safety and Buildings Division O 201 W hi P B 7162 W t A CottrAy s ~C ' . . . ox as ng on ve., „ t ! Y ~~~ n ~ ~ ~ Madison, WI 53707-7162 ry Permit Number (to be filled in by Co.) tN~ ~ ~ y Sanitary Permit Application s n'~""' !, p / ~~~ In accordance with s. Comm. 83.2((2), Wis. Adm. Code, submission of this form to the ap a govemmeMal J D unit is required prior to obutining a sanitary permit. Note: Application forms for state-ownod ~ Project Address (ifdifferent than mailing address) submitted to the Department of Commerce. Persona] information ~u~ ~ u es in acca'dance with the Priv Law e. 15, l m Stets. V ~ ~ / ~ ~ I 7~ l sz ~ d'f` L A lieation Information -Please Print Ali Informs ' - Property Owner's Name 5 2008 ~` / parcel # D ~'FS - Zb - t - ~ 5 - cep ~ ,r 8 - ~ rn e , Property Owner's Mailing Address COUNTY Property Location C ~d ~b~ X l ./' ST. CROIX ° /r U ~" FFICE S ~ - 3 , Gov<. Lot . ~ Y - / 8 City, State Zip Code of ~ '/., ,!/~ %., Section .~ J N' R ' ~ (] E T '~ pe of Buildnng {check all that apply) il Lot # "'""". ° ! . °~ °~ ~1 oY 2 Family Dwelling - Ntunber of Bedrooms 3 Subdivision Natne ~" ~ y'.as ~f ; , ti~,S~- `Y~~ RI~k lr e~-.ya l~ .1 ^ Public/Commerciai -Describe Use City of State dwned -Describe Use! ~ n CSM Number ^ Village of Town of ~jt, r+'y ~R~ GG q ~ - ~n S X / ~ ~ Ov ~C ~C~G_. III. Type of Permit: (CMeek only one box on line A. Complete }}ne B if applicab}t) A, New System Replacement TreattneM/Flokling Tank Replacement Only Other Modification w Existing System (explain) System R. Permit ermit Revision Change of Ptxtnit Transfer m last Previous Pet ~t N~ ~~r ~ d Date rsst>«i / / Renewal Bofore .lumber New Owner Nation IV. T e of POWTS S temlCom oaeutlDevfice: Check all tYat t>r O o.~ ~ Nnn-Pressurised In-Ground Pressurised In-0round At-Crude Mound > ?A in, of suitable soil Mound < 7~t in. of suitabe soil '/ Nalding Tank ^ Otiter Dispersal Cotttponent {explain) ~Pretreatmem Device (explain) ~ ~ g Y. Dis efsal/Crea t Area Inforlffatlon: design Flow (gpd) Resign Soil Application gpdst) Dispersal Area Requ' s Dispersal Arcs P s S pQkw VI. Tank Info Capacity in Total # of lvlanufactuter Gallons Gallons Units New Tanks Existing Tm~ks ~D ~ ~` Septic or Hold'mg Tank ~ ` ' e ~ r/ G Y t° posing Chamber ~ .:3'Q ~ : ~ ~ 1' Y' ~ ~ Vii. R onalbllity 3tattxrtent- I, the andefui6ned, sesame respotisibNtky bar hstalMtion of the POW'1'S ifh071'6 ~ the attached pl~na- Number Business Phone Number Plumber's Signaiur ~ Plumber's Name (Print} /` ~ ~ ~~ 3~~ __ ~ ! 2 Plumber's Address (Street, City, State, 7.ip Cade) ~ ~7ds~~ ~~so,~/ ~ VID. Conn /De artment ac Oo} PPrnv~ ~ Permit Fee Date I Issui ~~~ gent Sigtmtu iifKeasan-foLDenial s ~S p , a~ 9 a~ owner 13 n IX. Condit~gt~easona for Disapproval ~~ (~ J,1~ / ~ QJC' i P(~8J : ~ ~ `'`, d tJ ~ ~~ 4 ~ ~ 1. Septic tank, effluent filter an Ga ~~ t i d ~ i ! c ~~_ w ' ~'~- w n a ne pvr.~, ma es dispersal cell must all be servt asper management plan provided by plumber. I ~ ~ 2. All sdOfack regti(rements must be maintained th Coua Daly on paper sot feu rhea a i12: ] t iacAa ~ alze to eaa a ~~ SBD-6398 (R. 01/07) Valid thru 01/09 aahmit fi e/ tY I 1 ~ CO <)~ l~-~ .,^ . 3 fit. r-O ~.t l ~ "S ~./.. ~o i°, vC: o.~~o ~~dr's{,i.«6cdSo;l r V v ~ ~, ~ ~ ~~~ -9~~ ~ ~~a ~ ~- ~ tiiS ~ °~ _~ ~_ q~ , 3 5 ~ ~~ bye ~~ is I~9'I ~ ~ 1A 9 SC3" 4~~'~ ~ ~~ `' ~ `~ .' ~ ,,. ~~ -~~ 1 ~ ' 63 ~~ r ~ ~ ~ pI'p`JO'$ e.d xq ° u" dad /7. •~.I.r /PS!~,,~ w/ S'x90' ol.3Pu-sa/Ce/% ~'~'WI .' ~ daSEr','6ufion /a~v~.<saf i~x ~~~ ~y8 ~-,~-~ s~ud4~ x.s~: ~ b cv: «r Canc.~c~e cam[. ~/, u1~/bsa - irr.Q CanG,'nQ.~icn S.T,/P.C. ~..~/Pe%.CoKP.C-s2s'efi~/uwi~ I /~ci ~ t s. T. Ou~JG$ ~~ ~I ry ~ E,~'s f; ~ 9 rri de e%~' 2Y~ p /jl ~C~(/~a~IGS, r4C. O ,CoC~s Eintrec/dilc~as/~bi¢ds; iJcJYyrla,)Y~ scc, 30 ~ .z9i/. ~/7ta~ Tn. eFf/a•+,~r-oad~ J~`• Gr~ir Cap u)/. ~ O/8.7A//- f~S-at7 ~ .Z.O/ Q Gres ~ "sc..s. ~o P r.c. _ bu.'/d.'~ sever EX ~~ ~i E,~ci s-~ 3 ~'edrtv~+-, ~ un o[at~.'en ~'~ ~~ TP afC'oncrt~e 'G1'1. f(rru.-tcd a less' = /~27. W' COPY ~~ ~~ ~r i V ,[ P~.8~9 ti O ~ So,% a tk./ua r:'o.~/o, t ~ E.~:s ~ ~ 9 rrc de e%~: cQ/e•' / `" s/O ` ~Pe.~'p`z/39 Al ~c~6r~ornas, zoe. ,Cot~S E"mtn~e/dilc~es/£bi4ob:, iJcJYy~oJY~ scc, 3o T.L9// rP.I7~, T , oF/f..•i~ovd, .5~. C-r~o%r Cay cJ/. l~ ~ 0/8 • zo//- ~S-cro ~ Z, o/ a ues 1 1~ d Sar J ~ ~~ 9~~ ~~ , _ , °~~ ~ ~ tits ^ ~ ~ ~p~ ,. `~,. ~ ~ ~ ' td~' ~ ~ i5r 8•~~0` ~o .yr ~ ~ ~ b•A~ ~' o. S ~ ~ ~~~`~ ~' C ' ' ~~ '~! / ' ~ffl~b` '' I 5' ~~ ..- '~ 63 ~~ ' ,, ''P~'o~os~Rtow,da.f ~z7J.r/as ~' ~ ~'sE~.~bufion /ads a6 i~"x ~~~ v d '~ ~ ~~ ~ ~ z ".Scd. y0 P, J. C. S 1¢a~ad ~.~oK ~ ~"5~.l~. ~foi°.J.C: o~L~o ~~dr's~b~edSo:l W: CStI' Cavt,~c.~t cam[. ro ~ cQ~/b~ - irlrP Cmnfrr•~.-E~•ah .~- b ''~-S.T./P.C. ~/,ae/y~ot'P,C-sZ.s-eF~/uwi~ I 99.cn r~r~~vat s.T. ou~E/Gt• ~ "sc~. ~o P v.e. bu+"/d.' saver ~ : TP af~acrc~e a.~ m 'w~, AI-*u.-tcd e lP6!' = /Q9.Lt7' EX ~ ~ v/ 3 6 Ocdrw.., ,GCU.~ d~.'er~ ~~1 ~a~kac a p~oPoscd u1el/ 1 a ,t h L P~. 8 ~ 9 commerce.wigov i ^ ~scons~n Department of Commerce Safety and Buildings 3824 N CREEKSIDE LA HOLMEN WI 54636 TDD #: (608) 264-8777 www, commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Jack L. Fischer, A.LA., Secretary August 25, 2008 CUST ID No. 227990 WILLIAM C SCHUMAKER SCHUMAKER PLUMBING 1070 SCOTT RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/25/2010 SITE: McCabe Homes Inc ATTN.• POWTSInspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON. WI 54016 Identification Numbers Transaction ID No. 1583526 Site ID No. 741684 Please refer to both identification numbers. 791 152ND Street above, in all corres o,ndence with the a enc Town of Hammond St Croix County NWl/4, NWl/4, S30, T29N, R17W Lot: 45, Subdivision: Emerald Acres 1ST Addition FOR: Description: Three Bedroom Mound System /Replacement construction / 3% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1197558 Maintenance required; 450 GPD Flow rate; 28 in Soil minimum depth to limiting facbr 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: Reminders • 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 ofSec. 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. • The existing POWTS shall be properly abandoned per Comm 83.33, Wis. Adm. Code. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the effluent filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. ~.-T. ~ . F.o •, , • A co of the a roved Ians s ecifications and this letter shall be orrsite durin constructio o jl al inspection by authorized representatives of the Department which may include local ins ep Ct0 ~~~~ DEPARTMENT OF C;1~iMERCE D-_-.,.~ ~~~cTV nN0 bU1L0iNGS .~ WILLIAM C SCHUMAKER Page 2 8/25/2008 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. • 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). • 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 acceptab)r 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 rightto 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, Fee Required $ 175.00 • Fee Received $ 175.00 Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon -Fri, 7:15 am - 4:00 pm WiSMART code: 7633 j erry.swim@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 ,Friday, 7:00 A.M. To 3:30 P.M. ,~ ~ 4 ~ '7 q~ ~cF/~ I~pp,~~ ~ Fa MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGI'Q'YF~ Zj100 °~?dential Application ~ 8 INDEX AND TITLE PAGE ~(//~~/ ~~~ Project Name: McCabe Homes, Inc. 3-bedroom residential mound Owner's Name: McCabe Homes, Inc. Owner's Address: 935 Osorev Blvd Bayport, MN 55003 Site Address: 791 152nd Street Legal Description: NW1/4 NW/4, Sec.30 T.29N., R.17W. Township: Hammond County: St. Croix Subdivision Name: Emerald Acres 1st Addition Lot Number: ~ 45 Block Number: Na Parcel I.D. Number: 018-2011-45-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Attached soil evaluation report Designer: Bill Schumaker License Number: 227990 Date: 08/12/08 Phone Number: (715) 386-3121 Signature: ~,,,~ Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 5.1 (R. 06/06) ~ ~, , Pag~.1 of 9 ~ ~ Site Inforn (R or C) R 300.00 1.50 450.00 3.00 98.50 28.00 __ 0.60 Mound and Pressure Distribution Component Design ~.slyn Worksheet ration Residential or Commercial Design Estimated Wastewater Flow (gpd) Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) Site Slope (%) Contour Line Elevation (ft) Depth to Limiting Factor (in) In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) _ ~~ ~ 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) r.____.__~_ L 1 Influent Wastewater Quality (1 or 2) Pressure I (C or E) ~ c 2.50 _ 4 ~ 0.125 2.50 _ 2.00 140.00 92.00 )isribution Information Center or End Manifold i Lateral Spacing (ft) Number of Laterals Orifice Diameter (in) Estimated Orifice Spacing (ft) _ Forcemain Diameter (in) Forcemain Length (ft) Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 6.67 Vertical Lift (ft) ~~ ~- 2.66 Friction Loss (ft) r~ I ~ In-line Filter Loss (ft) J-~ ~ 15. -Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice ~_ . 0.75 _ (- 1.00 x ____, . _ 1.25 _.__ _ x I ___ __.__X 1.50 2.00 x ._ _ ____~._.~ x 3.00 x i -_--~-~ Treatment Tank Information i 10 00 00 Se tic Tank Capacity (gal) !WieserConcrete_Manufacturer Dose Tank Information 646.00 Dose Tank Capacity (gal) ~ 17.00 Dose Tank Volume (gal/in) Wieser Concrete Manufacturer Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 5.00 Cell Width (ft) Are the laterals the highest oint in the distribution Y network? Enter Y or N~ If N above, enter the elevation ft of the highest point. 6.25 ftz/orifice Does the forcemain drain back? i _____ Y _ _' Enter Y or N 22.84 Forcemain Drainback (gal) 56.42 5x Void Volume (gal) 79.26 Minimum Dose Volume (gal) 29.66 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x x i 1.50 _ .----1 x i 2.00 __ , ~ _ ~ 3.00 ~ I Gallons/Inch Calculator (optional) 646.00 Total Tank Capacity (gal) 38.00 Total Working Liquid Depth (in) 17.00 gal/in (enter result in cell 649) Effluent Filte_r_I_nform_ation ~Po~ok __~ _~ _ ~ __ Filter Manufacturer jPL-525 _ y _ __ jFilter Model Number Project: McCabe Homes, Inc. 3-bedroom residential mound Page 2 of 9 Mound Plan and Cross Section Views 1 1_ . 1/1 0 B •'•••'•'•'•'•'•'•••'••••••••Observation Pipe .'. 3^ .'. K .. O ~~ ~ :. ...•~ :B' .. .:~. . . . ......................................... ......................................... ......................................... ......................................... ........................................ ...................................... -T _} -~ -~ Mound Component Dimensions A 5.00 ft E 9.80 in H 1.00 ft K 7.54 ft B 90.00 ft F 9.25 in z 6.88 ft L 105.08 ft D 8.00 in G 0.50 ft J 5.33 ft W 17.21 ft 450.00 (ft2) Dispersal Cell Area 1069.37 (ft2) Basal Area Available 5.00. (gpd/ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.94 (ft) °I H F .. ; ::: ~ : ~~ ~ ~ 99.67 (ft) Lateral Dispersal Cell 99.17 (ft)-~ - Invert Dispersal Cell :; 3~':::::::~: :~:':~:':~~~~~:~~~ ~~~~~~~~~~~'~'~'~~~~:~. ~ Elevation E ~ D ~ : ~: . ~. ', ,J,•1 ~. .{ ;J. ,J, J,. ,J. J ~I, .J, !. J, ~J 1,, l,, J J„J_,J. J 1 .. ~ J J, J !. J, J, J ] fJ J J J J / JJ, J, ~~ J J / J, J J J~ J, J, J 98.50 (ft) Contour Elevation 3.0 % Site Slope Geotextile Fabric Cover Shading Key d n. ~ Dispersal Cell See lateral details on 1^ [, Topsoil Cap c a 1.5 ft Page 4 for number, size, "~f~f Subsoil Cap '~ o ` ° ~ _~ +` Q , ~ and spacing of laterals. Lateral r e all ©~ ASTM C33 Sand - Z • F qu y s a e `~~ •`~ ~`., Tilled Layer ~ y 0.5 ft .•' , Typical Lateral • ;., ~ spaced from the 50 Aggregate v o ~ ~ '' ~ "~ ` '"~° _ ~ distribution cell's ° • centerline in the ~- A ~ distribution cell (Ax6). Project: McCabe Homes, I nc. 3-bedroom resi dential mound Page 3 of 9 a .s Center Connection Lateral Layout Diagram 3" Bedding under tank. __ Alarm Manuafacturer : LevelArm ;. Alarm Model Number , DLV ___ Pump Manufacturer Goulds Pump Model Number EP04 Pump Must Deliver 29.66 gpm at 15.82 ft TDH Force main connection via tee or cross to manifold at any point. I P •=Turn-upm'ball valve or IFy~---~IFxl2 x12•~I cleanoutplug Holes drilled on the bottom of the lateral. S Number of Laterals 4 Orifice Diameter Lateral Diameter 1.25 in Orifice Spacing (X) Lateral Length (P) 44.28 ft Orifices per Lateral Lateral Spacing (S) 2.50 ft Orifice Density Lateral Flow Rate 7.41 gpm Manifold Length System Flow Rate 29.66 gpm Manifold Diameter Total Dynamic Head 15.82 ft Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and -- Comm 16.28 WAC I I Disconnect II ~_ Laterals are identic al Laterals & Force main of PVC Sch 40 per COMM Table 84.30.5 Tank component is properly vented Wieser Concrete Ca aci 646.00 Volume 17.00 Manufacturer Gallons gal/inch ~- A B C D Dimension Inches Gallons A 19.34 328.74 B 2.00 34.00 C 4.66 79.26 D 12.00 ` 204.00 Total 38.00 646.00 Project: McCabe Homes, Inc. 3-bedroom residential mound 0.125 in 2.53 ft 18 6.25 ftZ/orifice 2.50 ft 1.25 in 3.03 ft/sec Locking cover with warning label and locking device and sealed watertight ~4 in. min. ~~ ~ Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P, ump off elevation (ft) 93.00 Do~ank elevation (ft) 92.00 Page 4 of 9 i .1 5. Mound System Maintenance and Operation Specifications Service Provider's Name ~ _ Bill Schumaker __ ~ Phone~~ 386-3121 POWTS Regulator's Name ~ _ _ St Croix Count~onin De 't ~~ Phone~5 386-4680 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound ,_t~ ,,. Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears _Inspect for ponding and see a e once every_3years Miscellaneous Construction and Materials Standards 1. Observation pipes are 'slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished •..........••• ............... Grade 6-8" Diameter Lawn ~ Threaded Cleanout Sprinkler Valve Box ~ ~ . ~ Plug or Ball Valve Distribution ~ ~ ~ ' Lateral ~- Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: McCabe Homes, Inc. 3-bedroom residential mound Page 5 of 9 '` Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD 10706-P (N. 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L GODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contins~encv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 9 ~GOULDS PUMPS Submersible Effluent Pump 3871 EP04 EP05 APPLICATIONS Specifically designed for the foi~cs,,~ing uses: • Effluent systems • Nomes • Farms • Heavy duty sump • ','Vater transfer • Jewateriny SPECIFICATIONS • Solids handling capability: maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet • Discharge size: 1'h" NPT. • ~:lechanical seal carbon- rotary;ceramic-stationary, aUNA-N elastomers. • Temperature: 04-F (40~Q continuous ' 40 F (60~C) intermittent. Fasteners: 300 series s~a~nless steel. • Capable of running dry without damage to components. Motor: •EP04 Single phase: 0.4 HP, 15 or 230 V, 60 Hz, 1550 ~S, RPM; 'built in overload with 7.' automatic reset. • EPOS Single phase: 0.5 HP, 115 V or 230V, 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 t'nree prong grounding plug (standard on EP05). • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^EP04 Impeller: Thermoplas- tic Semi-open design with pump out vanes for mechanical seal protection. ^ EP05 Impeller: Thermoplas- ticenclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and log;-er heavy duty ball bearing construction. AGENCY LISTING $P Canadian Standards Association Goulds Pumps is ISO 9001 Registereu. `~T ITT Industries 1 p~ , ~a~ CAPACITY Goulds Pumps 2UOZ Goulds Pumps _r°ectwe September, 2002 ~~~~, ,Z9./a(o 4~A•M. lYfi/li~/I7um o~is4~~~t ~'ern~tii^ec~ 0 2 4 6 8 10 12 m?'h f 2139 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85. Wis. Adm. Code A.C.E. Soil & Site Evaluations 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 Parcel I D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road, . . 018-2011-45-000 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 McCabe Homes, Inc. Govt. Lot NW 1/4 NW 1/4 S 30 T 29 N R 17 W Property Owner's Mailing Address Lot # Block # Subd, Name or CSM# 935 Osprey Blvd. 45 Emerald Acres 1St Addition City State Zip Code Phone Number ~f City J Village J Town Nearest Road Bayport ~ MN 55003 651-351-1018 Hammond 791 152Nd Street /i New Construction Use: _yf Residential / Number of bedrooms 3 Code derived design flow rate __~ Replacement ~ Public or commercial -Describe: Parent material loess over weathered sandstone Flood plain elevation, if applicable General comments and recommendations: Site suitable for mound with 8" of sand fill placed on 98.50' contour. 450 GPD Na _ ^ Boring # -~ Boring /j Pit Ground Surface elev. 97.83 ft . Depth to limiting factor 28„ in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/it' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-9 10yr3/2 ~ none sil 2fsbk ds cs 2vf,fm 0.6 0.8 2 9-15 10yr4/3 none sil 2fsbk ds cw 1vf,fm 0.6 0.8 3 i 15-28 10yr5/4 none sil 2msbk ds gw 1vf,f 0.6 0.8 4 28-39 10yr4/6 f2d 7.5yr5/8 fs/sl mix Osg/1csbk dsh di 1vf 0.4 0.7 5 39-50 10yr7/4 f2d 7.5yr5/8 fs Osg dl aw - 0.5 1.0 6 50-62 10yr8/1 map 7.5yr5/8 S.S.B.R. Om dh - - 0.0 0.0 Horizon #4 consists of an unsorted mix of 10yr4/6 Osg Ifs and 7.5yr4/6 1 msbk fsl. Redox. concentrations appear in Ifs. by resistance to knife penetration. S. .B.R. in H#6 determoned ^ Boring # _~ Boring /~ Pit Ground Surface elev. 97.87 ft. Depth to limiting factor 39" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-13 10yr3/2 none sil 2fsbk ds cs 2vf,fm 0.6 0.8 2 13-20 10yr4/3 none sil 2fsbk ds cw 1vf,fm 0.6 0.8 3 24-29 10yr5/4 none sil 2msbk ds cw 1vf,f 0.6 0.8 4 29-39 10yr4/6 none Ifs/sl mix Osg/1 msbk dsh cw 1vf,f 0.4 0.7 5 , 39-48 10yr7/4 f2d 7.5yr5/8 Ifs/sl mix Osg/1 msbk dsh - 1vf,f 0.4 0.7 Horizons #4 & 5 consist of an unsorted mix r4/6 Osg Ifs and 10yr4/4 1msbk fsl. Redox. concentrations appear in Ifs. S.S.B.R. in H#6 dete oned by resistance to knife penetration. Effluent #1 = BODS> 30 <_ 220 mg/L and TSS >30 < 1 0 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) ignatur CST Number James K. Thompson ~-- 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 .8/11/2008 715-248-7767 p'raperty CRroner McCabe Hom -- Boring # -- Boring __/_,I Pit Inc. Parcel ID # -_018_2011-45-000 Page - 2 _ of _ 3 Ground Surface elev. ____ 9898____ ft. Depth to limiting factor 34" in. Soil Application Rate Horizon Depth I Dominant Color Redox Description ~ Texture Structure Conslstence ~ Boundary i Roots ~, _ _SzPD1~_ _ ___ in. i Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I "Eff#1 `Eff#2 1 0-12 10yr3/2 ~ none ~ sil ~ 2fsbk ds cs I 2vf,fm 0.6 0.8 - -- ---- - -- t- - - - -- - - --- f -- 1 - - -- - ------ - ---- ,-- -- -- Y--- - _ 2 12-18 10yr4/3 none sil j 2fsbk ~ ds ', cw ~ 1vf,fm I, 0.6 ~ 0.8 ~ -- - - _ -------- -- -7 - ----- } --r i -- ----__ 3 ~' 18-34 ~ 10yr5/4 none ~ sil ~ 2msbk ~ ds I gw ~ 1vf,f I 0.6 0.8 ----- ~ - -~-- - -- r----- ------- _ ~ ---I ~ -t ----- __ _ -- 4 34-43 ! 10 r5/4 i Y f2d 7.5yr5/8 ~ Ifs/sl mix l Osg/1csbk I ! dsh di 1 of 0 4 ~ 0.7 _ - } - _ _-_ -^ ~ ~ 5 43-66 i ' 10 r7/4 ~ Y f2d 7.5yr5/8 I, fs Osg I aw ~ dl I - I ~ 0.4 0.7 , , + i -- _ ~ ~ -~ _--_- ----- - -- -7 - ------ -----_ , - -__-- 6 ~ - 66 79 10 r8/1 y i m 7.5 r5/ 3p y 8 iS.S.B. R I Om I _ dh ~ _ 0 0 0 0 - t- ~ --i--- ----- Horizon #4 consists o f an unsorted mix of 10yr4/6 Osg Ifs and 10yr4/4 1msbk fsl. Redox. concentrations appear in Ifs. S.S.B.R. in H#6 determoned by resistance to knife penetration. a Boring # -~ Boring I Pit Ground Surface elev. ft. -_--- Depth to limiting factor in. Soil Application Rate Horizon De th p Dominant Color i Redox Descri lion Texture Structure Boundary ' Roots I__ Consistence ~, SaPDlti' _ i Munsell ! Qu. Sz. Cont. Color ' ~ Gr. Sz. Sh. ~ Eff#2 i i --t----- I t- ' ---~- ; I -f-- -~- - ---- -- _ --i--- ' ' - ---r- I i i I -- - ~- - - -- ~ - -- - ------ ~ -.- r -~- -~-- -~ -~--- r---- --r- _ - --- ~- ----_ ~ --_- I ----- - -- r - - ---- - -;--- I ~ - Y-- - _ - _ - - ~- i `Effluent #1 = BODS> 30 < 220 mg/Land TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mglL and TSS < 30 mglL The Department of Commerce is an eyual opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or T"f Y 608-264-8777. SHU-8;30 (R.U7i00) A.C.E. Soil & Site Evaluations .. .~ ®s~;;~e,~ua~o.~,~,t ~ E,~'s ~ ~ g r~s de elegy!' • /oc~-tcdpre~o.S~E cn/e: = s/O ~Pa~''°`z/39 ~t ~cG.4~/krn~s, Tae. O ,(¢t !!S Eirr[ns /dijc/cS/£bi4ab:, 7wyyrlWy~ ~~. go T..~9/J ,P/7uZ, T . of /fw.n.~Iegd~ .T~. CPCi~c ~~ cJ/. ~' oi8 • zo/~- ~S'-ao ~ 2. o/ acres ~~ ~ fi ,u I ~ (((~ I I ~ y ~ J ~~ a+~~ ~y1~ur ~ ~ .~~ ~ . - 1 ~.r, ~- . ~~ ^ _ ~ ~ ,..- ~°~`a q4; .- , ,,,Icy,~.~. • ~ ~~~1 ,.- ,- ~~ 1 ,- - .-- ~ ~ ,- ,,, - .. sn' _ ~ ~ 63 ~ .' .' / I .~ .' b '~ t 1 I ~.~• ~ Tp ofmaCr'c'~c E~~;~ 3 6~1r-ev.., ~~1 ~ / ,~ " ~I I~~ ~~ ~x%~'~ i ~~qa~ p~, 3 of.3 m~ 7C: SHE. pl~~L~G `--t~ut~ [ h ~~~t cur tt-tt t~vr its ..... _. u.. ,_ .~ ~, w... ~-__ _........ ~~ _..._ ~....._.... _T._ ._.__ .~~' ~ _-~ ~ -' ~ w1..... .. ~ ~~.... ~ .......... ~.1 -~_ ._ ~: -~ ~~ ~ 81,7'4 ~~~__.~ ~ CF~ES ~ ~~_~r.~ ~aa~.ss ~ ~ ~(~~ F'~'. ~, ~ ,,moo``'' ~ a0 ~44 ~ ~~~ ~~ ~ 87,38 SQ. F~'F ~ ~~ ~ ~~~ L~~~CI~ == 1Q33~00 ~ ~ ~.~~ ~ ~( 82,57 ... ~~ ~` ~ LET" ~ ~ • - ~ ~ L _ .~ _.~ ...__. ___ - _ . ° ~ ~ ~ ~ sas~a •" ~ ~ ~.~ ~ °~~~,,,.. :" ~ zap _c~ R ~ ~ ~ `1,, .. q . ~ ~ ~ sY ~ , w" ~ti 5. •. ^ S ~ ~ x •n~ ~ ~ ~ ( ~ ~~ ~~ ~. ` t f t '. Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in ~rrnrrl~nrra~ with ('.nmm AF Wic ~r~m (:nrle 2139 Page 1 of 3 A.C.E. Soil & Site Evaluations County Attach com lete site Ian on p p paper not less than 8%Z x 11 inches in size. Plan must St. Croix indude, but not limited to: vertical and horizontal reference point (BM), irection a Parcel I percent slope, scale or dimemsions, north arrow, and location and dista ro ne t roa . . 018-2011-45-000 Please print all information. Revi d By Date Personal information you provid Q Z5 f~(J Property Owner Property Location McCabe Homes, Inc. Govt. Lot NW 1/ NW 1/4 T 29 N R 17 W Property Owner's Mailing Addre s r~U V '~ g LUQ$ Lot Block # Subd. Name or CSM# 935 Osprey Blvd. 45 Emerald Acres 1St Addition City tate gip ~~($11PIQt^AbINILhhber ~ City __~ Village /J Town Nearest Road Bayport ~ ~ 8 Hammond 791 152Nd Street r J New Construction Use: ~a Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD _;~ Replacement J Public or commercial -Describe: Parent material l oess over weathered sandstone Flood plain elevation, if applicable Na General comments " ~ ' and recommendati ons: Site suitable for mound with 8 of sand fill contour. / 0 placed on 98.50 .. 51 -~ 8 ~/ aS 50: ~ Boring # _:::1 Boring / 28" ~ ' t /] Pit Ground Surface elev. 97.83 ft in. . Depth to limiting factor Soil Appl ion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/2 none sil 2fsbk ds cs 2vf,fm 0.6 0.8 2 9-15 10yr4/3 none sil 2fsbk ds cw 1vf,fm 0.6 0.8 3 15-28 10yr5/4 none sil 2msbk ds gw 1vf,f 0.6 0.8 4 28-39 10yr4/6 f2d 7.5yr5/8 fs/sl mix Osg/1 csbk dsh di 1 of 0.4 0.7 5 39-50 10yr7/4 f2d 7.5yr5/8 fs Osg dl aw - 0.5 1.0 6 50-62 10yr8/1 map 7.5yr5/8 S.S.B.R. Om dh - - 0.0 0.0 Horizon #4 consists of an unsorted mix of 10yr4/6 Osg Ifs and 7.5yr4/6 lmsbk fsl. Redox. concentrations appear in Ifs. S.S.B.R. in H#6 determoned by resistance to knife penetration. Boring # --~ Boring /f Pit Ground Sun`ace elev. 97.87 ft. 39~~ in. Soil A nation Rate Depth to limiting factor ppl' Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rood GP D/fta in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-13 10yr3/2 none sil 2fsbk ds cs 2vf,fm 0.6 0.8 2 13-20 10yr4/3 none sil 2fsbk ds cw 1vf,fm 0.6 0.8 3 20-29 10yr5/4 none sil 2msbk ds cw 1vf,f 0.6 0.8 4 29-39 10yr4/6 none fs/sl mix Osg/1msbk dsh cw 1vf,f 0.4 0.7 5 39-48 10yr7/4 f2d 7.5yr5/8 Ifs/sl mix Osg/1msbk dsh - 1vf,f 0.4 0.7 ..~-- Horizons #4 & 5 consist of an unsorted mix r4/6 Osg Ifs and 10yr4/4 1 msbk fsl. Redox. concentrations appear in Ifs. S.S.B.R. in H#6 Bete oned by resistance to knife penetration. * Effluent #1 = BODS> 30 <_ 220 mg/L and TSS >30 < 1 0 mg/L * Effluent #2 = BODS < 30 mg/Land TSS < 30 mg/L CST Name (Please Print) ignatur : CST Number James K. Thompson ~._._._ 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson take Lane. Osceola. Wl 54020 8/11/2008 715-248-7767 ~~ Property Owner McCabe Homes, Inc. Parcel ID # 018-2011-45-000 Page 2 of 3 Boring # ~ Boring 1l/ Pit Ground Surface elev. 98.98 ft. Depth to limiting factor 34" in. Soil Application Rate Horizon Depth Dominant Color Redoz Description Textun; Structure Consistence Boundary Roots in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 10yr3/2 none sil 2fsbk ds cs 2vf,fm 0.6 0.8 2 12-18 10yr4/3 none sil 2fsbk ds cw 1vf,fm 0.6 0.8 3 18-34 10yr5/4 none sil 2msbk ds gw 1vf,f 0.6 0.8 4 34-43 10yr5/4 f2d 7.5yr5/8 Ifs/sl mix Osg/lcsbk dsh di 1vf 0.4 0.7 5 43-66 10yr7l4 f2d 7.5yr5/8 fs Osg dl aw - 0.4 0.7 6 66-79 10yr8/1 map 7.5yr5/8 S.S.B.R. Om dh - - 0.0 0.0 Horizon #4 consists of an unsorted mix of 10yr4/6 Osg Ifs and 10yr4/4 lmsbk fsl. Redox. concentrations appear in Ifs. S.S.B.R. in H#6 determoned by resistance to knife penetration. ^ Boring # ~ Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Mansell Qu. Sz. Cont. Color Gr. Sz, Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS <30 mg/Land TSS < 30 mg1L 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) A.C.E. Soil @ Site Evaluations A 'J ~ 1 1 . . ~;,e~,ua~o~P.~ ~ ` ~ E,~'s ~.~ P r~ de e%~` ~ fi f • /ot~.t~dorap. s~ l ~' 1 L ca/e: `= 5~0 ~ I ~ ~Pe~' z./39 ~ ~ 11 (f ~J ~t ~c.~..6~C.f~ar~res, hoc. b ~ ~ ~ Q ~~ .Cot/S Emtrx/dilcres/ i4aF.~ 0 3o T " zy~l d 7 ~ ~ ~ q1• ~ "~ ~ b I . . gwyy~wy~ x~. j r , / ' ' f~ ' ^ Ge^_ ~ ~ /f•..~.rio~d~ J~. C.rD:,~r Coy cJ/. .r. oF 1 ~ C° . - ~ , ;~°~ ~ ~ + po ~ a a ~ ~_~ - -- ,_ -- .- ,- ~. - ~ ~ ~~ ~ 3~0~ .'~ 4~ '' ~~~~ ~~~ ~,9a ~ /' ~ h~1 ~ ~ . ~ ,- ~'~~ ~ 99• I ,, ,. - ,~ ~ .- .~-~ _ ,- .,- ~• ~ ,.~~~ 63 ." ~' .~ -~ ~b ~ 1 I I ~- ~ ~~ Tp ofC'ooc.rc~c igsr~cr~tcd a /v~' = /CO./A J ~ ~ ~I ~~ '~h ~x~ ~~i 3 ~~~~, f-o~d~;•e+, ~~1 8~q~~ P~. 3 ~-~ Thursday, September 11, 2008 8:40 AM Tom 6513511019 p.02 ;SeP•11 08 07:58a Aennis Hjornstad 1-715-386-6855 p.l 5T. C'ROIX COUNTY s~PTic TANK'~4AINTENANCfi AORFEMfi~+'T AI~TD 01~rNERSHIP C~RTiFiCAT10N CORM ~.!'" /r/ ~dc v7 ,N[ailing Address r ~3,~S1~y _ ~~_~.,_,_~~ _,.._._.._._ Property Address _.~ it _ '~`~~'t'Pj' `ST' !~~ --•- (Verii'ication ~cquiret3 from Nl ~-tu~ & Zotsing Depa .pt fir' nevv cortstnution_j City/Slate ~i~pi/~/ P~.cet Ideritifi.;atiort Ntsmbcr _ ._ ._____~ I.F~.~~~~ E-s~~PT ~. Property L~ocdtiotl _ %a , ~'/ ,Sac. , T ~ R^_,___~4. Town of -_ ,_ _ -. Subdivision ^,_ .__ - _•_..~~...,_~.. "_,, Let : . CcrclIIed Survey Ma # _,~ _, VoIustte ,~. _ ___._^., pstge # _._ _ P ----------~ 1Varrataty Deed # ..______-- _ .Volume _. Page # _ Spec house res nu I.or lir>zs identifiable yes t1o SYSTEM MAI:yTEN~.NCE AND OWNF~,fi~~iT CA?1 N - i~~l~•~n i~ Improper use and nvcintartmgce of yow ^eptic Bystrat t.ould rer-att in istt l~tt;tnatuee faftttro co h~aiadlo ~~a^ta^• p-oP°r mai!,tCt~aruue cprGSists pf ptstttgiag out the septic tank avte~- thnti years or sootier, :f needed, by a lictsttsed patnpar. VF'hat rou put into d[e systern can affect the fuucrioa of the septic tank tits a troae:~ent atege 1a rht: as3tC disposal system Owner ttYittlttIt9ttt;f• responsibilities 9zz specified in tj(:or.•~a- $3.S2f I1 atsd its C:lcapcr.[ IZ -Sr. Croix Counh~ Sari~tary Ureiinance. - The properry• owner agrees to submit ty SL Croix County Planning & 2onistg Dept-rtreent a Certiticativr. torn?, signed t1y the owner scud by a rtw-ster plumber, jrxuneygwn plumber. tzatsieted plumber of a lict,~ed pt-tnpat verifying thstt (1) tltt on-sire wastews:er disposal system is in proper opt'ratiRg cottdj~utt and,'at (2~ +~~ inspe~_tion atxi pumping (if netessYry~, [Ft~ SeFtit^. tarlc ~S less than l/3 full of sludge. i;we, the undersigned have rend the shave tegtiirttttatlts find agree tp tttaintain tIIe private sevrtgc disposal s~~stem with [Et: standards set forth, bereiq as set by the Department of Cottrnt~rce and the pepattmcrat of Nt-ltzral Rt:tources, State of W isenasin• (.'crrificarion atatiag that your septic system k+a,e been rnainhooed must bG eoerepierrti and rettuned ro the Sc Croix Cowry Plaru[inp & Zoatng I)aparanarr within 30 days ot'thc rhre~ year expiration dads. llwe ccniPy shat al! srateatcrtt^ un this fartn are trot to the best of tt~•iourknowledge. 1%w'e arn~'xre [hr vtvner(si of ~ltt: property dacctibed stbove, b)' virtue of a a~nry doed re~or3ed in Register of Deu~i4 OtTice. Number of bedroorng r/~ --~ -~ SiGNA1'U-1~ APPLICANT(S) DATE ~ lortin~ Depsrunent. `•i` `**Any inforniation that is tnisreptesented t*ta!y ,cstdt to the saaituy permit being revoked by the Planning Lueludt y ith this applicadan a re~urded ~vsrrarty decd ~ the k~PjsO-T of Dce.~is nfiua trod a copy of the ~ertit'iea sutL•ry reap is ret'tsrence is made in tht warratuy deed ~~-'~~1 STATE BAR OF WISCONSIN FORM 2- 2000 Number WARRANTY DEED THIS DEED, made between Kernon J. Bast, a married person and Richard O. Stout, a marred person, Grantor, and McCabe Homes, Inc., Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: Lot 45, Plat of Emerald Acres 1st Addition in the Town of Hammond, St. Croix County, Wisconsin. Recording Area Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. 018-2011-45-000 Parcel Identification Number (PIN) This is not homestead property. * Richard O. Stout Signature(s) AUTHENTICATION authenticated this TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Peterson, Fram & Bergman - Steven H. Bnms 50 East Fifth Street, St. Paul, MN 55101 (Signatures may be authenticated or aclmowledged. Both are not necessary.) 'Names of persons signing in any capacity must be typed or printed below their signature * 8 7 9 2 2 1 1 8~92~1 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 07/30/2008 01:10PM WARRANTY DEED E%ENPi 3 REC FEE: 11.00 TRANS FEE: 99.00 PAGES: 1 Name and Retum Address: Edina Realty Title, Inc. 400 S. 2nd St. - Suite l 15 ~ Hudson, WI 54016 876111 ACKNOWLEDGMENT STATE OF WISCONSIN ) ST. CRDIX COUNTY. ) ss. Personally came before me this a$ - day of _, ~ o~_ the above nan~ted Kernon J. Bas , a t ~ rried person and Richard O. Stout, a married person to me known to be the person(s) who executed the foregoing ins t and acknowledg-efd the same. W *Pamela A. Willman Notary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: lizi2ol I ) Pamela A. Wiiiman Notary Public State of Wisconsin WARRANTY PEED STATE BAR OF WISCONSIN 1 of 1 FORM No.2-2000 . ~111fltAf~C@,laiii,~p~y Safety ildinoc i1;.,:e:.... /a~ ^ 201 W. Wash" n A --o- --......... ~V~S~~ , P.U. Box 7162 V Madison, t?7- 2 a.vwrwy ~~5r'Q l ,,~ g,m~y Permit Number (to be filled in by Co) Sanitary Permit Application 1 State Transaeti on Number l n accordance with s. Comm, 83.2[(2), Wis. Adm. Code, submission of this form to the aPPmPtiate governmental unit is required prior to obtaini / /" ng a sanitary permit. Note; Applicatlon forms for submitted to the De state-o-vned POW7'S are partmetlt of Commerce, Persomal information you provido may, be used for seroudaty es in accordance wttlt the i'ri 1 Project Adder (if ditl'etent than mailing address) va .aW s. 15, 1 m 3tats. I. A Mention Informtttioa -Phase Pa'iat f a ```` ~ 7~~ ~ /~Z ~ ~v'' Props Owner's Name ~ . Parcel # Property Owner's Mailin13 Address d l $ ~ ~~~" ~~- QQ( ~~ ~ ~d~~ ..~ JUL 2 8 2008 Property Location ~; io~o City, State ,[ ~ ~ ~ f Zip Code ' ~ ~ Y ~ ~~ ~ c~oVe. Lot 1 .y6G1. ,~S r!/LtiI Yy .J D C9 L~ ~ ,~ J C E Z ~t~ ~ (t Ii. Type of Banding (check all that aPPly) Lot # /~ C)~ Gib ~J or 2 Family Dwelling -Number of EQd~rap L ~ L /~ ~° ~ ) 1 E T ~~ N' lt. /~ ~ ~ W Subdivision Nat1>c ~ , ~'a~ Blcek _j' ^Aublic/C..ommorcial~DescribeUse7~ .` / 2l^~ / ' ~GL''~s PICvrV . State ~~ - Describe U' SM N City of ^ Vill f umber t3 ~"' ~ I./ ~ ~'zU age o ®Towm of .~ ~ ~~ III. Type of Pertnit: (Check only on x oa line A. Complete Mne B if mpp bk) A 6-/71 ~d , New System ~'~ R Dement System TreatmentlHulding T Replacemetn Other M t (explain B. Perrnil Reaewal Before Ftxtnit Revision Change of umber Permit T Maw Owner it N r Nat tatiotl N. T t-f POWTS S m/Com neat/l)eviee: Ch 11 Non-Pressurized In-Ground Fte~tttired ]n-Ground C)ra~ Mound> 24 in. itable soil M <?q in. o e soil ^ Holding Tank he Di l C r spersa omptment (explain) t Device (explain Y. P ersal/1'rer eat Atrea Iafot'taptioa; '4 S ~ Design Flow (gpd) Design Soil Application Ra~~gpdaf) ispersa) Atea / _ Requ' Dispersal Area Pro (afi System t'.levmion VI. Task Info Capacity in Total # of Manofacturer Manerial Q Gallons Gallons Units New Tanks F.xiatin ks " it/ D (' ~ Septic or Holding Tsnk `d ~ ~ ,r I ~ .'~~ ~' ~'6.J ' r ,= Dosing Chamber 5(~ ~ .r" ~0.~ L~ J~+'~L'T VII. R sibil Statement- i, the erslgmed, asawaate s tspeststbilky for i^stantetkan of the POW7'St e~ t4e aridsched phew. Plumber's Name f Prirttl W'~ '/1< cc to 5c % ., ~ Plumber's Si nature / ~ ~~~-~'` ~~ Number ~~ :' ~ f%u' Business Phome Number 1~ 3~- ~~2/ Plumber°s Address (Street, City, State, p Code) VIII. Coan s<rtm U On ppmved isapproved Owttex Gig n for De Pttm' Fee Iss S ~SD 7 g OL7 Issui tstt S' ~ ~ / D /// J iB. Conditi~llftiflY~)easons I'ot• iDisapproval ~_ /J fJ~ 1ll / 1. Septic tank, effluent filter and 3 G~, f~1`5d"i-,CJiC ~ / O sc, ... J . dispersal cell must all be services/ maintained as per management plan provided by plumfyer. G'p/~-pJ {' . S ~ 1NlA)S t'~ 2. Ail ttetbacK req~Jremerlts must be maintained 7 ( ~ der appNcable cxtde / ordintietces. /Z., ~oc.~..~ /~ ' Q ra.dLn ~ ~ 5~- Attach ~casPlete law `!pr systaw wnd wish to the Cmewlty owly aw ~a sot has IhW E t c f t IncA^ it a SRD-6398 }~01 0 Vatid thrua /(i~ ~ ( ~ ~ ~ ( c~ ~ °~' n t-~ Itot+aeol.,rtt..~. , -~,,t n,- h,~,,H...- o ~ I Z ~v`. aC. ~„""... C.O 1J f.L.._ j^= q ~~ l ;~~ ~ 99 ~a r ~' r --, , ~u G 99 PO ~~ ~, Wi^cq~sin Department of omnterce OlL EVALUATION REPORT Payo _' _ of _ Division of Safety and Bu tgs o C~ 1 2~~4 ~rxroniarn,-e wiUr omm 85, Wis. Adrn. Code TT Courny Cj/OI~C Attach wntplete site plan n pa ~ ;t'.t~~u~x 11 ' clres 6r n r- el ~--- -- htdude, hilt not Iimlted to: erti Fd~rnn int (BM Parcel LU. r - ~/ - OCx~ percent ~ Wpe, scale or dir nsion n logtlon and distance o r sl~a ~ ~ a ~ ~~ Please pr/nt all lnfomraUon. Re ~ ed ~ _ UCat`e ~t ' Personal lermmallvn you provide maybe used fa aecoedary prupoaea (Privacy Lnvr, e. 15.04 (I) pn)). 7 ~~ V Properly Owrrer Pwparly Location ~(~~ S~a~ Govt Lut /VE tla /VuJv4 S 3v T Z9 N IZ !~ E (or W~ Property Owner's Melling Address Lot #~ Blur;k # Sulxl. Name ur CSM/l' t 353 ~u.k~ee. f ('_------ 4 5 ---~ _ --f ~n oral ~ _ ire S_ i ~_ r~u~ UY l ._ City State Zip Ccx)o Phone Number ^ Cily U Vilaye flown Nearest Road L-~~ r~~~,n ~1~~ ~`.~-fat(o t (~1~~ ~~fQ-(o731 atm __ ~ ~- 7T _ New Construction Use: ~tesidenl'tal / Nwnber of bedrooms ~''~_ Curie derived desiyn flow rate __ ~~a_~L, Qc~ __-_ GPD ^ Replacement ~,~ ^ Public orcommercial - Uescribo: __-~_ ,=____ __--_-.--__ --- Parent rnateriai ~a I '( -_______-_~. flood Plat lovatiun it apl>ficabla _ ~ ~ _ R. General crnmnerds ~' S/"`C m a .C i/ ~ ~/ ~~ ~ 0'" ~/ "~ artd reconnnendatiorts: ~ ~/ ~ / _ - Bonny ~ i G fs- w~i.~ • , Boring # I,, ~ -/- ~- Pit Ground surface elev. ~ • CX__._ Il. DepUl lu Ihniliny lactor ____ Z ___._ in. _ _ _ _ __ _ _ _ Sol Applic:alion Rate ilurizon UepUl Dominant Color Redox Description Texture Structure Consistence Boundary Rrxtls GPU/IP _ in. _Munsell Qu. Sz. Cont. Coker Gr. Sz. Sh. 'EINt1 'E(i#Z -- ~ ~ - ~-- Boring # ~ Boiirty ~it Ground surface etev.Id~ ~ ~~-- lt. Ueplh to limiting (actor _ ~ ~ - in. - - Sol Application Rate horizon Ueptit UaninarttColor RedozDescription Texture Slructuie Consistence Boundary Roots GP Dfit= in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Efl#2 Z 3 r3- z-f ~ -.~Z. i ~ r I~1 y ~ 3 `- Sri 1 s« I ~sbiz - 2 ~ c ~ 5 - _. ~-! ~{ ~ _ lv ' Ellirrent iYt = BODS> 3U < 22U nx3/L arxi TSS >3t1 <_ 15U rrty/L ' EOluent #2 = BOU~ 3U my/L and 7SS < 3U mg/L CST Name (Please PrinQ ~rtature CS7 Nwnber Address ~ Dale Evaluation Conducted Telephone Number tai 3 ~so~ ~ r~,er~L, w t ~pz~s ~- 2<~- ~3 ~~ ------ ~ ~_r 5) 7~o-oz. ~~ Q!~ r ~ - c r~u-i ~ Parcel IDo-il _C G~_-L,_=-------- - page __ ~ of J ' .__ _ Property Owner .J~ - Boring # [~~,~ "~`'~ . ~U \I~- . peptlr lv IirreGng factor ~_ in. L'J Plt Grouud surface elev. Sob ~ r icatiorr Rale Horizon Deptlr Dominant Colvr Redox Desc.~riplion Texture Slrudurs Consistence Bowrdary Roots •EIt/fGPD ~Effg2 in. Munsell Qu. Sz. CrnrL Cubr _ fir. Sz. Sh. - _ S(~I ZmSbk m-~r cs ``f _ C.o_ 3 17-23 Z3-~3 ~ to ~t 13 -- s< <_I ~sbk ~r ~~-- _ _-- - `~. - ~ ~ - ___~ ~ ---- -- --- (-~ ^ Boring U sonny rr :Ground swiace elev. __ it. Uep-h to limitiny tactvr ___ r"• ^ Pil Soli A licatlon Rale Text re Sbudure Consistence Bvundary Rcxrts GPDgF Florizar Deptlr in. Dominant Cvkx Munsell Redox Description Qu. Sz. ConL Cobr u Gr. Sz. Sh• _ 'Eli#1 'ER#2 U Boriny Boring # Ground surface elev. _______ tt. Depth to limiliny (actor ______-__ in. -- ^ Pit ~ _ Sorb ~ lication Rale i Texlwe SlrudurE Consistonce Boundary Rrwts GPD/iF Horizon Deptlr in. Dominant Colvr Munsell on Redox Descript Qu. Sz. ConL Cobr . Gr. Sz Sh• 'Eif#t 'Eii#2 • Effluent #1 = BOUS> 30 < 220 rngll and TSS >3U < 150 my1L ' Eilluerrt If2 =BUDS < 30 mylL and TSS < 30 nryl~ "I he Department otConunecce is an equal opportunity service provider and en-plvyer. If you aced assistance to access services or need material in arr alternate format, please contact the deparUnent at GU8-2GG-3151 ur "I"IY Gt)8-2G4-8777. sno-u3o rrt.orroor e .. ~pts-! Parcel IC~,lF ~?r ~ d ~---~--- Paye __ Z of J Property Owner _ ~„~ 3 U Boring ~` Borhrg # ~ . 3~ ~ ''pe Unto Gtrrilirr faclur ~ _- in. ~' Pit Ground surface e{ov.. t p g Sod /~ r ~IicaGorr Rate .. 4,u.. e l Slrudure Consistence Boundary Roots GPD IfF Horizon DepUt Uornir-arUGolvr RedoxDescaiplbn b w Tex Sh. Sz Gr 'Etll11 'Ef(#2 in. Mrnrsell r Qu. Sz. Crnrl Co _ . . __ __ ~ ~ a~~ (7-Z3 2 ' 1 r3 Z ~ y 3 I - 5i 1 Sr' c.) S. ~-f ~.I,-,5~k 2~rnsbk ZrnSbrc.- r~n~r mac' rrr~r ~`a cs ~~ (y r -1-- _ ~'`f . `~ - -- _ - _ C.o _ Co - - 4 3- +3 3~ Io ~ ~O 1~ -- ~ ~ ~ ~_ ~~~' -- - 3 - 5 _ _ ~ _ ~ -- -- U Boriny Boring # ^ pit :Ground surface elev. __ it. Depth to limiliny factor __ - ir~• Sod !1 IicaUon Rate Horizar DepUr in. Dominant (:olur Munsell Redox Uescnpl'ron tau. Sz. Cont. Cobr Texture Shudure Gr. Sz. Sh. Consistence Boundary Roots _ GPDIIf _ "Fltitl 'ER#2 [] Boring Boring # Ground surface elev. ___--_- it. Ue{rlh to lirniliny factor ___.--__.-__ in. ^ Pit _ _ Sod !1 1'rcation Rale i ti Texlwe . Slrudure Consistonce Boundary Roots GP O/ff' Horizon Depth in. Dominant Caivr Munsell p on Redox Descr Qu. Sz. Cont. Cobr . Gr. Sz Sh. "Etf#1 'Elf#Z 'Effluent #1 = 80D5 > 30 < 220 rny1L and TSS >3U < 150 my/L " Effluent tY1= BODS < 3U myll. and 1 SS < 30 nry/L 'h-re Uepariment of Commerce is an equal appvnunity service prvvis{er and enrplvyer. It you s~ced assistance to access services or nccd rnatcrial in arr alternate Comrat, please contact tlrc dcpazUncut at G08-2GG-3151 or '1"1'Y GOB-2G4-8777. sno u~o re.orronr f - ~ r .• ' I'AGL: ~Ut' 3 NAIvtL: S~c?c..~~`_---t.c~r,t ~5_I.t~.c~nt.-~rac::tttt'r-~~rt:,va^ii-t,~vti-t,~;3o Lz~.rt,tt,ta--:~,~~~v, SCALE: 1 "- O _ - - _ _ _ -- - --- __ _-- --- _ . ___ -- ----- ~W~l CLL'VA'I~ION: _l~ ~ _ __ . ~-•- fi uht t ~esclzn'rlot•r: ~ p ~.~ 1 _ ~~rc_~~ e____-_- BM2LLL'VA'IIUN.__..~~~_~~ _ - - I SRG~ 3v:.---- __ _- --- - [3Nt 2 DL'•SCIZII` flt_)rl:_~~--_°'~-_ ~ ~~-P/~` (P`- SYS"CLh[ LLIVi\'I'I~ ~rl: -_ -_~ o-'_~_~ _ _- . SYS'1'LM "1'l'1't~.:__~`C~~U~.~~~~`~~ __ _ __ - - SIGNATURE: Q-~ ~~ ~~, amt Nq~ I ,~ l COUNTY PLAT OF. EMERALD ACRES 1 ST ADDITION N FREPAREDFORC S~~A hFANCIYSf Eati~NCFIAVd1 °°°~~° "~'"""°E'~'~'"` LOCATED IN THE NW114 OF THE NE114, NE114 OF THE NW114, AN NL[9711.fAYMfi Pa.9Nll ~~'~~' R17VIl T29N ALL IN SECTION 30 NW114 , , , , PART OF THE NW114 OF THE NaamN9a~J'A ra+SCO~NS~~, , ,~/ TOWN OF HAMMOND, ST. CROIX COUNTY, WISCONSIN. o? ' 57181 ~ ~~~~//// I ' ~~ W ~ °i IS ((IV. p.~ R /3 ( 'U B I i2 u : A ~3l)f~P~ ~ i zC~ ll, ww,wa I ~ 1 ~d 9V I I M~~164~D's_ I - -------- - ~ rrto I I Ui~r_~'~~G i~ a ( ~. xwEa.~~ws9am I --------- ~~ u ~ T azs ~/ -- i ~, ~-------L------- _ --~--~----------- I 000NTYTRUNK HIGHWAY "TT' R ser+aT4w 1E33.+3 ~a~rH~N ~ -- - - ~- ----------------- ---- S aagnommEaYx B Ygm2w~a "aaNYUaneYnw S _ _ - - - T - __-_ ------- y~ , ~ ~-- '~ ___ --- ~ __ ---- , ` r - -, $ I I r '- ii p R ~_~'~ ~ 2 a.wA.=~:m..a iR 1. N ~ I I I I it LOT 80, ..... W I ~ 6~1 B '~~~:" ~ ..,J.~'.. ... 8s._._._ ~~~ - - - ". ~ ~I .188 ACRES W SG49 I 'S~1'~ ~ - a T< I ~'0~ 94~ [ R' 8 ~ ~' s 8 81791 S0. FL ° r E9 FI ~ - -------F---------- -~ ~ ~ 3 LOT 43 ; ? °~I 9G1a~NN I ~ I N~ ~ I i Q I " W ~ ~ 20D ACRES ~ ^! , ax.,mie q ss:Yrmv°nrr I =i i t °Yr.ra;n i ~ SBA'4g1YWS88.01' ~ ':~ 87,304 S0. Fi. ! LDT 4+ ~ 201 RCRES ~ ~ '~ i , ~ n ~ I i ' FL . 85 S0 I lOT 4B x ~~ Nei nsY 'roe .1 ~ uc~ ---_,7sm 01~ 3-rEs- w9w ttEY 9 xsirra l~ N ,11n;~ ~ s casth<~a~ ~u . R 87,3 u LB,6 = 1033.00 i I ~ B2S16 S~0 Fi, j i I e I r~ ~ ~ `u ~ e ~~~ ~ --^``\" ~ ~ Lm+s ~ ~ ~ ~ ~ ~~ BAOASOEFi, 5 ~ ~ rro 87,125 3r~~ LOT38 ~ "ice )b91AEF 8 i ...~ b ~ g'Fj.. ~ ° ~ ~ rS r 8,00 ACRES r,, `~ ~ ~ ', w 1---` m i ~ 'iF' ' , o g rr JSr ~ r i ~ 87,133 SO,FT~ ~ ~ LOT 44 ~ "~ 1 ~°~---1 '' -- mgr xR ~ ' 1 '~iE; ; ~ Y r r v Ba0 ACRES Q ~ ~ T ~ i 3 ~i~~ a ' ~- A--'~ivzEmar' aN 7Ji~N IYI'HI7EM°S a 87,173 SR Fi ~, '~ ~ ~ rN n: i ~ I, Idi ~~I n I '~PI0.W hlro ~ 19 ~. ~ -__ 7bD /EB ~ ~;~ ~' B ""'- [ ~' I ~~9 ~'S0 r B I ylf } I ~ ~ I I 3 " I 's ~ ~ !y~ w LDT38 2a0 ACRES --- ' ~; " ~ LOT37 9 ALRES $ 87,125 Sa. F i 1.9 aaroN+ar H :'86,578 S0. FT Eltv.iomm 8 _ ~~ 480, =1N9,40 ' ~ ~ i ................n 8 ................... ~... i 3 ~ I = 9a m ~ B S' v 2i R B Ci l~. ~ ~~ ~ .. a ," __imN I ----z1.Q- - - I ~' ~~ w I m ; 0 ~~ ._ a ~ n ........................ 5 ' ° I ; ' LOT 88 LOT 86 I ~ ' ~ .99 AO'ES sa FT. ; 2BO ALRES ¢ LB = 1019,40 ~ : 87,125 SO FT. I 17J f i ~ j I a LOT W 2.00 ACRES 81,12fi S0. FT. B I --- LOT 84 200 ALRES Bia2s sa, n. ~ AL- .-. ____ ___. ______~__ 'y\-_. I 6RFN~GC Ca3CIEa NIR R the 1Q°Y J ~IYJ N2R ___ - l ~Y,N~ a9v ~„ ~~ ~, ~' e ~Ot~t6,~lo I , ~0 " ~ r 3_~t?93 !a~99B8 ~ MO'~ ~, ~ I f 9 ~, ~i I I = ~ 8 wwcma I ~ Z, max q;4a' ~9n*nm r ~r~~A~ ~~ 0: LOTds LOT 41 Z x : 2,O1 RCRES 200 ACRES a C S I 87,527 S0. fi. 87,134 S0. Fi, ~ F ~ i ' 8ay8i ~.......... $ ii I a'Im I'------- __._ __ i II .......... I .... ... .... .. .... LOT 83 ~ LOT 84 8 ' 2,00 ACRES 2,00 RCRES I 87,125 S0. FT. A7,125 SQ. Fi, s Ifi h', .-I4 15-~ ~ III ______~~ L.-_-am-_=-c - B .:-~__-..._ I II ~ 4 I~-ri LOT 4B ' 6 LOT 67 ' 195 ACRES Z ib6 ~£ES ~ 84,752 S0. fL ~ 3 81,138 S0 FT I I O r'< F of _-----T------ 1OT83 B LOTBO B LOT TS 2A0 ALRES - 2A0 ALRES - 200 ACRES B7a85 SO FT. ; B7,@5 S0. FT. 3 B7a25 S0. F R lell'1e ~ [FF9,P6C PR11.~~7IY: ~ N lp+800"E 4871.36 ~ ~L'C~ [SCli9T ! ----- ------ ~~~aa~ -- __- I SHEET 1 OF 3 SNEEFS ~ I ~ i , I i I R u ---- . r Y n B LOT 78 i 9 " 2,00 ACRES * Q x 1, 3 B7a25 S0. FT. i „ ~ m a ',' e t9o ' ~ F ~ . 6B --N,v.~-.--r-~--~,;-- ~7~~ I I I I ~i~m 14' 0~ ¢: I ZI a~' F~ i SKETCH WHNIR1NANiNp'll' Y"a Y ~± ~~ y,Ya af. I it ~- +-_- viers _, SEC.90, T48N,1117W LEOBiD ~ zxao Ydvarazo ~ ,mao.waxwEwno Y roo.YaNw.wru N ,w~wirceA+wum ~ zxoorwaawES9, ,~maOiY~x.raY¢w°mr ~Naur7AwNSr .... p.. xl,rraryaewEeYa99o ~. vp,os~cMxrrrm>47 .. reuY•s~raura: µSZOYI ~- IzuamEAr+Nr 0~ vaenu.NrY[a9~»aie LBO = 185500 ~wE),,a,GY°WEYG F.HA7'JM i055.w. w.aeirNEOEwU -- ~ ,~~~w IIOTEf uYmz,,aeas nomctw Y9maaESUSEroa[nxfaaarMrn~ smuunoNV,ntow-nwxrcsa,F'srYEwcmmG vswuaaun wrw+EasYxu[ ncronYwzz a esPansua nwmYa/wum°asam7as a wax sanms. Yzm insu YAaI er ~nNA~raT*9~o-naxeoaasAwx9ertaac E~~nar~swrtio.~wncuu fAapw[a31a1NC" ~YS,YO~PAP S9A~3!rJYAr cAnrtuYr7MFeUw7, YASUY Yatria9B L YENNJSYi°~9HIaI9TF.W741aMP.T.EI'~.jBLVf ppaEY',SypPRIflLwNGIII~WSCR6xAQRl4,T I!E4 (g1Na7MfYlaNG09ARYY7WhTWTU~w1 BlkA0r7)AILS%f NOOYAIAIC.~a9fNLLfAlM111SCY7aIMDAO e11EP.WfIMNaIOWNiLFCDaY1pN6NcYNQ?U aaaremsxwennmHfiu~uo 549R~Y°NW FOA nesNer nuYauvansNOruYimmaealcuaN ~az"N, u9EYN0.,wlawtrreYncawumlc .runaaxctuascva¢uartYae~arex¢ ~71(N3,Y11~YMw1iSY11ER al1El5, f6'16'A3Y4 ~aGs wrss+mYianY PaiuIENEaYamaam9ar uxessroeounvmPYIG!nYi~r. aAae',~~ucoraaYrv®w SCALE IN FEET P =100 roo~e too noo ns,~.,swvanoasmer:vvuatew nay at>FSna SEFTIC TALK ~ P4~MP CHAIr'H~ER CRQ55 SF:C~zca:~ A>v~ SP's:L:lr11.;~1~~1v~ ~e~, GOULDS PUMPS • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. 3 O / 1 EPOS APPLICATi0N5 Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIF1CATtON5 • Solids handling capability: jla" maximum. • Capacities: up to 50 GPM. • Total heads: up to 31 feet. • Discharge size: 1'h" NPT. • Mechanical seal: carbon- rota rylceramic-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 ar 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:l0 foot standard length,l6/3 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 Available for automatic and manual operation. Auto- maticmodels include Med-anical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermoplas- tic Semi-open design with pump out vanes for mechanical seat protection. METERS II FEE 101- 9 7 x u 6 5 0 a 4 0 ~ 3 z a Submersible Efi~lueut Pump ,~ ^ EPOS Impeller. Thermoplas- tic endoseddesign for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for effiaent heat transfer, strength, and durability. ^ Motor Caver: Thermoplastic cover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING ~' Canadian Standards Assodatioa (CSA listed model numbers end in "F" or "C".) Goulds P~arlps is ISO 9001 Registe-ed. 0 2 4 6 6 10 12 m~/h caraclTV Goulds Pumps ITT Industries 0 10 20 30 40 k7~/- 1t7t1N 1l7_4r7 I17LVlJUJO a+~r.a.+~~ ~..•••..~•~•~••- - .. -- sr cRO~x couNTY S[:['1'IC 1"ANK MAINTCNANCE AGREEMENT AND ' OwNL-RSH[A CERTiFiCAT1ON FORM QwnerBuyef _ ~~--~ '~ Mailing Address ~T ~ .~~ ~a ;;~-~- ~C ~l ~~"~S ~ "~ ~`~ if '~~~~~ Property Address '791 / S °'•' S'T ~015~ t ~~ w.~- •~ -r ~, ~ ~ ~„~ (~/crificat;on requ;rcd from Planning Department for new construction) U City/State ~AmmoN/>, tyL i'arcel identification Number ~/8--aOl! - y..~ oan ~EC2AL DESCRIP~~ Property Location Nln~ '/., /~~ '/., Sec. 3D . TAN-R_~w, Town of f~t7Cvrir'on/f~, Suhdivieian ~m£~e-/~ ~ 'IFS ~ S~~D~ f T/ oiJ . Lot ~ ~s Certified Survey Map ~ ~ Volume .Page # Wttrranty Dced 1f __._ ~ ~ Z ,Volume 2 S~~ .Page p Spec house D yes no Lot lines identiftable~ yes Q no SYSTEM MAINTIFNAMCI?. Improper use at+J maintenm+eeof your septic syaittitt could rcsutt in +ts prematura failure to handle wlStGa. Proper maintenance consists of pumpttta wr the septic tank e• err three years nr sooner, iC needed by s peensed pamper wrbae you put into the ay:rem can affect the fur+ctivn ref:etc septre tank as a treatmcnl stage in the waste disposal syaterrt. The prnpcrty owner agrees to svbnut m St- Crain Zoning Department a.ccttsfication form, signed by cde owner and by . mastc+ plumt+er, journeyr.+an pluntbec, restcicred plvmher or a licensed putnpcr.rerifYing that (I) the on-arse wrastewaterdisposat systern ~s in proper operating ennd+tion antUor 12) after +nspcctton and pumping (if r+eeessary).:hc septic tank is less than t!3 full of stodge. 11we, the undetstgntd have read the abo+rc tcquireme;its and agree to maintain ttte pti~ate sewage dispels! rystem with rho standards set fen erein, ae set by the I}cpantncnt of Ca,nmetce •nd rite Department of Natuwl Resources, State of Wiseortatn Cemficanan at ~t t ur aeptte system has t~ren a~nt:+~ncd must he eempleled and returned to the St. C`roi~ County Zm+ing Office w:th~n 30 aye of three year cxp dace. D`7 / ~ SI A7'tTRE OF I1 LiCANT DAZE ~.'(nisl •Vla~bv.~ ¢) certify that all statements qn this form arc true to the brst o! my (our) knowlcdbc I (we) am (are) the awrtcr(s) of desfribt:ct abo~c~(t`~rtvc af~jy.rMlty deetl recorded in Register of Deeds Office. TURF OF / ©~ DATE ...... '• Any infotit+atton that is mrs-rcpresc+ttrd stay result +n the sort+ury pcrtn+t being revoked by the Zoning Ocysrnncnt. writA this applicatwn: a xwn+pcd ~aR.nty deed from the tteaistcr o! Deeds office a copy of the certtft:d survey map if reference is made in the warranty decd ~'d Z66G9t3E9TL. uosuyo~ uose~ dT't =T0 RR. eZ .~oC7 I ,. ,, ' .U. 29? P 3,Q0 ._ ~ ~ - I STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number WARRANTX DEED 'his Deed, made between Gillis Farms, Inc. Grantor, and Kernon J. Bast and Richard O. Stout tenants in common as to lh interest each Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): NW 1/.NW 1/a, Except Certified Survey Map Vol. 14, page 3829 and also except Certified Survey Map Vol. 14, page 3829 and also except Certifies Survey Map Vol. 14, page 3967; NW1/4 NE1/4, . NE 1/~ NW 1/a, Ail in Sec. 30-T29N-R17W. St. Croix County, Wisconsin. RETURiI't0: METRO LEGAL. SERVICES, tPiC. 330 S©UTN 2ND AVENUE, SUITE 15b MINNEAPOLIS, MN 554Q1-2211 Metro Legal Services EDIRET 433921 A Recording Area REGISTER OF DEEDS 6T• CROI3i CO. , WI REGEIYED FOR RECORD ~6/16/20QIq tz11:20P19 WARRANTY DEED EXERT # REC FEE: iI.00 TRANS FEE: 3301d, ~ GOPY FEE: CC FEE: PAGES: 1 Name and Rentrn Address . ~~~~, ~~~~Strs S ~~(~(~ r ~ ~ ~~gz.l 370744 WD 290246 18-1066-60-000;18-1066-90-000.18-1Ob7-00-000_ Parcel Identification Number (PIN) This is not homestead property (is) (is not} Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~ ~~ day of June , 2004 AUTHENTICATION Signature(s) Gillis Farms, Inc. Gil 's Farms Inc. ~ ~~ ,o Grra, BY~ * <i4 * STATE OF authenticated this t ~ day of June , 2004 ~---^ - * Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) ACKNOWLEDGMENT ss. County ) Personally came before me this day of the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. * Notary Public, State of My Commission is permanent. (If not, state expiration date: * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co., Fond du Lac, WI STATE BAR OF WISCONSIN 800-655-2021 WARRANTY DEED FORM No. 2 -1999 r POWTS OWNER'S MANUAL & M~INAGEMENT PLAN Page of PILE INPORMA710N SYS?'EM SPECIFICATIONS Owner i. _ / .~ ~ f-- - - - .~ ~ 8TART UP AND OPERATit]N For new construction, prior to use of the POWTS'bt1 that may impede the treatment process and/or d>i~i~ of the tankfsl removed by a septaga servicing apa#~1 System start up shall not occur when soil conditiogtl During power outages pump tanks may frll shave nit discharged to the dispersal celllal in one large doasl effiuent. To avoid this situation have the contents power to the affluent pump ar contact a Plurnbet restore Harms) levels within the pump tank. Qo not drive or park vehicles over tanks and dispepq within 18 feet down slope of any mound or at-gradg pe+t~ ._.~.. ar _.. --- tit. the proaence of painting products or other chemicals is If high concentrations .era detected have the contents M'~" ~fi~~i~~ +~~ ~~ 1t#Nlfetve surface. ^ . . rFta~t ~,h~-~ ~dllgtl>•~~r V~hen power is restored the excess wastewater wiH be ~Y~l~ Ji#r~i ~~ ~~~~~ rjFtd may result in iha backup. or surface discheYrge of I~ . , , , ~ ; , r~Mpidfirr~l~ by a Septage Servicing Qperetor prior to restoring ~k'~+d~'i~.~~#NiftHr }"~ti assist in menus operatin the um controls to ~~ :.. kY g p p ~~•,•~~$r ~t~ t~f~x;~~lyM, ~1' °park over, or otherwise disturb or compact, the area ~,~Yi' .~r,,...,a.~r.:..:e~~.,. Reduction or elirttitYation of the fallowing from the wtl~b~Mlt~lr~td~r il~Nillll~ fi't~rj? firiprova the performance and prolong the life of the POWTS: antibiotics; haby wipes; cigarette butts, ~a~'ieil ~ p>N ~Yj degreasers; dental floss; diapers; disinfectants; fat: foundation drain isump pumps water; fruit and v i~ibl 4 ~dll~lid~ ~; IYj grease; herbicides; meat scraps; medicatlans; ail; painting products; pesticides; sanitary napkins; trtnnli; ~M~ Yt!p# ~.p~i'f Trine. ABANDONMENT When the PQWTS fails and/q~r is permanently takeq ~~~ ~~ diet~r~~ tI#'i~ fYpl~i~}Rg steps shall be taken to insure that the system is properly and safely abandoned in compliance with ~~l~rlf ~~~,~; ~~rtnsin Administrative Code: • Ali piping to tanks and pits shaA be disconldtl I~fd ~~ i~lbld+;RHdi pipe apenfngs sealed. • The contents of all #anks and pits shall be rl~tl~,vi~i~ d ~1F~~~ll~y tliM~la~ed of by a septage Servicing Operator. • After pumping, all tanks and pits shall be 6~i4i1-y~t~id ilk k8tjipyt-j#r #heir covers removed and the void space filled with sail, gravel or another inert solid material. C'ONTINQf»NCY PLAN If the PdWTS faits and cannot be repaired the f411ipii1fl~~ ~Ij~~~~ ,f~v~ piilpn, or must be taken, to provide a node compliant replacement system: ^ A suitable replacement area has been evddl~i +'~4y (31p ~~~~~ for the location of a replacement sot( absorption system. The replacement area should be pr~l~-ri ~!'~gf"(ry ~ipk~frlp~ll-l~,~nd compaction and should not be infringed upon by required setbacks from exitning and propo ~ i ~1-1 ~'i~ ~"wvells. Failuro to protect the replacement area wilt resuit in the Head for a new soft and sits ett~~~i.~lE-~ ~~p~~iY~ dit il~~tabfe replacement area. Replacement systems must comply with the rules M effect at that time O A suitable replaceement area is Hat availg~~~ ~ui~ t~ ~~~~` k ~Iiq.~~Qr soli limitatlans. 13ardng advances in Pt3WTS technology a holding tank may be installed ~~ ~ ~dt~ ~~ ~ ~~~Il~i;:~he failed POWTS. ~~R^ The site` as not en ®valuated to identi'~r ~ e~ ~~ ~y~~ ` ~ 'afea. Upon failure of the POWTS a soil and site evaiuaticn be perfotrned to locate a s~ ,' Aid. if no replacement area is available a holding tank may b ails s a last rosort to replace tftN-~~! . s, O Mound and at-grade soil absorption systel infiltrative surface. Reconstructions of such In place following removal of the biomat at the ~ the rules in effect at that time. < <wA~uulNO> > SEP7`fC, PUMP AND OTHER TREATMENT TANKS Di?(<,,'~! ~ ~~` F.S AND/OR INBUt=F-CiENT iJXYOEN. DO NOT teNT~ A SEPTIC, PUMP OR OTHER TREATMENT Y~~ ;~, ~iTANCli3S. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOti of A TANK MAY l3E , ADDRHJNAL COMMENTS s ..._ PowTS INSTAU~R ~ ~ '' ` f,. ~ ~Anul~ _-- Name ` ~ A .~ `, Phone 7 / ~ .^.. 3 g ^,~ / ~, ~ . . SEPTAd3E SERVtCINd3 OPERATOR iiPUMPER) :~.: Name Phone ~ :: ~~":.1, pis - .3~~ - ~~ ~"[~ J 1 - _- 7hia documsnt was drafted in compliance wkfi chapfsr Comm d1~~~4d~t~ibli"I l~id~~ifl rfitid ~~!~al9l. 12f & (31, Wisconsin AdmMiatrative Cods. ~~ ~~ •' ~ '~NI ''rt~~~lOS3NtJIWtt V.l~~i ~ ~ao~ ~N3as~a ~- a u e ~ ~ d3 a ~~ m O ~~ b 1 ~~ ~C1DD~~ -, -;, Da~Da~ ~_ i _,- _-_~- ~ D o~ a ~ }- __~j= .D C1~D D ~ j: ~_. Y y j _ _ _~ +-r ~____ ~! 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