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018-2005-01-000
U/isconsin Department of Commerce Sarety and Building Civision PRIVATE SEWAGE SYSTEM INSPECTION REPORT i;ENERAL INFORMATION (ATTACH TU PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)i. Permit Holder's Name: City Village X Township Zoellner, Matt Hammond, Town of CST BM Elev: Insp. BM Elev: BM Description: ~~ ~ ~ ~ ~ ~s r ,3 ~~ TANK INFORMATION TYPE MANUFACTURER w ~~ ~E~. ~7"~- CAPACITY Septic w ~~s Dosing IeJ'~~,~5 ~ f°'l Aeration 'a Holding -__ __ 'TANK SETBACK INFORMATION ~. ~~ "°j` "~" ` l TANK TO P/L WELL BLD Vent to Air Intake ROAD Septic ~z , Dosing i ,~ :~ . ~ U`j Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand J(~.,A~r GPM Model Number ~ ~ ~ ~ `7• (o TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Weu ,~, ~ ~Q ~ ~: , Cnll ARS(~RPTIt7N SYSTEM ELEVATION DATA county St. Croix Sanitary Permit No: 499216 0 State Plan ID No Parcel Tax No: 018-2005-U 1-000 Section/Town/Range/Map No. 31.29.17.927 STATION BS HI FS ELEV. Benchmark x.05 ~ob.a i a~ Alt. BM Bldg. Sewer A ~f ~-~ , Z i ~' r ~• St(Ht lnlet „p S r s ~ r flQ • a St/Ht Outlet Q ~r~ l~~~f Dt Inlet IL~.C. tiS 'Z Dt Bottom f 3 9 ~ gr ~ 43~f Header/Man. ~ - ~. S ~~C~ , r j Dist. Pipe r1 ~ S.ca ~_~~ y~ 5•~ ~ 5.te~ . 0~. r ~o~.rC- Bot. System ~: G •=~ 4 . ~ ~fS ~ 9~. 'S Final Grade I Cover A._ t.-•~ , 7. T". S ~_ ~/- ~ i 4 '/~ ~o~. 7 05 99 r BEDlTRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of its Inside Dia. iquid Depth DIMENSIONS ~ `~ •~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Ma ~c~ rer CHAMBER OR INFORMATION Type Of System: ~ t ~ ~ ~ ~ (~ r i UNIT ModeY umber M2 0 ~.-~- ~ ~ 50 IIiSTRIRIITI(1N SYSTEM ~~._ / `'~-~._-' Header/Manifold Distribution x. Hole Size x H°le Spacing Vent to Air Intake Length ~-•< Dia I ~ ~L Length 3ca z'~ Dia 1 , ~.L Spacing ~ ~ 3 ~ 1 ~- Coll f`nVFR ., o~e«,,.e c.,~romc n„L. YY Mnunrl nr At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes No COMM~JVTS: I elude co e dis e enci ersons resent~PY~ Ins ection #1: ~ I / ~ / ~ ~O Inspection #2: ~~_/ ~ / C~ ~~~ W -e~Ll~ : C,s~~ c,~r ~ ~ d~euCR~ p G 1n : uQ. ~ o j"~ ~~' i ocat'o 671 150th Street Unknown (SW 1/4 NW 1/4 31 T29N R17W) Highland Ranch Lot 1 Parcel No: 31.29.17.927 s`~ Description = C~„F.~r a~ ~.,.Y= -~~:-~= ~'at.~ ~~(~~/(7~1t " 2.) Bldg sewer length = ~ ~ ,~.~~ v ~ +~.- t 1 '- r I o4 ~+?r ~rQ'W~-~ l ~ ~ - C 2__ o ~_ _ - - - ___ Plan revision Required? Yes ', No ~f ~ `, e Use other side for additional information. `"'---J Date Insepctor's Signature SBD-6710 (R.3/97) ~~G ? ~-- Cert. No. Safety and Buildings Division County ` 201 W. Washington Ave., P.O. Box 7162 ~ -~ iseonsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608) 266-3151 ~ ~c! Z~ Sanitary Permit Application j~ State Plan I.D. NAulmbQe,.r, In accord with Comm 83.21, Wis. Adm. Code, personal information pro / V r d may be used for secondary purposes Privacy Law, s15.04(1 Project Address (if different than mailing address) I. Application Information -Please Print All Infor ion ff Co71 /'SOT sr , Property Owner's Name f- t (_ ;P Parcel # Block # Property er's Mailing Address ' SEP 1 y 200F~ Property Location ? i4y1'lE ~ 0111 ~ A`~r 5 tAI %. to ~ %., Section ~~ City, State Zip Code Ppo0.e~4fCtb r , C ~ 1 ~ -~^ ~ircle olte) ~i ~ Z 7 T N; R E or e of Building (check all that apply) II T b ~- . yp ~ O y ta.~ $~ wk r , Subdivision Name CSM Number ~ 1 or 2 Family Dwelling -Number of Bedrooms /Commercial -Describe Use ~ bli ^ P A7 G F i LANG ~ L l l u c ^ State Owned -Describe Use ^City_^Village Township of /5~~p1dIC/~14 III. T ype of Permit: (Check only one box on line A. Complete line B if applicable) A' ~ Ne~ ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer [o Jew List Previous Permit Number and Date Issued Before Expiration Plumber Owner / ~/JI ~ 0/ IV. T e of P S S ste ec all that a ' Non -Pr zed In-Gro d ound > 24 in. of suitable soil Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed etland ^ Pr ank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculati Sand Filter ^ // Recirculatin Synthetic Media Filter ~ Leac ' r ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) ' S V. Dis ersaUTreatment Ares Informati n: Design Flow (gpd) Design Soil Appli n Rate(gpdsf) Dispersal Ar quired (sf) Dispersal Area Proposed ~~ System Elevation ~ ~s~ ~ ~ • ~ ~o ~ 75v ~~ o .. VI. Tank Info Capacity in Total Number Manufacturer ,,/ Prefab Site Steel Fiber Plastic Gallons Gallons of Units c~ Concrctc Conswcted Glass New Existing P l ~ F/ • Tanks Tanks ~,, rowta ~- Dot ~ ~~ ~ Septic or 1{olding Tank 10f~t~ / 0~~ ` ~ - k'S C. P Aerobic Treatment Unit Dosing Chamber $ .~/'~ / ~ ~L VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. / Pltunber's Name (Print) Pl r' ignatur MP/MPRS Number Business Phone Number JoH~1 ScN>n~ rr 1 oZ~3~ ' is- Zy7 -~"~7t76 Ptumbor's Address (Street, City, State, Zip de) VIII. Coun /De artment Use Onl d ^ Di Sanitary Permit Fee (includes Groundwater Date I ue s s Issuing cnt Signa re S ) Approved pprove Surcharge Fee) `C ~ Gl~ d J , ~ [ ~P ~b Z~ ' ~/ ^ tven Reaso nial I IX. Conditions of Approval/Reasons for Disapproval ' ~ ~ ~ ~j t f 8~-~- o SYSTEM OWNER: 3) /(~o / ~ 1. Septic tank, effluent t8ter and / U ' o„ ,~,_,wc„Q-. G a. dispersal cell must all be services / maltKalrted ~,( / as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less roan aric x s r mcnes ~n SBD-6398 (R. 01/03) ~ - '• '~ - - __ 1~, L • , Bm 7oF o~ 1'' ~Pvc P/~F E[. = ioo.v~ I ~ Acr gm To.P o~ ~~~ Svc ~ivt r~. = yy o~ ' ~~. -, ~ , _ s~l~ cURCuAT~oN ?l~ By ~. ~ScNmr~CK~~ .6 -/3-0~ ~ ~ SOIL. ~'v~cU ~T~oN PST ~v' ~ . Ti~fem~5CA1 /D-/Z-Oy J ® SO/L t v~4LuaTloN ~/ ~- B ~' ! . ScH~11~ TT ob ~' Z~ I W SL oPE = Sj 7aP eG I~oN Pi ~~ ~. =g6~Y8 I CONTpu R I.IN ~ E~. ; 99. o o ~O X Zo ~r- Du ~ D I -- -' -®Bio ~~ ~-- 1~~ _ y~. gl ~ ~ ~ -i~a~ ~~ ~.-- 7 _ _ 8(0 5% 5c.o p E Acr am ~~ ~ ~a _ ~. ,. _... _. - (~ ~ ~ I \ ~ s P~M~ ~ ~~N~~ ~Z ~ 99 a ~ ~~~ 7~ ~ ~ ~ '~/ ~~ ~ ,~<--70P CAF I~'o~U Pi P_= EG. =~(~Z I _ ~-" 800 C~H c ~P. C \ ~ 8 .~ 100 D ~ - _ ~- - ---__ ~~ W/ PRom ~/J tToo~ GF/o I` d ~ ~~~k EFFW NT /=~c.TtQ C ®~ '~ 6A~~tG E -- __ _ (71 G.a w ~zc ~-' L. ~Pfl~~ N (~ 1~~ jY~1~rr ZoE~~Nr,~ ~2 J 9 ~l /~ ~~ ~ Js~tGo>\J sT, ~uosoN W T syOt LrGAL o s w '/y 1~ w /y s 3 I Tag ~~ 7 a~ ~° t~ ~inJ ~ 8 Y 6/~ /J ~ i N ~U c ~~~s aa~~~ o t ~` B111 7oP o~ J'' -Pvc P,PF E[. = ioo•~~ { ~ ,4cr gm Tailor= ,'' ~Pvc ~ivE ,=t. = yy o~ ~ ~~. , _ • s~r~ cVR~ul~T~N ,°i~ ~'% A. ~Scytn~CK6~ (:/3-..0.3 i ~ ~ SOIt,. ,~vaCU ~T,oN Per (3y J . Tfie~rl~Sti~ /0-/2-Oy J ® SO/L t URLU~TIo,U Q~ i 8 ~ / ,SCH/tll ~ ~f -Z(- D6 l ~. ~~ C~JV ~ ~~{12 L~,Nr tC. = J9, O f~ W SLoPc = .S% 7aP cF I~oN v~'E FL. =Y6•y~ CONTqu R L.rN ~ E~. ; q9, o 0 QOX Zo~~'-©u~~ ~ r' O ` 1 -~ `~ aa D~ Yr ` ~ s~ 5% SLOP E ~ Rcr am ~ -~.~- ~~ O ~ g ., M \ ~ ~ ~ tyl Fa i rJ ~ ...~ ~ ,fir 70P U F 2~20,U P1P_' EL. = Q'`j_$Z ~ g7 I ~ ~ ~ ,~'_' (300 C~ H ~ ~P. C \ ~ 8 ~ 100 _ ~ ~ --.___- IDRw~~wA1~ ~PRePCSEd VJ~ PRomo~lJ ~ Toot, GF~o ~` 3 S~tlecom EfFCu~Nr Farr"Q I Hausa 6~~~G E -~ --- ~' - - r PQoPoscA w ~zc ~' L. ~Pflk)r N (, >=~~ ~~rr ZoE~~Nr ~ . X219 ~ 1~r4~tEK~Go~J s% t~udsoN Y~ I syo/ b Lr~AC o s W '/y N W ~/y s 31 Tdy ~~7 ~ ~.° ~11~7~nJ ~ 8 Y a <j/(~ /J ~ i N t~`Uc ~ ~o~ s aa~ ~~ o ~~lsconsfn Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code #1541 Page 1 of 3 Schmitt Soil Testing, Inc. County Attach complete site fan on a r not less than 8'/: x 11 inches in size. Plan must P P Pe St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and D Parcel I percent slope, scale or dimensions, north arrow, and location and distance to nearest road. . . 018-2005-0 000 Please bt a~ ® Revie By Personal inrormation you provide may used for secondary purposes (P ' Law, s. 15.04 (1) (m)). /p Z~ ~~ Property Owner O C T 1 9 2 0 0 6 Property Location Zoellner, Matt Govt. Lot S 1/4, N 1/ , S31, T29N, R17W Property Owners Mailing Address ST. CROIX COUNTY Lot # Block # Subd. Name or CSM# 2219 A Namekagon St. 1 Highland Ranch City Sta a ip e ^ City ^ Village ~ Town Nearest Road Hudson WI 54016 989-239-3105 Hammond 150Th Ave. & 66Th St. ^ New Construction ^ Replacement Parent material Pitted General comments and recommendations: Use: ^ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ^ Public or commercial -Describe: glacial drift Flood plain elevation, 'rf applicable na ft. Area is suitable for a mound system. System elevation is 99.50', based off of contour line established at 99.0'. Slope is 5%. ^ Bonng # ~ ^ Ground surtace elev. 98.40 ft. De th to limitin factor 43 in. P 9 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/R~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Etf#1 'Effii'2 1 0-19 10yr3/1 none sil 2fsbk mfr as 1vf .6 .8 2 19-28 10yr3/2 none sil 2msbk mfr cs ~ 2vf .6 .8 3 28-43 10yr4/6 none fsl 2msbk mfr a 2vf .4 .8 4 43-51 10yr5/3 m2d 10yr6/8 10yr6/2 Ifs imsbk mfr cs 2vf .5 1.0 5 51-7$ 10yr6/4 none vgrs Osg ml cs --- .7 1.6 6 78-89 10yr6/1 none L.S.B.R. ----___M_ _ _~___ ___ _____ _~ _______ ^ Boring # ~ ^ Ground surtace elev. 99.64 ft. Depth to limiting factor 66 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. •gf#1 'Ei~2 1 0-22 10yr3/1 none sil 2fsbk mfr cs 2vf .6 .8 2 22-32 10yr3/3 none sicl 2msbk mfr a 2vf .4 .6 3 32-41 10yr4/6 none scl 2msvk mfr cs ivF .4 .6 4 41-46 7.5yr5/6 none vgrls icsbk mfr clnr -- .7 1.6 5 46-66 10yr5/6 none vgrsd imsbk mfr a --- .2 .3 6 66-80 10yr6/2 none L.S.B.R. ------------- ------- ---- --- --- ------- Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODS < 30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature: ~, CST Number Thomas J. Schmitt ~~,....~/ ~/,~1+~'~-~ 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 9/26/2006 715-247-2941 ~D-8330 (R.07/001 Property Owner Zoellner, Matt Parcel tD # 018-2005-01-000 Page 2 of 3 Boring # ~ Ground surface elev. 99.30 ft. Depth to limiting factor 34 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 'Etf#2 1 0-15 10yr3/1 none sil 2fsbk mfr as 2vf .6 .8 2 15-22 10yr4/3 none sil 2msbk mfr gw ivF .6 .8 3 22-34 10yr4/4 none sd 2fsbk mfr gw ivf .4 .6 4 34-43 10yr4/6 ~d 10yr6/8 10yr6/2 grlfs lcsbk mfr cs _----- .5 1.0 5 43-64 10yr6/4 none L.S.B.R. ------------ ------- -- ----- --- ------- Bonng # ~ Ground surface elev. 98.50 ft. Depth to limiting factor 35 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsel{ Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efr#1 *Eif#2 1 0-17 10yr3/1 none sil 2fsbk mfr as 2vf .6 .8 2 17-25 10yr3/4 none sil 2fsbk mfr gw ivf .6 .8 3 25-35 10yr4/4 none scl 2f5bk mfr a lvf .4 .6 4 35-66 10yr5/4 m2d 7.5yr6/8 7.5yr6/2 ~~ icsbk mvfr gw ---- .5 1.0 5 66-84 10yr6/4 none grfs Osg ml ---- --- .5 1.0 10 Boring # ~ Ground surface elev. 97.05 ft. Depth to limiting factor 46 in. ~ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fr= in. Munsell ou. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 *Etflt2 1 0-21 10yr3/1 none sil 2fsbk mfr as 2vF .6 .8 2 21-26 10yr3/4 none sl 2fsbk mfr gw ivf .6 .8 3 26-39 10yr4/4 none vgrsl 2msbk mfr cs lvf .6 .8 4 39-46 10yr6/4 none s Osg ml a ----- .7 1.6 5 45-50 10yr6/4 m2d 10yr6/8 1 ~ 1 s Osg ml cs ------ .7 1.6 6 50-67 10yr5/4 c2d 10yr6/8 1~/1 grlfs lcsbk mvfr cs --- .5 1.0 7 67-84 10yr5/6 none fs Osg ml ---- ---- .5 1.0 * Effluent #t = 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. 3BD-8330 (R.o7/00) Stttmitt SOiI Testing, InC. • Conducted by: Conducted For: Schmitt Soil Testing Inc. Name: Thomas J. Schmitt, CST 227429 Address: 1595 72nd St. City, State, Zip: New Richmond, WI. 54017 Phone:715-247-2941 Subd.Name: s;~n~re .,.~~--mom __ Lot No.: ~~ _~,.~ ~~ 1 ~E Legal Description: ® Backhoe pit by ~~~M~-s S<<?~~ ~ Township, County: ~ Bench Mark El. 100.00' Top. of ~ r~pvc pipe O Alternate Bench Mark EL~ ~ ~~ a ~ '~ Slope= S~ Contour Line El. r ~t~' 4 ~~ --- Scale 1" = 40' ~= ~. Page 3 of 3 Matt Zoellner 2219 A Namekagon St. Hudson WI 54016 Highland Ranch 1 SW114 NW114 S31 T29N R17W Hammond, St. Croix Contour Line Length /~ commerce.wi.gov iscansin Department of Commerce RECEIVED OCT 1 9 2006 ST. CROIX COUNTY October 11, 2006 CUST ID No. 223760 JOHN F SCHMITT SCHMITT & SONS EXCAVATING 586 VALLEY VIEW TRAIL SOMERSET WI 54025 Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/11/2008 SITE: Matt Zoellner 150TH Street Town. of Hammond St Croix County SW1/4, NW1/4, S31, T29N, R17W -- Lot: 1, Subdivision: Highland Ranch Identification Numbers Transaction ID No. 1329876 Site ID No. 719297 Please refer to both identification numbers, above,. in all cones ondence with the aQenc . FOR: Description: Mound /Three Bedroom /Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1101982 Maintenarice required; 450 GPD Flow rate; 34 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); 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. 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 manuals listed above. • 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 N OF `. requirements of Sec. 145.135 and 145.19, Wis. Stats. ,~~ St.lr CO:. • 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 ' JOHN F SCHMITT Page 2 10/11/2006 • Comm 83.22(7) A coRy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized revresentatives 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/installation operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve-the designer of the responsibility for designing a safe building, structure, or component.- Inquiries concerning this correspondence maybe 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 charlie.bratz@wisconsin. gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WSMART code: 7633' cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 .. SCI~ITT 8c SONS EXCAVATING 586 vauey view Trail son~~ wr s4ozs 71s-s49-66s1 ~~~'C/Is S ~Cj ~ ~ ~~ qF~~ cr ~Op6 ~~~~/ NHS For: Matt Zoel,lner Address:. 2219 A Namekagon St . ,Hudson WI 54016 Legal: SW~ NW4, S31, T29N, R17W Township: Hammond County: St . Croix Plot Plan System Cross Section Pipe Lateral Layout Dosing Chamber Pump Curve Management Plan Attachment 1 Soil Evaluation Report s Attachment Z 1Vlound Component Manual (Version 2.0) SBD-I 0691-P(N. 01/Ol) Pressure Distribution Component 1Vfanual (Version 2.0) SBI11070G-P(N Ol/01) By: MPRSW Page 1 Page Z Page 3 Page 4 Page 5 Page 6 223760 Date: 10/4/2006 ~, :~ -~ r ~ ~. OF COt~h~"I~F'CE cY U INGS ~~ ~~ -~>PONDENCE 4 System Cross Section ., Synthetic Covering ASTM C33 Medium Sand ' H Topsoil ~'" _ ___ -' g ~ E Y. Slope 2•-2~2 , ' AQgrega4~e , , Page _ Cf Distribution Pipe G •SYS. ELEV. 99. 50' 0 Force Main Plowed Layer Cross Section Of A Mound System Signed: License umber: - 22376b Hate.: 10/.4/2006 Alternate Position of • Force Main L A 6.0 Ft. B 75 .0 . Ft. K 7.5 Ft. L 90 . O Ft. J 5.0 Ft, I 9.0 Ft. W20.0 Ft. ~ ~ Observation Pipe B a I ~ ~ w ~i T ------- ------ - -- --r-~I Distribution 2~- 2 'z P-pe A99regate •~ Observation Pipe Permanent Markers D 0.5 Ft. E 0.8 Ft. F 0.79 Ft. G 0.5 Ft. H 1 .0 Ft. K Force Main Ptan View Of Mound Page 3 of 6 Tum-up v~t#t Cleanout Plug of Bop Vatve PVC Foroe Main ACC88S pisiributlan Caters! PVC Manifold {-- P ----rr-r ~ -r x rt' ~i Dlatrlbutlon Lateral Layout P 36.25Ft. S 3.0 Ft. X 30 lnchP~ ~ L/7~ Signed License Number: 223760 Oate: 10/4/2006 Nol a n18m6t6r 3/ 16 inch Lateral 1~ Inch(es Manifold 1~ Inches Force Main 2 Inches ~ of holes/pipe 15 Invert Elevation of Laterals, 100.0" FAC.C 4 U>' 6 y"C. I. V~tJ7 t1PC ' r ~' r • ~li~ lulr~~ , ~rWUUw uM - Ittiil Aft ttiTAKE t0'MJ~1. lNLC T APP1l0YC0 J01uiT f w/ c.z. rl rf; / CKTCNOf1Jfr 'J' O-d'i'O iaL-D •OI L LICv ~'~ fT. PUMP CHI.MBf.R CROSS 5£CT~O*1 gA10 SPECrFICArIOti'S ~VEUT GAI WfAT»EK t'1tG0I .tu~-cTiofs eox i I 11"Mit,l• I GRADC 4 I `_~ coUGUIY A p G 0 V ~ \~ 1 PROVIDE I AiRTic:~:T SCAL { 21.76 gal/inch i J I I I I i I PUMP -` -~' ~ `.. ~ COAJCRfTE D>.OLK Af PROVEp LOGKIAiG MAh1HQl C GOVLR M' MtAJ. le•• :u. .r~ii M.. 11'' _~__ III ~1~ III /IPIf~OVGO J1 { I ~ ~/c. Piri II ALARM C><TrV~IWG Of~1TD l0~-D I ~ ou I Ofi I I I r ~• K15CR 1`X17 PCRMITTEG t?-JLy fF TANK MAWUfACTURCR HP,S SUCN AI'rfl,Di/AL 'j ~"~+ X00 sEPrlc ~ SP1*CIFICATfOltilS DOSit T~~~ MJ-~iUiACTURCIR:-~~ek~. P~_` 1,tu~Ep GF oos[a~ +or-5 "- PER p~ TAiJK L-ZE : 8Q~ GALL0I.IS poSE vOLUMt: ~A K~WUr~I~CruRCR: _Septronics Tankmate INCLUaIUC, sACK~~ow:._$Z04 ,~~AI~OA AtODCL f.lufrlpCR: TM-1 _ c~pAC1T-E5~ ~ • 413.44 iwiTGN TyP~;._~Mercury D~ 2 Iuct+Et Oft 4--3 52GrEtWu UMP NIAIJUPaAtTURCR:.` Zoel ler p 4 4 _IuCHCS p~ 8~7 ~04 _____"" GAS ~ 0 ~ D ~ 1 2 IfY.HES OR261 ' 12 GALLON SWIT[,N T>rP~: _ Mechanical ,_„_ uoTE: PUMD ANO ALARM ARi Tp p[ M-IJIMIlM OIiC1~AitGE RATC 39 •~C.IM I~tS~A:LEG 01J SEPhRATG CIRCUITS Yf~CTtCAL D1fFfRElj(,C OETWCtU PUMP OFV I-UD,Oi57RIDUTIO-.! PiPC.. 10.0 FECt. + MlAilMUfy >tlETWOitK SUPPI.J PRE65URE ~ 3.25 FEET f 70 iCET Oi FORGE MA-~J X 3..~, F~~-CFKICYIO-,t fACYOR„ 2.27 FEE, 1' "'~ TOT1,L D~IJAMIC Fik:Ap c 15 • 52 FE=T iflTLRfsA~. DIML-J61p1J~ ON T h1K~ LE-Jtrl N ;WIDTH 3~ lil . i LIGU10 OPT M ~tGNE D: , LICE1.15E NuMBti~; 223760 DATE: HEAD/CAPACITY CURVE EFFLUENT and DEWATERING D CAUTION Model 185/4185 should not be subjected to less than 30 feet TDH. 0 FLOW PER MINUTE oosszz. ~~,/, ~risconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code #1541 Page 1 of Schmitt Soil Testing, Inc. Attach complete site plan on paper not less than 8Y: x 11 inches in size. Plan must incl d t li it b t d t ti l d h t l f i BM d County St. Croix u m e, u no e o: ver ca an re or zon a erence point ( ), direction an percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 018-2005-01-000 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 Zoellner, Matt Govt. Lot SW1/4, NW1/4, S31, T29N, R17W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2219 A Namekagon St. 1 Highland Ranch City State Zip Code Phone Number ~~ City [~ Village ~ Town Nearest Road Hudson WI 54016 989-239-3105 Hammond 150Th Ave. & 66Th St. ~_~ New Construction _~ Replacement Parent material Pitted General comments and recommendations: Use: ~ Residential /Number of bedrooms ^ Public or commercial -Describe: glacial drift 3 Code derived design flow rate Flood plain elevation, if applicable 450 na GPD ft. ^ Boring # Ground surface elev. 98.40 ft. Depth to limiting factor 43 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistent Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eft#1 •Eff#2 1 0-19 10yr3/1 none sil 2fsbk mfr as ivf .6 .8 2 19-28 10yr3/2 none sil 2msbk mfr cs 2vf .6 .8 3 28-43 10yr4/6 none fsl 2msbk mfr cs 2vf .4 .8 4 43-51 10yr5/3 m2d 10yr6/8 10yr6/2 Ifs imsbk mfr cs 2vf .5 1.0 5 51-78 10yr6/4 none vgrs Osg ml cs ------ .7 1.6 6 78-89 10yr6/1 none L.S. B. R. ------------- - --------- ---- ------ ----- ------- ^ Boring # ~ ® Ground surface elev. 99.64 ft. Depth to limiting factor 66 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistent Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 0-22 10yr3/1 none sil 2fsbk mfr cs 2vf .6 .8 2 22-32 10yr3/3 none sicl 2msbk mfr cs 2vf .4 .6 3 32-41 10yr4/6 none scl 2msvk mfr cs lvf .4 .6 4 41-46 7.5yr5/6 none vgrls lcsbk mfr cw ------ .7 1.6 5 46-66 10yr5/6 none vgrscl lmsbk mfr cs ------ .2 .3 6 66-80 10yr6/2 none L.S. B.R. -------------- --------- ---- ------ ----- ------- Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS <_30 mg/L CST Name (Please Prlnt) Signature: CST Number ) Thomas J. Schmitt ~.../'~~-:~~^--w„~,;~ -~~' 227428 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 9/26/2006 715-247-2941 SBD-8330 (R.07/00) Property Owrier Zoellner, Matt Parcel ID # 018-2005-01-000 Page 2 of a Boring # ~ Ground surface elev. 99.30 ft. Depth to limiting factor 34 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#1 •Eff#2 1 0-15 10yr3/1 none sil 2fsbk mfr as 2vf .6 .8 2 15-22 10yr4/3 none sil 2msbk mfr gw lvf .6 .8 3 22-34 10yr4/4 none scl 2fsbk mfr gw ivF .4 .6 4 34-43 10yr4/6 c2d i0yr6/8 10yr6/2 grlfs icsbk mfr cs ------ .5 1.0 5 43-64 10yr6/4 none L.S.B.R. -------------- --------- ---- ------ ----- ------- ^ Boring # ^ Ground surface elev. 98.50 ft. Depth to limiting factor 35 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. MunseN Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 0-17 10yr3/1 none sil 2fsbk mfr as 2vf .6 .8 2 17-25 10yr3/4 none sil 2fsbk mfr gw ivf .6 .8 3 25-35 10yr4/4 none scl 2fsbk mfr cs lvf .4 .6 4 35-66 10yr5/4 m2d 7.5yr6/8 7.5yr6/2 vgrlfs lcsbk mvfr gw ------ .5 1.0 5 66-84 10yr6/4 none grts Osg ml ---- ------ .5 1.0 10 Boring # Ground surface elev. 97.05 ft. Depth to limiting factor 46 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#1 •Eff#2 1 0-21 10yr3/1 none sil 2fsbk mfr as 2vf .6 .8 2 21-26 10yr3/4 none sl 2fsbk mfr gw lvf .6 .8 3 26-39 10yr4/4 none vgrsl 2msbk mfr cs 1vf .6 .8 4 39-46 10yr6/4 none s Osg ml cs ------ .7 1.6 5 46-50 10yr6/4 m2d 10yr6/8 10 r6 1 5 0 ~ ml cs ------ .7 1.6 6 50-67 10yr5/4 c2d 10yr6/8 10yr6/1 grlfs lcsbk mvfr cs ------ .5 1.0 7 67-84 10yr5/6 none fs Osg ml ---- ------ .5 1.0 " 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. SB0.8330 (R07/00) Schmitt Soil Testlng, Inc. ,~ Conducted by: Conducted For: 'Schmitt Soil Testing Inc. Name: Thomas J. Schmitt, CST 227429 Address: 1595 72nd St. City, State, Zip: New Richmond, WI. 54017 Phone: 715-247-2941 Subd.Name: Signature ~~~::~~-z~4a .~` LOt NO.: ~ ~ Date __~ Legal Description: ® Backhoe pit l~~ ;~~~:ks S~ ~~,~r ~ Township, County: L~ Bench Mark E1. 100.00' Top of f r~pvc pipe d Alternate Bench Mark El.~ (,~ ~~ ~ ~ ~•` Slope= Contour Line El. ~ •~ t?G? Scale 1 " = 40' Page 3 of 3 Matt Zoellner 2219 A Namekagon St. Hudson WI 54016 Highland Ranch 1 SWl/4 NWI/4 S31 T29N R17W Hammond, St. Croix Contour Line Length / .~l' /fir-~~. ~ s s~ ~ ~C,.1 /f ~~~~- ~. ~~ ~ ~,.~ ,~ ~/ s~; s• ~~-.-, , Sy .s :~ / ~~ / f1 / f 4'_/t'u•e.,]t F.b'v. r;3 ~~, S `~E;_s~c~ ca'T~. C-°v'~•7 ttn.r•' l~`hr' ~S` ~`a Li/~,P~e-s~T «.~= ~ t c~ `, G~,~ ~~'TP ~~ .~lavFv P~'~'~' ~! n ~. p~rLT ® ~ ~~~ - ~ l ~` °° t3 j ~ ©'~~ v~ ~~~ni PfPe i n ~f S% ,~ •~--i 1f ~, _~-._. ~iV l'c.c.~ Li.~%G= ~-- r 1'efJ GU UU lU: 1Jd { " v ~ Wisconsin Department of Commerce Division of Safely and Buildings s'.. ~ Y r'- G y~ ~~ C LCII r 1 ur ovc . 1 r rs SOIf, EVALUAT10iV REPORT ~.. e.-~....r~.,r.. ui;rh r^nmm A; Wic Ar1m f:Ma ~ ftJl Page _.-l.... °t __'Z._ A.C.E. Soil & Site Evaluations Cvunty Attach complete site plan on paper not less Than 8;4 x 11 inrhes in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and ----- - ---" "`- Parcel LD percentslope, scale or dimemsiens, north arrow, and location and distance tc nearest road . 018-2005-01-000 Please print al! information. ---------- -------- .. _.__.-._____.__.. Revievred By Date Personal mtamation yrw provide moy to iLSrd Itt secondary purposes (r':ivacy Lew, s. 15 Od (1) (rn)} Property Owner Property Location Sam Miller - __.__ Govt Lol SW 114 NW 114 S ~ 1 T ?'~ N R I7 W Property Owner's Mailing Address lot # Block # ~Subd. Name or GSM# T P O. Box 151 O 1 I 1 Plat Of Highland Ranch City State Zip Code P e _ ~ City j Village /I Town Nearest Road Hudson WI 154016 (715)38 69 Hammond j 150Th St. & 66Th Ave New Construction Use: Vj Res{dentia4 f Number of bedrooms _ 4 -_ _ Gode derived design flow rate 450 - .GPD _, _... ~f Replacement _J Public or commercial -Describe: Parent material Glacial drift ___-__..._ Flood plain elevation, if applicable na General comments and recommrndations: Evaluation completed to verrfy findings of previous test by A. Scttumaker and to increase available area for installation. Install two trenches at 94.50' using 37 chambers. © Boring # __) Boring S8" ~ --- -_ - PH Ground Surface elev. 98.80 ft. in. Scil A hcaGon Rate /J Depth to limiting factor _ -__._ pp Horizon Dcplh DominanlColor RedoxDescriplion Texlurr. Structure Consistence Urn,ndary Rcols ____,_,GF'QIfP__-.,_,. ' in. Munsell Qu. Sz. ConL Color Gr Sz Sh. Eff#2 'Etf)Fi 1 0-24 10yr2/1 none ~ sit "lfsbk mvfr cw 2fm 0 6 0.8 7_ 2d-36 10yrdl4 ~ none sit 2fsbk ds r•w 1fm 06 i 0.8 3 36-48 10yr5/4 ~ none sit 2fsbk -ds cw 1vf 0.6 0.8 4 48-8~ 10yr6/4 ~ _ none ~ gr sfls 0 sg dl ci - 0.7 1.6 5 - - - 88-94 10yrfld none L. S.B.R. I na na na - _ na _ .. na --- Hor¢o -- --- n #4 conta ---- -- ins approx. 20`76 cobble & stone. Ht15 contairs >5096 l _. ._ _ _... irneslone tragement ----- - s, Fragemen ts are 2' - 4 ~_ " X 1/T thi - ck wifh gr slly mix ( between tragements. _- - J ~ !1 BOlln ~rl Boring # , 9 --- 1/ Pit Ground Surface elev. _ 9 .00 _ ft. Depth to limiting factor _-_~II~~_._.__,in. cpil Apphcahon Rate • Horizon Depth DaminanlColor Redox{)escriplion Texture Structure Cons+s;errre, ~ Ooundary Roots _ GF'Dltt in Munsell Uu. Sz. Cont. Gotor Gr. Sz Sh 'Elf#t Elf#2 1 0-13 10yr2l1 none sit 2fsbk mvfr cw 2fm 0.6 ~ 0.8 2 13-21 10yr4/4 ~ none sit 2fsbk ds cw 1tm 0.6 0.8 3 21-33 10yr514 ~ none sit 2fsbk ds cw tvF 0.6 0.8 4 33-56 10yr6/6 none gr s/ls 0 s g dl gw - 0.7 1.6 5 -- 56-88 10yrG/4 none gr s/ls 0 s dl - ' - 0.7 j 1.G -- -.--___.._ ' _ . ~ - II 1 1 - ._ - _ ~ -- - _____-- -_- . ~ Horizon #2 contains approx cob'blg8 sst - one, Hf~3 contains 206, Fi#4 c ._. _... --- --- -------- -- ._ ontains 3596, and H#S contains 1056. _ 1 Eftiuenl #i = BOD ~ 30 <_ 220 mg/L and SS >30 < 150 g/L ~" Ef uent #7_ = BOD < 30 mg!L and TSS <_30 mg/l CST Name (Please Print) 'mature: , . GST Number ~. ,.., ;;, l ,. . James K. Thompson ~ ~-~} 5----~ 3602 Address q.C.E. Soi! 8 Slte Evaluations Dale Evaluation Conducted Telephone tJUmber 340 Paulson Wke Lane, Osceola. 154020 10/12!2.004 715-Z4a-7767 i ~ ?.{~"~~rf I C'E L_ll Uq 1U: 1Jd LCU iI Li avc<iiib ~ ~~ •~~+~ ~.~- ~ ~- ..ScJ~ u..no.,~ /' io /l3~a3 ~, C/e/af%on lop OF iron P%!~e = 9!0.98: /6"D-~ Sf.~e c ~ _ _ _ - -~ _ - - - -- - - _ .~ ® ~ ® '. - _ (', N e f~55u.~~tc/ 2(Z~ =lG2~,CO' ~ /dD.O~ 1~.6. : Taos/~°.,/.c•,O;ae. -- - - - ,;.:1 330,0/' ~q. ~~~J rev cu uu ~~. ,.,a ~~~ ., .., .._~. _..b .I Pugu__L.d-~- ~' SOIL EVALUATION REPORT t ~ ~ona;n popertment o1 Corrur>cr~ Jivison o1 Sataty and Suadings kt ~rdance with Comm B5, w~• ~^'~ Code Cowtly ~ l t ~ ~( AIL'ldt compbb stte pten on paper ^~ !sA than B t/2 z 11 itches M ~yatbn andl Parcel tD. lndrde, but not Umlted to: verdcal snd hortzortlsl ra{erynce po ( ). Dalo ` pert>Bnl slope. scale or dlmerubrrs, north arrow. and Iocedon and dtslance ro nearest road. Revtowod try ` Please print a!1 lnformatlon. i m.y M.•wr rw ~•candrl' wrno"• Ivrti.cy lr.. •. t0•U~ (ll lrn)L pWnrud trbrm.UOn you pro.rd• Propetty~ocatbn Pro Perry Owner I" O ~' t!4 /./ W 1!A 5 .`> ~ T Z~ N R 1 '7 E (ar~ Gwl Lal __5~ (V(' e ~, a Btrxtc # subd. Namo a cbMa Praporty/JOwnarsM/ai~linBnvdresa ~,`U~•~ 1a i'tC~ (~t1 nC ('1 ~~ ~ 'r U lR J ~ Y"Z' t ^ Clty ~.] Vlllagu ©Tuwn ~~ Nearosl Koad Giry SL~tft I1p Code Ph«w Nurrttwr ~~;'f~ S .. ~~J.)t1w~oNC). t..~ ~ / ~ C1 GPD flow ralu ~ ~ ~ /' ~~ Code derHUd design (~ New Construction Usa:~' Res+dondatl NwnDer of bedroana _~ -~• ~ _ ~ Replacement ~] Publtc or cpnmeroal - Oesaibe: _ -- (/ ~7" ~---- R. k _ Fbod Plaln olovauon r7 apPlicablo ^._G_ 1.~•-- Parent material _ ~~- h""'-'--- -- . Gertcrolcanvnants sYs~.Ply1 P Ie U, ~/`/, z U ' tytd teconunendalicXrs: ~ _ Boring C.` Oa Ih to Ilrniting tauyor _ ~ in. I~p«t ~~o goring tl ~ Ground sr,rtaco elev. y_, :_s f1. p (~So1 hpp Pil GPOrtt` th Dontirtanl Color Redox Oesaiption Texluro SWGuro Cons'sltutco Iloundary RcuG •Etlp1 'EINt2 Horaon Dap Gr. Sz. Sh. --- in. MunseU t]u. SL Conl. Cobr pp t o-I ~ !o• 3/ 1 - S ' m S b is 1'F'~-~ ~ (_.~ c. ) v -~ ~ ~. s ~,tl ,,~, t( Boring ® Bodn9 ~ © pr ~~-~ II. Pii Ground surtaoe e{ev. ~A-L--- .. __ ~~ c~ M r r V t Uopttt b limiting farlLr _/ ~ ~ ._. In. . ~..~._....r-~ , ann < "10 m<>/L and TSS <:7(7 ..~ ...., t-CU cu vv its. i.~a ~r_v ~i ui o..cx .~~S .~ Proporty Ovmor _ (~ U ~ r Parcel ID # ~~~•i.{ r, ~~- r-•- Bor orizon U ing tl Depth {n: -ZZ Boring ~p -~ ^ fl. p~~ to firrtitatg facer ~(~•- in. Sol A katkxt Rata Plt Gruurd surface eiev. GPDItP Dlxnktent Cola Redox ppsQ~rUOn Textwe Sttvctuta Conslstenw Ocwndary Ruov. •f1f#~-•2 Munsdl pu. Sz Gant Color Gr. Sz. Sh. tU~r 3t'i ~ - ~ - i, z -- 3 3L,- y~ ~ ~ /~ , - - ~ ~ >~ ~:~~: ^ 6orirtg ^ Boring ti _ ft. De th b I'miting (actor _ in. ^ Pit Ground surtaw elev. P Sod Applcaoon Racc Horizm Depth in Domintnt Cola MunsaU Redox Desaiption pu. Sz. Cont Cabr Texture Structure Gr. Sz. Sh, ConsSttxtw floundary Roofs GPD4P •ER#1 'Efl#2 . - ^ Boring ^ Boring # Ground surface elev. R Deplh b limifirty toctor __~._ ln. Sod lication Rate ^ Pit Horizm Depth irr. Domhantt„obr Mansell RedoxDesaiption Ou. Sz Cant Cobr Texture _ Strunurv Gr. Sz_ Sh. Consistrmce Ooundary Roots GP 'Eff# 1 ~~ 1 DitP ~ 'Eft#2 _ ~ 1 ~I ' E~uerd tY1 = 8OD, > 30 < 220 ntg1L and TSS >30 < 150 argil. ' ESRtx~rd t42 = BOD, < 30 mglL anti TSS < 30 rngll The Department of Commerce is an equal opportunity service provider and employer. ICyou need assistance :o access xtvicp or ncuS material in an aliernat= lorrnaf. please cantaet the departmenu at G08-266-3151 or'C"fY 608-?(r3-8777. SflD•Y)101R.O110a1 ~~ - . \.,,{ ' r-eo cu uo iu: cud `emu ~~ li~ a~~,.~~6 _.. ...,_ _. _ _ I `n i'. ~, ~ 1'AC,ti~_O1~ ` Nntilr_~~~ ( LQ1'# ~ ll•S.AJ._.DI:S_Cli (P'l'IC~N Sw ~.U~-~-~i' -ti_3 ! T ~~l _N.IZ,._L_~ LC~ ~ 1 ~ ------_ _-_-_.-._... --- - SCALE:I"= CIO i ---- I - ~ BM 1 [:1,LVnTION /DU, v I3M 1 DESCRIPTION~~ o..j ~ ~ ?~- ,'0 (' BM ~ L1L• V A"I'ION 9~. ~U BM 2 DESCRIP'I70N , o -~ ~ r~uC ~/~~ /,~_____ SYSTEM ELEVA"LION ~( ~~ Z ~ SYS"I'EM'I'YPC; ~n(lU~/~~=o/ta.~ CONTOUR ELEVA'CION _ I __ .-" ~~~- ~ -------..------- .__ .S ..-- -- __..__... POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pane of ,~ ALE INFORMATION Owner Matt Zoellner Permit ~ nGCir:ti aeReiu~tts Number of Bedrooms 3 ^ NA Number of Public Facility Units f NA Estimated flow (average) 300 al/da Design flow (peak), (Estimated x 1.5) 450 al/da Soil Application Rate 0 , ( al/da /ft= Standard Influent/Effluant Quality Monthly average' Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BODE) 5220 mglL ^ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODE) 530 mg/L Total Suspended Solids (TSS) 530 mg/L ^ NA Fecal Coliform (geometric mean) 510' cfu/100m1 Maximum Effluent Particle Size Y, in die. ^ NA Other: ~ ^ NA 'Values typical for domestic wastewater and septic tank effluent. SYSTEM SPEC1rtcA t wrva Septic Tank Capacity 1 0 0 ai ^ NA Septic Tank Manufacturer Week ' s C . P . ^ NA Effluent Flter Manufacturer promold & Tool^ NA Effluent Filter Model GF 10 ^ NA Pump Tank Capacity 800 al ^ NA Pump Tank Manufacturer Week's C . P . ^ NA Pump Manufacturer Zoeller ^ NA Pump Model • ~ g g ^ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Mechanical Aeration ^ Disinfection ^ Peat Filter ^ Wetland ^ Other: ^ NA Dispersal Cell(s) ^ In-Ground (gravity) ^ At-Grade ^ Drip-Line ^ NA ~ In-Ground (pressurized) ^ Mound ^ Other: Other: ^ NA i Other: ^ NA Other: ^ NA MAINTENANCE ScHtuULt -- Service Event Service Frequency ^ month(s) (Maximum 3 years) ^ NA Inspect condition of tank(s) At least once every: 3 ^ ear(s) Pump out contents of tank(s) When combined sludg e and scum equals one-third (Y,1 of tank volume ^ NA ^ month(s) (Maximum 3 years) ^ NA Inspect dispersal cell(s) At least once every: 3 ! yearls) ^ month(s) ^ NA Clean effluent filter At least once every: 3 !~ earls) ^ month(s) ^ NA Inspect pump, pump controls & alarm At least once every: 1 !year(s) ' ^ monthlsl ^ NA Flush laterals and pressure test At least once every: 1 ^.yearls) onth(s) ^ m ^ NA Other: At least once every: ^yearls) Other: ^ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications Master Plumber, Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tan inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any pondin of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires.,th immediate notification of the local regulatory authority. . When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entir contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113 Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanics! or pressurized components, pretreatmen units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall bo provided to the local regulatory authority within 10 days of completion of any service event. Pafle of START UP AND OPERATION For new construction. prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concenvations are detected have the contents of the tank(s) removed by a septage servicing operator prtor~~o use. System start up shell not occur when soil conditions era frozen at the infiltrative surface. Dututig power outafles pump tanks may till above norms( highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one larfle dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal calls. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; ct~tton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water sohener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. ~ CONTINGENCY PLAN ff tfie POWTS fails and cannot be repaired the following measures have been, or,must be taken, to provide a code compliant replacement system: O A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing 'and proposed structure, lot lines and wells. Failure to protect the replacement. area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. _ ~ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS ' technology a holding tank may be installed as a last resort to replace the failed POWTS. f The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank.:. may be installed as a last resort to replace the failed POWTS. ~ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the . infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name John Schtt~tt Phone ~ -6 51 SFPTAGE SERVICING OPERATOR (PUMPER) Name w ers choice Phone nnu,rc ^~n1~ITn11UFR rv ^~,.a w.r Name +..., Owners choice Phone OCAL REGULATORY AUTHORITY Name St. Croix Ct Zonin Phone 715 386-4680 This document was drafted In compliance with chapter Comm 83.22(2)(b)(1)(dl&(f) and 83.54(11. (21 & (3), Wisconsin Administrative Code '+'~~ .•. ST CROIX COUNTY '. SEPTIC TANK MAINTENANCE AGREEMENT AND ` OWNERSHIP CERTIFICATION FORM ` OwnerBuyer ~i4 / Tf~ ,U z O L L Q('r-,~ Mailing Address E ~ ~ ~ ^ O/6 Property Address O ~'~ (Verification required from Planning Department for new construction) _ _ City/State /~?D N'D ~,Ul~ . Parcel Identification Number (J/~~ 4D.~--~/-Dc7© LEGAL DESCRIPTION Property Location ,~(~L ~/., ~~,'/,, Sec. :~ 1 . T~N-R~_W, Town of /~.~1/%/%oit/!,' Subdivision „.~L,4T~~ ~~~r~~2_fiA~yC/~ Lot # / Certified Survey Map # .Volume _ .Page # Warranty Deed # ~D~~ ,Volume ~~ .Page # Spec house ^yes Jgl no Lot lines identifiable ®yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance coasists of pumping out the septic tank every three years or sooner, if needed by a 1censed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mastCrplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. i~~~~ SI OF APPLICANT / / DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property descn'bed above, by virtue of a warranty deed recorded in Register of Deeds Office. / / I 'N F PLICANT DATE *!**** Any information that is mis-represented max result in the sanitary permit being revoked by thaaZoning Department. ***~`** *• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed I 1~ ~ Bm Ec~ = /oo 0o roP a,= / " Pv c P~ o~ ~ ~cT 8+~7 El. = y/ O 6 i o P ~~ l `• ~ V e t° ~ Pr ® Bo~c ~Et,~s ~'% J , "Ti-loin Pse,a1 ® r3o~ r rl~~ ~ s t3 ; ~. S c Nan ~I X ~ .Q ~ sYs%~m ~~• = 9v•so' ~u a j, U v ` ~ ~. ~~ t i_ I t© n f~ I ~ob ~~ "TOP c } i~ prPE YLn. Qt3 . r3 - ~ R~ ~~` ~ - - - ~ r~ \ ~ ! r ~ ~ `~„` s - ~ q •7: o s Qi ~ s ~~~ _ Acr~r2N,~sF `` ~` • ~ ~ Q,tA ~ 1 fl~L; a, ~,r 6~ (Ba) BrY1 ~ ~ ~t-o !~ ~ T;+anPsc~1 9~;~ ~ S -_ ~ BM 59 ~B~l C 81) ` -.~ T~~~ Bic u i -- ,- ` 5.~ p ~D~ -- ~ a ~~ ~ ~~ ~l PRovC50 ~/PRarnoem ~• i ~oL 3 B~.Ct?ccM G rite ~~~TE2 I-1ou5t a _3,~ ~s' ~~t ~~ rer,~.N 07lo c Nr4m,aE,eS o- ~ 99 a~ ® 'ToP c~ ZQeu P~~E 9~•da T` .~ ~ 00.0 /ODOGR~ .S.% f ~~ n ,~~ I ~'" ~~~ y~~ ~ ~~ ~ ` ~~v ~3~ ~~~ r ~~' b ® Pk'oP05ED wt~~ ~~la 1~ioU ~ ~ Off, o ml¢T% ZOtL cJUc/~ ~~ ~9 ~ dU,~~nE~~-Gov sr, ~-/u vs o ~ i/t~ Z` ~ 5~0/ ~ Gek~AG ~/6 /.~oT~ /~vE. ~ ~Ont~QS~T ~~T .s yDa~ ~~w~~ aa3~~ o BIODIFFUSER CROSS SECTION 4"PVC Inspection + Vent Pipe ~, E1.= ~ ,~ Approximate Grade r, E1.= ~~ ~z° _~.... -~ ~ ~~ i l=1 ~. -li ,_~ t'-i - - ---- ------~_ T i i ~~.. I-1 Ili a verage Open area Wiptn a veroge Onen Area Wio(n POWTS OWNER'S MANUAL & 1~1ANAGE~VIE~VT PLAN Page of FuE INFORMAnoN • Owner Mat eel Permit ~ DESIGN PARAMETIERS Number of Bedrooms 3 DNA Number of Public FaciUty Units p NA Estimated flow (average) aUda Design fbw (peak), (Estimated x 1.5) al/da SoU AppUcation Rate 0 . 7 al/da /ft' Standard Influent/Effiuent QuaUty Monthly average• Fats, OU & Grease (FOG) 530 mg/L Biochemical Oxygen. Demand (BODE) 5220 mg/L ^ NA Total Suspended Soisds (TSS) 5150 mg/L Pretreated Effluent fluality Monthly average Biochemical Oxygen Oemand (800) S30 mg/L' Total Suspended Solids CTSS) 530 mg/L ®NA Fecal Coliform (geometric mean) 510' cfu/100m1 Maximum Effluent Partlc(s Size Ye In die. ` r r ^ NA °~1ef ~ ^ NA 'Valves typical tot dortwstic wastewater and septic tank effluent. SYSTElN SPECIFiCAT10NS Septic Tank Capachy 1000 al 0 NA Septic Tank Manufacturer Week ' s C . P . O NA Effluent Filter Manufacturer pr •Hq Effluent Filter Model GF 10. ^ NA. Pump Tank Capacity al v NA Pump Tank Manufacturer ^ NA Pump Manufacturer ~ NA Pump Model d NA Preuaatment Unit O Sand/Gravel Filter ^ Mechanical Aeration ^ Disinfection O Peat Filter ^ Wetland D Other: 0 NA Dispersal Cell(s) ©In-Ground (gravity) ^ At-Grade ^ Drip-lane ^ NA 'D In-Ground (pressurized) ^ Mound ^ Other: Other: ~ NA Other: ^ NA Other: ^ NA MAINTENANCE SCHEDULE Sarvke Event Service Frequency Inspect condition of tank(s) At least once every: ^ month(s) (Maximum 3 years) 3 ~ ear(s) ^ NA Pump out contents of tank(s) When combined sludge and' scum equals one-third (Y) of tank volume Q NA lnapect dispersal call(s) At least once every: ^ month(s) 3 ® ear(s) (Maximum 3 years) O NAB Chan effluent filter ~ At least once every: 1 ~ ~ ~ ear gj(s) ^,:NA Inspect pump, pump• controls & alarm At least once every: ^ month(s) ^ ear(s) O NA^ •• F(ush laterals and pressure test At least once every: ' ^ month(s) ^ ear(s) Y NA; - Oufer: . ~• At least once every: ^ month(s) p year(s) ""' Q NA; Other. ._ , ^ NA' MAINTENANCE INSTRUCTIONS ~ ~' ~";;~ k~6tw lnspectlons of tanks and dlapatsal cells shall be made by an individual carrying one of the following licenses or cattJ>;Icatlons:.' Master Plumber, Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. ;:Tank inspections must include a visual inspection of rho tank(s) to idantlfy any missing or broken hardware, identity any cracks or:leaJcs~` measure the volume of combined sludge and scum and to check for any back up or pending of affluent on the ground :surface. The dispersal co!((s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any,..po~din' of effluent on the ground surface. The pending of effluent on the ground surface may indicate a tailing condition and requires'~;the ' ~'~%`' immediate notification of the bcal regulatory authority. ,...,-.~, v~ When the combined accumulation of sludge and scum in any tank equals one-third (Y,) or more of the tank volume, theXen-rite contents of the tank'shaU be removed by a Soptaga Servicing Operator and disposed of in accordance with chapter. NR;~.113; s:,yr•~1,;: Wisconsin Adminlsuativa Cods. ,.:;~ AU other services, inciuding but not Umlted to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servlcing at intervals•of 512 months, shat! ba performed by a certified POWTS Maintainer. "" A service report shall be provldsd to tfte local regulatory authority vrithln 10 days of completion of•any service event. , i . _.a Peye of START UP AND OPERATION For riew construction. prior to use of the POWTS check vestment tank(s) for the presence of painting products or other chemicals that may impeds the treatment process and/or damage the dispersal cell(s). If high concenvations are detected have the contents of the tank(s) removed by a septage servicing operator prio~~o use. ~, System start up shaA not occur whbrt soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal ceQ(s) In one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or et'unination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. ri • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. ~ ; CONTINGENCY PLAN ' If the POWTS fails and cannot be repaired the following measures have been, or. must be taken, to provide a code compliant replacement system: ^ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing 'and proposed structure, lot lines and wells. Failure to protect the replacement. area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. __ ^ A suitable replacement area is not available due to'setback and/or soil limitations. Barring advances in POWTS" technology a holding tank may be installed as a last resort to replace the failed POWTS. t7 The site has not been evaluated to identify a suitablo replacement area. Upon failure of the POWTS a soil and site . evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank'- may be installed as a last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the :: infiltrative surface. Reconsvuctions of such systems must comply with the rules in effect at that time. < <WARNING> > ' SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER on~~rrc ^IIn1A1TAl1UGR Name John• Schmitt Phone p` 1 SEPTAGE SERVICING OPERATOR (PUMPER) Name w r choice Rhona ..... , ~ . Name pwners choice Phone nrn~ RGr':I11 eTARY ~l1THONITY Name St. Croix Ct Zonin Phone 715 386-4680 ' This document was draped in compliance with chapter Comm 83.22t2)(b)t1)td)&tf) and 83.54(1), t21 & (3), Wisconsin Administrative Code. ~=; } Wisconsin Department of Commerce Division of Safeiy and Buildings SOIL EVALUATION REPORT in ~rrnrrlonrc wi4h r:nmm Rai IA/ic Arun (:rv1o 1852 Page 1 of 2 A.C.E. Soil & Sfte Evaluations County Attach complete site plan on paper not less than 8'/: x 11 inch i i .Plan must St. Croix inc{ude, but not limited to: vertical and horizontal reference poi r and Parcel I D percent slope, scale or dimemsions, north arrow, and location and d _ ~ ne~ t road. . . 018-2005-01-000 Please pi nal infwmatron Pers ou rovide ma used Law t) Reviewed By Date y p y o , Property Owner Prope Location Sam Miller NCB Q 4 2QQ4 Govt. Lot SW 1/4 NW 1l4 S 31 T 29 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# P.O. Box 151 ST. CROIX COUNT,' 1 Plat Of Highland Ranch City State ~ City _J Village /_J' Town Nearest Road Hudson ~ WI 54016 (715) 386-2769 Hammond 150Th St. & 66Th Ave 1/ New Construction Use: y~ Residential / Number of bedrooms 4 Code erived design flow rate 450 GPD Replacement ;_f Public or commercial -Describe: Parent material Glacial drift FI plain elevation, if applicable na General comments and recommendations: Evaluation completed to verify findings of previous test by A. Schumaker and to increase available area for installation. Install two trenches at 94.50' using 37 chambers. ~~, (33 ~ li`f r gs-1 // Boring # ~ Boring / 88° `/ Pit Ground Surface elev. 98.80 ft. Depth to limitin in. g factor Application Rate Soil 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 0-24 10yr'2!1 none sil 2fsbk mvfr cw 2fm 0.6 0.8 2 24-36 10yr4/4 none sil 2fsbk ds cw 1fm 0.6 0.8 3 36-48 10yr5/4 none sil 2fsbk ds cw 1vf 0.6 0.8 4 48-84 10yr6/4 none gr slls 0 sg dl ci - 0.7 1.6 5 88-94 10yr6/4 none ~ L.S. tl na na na - na na a' ~ Horizon #4 contains approx. 20% cobble & stone. H contains >50% limestone fragements. Fragements are 2" - 4" X 1 /2" thick with gr s/Is mix r tl between fragements. Borin ~l ~ W z Boring # -~ g 1/ Pit Ground Surface elev. 98.00 ft. Depth to limiting factor ~88~~ in• Soil Application 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 0-13 10yr2/1 none sil 2fsbk mvfr cw 2fm 0.6 0.8 2 13-21 10yr4/4 none sil 2fsbk ds cw 1fm 0.6 0.8 3 21-33 10yr5/4 none sil 2fsbk ds cw 1vf 0.6 0.8 4 33-56 10yr6/6 none gr s/Is 0 sg dl gw - 0.7 1.6 5 56-88 10yr6/4 none t r s/ls 0 sg dl - - 0.7 1.6 °~ ~ 1~ Horizon #2 contains app . 10% co stone, #3 contains 20%, H#4 contains 35%, and H#5 coMains 10%. ' Effluent #1 = BOD 5> 30 <_ 220 mg/L a TSS >30 < 1 mg/L * Effluent #2 = BOD <30 mg/L and TSS <30 mg/L CST Name (Please Print) Signatur : CST Number James K. Thompson J g-- 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osc , WI 54020 10/12/2004 715-248-7767 /~D ~ Str~~ ~ 3 3~. oZ' ~T p of iron P~'Pe = 91v.9B; _~__^-0 ___ __ __ • ~.oca-fed prr.~o. s~c'c A. Sal, ~m~,~cr ~/13/oa ~-.7fom~sor~ io/i2/ot' • C/QVGt~on -jE- E)c,S£~~ F~r~e%~e Sc~/~: ~= sb' ,~ R~~~/B51 Lob/ P~te~' ~l,6~ la~ d ~e,-dy~e /' . ,~ ~ r ~( o .. - ~ ~ __ ~ a3• ~ . -as-_ _ _ _~8.0 ^ -_ _ ~ - _ ~- 99.0 ~--- - 99.~~' -,~ : o" jo of / "~o. d, c . P, /pe. it SSaruc/ e(P.w = /lX~, GD' _ _ ,~ . /d0.0 16 . d. ~ TOFF °~' ~ j0 ~/. C.~p,;4e. ' - - - - C/erJ,~ _ 99.06,' 3300/ P~.3~3 wisumsin Depertrnent of Comrr-erte SOIL EVALUATION REPORT ~ Page ~ of _ ~ Division of Safety and Buildings in accordanos wilft Conan 85, YYis. Adm. Code ~ C ~u • Attach complete site plan on paper not less than a 112 x 11 inches In size. Plan must ~~ ID. include, fwt not Umlted lo: vertkai and horizontal roference pokrt (BM), dtreetbn and percent sbpe, scale or dimensions, north snow, and locetbn and distance to nearest read. Reviewed ~ Date Please print a!/ lnltormadon. Penond infonn~llon yon provW~ may W used la a~cartdh' M+~9~ (PrH~ry Lr+. ~. 15.04 (i) (m)). Property Ovmer Property Location ~~~ e m 6 I I Govt. Lot 5~ 1/4 tiJ t,~J 1/4 S '.~ I T 2~ N R/~ E (or)6n~ Property Owner's Mailing /4ddresa l ~ I Bbt:k ~t Subd. Name or CSM# ~U ~ J ~ tom- ` ,'U a ~ c>~ nc CQy Staff Z1p Code Phone ~~ ~ Ci<y ~ V1Uage ®Town Nearest Road . Y_f' ~~a ly)w~oKC). w U15 (11 ti ) 7YC~'Syq l /->~• ~ r)'~unc{ /~ 3 - Code derived design flow rate S ) ~ O GPD [~ New t;onslrudion Use: (~' Residential /Number of bearoorrla - ^ Replacement [] Publb or commercial - Describe: Fbod Plain elevation d applicable _~ rt. Parent material __ w lA3C~ ~ General c«,>rt,ents s vs-/ ~' /y~ ~ i~ v, q y, z and recommendations: / t3oring >y O ~n9 ~ q t/~' Ground surface elev. ~~. Depth oo Ilmtting factor _~L.- in. Pit Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots in. MunseU Du. Sz Cont. Cobr Gr. Sz. Sh. I o-I ~ 10~ 3/ I ~ S.. ~ m~ Yv~ r -S v Z l~ ~~ I -- S~~ mSb~C ~~ l~~ IV ® Boring q ~ Boring ~ Q 7G~ ft l Depth tao limiting factor loo in. ® Pit Groun , ev. d surface e r ~ ~ . ts R Hor¢on Depth Dominant Cobr p tb n Redox Descri Texture Structure Consistence Boundary oo in. Mansell Qu. Sz. Cunt Color Gr. Sz. Sh. 5 ' 1 5 h'~-~ r ~ S G` l0 3/Z - rn - S 'c 1 nsl~/C r^ C S 1 v-~ Z zy-3 /U~ r lU ~ yi ~ ~F , s ; ~~ S ~~~ I ,~~~ ~ s - il CrJ ~n, ln.,~~/~/.. i ~ QS~ ml_ ' Efbtr'errt fill ~ BODE > 30 < 220 mg/l and TSS >30 < 150 (PIea9e Pript) i ~ SN ~d Application Rate GPOJft; 'Effifl 'Eff#2 ,~ ~- /, Z Sod Appl+cation Rate G P D/ft' 'Ef1#1 'Eff#2 •S /~- , ~.~ , ~o / ~ ~/ (/ ' Effluent iF2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Number Evaluation Conducted ~1" Teiephone Number m U I I Parcel ID # Page ~ of Property Ovmer Boring # U Boring qQ ~^ Ground wrface elev. ~ ft• Depth to tirr>i6ny factor ~ Pit Horizon Depth Dominant Color Redtut Desaigtron TexLrre Structure Consistence Du. Sz.. Cont. Cobr Gr. Sz Sh. in. Manse! -zz ~~~~ 3i~ - 51'1 ~ Z zZ -3~ I~ lG~ m r ~• Boundary cS CW oots 1~l u Soi ication Rate GPDffF 'Eff#1 'Eff#2 /~ ~~ ., , (o U Boring Boring q Ground surface elev. ft. Depth b limiting faGOr in. ^ Pll Soi A ication Rate tg D Texture Structure Consistence Boundary Roots GPDIfP Horizon Depth in. Dominant Cola MunseU n espg Redox Du. Sz Cont Cabr Gr. Sz. Sh. 'Eft#1 'Efffi2 Boring Boring # Ground wrface elev. ft Depth to limiting factor in. ^ Pit Soi lication Rate Horizon Depth Dominant Cobr Redox Dsttcription Texture Structure Consistence Boundary Roots GPD/ft' in. Mansell ~u. Sz Cml Color Gr. Sz Sh. 'Eff#f 'Eft#2 ' Eft3uent #1 = BODS> 30 <_ 220 mgll. and TSS >30 < 150 mglL 'Effluent #2 = BOD, < 30 mglL and TSS < 30 mglL The Department of Commerce is an equal oppomutiry service Provider and employer, tfyou nced assistance to access services or nced material in ao alternate (btmat, please contact the department at 608-266-3151 or TTY 608-264-8777. 50 D•q 301 R.O]/001 PAGE~OF~ i_'LAd.L ~C>I I LOT# ~ L D SCRIPTIONSw ~~'~~a ti -~ 1 T 2~l N.R. i ~- E(or~ SCALE: 1"= 7 ~ I BM 1 ELEVATION ~C~ ~ ~ BM I DESCRIPTION ~P o~ r ~ 0~~ /~~~ ~ BM 2 ELEVATION 9~. ~D BM 2 DESCRIPTION c~~fl~ o -~ l ,~yC Q, /1_~_ SYSTEM ELEVA'I'ION ~(~~Z 0 SYSTEM TYPE (`a/1ue/~-~:a/ta CONTOUR ELEVA'I'iON ---- ---- i ~ ~i _ __ f~ - -- ---- , x ~ T f yy ~~,t ~ ,~ 501E EVALUATION REPORT Page ~ ~ ~ Division of Safety and Buildings in aooordanoe with Comm 65, Wrs. grkn. Code ~ C' ,~ Attach complete s(6e plan on paper not less thane 1!2 x 11 inches in s¢e. Plan must include. but not IGrtiled b. verflcat and fwrizontai reference point (BAA), direction and Parcel ID. percent sbpe, scale or dimensions, ttorttt arrow, and bc~tion and distance to nearest road. Date Please print aU Inisormadon. ....m,.. _. Reviewed by Personal ia(orrnatton you provide may tm .(Rtt~~' Law. 3. 15.04 (1) (m)?- ~_ Property Owner party Locatbn v~ e ~ 6 ~' ., ,~, Govt Lot S~ 1/4 AJ ti.! 114 S 3 ~ T 2 ~( N R I ~ E (or~ Property/Owner's MaiHng~ rasa ~ ~ a ° Lot # ~ Bbck # Subd. Name ar CSM# '(~ ire ~ IhR- ~ 9 ~ ` a ~ ~ ~C Cny State 7Jp Code ~ , ;-', ( _ City ^ Vilbge ®Town Nearest Road t I ~ .,, w .. e~ , .., ~ cu<~15 r~"1'"~~I2~-~~~f I /-~ rr't rr~o nil i /~ ~ .5+~ S' d O GPO New Construction rise: (~ Residential ! Number ~ bedrooms 3 _ Code derived design fbw rate - (] Replacement Public or cdnmerriai - Oescdbe: l~~ A~Cz S Food Plain elevation ft applicable ft• Parent material ~ ~ ~-~.-- and n3col nvnendations: S / S~ ~ m ~ l ~ V - qG/ i Z ~ ~ p~j V _!/ ~~ ~~ I / 1 ~~g # O r_...,,.,.~ a,..f~rA atpv. ~ ~ • .SUft. Depth to limiting factor _~ In • Sni Arn~liratimi Rate ,_ • ~ Horaon ~ Depth in. r n Dominant Cobr Munsefl Redox Desixipdon Qu. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPOItt? 'Eff#f 'Eff#2 I ©-r~ la 311 ~~ ~ m b n~ ~ _S v Z I~ 3~ 3 ~-I 1 ~~ _. - S/~~ /~ ~ gmSblC l 1'Yi ~~ ~ C ~ ~ IU ~ ~~ r /i II 2 ~~ ® Boring # ~ P8 ~rin9 Ground surface elev. ,~~ ft. Depth b flmitmg factor ~ ~ in. c~ bon Rate t T Strucrixe Consist~ce Boundary Roots GPO/ftr Horizon Depth in. DominantCobr Mansell Redox Descriptbn Qu. Sz. Cont Cobr ure ex Gr. Sz. Sh. 'Eff#1 'Eff/12 c~- to 3/z - s ' 1 m s >~~r ~S ~s ~ S p vnl J ~~ Ir ._n __w rem ~ Orf ...,.a • Effluent iM'I = BODg > 3a < 220 mg/L and rss »u ~_ -lair (Please Pript) l i ~! ~..,.,o... ,.~ - ..-.~, _ -- CST Number N ~ ~~) ~' ~~~ ~csn.4.rS~~~ wl .~yOZS_ ~ _ 3 S m U I I Parcel ID # Page ~ ~ Property thmer '^ Borerg # ^ Bormg ..? ®p ff Ground surface elev. I ~ Oft. DeD~ ~ ~ m' Soi Re ~~ Dept D~ Cobr Redox Description Texture Structure Consistence Boundary Roots GPD/ll= Gr. Sz Sh. 'F~1 ~R#2 in. MunseN ~- ~- Cont Cobr ~ rGI V-1 ~' ~W li ~ Z z2-3 )n /~Z U Bonng ^ Boring # ^ Pit ~&rowrd surface elev. ft. Depth to rmi~9 tabor in. Horn Depth Dominasrt Cobr Redox Description Texture Structure Consistence Boundary Roots t]u. Sz Cont Color Gr. Sz Sh. in. Munseti Sod tiara Rate GPDIff~ 'Eti#1 'Eff#2 U Boring Borng # Ground surface elev. R Depth to lrcniting factor in. ^ Pit Sot fion Rate Horizon Depth Domirant Color Redox Description Texdae Strudure Consstence Bourxfary Roots GPDlltiz in. MunseU Qu. Sz Cor-t Color Gr. SZ Sh. 'Eff#1 'Ef(#Z • Effkre+~ ~ = GODS > 30 < 220 mgll and TSS >30 <_ 150 mgiL ' Effluent #2 = BODS <_ 30 mg1L and TSS < 30 mgfL The Department of Commerce is an equal opporttmity servtee pmvtdec and employee. If you need assistance to access services or need material in an alternate format, Please contact the depaRment at 608 266-3151 or TTY 608-264-8777. SB4ri330(R.Q7/0(1) . .~ PAGE~OF~, T ~F ~ ~ ( T OT# ~ LEGAL DESC'~ ir''T'rONSw ~,Uw~ S 3 (T 29 .N.R. / ~ E(or~1X/J Feb. 20 06 10:15a Leo R Draveling 715-531-0714 p.2 ~~ ' >- • 1852 • '~, SOIL EVALUATION REPORT Nl~sconsin Department of Commerce Page _-1-- of _ z _ - Dnnsrtxr of Safely and Bwlr~rtgs in acca'dance wdh Gomm 85, Wis. Adm. Code A.C.E. Soil & She Evahrations County Altach oomplek site plan on paper tai less than 8'h x 11 inches in size. Plan must St. Croix - include, Fwt not limited to: vertical and hor¢onlal reference point (BM-: direciwn and Parcel I.D. _ - peroent siape, scale or dimemsions, north snow, and bcation and distance is nearest road 018-2D05-01-000 Please riot alllnformation_ --.-- --- ---- -- - _ P Reviewed Sy - Date Personal mrcrmetidi you P~ mar be used kx sewrday purposes (Pavacy Lsk, s. 1504 (t) Im)S Prouty Owner Property Location Sam Miller Govt Lot _ SW 1l4 NW 1>~4 S 31 T ?9 _N R__ t7 VV Property Owners Melling Address Lot #~Bi~ck # Subd. Name or CSAAp P.O. Box 151 1 I ~ Plat Of Highland Ranch City State Zip Code P e ~ City J Village /I Town Nearest Road Hudson WI 154016 (715) 38 69 Hammond 15DTh St. & 66Th Ave ~. G 87f~ ~~ 7~ C /J New Construction tJse: IJ/ Residential ! Numb of bedrooms _ _ 4^_ Code derived design flow rate 45U_ - - __-GP1J -f Replacement J Public o[ cartxttercial -Describe: -_ --_ -- _ _ . Parent material Glacial drift .-- __ __- - __ Flood plain elevation, iT applicable na __ -- 'Garters! c«nmenis and recommendations: Evaluation completed to verify findings of previous test by A. Schumaker and to increase available area for installation. Install two trenches at 94.50' using 37 chambers. /^/ Boring # J Boring 88~ in. .- Soit Applipiion Rate f/ Pit Ground Surface elev. 98.80 Tt. Depth to limiting factor Horizon Depth Oomirr~l Color Redox Description Texture Structure Cons~slence Boundary Roots • _ GPO/ft' 'Efftfl 'Eff112 in. Munsel! Qu. Sz. Cool. Color Gr Sz Sh. 1 0-24 10y2l1 none ~ sil 2fsbk mvfr cw 2fm 0.6 0.8 2 24-36 10yr414 ~ none ' sil 2isbk ds cw+ 1fm 0.6 0.8 3 36-48 10yr514 none sil 2fsbk ds cw 1vf 0.6 0.8 4 48-8~ ~ grslls 10yr614 none Osg dl ci - 0.7 1:6 5 88-94 -- 10yr6/4 none .L. S.B.R. - - - - _ na - na na - na na _ Horizo r i ~ n #4 contains approx. 2041, cobble 8 done. H~5 contains >509G li mestone tragement s. Fragem~ ts are 2"-- 4 " X Itz" thi l_._ ck with gr alts mix between t rag2ments. ~'`~ / l 7 (Boring # J Boring "1 i R $$ ate n. Soil Aaplicai~r _ - I I yJ Pit Ground Surface ekw. 9 .00 ft- Depth to limiting factor ? Horizon Depth Dommanl Color Redox Description Texture Structure Consistence ~ Boundary Roots GP 'E f# D11F-_ _ 'Eff#2 in. Mur~sell Qu. Sz. Cont. Gobr Gr. Sz. Sh. f 1 1 0-13 10yt211 none sil 2fsbk mvfr cw 2fm 0.6 ~ 0.8 2 13-21 1Dyr414 _ none ail 2fsbk ds cw 1fm 0.6 0.8 3 21-33 10yr514 ~ none ail 2Tsbk ds cw~ 1vf 0.6 0.8 4 33-56 10yr6/6 none gr ses 0 sg dl gw - D.7 1.6 5 56-88 10yr6/4 none ---- _ gr s/ls 0 sg _ . dl - - 0.7 1.6 Horizon rp2 contains approx co 8 st one, H#3 contains 2Q%, H#4 contains 3596, and H#5 contains 10%. Effluent #1 = BOD y> 30 <_ 220 mglL and SS >30 < 150 L • E uent #2 = BOD ~<30 mglL and 7SS <~0 mgfL SST Name (Please Print) ~ ature: ', ~., ;.~ ,,, t. CST Number ~. James K. Thompson ~ 5------' 3602 4ddress A.C.E. 5oi! 8 Site Evaltrations _ Date Evaluatron Conducted Telephone Number 340 Paulson Lake Lane, Osceola 54t12t1 10!1212004 715-248-7767 ,( Q,-S ~~ ~ ~•{1' v .r~ F~,J G' G ~•~~~ /~t ~l-,~~ . ~ .~,~/~'f ~ C~ i /SD`-S gtrrt~ Fe' 20 06 10:15a ~A J Leo R Draveling 715-531-0714 p.3 ~.pCA.'+teO' P~f' ~'oa+cG • . q..5..~ w+~,~sr ~/rs/Qa • ale/a~on sic: /_~` 330.03 f1,~b~~ d R, dye ~~ p oF; son p=P~ = 9l0 ~ 98: _ _ - - en. - - _ -- -- - - , B1 ~ a2' ~ ~ ~ ~- SST, d ~ Contnac r ~\\ ~ ~ i ,~ .--' (0916 ~~_ ~~ 3~tope r~ `\ 0 +' ~ ~~ ~ ~`~r'- ----98.0, ~ ~ _ ~ bl, Tan o.F'i~on p, pe ° ~ - 99 P~• .- .. / d0.0 A ssuy-ec/ Q t e.rt_ = rlXJ, tA, _ Elev-= 99.06: . ~ ~ ', f. ,O/' ~~.3of~ Feb 20 06 1O:15a Leo R Draveling 715-531-0714 p.4 ~ Pege ~ al 3 . ~~ oepaten~tt a ~ SOIL EVALUATION REPORT ' Division of Satatp and Suadings ~ aorArd•noe'~ Comm 85, wts. qdm. code ~Y ~ `- X Attad~ cornPlete slb Pin ar PeP~ T41 less than 8 1!Z x 1 i irdtes h size. Plsn must include. but twt Arnited to: vartlCel s ~ ~ ~ ~~n and dtatsncBe tOneatesr road. ~~ Ip. percerrtslope.scafeordintensions. Reviewod by Date Please pr(nt ap (nfbrmatton. Paa..d rnbm+.tl.e YW pwW. "yr ~...d roc ..eaN~y P'n1O"' IP•hr.ry la". a. 15.01 (l} tin)). Pmpe~Y t.ocatiort Property Gwner ~ ~ 1 ~ (,oy~ Lol .5 ~ 1!4 ail W 114 S _~ I T 2 ~j N R ! ~ E (or~ UC' 2 ` ~ ~ Hlodt # StAd. Name a CSM# propertyUOwnera MaiHng~dresa ii "" '~ a ~'t c1~ (\C _r v ~ J Stain ~P Code Ptane Number ^ CitY ^ VI1)ege ©Tawn `' Nearest Road City rt'\ a nd `,~J t.1` }~a }virv~oNd t.., U(5 (lf S) 7 (o'S`~q ~ ~ ~ S- ; n O GPD f ~ New Construction Usa: ~ ResidenifM! Number of brruroans ~ - Code derived design 1bM' re1e _ ~ ~~,t1ent PubUc or patpttercial - Deacibe: R. pl3t~A ac. h __-_.-- Flood Piain elevation it applicable Parent material ~ ,Q I~ U t C~ y, Z U General contrntrnls s'/s->{ p /1'~ sI~ recorernar,dations: boring I< U ~ ~/ ~ ~-~~ P factor __l~.- in. a ~ Pit Ground stxtace elev. _1. "'r' ~ R- Oe th m iimttln9 Sot iication Rate Roots GPDAf Horizm i7eplh DarrrirtentColor Rodox DestxQtion 7ex4me Structure Cons'sttxrce boundary •E(I#1 •Elpt2 in. MtnseU Qa Sz Cant Cobr Gr. Sz. Sh. ~y 3~1a ~ ~/l~ 8ortng p ®BorinB Grotmd surfaw elev. ~n i -~ tt. ~i Gj i~ Depth to limian9 lador 1 n ln. So2 ~ uon Ra ' C>optlt DorninarttCdw Radon D~~n ~t~wt Texttue 5truc4+is Consbt~ua Boundary Roots E~2 .E(~GPDIft in. MtmseM Du. Sz Cont. Cobr S` 1 Gr. Sz. Sh. s ?~-~ ~ c. S r ~ S O' (0 3!Z s 'c ~ rrr rnS1~~L (' ~S ~u~ ~`' ~6,~ - ~~ ~ yi ~,F .5~ ~ Flo . . s ~~~ ~ .~.~~ _ m ~ _ , ~ ~. Elfltrats 1H a BOO,> 30 e (please Pripy t ,x-11 ~ ~rJ ~,) s (• ngll and 7'SS >38 ~ 150 rrtgiL ' EtlLrerd Art ~ BOD, <_ 30 mgll end TSS < 30 mgR CST Number S~re ____ ~- 30 ~. • Date Evahratibn Conducted Teiepttone Number . r~e..~ !. yes l9 -/-3 - ~! ~ ~ :. i /is - ~~d °~ '' Feb 20 06 1O:15a Leo R Draveling 715-531-0714 p.5 r l v I ! Pam ~ ot~ r I PatoellD ~ property owner ._ 8orirrp ~ ^ Boring QQ 7 ~ ft. pePth 3s 6r~~ ~r ~'n• Sai Igtlon !~a ®Pft Grwtdaurtaoselev' -`!- GPDIfF DOmMte~tt C.ofor Rodent Dt Texttxe Strut~rrs Conslstenca Boundary Roots •E1Nl1 'E~ FIrN>ZAn ~~ Gr. S7. Sit. irt. Hartsell t]u. Sz Carl Cobr yy (' C, ~ t/~ i~ ' U _z2 tv~~ 3!i '~ S, ~ ~ Gw u ~ , ~ ~~r~ Z zL - 3~ I~ ~- rGI m ~ /, Z 3 3yJ-94t /~ ~ ~ - i G~ ~`~ Grarnd surface Nor. ft. Depth to tinirtiny factor in. Soi a ~~~ ° ~9 ^ Pit Texture StrucLrte Cortsistence 8ounaary Roots Florivon Depth Dominant Color Redot[ Descriptiort •EtiM1 'E!1<t2 ... w...art Du. Sz Cont. Coi0r Gr. SZ ~. ~ ^ ^ BaMg ~9 S ^ Pit Ground surface elanr. R Depth to lintiting factor in. Soi ication Hate Marawt Dep~r Dartiner-tCobr RadoxDamts+Ptiorr Texttme Structure Consisosnce Boundary Rents GPDAt' •EfHft •£Rtl2 y,. 1Junsell Qu. Sa. Cant Color Gr. Sz Sh. • Ei9ttertt tit = f3OD,> 30 c 220 nx31L artd T55 >30 <_ 150 mgfL ' Efliuent #F2 = GODS ~ 30 mglL and TSS <_ 30 mglt. ?he Department of Contsrtetu is an equal opportunity srnritx ptovidec and employer. if you need assistanec :o access services or neu! material in ao aiternace formal, Please coetact the depaMtrnt az 608-266-3151 or 7TY 608-2b1-8777. Feb 20 06 10:15a Leo R Draveling 715-531-0714 p.6 ' ' YAGE~OF~ v, i ~ Sw 1 .Uti~, ti 3 t Z ~ /` r --- •-- --- -- SCALE: I°_ `7 U _ i y i BM i ELEVATION /OG~ ~ U I r. - -.„.~7 ! .~ BM 1 DESCRIPTION. ~~ o~ ~ ©~ %,~0 P --_ ,~ r` BM 2 ELEVATION 9~~ ~U - ~ J I ~ • BM 2 DESCR IPTION~~ o -~ ~ ~ ~uC ~1, O -e ; --- -----_. _'- S -C' C' , ~'... •, SYSTEM ELEVATION ~y, Z ~ SYSTEM TYPE (~allUer~~t.ort0.( _ . CON'T'OUR ELEVATION ---- _ i U, 2891P y25 State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number ~~ Document Name THIS DEED, made between Miller Homes of Hudson, LLC ("Grantor," whether one or more), and Matthew Zoellner, a single person ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Lot 1, Plat of Highland Ranch in the Town of Hammond, St. Croix County, Wisconsin. 806$86 KATHLEEN H. 1tALSH REGISTER OF DEEDS ST. CROIX CO., MI RECEIVED FOR RECORD 09/28/2085 89:38A11 MARRAHTY DEED EXElPT t REC FEE: 11.80 'fRAN5 FEE: 133.50 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Retum Address Fist ~t,,,k of i3cli'dta,>v ~p q9 v n'~i,'n sect d~ &,1ctLt~~~n,GiL ~ Ol&2005-01-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated September 15 , 2005 . (SEAL) (SEAL) * *Miller Homes of Hu n, LLC (SEAL) {SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) authenticated on STATE OF Wisconsin ) ss. S o'x COUNTY ) * TITLE: MEMBER STATE BAR OF WI~10 rr~r~~ Personally came before me on September 15, 2005 , (If not, ~`~~ ~/ ~`•., the above-named Miller Homes of Hudson. LLC. a Wisconsin authorized by Wis. Stat. § ?l~ , ' ~~ A R 02 Lim•ted Liabilit Com an ~'Z ' O }' ' ~ me kn n to be the person(s) who ex cut the foregoing THIS INSTRUMENT DRAFTED B~'i;Oj ; _ * • * titstrum t d acknowledged the sa e. .*- G .r ~ .'~ Attorne Kristina O land • '°U B~ ti Hudson. WI.54016 ~'~, qr_ ' • • '..~G _~.`~~* Connie M. Gul ixson F Yr~ ~~~`~~ Notary Public, State of Wisconsin Hotta My Commission (is permanent) (expires: - - ) (Signatures may be authenticated or acknowledged. Both are not accessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICAT10N5 TO THIS FORM SHO[ILD BE CLEARLY IDENTIFIED. WARRANTY DEED ®2003 STATE BAR OF W4SCONSIN FORM N0.2-2003 " Type name below signatures. INFO-PRO"' Legal Forms 80055-2021 www.inioprotom~s.com gg? U 2.' `~ ~ ~~. ~~~~ 3. ,: ...._-~ ~~ ~ '~' I ~ ~~~i ~ ~ I T.w I~~ II I -_ _ _ ~ ~ - i ~~ d e ~~ pp 1 I I pp1 F BI ~ 6 1 I ~ 1 I 1 _~ , ~ ~~ ~ ~ ~~ o ~ z~~ ~~ ~. z ~~$ ~_ _# ~~~ R~~ 0- = ~~~~~ - ~ $~ 8E ~ 4 ~ ~q d k ~°~ k ~ ~~ ~~~]~ ~ ~~ ° C'~ .3 ~?~ ~ E ~ k 3 R 4F ~ I ~tc ~ ~ EtiB~ 0 o o . f 1 f ~ I~ ~ I I~ ~ 9 ~~E i C ~a~~~~ ~ =~;, ~ I; aar-~maa~oa~ ~~ I ~ I I I I I ~I I I ®~®I ~ Pb 1 C I 1 !CC I 1 I I - i 1 .~ I I i ~I 1 ~ I ^ I i '---- a a f ,I! 1 ~ sg~r 4 I ~ I ~1 e !$I I ~ ~ ~ ~ QQ i I I I~ I • I MML~Y OL • p®~I I ! ! ~~ ~ I YI~I I~1 I I dl l ~~ ~ ~E L gR~!~ I~ I ; ^ !LI 1 1 I Idg I~ I I ` aigii; s If ~ ~i~ii' I ~I qlt~ I i I li I ~.rws L i e5~ ^ _ ~ I ~~ i i~ I~ I I II - M.MLOAO • _- ~A~09 AJ~ ®009 0®OOi9 ®i144r91W~A00 ~ .R'LKMJI.L000f M ~ h ~ a ~rt r r9 A ~~~• ~# ~ ~~w~ a $ ~ e i a 9 r i r a ' T ~' Y g R ^ N ? ~ ~ a ~ m - j A - 14 y 3 ~ } 3 ~ ~ Y ~^. # i Y I ~ ~ A ~ 3 ~ ~ ~ ~ ~ x ~ ~ ; ~ ~ s ~ ~ ~ _ y y 3 z a >r ~ ~ ~ c s a3 g ,y g ~ ~ f $ a S ~ A 8 ~ ~~ ~ ~ CI '3 3 ~ r ~~ x ~ ~ ~ s ~ x ~ ~ ~ _ ~ ~ ~ ~ ~ ~ ? ~ N N § 8 ~ g i $ Y $ t e i g ~ R % % o ~ _ _ - C 6 ~ Dg a~ ~ ~ ~; ~~~~ ~~ 6~ ~~~: Rat ~~~~ ''~~ i~x ~~~~ 8g~~~~ ~~ I4~~ $6~~I ~~p qPR 1 8= { IMk ~i0~0~ ~ . ~ ~• . ~ f ~~• ~.. ~ ., . ~ ~ ~~ ~' . ~~ ~ ,. r~~,.~: r ~1 ~LI.~iD '1.~~IIA "-~ ~ ` ~ ~ ~~ ~ .~Q ~! i ~~ ~~~ Wisconsin Department of Commerce Division of Safety and Buildings _._ .~-------__._.._-,_-._.._...__ . 1178 SOIL EVALUATION ORT Page' ) 3 t~ •~ -ate T!'~E' in accordance with Comm 85, Wis. Adm. C ~~T-~~•,~~ t _,,,,,,~ ~~fl~ Testing Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must indude but not limited to: vertical and horizontal refe e t ~ l di ti d n rorx , repc our (a ~ ~, rec on an percent slope, scale or dimemsions, north arro ,ant~a~ati n end distance to nearest road ~ , Parcel LD. n _... . om-. "~R~ ~ . Please rint al ~' n ~ p r a on. ~ ~ Persons information you provide may be y ~ fbr• 6rAnd Law s 15 1) m Reviewed By Date ` ~ , Y . . ( )), rope ner ,;_,y ~ ~ rop y oca ion Mo11, Bruce . "' -+ y dQ Govt- t SW 1/4 NW 1/4 S 31 29 N R 17 W roperty ne s ar mg ress 4 -°- _ ...~,~ S-t ~ x ~ L,ob# - Block # Subd. Name or CSM " A c ~,~ 2 ~ ` 1840 80th Ave. - pt-fv ~ .~ 9 Z~h ~;, City torte Zip, h ,t ~ Cit ~ Village ~ Town Nearest Road Hammond ~ WI 54a1,5~- ; ;7.a-5-796- ~ ~ Hammond 150Th St. .,~~-,, C ~ New Construction Use: Residential % N'~ edrooms 3 Code derived design flow rate Replacement ® Public or commercial -Describe: Parent material till Flood plain elevation, if applicable General comments and recommendations: no residence staked; 3 br assumed; shallow conventional or at-grade system OK GPD NA ^ Boring # ~ Boring Pit Ground Surface elev. 88.8 ft. Depth to limiting factor ~ 75 in. Soil Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft: in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-6 10YR 3/1 - sil 2 m gr ds cs 2f1m .5 .8 2 6-24 10YR 3/1 - sil 2 m sbk dsh cw 1 m .5 .8 3 24-41 10YR 4/4 - sil 2 f-m sbk mfr cs 1f .5 .8 4 41-59 7.5YR 4/4 - sl 0 m mfr cw 1m .3 .5 5 59-75 10YR 5/8 - s 0 sg ml - - .7 1.2 oc a io i c a on e m orrz ; m usr ns sin horizon 4; occasional stratified 10YR 6/6,7/6 s in horizon 5 ^ Boring # ,Boring Pit Ground Surface elev. 88.3 ft. Depth to limiting factor 41 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. 1 0-5 10YR 3/1 - sil 2 m gr ds cs 2f1 m .5 .8 2 5-17 10YR 3/1 - sil 2 m sbk dsh cw 1f .5 .8 3 17-26 7.5YR 3/4 - sl 0 m mfr gw 1f .3 .5 4 26-41 7.5YR 4/6 - Ifs 0 sg ml cs 1f .5 .9 5 41-45 7.5YR 3/4 f2d 10YR 6/3 sl 0 m mfr cs - .3 .5 6 45-73 10YR 5/8 f2d 10YR 6/3 s 0 sg ml - - .7 1.2 mo s m orrzon ea a me usr ns s; consr ra e stratified SS gr & cob @ 21-36; shallow conventional system OK this tmuenr ~~ = es~u5 > so < z2p mg/L and TSS >30 < 150 mg/L ffluent #2 = BOD < 30 mg/L and TSS _< 30 mg/L .. ame ease nn igna ure: um r -tenry F. Grote ~ 222774 A dress Certified Soil Testing a e va uatron onducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 8/28/2000 715-233-0398 Property Owner Moll, Bruce t Parcel ID # CSM Pending a ' O Page 2 of .- 3 , g Boring $ Borin # ~ pit Ground Surface elev. 87.1 ft. Depth to limiting factor 60 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-4 10YR 3/1 - sil 2 m gr ds cs 2f1 m .5 .8 2 4-36 10YR 3/1 _ sil 2 m sbk dsh gs 1f .5 .8 3 36-50 7.5YR 4/4 - sl 1 m sbk mfr cs 1 m .4 .6 4 50-60 7.5YR 4/6 - s 0 sg ml cs 1f .7 1.2 5 60-66 7.5YR 3/4 - scl 0 m mfr cs - NP NP 6 66+ >50% gr some gr co rn orrzon + rs grea er an gr co ,very Ug t ^ Boring # ,Boring ® Pit Ground Surtace elev. ft. Depth to limiting factor in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz Cont. Color Gr. Sz. Sh. ^ Boring # ~ Boring Pit Ground Surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots = in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 m9/L "Effluent #2 = BOD < 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) Certlfled SoB Testing Prop,~rty Owner Moll , Bruce Parcel ID # CSM Pending ^ Boring # ~ Boring Pit G d D ~ roun Surface elev. $7,1 epth to limiting factor ft. 60 in. Horizon Depth Dominant Cobr Redox Description Texture Stnxture Consistence Boundary Roots in. Munsell Qu. Sz Cont Cobr Gr. Sz Sh. 1 0-4 10YR 3/1 _ sil 2 m gr ds cs 2f1m 2 436 10YR 311 _ sil 2 m sbk dsh gs 1f 3 36-50 7.5YR 414 _ si 1 m sbk mfr cs 1 m 4 50-60 7.5YR 4J6 _ s 0 sg ml cs 1f 5 60-66 7.5YR 3J4 _ scl 0 m mfr cs 6 66+ >50% 4 Boring # ~ Boring ~ Pit Ground Surfars± nlnv ft rlPnfh M limifinn fnrlnr Page 2 of 3 Soil Application Rate .5 .8 .5 .8 .4 .6 .7 1.2 NP NP Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODS < 30 mg/L and TSS < 30 mgll 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 (R07100j Certlfled Sod Tatlrg ~l Boring # ^ esonng J . Plt Ground Surfa~p a1o~ fr npnth to limifinn f~r+..r r k • V~ °~ ~ ~ ~ ~~. o ~- ~ ~ 3 1 ~ Z ~, - 3 '- d- ~' s o ~ J° J ~ ~~ ~` 0 J S i M ~' .~ l ~ o ~~ dr 3 ~~ s ~ g -, ~ -i O~ M .gf ~ ~ 90 ~+' ~ M ~ ~ ~ ~ i ~° ~~. M s f ~ ~ 3 ;'( 0 ~ =~ P C~ p ~ a; ,~ M .n <- `_, ~! ~ ~ ~. ,. Z ~- ,~ ~~ ~ ~ J ~/ ~ J4 ~v ~ • M ~; u ~ M O ~~ V O Q ~ ~ O r p ~ ,~- ~. i ,~ i 9 .a- 3 0 J Z f J O f fl ~ ~d d ~ ~ ~ ~ y ~ ~ I ~ ~' ~ ~ r ~ M "~RIGINlAL - 1178 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 (1~T -I OIC TN~ c~ ~..~ Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code T f'~ ~aL t tiu~ ~er~fi~cT~oil Testing oun Attach complete site plan on paper not less than 8%: x 11 inches In size. Plan must ind d b t not li it ti l d h ri l f d t t i i t A d i d t. Croix u u e, m o: ver ca an o zon re e a erepce. n ~ recct (l3f ~~~, on an l l i i t parcel I.D. percent s ope, sca e or d mems ons, north a ,ai~ ~ati n Intl disTance to nearest road Pl i l t n ~ f . CSM Pending ease pr n a o a on. , ~. •ti ~` ~ ' Reviewed By Date Personal information you provide maybe fA~corM lew, s.'t5. 1) (m)). rope ner ~'~.f rop oca lon Moll, Bruce i ~ -, d~ Govt t SW 1/4 NW 1/4 S 31 29 N R 17 W roperty ne s al ing ress ~ -- - ST ~rX ~ L,o~# ~-` Block # Subd. Name or CSM 1840 80th Ave. ; a : ~ ,i CSM Pending ity fate lp, Dde h ~ - '~ Cit ~ Village ®Town Nearest Road ~. ~ Hammond ~ WI 54~1,b" .~' 5-796- ~~-- -- Hammond 150Th St. -. ~ New Construction Use: ®Residential ! N' edrooms 3 Code derived design flow rate . Replacement ~ Public or commercial -Describe: Parent material till Flood plain elevation, if applicable General comments and recommendations: no residence staked; 3 br assumed; shallow conventional or at-grade system OK GPD NA ^ Boring # ~ Boring Pit Ground Surface elev. 88.8 ft. Depth to limiting factor ' 75 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft= in. Munsell Qu. Sz Cont Cobr Gr. Sz Sh. 1 0-6 10YR 3/1 - sil 2 m gr ds cs 2f1 m .5 .8 2 6-24 10YR 3/1 - sil 2 m sbk dsh cw 1 m .5 .8 3 24-41 10YR 4!4 - sil 2 f-m sbk mfr cs 1f .5 .8 4 41-59 7.5YR 4/4 - sl 0 m mfr cw 1m .3 .5 5 59-75 10YR 5/$ - s 0 sg ml - - .7 1.2 occasion gy sl coa s on pe s m oriz s ; rn uslons sin horizon 4; occasional stratified 10YR 6/6,7/6 s in horizon 5 ^ Boring # ®Boring ® Pit Ground Surface elev. 88.3 ft. Depth to limiting factor 41 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft' in. Munsell Qu. Sz Cont Cobr Gr. Sz Sh. 1 0-5 10YR 3/1 - sil 2 m gr ds cs 2f1 m .5 .8 2 5-17 10YR 3/1 - sil 2 m sbk dsh cw 1 f .5 .8 3 17-26 7.5YR 3/4 - sl 0 m mfr gw 1f .3 .5 4 26-41 7.5YR 4/6 - Ifs 0 sg ml cs 1f .5 .9 5 41-45 7.5YR 3/4 f2d 10YR 6/3 sI 0 m mfr cs - .3 .5 6 45-73 10YR 5/8 f2d 10YR 6/3 s 0 sg ml - - .7 1.2 mo s to orrzon appear as lnc uslons s; consl era e stratified SS gr & cob ~ 21-36; shallow conventional system OK this - tmueni ~~ = rsvus> 3v < zzv mgiL ano TSS >30 < 150 mg/L ffluent #2 = BOD < 30 mg/L and TSS _< 30 mg/L ame ease nn rgna ure: um er Henry F. Grote ~ 222774 ress Certified Soil Testing a e va uatron on ucte Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 8/28/2000 715-233-0398 Property Owner Moll, Bruce Parcel ID # CSM Pending Page 2 of . 3 g Boring Borin # ~ pit Ground Surface elev. $7,1 ft. Depth to limiting factor 60 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz Cont Color Gr. Sz Sh. 1 0-4 10YR 3/1 - sil 2 m gr ds cs 2f1 m .5 .8 2 4-36 10YR 3/1 - sil 2 m sbk dsh gs 1f .5 .8 3 36-50 7.5YR 4/4 - sl 1 m sbk mfr cs 1 m .4 .6 4 50-60 7.5YR 4/6 - s 0 sg ml cs 1f .7 1.2 5 60-66 7.5YR 3/4 - sG 0 m mfr cs - NP NP 6 66+ >50% gr some gr co m onzon + is Brea er an gr co ,very ig ^ Boring # 'Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Cobr Munsell Redox Description Qu. Sz Cont Cobr Texture Structure Gr. Sz. Sh. Consistence Boundary Roots Boring # ~ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. ' Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 =GODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-83J0 (8.07/00) ~~ ~ T~~ Property Owner Moll, Bruce Parcel ID # CSM Pending Page 2 of 3 ^ Boring # ;• Boring - Pit Ground Surface elev. $7,1 ft. Depth to limiting factor 60 in. Soil AppGc;ation Rate Horizon Depth in. Dominant t:olor Munsell Redox Desaiptbn Qu. Sz Copt Cobr Texture Stnx~ure Gr. Sz Sh. Cor~tence Boundary Roots 1 0-4 10YR 3/1 _ sil 2 m gr ds cs 2f1m .5 .8 2 4-36 10YR 3/1 _ sil 2 m sbk dsh gs 1f .5 .8 3 36-50 7.5YR 4/4 _ sl 1 m sbk mfr cs 1 m .4 .6 4 50-60 7.5YR 4/6 _ s 0 sg m4 cs 1 f .7 1.2 5 60-66 7.5YR 3/4 _ scl 0 m mfr cs - NP NP 6 66+ >50% gr some gr co rn onzon + rs grea er an gr co ,very ^ Boring # /Boring ® Pit Ground Surface elev. ft. Depth to limiting factor in. Sal AppCKxtion Rate ~~ DePth Dominant Cobr Redox Oesaiption Texture Shudure Corutsbenoe Boundary Roots b• Munsetl Qu. Sz Cont. Cobr Gr. Sz Sh. Boring # ~ Boring ® Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Apptkxtion Rate Horizon Depth Dominant Color Redox Desaiptbn Texture Stnxxure Consistence Boundary Roots m• ~~ llu. Sz Cont. Cobr Gr. Sz Sh. • Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 =BODE < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. 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