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040-1113-90-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 572838 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: Village X Township Parcel Tax No: City Hilt en, Mark& Lisa Troy, Town of 040-1113-90-000 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: J 06 rA ( 'S� 30.28.19.469A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER l CAPACITY STATION BS HI FS ELEV. �ti S Septic Benchmark e Zoc7 o - :5-3 m6-53 /66 Dosing Alt. BM . ` .�,..� Soo K) &,-k / r#. F A �D!C �s Bldg.Sewer �. O �J ` -7 3 Holding St/Ht Inlet Jb . g3 \ TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. ent Air Intake ROAD Dt Inlet W f,o Septic Dt Bottom 15. 5• `{3 qy 9-7 Z g Dosing J g / Z� �� Header/Man. $, gz•3 g y -7 P 40 CP1 Aeration Dist. Pipe :y 41r• I.S Holding Bot. System /0 .O 90 .155 �o• 90• �3 Final Grade $ �•3 PUMP/SIPHON INFORMATION $• S. a Manufacturer Za GP Viand St Coverer / 3 Model Number -3- TDH 1-ifL.1 Friction Los 3 System HeaFi TD Ft O. ; /� Forcemain Lengt!], / Di. ( Dist.to Well '97 SOIL ABSORPTION SYSTEM BED/TRENCH Width I Length r No.Of Trenches PIT DI EII�NSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 8� ��l - „n \� SETBACK SYSTEM TO V�✓ P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR f^?' Type Of System: r n � / /23 UNIT Model Number: COQ0"O�-G 1�1 it DISTRIBUTION SYSTEM j(� '94—V)V =� Header/Manifold IDistribution x Hole S' x Hole Spacing Vent to Air Intake. Pipe(s) ?5(►5 VE V Length Dia Length \ Dia Spacinn g SOIL COVER I x Pressure Systems Only xx Mound Or At-Grade Systems Only S Depth Over Depth Over xx Depth o xx Seeded/Sodded xx M ched Bedlrrench Center Z S Bedlrrench Edges Topsoil � w,, Yes 0 No s No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2: Location: 313 Plainview R VER FALLS,WI 54022(NW 1/4 NW 1/4 30 T28N R1 9W) Lot 1 Par I No: 30.28.19.469A 1.)Alt BM Description= 2.)Bldg sewer length= 35 -amount of cover Plan revision Required? Yes No Use other side for additional information. ' ` (• Date Insepctor's Signa 4rej;N Cert.No. SBD-6710(R.3/97) /// PLOT PLAN j J Project Name: Hilt en 4 Bedroom Septic Sy stem Legal Description: NW1/4,NSW1/4,S30 T28N,R19W P_I.D: 040-1113-90-000 Subdivision Name: NA Lot#: 1 SCALE:V-40' Township: TROY Parcel Size: 2.678 Acres County: ST.CROIX System Elevation: T1=90.53' Proposed 80'EZ Flow Trench Slope: 4% T1=90.13' Proposed 80'EZ Flow Trench BM1 Elevation: 100.00' Top of 2"PVC pipe T1=89.73' Proposed 80'EZ Flow Trench BM2 Elevation: 97.90' Top of 1"SW lot corner pipe. 4"Sch 40-ASTM D2665 2"Sch 40-ASTM D1785 Backhoe Pits: 4"3034 - ASTM D3034 TANK SCHEDULE Geotextile fabrics to meet requirementsof Table 1200 gallon Septic Tank with POLYLOK 525 384.30-12 1 800 gallon Pump Tank j CIO V t�^ �J �OrrfS�' I ' r zSS- �� ►_ 87 F i / �S 2 T1 J V 8 M I -aae 2 .! � County �1r ® Safety and Buildings Division 57 C1cC� r $ 9� 201 W.Washington Ave.,P.O.Box 7162 Madison,WI 53707-7162 Sanitary Permit Number(to be filled in by Co.) _ 9-7) (� i ihit Application - -- State Transaction pNumber n J In accordance with SPS 383.21 2, Code,submission of this form to the appropriate governmental unit !� is required prior to obtaining% t. Note:Application forms for state-owned POWTS are submitted to Project Address(i different than mailing address) the Department of Safety a essional Servies. Personal information you provide may be used for secondary purposes in accordance Q a Privacy Law,s.15.04 1 m,Stats. �L / v/ y�� I. Application Information-Please Print All Information ) Property Owner's Name Parcel# 44P,t< 0 63- iGTGc10 1 ) )3 - %0-000 Property Owner's Mailing Address Property Location Z©o C%Tl l ! d eI i ` e Z3 0 Govt.Lot City,Sta a Zip Code Phone Number �� •/a �'/., Section 0 0013 r3 u le Y film 5-s/Z T �� N; R cle one) H.Type of Building(check all that apply) Lot# V t or 2 F'ly Dwelling-Number of Bedrooms Subdivision Name ru-'L JL Z— Block# ❑Public/Commercial-Describe Use ❑City of ❑State Owned-Describe Use C/SM`Num / ❑Village of tV y &Town of III.Type of Perm Check only one bog on line A. Complete line B if applicable) A. New S Ys_te,_ Replacement S System in ❑Treatmentmolding Tank Replacement Only ❑Other Modification to Existing System(explain) ❑Change of Plumber List Previous Permit Number and Date Issued B. Permit Renewal ❑Permit Revision El Transfer to New Before Expiration Owner IV.T 4tOW stem/Component/Device: Check all that apply) V�QnPressurized In-Groun4 ❑Pressurized In-Ground ❑At-Grade ❑Mound>24 in.of suitable soil ❑Mound<24 in.of suitable soil ❑Holding Tank Other Dispersal Component(explain) ❑Pretreatment Device(explain) V.Dis ersal/Treatmeat Area Information: Design Flow(gpd) Design Soil Application Rate(gpdsf) Disii real Area Required(sf) Dispersal Area Proposed(sf) System Elevation OO �, i� ZO© / Z-F© `' 9 ,53" 9013 ���,7 VI.Tank Info Capacity in Total #of Manufacturer Gallons Gallons Units a w New Tanks Existing Tanks t J P61 jX,C-� � p Septic or Holding Tank Dosing Chamber O J90 1* I I V VII.Responsibility Statement-I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumbe r' ign MP/MPRS Number Business Phone Number DH 1k) 5C 14 kk I l7 GJ� L �>r-e ^ Z2,3 7 Plumber's Address(Street,City,State,Zip Code) VIII oun !De artment Use Only Approved ❑Disapproved Permit Fee Date Issued .Issuing A49 gna ❑Owner Given Reason for Denial - M- IX.Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: / Sys7�, L -�mcz~.� �( v►.- C� � �� ��,fj / �� 7 1.Septic tank,effluent filter and dispersal cell must be serviced/maintained as per management plan provided by plumber. -4 2.All setback requirements must be maintained " _rt , as per applicable A 1 ns for the system and submit to the County only ou paper not tess than 8112111 inches in size SBD-6398(R.11/11) i S' CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Hiltgen 4 Bedroom Septic System Owners Name: Mark& Lisa Hiltgen Owner's Address 10200 City Walk Drive#238 Woodbury , MN 55129 Legal Description: NW1/4, NW1/4, S30, T28N, R19W Township Troy County: St. Croix Subdivision Name: NA Lot Number: 1 Block Number Parcel I,D. Number 040-1113-90-000 Plan Transaction No. Page 1 Index and title Page 2 Plot Plan Page 3 Septic& Dose Tank Specifications Page 4 Effluent Filter Information Page 5 Septic& Dose Tank Cross Section Page 6 &7 Pump Specifications and curve Page 8 System Sizing & Cross Section Page 9 EZ Flow Information Page 10& 11 Management and contingency plan Page 12 Septic Tank Maintenance Agreement Page 13 Warranty Deed Page 14 CSM Attachment Soil Evaluation Report Designer: John Schmitt Licnese Number: MPRS 223760 Date: 10/31/2014 Phone Number: 715-760-0486 Signature: In-Ground Soil Absorption Component Manual Version 2.0 SBD-10705-P (N. 01/01) PLOT PLAN I N Project Name: Hilt en 4 Bedroom Septic Sy stem Legal Description: NW1/4,NSW1/4,S30 T28N R19W P.I.D: 040-1113-90-000 Subdivision Name: NA Lot M 1 scums:I"`41r Township: TROY Parcel Size: 2.678 Acres County: ST.CROIX System Elevation: T1=90.53' Proposed 80'EZ Flow Trench Slope: 4% T1=90.13' Proposed 80'EZ Flow Trench A BM1 Elevation: 100.00' To of 2"PVC i T1=89.73' Proposed 80'EZ Flow Trench A BM2 Elevation: 97.90' Top of 1"SW lot cornet pipe. 4"Sch 40-ASTM D2665 2"Sch 40-ASTM D1785 a Backhoe Pits: 4"3034 - ASTM D3034 TANK SCHEDULE Geotextile fabrics to meet requirementsof Table 1200 gallon Septic Tank with POLYLOK 525 384.30-12 1 800 gallon Pump Tank I �W PLP0tJV) 15u1 612- �n q cr M Q �/ QcOQoom g,48ig( lfou5� f � ! Y�o 87 gZ T Y 7z I- — pQ 2 V B V4 I =aae 2 So(� ► H �/L NO-O/OONM :311 J OIOZ 'N`df 03SVA38 o \ z r :an0d-1SOd :31V4 otoz k8VnNVr 3L`da OSL4S m 'NDON N301Vw of AMH sn 9tc£M idnNdw OIld3S w O n38 313801!00 ��S��m W anod-3ad .o-,t=„v t 3nVOS 3ws �a NMVaa MINI-009/00ZId-M N \ w ? w Z 0 O U Q O U O J C J_F CC W W O W U 3 Ua U) cn O Q O U WW U) W W O O z 0_ LL 5 W Q Z CK Z w 0 O c m o Om pr,km ZZ w oW C O Q \ 0 o9 f a = N Z Q � F � W¢°oC Z D.. Y m w H a m v Q m > W a ° Q N� cW Oa O W O Y 0 CAD ° !O* Q oQ- `. x � n U� Wa O � 00 I �O QW(n M N W Q n o ° O� F- m W M N co Z - dONJr>J F- Q ,n Q w0 z ZNx wQW v W 10 0 n' ''� �o� .. m?�r o¢YOOZw a w CAD i * mFaW] X° iOD e— Z_j0 Emm �O�= aOY °UjE Q ° (%IJ p a X N 0- Sao oQww °LLJ a,toad° ° z a < cnO M2 00 3 Z Z3m c)�xJ $m�3 p Q Vz in Ia— a w Z Z = of 2 � o~ U U) I a '- w p a z U Z � w a > x a- d' a- 0 Z o 2 ! svo „t, „9£ do W I � N cli LLJ I � 1 � W U �r S S Q d � ` W \ o ° 9£ V Q W I w N 1 U- .9 Q I w I— W N Sd`J «� Q U O „o� do '8 W CC C) U H D J Z Q Z � W (1038 a „96 Sd „£S Y z Q = Qe 3 POLYAkox—lnc. Innovations in Precast,Drainage Zabel® PL-525 Effluent Filter &Wastewater Products A Division of Polylok Inc. PL-525 Filter The PL-525 Filter is rated for 10,000 GPD(gallons per day)making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots.Like the Polylok PL-122,the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning,the ball will float up and temporarily shut off the system so the effluent won't leave the tank. Features: 1/16" Filtration Slots Alarm Switch • Rated for 10,000 GPD(gallons per day). 10, GPD (optional) • 525 linear feet of 1/16' filtration. Accepts 1"PVC • Accepts 4" and 6"SCHD 40 pipe. Extension Handle • Built in gas deflector. • Automatic shut-off ball when filter is removed. Rated for • Alarm accessibility. 10,000 GPD • Accepts PVC extension handle. PL-525 Installation: Ideal for residential and commercial waste flows up to of 1 Linear Ft. of 1/16" 10,000 gallons per day(GPD). Filtration slots 1.Locate the outlet of the septic tank. w 2.Remove the tank cover and pump tank if necessary. Accepts 4"&6" 3.Glue the filter housing to the 4"or 6" outlet pipe.If SCHD 40 pipe the filter is not centered under the access opening use a Polylok Extend&Lok or piece of pipe to center filter. , 4.Insert the PL-525 filter into its housing. " — Certified to 5.Replace and secure the septic tank cover. NSF/ANSI Standard 46 PL-525 Maintenance: The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring x x> cleaning. It is recommended that the filter be cleaned Ve�-4v� every time the tank is pumped,or at least every three years.If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter Gas Deflector needs servicing.Servicing should be done by a certified septic tank pumper or installer. Automatic Shut Off Ball 1.Locate the outlet of the septic tank. 2.Remove tank cover and pump tank if necessary. 3.Do not use plumbing when filter is removed. 4.Pull PLr525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6.Insert the filter cartridge back into the housing making Outdoor 6rnartFilterC++.�-Alarm Extend&Lok''"' sure the filter is properly aligned and completely nserd. Polylok,Zabel&Best filters accept Easily installs 7.Replace and secure septic tank cover. the SmartFilter®switch and alarm. into existing tanks. Polylok,Inc. 3 Fairfield Blvd. Wallingford,CT 06492 Toll Free:877.765.9565 Fax:203.284.8514 www.polylok.com >aae 4 SEPTIC TANK DETAIL/TWO COMPARTMENT WITH PUMP Owner's Name: Mark& Lisa Hiltgen Outlet Elevation 87.8 ft 88 ft Inlet Elevation Finished Manholes w/locking devices and warning label Grade �c <.--23"Min--> ■■■. ■■■■■■■■ ■■■■■I an ■■■■• ■■■■■r■ ■■■ ■■■■■■ .s A " ( ------ Manhole or Inspection ` ------------- Opening v _ Baffle Effluent Filter serve(a) - alarm ---` se ration (b) -a pump on - dos_ lume(c) pump off dead (d) x; 3"Bedding Under Tank INTERNAL DIMENSIONS OF TANK Dimensions Inches Gallons Length in a 18 400.32 Width in b 2 44.48 Liquid Depth 36 in c 5 124.54 d 11 244.64 NOTE: Pump and alarm are to be installed on Total 36 800 separate circuits. Tank Manufacturer Wieser Concrete Pump Manufacturer Zoeller Tank Model 1200/800 LP Pump Model 53 Tank Capacity 800 gal Alarm Manufacturer SJE Rhombus Tank Volume 22.24 gal/in Alarm Model Tank Alert AB Filter Manufacturer Polylok Filter Model 525 DOSE VOLUME CALCULATIONS TOTAL DYNAMIC HEAD CALCULATIONS Design Flow(DWF) 600 gal/day Min Network Supply NA ft Number of Doses 5 /day Passive Vertical Lift 10 ft --(Header/D-Box elev.-Pump intake Max.Dose Volume 120 gal elev.) Drain Back 5 gal Friction Loss 0.6 ft (Forcemain Length x Friction Design Dose Volume 125 gal Loss Factor)/100 Total Dynamic Head 10.6 ft Min Discharge Rate 20 gpm Plumber/Designer Signature: Lie#: 223760 Date: October 31, 2014 ,age 5 /p p SECTION:2.20.010 "V4L/TY VMPu^91514--E /99 FMO493 0311 Product information presented ® Supersedes PUMP L"O. °$'° here reflects conditions at time of publication.Consult factory regarding discrepan- cies or inconsistencies. MAIL T0: P.O.BOX 16347•Louisville,KY 40256-0347 visit our web site: SHIP TO: 3649 Cane Run Road•Louisville,KY 40211-1961 www•Zoeller com (502)778-2731.1(800)928-PUMP•FAX(502)774-3624 COMPARE THESE FEATURES • Non-Clogging vortex impeller 53 - 57 Cast Iron Series • Float operated,submersible(NEMA 6)2-pole mechanical 55 - 59 Bronze Series switch&variable level long cycle systems available • UL Listed 3-wire cord plug;9 ft.standard for automatic, 15 ft,standard for nonautomatic (For Pump Prefix Identification see News& Views 0052) • Corrosion resistant powder coated epoxy finish • No sheet metal parts to rust or corrode " MIGHTY-MATE" • Stainless steel screws,switch arm,guard and handle • No screens to clog SUBMERSIBLE PUMP • Watertight neoprene"0"ring between motor and pump FOR UL housing DEWATERING (SUMP) • Solid buoyant polypropylene float Standard ro uiie. • Motor-60 Hz,1550 RPM,oil-filled,hermetically sealed, OR automatic reset thermal overload protected EFFLUENT (SEPTIC TANK SYSTEMS) • Upper and lower sleeve bearings running in bath of oil • Entire unit pressure tested after assembly PASSES'/Z'SOLIDS � ht • Carbon and ceramic shaft seal C us (Tested WUU78 and 1'/z"NPT DISCHARGE • Maximum temperature for effluent or csa22z,oad Standards) dewatedng-130°F (54°C) AUTOMATIC • Passes W inch spherical solids • I NPT Discharge. MODEL • On point-7%," • Off point-3" • Major width-10 3/32" • Height-101116" . _. . SPECIAL MODEL FEATURES: , MODEL 53 MODEL 55t Cast iron switch case,motor& Bronze switch case,motor& pump housing pump housing Engineered thermoplastic base Engineered thermoplastic base VORTEX TYPE Engineered,glass-filled,plastic •Engineered,glass-filled,plastic IMPELLER impeller with metal insert impeller with metal insert •Stainless steel guard&handle •Stainless steel guard&handle •Bearing-lower&upper oil fed •Bearing-lower&upper oil fed cast iron bronze i MODEL 57 MODEL 59 All cast iron construction Al bronze construction •Stainless steel guard&handle •Stainless steel guard&handle •Bearing-lower&upper oil fed •Bearing-lower&upper oil fed cast iron bronze Cast iron impeller Bronze impeller ALL MODELS ARE COMPLETELY SUBMERSIBLE Ilk POWDER BN MODEL HERMETICALLY SEALED COATED TOUGH'" Watertight-dust tight.Permanently oiled bearings. MODELS AVAILABLE VARIABLE LEVEL CONTROL Automatic or Nonautomatic SYSTEMS AVAILABLE "53-57"-.3HP,115Vor230V "55-59"-.3 HP,115V or 230V Note: The sizing of effluent systems normally requires variable level BE53/BE57&BN53/BN57 available packaged float(s)controls and properly sized basins to achieve required with Piggyback Variable Level Float Switch pumping cycles or dosing timers with nonautomatic pumps. ©Copyright 2011 Zoeller Co.All rights reserved. �aae 6 TOTAL DYNAMIC HEAD/FLOW M w PUMP PERFORMANCE CURVE PER MINUTE MODELS 53155157/59 EFFLUENT AND DEWATERING MODEL 53/55/57/59 w 6 zo Feet Meters Gal. Liters 5 1.5 43 163 15 10 3.0 34 129 4 15 4.6 19 72 0 a 10 Shut-off Head: 19.25 ft.(5.9m) Q008897 2 �- 3118 6 316 5 Ihf- 4516 112-1118 NPT 3 718 0 10 20 30 40 50 —® -- -- �- GALLONS LITERS 0 80 160 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Variable level float switches available • Variable level long cycle systems available • Available with special cord lengths of 15',25',35',(50'230V only) 10116 • Alarm systems available • Duplex systems available 3M2 SELECTION GUIDE �- SK656 1.Integral float operated mechanical switch,no external control required. 2.Single piggyback variable level float switch or double piggyback variable level float switch.Refer to FMO477. 3.Mechanical altemator"M-Pak"10-0072 or 10-0075. 4.See FM0712 for correct model of Electrical Alternator. "Easy assembly" 5.Variable level control switch 10-0225 used as a control activator,with (pump&discharge pipe Electrical Alternator(3)or(4)float system. not included.) Sin le Seal Control Selection ngs Model Volts Phase Node Amps Simplex Duplex CSA UL M53155&M57/59 115 1 Auto 9.7 1 — Y Y N53/55&N57159 --1T5— 1 Non 9.7 2 or 4&5 Y Y *BN53 115 1 Auto 9.7 Y Y `BN57 115 1 Auto 9.7 — N Y *BE53/57 230 1 Auto 4.8 * — Y Y OPTIONAL PUMP STAND PIN 10-2421 D53/55&D57/59 1 230 1 1 Auto 1 4.8 1 1 Y Y Reduces potential clogging by debris E53/55&E57/59 1 230 1 1 Non 1 4.8 1 2 1 3 or 4&5 Y I Y Replaces rocks or bricks under the pump *Single piggybwk switch included. Made of durable,noncorrosive ABS a cnunoN • Raises pump 2"off bottom of basin All installation of controls,protection devices and wiring should be done by a qualified + licensed electrician. All electrical and safety codes should be followed including the • Provides the ability to raise intake by adding sections of 1 W most recent National Electrical Code(NEC)and the Occupational Safety and Health or 2"PVC piping Act(OSHA). • Attaches securely to pump For information on additional Zoeller products refer to catalog on Piggyback Variable Level • Accommodates sump,dewatering and effluent applications Float Switches,FM0477;ElectricalAltemator,FM0486;MechanicalAltemator,FM0495;Sump/ NOTE:Make sure float is free from obstruction. Sewage Basins,FM0487;and Single Phase Simplex Pump Control/Alarm Systems,FM0732. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ©Copyright 2011 Zoeller Co.All rights reserved. gage 7 SOIL ABSORPTION SYSTEM DETAIL/ GRAVELLESS LEACHING UNIT Project Name: Mark& Lisa Hiltgen Gravelless Leaching Unit Specifications Manufacturer Model Laying Length EISA Rating Infiltrator EZ1203H-5ft 5.0' 25.0 EZ1203H-10ft 10.0' 50.0 System Sizing Flow Rate F-600E gpd EISA Rating per Foot of EZ Flow f{2 Soil Application Rate 0.5 gpd/ftz 600.0 gpd Design Flow: 0.5 Soil Application Rate: � EISA= 240.0 Feet of EZ Flow trenches F80 feet long each 3 No. of Cells 10 Per Cell 3 ft Cell Width 24 Total No of 1203H 80 ft Cell Length 400 sq ft EISA Per Cell 3 ft Cell Spacing 1200 sq ft Total EISA Typical Cross Section Finished Grade 97 ft Observation Pipe with approved cap or vent Soil Backfill ■ 36 inch °■ -. Geotextile Fabric MO Slotted and Anchored VenVObservation Pipe II ■>3ft� '4 with Cap O ■ 90.53 ft II O 89.73 ft Infiltrative Surface >36 inch 90.13ft / � / ��Tr••■mm■e■m■mr■■■ m®r'9rT'�■m■■m■■m■m m m m m Plumber/Designer Signature: License#: MPRS 223760 Date: October 31,2014 }age 8 Installation Instructions for EZ EZflow Systems in Wisconsin . . . . . .. . . . . . . . . . .. . . . ... . . .. . . . . . . . . . ... .. ... . . . . . .. . ... . ... . . .. . . .. . .. . . . . . . . . .. . . .. . . . .. Wisconsin Department of Commerce, Safety and Buildings 5. The Absorption area(SF) necessary for a given site shall Division, has reviewed the specifications and/or plans for this be sized based on maximum daily sewage flow(GPD)and product and determined it to be in compliance with chapters the Permeability for the site. If certain criteria is met, the Comm 82 through 84, Wisconsin Admin. Code, and Chapters EISA sizing can be used in Wisconsin, resulting in a 40% 145 and 160,Wisconsin Statutes. All sites must meet the Site smaller drainfield. &Soil Conditions &locations &Isolation distances as noted in local regulations. 6. Place EZflow bundle(s) in the EZflow configuration ap- proved by system design permit specified for the particu- The approved products are 1203H (3-12" bundles with pipe in lar site. The top or center-most bundles containing pipe center bundle in 5'or 10' lengths)and 1203HP(3-12"bundles : are joined end to end with an internal pipe coupler. Any with pipe in each bundle in 5'or 10' lengths. additional aggregate only bundles that may be required, should be butted against the other aggregate-only bun- A single pipe bundle contains a four inch perforated pipe sur- dies and do not require any type of connection. rounded by EPS aggregate and is held together with poly- ehtylene netting.A single aggregate bundle contains aggregate 7. The top of each GEO cylinder contains a filter fabric pre- only and is held together with polyethylene netting. manufactured in between the netting and aggregate. The fabric is inserted to prevent soil intrusion. The installer Materials and Equipment Needed shall make sure the the GEO is positioned upward and is • EZflow Bundles in contact with the fabric contained in the adjacent cylin- • EZflow Geotextile Fabric der before backfilling. • EZflow Internal Pipe Couplers • Pipe for Header and Inlet 8. The EZflow Drainfield Systems should be installed in a • Backhoe/Excavator level trench in all directions (both across and along the trench bottom)and should follow the contour of the ground Installation Instructions surface elevation (uniform depth), with all continuous The instructions for installation of EZflow products are given adjoining 10-foot cylindrical bundles placed end to end, below. This product must be installed in accordance with state with central bundle distribution pipe interconnected, rules defined in chapters Comm 82 through 84, Wisconsin Ad- without any dams, stepdowns or other water stops. ministrative Code, and Chapters 145 and 160, Wisconsin Stat- utes, as well as the local health department's current design 9. The trench top shall be graded such that water will not manual. pond. Backfill should be seeded or sodded immediately after completion to reduce erosion. 1. After the local health department has determined sizing, configuration, and layout for the EZflow systems, stake 10. EZflow EPS bundles are flexible and can fit in curved or mark with paint the location of trenches and lines. Be trenches as may be necessary to avoid trees, boulders, or careful to set correct tank, invert pipe, header line or dis- other obstacles. tribution box and trench bottom elevations before instal- lation of pipe bundles. ; 11.EPS aggregate is lighter than water, therefore, it might be expected that natural buoyancy forces would tend to 2. Remove plastic EZflow shipping bags prior to placing cause EZflow assemblies to float out of ground when bundles in the trench(es). Remove any plastic bags in the ponding occurs. Field experience has shown, however, trench before system is covered. that this is not a problem when systems have a minimum of 6"of soil cover as recommended by manufacturer. 3. This product must have geotextile fabric that meets re- quirements of s. Comm 84.30 (6) (g), Wis. Adm. Code, installed directly on top of the product and extending 1203H-GEO down along the sides of the product to a point at least six ; inches from the bottom of product. Geotextile Barrier Material 4. When installed in a trench, the trench should be dug to a width of 36 inches.This not only saves labor in excava- 12" ° tion, but also provides better load-bearing capacity after backfilling is complete. ♦_ 36" .. . . . . . . .. .. . . . .. . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . ... . .. . . . . . . . . .. ?age 9 POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner: Mark&Lisa Hilt en Tank Manufacturer: Wieser Concrete NA Permit# YSeptic !:Dose E Holding Volume: 1200 gal DESIGN PARAMETERS Tank Manufacturer: NA Number of Bedrooms: 4 rIA Tw Septic YDose EHoldin Volume: 800 gal NA Number of Public Facility Units: 0A Vertical Distance Tank Bottom(s)to Service Pad: ft Estimated(average)Flow: 400 al/day Horizontal Distance Tank(s)to Serivice Pad: ft Design(peak)Flow=estimated x 1.5: 600 gal/day Specific servicing mechanics must be provide if vertical is>15 feet or if In Situ Soil Application Rate: 0.5 al/da /ft2 horizontal is>150 feet.Specific instructions to be provided on back. Standard Domestic Influent/Effluent Monthly average Effluent Filter Manufacturer: POLYLOK r NA Fats,Oils&Grease(FOG) s30 mg/L Effluent Filter Model: 525 Biochemical Oxygen Demand(BOD5) s220mg/L r NA Pump Manufacturer: Zoeller NA Total Suspended Solids(TSS) s150mg/L Pump Model: 53 High Strength Influent/Effluent Monthly average Petreatment Unit Fats,Oils&Grease(FOG) 530 mg/L Manufacturer: Biochemical Oxygen Demand(BOD5) 5220mg/L rV NA r Mechanical Aeration r Peat Filter r' NA Total Suspended Solids(TSS) 5150mg/L r Disinfection r Wetland Petreated Effluent Monthly average r Sand/Gravel Filter r other: Biochemical Oxygen Demand(BODs) s30mg/L Soil Absorption System Total Suspended Solids(TSS) 530mg/L P NA W In-Ground(gravity) In-Ground(pressure) r NA Fecal Coliform(geometric mean) 5104cfu/100m1 r At-Grade l Mound Maximum Effluent Particle Size: %in dia. rNA 1° Drip-Line Other: Other. N Other: r NA MAINTENANCE SCHEDULE Service Event Service Frequency When combined with sludge and scum equals one-third('/3)of tank volume Pump out contents of tank(s) When the high water alarm is activated months) Inspect condition of tank(s) At least once every: 3 I'% years) (Maximum 3 ears) NA months) Inspect dispersal cell(s) At least once every: 1.5 / year(s) (Maximum 3 ears) r NA month(s) Clean effluent filter At least once every: 3 f"✓ year(s) r NA month(s) Inspect um pump controls&alarm At least once every: 1.5 )y years) r NA mon s Flush laterals and pressure test At least once every: years) NA month(s) Other: At least once every: ( year(s) r NA Other: 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 Insepector;POWTS Maintainer;Septage Servicing Operator(pumper).Tank inspections must include a visual inspeciton 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 a check for any back up or ponding of effluent on ground surface.The dispersal cell(s)shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface.The ponding of effluent on the ground surface may indicated a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumualtion of sludge and scum in any treatment tank equals one-third(1/3)or more of the tank volume,the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,Wisconsin Admininistrative Code. All other services,including but not limited to the servicing of effluent filters,mechanical or pressurized components,petreatment units, and any servicing at intervals of s12 months,shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. (Rev.2/05) �Iaae 10 Page of START UP AND OPERATION For new construction,prior to use of the POWTS check treatment tank(s)for the presence of painting products,solvents or other chemicals or sediment that may impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s)removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels.When power is restored the excess wastewater will be discharged to the dispersal cell(s)in one large dose and may overload them resulting 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 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;cotton swabs;degreasers;dental floss;diapers;disinfectants;fat;foundation drain (sump pump)discharge;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,pits and other soil absorption systems 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 If the POWTS fails and cannot be repaired the following measures have been,or must be taken,to provide the opportunity to obtain a sanitary permit for 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 the time of their permit issuance. ❑ A suitable replacement area is not available due to setback and/or soil limitations.If the soil absorption system cannot be rehabilitated and barring advances in POWTS technology,a holding tank may be installed as a last resort. ❑ 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: TREATMENT TANKS AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES AND LACK SUFFICIENT OXYGEN TO SUPPORT LIFE.NEVER ENTER A TREATMENT TANK OR HOLDING TANK UNDER ANY CIRCUMSTANCE.DEATH MAY RESULT.ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK IS VERY DIFFICULT. ADDITIONAL INFORMATION: POWTS INSTALLER POWTS MAINTAINER Name:John Schmitt Name:John Schmitt Phone:715-760-0486 Phone:715-760-0486 SEPTAGE SERVICING OPERATOR(PUMPER) LOCAL REGULATORY AUTHORITY Name:Owners Choice Name:St.Croix County Zoning Phone: Phone:715-386-4680 This document is intended to meet minimum requirements of Ch.Comm 83.22(2)(b)(1)(d)&(f)and 83.54(1),(2)&(3),Wisconsin Administrative Code. Use of this document does not guarantee the performance of the POWTS. �aQItv1105) ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mark & Lisa Hiltgen Mailing Address 10200 City Walk Drive # 238, Woodbury MN, 55129 Property Address 313 Plainview Dr. A, (Verification required from Planning&Zo en for new construction.) City/State River Falls, WI Parcel Identification Number 04'1113-90-000 LEGAL DESCRIPTION Property Location NW r/4, Nw r/4, Sec. 30 ,T 28 N R 19 W, Town of Troy Subdivision Plat: Lot# 1 Certified Survey Map # S(. oo b / Volume /121 ,Page# _. 101-24 2bit f Warranty Deed# I 00 .3& o � (before 2007)Volume ,Page# Spec house OyesClno Lot lines identifiable Byes❑no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner,if needed,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibilities are specified in§SPS. 383.52(1)and in Chapter 12-St. Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zoning Department a certification form,signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying that(1)the on-site wastewater disposal system is in proper operating condition and/or(2)after inspection and pumping(if necessary),the septic tank is less than 1/3 full of sludge. Uwe,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein,as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St.Croix County Planning&Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe ant/are the owner(s)of the property described above,by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 4 4;w// 10 SIGNATURE OF LICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning&Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.04/12) Wage 12 8265776 Tx:4217349 STATE BAR OF WISCONSIN FORM I -2000 1003603 WARRANTY DEED BETH PABST Document Number REGISTER OF DEEDS ST. CROIX WI THIS DEED, made between Lyle McGee and Jonel McGee, husband 1ST. CR IX CO.,O., PM and wife,Grantor, and Mark Hiltgen and Lisa Hiltgen, husband and wife as EXEMPT#• NA survivorship marital property,Grantee. REC FEE: 30.00 TRANS FEE: 240.00 Grantor, for a valuable consideration, conveys to Grantee the following PAGES: 2 described real estate in St. Croix County, State of Wisconsin (the "Property"): SEE ATTACHED EXHIBIT A Edina Realty`hitle 400 South Second Street#1 30 1-Iudson, W1 54016 Together with all appurtenant rights,title and interests. 040-1113-90-000 Parcel Identification Number(PIN) This is not homestead property. Grantor warrants that the title to the Property is good,indefeasible in fee simple and free and clear of encumbrances except Dated this 27th day of October,2014. d' OA� V4LAQ,._,Vj Va't'aL,-7 T-r *Laurie Larsen Attorney In Fact for Lyle McGee * Laurie Larsen Attorney In Fact for Jonel McGee AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ST CROIX COUNTY. )ss. authenticated this 27th day of October,2014 Personally came before me this 27th day of October, 2014 ......the-.above named Laurie Larsen to me known to be the who e the foregoing instrument and * ��HY Wledged t sam TITLE:MEMBER STATE BAR OF WISCONSIN :NO (If not, �~ authorized by§ 706.06,Wis.Slats.) 4 P. *Na 'C chmitt THIS INSTRUMENT WAS DRAFTED BY ♦.' Public,Sta of Wisconsin My cormnission is p not,state expiration date: 7/1/17 ) Michael H Forecki,Attorney (Signatures maybe authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity must be typed or printed below their signature WARRANTY DEED STATE BAR OF WISCONSIN FORM No.1-2000 St.Croix County 1003603 Page 1 of 2 EXHIBIT A Lot 1 of Certified Survey Map filed May 28, 1997,in Volume 12,page 3264 as Document No.560007. Subject to Plainview Drive right of way. I St. Croix County 1003603 Page 2 of 2 do FILED 1r M4)'2 8 1997 ► RATHLUX H. WpM SL Crax Co 560007 CERTIFIED SURVEY MAP BROOKE AND MARY WOLF Part of the Northwest 1/4 of the Northwest 1/4 of Section 30,Township 28 North,Range 19 West,Town of Troy,St.Croix County,Wisconsin. NW COR. SEC.J0.r29N,RI*W, N LINE NW I14 N 11 COR.S!'C,30, r29N,RIS W, /COUNTY 9ERNTSEN NAIL! UNPLA TIED LANDS lCOUN rY S.SURVF YOR'S MON.I '"'b i_ S99.41'07"E 2,106.6Y' r���rfrj�`(�'+R�ESC•t TI Q 693.84 ?/8.�8' KV23Y /001 N 49.3?'SO�W//94.14' . ROAD SErSACK DINE '"' 21 M �I LOr 4 for a Lor;2—0"h y N Q1 W 1111' ^^�' =.678 ACRES q d.698 ACRES 1 V. X/.000 ACRES .A� I/9,CI$ 3. DIl9y 9'99 SOFT.b� QI Q� ' 9/4,77/ SOFT, Aq SO.F9;� 02.102'ACRFS w .�j Q. 20,419 ACRES EXC.ROAOR.O.W. M of al . 2..300;AC. h EX C.ROAO R,D.W.O 99/, 011 SO,FT. b„EXC.;OAO a /O�t,y99:'SO.FT. C � l4j) R.O.W. Owner's Address: Io9,NO so.pr? �+ I r 321 Plainview Dr. Ql p r � v w 1 River Fails,F WI 'S 022 pipe 2/5..04' 4� 41 o g •1” iron N 99.4 O7 W 432.21• j found. ro. b 0111 x 24"'iron ! m ►.I b w,� o pipe weighing c ORIVFWA- OI 1.13 lbs./lin. d. w e ? o ft. set. a /!i/EOS u i " :•[•Fence. wp R (10.001) p o w W a Indicates i DPOOL $ ` previously a c p recorded data. sEVr1c p � 3 (n I : �i b Lor 3 8.99'9 ACRES w—•— F 111 ? a• � +1 2X,,490•SO.Fr. q "• WATER COLE 4 RS 3 ~ 9,94T ACRES EXC,ROAO R.O.W. i POND ELEV. d20,034' SO.F7. ~ W a.� , 1 y ; 3 4 - -�y�«'•`y���. ,�.,5 SETBACK G/NF 100A0 f £93.92' PO 7 4 ELgr,� r .SENCNMARK rOP PIPE ASS 3MED "a 491.OD'• . y• N 99•{9'9T"W II 2" S LINO NW//•4 NW 114 9 b UN'PLA TTED LANDS W�uNtn�, COR COR.S£C.30, T29N, ,`,. \�SC O,Y �, w t r� 5.s v R I9 W /COUM Y.Y SURYEYtl,R'S MON.I v V`+ _ V � ky', c a/ yry r" :; ' ,,1, „. � ,.••gyp •,.. This instrwnent draft�d,by Laurence W Murphy S :•��� tI �'� Sf �b'°v.�,F§ •'r '� r r r 4r r tit r C '�s` d�fCAG Et/ AY001� ,p1t �r�r a 5.0..%Odr/5.o! , €F • '4, O' oo g WS 3F1Y"tC, • F1e. moo' $5.DO a40 , coo ~ `rr r r ♦ Ji' RIVER FALLS,jf' �� -WISO bated March 20; 1997�r�, /j F� %' SJ•:X41 Revi,sed�this 21s.t day of May,' 199 j ' !1,,05.5. �ANp ����� aurence W. Murphy •��iiaa�� Registered Land Surveyor S$EET 1 d)? 2- image 14 d��{�Ty Vol 12 a thel nt of #1767 SOIL EVALUATION REPORT ,k BPS _ , Safety nila� in accordance with Comm 85,Wis.Adm.Code Page 1 of 4 k Pro Ott I tiCe8n1 �N� Schmitt Soil Testing,Inc. �•._ O tR / r Attach complete site pla G ss than 8%x 11 �nche64Weii-c-1� t County St.Croix include,but not limit Ind crizontal reference�'lfoint(BM),direction and Parcel I.D. percent slope,scale ions,north arrow,and location a is est road. 1Oti Please print all information. Reviewed y 0-1113-90-000 D Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). Gam. it - 2-- r Property Owner Property Location Hiltgen,Mark&Lisa Govt.Lot NW1/4, NW1/4,S30,T28N, R19W Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# 313 Plainview Drive 1 I CSM 12/3264 City State Zip Code Phone Number City []village ❑ Town Nearest Road River Falls I WI 1 54022 1 Troy I Plainview Drive New Construction Use: ❑ Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD ❑Replacement ❑ Public or commercial-Describe: Parent material Outwash(Burkhardt Series) Flood plain elevation,if applicable NA ft. General comments Area is suitable for a conventional system with a 0.5 gpd/sgft rate. Possible system elevation for Area 1 is,(step trenches),High and recommendations: 90.53 Mid 90.13,Low 89.73 11 1 _ F-11 Boring# ❑Boring [ ]Pit Ground surface elev. 96.35 ft. Depth to limiting factor 109+ 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 •EffAQ 1 0-13 10yr3/3 none sl 2fsbk mfr Cs 1vf 0.6 1.0 2 13-24 10yr3/4 none sl 2fsbk mfr gw 1vf 0.6 1.0 3 24-42 10yr4/3 none fsl 2fsbk mfr gw 1vf 0.4 0.8 4 42-50 10yr4/4 none sicl 2fsbk mfr Cw ------ 0.4 0.6 5 50-62 7.5yr6/4 none fs Osg ml Cs ------ 0.5 1.0 6 62-78 10yr5/6 none grs Osg ml Cs ------ 0.7 1.6 7 78-109 5yr4/4 none sl Om mfi ---- ------ 0.2 0.6 F2 Boring# �C]Boring (]Pit Ground surface elev. 97.88 ft. Depth to limiting factor 109+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. -Eff#1 -Eff#2 1 0-11 10yr3/3 none sl 2fsbk mfr Cs qvf 0.6 1.0 2 11-19 10yr3/22 none sl 2fsbk mfr gw 1vf 0.6 1.0 3 19-30 10yr4/3 none sl 2msbk mfr gw ivf 0.6 1.0 4 30-39 7.5yr4/4 none fsl 2msbk mfr Cw ------ 0.4 0.8 5 39-50 10yr4/4 mid 10yr6/6 sil 2fsbk mfr Cs ------ 0.6 0.8 10yr6/z 6 50-61 10yr5/6 none grfs Osg ml Cs ------ 0.5 1.0 7 1 61-72 10yr5/6 none fs Osg ml ---- ------ 0.5 1.0 "Effluent#1=BOD 5>30<220 mg/L and TSS>30<150 mg/L "Effluent#2=BOD5 S30 mg/L and TSS S30 mg/L CST Name(Please Print) Signatur Z CST Number Thomas J.Schmitt 227429 Address Schmitt Soil Testing,Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond,W154017 10/28/2014 715-760-1978 SBD-8330(R.07/00) Property Owner Hiitgen,Mark&Lisa Parcel ID# 040-1113-90-000 Page 2 of 4 ❑Boring • 2d Boring# ❑Pit Ground surface elev. ft. Depth to limiting factor 117+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#t *Eff#2 8 72-117 10yr5/4 none grs Osg ml as ------ 0.7 1.6 9 117+ 5yr4/4 none sl Om mfi ---- ------ 0.2 0.6 ❑Boring F3 Boring# ❑Pit Ground surface elev. 100.05 ft. Depth to limiting factor 90+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f't= in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *01#1 *092 1 0-12 10yr3/3 none sl 2fsbk mvfr gw 1vf 0.6 1.0 2 12-22 10yr3/4 none grsl 2msbk mfr gw 2vf 0.6 1.0 3 22-33 7.5yr5/6 none grfs Osg MI as ------ 0.5 1.0 4 33-68 10yr6/4 none grcos Osg ml as ------ 0.7 1.6 5 68-90 5yr4/4 none sl Om mfi ---- ------ 0.2 0.6 F ❑Boring 4 Boring# pit Ground surface elev. 97.60 ft. Depth to limiting factor 72+ in. ❑ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-16 10yr3/3 none sl 2msbk mfr gw 1vf 0.6 1.0 2 16-26 10yr4/4 none sl 2msbk mfr gw lvf 0.6 1.0 3 26-38 7.5yr5/6 none fsl 2msbk mfr gw lvf 0.4 0.8 4 38-65 10yr6/4 none cos Osg ml as ------ 0.7 1.6 5 65-72 5yr4/4 none sl Om mfi ---- ------ 0.2 0.6 *Effluent#1 =BOO S>30<220 mg/L and TSS>30 a.150 mg/L *Effluent#2=BODS<30 mg/L and TSS a 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(R07/00) SchmNt SoN Tesft,Inc. Property Owner Hiltgen,Mark&Lisa Parcel ID# 040-1113-90-000 Page 3 of 4 Boring a Boring# Pit Ground surface elev. 95.95 ft. Depth to limiting factor 110+ 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 0-11 10yr3/3 none sl 2fsbk mfr gw 2vf 0.6 1.0 2 11-36 10yr4/4 none sicl 2fsbk mfr a ivf 0.4 0.6 3 36-47 10yr4/6 none grfs OSg ml cs ------ 0.5 1.0 4 47-73 10yr6/4 none fs Osg ml cs ------ 0.5 1.0 5 10yr5/4 none cos Osg ml as ------ 0.7,i" 1.6 6 100-110 5yr4/4 none sl Om mfi ---- ------ 2 0.6 F Boring 6 Boring# Pit Ground surface elev. 95.95 ft. Depth to limiting factor 104+ 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 0-19 10yr3/3 none sl 2fsbk mfr cs 2vf 0.6 1.0 2 19-28 10yr4/3 none sl 2fsbk mfr gw 2vf 0.6 1.0 3 28-38 10yr5/6 none Ifs Osg mfr gw ivf 0.5 1.0 4 38-44 10yr4/4 none sicl 2msbk mfr as ------ 0.4 0.6 5 44-49 7.5yr6/4 none fs Osg ml as ------ 0. 1.0 6 49-104 10yr5/4 none grcos Osg ml as ------ 0.7 1.6 7 104+ 5yr4/4 none sl Om mfi ---- ------ 0.2 0.6 7] Boring# Boring []Pit Ground surface elev. 94.90 ft. Depth to limiting factor 102+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-13 10yr3/3 none sl 2fsbk mfr cs 2vf 0.6 1.0 2 13-25 10yr4/4 none Sid 2msbk mfr gw 2vf 0.4 0.6 3 25-39 10yr4/4 none fsl 2fsbk mfr gw ivf 0.4 0.8 4 39-50 10yr4/6 none sl 2msbk mvfr gw ------ 0.6 1.0 5 50-102 10yr6/4 none ° s ' Osg ml ---- ------ 0.7/ 1.6 *Effluent#1=BOD?30<220 mg/L and TSS>30-:L150 mg/L *Effluent#2=BOD5-S 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) Schmitt SDI TesUN,Inc. t t t 4 Pagiei 4 of 4 c A!nductedFm 4 N4r M Schl mitt SoillTesting I Inc! ......... grk&U Jgotgej�,..- 4 chr�itt, OSt2274291 Add Thor re 31311 PllainWev�,Dri'e V City State-", 0;2 Nev LRmo N�40 nd, - --- ---- ;Phone: 1546 19 1 1 CW: CS�l 12/3284 2.$78 AC 777'f--7--L-OA Not /4S30-T28f4-Rl w__i t Ba ho Pit! T nship,you'pty: Troy T4windlip,ist�roii Coonty�' ovv, 4 186-0c VET.'--W.O�T�O-d -�VC' f 2" lfiar�,7-.EL opmer plos 93.30T',Too-of-1!!*eei p4ie W- -4--------- iz -so e 40' 7 1 i 4 T 4 4 4- 4- Tt------ -"T Al--- ---------- 4-- p, -J- -- --------- _4--------- 11-1------- Now" _4---------- -j ........... f T 4- -1 -4 4—- —----- f .... ...... j Ty ---------- J V -T- ------ ti P1 7� ai� 7 1 N LT F%j 4- t T�4 Parcel #: 040-1113-90-000 10/01/2014 04:07 PM PAGE 1 OF 1 Alt. Parcel#: 30.28.19.469A 040-TOWN OF TROY Current 1XI ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-MCGEE, LYLE LYLE MCGEE 321 PLAINVIEW DR RIVER FALLS WI 54022 Pr Afffless(es): "=Primary Districts: SC=School SP=Special "313 PLAINVIEW DR Type Dist# Description SC 4893 SCH DIST RIVER FALLS SP 0100 CHIP VALLEY VOTECH Notes: Legal Description: Acres: 2.678 SEC 30 T28N R19W PT NW NW BEING LOT 1 CSM 12/3264 2.678 AC Parcel History: Date Doc# Vol/Page Type 03/30/1998 575966 1309/559 WD 07/23/1997 787/496 07/23/1997 783/498 Plat: '=Primary Tract: (S-T-R 40'%160''/.GL) Block/Condo Bldg: "N/A-NOT AVAILABLE 30-28N-19W 2014 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/09/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.678 81,800 0 81,800 NO Totals for 2014: General Property 2.678 81,800 0 81,800 Woodland 0.000 0 0 Totals for 2013: General Property 2.678 81,800 0 81,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I ♦ I � I I I I I I I i 11 I I I I I II I I I ®® I ® � I VVV I I I ® I ® I I I I ❑� I I I I I I I EE .O I m c ® I y I I z ❑ � ❑ i I I by ' 1 A .m I D ® ® I I IJ---IJ y y Z I 2 v I I I C13 I I I 1 o I ❑ I I I I I I Spk6{ I pp i ASS 3 gg 3 s6a¢I LE= Eg €l .�'� € i9 J MIDBY DESIGN B BUILD Pli ,11HI� _� z, $�,R HILTGEN -2014 RAMBLER HOME 0 } q $ 4b d F 6�jg@ p�isRgd � I 69� a+ t5&°l4 l9� HUDSON.WISCONSIN '; @ 5�� �t���§� 1 I I I I I A I I I I I I I I I I I I I I I � I � I 1 I I I §: 4 I I I e L I I ' II � I i I - j I i >,a a -, gill I : >r ,as n _ `- X o• • T I III a I � _ ' F•. it ill 1 X iII X 1 4 i 4 1 II II 1 II 1 iII III :': lillll Y I 4 iCt l'ICOJII z ay --------- ------------ p I �8 - Y �A z •; - I u I I h -- I y 4 I 1 I ' llid g I I I €�agr I �; g ff p 1 yj�g (E5s+�3� J.P.MIDBY DESIGN&BUILD HILTGEN -2014 RAMBLER HOME WISCONSIN 1 I I I I 1 I I I I I � I 1 ---- ------ 1 I 1 n t I I I S $ � a a I 5 I $ I I I `a 1 I a I I I ra I Ira ------------- I I aF I ' I A� I � I iI a I ra .................ua'-. inv k i 9 I i pQ!, I I § 4Y I Du _ q Eli I I I o I I I i 1 I a 1 I 1 I I i4 4 I I I I � i 1 S 'al, t{'S 42 6 4 � I i z �T v I 4 � 1 4 F Ii i I I 4 1 1 I I 4 I 1 s --------------------------- I 1 � I i I I I 22 I A I p gg i (i p�9i1 E I !Fki I � 4 I ¢�iel € J N I a.g Eg$ J.P.MiDBV DESIGN&BUILD Ls�y 5 0 ��®'� � p HILTGEN -2014 RAMBLER HOME 1 x _ �•€ HUDSON.WISCONSIN 1 FILED RU M4)' 2 8 1997 ► LZM H.WAL JUN - 5 1997 C� p�0is Of Deeds St,Crobc Co.,yyl � ST.CROIX COUNTY 560007 ti SURVEYOR'S RECORD V CERTIFIED SURVEY MAP BROOKE AND MARY WOLF Part of the Northwest 1/4 of the Northwest 1/4 of Section 3.0, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin. NW CDR. SEC. 30, T28N, R 19W, N L/NE NW 114 N114 cOR. SEC.30, T28N, R/9 W, /COUNTY 8£RNTSEN NAILI UNPLA TIED LANDS /COUNTY SURVEYOR'SMON.I "�b A � R VR/EA'ST589.45'07"E ?506.62' PL /N V � I b 693.82 ' 66-OfA /3/2.37 �-693.84' 216.38' 217.91 6 M /00 N 89'32'50"W //94./4' � O i M ROAD SETBACK LINE N a LOT 4 LOT / LOT 2 N Q — 2.B78ACRES Q I P ` , 2.68 6 ACRES 41 b N `3 � � /. 000 ACRES //6,675 Q/ 69'8 6 SO.F Qb 3 O 9/4, 77/ SOFT. h N . I I pj 2.502'ACRES ` v ` M q 00; AC. N h EXC. ROAD O.W-. O 20.411 ACRES EXC.gOAOq.D. O M2,.'f QI 89/, O/5 $0. FT. \ „ „ EXC. TOAD .N /08,999,' FT. 00 L R.O.W. O h �j O Oowner's Add `es s: /08,913 S0.FT. _ v o 321 Plainview Dr. �?,� �� �D �,N�� � River Falls, WI S 022 i 2/6.37' 2/5.84' • 3 •1” iron pipe v N B9.—P'07 4 "2 432.2/' p 3 b found. � � a C^I h h i o 01" x 24" iron m m �' N pipe weighing 3 C DRIVEWAY �' ° 1 .13 lbs./lin. e \ HEOSG � .il M ? ° ft. set. N �° M o,-"Fence. � \O WELL � N a h R (10.00') o ° W o e 3 Indicates ? DPOOL o ———— i previously N recorded data. O SEPTIC O � (n m oI LOT .3 Z h — - - Q o 9.699 ACRES ` v ? ti WATER COURSE 422,.485.' S0.FT. Z Q o Q 9,643 ACRES EX C. ROAD R.O.W. LU �I M\ m SO.FT. \ � POND ELEV. 420,034 3 y � _ 3 2 W IT h �/ J Z W -� / �v\S£TBACK LINE ? �Op.00 jI 3 (4' PON700£LE✓ `�i X59„ BENCHMARK TOP PIPE ASSUMED IIL 3 �/O' _ 693.82' k 49?.00' 4" 9, N 89.45'57"W // 2' S L/NE NW 114 NW 114 6" n UN PL A_T TED LANDS __ W 114 COR. cOR. SEC. 30, T 28N, �� �� R 19W, /COUNTY SURVEYOR'S MON.I `• , �••' ••••• •. I0 This instrument drafted by Laurence W. Murphy LAUR C . It scat£ / "= 200' = W PHY OC o J2 ?O' /00' /50'200' 300' 400' 300' 600' S 13 IF �. Z RIVER FALLS ` WISC. Dated: March 20, 1997 'en.•LAND � "Revised this 21st day of May, 1997." Laurence W. Murphy Registered Land Surveyor SHEET 1 OF 2 .` Vol. 12 Page 3264