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Home My WebLink About020-1430-00-000Wiscgnsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION ~ (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Sienna Cor Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK INF RMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~t5~ zS~ Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Z01+ ~~ \ 1 / ~- Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift fiction ss System Head TDH Ft Forcemain Length Dia. SOIL ABSORPTION SYSTEM( ~~ lU(d-r.N~r+~ county: St. Croix Sanitary Permit No: 430327 0 State Plan ID No: Parcel Tax No: 020-1430-00-000 Section/Town/Range/Map No: 20.29.19.2678 STATION BS HI FS ELEV. BenchvQar ~~-- ~ • ~ p2.~ 9~ 3 ~ t - Alt. BM Bldg. S er SUHtI t ~ ~ ~S ~ gb.2o SUHt Outlet °-~ ~ ~ T ~S• ~'3 r Dt Inlet Dt Bottom Header/Man. Dist. Pipe gyp. 10 92~~ Bot. System 1 , (fl l . t? ! ~~ Final Grade ~ S. ~ R~-3S' St Cover 3 ~~ -~ r BED/TRENCH Width ~ Lengt No Of Trenc e PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ? G'7.~r 7 O t L SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufa t r: n 0! i Type Of System: r ~ ~~ C~ ` UNIT Model Number: ~ 2 ~~ ~ J, t C DISTRIBUTION TEM HeaderlMani Distribution x Hole Size x Hole Spacing Vent to Air Intake [~ ~ Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx SeededlSodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil i Yes I No Yes No M T Inclu od c encies, persons present, etc.) Inspection #1:~~Ll~L[f ~ ~ ~ Inspection #2: ----~--~J-"' ~~\ ~a_tjpp~ 44$ Wren L~ftn~~~i ~5d0~g (5,1/4 NW 1/4 ~T29fN~ 19W) T e Glen_l.~t 84 A /- ~ Parcel No: 20.29.1~.i678 1.) Ai'C8M Description = Mb"` WVct ~ S•~ ~ ~ /_ ( ~"'" _ ~ ~[~n''~q~ t"' 2.) Bldg sewer length = t ~ O~ S~t~ ~ ~~,~ .b~ (~' ~jd-~'L - amount of cover = ( ~ ~~ Z c~ ~ . ~~~ Z.;,,~ Plan revision Required? ;rf Yes ~ No ~ ~ ~ "' ~ i Use other si for additi nal information - II ___ ; _! SBD-6710 (R.3/97)u S. tV~ S~ `~-~ LD to Insepctor's Signature Cert. No. w.a~ t do P~ Gs T lp,QuM,,l,,e,- P,Q,t~P,Qv~s. ~~ ~(~ N ~~ , ~~ ~--- i ~~ 1 ~~ ~~~~_ \ ~~ ~--~ ~ ~ , ~~ k p~ ~ ~ C` Jr O N O ~ O N N O -, fD a Cn Z D a D W 0 Z 0 c ~ 3 ~ d d O ~T N C (D 3 m 7 (%1 y ~ d N ~' ~- O ~ ~,~- ~ 3 z °~ o .~ V1 y. y fOD (Q -~. a° ~ 3 aN ~ =' m ~ ~~ ~~ ~ °- -~ s ~, a O N b9 O ~ o :- ~v~o C rdi 7 O ~ `"~ ~ A :" O ~A (n O (D W ~ N ~ v O N ~ d ~ ~ ,~ a a on o ~ ,~ N O. 0 0 o ~ w OOOS~" rn ~ o v ~~ d •• ~ M ~~~ Iy ~ '' O 7 SS n J ~ ~ , C ~. N CD a cn O C 7 a W ~ a 3 O "~ N Z fD A F G a 3 ~ n d _7' fnD- '30 ~ n ^.. ~ ~ ~ ~ ~ ~ = N O C O N a m c ~ N A -i ~ O ~ O jV "! O O O (A O O ~ ~ O ~ o~ b 0 :.. a c~ ~ N A Z n `A ~ ~ m N O Z A ~ ~1 ~f O ~• O 0 ter • i ~~ a w ti 0 A A d0 V ~ N ~ V v, a Pam Quinn Subject: Schumaker, The Glen Lot 84, 430327 Location: Hudson Start: Wed 1/14/2004 4:00 PM End: Wed 1/14/2004 5:00 PM Recurrence: (none) 020-1430-00-000 20.29.19.2678 J t'~a Jessie e ~ ~ Subject: ~~ Location: i' ':°; Start: `~~/ I End: Recurrence: 020-1430-00-000 20.29.19.2678 Schumaker, The Glen Lot 84, 430327 Hudson Wed 1/14/2004 3:30 PM Wed 1/14/2004 4:30 PM (none) U ~ ~,~ ~~~ G~~ ~~c.2o fh. l/Y~ ~f3o3, i ~~e / ~ ~~ pn~~- i D C~ ~~ ~~ ~A-e--e.~ --lQ r r '`~~'`M'~-!' ~ ~"`s ~ i Safety and Buildings Division ~ 20i W. Washington Ave., P.O. Box 7162 ,s~O~$~n iCiadison, WI 53707 - 7162 Department of Commerce I (608) 266-3151 Sanitary Permit Application In accord with Comm 83.21, Wis. Adm. Cade, personal information you provide may be used for accotldary purposes privacy Law, s13.04(1){m) I. Application Information -Please Print Aq Informatio ~ ~» ` .~ i ~ '- ~ ~ Property Owner's Na me i -si rG .dCc.- ~Q 1'- s County Sanitary Permit Number (to be filled State Plan I.D. Numlxr .~ Project Address (if different than mailing address) ~ ~3 w~ ~~ Parcel p Lot X Black N Property Owner's M ailing Address I _--_'~ roperry Location ~ F City, State Zip Code Phone Number ~-~--• '~`' ~ '~,Secdon .7d . '~/~ sl/ v S~ q~.2 -~' ..~ = rJ ~ (circle o II. Type of Building {check al! that apply) T ~_ N. R~E ot~ S or 2 Fatah Dwell' Subdivision Name CSM Number ~1. y tug -Number of Bedrooms ^ PubliclCommercial -Describe Use ~ P ~~e~ ^ State Owned -Describe Use ~ ^City_^Village ^Township of ~.LS'o.r/ III. Type of Permit: {Check only one box on line A. Complete line B if applicable) p p - ! ~ f 3p .- pp - t}pp ~ ~ A' New System ~ ~ ^ Replacement System ^ TreatmendHoldinE Tank Replacement Oniy ^ Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision..,' Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration ~ Plumber Owner _ - - o ystem: heck all that a t) ` Non -Pressurized In-Ground ^ Mound > 24 in. of sui a soil ^ Mound < 24 in, of suitable soil ^`At•Gradc ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetle Media Fllter ^ Leachin Chamber ^ Dri Line ^ Gravel-less Pipe ^ Other (explain) V. D' rsaUTreatrnent Area Information: Design Flow ($Pd Desiga Soil Application Rate(gpclsfy Dispersal AYea Required (sf) Dispersal Area yssem Elevation s ~,~'~ moo. 8 ~,~,,~' VI, Tank info Capacity in Total Number Manufacturer its Steel Fiber (Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing or ~e .~ VYii.'ResponslbWt Statement- I, the undersigned, assume respon9ibWty for lion of the POWTS shown on the attached plarts. Plumber's Na me (Friar) Plumber's Si gnature ! PR5 Number Business Phone Number Plumber's Addre ss (Street, City, State, Zip Code) !J'~D ~ c d~ ~ • c~ 'e~.t% D~ VIII. County/Department Use On1v Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued su' g Agent Signantr No Stamps) ^ Owner Given Reason for Denial Surcharge Pee} ~ ~ ~ ~ ~ ~' ~T -••• ~~++•••••~+++ w' nr}iavr~WS~cbeiUr4S tOr illSapprOYa! ( + - SYSTEM OWNER: 3>4,~,~.B~~k$ `OGt~ ~- 1 Septic tank, effluent Tilt®r and ~ ~'~' dispersal cell must all be serviced ~ maintained c~~ as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. Attach complete platy (to the County only} far the system on paper not less thaa 8112 x 11 Inches is size 5BD-6398 (R. Ol/03) S ~ ~- ~ q2- 3s l"=YD ~ /~ CG~~{- ~_ ~~~ ~~ 99.`.:3-S ~~y / ~ ~- ~' ~ YD ~ ~~GCf~~ ,~h~/~~G ~~~~ ~ ~~ _--- ~ 5~ T~ c ~,~Ti- 2--~ day ~ ~°d ~~~~Q~ ~Y~~c~ S/ S .~~ ~. ~ R2.3s ~3 ;= p~,l ~~~~ 1~v~~.~ 7~~~ ~ll~l~.~ SOIL EVALUATION REPORT Wisconsin Department of Commerce Division of Safety and Buildings in accordance with Comm 85, Wis. Adm~ Code County Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must include, but not limed to: vertical and horizontal reference point (BM}, direction and Parcel I.D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Please printall information. _ ._,-4 R By Personal information ywprovide may be used for secondary purpos~e~,(Pm~T~s.15. 1) (m))_ x.. Property Owner ~. ~,.~ ~~°~ ` Pr ,rty Location o s.^~ 1112 Page. 1 of 3 Steel Soo Service St_ Croix pending D~~~~ Sienna Corporation Govt. t SE 114 NW 1/4 S 20 T 29 N R 19 W Property Owner's Mailing Address _, ~Y t~ "~~ Fij ~ ~~ of # Block # Subd. Name or CSM# 4940 Viking Dr, Suite 608 •~~-° 84 na The Glen City State Zip Cod Phone~I~ur~vbev. '~ ' ~ Village~"~ Town Nearest Road E~r~nu MN 55435 95.2-~!"°~`" ~~ Hudson Carmichael Rd. M ' New Construction Use: ~n Residential /Number of bedrooms 4 Code deri+red design flaiu rate 600 GPD _ Replacement ; Public or commercial -Describe: Parent material Pitted outwash Flood plain elevation, if applicable na General comments and recommendations: System elevation 92.35ft, trenches spaced and depth to code 5.OOft below grade B~g;~ ..,; Boring ° 96 V , Pit Ground Surtace elev. 97.35 ft. in. Depth to limiting factor Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz 'Eff#1 "Eff#2 1 0-12 10yr3/3 none sil 2msbk mfr gw 1 f .5 .8 2 12-20 10yr4/4 none sicl 2msbk mfr cs 1 of .4 .6 3 20-26 7.5yr4/4 none is osg mvfr cs na .7 1.2 4 26-96 ~~ 7.5yr4/6 none ms osg ml na na .7 1.2 ~_ u~' R Z ' ~ s- ~/q` Q B~~ # Boring ~ Pit Ground Surface elev. 97.35 ft. th to limiti factor Dep ng in- Sod A pplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ttz "Eff#1 "Eff#2 1 0-12 10yr3/3 none sil 2msbk mfr gw 2f .5 .8 2 13-38 10yr4/4 none sicl 2msbk mfr gw 1f .4 .6 3 38-47 7.5yr4/4 none scl 2msbk mfr cs na .4 .6 4 47-96 ~~ 7.5yr4/6 none ms asg ml na na .7 1.2 G°~Rb " tnruenr ~~ = tsvU 5> 3u < ZZU mg1L antl 155 >3U < 150 mg/L • Effluent #2 = BOD < 30 mglL and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel ~ 248956 Address Steet Sal Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 9/10/2002 715-246-5085 Property Owner Sienna Corporation Parcel ID # Pending Boring # Boring 94 65 D th t ft limitin fa t 96 Pit Ground Surtace elev. . ep o . g c or in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rool 1 0-17 10yr3/3 none sit 2msbk mfr gw 2f 2 17-28 10yr4/4 none sicl 2msbk mfr cs 1f 3 28-37 7.5yr4/4 none Is osg mvfr cs na 4 37-96 7.5yr4/6 none ms osg ml na na Boring # 'Boring Page 2 of 3 Soil Application Rate GPD/ft2 *Eff#1 *Eff#2 .5 .8 .4 .6 .7 1 2 .7 1.2 * Effluent #1 = BOD 5 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 PaoP ~ of ~ Boring # 'Boring ' SEPTIC i ~: r^ ~rCT;ON htdD ap?'CIFiCAT s 'ill M P G HAl'" .K „k ~ S S ~ ., ~~___,_,_.,._._.._.-.-= 4,~ CI VENT FOR ~ 1WINDOW • ORBOVE GRADE ~ > ~, FROM D FRESH AIR I13TAKE FzNISHED GRADE ~,~ CT RISER ie °° IN , 6„ MAx • ._.. INLET WATER TIGHT SEALS ~PPROV~D +2PE 3, 1NT4 SnLIO iOlt PUMP OF'F ELEV • ,_,__,,,~'T • ViEATNERRROQF SUNCTION SOX WITH CONDUIT `' ~ ~~ , . -, ~ ~4 GAS- ~ ~ `~ TIGHT ~ , A SEAL ~ ~ ~~ S E ' "i"` ~ C ~ ,~ D APFROVED MANHOLE COVER W / PADLOCK 5 WARNING LABEL _ --4" MIN. ~~ ON OFF JOINTS WITH ApPR4~f ~D P iAS 3' ONTO so~.ta sort. ** RISER EXrT PERMITTED ONLY T F TANK MANUFACTURER HAS APPROVAL 3++ AppRpVED BEDDING UNDER TANK SPECSFICATIONS SEPTIC / DOSE TANK MANUFACTURER: ~~' ~ .~._.......~.~.- TANK SIZES: ~q~EIC~ GAL. ALARM MANUFACTUR£'R: _~~~ """'"" MODEL NUMBER : ~= y--~---'..-- SWITCH TYF£ s ~.~r.~~.~~....-•- PU M P MANUFACTURER : „_,~~1~------ """"'~ MODEL NUMBER : _ ~ .Q:~-----. SWITCH TYPE; REQUIRED DISCHARGE RATE ..~. GPM CONCRETE PAD NUMBER DOSES PER DAY: DOSE VOLU:KE INCLUDING F LOWBAC K : 1___ ~ __ GAL CAPACITIES : A = ~•Z xNCHES = _N~~GAL g = ~? INCHES ~ ~~,GAL. C = ~~ INCHES = l•,,,~.~GAL' D : ~ INCHES = _~GAL. PUMP ~ ALARM WSRING A5 PER ILHR 16.23 wA^ j2 FEET VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE --~~ FEET + MINIMUM NETWORK SUPPLY PRESSURE ~ ~ FEET + !S FEES' FORCEMAIN X ; ~•l0 FT/ 1G 0 FT. FRICTION FACTOR EET ~! „~ TATAL DYNAMIC KEAJ ,---- ----- ; WIDTH, _+ TER INTERNAL DIMENSIONS OF PUMP TANK: LIQUID 1SE~~ ~ ~ ~/. ~',~/~~v f „ LICENSE NtJM9ER; SIGNED : ""'~-----• ~n ~~d D AT ~ : ~~~~-.- 1/8~ ,~~ r. ,.:;... ~' lr i1 ~."r `.~ ~~ r ~w w. ,.. Submersible ~~ 3871 ,. ~i~1l01' UI1 . FixR11 ~V~~IIw'~N~er~D D~wi1~+o ~~ ~~ mow..... i a' A~M~ + ~ R~ ~0 • ~~ti ti~,1~~' 1~''P, ..d: f rt ' oonua~ t~ ~~~ ~~~ ~ • q~;ya~ut~e Veto tt f ~, t~~i w 1r1~ ~ ~~ • ~ 11+d' ~IP't'. ,~; • ~, ~~ 1 Oe~IbWRIN 1u'~"'!~. ~t~ a) • OE N~i~tQ ~~ dtmipe ~ ~~o+~, p~p~i ~ . v~ee+e: 0.+1 MPS X18 or I v' 6~ k~ 1~0 Pl`P1d to~n~oid w-~ bq~ t`wllh t .~ I~~M~Y1V '~+ ~pr~ato'~ ~i~,1V8 ~JfW il~t1 t!-rM gtpu~ldirtQ plt~Q ~ei1~~4n EPt~), ~trtr~, t ~~ phNtMMM~MM ~iAtliA~1 -- ~ ~ ~e;'tlanno- p~ i~ !l110rIiA~ ~ R~~~' •~~i~~i~ ~mp~i pe~or~war. ~ ~ ~ ~~~ the~~a dalga prod ~ut~ron ,~ r~~ ~~ ~ d ~~ bii~n0 ~owru ~w~IpliflM ~ ~+`~ um!»rs .. :~~9 ' The Standard Infiltrator° Chamber The Standard Infiltrator Chamber T 1_ 1' Overlap at Latching Mechanism Chamber End View 12' 34' PosiLock"' End Plate 0 ®O~~O Oo o Oo O Oo ~° o Oo O~O~OO~O®O INFILTRATOR SYSTEMS. INC. STANDARD LIMITED WARRANTY INFILTRATOR SYSTEMS, INC., Clnfiltrate') STANDARD LIMITED WARRANTY FOR SEPTIC PRODUCTS (a) The structural irnegriry of each chamber and end plate manufactured by Infiltrator (collectively referred to as 'Units"), when installed and operated b a leachf~eld or an onske septic system b accordance with Infiltrate's instaNatlon instructions, is wananted to [he original purchaser CHokler") against defec- tive materials and workmanship for one (i) year from the date upon which a septic permit is issued for the septic system containing the Unrcs; provided, however, that it a septic permk is not requked for the septc system by applicable law, the one (i) year Wananry period will begin upon the date that installation of the septic system commences. In order to exercise warranty rights, Holder must notify Infiltrate b writing at its corporate headquarters b Old Saybrook, Coniecticut within fd[een (15) days d the alleged defect. Infiltrator will supply replacemern Units far those Units determined by IMltrate ro be deiecfive and covered by [Iris Limited Warranty. Infikra[e's liability specifically excbdes Ne cos[ of removal and/or installatce of the UnRs. (b) THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH (a) ARE EXCLUSIVE. THERE ARE NO OTHER WARRANTIES WRH RESPECT TO THE UNRS, INCLUDING NO IMPLIED WARRANTIES OF MERCHANTA&LITY OR FITNESS FOR A PARTICULAR PURPOSE. (c) The Limited Wanarxy does not exend to incidental, consequential, special a indirect damages. ItJiltrete shah not be Gable: tar penalties or Nquidated damages. including bss of production and profrcs, labor and materials, overhead costs or other losses or expenses kKUOed by the Holder a any third party. Specifically excluded from Limrced Warranty coverage is damage to the Unrcs due to ordinary wear and [ear, alteration. accident misuse, abuse e neglect of [he Units; [he Units being subjected [o vehicle traltn; a other conditons which are not permitted by the installation instructions; failure to main- tain the minimum ground covers set farh in the installaton instructions: Ure placement of improper materials into the system containing tiK' Units; failure d the Units a the septic system due to improper sling, improper sizing, excessive water usage, improper grease disposal a improper operation a any other even[ not caused by Infiltrate. This Limned Wananry shall be void if the Holder fails to comply with all of the terms set feth in this Limited Wananry. Further, in no even[ shat Infiltrator be resporsible for any bss a damage [o the Holder, the Units, or any third parry resWtirg from installation a shipment, a from any product liability claims of Holder or arty third party. For this limited Warranty to apply the Units must be installed in accordance with all site conditions required by state and local codes, all other applicable laws and Infiltra[e's installatlce instructons. (d) No representative d Irniltrate has the autheiry to change this Limited Warranty b any manner whatsoever or to extend this limited Wananry. No Wananry applies to arty party other than the original Helder. The above represerxs [be standard Limited Warranty offered by Inflra[e. A limited number of states and countles have diderent warranty requkements. Any purchaser d Unrcs shoWd contact Infiltrate's corporate headquarters in Old Saybrook, Connecticut prior [o such purchase, to obtain a copy of [he applicable Wananry and shoub carefully read Nat warranty prior to [he purchase W tints. Infiltrate Systems does rKK recommend installing onske systems under pavement. Chambers must be installed according to manufacturer's msnuctions. Failure m install accerLng ro manufacturer's instructions will veld warranty. Infiltrator Systems recommends the use d septic tank filters and laundry fibers with all onsrce septic systems. System sizing Is determined by governmern regulabons. > to _c Size(WxLxH) ..................34"x75"x12" (85 cm x 191 cm x 31 cm) Storage Capacity .............77.5 gal (293 L) Weight ................................26 Ibs (11.8 kg) Louvered Sidewall Height ..........6" (15 cm) ~ . • ~ SYSTEMS I N C Environmental Onsite Wastewater Solutions'" 6 Business Park Road • P.O. Box 768 Old Saybrook, CT 06475 860-577-7000 • FAX 860-577-7001 1-800-221-4436 www.infiltratorsystems.com For technical assistance, instaNation instructions or customer service, call Infiltrator Systems at 1=80f)-22T=4436. U.S. Patents: 4,759,661; 5,017,041; 5,156,488; 5,336,017; 5,401,116; 5,401,459; 5,511,903; 5,716,163; 5,588,778; 5,839,844 Canadian Patents: 1,329,959; 2,l>04,564 Other patents pending. Infiltrator, Equalizer and Sidewinder are registered trademarks of Infiltrator Systems Inc. Infiltrator is a registered trademark in France. Infiltrator Systems Inc. is a registered trademark in Mexico. Contour, Microteaching, PolyTufl, SnapLock, ChamberSpacet PosiLock, OuickCut 75" Effective Length POWTS OWNER'S MANUAL & IINyANAGEMENT PLAN Q,a" ~+ D~tQN pARAM@ ~{ 0 NA Number of Bedrooms Number of PubEc Fectlity tJnlta NA Estimated fbw taverage! l'C1'Q gilds Design flaw (peak!, {Estimated x 1.bi ~L14 el/da Soil Application Rate aUda <f~ Standard Mfluent/Effiuent Queuty Monthly average" Pats, Oil dr grease IPOG! S30 mg/L 8iochembal Oxygen Demand le0i),! s224 mg1L O NA Total Suspended 8oNde tT8S! S1 SO mgJi. Pretreated Effka~nt QuaEty Monthly average Sioohembal Oxygen Demand (i30D$) X30 rtiW/1 Total Suspended &oEds ITSS! S30 mg/L O NA l=egal Coliform tAeometric manna St Q` cful100m1 Maximum Effluent Particle Size yi In dla. DNA Gthsro DNA "Vdues typical for dorr-sstic wastewater and sepeic tank effluent. NtA1N s3 S~1~our.e Suvia Event inspect eondidon of tanktsl At least once eveN~ Servioa Fn~~Y • UiNsximum S lroard ,3 ear e NA ^ NA Pump gut contorts of tankts? When cambined :!edge end scum equals one-third tN81 of tank volume monthtsl 0 NA ' tMaxtnwm 3 yearaf , inspect dispersal raffia! At least onus every: ~ eartei month sl 0 NA Clean affluent faker At !east of+ae every: ~.~ la1 moMht:! O NA Mepeot pump, pump controls ~ alarm At least anoe every: aria} monthts! DNA l~iush latertde and prsswro test At feat once every: r-` Q e4 monthtsl Q NA ~~ At feast once every: -- O ts} Q NA Oit-er: MAINTENANCE fNSTR13CTlQNS Inspeatione of tanks atxi dispersal Dells shalt be made by an individual carryirW one of the fogawi;A li'eelr~illCinQ pperatiorca Tan Mastu plumber Neater Piumbar Restricted Sewer; f>OWTS Inspector; POWTS fUiaintsMer; saeptaA inspections moat include a visua3 inspection of the tankla! to identify any tnissinp or brokeerah~arda eeffluent on the g~nd eur~fecr measure the volume of combined sk+diie and scum and to check for any beak up of 1~ 0 ndin ?he dispersal alltei shall be visually inspected to check the effluent levels in the observad~~~ a failing a:>dition andaaqui~rea th of effluent on the ground surface. Ths ponding cf efffuant on the ground surface maY immediate notlHcation of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equal' ors-third (Y! or more of the tank volume, the emir Cbntentf of the tank shill be removed by a 5eptege Servicing Operator and disposed of in accordar+ca with chapter NR 1 ~ Wisconsin Administrative Code. Afi other services, including but not iimitad to the aervicin$ of a#fluont filters, mechanical or pressurized riomponents, pretreatmai units, and any servicing at interoaia of S! 2 months, shall be performed by a certified POWTS Maintainer. A service ropori shall be provided to the local regulatory authorit./ within 14 days Ot camplotkan of any aervico event. TirRS Pae~ __:~ of _._._ START UP AND OPERATION For new construotlon, prior to use of the POWTS check treatment tanki$) fqr the presence of painting products Or other chemicals that may impede the treatment presses andior damage the dispersal cell{sl. if high~concentrations era detected have the contents of the tank(s) removed by a aeptage servicing operator pNor to use. ~ _ ~, ~~ ... y;....;..~ :~ System start up shall not occur when so31 ocnditions era frozen at the infiltrative aurfaoe. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater waif be discharged to the dispersal cell{s) in one large dose, overloading the cellts) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by s Septaga Servicing Operator prior to restoring paver to the effluent pump ar contact a Plumber or POWTS Maintainer to assist in manually apereting the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles aver tanks and dispersal cells. Do not drive or park over, or otherwise disturb ar compact, the area within 15 fast down slope of any mound or at-grads soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antlbtoti"cs; baby wipes: cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; dialnfectants; tat; foundation drain {sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; mast 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 safety abandoned in compliance with chapter Camm 83,33, Wisconsin Administrative Coda: • Ail piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. e The contents of a!I tanks and pits shall be removed and properly disposed of by a Septags Servicing Operator. e After pumpin8~ aN tanks and pits shalt be excavated and removed or their covers removed and the void space fliied with Boil, gravel or another inert solid material. CONTIAIOENCY PLAN If the PQWTS fails end cannot be repaired the following measures have been, or•rnuat be taken, to provide a code compliant replaoement systems Cam-' suitable replacement area has bean evaluated end may be utilized far the location of a replacement soil absorption C "'syatern. The replacement area should be protected from diswrbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the roplacemsnt area will result in the need for a new soli and site evaluation to establish a suitable replacement area. Replacement systems must Damply with the rules in effect at that time. ^ A suitable rehold~ ank may be inatailedlasla last rase t to sapless the tsoilad ~4'OWT8 ~ Barnng advances in POWTS technology a ng site ~A o tank e p Mound and at-grade soli absorption sy~tama may be reconstructed in plats fallowing removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNINO> > SEPTIC, PUMP AND OTHER TREATMENT TANK$ MAY CONTAIN LETFfAI QASiES ANDlOR INSUFFICIENT OXYdEN. DO N ENTIgA A SEPTIC, PUMTERIOR O A TANK MAY sB p FFiCtfI.T~QR iIMPOSEMM~ TANCES. DEATIi MAY RESULT. RESCUE OF A pIER80N FROM THE IN • ADDiTiONAL COMMENTS POtfifl'$ INSTALLER Name ~`r/f,'~,.-, ~ d~Y~ Phone , ,, _ ,,p ,;z pONiT$ MAINTAINER Name Phone SEPTAaE SERVICING OPERATOR iPUMPERi LOCAL REOU TORY AUTHORITY Name ~a1t31N,~„___,. Name Phone Phans 5'. 3$b . ~o B~ This document was drafted in compliance with chapter Comm 83.22E21tlsif11td1&tf1 and 83.54111. C2i & 131, Wisconsin Admtnistratlve Ccde. 5T t.Itt31X COUNTY SkPTIC TANK iVIAINTENANCE AGREEMENT ` AND owN~R.S~~.IQ c,FRTiFiCATION FORM gw~tier/Buyec ~P--~T~,r ~~ ~ ~ l~,orsw..~~.~.~5°w_, - Mailing Address Properly Address ~i (Verification required from Planning Department for new construct City/State .~~~~ ~~~ Parcel Identification Natnber DZo " ~`F ~ -' c~0 -~ C.26 ~~ LEGAL I)ISC~II''Z'IQi~1 Property Location .S~ %., ~~ '/., 5cc. ~6 , T ~ ~ N-R 1 ~ ~V, Totivn of ~.~~ mar/ Subdivision 7~i e~~-~, 'L F!~ _ ___ _ ,Lot # ~Y ~. Certified Survey Itilap # '` ~, Volume ~ , Pagz t~ -^= ~ ~Vsrranty Ueed # ~,~~1 D~6 _ .Volume f ~~~_, Pa$e # ~~`~ - - ~.- Spec hou~e~.yes U no Lot lines identifiable ;`yes ^ no SYST~',M hiAiNT~NAt~'CI1 Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper m.ar_ltenancC consists of puruping out the septic tank e`ety tluee years or sooner, if needed by a licensed putztper. What yott put into the System can affect the function of the septic tank as a treatznent stage in 4:e waste disposal system. The property o:vner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner Atrd by a master pltunber, jourueynnan plumber, restrictedplumher or a Iicensedpumper verifying that (I) the oa-site ~~astewaterdispos~I syst~tn is in proper operating condition artd;'or (z} after inspection and pumping (if necessaz}•), the septic tatak is less than 1/3 full of sltitdge. Uv~~e, the undersigned have read the above requirements and agree to mairttaira the private sewage disposal system with the standards set fortlx, herein, as set by the Department of Cottunzrce and the ).?epartmeat of Natural Resources, State of Wisconsin. Certificztion stating that your septic system has been maintained must be competed and returned to the St. Croix County Zoning OfCcc +~ithin 30 days of the three year expiration date. ..~,~~.~._.. r-- - - D.ATtr SIGN "I•URF 0 ~. PFGI N O~VNFR CERTIFIC'ATIUN I (tive) certify that all statements on this form are vue to Che best of my (ou.r) kna:vlydge. the property desctiFicd above, by ~•it-tue of a :~•arranty deed rccor,•i:d ih Register of L~cecis t~fEice. SIGNATURE ~ APP IGI~ ~c _ I (we} an, {arc} the a:4mer(s) of ~1t5! o,~ L7ATIi f •~ • "''""~' Any infvnnation that is mis-represented rttay result itt the sanitary• permit being revok~d°!y'the 7-oning Department. """~ "' Include ~4•ith this application: a atanipod warranty deed froir. the Register o.f Deeds office a copy of the certifie~~ survey Wrap if reference is made in the wan'anty deed STATE BAR OF W1SCUt~iSfN FORM l - 1986 6660$0 WARRAPnFTY DEED KATHLEEN H. WALSH 79~ Afi ~~3 kEOISTEF OF DEEDS DOamenl Number Vitt P 8T. CkOIX CO. , hiI .. _. . _ RECEIVED FOR RECORD This Deed, trade between Sane Corporation. ____ __ ota corporation -` 1~-21-F007 3:10 P!I 1 _. Grantor, '` ~~ DEfD and Sienna SeRCR.QF'ation, a MinnnsoD,B, cer erati ~ ~t ~Y FfEc A- asl__ _...- COPT FEE: -._-• _.__. __._.._ ~.._ TRANSFER FEE: 9963.40 ...~. _ _ _ REt~RDIN6 FEE: ;7.40 ~'~/ -• .-- -~--~- ...-, Grantee. Grantor, for a valuable consideration, convoys to Grantee the following °' '. described real estate in St • Croix -_ ~ County, State of Wisconsin (the "Property"}: Necridir:gnroa __ __ __ .__ iialurn .,,.., _. . _ Nano end ., s: '~ See Attached Exhibit A '~"~ f1n)>~r~i.t ~~ ~~ 5'1Gti 5me.t~r~i ~+~ i sSt.Li-t °~ ~b~ i~t i ~ rte ~b~k4,. ~ ~ 55 _. :..~`h3 20-1048-30-000 Pateel tdMti6eation Nirrnber f~N) This is nOt homestead property. '. (ls} (Is not) 2Q-I048-60-000 I 20-1048-90-000 20-1049-90-000 ' 20-105Q-00-000 i~ 20-1050-80-000 '' 20-1052-20-000 zo-IOS2-~o-000 Together with a71 appurtenant rights, lute and interests. +;~ Grantor warrants that the title to the Property !s good, indefeasible in fee simple and free and clear of encumbrances except i 5ee Attached Exhibit B. ?Dated thts 20th day of December 2001 Bane r oration (SEAL} (SEAL) by ~ ~o Haase Its•_ C t:f Executive Offi (SEAL) (SEAL) ' At1THENTICATION Signatures} authenticated this day of 'CITLF.: MEMBER STATE BAR OF WISCONSIN (B' not, authorized by $7f)b.Ofi. Wla. Stata,} ACKNOWLEDGMENT Minnesota State oPilVlsCOtraRn` l ~ } sa. k' "-•"`'~•` _f Count JJJj` Petsonall---y ca~tne b¢(ore me this _ ~ ~~t 4.~_ day of December ,2001 ,the al»ve itameo John M. Naseeff, Chief Executive Officer of Bane Corporation] a Minnesota corporation -' • _ to me known to be}~~!e pe~~ts~~;~_ who executed the foregoing instrument and acknawtllerlthe`aame. TNiS INSTRUMENT WAS DpAFTEO BY ~ •~; Yk/~IiAN1Y 6, GAI.LAffBR Lockrid a Grindal Law Firm -~`~ wttauwaotttttvnttu ta+.ooos """""~ - Minneapolis, MN 55401 Nolaty uDlic, State of Wisconsin ~y commluton is permanent, (If not, state expiration data {Signatures may be authenticated or acknowtedgad. Both are not January 31 , ?,SOS j necrssary.} ~- .., ... ' N'omes ul .. ....: ~ :. _. .. _ ... ........ .. prrsmu sianirta in ony ppacity mWf be tYpod or prlnisrl bNow sheer geminre. ~ ~ ~~~~ ~~~ ~~ ~~ ~ ~~~ ~~~~ WARRANTY DEFD STATa BAR OF W1SCONStN wacandn Leah nuns Ba.. Ire. FORM No. 1 - 1998 Atawausee wit I ~ D 4 y 5 i~ I, 099866 KATt{Lt;Eli H. WALSN STATE BAR OF W 15Ct7xSIN Faawt : • rues RlCt3I&TfR L7F DBEt;~ $T, CROIX CO. , M poctunrnt Nuatbar w~~rTY DEED RIDrEIYiD FOR RECORD ssi~si~ sotooA>t This[ Deed, atade ttetween John Gies sad Pearl Gia, hwbat-d sod wife, 4ratuor, and 6ieaew Corporation, a cotpocation under the laws at EftElraT i Minnesota, Grantee. 13 0! trratttar, for a valuable coruidesatioa conveys w Lirantea the R8C t 8'7, 91 TR >iSC P e following deacsitxd scat estate ~ the ~~Y of St, Croix, Stale of Wiacotuin: ~ ~)~t See Exhlblt A, attached hereto Piedrleaea a D7roa P.A~ AapQ PUtfbwy Canlar =pt1 lou[b lbrth last atlnsnOdR, MN 5110) PireeS [demincatuai tiutnbar (%x) 0~O,1tFM.a0.t100 Th4 Gr) ii+i nut) homestau proPenY• The parael shown on this document is bein4 added to the parCal ahawn on the document recorded In Volume 1797, Page 813, Document Number BBt1p80, deagribed as a parcel of land iowted: to create on parcel, and Ihls lramtacl~n In thereb exempt from Chapter t8 of the 8T. CRC+iX COl1NTY LANG U8E RBC3WLA710N8 purluaant to Sscctieon 18.06 (A~(3). Tagetlter with all appwteaant rights, title and interests. Granter warrants that the title to the Property is good, iadefeasibte in fen simple and free and clear of anctunbrancea except: resb'ictione, covenants, conditions and easements of record, if any. Dated this day of Navetnbor, 2002• , AL1TE;>»NTICATION SIS»ature(a) awhtt#icated thk w„ day of TiTI.6; MEbtBER STATE 8AR OF Wl5COhSIN ((t trot, autttorized byi70ti,06, Wi:• Sata•) 'ftt[ti [NSTRUMitxT WAS D[[AFt•BD BY Fredriluon & Byrca, 1?.A, (SMM) 44W Pitlsbwy Coster 2Qt) Sotuh 5ixtb Sireel Minnoapofia, MN SS402 etz-a9z-7ooo 2662096 (Stpaona~ nuy b sntl,anicaad w acam~tedaat. ltoch ue not txcntary.} J~(/ //', ee Pssrl 41ea ACKNOWLEDGMENT STATE OF WiSCONIiN ) ) COUNTY OF ST. C1:07X ) Personally umr before mr flue ~ r'1i • day oP Novaa[{»r, 2002, the above wined John Gta sad Peorl Gta, husband and wife, to me known ro be the person who rxsCUted t)k forego`utp irtstrumem and acknowkdltr tl:e same, ~+iota Public, Starr of M CatAlnia9letl is petrhaneQt. Qf not, atitC expiration date: p,LL. sue) Micholto Bock Nora Public S t In ~~ •Nialti dprtitMt rtlAk~g fn ~Y Cipici:r ebotUC be trees m prw,ee eetoW Y,eir tt5rorvcu WAAa,UYTr I1i10 aTATE aAa Or Wt6C0A81N /OaAt,a. a • tip Nta'neeen wefeeoonW Cenvenv fon0 ~ Lis. Wgtrnpn a00•a561021 t 133H5 33s ~ Y 13316 33s `Z ,.~ - ~ ~ ..- '' \111 '° \ 1 11 c' , ~- - ~~~ j . ~ I i~' 1` \ ~1 ` - ~~ - ~ ~2 }' Nye \ I 1 6 niEEE7 \ 1 % ~ 1 j I - z ~--'= - 0 1. ~--- - ~ 0 I Q \ 9 -- 1 ~y \ t- ay ~ -j Q 7 \\ ~\ "f r ~2Q\ 111 + - ---; .~'' --- i Q a11\ Y - - ~ '~~1 ~1 `~- - - rn - 1 V I \ 2\ ee ~-;~ ~ 11• - Y ~ i ~ I "\~,~ ~- 11 \ 3 C-- v 1 1.~1 - I 11 11 ~f! 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M v1 7 A ~ ~ ~ ~ ~ ;~ 3 ~ ~ ~ ~ n ~ .. ~ i n ~ ~ y p ~ W~ C O N ~ ~• N ~ <. f~D N ~ w 7 i I UQ/ N '~ YN ~~C 111 _~ Q~ a O v pt O ~? ~ ~ ~ A A (D p j p~ ~ n 'i ~ p [ ` ~~ f37 ~ N '~ ~ ~ v 0 1 O ' 0 C N 3 C p! N ~ ~ O 3 y A w ? --p' o O l~ C y ~ < ~ ~ ~ ~ ~ cn ZD ~ am tom. m co D N a ' C ~ 3 ~ Q W _~ r o ~ ' ~ ~ ' N A ~ ; ~ ~ ~ a c Z ~ o o ~' a ° ? j n r U1 p '~ w 3 a !r• ~ ~ i ~ ~ ~y ~ ~ ~ ci ~' ~ Ul fA fd ~ ~ i ~ ~ a s fD I ~ ~ A y m I ~ ~ _ .. A ~ ~ o i ~ 3 m N ~ o :. ID d N M Z ~ .. ~ C (A Z ~ n °: m O ~ N ~ ~ a ~ ~ O ~ I w 7 a A ~ ~ ~ ~ ~~ ~ N i - p fD C I ~ m ~ ~ ' Z O ~~ N ~ N -- ~ ~ . ~ -i N ! A 2 A n N ~ C ~ ~ i ~~ M A 2 0 d v ~- ~ 3 ~ ~ x (R -I N ~ oo~ m~o a ~ i ~ Z O r: z ~ Co ~ C fll Z G i ~ A A a I m '~ a : ~ ~ o ~ o ~ ~. T c _ Z 9 a 3 a m ai ~' I I m I ,b ~ ~ i ~ i i N I ~ ti 0 A h v A ~ O ~ 7 ti q 0 Z : moo, a i . o ~ ~ i Safety and Buildings Division County / ~ ~~G° ~ 201 W. Washington Ave., P.O. Box 7162 D ~ ] ~sCO~~I'~ Madison, WT 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608) 266-3151 ~?~ Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than mailing address) . , . v I. Application linformatfon -Please Print AU Informatio ' ~ = ~-~ --~ i ~- -- € ~ ~[~ ~~~ ~1~ 7 Property Owner's Na me ~ ! ''. ~;~, ', EZ lLi,~ Parcel N Lot N Block >f . ~ SlrC .v Lt- moo)'' " a ~ ~ Property Owner's M ailing Address I ,, ~ operty Location ~ ., r- 2~ Section ~ '~ ~ '~` C . ' ~ ' ity, State Zip Code Phone Number '"' ,/n~c'~- ~ r> J--~ q~.2 -~' ~ l~ ~ (circle o T~N R~E ~ ; ot II. Type of Huiitiing (check all that apply) g L or 2 Family Dwelling -Number of Bedrooms Subdivisi>on Name~// CSM Number ^ I'ublic/Cotnmerciai -Describe Use /~ ~ ~E/~e.~t/ r~^ State Owned -Describe Use ~ ^City!^Village i^'I'ownship of Lc,.lS'd.1~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) p2, O - I `f 30 -~ ~ - C?oo ZCo ~' New System ~ ^ Replacement System ^ Treatment/Hoiding Tank Replacement Only ^ Other Modification to Existing System I3. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and :Date Issued Before Expiration Plumber Owner N. T of POWTS System: (Check all that a i) Non -Pressurized Tn-Ground ^ ~'.ound > 24 in. of sui a soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^t Constructed Wettattd ^ Pressurized In-Ground 0 Holding :'ank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recircu-ating Sand Filter ^ Recirwlating Synthetic Media Filter ^ Leaching Chamber ^ Dri Line ^ Gravel-less Pipe ^ Other (explain) V. D' rsal/Treatment Area Information: ~ X Design Flow (gpd Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area ystem Elevation VI, Tank Info Capacity in Total Number Manufacturer ite Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing ~ Tanks TaNts Septic or Holding Tank ~ as.~ / l /` e Y '/ Aerobic Treatment Unit Dosing Chamber O 0,~) ~ '~.~'-e VII.'ResponslbWty Statement- I, the undersigned, asstune responsibility for lion of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnature ! PRS Number Business Phone Number Plumber's Addre ss (Street, City, State, Zip Code) d~a Scd~" ~ ~v~ s,v DJ VIII. Count i ent L'se Onl Approved ^ Disapproved Satitary Permit Fee (includes Groundwater Date Issued su' g Agent Signatur No Scamps) ^ Owner Given Reason for Denial Surcharge Fee) ~ ~ t . ~~ 3 + ]7L. Conditions of ApprovaUReasons for Disapproval SYSTEM OWNER: 3J biGne.~,~$ `OC n, ,,,,, 1 Septic tank, effluent filter and ~~~ dispersal cell must ail b~ sgrv~ce~l (maintained e''` '"""" as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. SBD-f5~398 (R. O1 /03} Hosea comptae plane (to the Cotmty only) for the ryatem on paper not less tLan 81/2 x 11 lachee is else 1112 Wisconsin Department of Commerce SOIL EVALUATION REPORT pie 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service County Attach complete sde plan on paper not less than 8%: x 11 inches in s¢e. Plan must St. Crooc include, but not limited to: vertical and horizontal refererxx' point (BM), di-ection and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. pending Please print all information. Reviewed ~, Date Personal information you provide may be used for sewndary purposes (Privacy Law, s. 15.04 (1) (m)). Properly Owner Property Location Sienna Corporation Govt. Lot SE 1/4 NW 1/4 S 20 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 4940 Viking Dr, Suite 608 84 na The Glen City State Zip Code Phone Number City Ville Tam Nearest Road ~~rn4_ ~ MN 55435 9,S~-P3S-25,~ Hudson Carmichael Rd. New Construction Use: Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD '~ Replacement Public or rsmmerciat -Describe: Parent material Piled outwash Flood plain elevation, iF applicable na General comments and recommendations: System efevation 92.35ft, trenches spaced and depth to code S.OOft-below grade goring # Boring Pit Ground Surface elev. 97.35 ft_ Depth to limiting factor ~ in. Sod Application Rate Horizon Depth Dominant Color Redex Description Texture Structure Consistence Bour-dary Roots GPD/ftz 'Eff#1 'Efi#2 1 0-12 40yr3/3 none sil 2msbk mfr gw 1f .5 .8 2 12-20 t0yr4/4 none sicl 2msbk mfr cs 1vf .4 .6 3 20-26 7.5yr4/4 none Is osg mvfr cs na .7 1.2 4 26-96 7.5yr4/6 none ms osg mt na na .7 1.2 Boring # ~` Horing Pit Ground Surtace elev. 97.35 ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dorninarrt Color Redox Description Texture Stmcture Consistence Boundary Roots GPD/ft2 'Eff#1 *EtT#2 1 0-12 10yr3/3 Wane sil 2msbk mfr gw 2f .5 .8 2 13-38 10yr4/4 none sicl 2msbk mfr gw 1f .4 .6 3 38-47 7.5yr4/4 none scl 2msbk mfr cs na .4 .6 4 47-96 7.5yr4/6 none ms osg ml na na .7 1.2 - trrruenr ~~ = esvu ~ su < r~u mg/L antl TSS >30 < 150 mg/L * Effluent #2 = BODS< 3D mg/L and TSS < 30 mg/L CST Name (Please Prhrt) Signature: CST Number David J. Steel 248956 Address Steel Soil Service ~~~ Date Evaluation Conducted Telephone Numbar 1564 CR GG, New Richmond, WI 54017 fff 9/10/2002 715-246-5085 Page 3 of 3 STEEI1' S SAIL. SERVICE This.. soil evaluation. was conducted to satisfy a ~nnina requirement,-it may or may not he suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the soil. test was conducted. Legend 1" = 40' L = R~~hmark EL_ LOO,OOFt Top of %2"pvc pipe u ~~Y David J. Steel 1564 Cty Rd GG CST-POWTSM Sienna. Corporation New Richmond, WI 54017 Lic. # 248956 SE1/4,NW1/4,S 20,T29,R19W (715) 246-6200 Town of Hudson; St. CYoix Co: (7 ~ 5} 246-5.085 The Glen lot 84 ~ ' i " ` 1 1 J- ~ t - ~ J ~ JJ 6O r~ ,\ ~ _ , ~ 73 / ~•e^'!~-'~i j4tt1 1 1 r i', ~ 1 1 1 5 Q` _ _ I 5: _ •I. ~ _ {` _ r r. ~ 1 0 r!: r S ...1 ' - , - - - / •~ - - !,7 t 1' t ' : , '~~ ,1(t, •\ : .p- -'t' i 1 7 . ~,~ ~ _ ^t t __ 4 t1 al ~ i'~~ -.. •. ~ 1 _'Ms`._ 1:111 `.1• , - ~-a`l T ! R I,,.!r r/r ~f "•<:n - _ ~..\. .,a 4t ~ ' / ~~'.,, _._; ~g^fy-_', '1'11!1 - ~•, ~1 ~~ a:,: •{'..i:"~ J -. \ ~ !1 ^-'""-_-''. 51,5;'° ~~ '•.• ..'- \' ...~ ~ t i i;i r~ - I 1 -'~ .\\t\ .. , _ { F ji 1l~r• -~ _ d.... 1174,~~\ - r 111551{ - r / \ -\ V{, ti - -' __..- , a ??{+ ~ "•J6Q'1~' 1 ~ 5 ~ ~~~:.~ `. , t ~,5• t111t'--_'!~ ~a, t•'. { .\ , .;tr1f ` 1 1 ~ ( \.. twa a '55/1+ __ ~,:.. ~ .. - rr ~ 1 Ti a .~ ..~\ _ _ ..... 2A -_ :. .. ..... _ .208 - ... .. - - - J.7 - .. ., .. . _ - .f 1 •~_ - --LL" -_ •-__- 'S' 111: ~ ~ ~ ~ ~' !:. 1'. { 1 _ _ a , •( \ 1 1 ., f / ` 1` t _ 1 , 1 i 5111 I r~-'n , je. -~/ ~ 1 151 ) / '11 la 5 { 'HL i l t r ..,~- -a !. ~~~. s `, a r fr !h ~1 1i`'•rnl I '. 1, - ---_n~/.-. ~1' ,lll ,i I S ,, ~'.. 11 '!n~1~J ~' ; r•,5 „I,i4 a , y t<,t;;lit;~~ii~. ~--- j- ..~,• ~ r II;i7111 1 1 . t• 7 1 / - ) ~••• tl. _ -\f•-: t5iilil,!Ir~ d3nM T_,. f~., ~\a .t : I N J ~' ' ~ ~ !,;, } i, ,, ;'1 ; i ~ ~I .1 .lift ` ~ tl 41 .. ,~;=5'111ii5111 • '„ )• 1 A1 ~ ' 1 5 i ~ ~ ~ ! ~, ~'.\ r ' i ~ 1 tl litti t\, r•• \ _'.'r. )1~I:filirlll r , ._.. -'diZAL- `yN` i i ~t •~ 1 .~ i ';il,d, _ .1 a ~ = Firt;;}:'. r •, ~+~/ •.. .t II / '' - - \, ~ `•`' 51'1:11... \'. • ,••--.i. _-~! l:/ , ~._. 15'1 :~~__ I + li r • ~ 14x,1,1;;11,`;,,; . ~ --- '•• I I I . j ' .x41 1, t,ltlln!!1' '; ~i;ii~/-_-_'.~ ' / '~s:1l:.i .:1 ` I 1 1 _ , •1 1 r 11.f,3~!iilf i+! I.r~ti';';,'~ / 1{ /1 `tt ' ~ I _ _ ~~ ' I 1 ( r :1 ~t//1j.l el lrf~ 5~ :Ii i.l{.. ! ` <~/Y! .. - _.. I III _ .A_._r__~. ~\ ~N : \ ~~!!+! !/i'lillll. ~'a• 'll ,' r-Ns~.a .1~5 ~. i 111 I ,~'`V `•';6F /; .+. ;. ;tn.ily•~'i al I III I ~`... -~ ~ 4'', Il ~.'•i l"~r~i`+ '/; ;' `Is ( III _~ ;~J';~;, ~• ~:. 1 ~;'•; _ •` ., _~;; ,• --- I I i ~> - F 11: ~ ' ,t - X1':1 - ; ' I ~___~ '~ , r •~; + ' 11:;'11.• r} 11 ~;~' {,• --'~~a-.- i I j I I fi ,'~/ Ilj; ,~~~'-';~.5 .. ~ 1 ,•li 1:: `• ~' ~` I ~ ~{ j I U~ i 1 L