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Home My WebLink About020-1285-20-000 (2)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Graf Pro erties Hudson, Town of ;ST BM Elev: Insp. ~ Elev: BM Description: ~~ 60 ~ Gam-' TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic e Ca ~b 0 3 ~ Z~~ F~b la' l4~ a i aoo Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Z~ / ,, ) ./L /+ I (_ ~ / E lv ~ ~ ~. Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System H TDH Ft Forcemain Length ia. Dist. to Well S/111 ARSf1RPTICIN SYSTEM ELEVATION DATA County. $t. CroiX Sanitary Permit No: 479432 0 State Plan ID No: Parcel Tax No: 020-1285-20-000 Section/Town/Range/Map No: 21.29.19.1379 STATION BS HI FS ELEV. Benchmark ~~ /~ .~ ~~ Alt. BM fst" ~+~ ;~l a' ~ ~~ 97 Bldg. Sewer 5 37 ~jS. ~~, SUHt Inlet .,, ZS q3. ~~ SUHt Outlet 7, ~j 9,3 ~ Z~ Dt Inlet ~ Dt Bottom ` ~ Header/Man. 7, ,1 ~ 9, ~ ~ o~ Dist. Pipe 7 . (y$ 9~ 9,g, Bot. System ~~ olrZ Final Grade lI O ? 96 ~~ stc~;~l.c. Cap 3 .IS °-7,5/ BED/TRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 \ 3'.5 ,, AA Z ~ w G~ ` ` __ ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING OR Manufacturer. /+ ~ ~t'~ ~ I ~~ INFORMATION T e Of S stem: (~ a y YG ~ I3 / gz ~ ] A l~ CHAM NER - r Model Number. ~ ~ 61~a~X~ aQtiw~- OJ1 ~ ~ ~ r11CTDIRI ITI/11U RVCTRM /C n4-1. / ZGi'GG ~ T~f tf~~X Header/Manifold ~/ ~ i/ Distributio \ Pipe(s) ~ \ l x Hole ize ~ x Hole Spacing Vegt t Air I ke lr'I"/oy..~. Length ~' ~ Dia 7 l Spacing Length Dia \ C/111 t`/1\/CQ ., o-,........., c..~~.....~ n..i.. ..., IIAn~~nrl nr Af_(:rarlp Svc4nms only Depth Over ~ h Ce t ~ / ~ B d/T Depth Over Bed/Trench Edges \ xx Depth of Topsoil ~ xx Seeded/Sodded xx Mulched 'Y I N renc er _ e n ~~L! _ Yes ~ _J No o es L_, )~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 579 Schommer Drive Hudson, WI 54 16 (NW 1/4 NE 1/4 21 T29N R19WII) St. Cf~ i~x Indust~rial P//ark Lot 2 Parcel INo: 21.29_19.137 11 ~ J~ICf~; cQ., ~ao(' ~ i'd' /'d'lac.~ -~se.1o1,.J 1- l ~er~.cli~, ~o 1.) Alt BM Description = ~ _ - ( ~ ^ _ /~S . c./ ui~y acvrci icnyui -amount of cover = / Plan revision Re wired . ~, Yes ~ I ~ I I ~^ I ~5., -- _- - - - -_~_ I _ ~ _~ -~ Use other side for additional information. L -~~ ~_~ ~ _____ ' ~ -~~ - - - Date Insepctor's S' nature Cert. No. SBD-6710 (R.3/97) ~--- Safety and Buildings Division C0u"h' 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 ~ 5.---- Sanitary Permit Nrnrtber (m be filled in by Co.) ,4 , , .. : ° 3151 6 ,~~n~, 3 Z- . / (608) 26 - ` ~ ®epartment of Commere ' ~~ Sanitary Permit Ap lit Snte plan LD. Number ?.ao.~.~G~ oso.~o. /~,s3s9! ~ , In accord widr Cormn 83.21. Wis. Adm. Code, information ~ Project Address (if different dtan mailing address) racy be used for saondarY Purposes Priv Law. s15.04(lxm) H. Application Information -Please Print All imf ~ ~ ST C /~c~oro... !^~"- cS'`Ioi 6 . NING OFFICE L>0 N ' 8 Block K Parcel x /3 ~°/ ~ ~~ ~ a ate ~ s Property Owner - !moo ~ -oo Property Location ProperrY Owner's M Address Zip Code Phone Number Ciry. State (circle ) ~ - ~ T _,~ N; R j 9 E o~ II. Type of Btili ding (check all that apply) Subdivision Name CSM Number ^ 1 or 2 Family Dwelling -Number of Bedrooms Puoiic/Commercial -Describe Use - ~ ^Village ~'I'owr-ship of~~i ^Ciry ^ Stare Owned -Describe Use _ III. Type of Permit: (Check only otre bwt on line A. Complete line B if applicable) A• I ~ New System ^ Replacement System ^ Treaanent/Holding Tank Rephtccment Only ^ Other Modification to Existing System List Previats Permit Number and Date Issued B. ~ `] permit Renewal ^ Permit Revision ^ Change of ^ Permit Trarrsfer t0 New 'Before Expiration Phunber Owner rZu IV. Type of POWYS S stem: (Check all that a ~ Non -Pressurized In-Ground ^ Mound > ?A in. of suitable soil ^ Mound < ?A in. of suitable soil ^ Ac-Grade ^ Single Pass Sand Filter ^ Cccuwcted Wetland ^ Pressurized LrGround ^ Holding Tank ^ Peat Filter ^ Aerobic Treattneat Unit ^ Recirculating Sand Filter ^ Recircula ~ Sytuhaic Media Filter ~ Leaching Chamber ^ Drip Line ^ Gravel-less Pi ^ Other (explain) -- _ _ --- V. Dis rsal/Treatmmt Area Information: - - ~ Design Flow (gpd) Design Soil Applica8ort Rate(gpdaf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 13v o.7 ~ s ~ ,vv VI. ; ank Ynfo Capacity in Total Number Manufacauer Gallons Gallons of Uni ~~,~~~ ~ -(~ Prefab Site Steel Fiber Plastic Concrae Construcood Glass New l.xisting ~-. Tanks Tanks Septic oc Holding Tank >R Aerobe Treatmenr Unit corn O Dosing Chamber VII. Iiesponsibih'ty Statement- I, the uadersigrtttd, assume responsibility for iostallatiav o[ the POWYS shown on the attached plans. Plumber's Na me (Pritu) Plumber' ' gaature MP/MFRS Number Business Phone Ntunber ~~; ~ ,9 o`~o`Z o`Z 37 3 o-~s`o Plumber' Addre ss (Street, City, State. Zip / / ~ J VIII. Count /De ens Use Oil Approved ^ Disa Sanitary Permit Fce lodes Grwudwater Date Issued ~ Signaat (No Stamps) --' ^ rues Reason for nial Surcharge Fee) ~ -' , 1X. Conditions p rova pptjeatal 3) ~~ SYSTEM 0 S I=r ~ ~~ °T 1 Septic tank, effluent filter and dispersal cell must all be servippd /maintained D f _ ~ as t l 1 'C-r' }~ (~~~ ~ S ` , ,,,,~ __ ~ per managemen p an provided by plumber. l 2. All setback requirements must be maintained ~~a,,,~ ~- u1-e.A ~ as per a licable c d /o di ~ Q ~ I pp o r nances. 4 e 4 ~ ~ ~ o l ^ ~ , Agadt eaospkte ylaes (to the Cotub nab) for tYe s>stem oa Patxr not less than 8112 x 11 ioehes le rise ~ ... EXi sL~[ X79 ~.'o~c.'~L r~rts Bu: /o(; C/ Gt.):CSt/Cs~r,crE.~iP uXJ°/ZA~~ C/Owi 6i n4~. p~+ 3.T.~PG. ~7 `a GcsGalatf~,ap clitmbtrtd . S &L6ot~,s,~! ~a,b~/~¢y~ a ~ ou.~'/t~ q~StGondClin,y~ be/aw F,.+,7~icd7r.~ale - v~tv 6t insa/Q,~ed as /.ui /co.n.+t. 8z.3oCeJ 3. P~oPa Se d O-~F"ee ~ e.~are 1, ouSe (~u; Id i ng ~ /~nr:S~ed ~'/~qYC/tR/: to bt . /Gd • t!d • ~ ~' ~1~. b.m.: Fn:sk~d~/tvra~ ~aia8e doer, ~/td! _ /dd.47.• ~Li//C~, PO/e. /}SSKMeo/ e~ur. =/~o.ac.• ~ c~Q~oprecia,b/< S/oPe 1g ~rpee~~ SySft,r.~~t4. ASpkact S d~tu~Q 3 Sa// eda/ccuE~'or~ /o; E O' Qc/' °~ /9,1.2 ,6~Lla 7rr~± ~,e. /otz., S~.CMR~ Srelc.,f~j'i' /°s~,E! Sac. y T. o f ~ , S~• Cro; x G., c~ `IJ O ~~ x a ~~ j S c~, o~r,,naf ~ ~Poad v n I 82 ~~~~ad v ~ V N ~~'1 ~ y v /7S ~ ~n ~ t,y~~• ~v.kd ~y ~~~~3~~ ~o~~~N~~ ~ ~~ ~ ~ ~~ ~~~~ ~~~ B3~ ~.._ Pn. ~ n~' commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyfe, Governor Mary P. Burke, Secretary July 19, 2005 CUST ID No.222373 GARY T ZAPPA ZAPPA BROTHERS INC 715 SIXTH ST N HUDSON WI 54016 ATTN.' POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/19/2007 SITE: Bella Terra/Concrete Arts Office & Warehouse Complex 575 Schommer Road Town of Hudson St Croix County NW1/4, NEl/4, S21, T29N, R19W Subdivision: St Croix Industrial Park; lot 2 Identification Numbers Transaction ID No. 1153591 Site ID No. 701664 Please refer to both identification numbers, above, in all comes ondence with the a enc . FOR: Description: Proposed Commercial Non-pressurized In-ground POWTS Object Type: POWTS Component Manual Regulated Object ID No.: 1029122 Maintenance required; 930 GPD Design flow rate; 132 in Soil minimum depth to limiting factor from original grade System(s): Conventional POWTS Component Manual, SBD-10567-P (R.6/99); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with publication SBD-10567-P(R.6l99) "Conventional Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems". • The standard Infiltrator leaching chambers must be installed in accordance with the manufacturer's printed instructions, the plan approval and Comm 83, Wis. Adm. Code system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the Clter for cleaning must be provided per Comm 84 product approval conditions. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section Comm 8~ Wis. Adm. Code, to determine if plan submittal and approval is required. P'.Ca•~"~• ~ •~• Caridit%orTally GARY T ZAPPA Page 2 7/19/2005 • Comm 83.22(7) - A copy of the approved plans specifications and this letter shall be on site during construction and open to inspection by authorized representatives of the Department which maY include local inspectors. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608}789-7892, Mon. -Fri. 7:30 am to 4:15 pm jswim@commerce.state.wi. us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 NON-RESIDENTIAL CONVENTIONAL POWTS DESIGN INDEX AND T1TLE SHEET Project: Bella Terra /Concrete Arts Office 8~ Warehouse Complex Contact: Zappa Brothers Excavating Address: 715 6'" Street North Hudson, WI 54016 Legal Description: NW1/4NE1/4, Sec. 21, T29N, R19W. Township: Hudson Subdivision Name: St. Croix Industrial Park Parcel ID Number. 020-1285-20-000 Lot No.: 2 Plan Transaction Number. Index and Title Sheet Page 1 System Design Calculations Page 2 Site Plan Page 3 System Cross Section Page 4 System Management Plan Page 5 Attached Soil Evaluation Report Page 6 Designer. Gary Zappa Signature: Date: June 28, 2005 Phone No.: 222373 (715) 386-2850 t)Ei%AFcTME FEG~~ ph0 Bit W1iVGS DIViSiGi~ ~ UE~-= C;i:~~=:i-~ES I~D~i~GE County: St. Cron License Number. System Design Calculations Bella Terra /Concrete Arts Office & Warehouse Complex JOB DESCRIPTION: Office complex with product warehousing. System design based on proposed facility with office space for foray (40) employees, 4,984 sq. ft. warehousing, & 4 floor drains. 1. Design Wastewater Flow: 2'IQIBLgpd (620.00 gpd estimated wastewater flowx 150% conversion factor) = 930.00 gpd Design Flow (40 employees all shifts) (13 gal. /employee) = 520.00 gpd (4 floor drains) (25 gal. /drain) = 1.O.Q.~.gpd Estimated wastewater flow = 620.00 gpd 2. Existing grade elevation: 9R R5' at R-1 3. Depth to limiting factor: >1'i2" (elev. = 87.85') 4. Proposed system elev.: 92.00' 5. Infiltrative capacity of soil at or within 36" of system elevation = 0 7 gpptiscl ft 6. Absorption area required: ~c} fl 930.00 gpd design flow / 0.7 Gpd = 1,328.58 sq. ft. absorption area required 7. Absorption area proposed; 1,3fiR 40 cr? ft 1,328.58 sq. ft. required / 31.10 EISA per chamber = 42.72 chambers required 44 chambers X 31.10 sq. ft per chamber =1,'16R 40 cn ft proposed 2 dictrihirtinn cells at 16 chambers ner cell = 32 11" 4tandarcl infiltrator C:hamherc 2 dictrihntion cells at 6 chambers r=~er cell = 12 11" 4tandard infiltrator C'hamherc Number of trenches: 2 (~ 1 `Pr 2 (~1 6 4tandard infiltrator chambers each (44 .hampers tntall trench width (A): 34.11" trench length (B): 99.52' Rr 'i7 32' 1. Design wastewater flow = 930.00 gpd 930.00 gpd / 75 gpd = 12.40 gpd person equivalency 2. Minimum required capacity: 3,119 76 C~allonc (930.00) + (11.61 x 12.40 x 2*) + (46.77 x 12.40) = 1,797.88 *(Requires a two year maintenance cycle) 3. Proposed Capacity & Manufacturer: Wi P1 tl0/R(>n-MR Wiecc~r ('oncrrte (`.omhination Sri tic tank / Pmm~ 4. Egluent filter: Z.able A-100 with Small Alarm. FAT JAI .T7.F.D FFFi .T 1RNT 11T~TRTRT TT'inN• Distribution header t0 be constructed to equally distribute effluent to all trenches. See detail at page 4. Pg. 2 of 6 ~ Soi/.e/a/uaE.~ /o, ~d~/ct7~'a~ ~aia8e door, ~lcv` = iO'~.~,, " O' n a ~. Q~ ~ /4,2.2 ,6.e Ur+ T rn? .~+c. t~a..ic~ rY(ar~: Sp%,t'e :~ s~• Cro.~u G.,cJ~ Gl~iliCy Po/L. Assumed etur. =i~•+o.c+o: n t (,c>iCStr L°onGr~P uX~ /ZGV~~ acsGdatf~.~ao cl~r....,b~<.d - Gfy'/4Nf ~%E'C.r ~U 1jC/Msb/'~ Q ~' ou.E'/t~ Q~StCono~Glw-,~ be/~rw ,c'.n.7l~ed~r.~c - vr fv 6t insu/Q,~ed as hoc/ Con.+1. SZ.30C4J 3. Proposed D~F'ce ~ c.~a~c house buy Id%~g ~n.;s~ed ~/cev-c/tv: to 6c . io~• crd (~ 7 Q~o/or~eci'ca 4i/< Slopc '~ ;rcn~ SySfs..•`~ta. As p kaCt g dries C c ~~ ~~ a b j ,9 ~' h ~ ~~~hy~ ~ ~N~~~ ~~ tMFc,~. "~.~ ° Y y ~ ~~~~'3v~ d? ~~ ~N~~ ~~ v b ~` ~ a. ~ oCVM~~ ~ ~~J~ ou~~ S ~ omirl~ e ~COao~ n ~2 3 of 6 ~, n 0 z f'1 d Sys~~~, Crops- Secf~or? * no S ca ~e a S ~ f*~ r mo=o .. ~ r~i 2 C '` C~ D~ D D n 2 m i~~ i i ~,. jj r (~4 1 41 t4 r . 1 ! ~ i~ r• ~ r `~ 's w ~. ~ ~STM 3~! la Er+ ~' l ~~~ ~~ A ~- '~' O "~ r~ . S~ aj' ~ System Design Calculations Bella Terra /Concrete Arts Office & Wazehouse Complex JOB DESCRIPTION: Office complex with product warehousing. System design based on proposed facility with off ce space for forty (40) employees, 4,984 sq. R warehousing, & 4 floor drains. 1. Design Waste ter Flow: 2'IQlZQ.ggd (620.00 gpd wastewater flowx 150% comrersion factor) = 930.00 gpd Design Flow (40 employees~ll shifts) (13 gal. /employee) = 520.00 gpd (4 floor drains) ''(25 gal. /drain) = 10.Q4~gpd Estimated wastewater flow = 620.00 gpd 2. Existing grade elevation: 9R 5' at R-1 a 3. Depth to limiting factor: ?13~~,. (elev. = 87.85') ~ ~~ 4. Proposed system elev.:.9211Q' `\ 5. Infiltrative capacity of soil at or within~~36" of system elevation = 0 7 gpd/scl ft `~, . 6. Absorption area required: 1~Sfi(, 4~ft':. 930.00 gpd design flow / 0.7 Gp~`= 1;328.58 sq. ft. absorption area required 7. Absorption area proposed: l,'~~R4~f~d ~ 1,328.58 sq. ft. required / 3 x!10 EISA per 6hamber = 42.72 chambers required 44 chambers X 31.10 sq. &`per chamber =1't~R 4n sq t} prn~sed ~ rlictrihntinn rpllc at h rhamlwrc twr rill = 12 11" Ctandard Tnfiltratn Number of trenches: ~ ~ 1 ~ R' 2 ~dl 6 4tan and infilt tnr chamherc each (4d chamherc tntall trench wt (A): 34sL trench len~th (B): 99.52' Rr 't'j 'i2' 1. Design wastewater fl w = 930.00 gpd 930.00 gpd / 7 gpd = 12.40 gpd person equivalency j 2. Minimum required `ty:~., l t 9 76 (`rallnnc -- (930.00) + (11.61 12.40 x 2*) + (46.77 x 12.40) = 1,797.88 *(Requires a two ear maintenance cycle) 3. Proposed CapdCi & Ma1111faCt1lrer:~Pl ~00/R00-MR Wieser ('.oncrete ('.nmhinatinn SPnt1C tank /Pump ~hamiwr to hP in allr~rl ac tan rhamhprwi CPntir tank ArN~al tank ranarity = 2(1(15 2(1 oallnnc 4. Effluent filter. Zable A-100 with Smart Alarm. Fn1IAI.i7.Fn FFFI .i IFNT T)TCTRTF3I ITTnN• Distribution header to be constructed to equally distribute eIDu+ent to all trenches. See detail at page 4. Pg. 2 of 6 VWsconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT ~n ~rrnrrl~nnn with (`nmm Rai Wic Ar1m r~.rlr1P 1922 Page - ~ --of ---3 - A.C.E. Soil 8 Site Evaluations County - - Attach complete site plan on paper rbt less than SY: x 11 inches in size. Plan must St. CroiX --' include, but not limited to: vertical and horizontal reference point (BM), direction and - Parcel I D - percent slope, scale or dimemsioru, north arrow, and location and distance to nearest road. . . 020-1285-20-000 __ Please print all information. Reviewed By Date Personal irrforrnation you Provide may be used for seoondery P~P~ (Prnacy Law. s 15.04 (1) (m)). Property Owner Property Location Bella Terra, Inc. Govt. Lot 1!4 1/4 S 21 T 29 N R 19 W Property Owner's Marling Address J Lot # Block # Subd. Name a CSM# 715 6tfi Street 2 St. Croce Industrial Park CAy State Zip Code Phone Number J City _ i Village /~ Town Nearest Road Hudson ~ WI 54016 Hudson Schommer Road New Constn~ction Use: i Residential /Number of bedrooms Code derived design flow rate 840 __GPD Replacement y, PubFc a commercial - Describe: Office space and warehousi~_ ~_ Parent material Glacial otriwash Flood plain elevation, if applicable na General comrnerrts and recommendations: Install conventional POWTS using two trenches with combined E.I.S.A. = 1,200 sq. ft. at elev. 93.00'. g~ # ~ Boring >132" / Pit Ground Surface elev. 98.85 ft in. . Depth to limiting factor Soil Application Rate Horizon ~ Depth I Dominant Cobr Redox Description Texture Stnrcture Consistence Boundary Roots GP D/ft' in ~ Mansell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 1 ,I 0-10 10yr3/3 none sl fill Om mfr i3w 2f,1 m 0.0 0.0 2 10-17 ~ 10yr32 none sil 1thinpl mvfr as 1vf,f 0.4 I 0.6 3 ~ 17-32 i 10yr5/4 none sil lfsbk ml cw - 0.4 0.60.6 34 2 90 L 1 r5/6 O none s 0 s9 dl aw - 0 7 1.6 y --- ----- -- . -? -- --r- 5 `•, 90-96 i 2.5yf3/6 none Is -- 0 sg dt -- aw t - 0.7 ` --- -- 1.6 ~---- --r- 6 ~ 96-132 10yr5/6 none s 0 sg dl - _ 0.7 ~ 1.6 _ Bonng # ~ Boring _... / Pit Ground Surface elev. 98.60 _ ft. pepth to limiting factor - > 138° in. Sao Application Rate tior¢on i Depth ( Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GP D/ff' __ in. ~ Mansell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 1 ~ 0-8 i~ 10yr32 ~ none sil 2fsbk mfr aw 2f,1 m 0.6 0.8 2 8-18 ` 33r 18-28 4 , 28-40 5 40-4 ~ 10yr4/4 10yr5/4 10yr5l6 7 5yr4/6 ! none -} 'none none none sl -- gr Is gr s gr Is 2msbk -~ 0 sg i 0 sg 0 sg mvfr -t ml i dl dl __ ~ as --- cvd aw aw 1vf,f - - 0.6 -, 0.7 0.7 j 0.7 ~ 1.0 1.6 1.6 1.6 ~ _ 6 47-138 . 10yr5/6 = non s _ ~ 0 sg dl - - I 0.7 ~ 1.6 Horizon contains a rox. 40°16, H#4 3096, H#5 40%, 8 H#" 10% gravel. ~- -- ._ , `Effluent #1 = BOD ~ 30 <_ 220 rrxf/L and SS >30 < 150 L uent #2 = BOD < 30 mg/L and TSS <~30 mg/L CST Name (Please Print) igrtature: CST Number James K. Thompson ~ 3602 Addfe~ A.C.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, 154020 6/32005 715-248-7767 Property Owner Bella Terra, Int. ParcellD # 020-1285-20-000 Page 2 of 3 goring # ~ Boring 1/ Pit Ground Surface elev. 98.56 ft. Depth to limiting factor > 141" in. Soil Application Rate Horizon Depih Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0-9 10yr4/6 none Is 0 sg ml cw - 0.7 1.6 2 9-33 5yr4/6 none gr is 0 sg ml gw - 0.7 1.6 3 33-82 10yr5/t3 none gr s 0 sg dt gw - 0.7 1.6 4 82-141 10yr6/4 none s 0 sg dl - - 0.7 1.6 i ; - - - Subsoil cut and removed from site prior to evaluaRon. Horizon #2 contains approx. 3096, H#3 2096 gravel. ^ Ong # _~ Bonng Pit Ground Surtace elev. ft. Depth to limiting factor in. ~ Appl~ation ~~ Horvon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GPO/ft~ in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Efffi2 --- i ~ - I i i - I i ~L - - -- Bonng # ~ ~~ J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil application Rate Horzon Depth Domirrant Cobr Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I ~ I ---- I I -~-- - - ` Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS< 30 mg/L and TSS <~0 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 departrnent at 608-266-3151 or TTY 608-264-8777. Soy/c./a/uaf~~ /o, d ~/cps-a~ Q~ `~ /9~2 ,a.e (,La T /Yta, .~ ~. /ot,Z, S~ •Cr'0~)r .titoltcJ~J'i 132x.~rYlar~: Sp%,~'e in s~' ~,_X Co.,Ga~. ~!/(~ FOIL, ASSu.Mec/ ecur. =/c~.ao: .5G`_i O/m~ai ~lJ~~ .2 P~. i 3oF3 r a~i~ zl`~~. ~'~ 11t Ylfiscorrsht Depahnerdd Cs DNision of Safety and Buddii Attach complete site q brch~de, but rat united Percent slope, scale ar 1922 Page t of 3 A.C.E. Sod & Site Evaluations St Croix 020-1285-20-000 n Date Reraorral inkrmation yW puride stay be used for aeoondaY wt (~Y Law, s. 15.04 (1) (m)). . O Property Owrt~ Property Location Braila Terra, inc. Govt Lot 1/4 1k 3 21 T 29 N R 19 W Propetty Owner's t-rYaittttg Address lot # Bbck # Subd. Nau~ or CSNf~ 715 8th Street 2 St Croor Industrial Park Cr1y State Tp Code Phone Number of City J Village Town Nearest Road Huron (1N) 54016 Hudson Schommer Road ~~~~~VE® ~ UATlON REPORT mama //f~~' Cdnm ' Code ~' ~°' ail y( on paper not less than 8'~x 11 " in size. Plan m ~ ~~ ~~ ~arca~~tion two n~ road. t t.D. By ~ New Corrstrtrction ~~ Residual / Number of t~ooms Code derived desist t)ow rate 840 GPD ~ Replacement Pubic ar corrxrrercial -Describe: Office space and warehousing Parerrt rrrateriaf Glad outyyash Flood plain elevation, if na General eonrrrrer~s ' and rE~orrwrrerrdadons: InstaN cornenlionat POVt(TS using two trenches with combined E.1.S.A. =1,200 sq. ft at alert. 93.00". Q Baring ~ --~ J/' Pit Grorsrd Sraface elev. 98.85 ft. pepg, ~ g factor > 132" ~. Soli Application Rai Horizon Depttr [3cxnarant Cabr Redox Desorption Texture Struetine Consistence ~ in. Mussed Qu. Sz. Cont. Cobr Gr. Sz. Sh. •Efhft~- ''Efg{2 1 0-10 10yr'3/3 none sffdt Om mfr aw 2f,1m 0.0 0.0 2 10-17 10yr3/2 none stl 1lfiittpl mutt as 1vff 0.4 0.8 3 17-32 10yr5/4 none si tfsbtc mt cw - 0.4 0.6 4 32-90 10yr5l6 none s 0 sg di aw - 0.7 1.8 5 90-96 2.5yr3/6 none Is 0 sg df aw - 0.7 1.6 8 96-132 10yr5A6 none s 0 sg dl - - 0.7 1.8 Pd Ground Surface elev. 98_t30 tt. pepgr ~ g fact3or > 138" in. Sotl Appication bate a~ Fbrizan tbmirrpit Cdor Redox Desaiption texture structure Carsis~rrce Boundary Roots GP DIPt' ~. Mussed (au. Sz. Cart. Dolor Gr. Sz. Sh. *EfffF1 ~Eff~2 1 0-8 10yr'3!2 none sil 2lsbk mfr aw 2f,1 m 0.8 0.8 2 8-18 10yr4/4 none si 2msbk mutt as 1vf,f 0.6 1.0 ,~ 3 18-28 10yc5/4 none gr is 0 sg ml crar - 0.7 1 _B 4 28-40 10yr5/6 none gr s 0 sg di aw - 0.7 1.8 5 40-47 5yr4J6 none gr k 0 sg dl aw - 0.7 1.8 6 47-~ 10yr5/8 non s 0 sg dl - - 0.7 1.8 Horizon 4096, tl#4 3096, tiffs 4096, & t~ 1096 gravel. ' Etlluerrt S1 = BOD y> 30 < 224 ~ arrd SS >30 < 150 #2 = BOD <30 mg/L and TSS <~?0 mglL CST Name (Please Prins - - CST Number James K. Thompson ~- 3802 Addre~ AC.E. Sod & S'#e Evakratiorrs Date Evalrtation Conducted Telephone Number 340 p lalae ~. Os~. 5402p 8/3/2005 715-248-7787 Property Owner Bdia Terra, Ltc. p~,D~ 020-1285-20-000 page 2 of 3 Borxrg ~ Borirg Pit Ground Surface elev. 98.56 ft. Depth to ~~9 factor > 141" ~. ~ application ~ Horizon Depth Dominant Color Redox Texhue Structure Corr3isterxa Boundalr Roots ~. Mansell Qu. Sz. Cant. Coior Gr. Sz. Sh. 'Ef~1 *Eff82 1 0-9 10yrd/8 none ~ 0 sg ml cw - 0.7 1.6 2 9-33 5yrd/6 none gr is 0 sg ml gw - 0.7 1.8 3 33-82 10yr518 none gr s 0 sg ~ gw - 0.7 1.8 4 82-141 10yr8/4 none s 0 sg dl - - 0.7 1.6 Subeoif cut and removed from site prior to evahradat. Horiaon #2 corrtairrs approx. 3096, H;Al3 20% gravel. t a.,.:.,,.: ~.~ ~g ~~ o~_ .. f Barirra Etthrent ~1 = BOD ~ 30 < 720 mg1L and TSS >30 < 150 mglL * Effiuerrt tlF2 =GODS <_30 mgll. and TSS <~ mplL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an ahernate format, pleas contact the department at 608-266-3151 or TTY608-264-8777. ~ Soy/.e/nluaE:o-•~ p•~ ~d ~/cvraE ~ccia8e door. ~lcv` = iv0,~., Qc~ `~ /9,Z2 ,6.cGls+ Try? .mac. Gr~ ~.c. 2/, 'T/ . o j f~~s ! L /~ ~... ~.. /~ ~. 5 cl, or,7,r~a~ ,Pond ~2 P~. 303 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND ~IP CERTIFICATION FORM ~~~ ~ A OwnerBuyer Mailing Address _ .57,E Property Address v 6?v, v.~ (Verification required from Planning Department for new City/State ~>/ccoso.~. l2fr ~ Parcel Identification, Number !~~ o /~~S' ~ ~2 y - 0 0 0 ~.13~q~ LEGAL DESCRIPTION Property Location,QL,~,[ %,, ~~ %4, Sec. ~°L, T~~N-Rf~W, Town of ,/~uosv.,/ Subdivision ~r ~/Lv,3-x .~n~/IUfT/ZrAL ~iz.~ ,Lot # ~~. Certified Survey Map # ~-- - ,Volume ,Page # Warranty Deed # ~b a ?? t7 ,Volume d2~ Y ~_, Page # 'U Spec house ^ yes ^ no Lot lines identifiable ®yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance 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. The property owner agrees to submit. to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restrictedplumberor a licensedpumperverifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APPLIC J Li~~~ J DATE /~-z.~-.t,~.,n- OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the propert,y~"d~es~cribed above, y virtue of a warranty deed recorded in Register of Deeds Office. / ~''lvU' ~ ~ ~~cc~P T.ec/~nv 7 / l SIGNATURE OF APPLI ~~c=,t~~-, DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the .certified survey map if reference is made in the warranty deed u 28ysP l70 ,, . 8007~Q7 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. MALSH WARRANTY DEED REGISTER of DEEDS Document Number ST. CROIX CO. , NI ~ RECEIVED FOR RECt1RD This Deed, made between Bella Terra. Inc.. Grantor, 0? / 19 /21805 10 :15AM II and Graf Proaerties. LLC 1tARRANTY DEED Grantee. 1:XEI~T i Grantor, for a valuable consideration, conveys and warrants to Grantee REC FEE: 11.00 the following described real estate in St. Croix Counry, State of Wisconsin TRAMS FEfi: 394.40 (if more space is needed, please attach addendum): COPY FEE: Lot 2, St. Croix Industrial Park. St. Croix County, Wisconsin. CC FEfi PAGES: 1 i Recording Area ~- Estreen & Qgland ~(-r- 304 Locust Street ~, ~~ ~' Hudson, WI 54016 ~(la ozo-less-ao-ooo Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this ~ day of Julv , 2005 * AUTHENTICATION Signature(s) Bella Terra, Inc., ~ q _ authenticated this $ ~ y of July , 2005 * _Krlstina Ogland _ __ __ __ ____ TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stars.) THIS INSTRUMENT WAS DRAFTED BY Attorney Krishna Ogiand _ _ Hudson, WI 54016 ___ (Signatures may be authenticated or acknowledged. Both are not necessary J * Bella Terra, Inc. * STATE OF County ss. Personally came before me this _ day of . the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. _~ Notary Public, State of My Commission is permanent. (If not, state expiration date: •) ACKNOWLEDGMENT * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co.. Fond du Lac, Wl STATE BAR OF WLSCONSIN 800.655-2021 WARRANTY DEED FORM No. 2 -1999 t~l r._._. o~ ~~~ x<xN '~ J~~ F~ , 1 ~&1 ~ ~ i t l i I` Y ~ ,,. ~ ~ •~ I 1 • r- -1 1 11 ~`~ ~ I I ~.............; 1 ~ I ~• 1 1 _ 1 i 1 I I ~~ ~ ~ i ~1 1 = tJ ~ I h ~; i I (~ ;OS ! ~' 1 n^ •~"^ I I I 1 1 ~ i I ~d ~i._---------~ t I I ~ I ~ ~.___.. _ .~ ...._ . ~ I L_----- ; 1 ~ I~---------, I 1--~ « ~ I 4 . `... .._ . ~1 ~ I ~ 1 -------~ - I~ ~.~ I ~ s ~i!i ~ i i~ m~ ~ 1 oa 1!1 ~ : o S I i - . t.-..._......_-.--~ 8 I i ~ I ~ I ~._!-_------ _ _ . I0. I ~ •~_" -I '_'~-a' ~ 1 n l ~ r _~ j ~._ ___ t I I i • 9 ~ ~ Om I ~` - " i ~g I I,NI O$ ~~ i•t I L ,~I i ~~ \ I ~ 1 ~ ~ ~ 1 I ~~ I O~ I ~ I `J ! 1 ~s • KC i ~ ~~ ~ j I ~ I' i 1 ~ ~ ~ i ~ ~ i i~ ~ 1 1 I 1 ~ • ct I ~ 1 d 1 ~ 1 < I* 1 O ~t,o~ ;~~;o~ ;~j ~ ~ i i i i .~' ~1~ i ~G 1 1 ~ I ~ 1 .. I I i 1 I ~ 1 ~ ~ I I 1 ~ ~i I~ ,~ ~~ i i ' S w i i ~ ~tt=i4lt ~ Il `~ f .~ a~~ e. ,~ _ _. _. .., ~ :' r .__.~..._. µ, ,. S . , t~ -~ 4 . F ,. ...~ n Y 7 h ti i .~~ , S j~ .. w •, ~ ~ ". ~ j3 3~ ~. ~ ' i, i I ' ~e P4'` v ~ ~ Mt ? ?r~ .. ,~ j ~ ,Cf ti w ~ n ~ N 'ti i ~ ~ ti I ~ M . nA~ , H ) ~' q ~, 4 -) 'h, ~ - . . n ~; °. , 5 -+ s ~; ,., 3 j i ri c~ ' ~~~ _ h O ~ `~ ' o r N z ' d _" _ ~~' ~ ~ ^` 2t,HH. .~, ~., ~ ... n A i. H E. `; I ~ 'n N .a 4c,q t~. _ _ __. _. 1 '~ _ \ 93, 7t ~" 2 i ~`., mm~ t.. ! ~. '.'. V ... ... ~~ \ {' L. ~' ~~ + (± ~ ~ __.. p~' •~ :' 3