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020-1450-17-000
5 Wisconsin 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 Glen son Construction Hudson, Town of CST B Elev: - D Insp. BM EI~ BM Des iption: TANK INFORMATION / ~~(~ ELE ATION DATA TYPE MANUFACTURER CAPACITY Septic ` 2ov Dosing '~~ ~D -.- Aeration `~ Holding TANK SETBACK INFORMATION TANK TO P/L W~ BLDG. ent Air Intake ROAD Septic r ) ~~ , Dosing ~ Aeration I Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPIy ~,,~ Model Number ~i~o~ / ~ TDH Li Fri tion ~ System Head TDH Ft Forcemain Length r Dia. ~ i~ Dist. to Well SOIL ABSORPTION SYSTEM Z L ~- ? ~ ~i1~ /~.,~ L_vn~t county: St. Croix Sanitary Permit No: 488241 0 State Plan ID No: Parcel Tax No: 020-1450-17-000 Section/Town/Range/Map No: 22.29.19.2887 STATION BS HI FS ELEV. Benchmark .ss X03, 9y~D Alt. BM y- 3 od z~ Bld Sewer ~ a - `S~ Iv St/ t Inlet ~ ,nw- T~/'n ~~ '~ / SUHt Outlet ~ ~-~ r Dt Inlet ~ Dt Bottom Heade Man. ~a~ G ~ Dist. Pipe s~ - s 7 ~ 9l~ Bot. System ~• 9S a-~~ ~ Final Grade iUa y o q9-S~ St Cove ~ / ~ S .~z ~ ,5-~ ~ ~- ~z I BEDITRENCH DIMENSIONS Width ~ ~ Length ti ~Yfi'/ (Q} _ ! No. Of Trenches 7 '1 ~ d PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P /L BL D G WELL LAKE/STREAM LEACHING CHAMBER OR M nufa r. !/ Typ Of System: ~ ~ ~~ ~ ' ~ ~ ~ UNIT Mode Number. ro ~e ~ r16~' DISTRIBUTION SYSTEM VF~1 {,/-~ Bader anifolc~ ' Distribution r Pipe(s) ~~~ ~ x Hole Size / x Hole Spacin~c Vent to Air Intake ~ / Length Dia Length Dia Spacing ~. SOIL COVER x IPrP_SSI1rP_ Svstemc ~nlv YY Mound Or At-Grade SVStems Only NE Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Cent ~' J Bed/Trench Edges Topsoil 0 Yes ~ No Q Yes ~~ No Ca MENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 5 / ~ / V o jy~ Inspection #2: / / f Location: 647 Roberts Lane Hudson, WI 54016 (NE 1/~~4~~SW~~~1/~~4 22 T29N R19WG) Huds n Estates Lost 1~7® /~ ~PQar~ce~l No: 2 2 .19.2887 1.) Alt BM Description = ~ ~ s~.~ ~i~-P"WG ~'~ ~ ~ / ' ~~ ~~s~ ~^~ ~~~"""" _ ~'~~~p 2.) Bldg sewer length = ~v~ -j'~ ~~ " ~- /,~/t/~cY ~ , uQ~l~n~ ~ , A -amount of cover = , ~ / ~ ~~~~~" ~e._ ~~,, ~ ~~~ - (.,.~,li~W_ _''„ 100 /1~ ~/ Plan revision Required? ~ Yes ~~ ~ h p ~ /_ ~ . Q Use other side for additional information. VO (8 ..~~L~ Date ~ ~Ins~ n~ rt/C ~` + ~~ ~~~~~ ert. o~ SBD-6710 (R.3/97) ~ V b I ,r~ t y~ ~~ ~ -. U ~~ ~ 1 ti~ ~ ~ ~~ u ~ D o ~~ ,~ do ~, a ~ ~ ~~x ~~ ~ ~ r G ... ,~3 ~ , ,~~. w ~~ ~. / Vag ~.~~ ~~ wg" iii ~ .~ /~ ~~i""- S'`/~~.~ ~ C'~~ P,..v,,r,r~ ~ ~-l ~ ~ ~..~-1 t ywsoonsln Departrneltt of Commerce SOIL E1/At,UATION REPORT Page of~ Division e(3e(ety and ~tdkiirlgs Mt accordance nA[Ft Comm 86, Wis. Adm. Cede County f Attach complete site plan on paper not less Men B 118 x 11 Inches In size. Plan must Include, put not Ilmlled to; vaAlcal and hodxontal references point (19AA), direction and Parcel I.p. 2 (7 , ~ U pereent slope, noels or dlmensiona, notlh arrow, end locallon and distance Iv tl!'9f~1 ~~. 0 ~ ~ 7 ~ "" by Date P/eae~e print all (nronn,wtion. ~Q 9 Pnraonel Information v04 provide mey Dn uaAd for aeoondeN Purpoaer. (PII~eaY ~°'"+ a. 16.Q~ (1) (m))• ~00 G ....,.4..~ ---~-- ~~ p ~ I ~ C,ov-, tot 1 /4 ~Gv 11h S Z Z T~ N R E PropeAy OwneOrs Mailing Addres t.ol ~ BMck ~ Subd. Name or CSC 1 J G_~Q` d ~ ~ ,aQ~a -S s~. 5~,~ C Gy ' ~ m ~jp Cede Phane NumDcr ^ City ©VII ~ TOE Neal Road [~ New Gonstrudlon Uee: ~ ResldenUal / Number of bedrooms ~ Cade detived design 11ow rake , ~'~ ~ ~ ~~ Q G _. GPp ^ Repln®ment Q pupils or comrtlerelal - Describe: .,..~i/ ~ ~ Parent materiel ,. G U-Iz J a ~ ~ Rood Plgin eleveiion I(epplk~ble /_~ / t3enelsll coltitrl2rris S~{ ~ ,~. ~.wt ~%' ~ u , U' ~ I -T ti~ f ~ `~ ~ ~ .t3~o•-~ f G,~ ~^ - ,r end recommendations ~~ f ~/ ~Q- f~ o r `~~_~ ~ S a-~'-~ ~ G~° ~ "~ U C~i ~5 I ' ~` ~ ( ~f o ~. P ~~ r~ 'I PST [~'~ YU~dWIG u Bering y - q~ ~~~ ~ 6ortng # ®Plt orormdaurfAteelev..L.~~~. Depth to Nrrlltirig faaor~(~ In. 1•lorizon Depth Dominant Colo Redo7t pescslptlon TexAne mule Cor~isk'Itoe 9~ndah- R~ in. Mun9eli Qu. Sz. Cont. color Gr. Sz. Sh. p l y 10 r .~~> .~ ' ~ < f v 3W-lz a~ -- S D ~t / - ~ eatbn Rate ,~~7 ,~~ ~~ ~,~ 9ortng ~ ~ Baring [,~ Pit Ground t';ufiae+e elev. ~_B. t7eptY1 to Nmifing factor ^ ~ in. ~ Bale Horizon Depth porplnant Color Redax poscriptlon Texture Stnadure Consisrence Boundary Roots ~ff~1 pD "~ in, Munsell ~ Qu. sz. Conl. Color Or. Sz. Sh. _ - tea .. ~... rn . en n ~ an enwll onA T4C < 30 Rfel1_ Effluent rk1 = B GST Name (Please Prim ~/~A.I/l Aedrees .~ q ~ ~~~ > 3t) 5220 mgti, ana I ~ gnu/~~,o~!uM ~cly1 G-r~GC-~ CST Number ~s ~3a 9' pale Evap~atlort cortau®eo ~.n~N,M~ ~~.^~ SYa~' S s-S- U~' 7i s"~ 7I~ u o '-j~~O~S~~ avt w, washingtonAve., P.U. Box 7I62 ~ `~~C>%d , , x Madison, WI 53707 - 71b2 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266-3151 Sanitary Permit Applicati y ~s Z ~~ --- State Ptan LD. Number In accord with Comm 83.21, Wis. Adm. Code, personal inform tion you provide ~~- may be used for secondary purposes Privacy Law, sIS, Project Address (if different than mailing address) I. Application Information -Please Print All Informs on RECEIVED ~ ~`~~ ~o(o~.C~-g ~,y` Property Owner's Na me Parcel /i ~ Lv Block N ~~~ J~~~sQ~ ~a JUN 2 1 2006 ~ l7 _ ~~ Property Owner's M ailing Address ST. CROIX COUNTY Property Location ~3 G"~~,-~ ere e ,D~-~ U-e City, State Zip Code Phone A'umber -~~ 'k• ^? ~ 'k,Secdon _ .'1.2_ ~ads't9,t/ CU % ~S'~D/G IL Type of Building (check all that apply) ~ ~s_~'"~-- ~ ~ 9y T a~ N, R~E o e o L Z~~ ~ OK ~ S.~or.1. • 'y,~ l yr 2 Family Dwelling - Number of Bedrooms _ ~ ~,~1 p ~~. __ Subdivision Hama C5M Number ^ Public/Commercial -Describe Use h/ud~, ~ ~,,~f~ L) State Owned -Describe Use?~;~1-- el t.,~ Z~, j-_Z_3-~ ut~~ ~ ~,a, LOCity~L7Villag'ot~nship of ~_u_ ~s III. Type of Permits (Check only one bax on line A. Complete line B if applicable] tgp.New System ~ ^ Replacement System U Treatment/13olding Tank Replacement Only ^ Other Modification to Existing System ~^ $ • ~ Permit Renewal ~ ^ Permit Revision ^ Change of~^ Pertnit Transfer to New I List Previous Permit Number and Date Tssu /~ Before Expiration ~ plumber I Qwner S f~ ~ ~Gi,~ ~/ -~ ~ y ~ ~IqV. Type of PCIWTS System: (C'heck alt that apply} ~~ ~ ` a, „~ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mourtd < 24 in. of suitable soil ^ A[-Grade ^ Singte Pass Sand Fitter ~`) Consuuceed Watiand L7 Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter _i~ Recirculating Synthetic Media Filter ,Leaching Chamber L1' Drip Line ^ Gravel-less Pipe ^ Other (explain) f V. Dispersal/Treatment Area Information: '~`-' Design Flow (gpd) Design Soil Application Rate{gpdsfj Dispersal Area keyuired (sf) Dispersal Area Propos fj System Elevarivn ~ ,~. Vie! ~v cc i VI. Tank Info Capacity in Total Number Manufacturer Prefab Site rSteel Fiber Plastic I Gallons Gallons ~ of Ltnits I Concrete Constructed Glass ~ ~ New Existing ~ ~/~ ~ j Tanks Tanks r I ~Sep[ic or Holding Tank ~~~, - ~ ~y - - ~i ~`3e~" /'l i Rerobic Treatment Unrt ~ i Dosing Chamber ~ ~6 ' t I Lll i C~B•.- 1 I VII, Responsibility Statement- t, the titldersigtted, assume responsibiiify for ' Ration of the POWTS shown an the attached plans. ' i'Iumber's Na me (Print) Plumber's Si gnatu/re MP PRS Number Business Phone Number Ytumber's Addre ss (Street, City, Stau, Zip Code) VIII. Count /Department Use t?nly Apprvved ^ ll' ove y I Sanitar Permit Fee (includes Groundwater Da Issu d Issuing nt Signs re (. Ste Surcharge Fee) ~ ~^~ ~ ` `"7~6~ f ^ O en Reason for Deniat L.~ to IX. Conditions of A -- -` ----`--_ - pproval/Reasons for Disapproval ~~ svsn=lit~ oMnrpe: 3, Q ~a I~.•-t, ~"a 5 6 „~~ -M,~. tt -~,r~~ , 1. Septic tatlk, Nllueftt 8rter and ~ a~.. ,~ e.4} ~ovut?.t~tnll~, dispersal txM must all be se iG s / m ' t as per management plan provided by plumber, 1D ~ a ~ 5c~~~ ~ ~ 4I~ 2. All setback regtdrements must be rt>a~tairted •+~ J N ~ U ~ P~ app~Cabla coda / ordNwfces. ------- _Or ,.n., n .o~,~o...a. ,~ Attacb complete pleas tto the County poly) for the system on paper less than $llL x It inches in size SBD-1398 {R. al/03) p~~ 10 ~ry~ h •~~ t ~~ w-scensin Depa-tment of Commence SOf L EVALUATION REPORT P~~ ~~ Division of Safety and BuNdings Attach complete site plan on paper not less than 8 1I2 x 11 inches in size. Plan must Gounty ~~ inducts, but not limited to: vertical and horizontal reference point (8AA), direction and Parcel t D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. . Please print all inf+onnadon. R Date Personal intormadon you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ O~ Property Owner Property Location ~a /l~ 2 ` L Govt. Lot 1 i44 ~(,U 1 M S Z Z T Z N R E (o~ Property Owner's Mailing Addres Z ~ ° ~ S~ ~ Lot # 81odc # Suixf. Neme or CSM# - I ~~ . S~~ Cad i ~ 1 ~~so --s P Ci State Zip Code Phone Number ^ City ^ ViUage ®Town Nean~ Road j~ New Construction Use: ~ Residential I Number of bedrooms 3 - L Code derived design flow rate `"/ S d /~ O C~ GPD ^ Replacement rr ^ Public or commerdal -Describe: Parent material _ ~ C.)-hy G ~ ~ r / Flood Pl/ain~ elevation, i/f applicable /' .~/ /~- ft. and recol momendadons: ~`FS l f'~/l ~ ~ -~ U . ~ + I -t 4 ~ f "7 y I 1~ P-lor/ ( G r~ ~ ., / 6oi'-"~~ ~k .S CfT~G~G~ rCJ 0~i`~~'/~~( ~1G-f- P~a~ ~r~~~~ I Boring # U Boring I~ r_........a ....~~. _~_.. q~ (l i~ / ._ / • • - r ~t _. __.._ _~....~ ....... ~ a+cMu ~ .v m un.. ~y ~ouu~ ~ ~ io m. SOII tzars Horizon Depth Dominant Cdo Redox Descxiption Texture Structure Cor>eistence Boundary Roots G in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. 'Eff#1 *EffIF2 ~ a ~ ~ ~ to r 3 /3 - .S ,' ~., ,~ k ~ < S ~ ~ , S , z I~ 3~ io /~/ - S,~I ~ m~' ~ S , ~ . ~ ^ Bonng # ~ BO"~ ^ Pit Ground surface elev. ft Depth to Rmiting factor in . . Soil Rate Horizon Depth Dominant Color Redox Description TeMure Structure Consistence Boundary Roots GP D/fl? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eif#2 tmuern ~~ = CSVUb > 3U <C10 mglL and T5S >3p < 150 mglL ' ETfluent #2 = BODg < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) / / ure CST Number ~r~~°~l_rrt ~l~~c-rte`-~ `~~'~ i ~s33oq Addresgs~ ~i / ~ Dam Evaluatlon Conducted d Telephone Number •. Conducted by: Schmitt Soil & Site Evaluations Thomas J. Schmitt, CST 227429 1595 72nd St. New Richmond, VII 54017 Phone: 15.247.2941 7- BM EL 104.00' Ahernate BM ] l ~ Scale: 1" = 40' .- ,, Pag Conducted for: Name: Crrand Properties, LP Address: 712 Rivard St. Suite 100 City, State, Zip: Somerset, WI 54025 Subd. Name: Hudson Estates Lot No. / 7 /U~ 1/4, 5'i~J 1{4, S 22 , T 29 N, R 19 W Township of: Hudson ' ~r% /A ~~ir !J ~ ~i/a Slope = ~_% Contour Line El. ~ Qco$o~~ RQ~ C~ob~ ~un~~ ~~ ~~ i -- 11 C t l ~ ~° ~ ~~! ~ ~ 8~ j~~ i \ ~~ \ q7` ~~ ~ ~ ~~ as ' -r~ L d~, ~ ~ `~5 s ~ ~ ~a~i~ ~I' ,~. ~re ~ o r 5 ., ~ ~~_ n ~~~~ ~ ev°` Uu ,Q/ ~{ So : l .~P``~ ~- 5 ~~ qq, o. ~~~ s ~ ;~ ~ ~ 5 ~ s~ s~ e 3 of 3 This soil report was done to fiilfill a Zoning requirement. It may or may not be in a location that is suitable for your use. No permanent lot markers were in place when the test was conducted. 1\ .. ProP~Y Ovrner Grand Proper~es, LP ParcellD # Page 2 of Boring # --j ~"~ M!' Pit Ground Surface elev. 95.6 ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 *EtT#2 1 0-8 10yr32 none sl 2msbk mfr as 2m, 2f .5 .9 2 8-17 10yr4/6 none Is lmsbk mvfr gw 1f .7 1.2 3 17-96 10yr5/6 none ms Osg ml - .7 1.2 Borng # -~ ~n9 Pit Ground Surface elev. 98.74 ft. Depth to limiting facts 96+ in. Soil Application Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots 'EtT#1 'Eff#2 1 0-8 10yr32 none I 2fsbk mvfr as 1f .6 .8 2 8-15 10yr'3/4 none sil 2fsbk mft gw 1f .6 .8 3 15-30 10yr4/4 none sil 2msbk mfr gw 1f .6 .8 4 30-96 10yr5/6 none s Osg mfr - .7 1.6 ~~ ,i ~ ~ ~jD• ^ Boring # ~ Boring Pit Ground Surface elev. ft. Depth to lim4ing factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 'Eff#2 `Effluent #1 = BOD s 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 =GODS <30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and emptoyer. If you need assistance to access services or need material m an attemate format, please contact the department at 608-266-3151 or TTY 608-264,8777. ~ ,~~~.sov F~ .,~~~a '~~~Jli~ ~/~? ~ ~~~C~G 901- S3 r ~~~~~ \ {a ~~ PROPERTY OWNER: Grand Propeaties, LP $OfL AND SfTE EVALUATION 1205 ~9e ~ ~ 4 PARCEL I.D.# Tom Schmitt REPORT MEMO Discontinuous silt inclusions were observed in B1 with redox features. The redox features in the silt are present because the smaller particle site of sift holds onto the water stronger than the surrounding sand, it even has a stronger hold than the force of gravity trying to pull the water down. The water that flows into the silt inclusion will not seep out until the silt inclusion is completety saturated and cannot hold any more, then the force of gravity can start to make the excess water start to flow. This is why redox features (mottles) are present in the inclusion. The outwash sand that the silt inclusion is deposited into showed no signs of seasonal saturation or high groundwater. "`'F INSTALLERS** When a ' t inclusio (silt ball} is encountered, the chambers that are installed in the silt should not be counted. More chambers shout a added to the end of the trench in sand to make up for the lower gpd/sgft rate of the silt. This way the 0.7gpd/sgft rate of the sand can be used and the system is only nlarged as needed. l ~titoT~s ~8~ CST" Sctt~ / rT" ~/ r~ .~ ~tv\.C.~O-U-~-~-Q~tQ.~ O''V~ ~ L ~ ~ i wa~C9 c•~~,~ 1 ~-t S stk. cZ f (~"_ t ~u ~!..:~ - `S~ . d,~, ~ S . ~~'s ~s~~ ~ -~,- i~ ! C tip Ste' ~sr~-'c~S Parcel #: 020-1450-17-000 06/22/2006 02:19 PM PAGE 1 OF 1 Alt. Aarcel #: 22.29.19.2887 020 -TOWN OF HUDSON Current ~' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 09/09/2004 00 0 Tax Address: Owner(s): 0 =Current Owner, C =Current Co-owner O -GLEN JOHNSON CONSTRUCTION INC GLEN JOHNSON CONSTRUCTION INC PO BOX 809 HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 647 ROBERT'S LN SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.101 Plat: 10/25-HUDSON ESTATES 020/04 LOTS 1118 SEC 22 T29N R19W PT NE SW BEING HUDSON ESTATES '04 LOT 17 2 101AC Block/Condo Bldg: LOT 17 ( ) ( . ) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 22-29N-19W NE SW Notes: Parcel History: Date Doc # Vol/Page Type 04/19/2005 792615 2786/185 WD 09/09/2004 773861 10/25 PLAT 9f1f1R SI IMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.101 75,400 0 75,400 NO Totals for 2006: General Property 2.101 75,400 0 75,400 Woodland 0.000 0 0 Totals for 2005: General Property 2.101 75,400 0 75,400 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 rRUI'~ •a~.nui~w.cR r~u1~IJ7uvu rrtn ivu. . l1JJtfOJ1Gl aep. ~..._,-_ S'>r. CRol.X GpUNTY SEPTIC TANK MATNTLNANCE A(3REEMENm AND OWNFRSHtP CERTIFICATION FORM Number of bedrooms owncr/Buycr , len ~h~~ C`,~~~ ~;~~ ~c Mailing Addrt;ss _. ~ ~ ~~~n _,,, ~Z~S~(~- Property AddresR L~`1 I ~Yl~~-~.~-~ t~r`Qy -- -- (VeriTication requindfrom Planting & Zoning Dcpattrrlent for new ooastnrction.) CitylStatc ~'~~ UL~ -Parcel [dentification Ntunbcr OZp - /x/56 -~ / 7 - Ua~j Property Location N,~'/. , ~ '/, ,Sec. ~~ , T t !N R~W, 'fowu of ~c~a~-~_ Subdivision _.._ Tlu~„~Z '--~'~'fi~ -, ~ , L,ot # f /~ Certltted Survey MAP ~ _ ~ .....~.., Volume . ......._._.~ Page # Warranty Deed # __~~~'/..~ . , Voltune ~9~~' _~ Page # ~~ Spot house yts /no/ Lot lines identifiable ~ no improper use and maiat~euance of your:optic system could result in its grcmature falhae to handla wasua. Propel tnaintznance consists of pumping out the septic tank every three years or sooner, if needed, by a Hcemod pumper. RRt:t you put itno the system can affect the function of the septic tank as a treatment stage in the waste disposal system Ovvrter maintcnant'e responsibilities ere speeifted in §Conim. 83.52(1) xn~~ in Chapter 12 - St. GYvix County Sanitary Ordinanco• 'I'hc pn~pcrty vw~wr sgtons to submit to St• Croix County Plaanittg & 7c+tttag Aepattment a cottlfiaation form, signeYt by the owner and by a tnrster phunber. jouraoymsn plurnbor, res~rictcd plumber or a ltcansed pumper vurltytng that (1) the on-Aire waxtewatcr disposal system is ih proper operAting conditiva and,'oc (2) aftrr inspaction sad pumping (if necossary), the septic took is ltst than I /3 full of sludge. Uwc, the undersigned have read the above requirements and agree to >naintain ttu private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and tht: Department of Natural Reaotuces, State of Wisconsin. Certification stating that your acsptic systrrn hss bean maintained must be completed and returned do the St. C'so6t C.'aunty lPlaanmg dt Zoning Department within 30 days of the three yoar expiration date. i/we certify that all statemenu oq this fornt are trot to tht: best of my/our knowledge. L'wc am/are the owner(R) of she property desctibod above, by viriu0 of a warranty deed recorded in R,egistor of Deeds Ot'fice. SIGNA OF AP ICANT(S} ~ ~ HATE •"Auy information that is rnisteprescntod may result in the sanitary pcztttit being revoked by the Planning & Loning Departmcnt• "' Include with this application a reeotded wamtinty deed &orn the Register of Uaeds Office and a copy of the certified stu~~ey map if reference is made in rho warranty deed. cREV, os~as NRVeYORs PRErARBDF . oawv~s :waal ewtl tworan `°'""""" HUDSON ESTATES e. ~' M LDCI77D !N ral Nl1/f or rah Sf//I, P~ltr or Ta! Sii/~ Or rat S1I1/{, PARr or " ras NI-!/~ or ras srl/s, AND P~Rr or ras srl/s or ras srl/s, ~Lt IN ssCr~oN lt, rYlN, Rlll rllN Ol FUDSON, ST. CR!!X COUNTY, IJSCONSIN, ~M~rr [T~Ni at•a.t tln• etrltt . a~• v talr r. 1.4I~ itrerr ~ l7PIPLAT'fBDidNDf lttlr.ellrTtlua S PG~3»S c tsar w~ roo ~' • ms t mw . i w~i• ~ LOT is LOT 1 t 1~LOATo 1~i~ nx ` ~ ~ '~ :.x...'.100 G :. »~• ~ :a' ~ f Lorf .... ~ Li0. . K,JO t~ lw Bann . aaty nRea w R. v nn Q P /~ ` u.w • wwN 1 ,~, .................................g~~ Y n.. y .. faTV ~ ~ la•ru .• • v w.r _ •'•c . , - --f10YRTf LANE-~. ~ \~ ! , tas + ...1... ` .., . ta•I• ....... ... .... 1 o whir I~ ~ ~ Ly Q ~ .~ LOT 1f ~ •t '.\~ c"~ ^ ~ f ~ Tttl• 1C ~/ w.nu I aaP • M/J1 1 1tr.ratl '• \• ~K~ Div i00 ~ LOT tf ~ `4r ~ trtrat '. '. •~ K R. . t.11 ; awnollte / i : ttrlr `_w ~.!" raMM '~ B/a......~... nar atl.w . llt+o: ,~ ~ /~ • q LOT 1f j •~~ >r.»T.a.. ~ •. 1 / ..-~. • 1 me 11.11 .'4~ ~,4 ~ a>r '• •d ~ I~ ~ ~, w1a111vI1 ~ • tloKrcvr ~ CLOT 77 ' ' j tlar _ - - ~' ~ 4.. • trtlaurw ~ ~' i 1•Ttl ~onr =... 1 v 1w r • • ~j ~ 1 aI~"' 4uw.lt t,tl 1 /. , art t ~ uKwl _~ I~ i sts ~~ LOT 14 ~ 1r~ru ~' ~ t tlr lyts>'~otel ~ +`m 11 mw la n. i' r1,L ~ • ~~ LOT /f alav ~slttr • . a/r wnawr W. ~ N/M . IINI ~~ ~. Ytt q tir111~ ~~ 111tttlIOtK1101 ~. ~ 1I YLV ~ / I tali' tLtl' ti•1' I .~ ; # ~x ~~, :.~. jNi Klltrresrr Ktlwrtllr r.. ~~-- _..^. ww 1 Taa ,z J L~".~ , - : .ar I / ~ `p 1O1/1M alp1 Or 7111 KI1Mplle leW ort [ ~ ~ ~, . ~ ~ ~ !!~ t/ er111r ~ UNr1J17T8D LWD6 ~'' tii' ~ ~ I~ ~ / 1Y-,YM . dg I / I pYf 4 ~ ytl. I W ~ tl~M'11'Y ~ M.af y'It' 1r.M I- ` lirrtl r LOT4 .~ yy``~Tw LOT ! SEE SHEET' 1 ~ aeioiolan ~I.'T r~ru1 ar~w Itl .ter ~.`""r a~vtll ar~i'.® ~1r trans M K lrl~ tKt•arr r K wtl r ioi~ai nwunu Oet1110a11 w'~r 1I 1w vr1ilq rwvr°wrrai o r~ir°o s w r°ic tl•1 r a1KS11 R•t Ki1RT KVdr{ "1i tteltl KKII1tl r x rir ~Krn v R. Kllpi I K 11tr lr~[eA M wT M IW ^ 1dK r K 1tlN o K trK IYfrMtl WIKttlM MUrxYr/i r' •1tMtr tr111 ala K 1LY tueq m1iltK rr •tM Itrl t1K r/ wl I K 111tltl////~~~~iKr K iY M ty'att a ar. 1WM r K ar I ^et11. Ken calvr arT r o"r1ewi Oa_ Y IC~ilta~ Krtrr aatr i1mWIQ rM K titttlt r W d11y ati K M Y1~1O r0 tl tray •KKKtl Y r~~/1 rn I Kr1Klt N K KIM K 1I1/ tlplrtl r K MT r pfNAil .A /T K`K M K1a11 i atlR Yid w I1wa1-Kn1 wet us r w Kn11 a nrrw~a • ln..a IaawlsTwKeKrwrK1111/~y~rK•sy.rw \ t1aa/1 tl W K 1a11i r Kle- leltl ttlKti ytllt K t IOr1 ~ Ml 11tlM-KIM w# 1tt I w KlKI tl if'tla1\ . trltr Isar 1tla re rM K uat-am lttlK 1t1 tsfrtl'a . trlatl r neat Isa atr rr K tsl 1K r K e lv. K w 1r r w sear a rrtlals • rartl r tzar als R' wO01O~r~~~O1YO~p it°r r~ ~1i °aw rria~w K.w~il ue~i liai i au~ OOMtt1i7Y IeIOLVllp1 1a It ia. ri 1OR KW K t!M 1t/ r w 1tl 1 I~r • tKYQ r ytl 1eI w K aiilis KtK I w tal 4 K fJL1Y, WI K Mi r rtMp1 tllap r K alrl r ri K WT Ul I w 1a11 Ktl K KR YI[ r tl 1N 11 M1Kl tlil/ r1lKaia 11 . AaOI. r IOOf .IwlOii R K 1H I w IMK1 tl tl/tl'!11 . arMiR I M1A 1't! 1a K R. OeY m1MM1 !"•NIO MO Ktfq 00."iR KIt1 Ma r K i1K atl4 Milt w falM IK 11rMYtt ltt"ttl r flat Itla 1118 atlJ/Fr tl11.M 10t tl K aaia 11I1i r K lerl r K K/i r w tlitl i atli ter W tai /t[ MF/Mt . YRMQ I NLM 1t1 q K I'OII I aiar/1ts ax r. r , .r Kw i/rlt tllteict fNflT ! O! ! f1lftTf e•s ~- o.s.t • u iltt arrwwttlrawnsw rrrnll oaaa.r rn nlw tawtarrl ~S U ~733~ 1.35 State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number ll Document Name THIS DEED, made between Grand Properties, LP ("Grantor," whether one or more), and Glen Johnson Construction, Inc. ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Lot 17, Plat of Hudson Estates in the Town of Hudson, St. Croix County, Wisconsin. 792615 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO. ~ WI RECEIVED FOR RECORD 04/19/2005 09:30AM MARRAHTY DEED EXEMPT # REC FEE: 11.00 TRANS FEE: 284.70 COPY FEE: CC FEE: PAGES: 1 Recording Area \~ Name and Return Address Part of: 020-105)-00-000; 020-1059-10-000 020-1058-90-000;020-1058-80-000 Parcel Identification Number (PIN) This is not homestead pruperq. (is) (is not) Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated ~~ ~ ~ /a ~ Grand Prope 'es, LP * (SEAL) ,, 'U' ~J (SEAL) *Mi ael J. Germ in (SEAL) (SEAL) * * AUTHENTICATION Signature(s) Grand Properties, LP By: Michael J. Germain, authenticated on Qi ~ *Kristina Deland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAF"TED BY: ACKNOWLEDGMENT STATE OF ) ss. COUNTY ) Personally carne before me on , the above-named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. * Attorney Kristina Deland Notary Public, State of Hudson, WI 54016 My Commission (is permanent) (expires: (Signatures may be authenticated or acknowledged. Both are not necessary.) NO'hE: "I'ti1S IS A S"h.4NDARD FORM. AN1' MODIFICATIONS TO THIS FORM SHOULD BE CLE:~RLY IUENTIFIEU. W'ARRA\"[T UEEU '~ 2003 SPATE BAR OF yy'ISCOti$IN F'OR~1 \O. 2-2003 * 1)~pe name belo~~ signatures. INFO-PRO'"' Legal Forms 800-655.2021 www.infoproforms.com POWYS OWNER'S MANUAL & MANAGEMENT PLAN Page - of ,~ 1=rLE lNFOaaiATioN ~-1 ~l.so h L-- / ~ Owner ~` ~~ Permrt ~t DEStGN pnRerur~rcae Number of Bedrooms ^ Nq Nutnber of Public Facility Units q NA Estimated flow {average} !~ O © al/day Design flow (peak!, {Estimated x 1.5 ~ ~y p al/day Sotl Application !;ate ~ al/da /ft~ Standard Influent;Eff!uent Qtrality Monthly average" Fats, Oil & Grease iFQGi j .°~30 mgiL Biochemical Oxygen Demand {BODr,i ~ s220 mgil ^ NA Total Suspended Solids {TSS} <_150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand {BOGS) s30 mgil_ Total Suspended Solids ITSSi <_30 mg/!. O NA Fecal Coliform igeametric II mean} 1 510° cfu!1QOml Maximum Effluent Particle Size ~ ~.. Ya in die, ^ NA 0ther: ^ NA '`Jalues typical 4or domestic wastewater and septic tank etfluent. MAINTENANCE SCHEDULE SYSTEM SPECIEICATIr?~NS Septic Tank Capacity ~ ~,5" f3 $al ^ NA Septic Tank Manufacturer ~ ~ ~~~~ ^ NA Effluent Fitter Manufacturer 'ZQ,ip ~~ ^ NA Effluent Filter Model ^ A I~C~ DNA Pump Tank Capacity _g Q t7 _~_;~I O NA Pump Tank Manufacturer ~ ~~ SE'- R. ^ NA Pump Manufacturer G O ~` ~ ~ DNA Pump Model O NA Pretres~tment Unit © Sand!Gravel Filter ^ Mechanical Aeration d Disinfection C Peat Filter ^ Wetland ©Other: ^ NA Dispersal Cell{s1 U in-Ground {gravityi Q At-Grade ^ prip-4.ine ~.~ T ^ NA ^ In-Ground !pressurized) ^ Mound d Othor: Other: - - - O NA Other: -_.._.__ - ^ NA Other: (] NA Service Event 6ervics Frequency Inspect condition of tank{si __.__ At least once ever : y monthfs} ~ IE[ year{s} (Maximum 3 years) DNA Pump out contents of tankisl When rambine~ sludge and scum equals one-third 4i;} of tank volume ^ NA inspect dispersal cell(s) __. At !east once every: ~ ^ month{s1 (Maximum 3 years} ~ R Years} p NA Clean effluent fitter ---_ _ At least once every; __ __ -' ^ month(s) ~, r ~~ W ~CYearlal v G7 NA inspect pump, pump controls & alarm ~.1 _.___..___ ~At !east once every: ...._____..._ __ ..__.__. ^ month!sl ~ ~-• ^ year{s1 O NA _ Flush latdrals and pressure test _.-._ _ ~ 1 At least once every: ,~„_ ^ month{s) ~ year{sl ^ NA Other. T -- At least once every: ----- Q monthlsl .~_ _.....~_~.~. --- _ fl~roar{6l ~-- ^ NA `" Ocher DNA MAINTENANCE INSTRUCTtQNS inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; P4WTS Maintainer; Septage Servicing Operator, lank inspections must include a visual inspection of the tanks) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface, The dispersal ceilisi 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 pending of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. bVlren the combined accumulation of sludge and scum in any tank equals one-third {Y3l or more of the tank volume, the entire contents of the tank shat! be removed by a Septage Servicing Operator and disposed of in accordance with cttapter NR 113, Wisconsin Administrative Cade. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretrr~atment units, and any servicing at intervals of <12 months, shall be performed by a certified POW7S Maintainer. A service report shall be provided to the local regulatory authority within 10 days of camplation of any service event. •apo~ aniig~islu~wpy ulsuoaslM '{g) ~ Iz! '{ L17~5'£S Pu® 111'8{Al{ I{{41{ZtLZ•E8 wu,o~ ~aldey~r yilM ~aoue~~dwo~ ui peye~U seM luewnaop siyA ~ 1S _ '"') ~~ ' s/L euoyd euoyd aweN Jlllsa0H11iv Ali01V1AD3a 1b-001 4b3dWftd) >:lO1'dii3do ONlQtga3s 30b1d3S _ .~___ euoyd -~:~~~~Z° / ~'- $ ~ '- ,5 I L euoyd aweN `" _ ~ ..~1CC~'7 S "C-tii i ~ ~ euaeN ki3Ntb1NIVW S1MC1d a3114~13N1 S1MOd + S1N3WW00 1VNOI.LIQa~- '318159pdW1 a0 1'9l301331Q 38 A~7W ~NVI d 30 >i01!l~1Nt 3H1 WO!!d NOS>d~d 17 d0 9f1~S3!! '1ltiS3a A\-W H1b~3Q "830NH1SWI10di0 ~IIVH !i8!]N~t HN'b-t 1N3W1V31f1 tl3N.L0 a0 dWnd 'Ol1d3S d Fl31N~ loN oa "N3tJ/lxo 1N31olddnsNl !lOlCiN1~ S3SSVD lbH1~1 Nld,t.NOO AD'W SNNt/1.1N3W1ti~S1 a3H10 aNV dWnd 'Oi1d3S < < ONIlV!!VM > > •awli leyi 1e laoiie ui sa!na ayi yll~u- A)dwo5 isnw swais,ts yaps jo suo~lan,isuvaea •aaei.lns sn)le,lii;u! ayi le lewolq ayi io !enawe, 6u!nnol)og aae!d u! paianalsuodea sq tiew su,sls/~s uo!id,osge I!os epe,8-le pua punoyy ~ 'S1MOd pelle;l ayi aaP.)da, of i~osa, ices s s ailei q ,lpu~ ~uei Bu!pioy a e!gejlene si ee~g iuewaastdaa ou ,1 •e+a~e luawaoeida~ slgeilns a nisaol of pacL~o;god aq uolinniune l ails pue lias a S1MOd oyi ;o eanlle; uodn •ee~e iueweaslde~ elgeilns a ~;4luapi of peieni®na ue iou sa ails ayi ^~ `~ •S1MQd pel!gt• syl eaelda, oa i,osa, lsel a se pal)eisu! eq Aew ~uei Bu!pioy a tit3olouyasl 1 S1/~AOd w seauenpe Buu,eg 'suo)leliw!i i!vs ,o/pue ~aegles of anp a!gel!ene sou s! ee,e lusu,eae)da, algel!ns 'd ~ 'aw!i leyi ie lee;;a u) sa)n, ayi yllnn ~tidwoa lsnul swais,ts lueweae)dat} 'ea,e luawaae)de, a)gallns a yai)gslsa of uoilenlane al!s pue l)os nneu a ,o; peeu eyl u! llnse, !IlM ears luawsae!da, ayi loaload o1 s,niisd •spenn pue seu)! 10l 'a,nian,;s pesodo,d pue tau);s)xs wo,; s~laegles ps~)nba, Aq uodn paBuil;w aq 1ou pinoys pue uoiioedwoo pue Aougq,n;sip wo,; paloalwd eq pinoys ease luaweoelde~ eyl •uielsAs uald,osgp lios luawoaeide.t v ;o uolieaoi &y1 ~o{ pezlllin eq /yew pue psisnlene ueeq seal es,e luawsoeidsa aigQ;ins b ~ :weisAs luaweveida, lueiidwoa apoa a ap)no,d of 'ue~ei aq ;snw ,o 'ueeq aney se,nseaw Bulnnoilo~ ayi pa,iede, eq leuueo pup s!!e; S1MOd ay1 ~! NVId ~lON3#3Ni1N00 •le),0;ew pilos l,aui ,syloue ,o )ene,t3 y)os yiinn pail!; seeds pion ayi pus penows, s,enov nays to panowa, pue palenavxe aq slays si!d pua s~luel lie 't3u!dwnd ,ai}b aole~edp 6ulain,as e6eideg g nq ;o pesbdslp ~i~adoad pue panowel oq iisys slid pue s~iuei Ile Eo siuoluoa ay,t• ~ 'peiaes sBuiuedo ed)d pauopuegg ey2 pue pelaauuoaslp eq ))eys sud pue s~iuel of t3u!d!d lid :epos and;e,lslu!wpy wsuoaslM 'gg'gg u,tuoQ,aideya yllnn aauel)dwoa u! pauopuege ~tla~es pue tilleda.d s! u,elstis ay1 1g y1 a,nsu! of ua~el aq Ileys sdais bulnno!!oi ey; sa!n,as ;o ino ue~el ~lpuauew,ed s! ,o/pue s!!ei S1MOd ayi ueyM 1N3WNO+aNHBH •au!,q,aual~os,oleM pue :suodu,si :sul~ideu A~silues :sapialisad :sionpo~d Bulluled :{~o ~suaile~lpaua :sde~as ioaw :saplalq,ay :assa,6 :eurloset3 :st3uitaad atgsiat3an pue irn~; :.reigM {duand dwns} uie,p uo!lepuno; '1e; :sluatoe;ulsp :siadslp :seol; iswep .slasee,t3ep ~~sgeMS uo;loa :swopuoo :s11nq aiie,gBlo :sadinn Agey :sollolR!we :S1MOd ay1 ~o o~!i ayi t3uolo,d pue souew,o~,ed eyl ano,dua hew waa,ls ,e;gnneisenn ayi wog; Su!nnopo; ayi ;o uo!leuiwiia ,o uor;anpaa •ee,e uolld,osge sloe epe,a-le ,o punowr glue }o ado)s unnop ;as; g ~ u)yl!nn ee,e ayi `laedwav ,o q,nislp aslnn,aylo ,o keno ~,ed ,o anl,p sou otJ •silea les.lads!p pue s~uel ,eno sa!v!yan ~~ed ,o anl,p sou oQ •~iuai dwnd ayi uiyl!nn s)ana) iew,ou s,oise, 01 sloaiuoa dumd ey1 t3wle,ado ntlenusw ul lstsse of ,suleluiew S1MOd ,o ~aq~unfd a 1os#luoa ao du~nd iusnl;;a •yi of ~annod E+ulaoisa, 01 solid ~ole~ad0 Buialn~ag aBsida$ a tiq panowe~ ~iusl dWnd ey1 ;o siueiuoo ayi aney uo)lenais s{y; Alone o1 •;uan}};a ;o et3aeyaslp sae;ins ~o dnaiaeq sy1 ul ;inse~ Aew pue {slllao ayi Buipsoi,eno 'asop eB~el auo ui (s)gea ies~adsip ayi of petl~syaslp eq ii!^A ~aie~®lsenn ssaoxe ayi pe,o;se, si ,eMOd ueyM •aianei ,alennyt3iy lew,ou anoge l)!; Aew s~uel dumd saBeino ,ennod Sulmp 'aae;,ns anlie,l)!~u! ayi le ueza~ a,e suolllpuav )!os uaynn lnaao iou )lays do i.leis weisAS •a$n b1 ,olad ,ol>3,ado Bu!vln,as e~eldas a I~q panowa, (s!~iue1 ayi ~o sweluoa eyl aney peloslep a,e suotls,lueauov yBly;l '(s)llaa lesrads!p ayi at3ewep,o/pus ssaoad lustules,l ayi epadwi /yew 1Qy1 s!ea!wayo ,aylo ,0 5lanpo,d Bulluiad ;0 aauess~d ayi ,a; (s!>fUei luawlecli ~ioaya S1MOd sy1 ;o asn of ,ol,d 'uollon,isuoa nngu god . i~ --- aga¢ NOIlV>;l3d0 ONb dll 1!!t/1S START t1P AND OPERATION Page _ _ of For new construction, prior to use of he PpWT5 check treatment tank{s) far the presence of painting products or other chemicals that may impede the treatment prvice s and/or damage the disperse) CeHSs?, If high concentrations are detected have the contents of the tanklsi removed by a septage ervicing operator prior tq uss. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During paver outages pump tanks m y fit{ above normal highwater levels. When power ie restored the excess wastewater will be discharged to the dispersal cell(s) in ne large dose, overloading the Dellis} and may result in the backup ar surface discharge of effluent. To avoid tills situation hav the contents of the purtip tank removed by a Septage Servicing Qperator prior to restoring power to the effluent pump or cont ct a Plumber or POW'fS Mainta}nor to assist in manually operating Lhe pump controls to restore normal levels within the pump tank. Do not drive or park vehicles Dues to ks and dispersal cells. Do not fa'rive or park over. ar otherwise disturb ar compact, the area within 15 feet down slope of any~m nd or at-grade soil absorption area. Reducriort or elimination of the follov POWTS: antibiotics; baby wipes; cil foundation drain (sump pump} water painting products: pesticides; sanitary ABANDONMENT When the PQWTS fails and/or is perry properly and safely abandoned in coma • All piping to tanks and pits st • The contents of all tanks and • After pumping, all tanks and soil, gravel or another inert si CONTINGENCY PLAN !f the PQWTS fails and cannot be rt replacement system: ing tram the wastewater stream may improve the performance and prolong the life of the arette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; madicatinns; oil; napkins; tampons; and water softener brine. ~ taken out of Service the following steps shall be taken to insure that the system is with chapter Comm 83,33, Wisconsin Administrative Code: be disconnected and the abandoned pipe openings sealed. shall bo removed and properly disposed of by a Septage Servicing Operator. shall be excavated and removed or their covers removed and the void space filled with material. the fallowing rrseasures have been, or must be taken, to provide a code compliant ^ A suitable replacement area .as been evaluated and may be utilized for the location of a raplacemoni soil absorption systain. The replacement are should be protected from disturbance and compaction and should not be infringed upon by required setbacks from exisii g and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new s ii and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effec at that time. ^ A suitable replacement area is not available due to setback andtor sail limitations. Barring advances in POVd75 technology a holding tank ma be installed as a last resort to replace the failed FpWTS. •1~[1^ The site as not en evalu 9d to identify a auitatrie replacement area, UpAn failure of the i'OWTS a soil and site 1~l ~l evaluation be performed to locate a suitable replacement area. tf na replacement area is available a holding tank may b take s a last raso t to replace the felled P©WTS. ^ Mound and at-grade soil abs rptian systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Recanstru Lions of such systems must comply with the rules in effect at the; time. < <wAR~auuo> > SEPTIC; PUMP AND OTHER TREATM NY TANKS MAY CONTAIN LETHAL SASSES ANDtOR INSUFFICIEII{T OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER T EATMENT TANPt UNDER ANY CIRCUMSTANCES. DEATH MAY RE3JlLT. RESCUE OF A PER30N FROM THE INTERIOR OF A T NK MAY BE DIFFICULT QR IMP0J3SIBLE. ADDITJONAL COMMENTS POWTS INSTALLER j Name ~ ~ i f~_ Phone 7 / s" ._ SEPTAGE SERVICING OPERATOR (PUMP Ri Name Phone This document was drafted in cnmpliancb rhapter Comm 83.22t2)Ib)llftd)&1f) and 63.54tt), 12) ~ {3?, wiscor:sin Administrative Code. PQWTS MAINTAINER Name Phone LOCAL REGULATORY AUTHORITY Name 5~-. C{'o~,f ~~~rti ; ny ~' Cow; _- Phone 7/S ' 3~S ` - 5,l '~ ~ SEPTIC_ TANK ~ P 1MP CHAT' 3 S1~CTI 4" CI VENT PIPE I~" IN. ABOVE GRAY?E ~ ? 25' FROM DOOR, WI CW OR FRESH AIR INTAKE FINISHED GRADE 4" GI RISER b. _.. /// ie'~ ~lIN , ___~ ~„ MAx . A~lD SPECIF~CATIO'~'c WEATHERPROOF JUNCTION 80X WITH CONDUIT .. ~~ ~', ~~ t' GAS- i ` T'sGHTi `~ SEAL ' ALM ' ON ~ „O F F INLET _ ~ WATER TIGHT SEALS A APPROVED "'~'-' 'IPE 3' INTO S4i.ID ~ C 'AID' PUMP OFF ELEV . FT . ~ --~-- 3" APF~ROVED BEI3AING UNI~)rR TANK APPROVED MANhGiE COVER W! PADLOCK 8 WARNING LABEL ,_.4" MIN. ~'t ~ JAPPROYEQ JOINTS WITH APPROVED PIPE 3' bNTO SOLID SOIL ~-~ RISER EXIT PERMITTED ONL`~ IF TANK MANUFACTURER HAS APPROVAL CONCRETE PAD SPECIPICAT'Zt?NS SEPTIC / DCSE TANK N~ANUFACTURER: ~ ~, ~P~,+_„_ NUMBER DOSES PER DAY: ~, TANK STIES: SEPTIC ~~ 1°a; Q UAL. DOSE VOLUME INCLUDING ~~ 9 GAL DOSE GAL. FLOW$ACK: . ALAF2M MANUFACTURER: CAPACITIES: A = ~~ INCHES = CI ~i•~ GAL. MODEL NUMBER: V ~ a SWITCH TYPE : hr~ 2 8 = ___,__ GALS INCHES = PUMP MANUFACTURER: G C = ~ INCHES = ~g GAL. MtiDEL NUMBER: ~ S6dITCH TYPE: D = ~ INCHES = ~~i GAL. REgUIRED DISCHARGE RATE ~ ~ GPM PUMP 8 ALARM WIRING AS PER SLH 16.23- WAC 'JERTiCAL DIFiERENCE BIrTW EN PUMP OFF AND AISTRIBUTION PIPE 1c~ FEET ~o'~o + MINIMUM NL~TWORK SUPPLY PRESSURE .~ ~ !'. FEET + (~~ FEET FORCEMAIN X ~,E.bF T/l~ I'T. FRICTION FACTOR ~~ FEET ..?b~ _ ~ Q 3~ Q/p~~ T,+OTAIr AXNAMIC HEAD = L~~EET 7~3~ iti"'F,RNAL DIMEIr'SIONS OF P MP TANK: LENGTH ,.~•- ; WIDTH ~-.--- '• ; DIAMETER ~--~ SIGNiD: LICENSE NUMBER: ~.e1.`~ Qq 1~ DATE: 1./88 (~ GOULDS PUMPS Submersible EfFluent Pump ~~ 3 V ~ I EP05 APPLICATIONS Specifically designed far the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: 3I+" maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1'h" NPT. • Mechanical seal: carban- rotarylceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C} continuous 140°F (60°C~ intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Singgle phase: 4.4 HP, 115 or Z30 V, 50 Hz, t 550 RPM, buih in overload with aUtamatiC reset. •EP05 Singgle phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 16/3 51TOW with three prong grounding plug. Optional 20 fioot length,1613 51TW with three prong grounding plug (standard on EP05}, ®2000 Goulds Pumgs Effective February, 2000 83671 • Fully submerged in high grade turbine Qii for lubrication and Officfent heat transfer. Available for autaflnlltl~ and manual aperatipn, Auto matic models iteeipdp Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP44 Impelled: T'hermoplas- tic Semi-open design with pump out vanes for meehanicai seal protection. METERS FEET to 9 30 e 25 T s v E 24 s A ~ 15 Q 4 0 ~ 3 10 ~ EPOS impeller. Thermoplas- tic sntloseddesign for improved performance. Casing and Base: Rugged ~ennoplastic design provides superior strength and corrosion resistance; A Motor Housing: Cast iron for efficient heat transfer, strength, and durability. Motor Cover: Thermoplastic cover whit irltegrai handle and float switch: attachment points. ^ Pow®r Cable: Severe duty rated ail and water resistant. ^ 9earings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING ~' Canadian Standards Assodation (CSA listed model numbers end en "F" or "t.°.} Goulds Pumps is ISO 9001 Registered. .._... _.. r ...... . ....... _. __._. _,_.. _ _. _ .. . .~.-.F ._..... i.. ;....,. ,.. ~ 2.5 FT ~ i _.. ~^„ ._....o -,......~._ . 1. ...,,.. _... t .. f ...,. _ _ .~.. r._ t.._.., _._ EPO~: ~ cr •r 50 GPM z t 5,.._.,_. _ i. ,.._... _. \ ~ i _ ' .. 0 L 0' _,.,. 4 14 2A 30 Q ~ 4 6 8 10 12 mrlh caPaclTY Goulds Pumps ITT Industries ~\ _.__ r ..__r. ~- uick4~ STANDARD CHAMBER Quick4 Standard Chamber MultiPort End Cap FRONT VIEW SIDE VIEW t, .,.~ "~CY~r'M~i.rrr~' r ~s~ s •,', ~~ ~ x~+.~ rte a ~' i,y u Qnick4 Standard Chamber~Nominal~Specificattons ,->~ *"~. Size WxLxH) 34"x$2"x12" Effective Length 48" invert Height 8" TOP VIEW G~J/~~ ~~ 4 fuF6 :.£ •tt~ r..~:1~nE•4{P ~ k ~1rh a ~ r f.? Y r~n G~ r~Mult~iR~*ntt Cap Nominal Speciticationa• ~~ - '` l Size' W z L x~H) ~' 34` x 16' x 12" Invert Height ~ 8" or 1.25" INFILTRATOR SY~TEMS• 11V.C,,~~Ni1 ~~r~ILT~LWA~~NTY tu) t re v r 0. ml i, ieP r N n~Wr chamber, ~+a nfate. weAgR and other au:essrnv man,ilar Wr0[1 4Y M diluautor (~ sIG i when ms1a11aU m h irtr»ctwP. ~n 3 19aChIlP.ld of an qt: I' S[:11S1C system. hl 8Cr/JrdanGe wqh NVIltrat0~ 3 nalnrr.110n3, S wai`A qr~d ]u Shn IN I Nial U!aRa rl ipldel') ana u,aieriaia anC wtxkrnal islsp kx oar, yea' NcxT. the date the[ U>•R aedic PRr~rt~.t ~ SSUed for lil@ FOptte eyst[,m [:~ tlaxrhrg Ihn IJnII: Orovkle0 rawavsr. e,at '~.I a aeptrc~ permi~. is rxtt rec><xrarJ by eoPpr~~ yw, iha warranty Perms wits begin r~POn ttid date lha4 atclRNdarxt pt Itro se1Nk aystern commerce-'. To eYmc~ its warranty nghis. Helder nxtsi notiry iMlarator in wrtling a; its IOrp,xata Heac4guvlr"s in CJx1.5Wbrcmlt, COrn•e[AwW witttAl fitt~rt It51 days or th>, al!eypd derec.L 'ntlltrator wBl supply rW!acemptt tJr41s to iMits delamtlned by hll~traldr t0 be cnvervd t?r iMS L!mitecl Worrmtiy. !nfiltrat(xs 4aMlity sPerifica8t' exohN20S Iha COSI [d /PrROVffi arxi/a instaaatron d the Units !ul tHF I,MfTfi1 WAF;RANIY AN0 REMCD!ES IN SUHF'fiRAGRAioH let ARE G%Dt l I;iIVk 11 h rir AFt V(l DlFIF.R WARRANI'lE`i WiTN R£5PLGY TU TH( UN[f S, thK;LUDNdIa NO 1NiPUED WAHRAtJTIFS DF ME:RCHAN'.ABILITY Ofl FITNr uu Irt>H A pAfillGUl AR F'URPUSE 1 nr5 linnl[ul Wfi n!rt'; shot! he void it any part of Iho rhambfN 5Y`aem is manufar;tured. by r^h'1hc-, 01tip' ltu'Y u+tmr:>ta. life Limited W~ffiNtY d0~ (r l r; -u'41din bss M .w! ttl i m inn!dert ,i. rnnwxl[Iential, spedal or httRrstt dalnag+s, in5tlratrx shnR not be t1a1>IR for pRnalbw or rµu4dated damage . '' , g orud~ N n n. ~d nrot rs, tatrp and ntateruMS. Ovmheed costs, or rnnRr uysses or nxpersus irlCtvl9d r?Y tM# 'id[krr Or arty IMM patty. ' f ~ m i_pnVed'Naranly c;o+rdeye Eire damage ip tha Urals due to cxdinary year and tiler, aaerairon. trccideM, nl.9use. abuso Ur nRgMlot d cnc!'.x1Rd - ons which are not PRrmittad by thr! InataAatiat antNGWns: tatvre f ~rnal~ Ort1e Uie U is I w U •.~;_ ,RUxt sUbl[x%tRd to vghiCla traits: or rather Cen[tih Rment M Impmr'rM materials rote 1 1 ~ dl~~ ~tp ~ ~ralpn'. ru n~rcuimUm Q UU UCr.Yr3 RRt ((Mh In lh0 inslalratWr Nt ~nwt IrJ ~ In~ exee55~/e WatR1 USaAa, ~nnzOpert Urh ~ ffi lha iMms %t Ionh M This IN+tMed the Urals or lns stQt c system due to Imprope sN ng hrN f 9, acv olner every not caused W Irdllraiar. Trds Umltad WantullY shat{ ba void A the Hnrlter falf0 to obmt~l'I 4'?anantY msu11's~Q kan instaibfon ro ship. xrsiae for arty less tx damage In th[r HcYdar. !na lJnits. a any Ihhd party br asXOrdyuR For ihi5 Limited Wart @My fv ar?pk' the ,JnNS must. be aaata FuRher, ht nn aVNI! ffi-iaG Milirator be nrrf% men!, or irdri any PrOdU! 9attiliSY Slate andd IOCat rcode5yalt t0l'ler apPi~~ laws; and ANillralP*YI Al&18Ni1ltOr1 ireltnaOliprla. with aN tale rrontlitions rttQrJUed by ton wanarntY arKal~ to anv Party orbs' th9n the orrc~. Idl ~ rgpresenlatve of InfAiraior has lira authority So cnaru,7e or exlerd:ttis Limited Warranty. real Hauler, t warrattY reQtirco- Inixlrata. A IunA W nu~*Iher pf afataa acrd cOr rtdte3 h IX 1O'~ ~rd~, 10 0lttain e Mac1 InaMralolG CArpMate Heatl[Ne+tms In rlki S[rybnxak, CiCnMaotu:tb. Fro ThR alxrv0 rapregynts !Im Standard Limited Warrants <A'ered by rlpr 10 the Pcttdras0 of Cl['~kra meats. Ivry ;nrrc;heser W Units should w Id caroturhl read that wenamY P uNrl ct lha apPlicab!a warranty, and strou ~_~~ ~ , • ~ SYSTEMS lNC Envtronrrientat t?nsite Wastewater Solutions'" 6 Business Park Road • P.O. Box 768 Cold Saybrook, CT 06675 860-577-7000•F+~ 860-577-7001 840-22i -4436 156.488; 5.330.017; 5,401,11E; 5.40},45E1: $,511,903:5,718,10.'..:).:'68.778: 5,639.864 Intltbator gystnrnc u =. t .,te ts- 1. tsac-Ft b.o17.0at: 5. pt~r patents pending. k in ~ rants. ~ canna ar Patens. 1.379.959: 2.OCa,564 CnarrtharSpacef, Po~LrJCk, QUiCkCUI, i~ Inrav t E lu,~t~zer anH S~tleVYmtler are registered tradP,rnarlCS Ot Infllratof u)5rCr1'4 InC., k1111ifatUf I$ a feg;6r~reJ 1rl!ltlmar is a ragistered trademark in Mexicfl. Contour, Contour Swivel pornlection, M~c>!•al.E7achhlg. PdyTutl, Sntlpt-a%I`. and Quick4 a:e trarJemarks of tnfiltraior Systems inc. ~ 2003 k7fifflafOr Systems R.G. RrlT18t~ iR U.S,~. at'CrCr.~PA~p QQ11203h"~~ SECTION VIEW 42~~ ~, LOT 10 °o ,~, 2.002 ACRES B N ~ 87,210 SQ. FT. T• ~ ~ L.B.o. = 91 o.so m . .'. ~. . ~'Ta.7T • 155:81 B~ h~ ~ ~>>~ B23 B3 '?~,. 00 N.20" ~~ .~ ti~ 0/ HVVI_ = 916.80 J V N O~ S89'3T56"W 334.58' ~ ~ _ ' ~+ g`L•°`~ kc~~ N89'37'S6"E 334.58' ~ C6' ~ ' , ~g 6. ~ 222.9-- ~3~•. ~ ~ ~ ~ c~ . ~ \ \ DRAINAGE N N ~ \ •. EASEMENT LOT 8 N . ~ .C. N N # LOT 15 N ~~ ' • ~ • .000 ACRES i L.B.O. = 921.50 °~ ~ 4 Ham- - 9'60 ' . ~ .87,135 SQ. FT. ~~ m 8 , Nt DRAINAGE 1 ems? B~ ~~M~`B,~ EASEMENT ~ W •. G~/ L.B.O. = 910.60 ASEMENT ` pRA~NAGE 81Z `'B" c1~ ws . .B. ai ~~ f ~e11 w LOT 16 ' " •\ ~ •~ "' ~~' 2.001 ACRES ,0 ~ \ ~~ ~\ 87,160 SQ. FT. ~ ~ \ \ .o . 2.004 ACRES /$L.B.O. = 910.60 q~ N ~~y~$' \ . ~ \ \ 87,298 SQ. FT. i ~~ ~ # ' ' Cj~ ~~:~ S8901 50'"Wrn 148.31' TOP OF S89'37'S6"W ~~ 4.01 ~~• ,y,~9• 9~ .g'1 ~' 5a S ~o ti~~s , iO~s. o~ ~ ~~g h r14 OGRES SQ. FT. 91-8,80 230.43' ^ry may LOT 9 . ,~•~ ,~~y 2.004 ACRES ~'` 87,274 SQ. FT. L.B.O. = 910.60 C`S? 6~' ~, ~ • ~p~. HWL = 908.60 . M\ ~ 101_50; o,h LOT 17 •••.• ~ 3 ~' Q m• m2.101ACRES '~'o'• B18 91,510 SQ. FT. ~ L.B.O. = 911.40 ~°n .~ DRAINAGE ~. EASEMENT ~ ?~, ~ ~s ~~ ~~~ HWL = 909.40 ~i • x y~r ~• a~ 56 11Z' 32 ~ k ~ Zg~ 9~ 65./ ~Og ~ 26 ~~~ LOT 18 2,006 ACRES 87,385 SQ. FT. L.B.O. = 911.40 1193 ' ' Wisconsin Department of Commerce SOIL EVALUATION REPORT p~ 1 of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Courriy Attach complete site plan on paper not less than 8'/: x 11 inches in s¢e. Plan must St Crobc include, but not timed to: vertical and horaontal reference point (BM), direction arxi percent slope, scale or dimensions, north anow, and location and distance to nearest road. Parcel I.D. ~ Reviewed By Date /~°~• ~ Personal infomration you provide nray be us~i~Oride~ (privacy , s. 15.04 (1) (m)). Property Owner Property Location Grand Properties, LP ~ ~;~ ~ ~~ ~ (),fit! Govt. Lot NE 1/4 SW 1/4 S 22 T 29 N R 19 W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# ~ // II ~ 712 Rivard Streeet, Suite 300 ~ ~- • ~~~~-~., 17 CSM Pen id rig°App a~ S City S ~ ~ City ~ Vllage ~ Town Nearest Road Somerset ~ WI 54025 715-247-5900 Hudson Roberts Lane New Corutruction l1se: ~ f Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ~ Public or commercial -Describe: Parent material Outvvash Piain Fkrod plain elevation, if applicable na General commerrts and recommendations: Area is suitable for a conventional system with a 0.7 g~ rig. Possible system elevation for Area I is 94.7'. Boring # -~ Boring ~ in. Pit Grour-d Surface elev. 98.2 ft. Depth to limiting factor Soil Application Rate Horizon Depth Domir~M Cabr Redox Descripti~ Texture Structure Consistence Boundary Roots GP D/ftz 'Eff#1 `EtT#2 1 0-10 10yr3/3 none I 2msbk mfr as 2f .5 .8 2 10-26 10yr4/4 none I 2msbk mfr gw 1f .5 .8 3 26-36 10yr4/6 none Is 1 msbk mvfr gi .7 1.2 4 36-96 10yr~/6 none ms Osg ml - .7 1.2 ~~. a Boring # J Boring Pit Ground Surface elev. 98.2 ft. Depth to limiting factor ~ in. Soil Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/tt~ 'Eff#1 'EtT#2 1 0-8 10yr32 none sl 3msbk mfr as 2m, Zf .5 .9 2 8-24 10yr4/4 none sl 2msbk mfr gw 1f .5 .9 3 24-96 10yr5l6 none ms Osg ml - .7 1.2 e~ 'Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L `Effluent #2 = BODS< 30 mg/L and TSS <~0 mglL CST Name (Please Print) Signature: ~ CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 7555 72nd St., New Richmond, WI 54017 12/30/03 715-247-2941 Property Owner Grand Properties, LP Parcel ID # Page 2 of Boring # - ~~ Appl. ~If Pit Ground Surface elev. 95.6 ft. Depth to limiting factor 96 in. Sal nation Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 *Eff#2 1 0-8 10yr3l2 none sl 2msbk mfr as 2m, 2f .5 .9 2 8-17 10yr4/6 none Is lmsbk mvfr gw 1f .7 1.2 3 17-96 10yr5/6 none ms Osg ml - .7 1.2 goring # Boring Pit Ground Surface elev. 98.74 ft. Depth to limiting factor 96+ in. Sal Application Rate Horizon Depth Domirent Color Redox Description Texture Structure Consistence Boundary Roots `Eff#1 'Eff#2 1 0-8 10yr32 none I Zfsbk mvfr as 1f .6 .8 2 8-15 10yr3/4 none sil 2fsbk mfr gw 1f .6 .8 3 15-30 10yr4l4 none sil 2msbk mfr gw 1f .6 .8 4 30-96 10yr516 none s Osg mfr - .7 1.6 ~~ r~ ~ ~ 5a~ _,,,~ Pit Grour>d Surface elev. ft. Depth to limting factor in. Sal Application Rate ^ # ~' ~"~ Horizon Depth Dominant Color Redox Descr~tion Texture Structure Consistence Boundary Roots `Eff#1 `Eff#2 * Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < t50 mg/L * Effluent #2 = BODS< 30 mg/l and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the departrnent at 608-266-3151 or TTY 608-264-8777. .~ Conducted by: Schmitt Soil & Site Evaluations Thomas J. Schmitt, CST 227429 1595 72nd St. New Richmond, WI 54017 Phone: 15.247.2941 -- e7, Page 3 of 3 Conducted for: Name: Grand Properties, LP Address: 712 Rivard St. Suite 100 City, State, Zip: Somerset, WI 54025 Subd. Name: Hudson Estates Lot No. ~~ /yam Il4, S'tJ 1l4, S 22 , T 29 N, R 19 W Township of: Hudson BM El. 100.00' ~~ o ~ ~ ~`~~~ /~'G Alternate BM El. y .,~-3 ` i T,e a~~' ~'0 ~~/~ , Slope = ~% Contour Line El. l~ ` I ~ Scale: 1" = 40' ``1 ~ ~Ji ~ ' r I ~ ~ `~~ ~ ~ ~' ~ \ ~~ ~~~ ~ ~ ~~ 8~ ~~~ L Q~o~o~ Rom CIt 0 ~e~ ~ tc n.e ~ ~ /yr~ 97- This soil report was done to fulfill a Zoning requirement. It may or may not be in a location that is suitable for your use. No permanent lot markers were in place when the test was conducted. 1\ ~ ~ ~ • RECEIVED / Wisconsin Department ofComme FEg 2 3 20~bIL VALUATION REPORT Division of Safety and Buildings in acr_orriaacawith C Rs wis Arfm crxiP 1193 Page 1 of Tom Schmitt SY. CROIx w~,.. ' County Attach complete site plan on pa r not lei Q~f~~~ .Plan must incl ot limited t de b t b I t k BM di i t ti d St. Croix u , u n o: ver a ), rec e po n ( on an percent slope, scale or dimemsions, north arrow, and location and distance to nearest road . Parcel I.D. Please print all information. Reviewed By Date Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Grand Properties, LP Govt. Lot NE 1/4 SW 1/4 S 22 T 29 N R 19 W Property Ownel's Mailing Address Lot # Block # ,[_.Q Subd. Name or CSM# }~ '~ ~~ 712 Rivard Streeet, Suite 300 t 4 5 , rr~~uu CSM Pending Appto al City State Zip Code Phone Number J City ~ Village / Town Nearest Road Somerset ~ WI 54025 715-247-5900 Hudson Roberts Lane 1+~' New Construction D~~ f~ Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ~ Public or commercial -Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.7 gpd/sgft rating. Possible system elevation for Area I is 94.7'. a Boring # ~ Boring f/ Pit Ground Surface elev. 98.2 ft. Depth to limiting factor 96 in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/f1z *Eff#1 *Eff#2 1 0-10 10yr3/3 none I 2msbk mfr as 2f .5 .8 2 10-26 10yr4/4 none I 2msbk mfr gw 1f .5 .8 3 26-36 10yr4/6 none Is 1 msbk mvfr gi --- .7 1.2 4 36-96 10yr5/6 none ms Osg ml - -- .7 1.2 Boring # ~ Boring 1/ Pit Ground Surface elev. 98.2 ft. Depth to limiting factor 96 in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftT *Eff#1 *Eff#2 1 0-8 10yr3/2 none sl 3msbk mfr as 2m, 2f .5 .9 2 8-24 10yr4/4 none sl 2msbk mfr gw 1f .5 .9 3 24-96 10yr5/6 none ms Osg ml - -- .7 1.2 tmuem ~~ = es~u ~ .w ~ Stu ~~ ano r ~s Hsu c ~ ou mg/~ - tmueni ~t = csw5< su mgrs ana r ss ~~w mgrs CST Name (Please Print) Signature: J~ CST Number Thomas J. Schmitt .~.~G~`m.-*.~. .~-J 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 12/30/03 715-247-2941 Property Owner Grand Properties, LP Parcel ID # Page 2 of Boring # ~ Boring !/J Pit Ground Surface elev. 95.6 ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0-8 10yr3/2 none sl 2msbk mfr as 2m, 2f .5 .9 2 8-17 10yr4/6 none Is 1msbk mvfr gw 1f .7 1.2 3 17-96 10yr5/6 none ms Osg ml - - .7 1.2 ^ Boring # ` ~ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 ^ Boring # _,t Boring J Pit Ground Surface elev. ft. Depth to limiting factor in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#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 need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. ~" ` '~ 1 `, 4 N I «~~ ~ ~~~ q` ~(~~ I~ ' Q \ "~ ~~~ ~ ~~~ ~ 2 a~ ~ o~ y ~~o~ Pr~a~-~ 7~..~~ Q~ ~.-~/ q? ~ ~ ~ (3 ~ R5 ~~ y ~~~ P; ~- d ~ ~~ ~~~ µ~as~~ 7~ns~.i' p A~s~-y ~ s ~1,~`cawtitl~ t t-~r 7~i~f ~l~ ,Qii~sc.rc~ ~'~- 5~.,~ ~ /ate .Som es.~i G.J~ ~a,~S_° oaf y ~vc--~ s~~ sz~ r~ ~~ ~i~w 3©~~ _~~o ~ ~~ ~ ~~ ~ ~ r , ~s ~ !3~ /Y~ o ~~.- ~s L~ CS T~ as rya g /~`~s' ~~ha/ S,~, C~l~`~ ~ s~?-~Yy/ ~ ii9~