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HomeMy WebLinkAbout020-1328-40-000N y O 3 fD CD � n N C, O p ' 7 US Z N (o D co a c O Z 0 cn 3 3 3 m 0 1 7 D) F N (D C fD 3 (D 7 N 'O 0 C 0 � D 0 7 M N a S a� 0 m a N '� xo 0 (D a CD 3. 1 0. :E ,� 67 (D = < O d CD O =r N 7 a D7 3 o y 0) a X L<. (D 3 p (D C fD 7 ED 3 ani C o 0 c 0 m a 0 D__O O 0 a < 3 0. o o ao c v� m 0 O 7 N En O O O � 0 lA O D C ( 3 1 M 3 o A O CJ1 CD W N O N N 7 0 N N COD_ ( O CL cn a c> c 0 0- rn � O N < 0 0 CD A C a 0 a a � 0 O O O N N N � v o m at ID D7 '' .r y 3 CD 7 rr C 00 Z O � (/f N C .. 7. N -� Cl) CL � p D C CL v M (D 0 CL 0 0 ^' 3 (/1 Z (D W T C 7 CL 3 d o 3 n ) '? a 1 .!. = N O C (O N � N O 7 W C O N O � O co y O S 0 0 'O N 0 c �a N Cl) n 0 X m y D CD -4 N � Z n A Z O O Z N o a z m A LJ I r k ^ r O K O C7 c l O v� R 5 A fi ti N ° o A A v ti p0 ti ti Wisconsin De{� of Commerce Safety and Builcng Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. permit Holder's Name: City Village X Township Germain, Michael Hudson Townshi SST BM Elev: Insp. BM Elev: BM Descripti3� as - c7 /d 6 U I �-�&-&- Qt�t fz�� TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Vent to Air Intake 1006, Dosing S / h 5 bra ✓ Aeration „ /1 jr h Holding S/ • �- / `��� TANK SETBACK INFORMATION h &&Lft-� TANK TO I P WELL BL Vent to Air Intake ROAD Septic S / , 2 O , „ /1 jr Len Dosing Dist. to Well 29.29.19.1713 Bid 3 . Sewer �S S 24 Aeration o StAdt Inlet P/L BLD Holding SUHt Outlet ACHI Manufacturer INFORMATION Dt Inlet PUMP /SIPHON INFORMATION f c.�1r —G Jin cJ Manufacturer St. Croix De and Model Num r ELEV. TDH Lift Friction Loss n Head T DH Ft Forcemain Len Dia. Dist. to Well ELEVATION DATA County: St. Croix Sanitary Permit No: FS ELEV. 453262 0 State Plan ID No: Inside Dia. Parcel Tax No: SOU. -d Alt 020 - 1328 -40 -000 Section/Town /Range /Map No: 29.29.19.1713 STATION BS HI FS ELEV. Benchmark No. Of Pits Inside Dia. Liquid Depth SOU. -d Alt IU Bid 3 . Sewer �S S 24 o StAdt Inlet P/L BLD 3�' SUHt Outlet ACHI Manufacturer INFORMATION Dt Inlet Dt Bottom %b Typ Of System: w' nn GEC Header /Man. i` 1) 06. , (Z�� r 3. 9�- Dist. Pipe Bot. System Final Grade �3 W. 7/ /C G St Cover A Z v 0 d /07- 0 SOIL ABSORPTION SYSTEM , W +- I I 3 .( OA/1/ BED Width I Len / 2 C' No. Of Trenches Vent to Air Intake PIT DID IONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS IU SETBACK SYSTEM TO P/L BLD WELL LAKE/ REAM ACHI Manufacturer INFORMATION CHAMBE %b Typ Of System: w' nn GEC -7 t 1) 06. , (Z�� IT Model Number: DISTRIBUTION SYSTEM Le m IM M� — M A IN Header /Manifold /, JOADistribution i) ,1 H Length Dia I Pipe(s) Length `V I Dia Spacing x Hole Size x Hole Spacing Vent to Air Intake SOIL COVER Y PrPSS11rP Sv--temc Onlv YY Mnund Or At -Grade Svstems Only Depth Over [ Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes Q No 0 Yes 0 No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1:61/ L Inspection #2: / / Location: 705 Crosby Dr 2 Drive Hudson, WI 54016 (NE 1/4 SE 1/4 29 T29N R19W) St. Croix Estates II Lot Parcel ( No: 29.29.19.1713 1.) Alt BM Description = ST 2.) Bldg sewer length - amount of cover - - - T - - - -- - - - -� Plan revision Required? [ -- j of Use other side for additional Information. No _ -/ _ - -- Date Insepctor's Sign ure Cart. No. SBD -6710 (R.3/97) ON N �S • - - -- -- -- •••r ^••• r ­­y vuryr wr tae system as pa r ao[ tess toss sus t s t taeaH to a C/ - SBD -6398 (R. 08/02)�S, Safety and Buildings Division County Nvi sconsin 201 W. Washington Ave., P.O. Box 7082 Madison, WI 53707 - 7082 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608) 261 -6546 S3 2& 2--- Sanitary Permit Application � State Plan I.D. Number j /J A In accord with Comm 83.21, Wis. Adm. Code, personal information you pro 'de / maybe used for secondary purposes Privacy Law, s 15.04(1 Xm) Project Address (if diff ent than mailing address) cje eas Application Information - Please Print All Information �u . ECEIVFI`�' P p rty Owner's Name C Parcel # Lot # Y Block # 4 operty wntt's Mailing Address Property Location ` S > f . CRUIX COUNT .1 -7 1 3 /Y C Y., ., Section City, State Zip Code `(�O �7 p�� (circle o e) T N; RE t II. Type of Building (check all that app ' /5��� •ate '7 Subdivision Name CSM Number 1 or 2 Family Dwelling - Number of Bedr in l ❑Public/Commercial - DescribeUse ��h �5� %. e S ❑ State Owned - Describe Use DUST I' ❑City ❑Village Wfownship of &p raAf III. Type of Permit: (Check only one box on line A. Complete line B if applicable) - A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ 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 IV. Type of POWTS S stem: Check all that appl IW Non - Pressurized In -Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Leaching Chamber ❑ Drip Line ❑ Gravel - less Pipe ❑ ?21r p in) V. Dis ersaVTreatment Area Informat Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (sf) Dispe roposed (sf) System Elevation i 6 5 -3 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Stec] Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 6 _ Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu er' Signature M PRS ber Business Phone Number 5 - Plumber's Address trect, City, State, Zip ode) L - _ - j 014 ,' D VII ounty /De artment Use Onl Ef " Approved ❑ Disapproved Sanitary Permit Fee (in lludes Ground w�tq� 0�y Date Issued uing Agent ign re (N ps) ❑ Owner Given Reason for Denial Surcharge Fee) �/ ^� - z f/oD �U (!/ 6 Lx IX Condit' ns of proval/Reasons or Di SY I O J C%Q lJ�c�(� 7!12 C/� �/ �/✓ t filt ,- �1 Septic tank, effluene a n � b l� / dispersal cell must all be servi ed mainta ne1 �^ as per management plan provided by plumber. �� 409.z ( , i J 2. All setback requirements must be maintained —� �LGZ C&'v4 /ordinances. as per applicable code o N �S • - - -- -- -- •••r ^••• r ­­y vuryr wr tae system as pa r ao[ tess toss sus t s t taeaH to a C/ - SBD -6398 (R. 08/02)�S, i �►AGT _ .Q.Iy_ /op_ S %C ��J�rt �os'7'__L L - /O.?._7 r AR _3OR ES _ - L.O.7' Sf o2 S!. Cl?D /X :E.SrA �" aVG 1) ENT fnrrPC-e rho OeS A OP X00 ` Ar o fro ', 3'-- I9i�cr — - r s Y S 74/Y ;L3f Bid 1 � ` . V , s 3)( Pro T RCnr cy 3X6$3i F:o L�,t�cf/ 83� 1 000 Gc, ri. s /4 r ' 3 I M ��� _ /Op` - �4 inn i P�P000s Grp Gtr�[� �Q - 96- " , L = 8r/ ✓Q7 ��� r. 61 PC �Lp � r ALT B - Jo - 57, E el- AFA-4 T __ = L - 07, � � ,� � F pis �.. i � ' � O R ES - L � � Si I &57A -- 5)rS74:; _ EL = 95. AA 401,Y6 2 ! C-IM Ao_ 1'1201-1EA714 :=S a - )JO RY VAR4 ST/ - SAG -& ru/ 'T/ _ - �O tF2 S � 40i - Ye1 s' 2 2/7V/ I I i I I 0 I S � co o ro 0 N a O - O rn 3 ro I v I I � I 3 m I I I I o I 0 7 I I N a z 0 I I 0 I I I W i a Z I � !i v o I I I I I I I I I I I I I I I I I I I I I I 0 N 0 n 3 3 0) O fJ f 00 CL N C ro 01 CL 7 7 0 O tD 3 v cn z cn z D 9 cc� D co D �' m 0 L CL C O O O 3 i o cn N Z cn 1 -0 Z 3 3 3 m o 7 v 0 0 :3 ::r < - n N 7 O z 0 O ? o m � ro C ro w 3 a z N O— 0 N 0 0 A S S ro O S W N N N O1 C1 C_ �. N O 0 0 < g 0) CD `—' N 0 N A ro CD 7 O N Q boa (� 0 0 CD 3 <o�' 3 5. 0 m d a u a ° v CL D_ O N Z 0 m 9 0 ro rn Ea O 0 0 _0 T z d N N O 3 3 7 7 cn z cn z D co D w D 0 CD a c O O o m CA 3 3 3 x m v C- o O :3 =r m < TI 7 ' O S W ( cn v CD (/1 O S N N o �. N a 0 0 < 0) CD C)0 N A 7 " O A O Q o a m s� CD 3 < U 0 oo 0 3 m a cD u a m m w S ro r� ro C ro 3 ro (A D Q O. O 7 d Z 0 co U) 9 0 CD ro En O 0 0 0 0 0 0 i 0 cn 0 3 ro ro i m rr rr ' O W w ' ro 0 N f U) r 0 v C .. a 0 C.0 O O N rn rn a K. ° w w c 3 ro CA CA cn U v 4� CP d � ro 7 rr C W Z : 0 0 N N (�D O n N. -+ N i ro v d cn cb D C CL W A a 3 0 0 3 �^ z CD W 1 . C 7 a 3 0) o � � 3 d � A 0 O O A N 3 w N i i W O O T O O S O v' y 0 c rr a rT rn � N 0 m N A Z (D � � N A Z O G 7 j A .p ;p A ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer (T A4N/� Aw4f ^ (/�rCNA�C �L'7 'lA Mailing Address 712 S!, cs ®/'�� s T i` S -7 e2 6 Property Address (Verification required from Planning Department for new cons City/State AW td a,)i` Parcel Identification Number 6,Z _ ZQ - 000 LEGAL DESCRIPTION Property Location '' /., S,�:- V,, Sec. Q Z� T ZEN - Rjy W, Town of �/9SaAI Subdivision ST 1_ r E1 7 a LXQ I Aaz) . Lot # q,2 Certified Survey Map # Ss�1 9a �a� , Volume Page # Warranty Deed Volume , Page # Spec house ® yes ❑ no Lot lines identifiable 0 yes ❑ no SYSTEM NANCE 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 caa 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 master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, 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 septicisystem has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days oTthe three vear expirafhp date. DATE OWNER CERTIFICATION I (we) certify)that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the,pmp describe above, by virtue of a warranty decd recorded in Register of Deeds Office. A r .' LICANT DATE • « « «4 « « « « «« • ;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 - POWTS OWNER'S FILE INFORMATION Owner Permit A' Z ?/ DESIGN PARAMETERS A A A 1/ /„ ✓l D/SA4-AS UAL & MANAGEMENT PLAN SySTFM SPECIFICATIONS Number of Bedrooms 77 3 ❑ NA Number of Public Facility Units — lb NA Estimated flow (average) p(a gal/da Effluent Filter Model Design flow (peak), (Estimated x 1.5) D gal/da Pump Tank Capacity Soil Application Rate gal/day/ft' Standard Influent /Effluent Quality Monthly average* 2 NA Fats, Oil & Grease (FOG) 530 mg /L ® NA Biochemical Oxygen Demand IBOD 5220 mg /L ❑ NA Total Suspended Solids (TSS) 5150 mg /L M NA Pretreated Effluent Quality Monthly average Other: Biochemical Oxygen Demand (BOD 530 mg /L Other: Total Suspended Solids (TSS) 530 mg /L ❑ NA Fecal Coliform (geometric mean) S10' cfu /100ml Maximum Effluent Particle Size Y. in dia. ❑ NA Other: ❑ NA 'Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Page _IL of Z_ Septic Tank Capacity al ❑ NA Septic Tank Manufacturer — ❑ NA Effluent Filter Manufacturer ❑ NA Effluent Filter Model _ ❑ NA Pump Tank Capacity Pump out contents of tank(s) a l ® NA Pump Tank Manufacturer Inspect dispersal cell(s) 2 NA Pump Manufacturer ❑ NA ® NA Pump Model ■ month ❑ yeaarr((s) s) ) J11 NA Pretreatment Unit • Sand /Gravel Filter • Mechanical Aeration ❑ Disinfection ❑ Peat Filter ❑ Wetland ❑ Other: M NA Dispersal Cell(s) ■ In- Ground (gravity) ❑ At -Grade ❑ Drip -Line ❑ NA ❑ In- Ground (pressurized) ❑ Mound ❑ Other: Other: ❑ year(s) month(s) ❑ NA Other: At least once every: ❑ NA Other: Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding': =_; of effluent on the ground surface. The ponding of effluent on the ground surface may,indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator.and disposed of in accordance with chapter NR. 11.113,--_7"' Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainers A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ® ear(s) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 0 mont )(s) (Maximum 3 years) year ❑ NA Clean effluent filter —Y At least once every: ■ month ❑ yeaarr((s) s) ) p NA Inspect pump, pump controls &alarm At least once every: ❑ month(s) ❑ year(s) ® NA Flush laterals and pressure test At least once every: ❑ year(s) month(s) ®NA Other: At least once every: ❑ month(s) ❑ year(s) 0 NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding': =_; of effluent on the ground surface. The ponding of effluent on the ground surface may,indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator.and disposed of in accordance with chapter NR. 11.113,--_7"' Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainers A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. ? Page of _Z / START UP AND OPERATION For dew construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highweter levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may'result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or. must be taken, to provide a code compliant replacement system: 01 A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. 0 A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS l technology a holding tank may be installed as a last resort to replace the failed POWTS. N he "va mal a soil and site O Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name C e Phone _ Phone SEPTAGE SERVICING OPERATOR (PUMPER) Name L Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)0)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code 'Visconqin Department of Industry SOIL AND SITE EVALUATION REPORT,,- , ', , a.., Page 1 of 3 boL- Human Relations )I for ?af I.Wety & Ruildi __J ._.!,I_ II 1 11'9 nn nL \AVM AJ� III QVVVIU ..Ill I 111 II VJ.VJ, ♦.IJ. /"14111. WV / ,.. . COU,N I, Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, bit St Croix PARCEL l, D. ; # , f . not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or I -• ' dimensioned, north arrow, and location and distance to nearest road. i APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION , REVIEWEID'BY DATE Bed ITirench PROPERTY OWNER: PROPERTY LOCATION Brid eland Dev. Company GOVT. LOT 1/4 1/4,S 4 1 - i9 kor) W NP PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NA 11 736 117th. St. 42 na St. Croix Estates Second Addn. CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE MOWN NEAREST ROAD Lakeland ( Hudson Crosby Dr. C4W if .7 [x] New Construction Use [ :4 Residential ! Number of bedrooms 3 ( ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .7 bed, gpd/ft .8 trench, gpd/ft Absorption area required 643 bed, ft 563 trench, ft Maximum design loading rate .7 bed, gpd /ft — . 8 trench, gpd/ft Recommended infiltration surface elevation(s) 9 5.9 ft (as referred to site plan benchmark) Additional design/ site considerations alt. area= trenches C 95.4' & 93.00' Parent material outwash Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT-GRADE I SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem EIS ❑U EIS ❑U EIS ❑U ©S ❑U ®S ❑U ❑S IOU SOIL DESCRIPTION REPORT Boring # Ground elev. 100.5 ft. Depth to limiting factor +84 11 Boring # Ground elev. 1 00. 5 ft. Depth to limiting factor I, Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD /ft Bed ITirench 1 0 -15 10 r3 3 none sl 2rnsbk mfr QW 2m .5 .6 2 15-2rp 10 r4 6 none is osQ mvfr C4W if .7 .8 3 26 -84 7.5 r4/6 none cos osq ml na na .7 .8 Remarks: 1 0 -17 10 r2 2 none 1 2rnsbk mfr QW 2 .5 i.6 2 17 -28 10 r4 4 none is osq mvfr C 2f .7 �.8 3 28 -84 Remarks: CST Name: — Please Print Phone: Address: 1554 200th. Ave. New Richmond WI. 54017 m02298 Signature: , p Date: CST Number: O � 8 -20 -96 PROPERTY OWNER Bridgeland Dev. [CIO. PARCEL I.D. # ending - Boring # Li Ground elev. 98.9 ft. Depth to limiting factor +84" Boring # 4 Ground elev. 96.3 ft. Depth to limiting factor +80 Boring # Ground elev. 95.9 ft. Depth to limiting factor +80" Boring # Ground elev. ft. Depth to limiting factor SOIL DESCRIPTION REPORT Lot #42 Page 9 of _3 _ r 1 �If Horizon Depth in. Dominant Color Munsell Mottles Du. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD /ft Bed Trench 1 0 -5 10 r3 - ' ,� 3 31 -80 10 r5/4 2 1 5-17 Cos 10 r4/4 none is os ml w if .7 .8 f CS fa r/� uN�' /mss Cis • / IVA �� Y &o �- 8 Y ' Remarks- 1 0 -12 10 r3 3 none s1 2 2 12 -31 10 r4 4 - ' ,� 3 31 -80 10 r5/4 none Cos 0sa m na na .7 �.8 Remarks- 1 0 -17 10 r3 3 none sl 2m r 2 17 -80 7.5 r 6 Remarks: Remarks: SBD- 8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Bridgeland Dev. Co. 1554 200th Ave. CSTM2298 NE4SE4 S29 T29N - R19W New Richmond, WI 54017 MPRSW 3254 town of Hudson (715) 246 -6200 lot #42 -St. Croix Estates Second Addn. 1 =40 BM.= top of 12" pvc pipe C e1. 100 Alt. Bm.= top of steel fence post C el. 103.7' X � 2. il� 30 5' �g ^2, 5` �1 A Garyv . Steel •. � J � n a ` STEEL'S SOIL SERVICE Gary L. Steel CSTM2298 MPRSW -3254 To whom it may concern; 1554 200th Ave. New Richmond, Wi 54017 (715) 246.8200 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be satisfactory for your use. The location of the system may or may not be as shown, as permanent lot lines had not been established at the time of the test. Gary L. Steel Yep WARRANTY 69 STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number I WARRANTY DEED This Deed, made between Gary L. Asmus and Amy L. Asmu husband and wife, — r Grantor, and Michael J. Germain and Miche M . Germain, hus band and wife, -- -- - -- Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix _ County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area WARRANTY DEED EXEMPT 0 CERT COPY FEE: COPY FEE: TRANSFER FEE: 337.50 RECORDING FEE: 10.00 PAGES: 1 Lot 42, St. Croix Estates Second Addition in the Town of Hudson, St. Croix Name and Return Address County, Wisconsin. First Rational Bank of New Richmond PO Box 89 New Richmond, WI 54017 020- 1328 -40 Parcel Identification Number (PIN) This is not homestead property. L%) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. ttf"' Dated this _ 1 0 _ day of Ju w • AUTHENTICATION Signature(s) G ary L. Asmus and Amy L. Asmus, h usband and authenticated thi day of _ July 2001 s Kristi Ogla —. - - - - -- TITLE: MEMBER STATE BAR OF WISCONSIN (if not, _ — authorized by § 706.06, Wis. Stats.) "THIS INSTRUMENT WAS DRAFTED BY Attorn ristina Ogland — -- _ Hurlc K nn. WI 1 — (Signatures may be authenticated or acknowledged. Both are not necessary.) to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Notary Public, State of Wisconsin My Commission is permanent. (If not, state expiration date: of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 - 1999 2001 + Gar -- { Amy L. Asmus - ACKN WLEDGMENT STATE OF WISCONSIN ) ss. County ) Personally came before me this ___ day of the above named 4s,es 0 'Ell 61 KATHLEEN H. WALSH Ri_OISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 07 -12 -2001 10:00 AM Information Pp(essionats Canpany. 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