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028-1019-50-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM county: St. Croix Safety and Building Division t y SNSPE e TION REPORT sanitary Permit No: 479490 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Lindquist Family Trust I Rush River, Town of 028 - 1019 -50 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 6 M G� 13.28.17.101A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark \ v , - /z5o 7-,Z- W r� � 1 Alt. BM Zr1��� J �� �tp Bldg. Sewer St/Ht Inlet TANK SETBACK INFORMATION SUHt Outlet /� • Z- TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet /II;z.S S - 7 • ? Septic ,, /� _ k '97/ 7 Dt Bottom 1 I • Z $ g �l/ L f Dosing - i / <6--7 r $ Header /Man. Aeration Dist. Pipe 9 Holding Bot. System :3.-6 9(o,'55 PUMP /SIPHON INFORMATION Final Grade 34 Z 9 .05 Manufacturer 1 GPm St Cover T t 9 � •� D� Model Number ` TDH Lift // Friction Loss System Head TDH Ft , 5 1 q s-� Forcemain Length f Dia I t Dist. to Well SOIL ABSORPTION SYSTEM S BED/TRENCH Width Length / No. Of Trenches PI7 DIMENSIONS No. Of Pits Inside Dia. Liquid De pth DIMENSIONS /� Q� \� SETBACK SYSTEM TO V P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of System: /� , 39 / �l/ /4 UNIT Model Number: a GPI) DISTRIBUTION SYSTEM Alinr Header /Manifold I' Distribution ,�/ t / x Hole Size x Hole Spacing I Verto Air Intake Pipe(s) U Z S 2- , Length Dia 7i Length Dia Spacing � 3� SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over /_-Depth Over xx Depth of xx Seeded /S ded xx Mulched Bed/Trench Center Z V �� Bed/Trench Edges Topsoil es No ✓Pes COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: 45 / 20 / OS Inspection #2: Location: 2053 County Road a N Hammond , WI 54015 (NE 1/4 NW 1/4 13 R1 7W) NA Lot C�' P el No: 13.28.17.101A 1.) Alt BM Description = 4 t'L G� �J�� �Oc, Y d 2.) Bldg sewer length '7 ate, - amount of cover = f (0 CoJa�, Plan revision Required? f ;,] Yes o A vG I� ✓ Use other side for additional information. L 6 — Date Insepctors gnature Cart. No. SBD -6710 (R.3197) r t Safety and Buildings Division County er a 201 W. Washing on Ave., P.O. Box 71 � Madison, 370 71 Sanitary Permit Number (to be filled in by CO-) ,15con. (608) -31 V Department of Commerce grate Plan I.D. Plumber Sanitary Permit Appli t '" - In accord with Comm 83.21, W is. Adm. Code, Personal ormation ; project Address (if different than mailing adirr may be used for secondary purposes Privacy La sl S.Oa( 11(m) n O '5 I. Application Information - Please Print All Information _ 1 Parcel # Lot # Bock # OZ _ Property Owner's Name °- l Y' Location d f /� O r 'ti Property property Owner's ailing Address 5 ,� / tj. Section Zip Code Phone Number / rel o SE (�il � n N' ��Eo W Ci , State 441 (V n Subdivision Name CSMNumber 1 �� II. Type of Building (check all that apply) ,� / *YG` ❑ 1 or 2 Family Dwelling - Number of Bedrooms / IA � v b s i DCity Ovillag wnship of lic/Commercial - Describe Use D Mate A _Describe Use O III. Type of Permit: (Check only one box on line A. Complete line B if applicable) ❑ Treaunent/Holding Tank Replacement Only D Other Modification w Existing System A. New System D Replacement System List previous permit Number and Date Issued D Chan of D Permit Transfer to New g. ❑ permit Renews} D Permit Revision plumber Owner r Before Expiration " IV. T e of POWTS S stem Ch all that a 1 _ pressur i ze d In- Ground ound ? 24 in. of suitable soil D Mound l 24 in0 Aerobic Treatment Unit 0 Rec i rcu l a ting Sand Sand Fat F ilter Cl su itable soil ❑ Non -� Holding Tank Peat Filter ii e / n Ground D g er lain) / Constructed Wetland D Pressurize Chamber D Drip Line ❑ Gravel -less Pipe D other ( I � MediaFilter C] Leaching used (s System Elevation Recirculating Synthetic tion: ersal Design Flow i Soil Appli on Area R uired (sf) D Area P /3 V. Dis ersallTreatment Area Informs te(gpdsf) Disp f � b o v a Fiber Plastic / `��' g (gpd) Desgn Ra // C p r lj! prefab Site Steel 0 i f Manufacturer Concrete Glass u Total Numbe Constructed VI. Tank Info Capacity in Gallons Gallons of Units New Exis tirig Tanks T . 21 Septic of Holdins Tank 2�J Aerobic Treatment Unit Dosing Chamber on the attached plans. me responsibility for installation of the YOW rS shown Business phone Number VII. Responsibility Statement I, the undersign 1 , 4 p RS Number �l j � ;Z (Print) Plumber's Lure / �j p l um bee Name( ve Sta te, Zip Plumber's Address (Street, City Date Issued suing VIII. oun /Deinartment Use On Sanitary permit Fee (includes Ground t q a � Pproved ❑ Disapproved Surcharge Fee) iJ -7 i 7 O / D Owner Given Reason for Denial "T aUReasons for Disapproval IX Conditions of App rov �� / sie l�Ll SYSTEM OWNER: , _ ,ltd / 1 ptic tank, effluent filter and L /G `` - spersal cell must all be serviced / maintaine n ` as per mana ement I !� S must 2, setback) cable code /ordinanb maintained e. as per app insiae Attach c omplete Plans (to the County only) for the system on not less than 81/L s 11 inches SBD -639 (R. 01/03) PLOT PLAN PROJECT Roaer Lindauist Familv Trust ADDRESS- Hwv 12 Hammond Wi 54015 NE 1 /4 -NW 1 /4S 13 /T 28 N/R 17 W TOWN Rush River COUNTY ST. CROIX . SYSTEM ELEVATION 96.8' GPD 864 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 2000 gallons LIFT TANK SIZE DOSE TANK SIZE 1045 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 880 # of chambers none hk BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter ZabelA -100 ❑BOREHOLE O WELL - H.R.P. Same as Benchmark B. M. * Cty Rd N , d Alt.B.M. is top 250' of 112" pipe @ 100.1' Sizing Calcs: C--r D 45' X 60' = 2700 ft ^2 � V S a�e =/4" _ Q� 2700ft A2 X 1 person /10 ft ^2 = 270 persons 270 persons X 1.3 gpd /person = 351 gpd 1 floor drains X 25 gpd /drain = 25 gpd 2 bedrooms X 100 gpd /bedroom = 200 gpd Grading is to be done Total gpd = 576gpd X 1.5 peak flow = 864 gpd to divert run -off away from system Assembly hall will have no kitchen and no employees! Pro Assembly 96' 6 -4 Well is to meet all setbacks Hall. 95.8' ❑ found in Comm. 83 athrooms and 2 95' edrooms are in B-1 ❑ ❑ B - 2 he basement 94' /5-0 B -3 ❑ 5% Slope Huffcutt ST 2 chambered Area 15' below System is to remain undisturbed Huffcutt 1000 HD (2000 gallon tank) Tank are to be Tank Sizing calcs: properly bedded and 1320' 864 gpd X 2.088(magic number)= 1805 gallons provided with lock Property Line using a 2000 two chambered ST down covers with approved warning labels Safety and Buildings 4003 N KINNEY COULEE RD COt11111 @CC @.WI.gOV LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n www.commerce.wi.gov /sb/ www.wisconsin.gov tl epartment of Commerce Jim Doyle, Governor M ary P. Burke, Se c r etary September 06, 2005 CUST ID No. 226900 ATTN. POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/06/2007 Identification Numbers Transaction ID No. 1191147 SITE: Site ID No. 704003 Roger Lindquist Family Trust Please refer to both identification numbers, County Hwy N above, in all correspondence with the agency. Town of Rush River St Croix County NE1 /4, NWl /4, 513, T28N, R17W FOR: Description: Commercial (Assembly Hall w/ 2 bedroom) Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1037611 Maintenance required; 864 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual -Version 2.0, SBD- 10706 -P (N.01 101); Commercial System, 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, Con& stats. P P R The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders DE N OFME Fl • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRE "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01 /O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 101). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. l SHAUN R BIRD Page 2 9!6!2005 • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated coup official in accordance the .20 2 d county with provisions of Sec. 145 O( ), Wis. Stat • 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: • Comm 83.52 Responsibilities. 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. • Comm 83.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. 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, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART;code 7633' . (608)789-7893, 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 i Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 8/24/05 Owner:Roger Lindquist Family Trust Location:NE1 /4 NW1 /4 S13 T28 N,R17 W Cty Rd N Rush River System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# RECEIVED 1. Cover Page AU G 2 9 2005 2. Mound Plot Plan 3. Mound Cross SectionSAFEiY & UUILOIN 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section rongl /y 6. Pump Curve v 7 -8. Maintance and Contigency plan o VE D C�''"'ERCE 9 -11. Soil test +vas -SPOND ENCE Shaun Bird Signature License numb d( 16900 PLOT PLAN PROJECT Roaer Lindauist Family Trust ADDRESS .1652 Hwv 12 Hammond Wi 54015 NE 1/4 -NW 1/4S 13 /T 28 N/R 17 W TOWN Rush River COUNTY ST. CROIX SYSTEM ELEVATION 96.8' GPD 864 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 2000 gallons LIFT TANK SIZE DOSE TANK SIZE 1045 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 880 # of chambers none IL BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter ZabeIA -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark B. M. * Cty Rd N r 0 Alt.B.M. is top 250' of 1 /2" pipe @ 100.1 ' Sizing Calcs: <-- D � � 45 X 60 = 2700 ftA2 SC e " -��4 — Q� 2700ft A2 X 1 person /10 ftA2 = 270 persons al 270 persons X 1.3 gpd /person = 351 gpd q0 ` 1 floor drains X 25 gpd /drain = 25 gpd 2 bedrooms X 100 gpd /bedroom = 200 gpd Grading is to be done Total gpd = 576gpd X 1.5 peak flow = 864 gpd to divert run -off away from system Assembly hall will have no kitchen and no employees! Pro Assembly 96' B -4 Well is to meet all setbacks Hall. 95.8' ❑ found in Comm. 83 athrooms and 2 95' edrooms are in B-1 ❑ 013-2 he basement 94' B -3 ❑ 5% Slope Huffcutt ST DT 2 chambered Area 15' below System is to remain undisturbed Huffcutt 1000 D (2000 gallon tank) Tank are to be Tank Sizing calcs: properly bedded and 1320' 864 gpd X 2.088(magic number)= 1805 gallons provided with lock property Line using a 2000 two chambered ST down covers with approved warning labels Designer ' No Date Non -Woven Filter Fab ric 4" Observation Pipe Perforated ,Distribution. Pipe Below Filter Fabric ASTM C -33 Send GCl " Topsoil % Slope bed Of 2 Force Main \_Flowed {j� 'Z From Pump layer Drain Rock E J Cress Section Of A Mound S stem Using F A Bed For The Absorption Area G s � Ft. IJL_�_Ft. a�7d ], 5 L ► 1, Ft. ,r W A 3 Ft' s l 4- �Observatian Pipe -� K_ -- n. A ' t ' T 1 1 7 Force Main �- _ f - - - - -- - - - - -- From Pump ° Distribution Bed Of 4 pip Drain RocK 440bservation Pipe Permanent Marker 60 " —/ Pipe or Rods Pion View Of Mound Using A Bed For The Absorption Area Perfora!ed pipe Qetoil � 1 End View _ {RerlorortG �. y ' PVC P,pe Q n� L c Holes Lacoted On Bottom. Are Equolly 50 *o t 4 P Force Moir s►4XT To CannsC FIRST •WILL }ic J 1' 1G . PVC Monifold Pipe L-G S 0 Oisrrioul,aa Pipe Lc ,� /l �Jr , Distribution Pipe Layout P /0 Ft. X ( /-1 Inches Y .n Inches Signed: Hole Diameter -5/31 Inch Lateral - Inch(e's) License Number: Manifold " 2, Inches Date; Force Main " Inches # of holes /Pipe Invert Eievdtion of Laterals Ft. WY�• �[ ..��., �..�.... fir ........— i TAP R R ICE 'f g t ' ;��LtNGtL CGVRA a sltd:w OOCR. 1 .tt7aiG :O� RGx dL t RAn= i �' A11 = E IMf11. �� • f cat►sot,+�r ~_ �Y A*Ir � _ � � rrfs�� •r AM! �rtT�xr *ewL f E � �► 3 t�I r ALMA R � *APPROVED f t oErr .otffs KIT" : F APPRt?fiED P ] PE � O�tfO p SOLID SOIL GO�tCRLTR BLOCK MUICA CUT 0 9"nno OA 6w W 'MWvL A%4yq'A44rUMf -1L nAd &U&14 APPILOVAlr lob IrtAMtiFfALTLRldZ. ......r.�� �.i1iM6cyt Old S�oilaS Pt1[ � ire s+se: �..G.. �..,,.. ¢w�.ia+►s� ao�si va.w�at �� � t� � :.� c..�j.� ��'..�.....,.r '�usts�f�Q► �ax!`�.o�w: �_..__....�,.r.td►us:w ADD" dIYM1Aa "FAC "Clt A s 3"...:�[fi OR `iI1�+ on "fifth Tess �� r' P. r � s :, � ..,,,,_ t"Lugs 0a �M` Alt�iil�liil'i�L`fflt � l „�, •�.,,,�.�,,, f. a {illy /nl.rOalf / gALI.Wif Jkw ;Tcn T *"; e, Q'rC PJAMP AUG Alm"M ^41t A+ut!"tYA amCtsA►Rai sums G ►!t jwrva uto ou atfro AAl*c etRMIPS fu + rt #i[Ti�fQRt4 SUM* tiltt[ftiRE � � ... iR.tT ; ...S.. OF raft[ A-AM X ..:,.� �r ll�t sc it ttou Ypt• S � � .. tIRT � r.rf>rwrrrr.�•i. w c o q •• nrfi w s�:�t: Lfctwus ,xuKscR Gz GP �.. j-d d6E:E0 SO 90 des U) Single Seal gn' W HEAD CAPACITY CURVE TOTAL DYNAMIC HEAD /CAPACITY 3 7/e 61/ •, PER s. MODELS "14014140 EFFLUENT AND DEWATERING r 4 5 /e—j Ft. Meters I GoL Ltrs. 14 5 1.52 91 344 3 7/8 45 10 3.05 84 316 'F 15 4.57 76 288 12 40 140,4140 20 6.10 68 257 1 1/2 - 11 1/2 NPr 3$ 25 7.62 59 223 10 30 9.14 1 49 1135 30 35 10.67 38 144 40 12.19 21 79 8 2 45 13.72 5 19 12 5/8 a - -_ Lock VdvC 46' = 6 1 5/18 WIS24A a 15 a 4 4 1- o 10 Double Seal Design 2 S 7/8 6 1/4 Weight 73 lbs 5 45/8 0 3 7/6 U.S. GALLONS 1 10 20 30 40 50 60 70 80 90 100 it0 1_ UTERS 80 160 240 320 400 0 FLOW PER MINUTE 010904 1 1/2 - 11 1/2 K" CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and supplied with 1613/32 an alarm. i • Mec harkat altarrk-& s, forduplex systems, are available wltil orwithout alarm. 4 5/16 • Control alarm systems are available for 1 phase pumps used in simplex ,� SK15248 system. See FM0732. • re availa for controlling switr�tes a slab p Variable Level control �9 n9� hase systems. • Double pk, Mck variable libel float switclies are available for variable SELECTION GUIDE level long cycle controls. • va pig 1. Si Sealed (lwik -Box available for outdoor Installations. See FM1420. ngle gyfr lc rrabie Ievei float swhdl or double piggybat�c variable level float • Over 130 "F. (54 "C.) special quotation required. switch. Refer to FMO477. • Refer to FMO806 for 200 F. applications. 2. Mechanical attemator M-Pak 10.0072 or 10075. 3. See FMO712 for correct model of Electrical Alternator E-Pak- 4. Variable level control switch 104M used as a control activalor, spe* duplex (3) 140 Series - 53 lbs. 4140 Series - 73 lbs. or (4) float sYstem- 1 4 0141 4 0 4 " MODES corbrol selection Model Model jo Mode Amps S N140 N4140 115 1 Non 15.0 1!!185 2or384 E140 E4140 230 1 Non 7S 1 or 18 5 2or 3 84 0 CgtRtON BN140 ON4140 115 1 Non 155 1 or185 2or384 An irmWabon of contmrs, pml ctnon devices and wiling shwid be done by a qua fled BE140 BE4140 230 1 Non 7.5 1 or 18 5 2 or 3 & 4 licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA} RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TD: P.O. BOX 16347 Lmf&ft Ky 40256-0347 L SrOP T0: 3649 Carry 1-1 96? Road Laasv* KY 402 ? ? - ? � .cm Aw �s�'' FAK(50; 774,W4 - © Copyright 2001 Zoeller Co. All rights reserved. , PLAN Page 7 of , MA NUAL & MANAGF-ME�c TLAN PC)WT OVVNF SY5TF -M SPEGIF a l ❑ NA Septic Tank CaPa 0 NA tNFORMATIONtia Tankndurer Oar Effluent Fllfer Manufacturer C1 NA D NA P� Effluent 1=t Model l�� at NA )ESIGH Pump - Tank C81?3city NA Number Of BedTo Units mp Tank Manufacturer NuMberof Comm — 'S aVda P" � ��,� ❑ f+fA �� f (avefa9e} -7 alld ". Pump Man n Btj l b E3 NA mated x 1.5) p Model Dean lbw ' ( U allda Fret,'' _nt Unit Morim Son APP don Rage e' San CI Peat Filter averag p d n 0 Fil W fllue+rt Quality G s30 m9/L ❑ M E p Other. trrfluerit/E Fats.- OR 3 G femme (FO ) . Mg/L Q Disinfection 0 )errand (BODs) st 50 m Manufacturer Biochemical ape Suspended Solids (i'SS) $verage" Dispersal Celt{sRy) AnEe round (prsssunzed) Total Monthly [3 l (9 r Pfd went Quality B Ds) �i0 mgt 17 At -grade r B•io dhemical o 530 m9 [3 Dri Ine ���rm� r,asta"Uv Total Suspended Solids anQ en Demand »- t TS n) 51 Q, efull oomt t for domes Fecal Coliform (geometric diameter mean) vsh,estYP Y. Inch sank etliueat se¢trG retsea� waste t er. particle Size .. values types for v Maximum went - geryice Frequency CE SCHEDULE ear(s) (Maximum 3 ym•} MA1N'�NAN ❑months Serylee Event uals one third (yi) of tank volume At least once every a and scum equals When Combined sludg arts) (Maximum 3 yrs.) Inspect oon d r gon of tank(S) r, ❑ months out contents of tanks) At least once every ar(s) Pump .3 months . Insped dispersal cells) At least once every [ 3 months s) D NA pit feast once every s ) C3 NA Clean $ffruent filter ❑ months mp. P ump controls & alarm At feast once every ❑ year p NA Insped Pu p months rats an P ure test At least onoe every s) O NA Flush la te d r� p month s t2 Year( other: At Ieast once every ar ng one of the following GoenSeS °f days ONS an I . POWTS inspector. PI�Y�rS rtyMaintainer. n b Ap&CE INSTRUCTIO N n NTEN real pelts shall be made bct� �� � UP InspeolOris of tanks and dispe Master Plumber Rests pn of the tank(s) and to etieck for any t levels ions: Master Plumber: n must include a Visual I i ed siudge and scu cheer the effluen cereflot Set �9 o perator. Tank inspedio mea su re the volume of oo s u visually i P post o f effluent on the harcWwjj� idenW any crate or leaks. mew The diaper cell {s) authority round surface- of effluent on the ground surface. of effluent on the g For any pondin9 notification of the total regulatory lutna• to or pond�9 P and to check nand requires the Immediate or, more of the tank Vo NR in the of er'�ti4t� indicate a fairing condrtio k equals one4bird ( ante with ground surface may _ mutation o e and scut» in any tan eq is tar and disPosed of in accord f sou by a Septage Servicing OP When the Com bin ed a yank shall be re ment COmPonent5 . and any MUM Conte e- one nts, pretreat+F fled P0VYTS Maintalner. 113, Wisconsin Administrative Cod ha resSurized PODS comp finned by a ! Ce event cent filters. rrlecf llCal or p The serviang of effl at intervals of 12 months or less shall be of completion of any 5�"' other maintenance or Mon'Itorin9 to the local regulatory autttoritY Within 1t) Shall be Provided »ling products or other A serer _ resent of pal sTART UP AND OPERATION S c h ec k treatment tank(S) Cell(s). if high ooncen"fiOM are n. Pf{or to use of the PD Ss and/or damage the disp r ator Prior to use - For Mw OtJnSb� a the treatment p a septage servicing 0 P e chemicals that may IrnPed removed by - - detecMed have the contents of the tank(s) -7 - e surface. Shall not hen sort conditions are frozen at the infiltrative is r life eCom start up occur w rmal highwater levels. When power System s and may result in the outagem pump mks may above no ceti(s) in one large dose, overtoadng the �n� P tank removed by a o W w+11 d� u�.�it o avoid this situation have th contents a Plumber or POWTS Main diner to bacmip o surface er to the effluent pump or contact tank. SWISG Servicing operator prior Uo Cf'Stot Pte' . in SeP'�g ng the pump torl� to restore normal levels w ith i n the pump rb or compa assist rnanua and dispersaj mss- Do not drive or park over. or otherwise distuct, po not drive or park vehicles over tanks within 16 feet dawn slope of any mound or at -grade soil absorption area- rmwW and pig the fife time a= from the wastewater stream may improve time pew of the foliorving - tte butts; condoms; cotton swabs, degreasm: dental floss; dap em. Redaction ore: an cigare - asogne; grease; herbicides; meat of the POWTS: antibiotics: - ddrah {SUMP PUMP) water, fruit and vegetable peelings. g drsinfectanfs n � . ot bng products. pesbcrdes; sanitary napkins; tamPons; and Water softener brine. scraps: ABAND04MENT Laken out of service the follavtring steps shat! tp de to �JPe that the When the POWTS t� andlor is �� ntly,t ken o e with r Comm s3.33,11�isconsin Administrative Code: systp m is properly and safiety abandoned Op e nings seated- All piping to tanks and per' shall disconnected and the a property d of by a Septage Servicing Operator - Th contents of an tanks and pits shall be removed and property dis and the void spade a ll tanks and pits shall be excavated and removed or their movers removed After pumping, l filled with soli, gravel or another inert sotid material CONTINGENCY PLA p rovide a code if the POWTS fans N and cannot be repaired the foIlawfng measures have been, or must be taken, to c ompliant replacement system has been evaluated and may be utilized for the location of a feplacement soil p A suitable pl area com paction and should not absorption The replacemen area should be protected s% s lot lines and wells. Failure to be infringed upon by r'e4Ui� setbacks from existing and ew s protect the re placement area wr1J result in the t c om ply the n�teffect at that time' a suitable mus P Y in POWTS F Replacement systems advances replacement area - O A suitable replacement area is lace not available redue to setback a nd/or sot! limitations_ i3a S- technology a holding tank may be installed as a cast resort to p the failed POWTS_ to identify a suitable replacement area Upon fail of the POWTS a ava il a ble a. The site has not been evaluated t area is available a site evaluation must be pe��'� to }°�� a suitable replacement area If no replacemen lace the failed POW holding tank MaY be installed as a Last resort to rep pla fnpowing removal of the biomat at n Systems may be reconstructed in piao Mound and at grarie SorT absor ption s of such systems must comply With the- rules in effect at that time the infiltraWe surface. RewristrU GASSES ANaIOR INSUFFICIENT OXYGEN- «WARNIN © L- > CONT TANK UNDER ANY AIN LETHA SEPTIC, PUMP AND OTHER TEA T}yfEN - I - TANKg MpY CIRCUMSTANCES• DFATII MAY DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT RESULT- - RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY SE DIFFICULT OR IMPOSSIBLE ADDITIONAL COMMENTS i P01KTS M.AINTA POWrSINSTALLER Name Name Is Phone Phone LOCAL REGU TORY AUTHORITY ` SEPTAGE SERVICING OPERATOR PUMPE Agency �r� Name v rv✓ ✓� —� Phone ` 1 Phone j j y n' of the C> n Lake. Marquette and Waushara County Zoning and San O V51cles -� d not This doaune�+t+ was dratted by. aw Stems t and 83.56(1), (2) & (3). Wisconsin AciminisUa ive DMyy {y01) the mint►wn requirements of oh_ Comm 83 22(2)(bH Xd}a(t) guarantee the performance of the POWTS- Wisconsin Department of commence SOIL EVALUATION REPORT Page a of Division of tafety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal irrforrnation you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). Property Owner Property Location � /� Govt. Lot �� 1/4 /4 S /L d � 4—; ,,, Q P � �� Lot # Block # Subd. Name or CSM# property I's Mailing Address 2— w Z✓ ..- city State Zip Code Phone Number ❑ city 0 Village Town Nearest Road I New Construction Use: ❑ esidential / Number of bedrooms Code derived de ;ign flow rate GPD ❑ Replacement lic or commercial - Describe `� ��� -- ,2 -- Parent material Flood Plain a evation if applicable _ J/T ft. General and recommendations: �i� ✓� 96 F Boring # Boring J Pit Ground surface elev ri J • ft. Depth to limiting factor in Soil ication Rate Horizon Depth Dominant color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 V 1— . ' ®Boring # Boring �plt Ground surface elev. l (d ` ft. Depth to limiting factor �� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 �- 11 -2 A144, • Effluent #1 = BOD > 30 220 mg/L and TSS >30 _< 150 Mg AZZ Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Nanv (Please Print) Si re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 —��' �� 715- 246 -4516 °l /lI Property Owner Parcel ID # Page _of [IS Bori # M Boring 7 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 GPDlff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff42 2.. tv- r✓� 3 - J Boring # ❑ Boring f Pit Ground surface elev. — n• Depth to limiting factor in. Sod App lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Ef 42 El ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil AvOication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mglL and TSS >30 1150 mgA- ' Effluent #2 = BOD <_ 30 mglL and TSS _< 30 mglL 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. SOD-9330 (R.6(00) 1 Soil Test Plot Plan Project Name Roger Lindquist Family Trust Shaun B Address 1652 Hwy 12 Hammond Wi 54015 CSTM #226900 Lot ----- Subdivision -- - - ---- Date 8/24/05 NE 1/4 N W 1/4S 13 T 28 N /R W Township Rush River ❑ Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1 /2" pipe System Elevation 96.8' *HRPSame as Benchmark B.M. * Cty Rd N Alt.B.M. is top 250' of 1/2" pipe @ Sizing Calcs: 100.1' 45'X 60' = 2700 ftA2 2700ft ^2 X 1 person /10 ft ^2 = 270 persons Scale = 1/4" = 1 270 persons X 1.3 gpd /person = 351 gpd 1 floor drains X 25 gpd /drain = 25 gpd 2 bedrooms X 100 gpd /bedroom = 200 gpd Total gpd = 576gpd X 1.5 peak flow = 864 gpd Pro Assembly 96' B -4 Hall 95.8' ❑ athrooms and 2 95' edrooms are in he basement B -1 ❑B -2 94' L �B 3 ❑ Assembly hall will have no kitchen and no 5 Slope employees! 1320' Property Line WiscorwO Department of Commerce OI ALUATION REPORT Page / of Drision of Safety and Buildings in accordan mm Code County � Attach complete site plan on paper not less than 8 1 x 11 i. in size. Pt �' r / include, but not limited to: vertical and horizontal r rence poi MI, direction a7Td Parcel LD. D percent slope, scale or dimensions, north arrow, d lor.�n and dittake� nearest ro 02 — �d -S0 - Q 0 U Please print all info r RO� -V ewed Date Personal information you provide may be used for secondary purpoa . 15.04 ( (m)). d Property Owner Prope Location ' T lZ O f n / �" Lot NE 1/4 /4 S f3 T2ff N R E ( ) W Property er's Mailing Address Lot # Block # Subd. Name or CSM# J L 1 w Z� City State Zip Code Phone Number ❑ City ❑Village Town Nearest Road New Construction Use: ❑ esidential / Number of bedrooms Code derived d flow rate _ GPD ❑ Replacement lic or commercial - Describe: s .c7 /� f 74 Parent material Flood Plain elevation if applicable General comments and recommendations: Z f 7 dw'1 F1 Ong # Boring n �. 2 � I pit Ground surface elev / J. � ft. Depth to limiting factor �J in. Soil Application Rate Hodzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 Z - '3 - 5 ® Boring # ❑ Boring / �c�g Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 A2 11 - 2- D 7 Effluent #1 = BOD > 30 < 220 mg& and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg& CST Name (Please Print) Si re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ��� — �� 715- 246 -4516 I fi~ Property Owner _ Parcel ID # Page of Boring # Boring 9 c/, 3 )ZX Ground surface elev. = ft. Depth to limiting factor in. P*Eff Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D/ff in. Munsell Qu. Sz. Cont. C olor Gr. Sz. Sh. 'Eff#2 o -� u 3 L ej- a /v 2- Boring # ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2 v 2:> -7 cz D r < 3 .S F-1 Boring # C] Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/flz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 mg/l_ ' Effluent #2 = BOD, < 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. SOD -8330 (R.W00) Soil Test Plot Plan Project�Naiae Roger Lindquist Family Trust Sha Address 1652 Hwy 12 Hammond Wi 54015 c 4226900 Lot ----- Subdivision -- - - ---- Date 8/24/05 NE 1/4 N W 1/4S 13 T 28 N /R1 W Township Rush River Fl Boring G Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1 /2" pipe System Elevation 96.8' *HRPSame as Benchmark B.M. * Cty Rd N Alt.B.M. is top 250' of 112" pipe @ Sizing Calcs: 100.1' 45'X 60'= 2700 ftA2 2700ft A2 X 1 person /10 ftA2 = 270 persons Scale = 1/4" = 10' 270 persons X 1.3 gpd /person = 351 gpd 1 floor drains X 25 gpd /drain = 25 gpd ✓ 2 bedrooms X 100 gpd /bedroom = 200 gpd Total gpd = 576gpd X 1.5 peak flow = 864 gpd Pro Assembly 96 , B -4 Hall 95.8' athrooms and 2 g 5 ' )edrooms are in he basement B -1 ❑B -2 94' B-3 ❑ Assembly hall will have no kitchen and no 5% Slope employees! 1320' Property Line ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICA ION FORM Owner/Buyer Mailing Address 6 0 ) Property Address 4P d 3 + A A L k I &L (Verification required from Pla n ng & Zoning Department for new construction.) City /State d Parcel Identification NumbeN 101 — SU-- 000 LEGAL DESCR IPTION 0 /O/ A l / Property Location 1W' '/a , lV 1 /a , Sec. , T 29 N R ` W, Town of �uJN Subdivision ~ - t# Certified Survey Map # , Volume , Page # Warranty Deed # _ , Volume 3 , Page # _ Lot lines identifiable ' S no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and /or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. 7 2 1 - �Jnol�_ 7 SIGNATURE OF APPLICANTS) DATE * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) Parcel #: 028 - 1019 -50 -000 09/21/2005 10:11 AM PAGE 1 OF 2 Alt. Parcel #: 13.28.17.101A 028 - TOWN OF RUSH RIVER Current LX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 = Current Owner, C = Current a Tax Address: Owner(s): O O e , Co-owner O - LINDQUIST FAMILY LIMITED, ROGER & JUNE ROGER & JUNE LINDQUIST FAMILY LIMITED C - PARTNERSHIP PARTNERSHIP 1652 HWY 12 HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 32.620 Plat: N/A -NOT AVAILABLE SEC 13 T28N RI 7W NE NW EXC P101B & EXC Block/Condo Bldg: PT TO CTY RD PROJ'EM95- N- 2 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13- 28N -17W Notes: Parcel History: Date Doc # Vol /Page Type 10/09/2001 658585 1734/291 TD 07/23/1997 1167/640 RD 07/23/1997 1158/535 CO 07/23/1997 1157/444 WD more... 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/30/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 32.620 5,000 0 5,000 NO 05 Totals for 2005: General Property 32.620 5,000 0 5,000 Woodland 0.000 0 0 Totals for 2004: General Property 32.620 3,300 0 3,300 Woodland 0.000 0 0 Lottery Credit: Claim Count 0 Certification Date Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I i V, 1734PA<<291. STATE BAR OF WISCONSIN FORM 7 - 1998 4Ei. ' Z5 4E!& �,eL TRU'STEE`S DEED KATHLEEN H_ WALSH Document Number REGISTER OF DEEDS ST_ CROIX CO., WI Roger E. Lindquist and June L. Lindquist RECEIVED FOR RECORD 10- 09-2001 9:30 AM as Trustee of the LINDQUIST FAMILY TRUST DATED MARCH 14, TRUSTEES DEED 1991 EXEMPT ll 15M CERT COPY FEE: COPY FEE: for a valuable consideration conveys without warranty to Roger 8r June TRANSFER FEE: Lindquist Family Limited Partnership RECORDING FEE: 13.00 PAGES: 2 Grantee, the following described real estate in St. Croix Recording Area County, State of Wisconsin: Name and Return Address Roger and June Lindquist Rural Route See legal description attached Hammond, WI 54015 8- 1019 -50- arc�e enuficatiortNumber(PIN)' Dated this �' day of J Oti voIr 2001 • Trustee Trustee AUTHENTICATION ACKNOWLEDGMENT S T A T E O F AVfS °`9i''d'SM /nA/ ) Signature(s) r/ 0 — )Ss. ` RB Ut/1�ytiA2k ) Personally ci before me this day of authenticated this day of 2001 the above named ]KqY gefr E. Linj].1st and Jun Trustees of the LINDQ IST FAMILY TRUST DATED MARCH 14, 1991 TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and ac edge the same. authorized by § 706.06, W is. Slats.) THIS INSTRUMENT WAS DRAFTED BY Dwight P. Cummins • i �` / ez, -., ----I 363 5th Avenue North, Bayport, MN 55003 Notary Public, State of if JAJ (Signatures may be authenticated or acknowledged. Both are not My Com state expiration ate: necessary.) &M mm A •Names of persons signing in any capacity should be typed or printed below their signatures My CAlNI1110tiOtt Ett **-dam 31, 2M TRUSTEE'S DEED STATE BAR OF W ISCONSIN FORM Na. 7. 1999 INFORMATION PROFESSIONALS COMPANY FOND DU LAC. WI 900-655-2021 vei_ 1734 PAGE 292 East One -half of Northwest One - quarter (E 1/2 of NW 1/4) of Section 13, Township 28 North, Range 17 West, St. Croix County, Wisconsin EXCEPT the West 210 feet of the NE 1/4 of NW 1 � XCEPT the North 40 feet of the Northeast One - quarter of the Northwest One - quarter (NE 1/4 of I RECEIVED Wisconsin Department of Commerce SOIL EVALUATIO 4 REPORT Page L of 3 ,Division of Safety and Buildings F �Y fi ) �(� in accord ce wd11 to S,V�S. A m. C e County Attach complete site plan on pa n9l> s n8 /2 x ��n!`�irtC�izre.lFtF6hlmust include, but not limited to: vertical ar+ ho a rence p (qM)0 Rftn and Parcel I.D. percent slope, scale or dimensions, north s road. 0 o — P /ease print alit "�r ation. Re ' ed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location f� / r ovt. Lot 15 1/4 0/4 S 1,3 T N R E (o w Props at's Mailing Address Lot # Block # Subd. Name or CS J 7� --- 3 (0 Z City State , Zpdkdd Phone Number O city ❑Village �1 own Nearest Roa / / � New Construction Use;ff�Residential / Number of bedrooms Code derived design flow rate ? GPD ❑ Replacement ❑ Public or commercial - Describe: _— Parent material Flood Plain elevation if ap�p ble / V/ ft. General comments s % �e�l/C t S 7 i " and recommendations: / X-c� � F F ] Boring # Boring2 Pit Ground surface elev. J ' � ft. Depth to limiting factor 3 o in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Z 30 �� # El Boring LN it Ground surface elev. � " ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 ff#2 r ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) CST Number Bird Plumbing, Inc. Shaun Bird l 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 t^ -��� 715- 246 -4516 Property Owner _ Parcel ID # Page of F-3-1 Boring # R Boring / �} / pit Ground surface elev. ft. Depth to limiting factor akj in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 T Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. � EI : Eplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # E] Boring E - ] Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 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. Sa0.8330 (R.W00) Soil Test Plot Plan Project Name Roger and June Lindquist Family Trust Sha ird Address 1652 Hwy 12 Hammond Wi 54015 C #226900 Lot ------ Subdivision - ------- Date V2 NE 1/4 N W 1/4S 1 3 T 2 8 N /R W Township Rush River Fj Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Steel Fence Post System Elevation 95. * HRPSameasBenchmark Cty Rd N 70 * B.A Scale is 1" = 40' unless otherwise noted 60' B -2 80 B -3 5 ' 95' 4% Slope 50' B -1 93' I 1320' Property Line I < • Parcel #: 028 - 1019 -50 -000 06/16/2005 02:50 PM PAGE 1 OF 1 Alt. Parcel #: 13.28.17.101A 028 - TOWN OF RUSH RIVER Current 1 X'' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * LINDQUIST FAMILY LIMITED, ROGER & JUNE ROGER & JUNE LINDQUIST FAMILY LIMITED PARTNERSHIP PARTNERSHIP 1652 HWY 12 HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 0231 BALDWIN - WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 32.620 Plat: N/A -NOT AVAILABLE SEC 13 T28N R1 7W NE NW EXC P101 B & EXC Block/Condo Bldg: PT TO CTY RD PROJECT 95 -N -2 (.18AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13- 28N -17W Notes: Parcel History: Date Doc # Vol /Page Type 10/09/2001 658585 1734/291 TD 07/23/1997 1167/640 RD 07/23/1997 1158/535 CO 07/23/1997 1157/444 WD more 2004 SUMMARY Bill M Fair Market Value: Assessed with: 6948 Use Value Assessment Valuations Last Changed: 09/02/2003 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 32.620 3,300 0 3,300 NO Totals for 2004: General Property 32.620 3,300 0 3,300 Woodland 0.000 0 0 Totals for 2003: General Property 32.620 3,300 0 3,300 Woodland 0.000 0 0 Lotter redit � 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 Parcel #: 028 - 1019,50 -100 09/21/2005 10:47 AM PAGE 1 OF 1 Alt. Parcel #: 13.28.17.101 B 028 - TOWN OF RUSH RIVER Current X� ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner LEROY D & CAROL L LINDQUIST O - LINDQUIST, LEROY D & CAROL L 2027 CTY RD N BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 2027 CTY RD N SC 0231 BALDWIN - WOODVILLE AREA L_ C 4z, SP 1700 WITC Ta' Legal Description: Acres: 6.170 Plat: N/A -NOT AVAILABLE SEC 13 T28N R1 7W PT NE NW THE W 210 FT Block/Condo Bldg: OF NE NW EXC PT TO CTY RD PROJECT 95 -N -2 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13- 28N -17W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1163/494 QC 07/23/1997 1158/535 CO 07/23/1997 1143/352 QC 07/23/1997 169/454 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/30/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.170 46,100 163,400 209,500 NO 05 Totals for 2005: General Property 6.170 46,100 163,400 209,500 Woodland 0.000 0 0 Totals for 2004: General Property 6.170 17,400 101,800 119,200 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch #: 221 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 028 - 1019 -95 -000 09/21/2005 10:51 AM PAGE 1 OF 1 Alt. Parcel #: 13.28.17.104 028 - TOWN OF RUSH RIVER Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - LINDQUIST FAMILY LIMITED, ROGER & JUNE ROGER & JUNE LINDQUIST FAMILY LIMITED C - PARTNERSHIP PARTNERSHIP 1652 HWY 12 HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 0231 BALDWIN - WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 13 T28N R17W SE NW Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13- 28N -17W Notes: Parcel History: Date Doc # Vol /Page Type 10/09/2001 658585 1734/291 TD 07/23/1997 1158/535 CO 07/23/1997 1157/444 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/30/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 40.000 7,200 0 7,200 NO 05 Totals for 2005: General Property 40.000 7,200 0 7,200 Woodland 0.000 0 0 Totals for 2004: General Property 40.000 4,800 0 4,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i /RUSH RIVER PLAT T -28 -N • R -17 -W T -28 111-:1 R. Moo See Page 112 For Additional Names. HAMMOND PAGE 36 See Pai PLEASANT VALLEY 1800 RUSH RIVER 1900 60th AVE 2000 2100 ' w CN N Donald F Jesse & aft t & i e Gregg Charlene Allen Charles 1 C IM oa Wilco39 I Gre Merritt 80 27 N Hansen Walquist s Gregory I John & ' LO A"- Thompson 2 Lorraine L Family Ri Trust 119 etal cfbadm a jean rs m rel 103 13 rust tt 8U I •°-' ai 34 2 5 h V E c Pearson x , tr Sc a 1 _' leas m o 0 94 I La 102 ° 35 Argd ames110as son _„ ° Loren & Fi L 37 1 Ramona ]�I m >, $ "' Mani Y Forms 21 ' L F 4o rlckson - Q 1 b ° J mees�ter 2 sM Inc 7 S& K ._ i bd 70 122 o : 2 ma a, M ary Rs 5 MMarlyn Bey 131 SOt AVE 40 Jeffre L J K 1 v N Christian s jr ee11s &J 28 H�uen 4p Symes 75 y 63 Mw, Thomas 81 d & 3 St Cc Hanson Bonnie C4 ° K n � Erdm�au� R * uette 78 149 30 McFadden 4s R�op M 36 3 vv s g Q IDs & 77 tt t Daryl & I a n L Prh�rshp ' 11 a arlene ' I Dwi�t Bursae Fairmont Balm en 40 u Erlc T 80 Farms e E I r 115 Inc 1 „ Moan �.. o � °° ., h Z ° $ �'g B 3S � �� f E 120 2 � � Der, U 1 ` 224 N 31 3..vi llc s 35 5 , i N ac t ac z N 3 40 2 Carol ^ E -. A �— Wm & g Glen & Id o 2 7 m , Dawn StD I M w [Vearton Woodside Dalr ary 160 a 240 E so eo 160 I aia len & °� Fair Thomas are3ory Lloyd & Lola mont & Mary � a Eleanor Richard Leslie & Fn A ss 115 I Weber & Joan Jon Karen Wiese Farms Inc 4o Aahy 40 36 , 120 Walton F Larson r 48 r Perry ^ o Ks N It hum 2 Joe itaut tr rd3 s I„ 38,0 8cK 80' a 35 19 1 159 139 E x Mesa- as so J I d o as 30th A E 7 &Y e ' — . „ S 15 c Israe P. ! i P Kurt eta' 39 sn� er D a s Dairy u D 40 d� u �Q, ss Sc t Fairmont 40 90 Fadli"c 38 81 > E' Schulte P O David I H ther In arms PJy� Moll a, ac a " M z Anderson N , ' I �. O b J .e Farm Thomas ExavatloB N 155 a," `% 152 K 145 40 Inc , 40 Aah9 40 Inc E Joel & Richard a I& TTr`cy as ` k Sol Cladyy R & U) Talbo wafton 15, x' $ ' Cla 80 22nd VE Schultz 120 r Ka r 40 64 4o Whisp Jac Kim & Bruce H ° rn J ngs � i it Raelle Luella T a �°� 63 Ed jorae 80 RamJLl 0 160 _ 1 _ _ so _ _ _ _ 200 Q >_ _ ( Cl Jae f [ ee�r B 8 a " & a wont y ' S _ ao. 40 40 Ja 4o 39 Jacobson 80 1 2 40 79 401 18th AVE 120 e , 12 Dean 44 1 K11 Wb ^Chin« a Donna p u am y u`a 2 Ch A Smith Mayer 40 i� „ Kal , ■ 1 2 40 .b l0 K ' PT 9 40 40 4 J ames lay B 25 Mary gt D avl d a 2 0 a may liu3me Erickson Sander , _ EL o, 80 w l ogo 3 t ss seebo 35 64 53 164 G ordon _C] 1 I Timothy 8 a s o �+� Jake Ricky & James Swenson gt AIM sh , � Randy Marlon 28 ( 1OV1'_ C h e ri ooll- San o Ora GiRiert - Rusf 80 S _� 40 sluio _ 60 12 tY 40 train 40 40 150 60 ' eomeiia Beth John& Eri Carole Thomas i 10th AVE eomk 20 Foede )uli �' Shed Fusaro w els h - Clarence & Michael James alduced 63 Chdre 30 r Tho son , Mac etvir e�dl I Harley & Dana E �. F reeman 8th A Aus- ,O 84 20 ., N 38 40 40 Swenson Timmers L� Alan Kraft 28 th Timothy r Andres' o Denise ' R 160 & D well 40 Karl vE ,a vor R R A 120 31 '" � 19 108 M]_, rma 20 50 Karlson a 40 `ae� 30' YY E i e 1 4 2 LIJ 6 e- A Rr !� t a 11 L to Chirle5 & ■ Parcel #: 028 - 1019 -50 -050 02/04/2008 08:51 AM PAGE 1 OF 1 Alt. Parcel #: 13.28.17.101A -2 028 - TOWN OF RUSH RIVER Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/13/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - LINDQUIST FAMILY LIMITED, ROGER & JUNE ROGER & JUNE LINDQUIST FAMILY LIMITED C - PARTNERSHIP PARTNERSHIP 1652 HWY 12 HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2053 CTY RD N SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 20.010 Plat: 5083 -CSM 20 -5083 028 -05 SEC 13 T28N R1 7W NE NW CSM 20 -5083 LOT 1 Block/Condo Bldg: LOT 1 (20.01 AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13- 28N -17W NE NW Notes: Parcel History: Date Doc # Vol /Page Type 10/03/2005 808338 20/5083 CSM 10/09/2001 658585 1734/291 TD 07/23/1997 1167/640 RD 07/23/1997 1158/535 CO M0re... 2008 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/13/2007 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 2.000 30,000 198,600 228,600 NO AGRICULTURAL G4 18.010 3,000 0 3,000 NO i Totals for 2008: General Property 20.010 33,000 198,600 231,600 Woodland 0.000 0 0 Totals for 2007: General Property 20.010 33,000 198,600 231,600 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