HomeMy WebLinkAbout020-1395-65-000 (2)azgs
Wisconsin a � '4
PRIVATE SEWAGE SYSTEM
�
St Orol%
Sal rd iuiry w.sm
INSPECTION REPORT
nR
SAN-2020-176
GENERAL INFORMATION
(AiiALX TO PERMIT(
wrM
aaatlrywpa®rymxyYu..:1a
PKmX
Wu: y
P... n w
M 8 M
CNnstensen Trust
TOWN OF HUDSON
020-1395.85-000
KNEW
w_
wo.maam.
/
OO
A aV4YIw25
(ELEVATION
29 19.2459
TANK INFORMATION
DATA
T BPE
MM'I1FgC1`JRER
CAPACR
STA70N
85
XI
FS
EIEV
L
/0U
semi`
f UI{kr
/ZSo
B,,,T en
1. Z.6
IN.
WunO
PII BM
SL1r
p`7
µ `µ
I/
a
5em,
rjjJ
L'>,�S�I� Z�6r.i
svw lmm
Do
pne
5.
95.77
TANK SETBACK INFORMATION
9
TANK TO
PA
WELL
I OLBJIcu,im
ROAD
pinbl
S.Pw
rnennn�
E ;s
Oug
M,n
1
IZA
0
Bil
P,a.
rvtlamg
Bat Sy',
tt
g.1G
emortl
31
IL"l I
z Luw
Wtl
�F�nys"en�io
551EM i0
�8.
57t
"�1ZoL
VJ(F/SIRFIM"r^'�7h`I��
A-Fpr
""'°" Fz Fl.us
Mn
L1191H
DKXwa
.na. F..tNg
L1
(III Mauna Or
COMMENTS pnduae maeamwLenne¢. pawns rerm,eu) In¢{ecwn Xi mepxlion az
L:.Ilan elr HlGNuxG TRL -V'cyl }5 011 0.11 th45
I.I NIeM D.e¢.wian �lAlln. ✓i Mt}S ID it 1✓1 an wi-n l;r.iJ.
g'Bldg
X.danl d owe EA.&'Fvvih —�r � y-ekkFde.J bL/ P��wLv IZ ••
JJ II Value 1 1leJ -Ya �k-u3+: Jh;„lJ,
ualfo anbnm:�la :a.4'� 8 -2�Old Na
G���
�� �� o sw "'
;LLB N ado—
°
- REC
�Ewn Ig�A.;
P°
P, 2m 1183
Suner)'Pmmn IbhfilkJm M(nl
JUN 16202°
MealMn, Pn 7-71U
2cf8�p!/,
T
Se`u'ty nl, Application'
I.nTmI„nllnn Nnm r
wRi°P. .goo I
Anvlend
Prdlmn all mmMail, .eernn
m ti"It""MF"l mne In ue amuse
lm m�_d
.<n.aemYrcume rnr
P�pnwe r,nl
I Applleetm, Iluelmelmn- Irani Plan All lnlorneLne
entirely
A Mlwl
ChHIMMM
YP101%SGNJ
9. av
Aapents MIirWUIm8Adim,
P"I'M wm
R19
on or
nSN..4w
Ill
w
P",Nii
Ilu6wn Nl
406
TNy RIn...al
11 TYPeof BYlltlmp 4-0enk ail Nel apply)
6mY
®IOr2 111 D,,Il.p-po�Mrn!
y
❑PnNlucumneRlN aenhe In,
Am, lid,
a
❑aunt
❑ YweO«W -Al Cue
❑ PIIt
of
---
®Turn wwron
III
T e,rpermlf Chet one brae on line Can Iele lint Rah Lnble
Ni nuns, IN natims., Sy,
❑ Rmnnw, Holden unk Ikle¢mrm Carla QAllier mWifil w Immny6u ¢ran
❑Pe
❑P"rmnRmnon
❑U f
❑h IrmhrnN neIEmNMk12 e l.nrvernn, PwnIIN
Bell
"
%check
r tomcialnrmt
FOwTSs Stem/ComormnmEn all oral I�rc
Lr
a 0 P,R, wee hr mnewn ❑ AI ❑ mu l ❑ pruned. xe In If agent Ml
H ldmBienLm O pkmiesel emfeWmnl O mawnm, Attu lwYnmkm
.may e
% Oh reel?lnfm reeemenlArem al ��c n V��AA _
,an HnnIRWI I@,iM IIIAare' J F)"i Arn Rnlmu 1.p IsnKpIW Am PmpneA rap xmn
r unuy9 xv ro
Vl ienM [,toIII
Vwq`nn
nlnl��
=�
K
sw m, ram n•
TM
150
W... g aiv em[r
Vn Ilee nnelellrly sbumenl.l n elllry wrin.n \,Mn. ran me.ronN{b.>
Iw"�u"mern 11=_
N., LPnnO
"mhr PmIrcs PMmNumMr
plus khnoll Z/wnn
Man I
596 Vale) s ewI mlrSomi N'I,
540E5 `
V 111 Gnun YR arrmenr O,t Onl
�APW
❑Oxlnr
y
pu etl
glppil tiigllury= e
Ianwl
T✓�
tleI
%OZO
1Dx.ely
�J)�Vww/�O
Ix c dl D Pull, x eBl.� to
.�Rr xn�
V e aprGW eE ,y
s muenl rarer era LL-}i�^24�+'1+1^•" ^tom 4-I io� K n`RDI �a
penanp,
must eawme ttclm'
as peraminar
agnmeaa
dIn puea
A a per famurnmnt Plar planned bPrAs In atsypr"I'I^pner µ)%lanni*Mm) C Vft"CLKKLk
a: Par aAPncamecWe/BXM2Mf@$.r1Xen.".I.. m..... .n..yll. n.uwmiJArcd �...I I„I I.Man.. M.
vmaiPR ram.lul � W'P ryRl� � 111S
SYSTEM PLOT PLAN
C "Add ben 4 Bedroom Septic System NI M.PD
u0 aeymeepmu.e�mm�oie B0• Scale 1•=
enw�.w Try ,.e.a 0 W W
Ientnem�nwe�V rz�4
Mm016v. ..., w�mwIL
CICOPV
.mow.
r(C�COPV
CONVENTIONAL COMPONENT DESIGN
INDEX AND TITLE PAGE
Project Name Christensen 4 Bedroom Replacement Septic System
Owners Name M& M Christensen Trust
Owner's Address 819 Highlander Trail
Hudson, WI S4025
Legal Description NWl/4, Scii 525, T29N, R19W
Township Hudson
county St Croix
Subdivision Name scenic rolls
Lot Number 65 Block Number
Parcel I Number OD20-1395-65 000
Plan Transaction No
Page 1 Index and tltle
Paget plot Plan
Page Septa Tank Specifications
Page Effluent Filter Information
Pages Valve Diagram
Page System Sizing &Cross Section
Pagel E2 Flow Information
Page Management and contingency plan
Page Septic Tank Maintenance Agreement
Page to Existing Tank Certification
Page 11 Warranty Deed
Page 12 CSM of Plat
Attachment Schmitt Soil Evaluation Report
Attachment Steel Sod Evaluation Report
Designer John Schmitt Liciese Number MPR5223J60
Date 6/10/2020 // / Phone Number. 715760.W6
Signature
In Ground Soil Absorption Component Manual Version 2 0 SBD 10205-P IN 01101)
SYSTEM PLOT PWN
CMislensen a eearoom septa synem e—
�WPIQ rmn r.n rc` stela r_qp. .�
m'
a �,
1;.,.'au.d;.�.�
, ., _ s
W1250—MR
TANK SPECIFICATIONS
D uw
g
a
OMS2 1/S
�TTw: srnc r
g
--i
xaLaxc s' UDD 1xD Le.)
MNTIR
amble zA' 10 PRECAST caxaETE RISER
LERNT OD
'
LENGTH 10'00
\�
MDTH. B'00
BELOW
4sT-n-sE11 CPsr-n-E0.
INLET6]-oD.
WDGHT7
2p IPS
z• 1 /� NLET ANOUTLET
ET
mryP
/
♦_CAST-n-SEAL BOOT ON EWK
p
g
GAWEE CAST-n-SEAL BOOT ON EQUAL
f
VIL
Oi HAFFIC //
MI£T AND W➢el BAME AND MTER
m
g
g
wscom x YEMTAYPo
{
(OTANN STATES SEE CHMI)
k
'j
G
UQUID CMAGTY 2681 GR/W
W A
Ha NG TANK
~"
T HOLE PLUGGED
ACTUAL
TOP MEW
CAPACITY 1.341 GALLONS
`l
LOADING DESIGN Bo' UNSATURATED SQL
Yo
TANK CAN BE USED AS.
W s
— _
SEPTIC/ HGXE?NC/ PUMP CR mHCN
NsS
_
_
_
GCS w:
W"m
wLLT
-
-
E$Nl
T wx rcsw na �imucl�'iw)u IrmT)
_
_ OUTLET
CUSTCwuD TA
TANKS
FOR CUSTON Cax TACT N£YA CONCRETE
zl'
I
I
i
5
DRAWINGS SUBMI]TED
C>,I
FOR ARPROVALPROVAL
E L1 No
l/
TANKS ARE MANUFACTURED TO MEET ON EXCEED ASTY C-1227 REWIISw]IR
1a )
PAGE Po�
The interval for receiving septic tanks is set by stale and local
ycode Throughout The united states, there is a wide difference of
,,crean On se
thWhat rqueintervaldervmo for be the lank,ut most should be biassed whenast two to fiveMe septic tank sn orme lyThe e el Inspect wand does not
ed
However our filler is virtually selldeaning The continued sound Of rite basketball orgamsks Ne Inspected
fil Causes lodged I
all
lwllen Me fipes to p Deeds aervll to the bottom of Me lank If your filer extended;a SmardhOter® alarm, you will be notified by an
A I
ical
S
Step 1: Step 2: Stop 2:
Locale the outlet of the septic lank Remove Me lank cover and pump Me Firmly pull the filler handle a—
and remove the tank cover lankd neteaary to prevent any solids Me connote col of she case
from escaping to the the drain fir
when the filter Is removed
ASTRoom
Step < Seep 5 L
While holding the cartonye ver the Insert tad filter cartridge back In the '
access opening, nose of 4 damage se, making sure the filler social9a '.J
ewit hash water, being careful to rinse Is properly aligned and completely
ll reveal material back into Me tank nseaeh In ask bill Replace Me sal
tank cover
c,..a.. vend Ofmfe'fn.v.m.yS I..", ri e...rr I . I. che ere
Pap 4
. o I
—ter
-
pro ii
_
",(K.
o vT 1 T T
' 'l'I�iBFEA{Mt
_y. AOY P
PffPtlP
AO'PIHi
NRR
TBE
WLVEORELTOH
MNDLE
The Boll Run clams In i5 lion nedto
to splitflowsto septic longer
titles or systems In mmitI m e advantages al longer fWTpCpe
ale and Baser inffinaoon n is Ina most pewee realm core AN 0.RPtlar
oval
spoRatmq ¢whew av hasae so. ely no itercon at with
wastewater. due
u e Was absolutely eakly n wmaR tam
wastewater aee pe me valve z change or are external
drainage
cnatoRensra me mange r rmss o
arVince by m another can he valve wlmou m less Iran THROW
rule by rite turning me valve wllM1oul elggmg t
conb[l with wastewater The Bula Rune wValle ¢ova slept¢ Insp sal systems
t111
ent
and is ratan¢ wherever septic disposal rVstemr
1 used mctmtions industrial, lee
.:m.enaa applications
OVERAIING THE VALVE
The preCte n control handle shi be routed
RY Na y
coin" ap to direct effluent to one or the other
MwI Na.l of two septic cads. After remmAnq the Screw cap
at me top of the riser tube the valve handle an
Valve ee turned with the valve Mry furmmea
oily I 2 BULL RUN VALVE
deal Complete Valve Kit
I Wars sol e ContalnsT" 1 Bull Run Veave body
2 28"Valve Key
J Riser Cap Adapter
0a gAS a. Warought Access Cap
Navy sea RUN 1A,VE I-
m�K MULL RUN VALVE & KEY ONLY
MVCIRZ�R BULL RUN VALVE MER is/
zr torte A -
al BULL RUN VALVE KEY 36
ADICSTAHLF TO 28' HIGH
BRVKEY48 BULL RUN VALVE KEY 48
Page 5
IN -GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with EZ1203HP Bundles
3-ft Trench (down -sizing credit)
VAI
1
1253
�tl TYPICAL TRENCH
CROSS SECTION VIEW
°� /T, . J' . , (ND Scale)
Bn'e^Elwalwn="50 h Provide minimum 311
IHPmn
eeyeratlon Between tmAee
TYPICAL TRENCH
PLAN VIEW
OBSERVATIIOON PIPE DETAIL
�2
ery
(NO Scale)
=�u„r
wm
Pedomted Cereal
„b;�D
Irvpull__
a
.
J_____
—
771
mPat
m
9D
n
DO
a =
tnPmll
0
INSTALL PER TRENCH
2B3HBundle
ItvWll
e 10.fl BUMleS® W R EISAJund=
aW
M
1^ra",ai swwm. Ircl
p
D
Imuupwun� In,rrvif usaimm
f SA Whim®]SN EISNunIi
0
fl=
= Propped EISA Ter trerIcE
AW
II'
ReOuned lMnlrNlM Mea= 81, fl' DISVIbutgn AieClud.
Z trenches = Proposed Total EISA= BOB a' branched man&ld
RESET
Installation Instructions for w„
EZjlf,,,l Systems in Wisconsin G�E7 L ,,,1t1,,'
......................................................................... ....... I...
WixE n peyam ent of Commends, Safety al9mmgs ld5 The Sassari as (SF) moonstone for a gwe site shall
O,do, has Idealthe epeuxeanma Wader pforlans r mm ice be "And heard o newel Sony Sewage now (GPo) and
prool and sell It to be in mmpindnca who eAaptes the Parmeamory for If, site 11 certain cAbre is met the
Comm 82 through Its Wolf Pdm.n Code and Chapters EISA shop can be used In Wisconaln, resulting n a40%
145 and 160 Wisconsin Statutes Nl dell must meet the Site shape refused
B Sol Cara ins 6 Loca iwa 6 aye m distances as antra m
local equal
The apposed products are 1203H (3 12- bumaw wed pipe m
center bundle in 5dr 10lengths) and 1r2(13HP I312- Longer
cam pass in each bum , 5' o f0 lengths
A srple age WMe cmtaa a Iwo im& depending plge sue
"Wed by EPS aggregate and is held agether cam pyy,
e Berne netting Asingle eterna le Wr4e endgame aggregate
omy and is held tryelns wrm "Ohl nemrg
Mafemis and Fgwp Needed
Enaw ardws
£ZBow Common users
EZhow Iber Pipe Congo,
Roe per Heady and In
• eadWwe Tyro to
Th eaYebm grlmforLmu
Tre msmrtLms for must
be an of EZhrw podoned are gran
teA Tee pInduct muA W nstaed a accwdais win sate
eased EefinsJ m eM1ar t C Comm ' 45 and
g0. wiemnan IN
.secs; ands mdo logam Ica w..ann..Jsat
mae.tss well as he to a neaten derenmmre sunned eded,
1. After me local neeltn amendment nee dale a ng.
carefuabm such II br me Ezrywr sysre•x state
or mass w,m paint the location of nmmea and lines Be
mal to sal mIm mect tank es pee. ha , andm die
ound, bar and trench began 2mraedna fill instal-
lsn0n of bode Wnolds
2 Rums pmec (Znw, spay no bags pooh Id phony
Threlss in roe reaches) Ferel
any poses It'91 11 he
beach before systems reseed
3 Tnis prol must nave geotadde fabnc sal meets be
amremena de 5 Comm 64 30 (6) Too Ws Aide Code.
inducal a belly m top of the Product and deduced
order Wong the adds of the prNuch to a prone at least W
.ncnen from the bottom of product
4 when healed n a trench the forth mould W dog t0
a wtlm of 36 ncnas TVs not only seem labor in scroll
non but also pow yes Wtler pas beady cat she
Wafi l ng in complete
............................................. .
6 Race ELBw WMIe(a) m the hones co l.... im
pushed by system design peanut Steel for the pal
be of The lop or cents most ranges cmtamrg per
amjoined and to end with an shaped ways censer Any
edNmal aggregate only Whales that may W repmmc,
slued w With against the Omer aggregate duly dun
des and do rot mort any ryas of ronnagal
9 The top of cash GEo cypnden contends a under fal one
revengeful rn "ttwean the natlmg and appendage The
flab" is mosed to pod ent awl mason The mstauor
dodo IT sure the me GEo is smrLwnts opened and is
Contestin why m the rate ,entered in Its an abort cyan
d-
+ r nbr bar kfmmq
6 The EZM, oeamuend Snall Whuw be el lkd or a
Iced trench rn W daabms (Win Snags cep aNng the
Sol Wnmn) and shard Inflow the cored, of the grouts
sul bWalm bedroom boost cam al cm4w[us
aqun� lo-fml cy4 pmE@s placed end To end
m hi candle ifteWlm ate encourage d
wmoul arty dams shoran or other"far elope
y Tne noun top well be g,adM such that watt mlh not
wa aaneu thyroid W Idea or sodded Am way
ado rampMmn to usual w on
10 EZII EPS WMks are form, aN ban fit m m,ed
Throl as maybe necessary ro awe trees. Winder¢ or
oMn onstacka
n EPS aggregate na Tenter than wade, therefore it might
be epreclm That say u.N nudyanry IT owed teed is
m Tonsw scalable'. to float but of ground when
pi ... a ue-una Fend mpenenae has mown. neaten,
Ihdl Inn is not a pmiem Mm systems ham a minimum
of 6' of sal closer as recommended by manufacturer
120311-GEG
6emeeue
Ikrner Melena'
PAGE 4 OF 4
In -ground Gravity Management Plan
IMPORTANT
The owner of this in -ground gravity system shall be responsible for perpetual operation and maintenance pursuant to
requirements of SP5382-304. WIsc Atlmin Code . Pursuant to SPS 38352(2), Wrsc Admm Cotle, this system shall
be considered a human health capped! R not maintained in amDNance with this approved management plan
Furthermore all inspection and maintenance admires shall be performed by a replatered POWs Malntalnerin
accordance with SPS 383 52 (3) Wisc Admen Code
Maximurn Dispersal AOperating Limits
Design Flow= 600 gpd; BODs5220mgC', TS55150nr FOG 530 all
Practical Checklist INSPECT EVERY 3 YEARS
• type of use
• age of system
nuisance• factors it a Mors, deer complaints, etc )
• moh nrcel malfunction p e, pumps, valves, switches floats, etc)
material fatigue p e was breaks, corrosion etc)
sdidsvoume in anaeroactreatmenttanks) and any distribution appunenancern Iia distribution I drop hurt
neglect or improper use (t a West design capacities pmhiblad acrwibee, etc)
extent of pondmg in distribution cell prior to dining
o tlosnd nreguiennes-d applicable (I a pump re wonting , float switch settings etc)
electrical components If applicable to wiring connections Switches controls timers alarms etc)
* distribution lateral or lateral ongce plugging (modurelateral distal pressure- compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Chtickllst MAINTAIN EVERY 3 YEARS (or when necessary)
o Septic and dead tanklS shall W pumped by a coffee strategies semdng operator licensed under s 28148 Wrs.
Slatswhen the volume of solids in the tankan excnds one-third (113f the liquid volume of fine tal or
as regwrab by local ordinance Deposal of contents shall be pursuant to NR 113. Wiac Atlmin Code
o Effluent filters Shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulatWnlidsacwrdingtomanufacturersspecitiations A shaveng period will always be greater than 12
months
System maintenance reports shall be submitted to the proper local government unit In accordance with
SPS 303.55 Wlec Admin. Code. Report any component failure or malfunction to.
Name oomwmdalorampaby Sehmii Sons Excavating, Inc Phone 715-760-0486
Local government unit St Croix County Community Developement Phone 715-386-4680
LDcel government unit address 1101 Carmichael Road, Hudson zip 54016
Any moral Part of system shall be repaired replaced or removed pursuant to SPS 383 51 (1), Won Atlmin
Code Repair or eplacement of hbM or malfunctioning components shall comply with SPS 383 WaC Atlmm. Code
No product for Chemical or throall restoration Mthe PONRS may be used unless approved by the department in
accordance with SPS 384. Wisc Admm Code
Contingency Plan
In the event that any tailed treatment component of this POWrS cannot be repaired it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval Afatted in ground dispersal component may be
abandoned and replaced by a code complying dispersal component in a pre-delermmM area of suitable soils
System Abandonment
If use of this POvy"S is discontinued it shall be abandoned in accordance with SPS 383 33, Wise Atlmin Code
Sf. CMIX COUNTY
SEPTIC TANK MAIMAINANCE AOLLEMEM
AND
OW XERSIIIP CLRTIPICATL PoRM
ownmRym MAYKe rnllYfl Cj'If1�ik/Y:A�
Mnflni AdJrm MS F NVpd Dr Hudson WI "016
Pa+penr Addm® 819 Ni tf Pr-rMl
rvalnarm aaual mmPWmm; omamamn mmwm.manwn
CirySurc ViVQ M WI pmmal Identification Nuttier OlfJ-lyi9fi -00C
LECAI.DE5Cw"[QN .q p
RgmnyI mNW'A SW Y. S[c 2-5 T_fNR1W, Town of
sbme,MS ILAl J luP' ia5
Cw%d!,amp-Mepa vok Pye
Dkam4eul �pp�
VeWme�c PLLo-��.
Speo naue_ym —X-m Ial lNmidmdfiWle gym_
SYSTEM MAINTENANCE
Infamowe tied munrmwmQfyour at lynem could rm It In meant falurtwM1eMk,t
Proper mxinwxemwivs Or Nnowp out Ne upl[ InN eery mum yws or xvur, if nmfil by a Lmamf
wmpm 4M)♦u pd inw Neryvemm[fim Ne fiwn�m ofwe [epn vt u[ammmrupmNe wMe
d,ww fym m
Ma cane onwn. wwMwmio,emrtOu DaMrmlamu fwlm bm[,in y)n
owm M M a nMvplumM.ry1 omper quorum, Immm1 glunEva allmme wmsea wifying Ns III Ne m
Xmmpomn II i.w Pope opmsinpmmmm.wurtp.M nupemm seat eauyl,
Ne aaPia Imk m leu Nm I/J full ofilWpe.
Vwe, nave rttl the [Ww rmum mmu and dome N Mantuan Ne wwe mapeduw»I syswn at
to nawards ul Rao, nertm, to set M In Depnmml afeommnre ark on Me oepnmen ofNwral Resources.
Srue of W iuoae Cemfi[xion wa_uny Nu your sepua sp¢m M1v M[n munumof mud neromplaml aItl rtlumW In
NvA Cm� counn ni g0 'n IP �laaso[NCNra w'v uapiwnn dne
SG 0.E O E
OWNER CERTIFICATION
I(we) mnify to all vremmu on mn farm are we to Ae lad of my (wr)lume Em I(w)am
(are) lut ownefal of me PWany denuded alarm. by "nut of a mi dox!m/w'r�didi in ReSruer of
F Sl�i �E� CM'T</�rs 7eYY1LL
.r... ,yy imCmmfmn du nMwaPmmal maYrwiX in lh wnimY pmri�diry rrvNrd b/tYZffway IXpnimTrrrr
IiNWr MYmypllmdmd empf many GralamgeaeOrlwof0.4 oTa
• ay ✓ur ml iM mnry n1 i f refineae n im6.n rY mway amt
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANKS)
This is to certify that I have inspected the existing septic and/or dose tank
presently serving the following residence
(Sheet address) 819 Ingtianaer Trail located
at N'w 'h 8W Y., Section 25 , Town 29 N Range t9 W,
Town of Hudson , St. Croix County Wisconsin.
Upon inspection, I certify that I have found the tank(s), to the best of my
knowledge, will confomt to the requirements of SPS. 384 25, and it (they)
appear(s) to be functioning properly
Most recent date of inspection or
Did flow back occur from absorption system? Yes_ No_
(if no, skip next line )
Approximate volume or length of time gallons minutes
Tank Capacity 1260
Construction Prefab Concrete x Steel Other
Manufacturer (if known). wieserooncrete
Age of Tank (if known). 511012002
Permu number (if known) ao6o62 M
�o s
-4�-Zk4A Jodn9camllt +_
w
sed Plumber Signature) (PnntName)
MPRS 223960
(Title) (License Number) MP/MPRS
g.aD_aa
(Date)
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and s 145 06, Wisconsin Starates) or licensed disposer
(NR 113 Wisconsin Admimsnative Code)
Rev 2/2012
B].121 S R
zm PL
38
F �.12050R
g '/O]]RpiES
84 C:
d I � S. Crdx Cuml%
N4t8 pR
� YY``,�yn ernEs
I rorarsec.um
I I
W R
2157r�.11ES
MAI wR
2 757 N
Q
XM&V0f
22VAOW
sse�soR 6 p
zsro eG�s �
ei soR
ow - 20n rbEs
Is
Department SOIL EVALUATION REPORT Ans bores
5p Sefelyan0 mewNanw wiM Comm 65 Nis Ann Lose Page 1 or
a pr01Bsy0 nal 6emWa Seal 611 Testing n
Afoliwa enpi.re Mahn asnaceannd _ anex n C..NY 5r Croix
peree.umpe aodm
rd ynorharrodOOnarra nam e6M coons mveares.c ropi10
lease020.+696E5000
years, . on a - r vae..e n.r .. Relviewed PY Dale
ryC e o.
M d M Christensen Trust
r , NW14 6VJ1'< 925 i29N R19 YY
loosely 0"', a Memo Mums am4a 11Ties
ger
bu N me
918 Highlander Tee _ 0 65 6cemc Hills
-i 91a 1e Z o e none um er „oma9e -own Nea res
Hlltlmn WI 610 1B P715 386.6041 H,dl highlander Trdn
ed, C... l on Um gndenoal dust of bmens 9 Code earned Dean no. Pass 600 Op0
Rnolwom ma nel OUMasM1(loar rtllSi commerce Deal N
Island, coli RIP are 'U las Pit 5serr5Penn, 3 one a.
on recommendations .„ rse Dy recce e'II154b omo, cA 1212.
Lll onn9a Bonne Tierra awa¢elee in SonP o ulon
Pn 99 Sa' 6 cepm ra mm�mg lacmr 80+ wle'
1 035 10yr3/3
orl sl
2msbk
of
no
]N 06
10
2 3612 1)yrvr9
none If
lit
m1r
gw
ldf 06
10
3 92-50 1Dy K'4
one sd
.nand
m6
goo
-- 04
06
n 50-58 7 alloys
none Is
0as
ml
go
--- 01
1.6
5 58 80 10yr516
done s
Gsq
mr
__
_--- 07
16
Edison or I i 0e-22n
15 L and TSS>ID. 150 It
=
-Y
_ _
e. ti B
3 g a d!55=2e
maL
5T Veme(Please"Com noon
i9rew.e
CST lolel
rn=Seaa1181l
'�
d
^®e
2POR8
srnmnlsn. Te.xn9 m�
do
eodd.aed
N.m6..
16951]nd sl New RdM1m and
Vr'LOIT
fi'Ld D40
D20
7157Telephone
91 F]fiD 1978
..I
St Croix County, Wl
Y
64
L&prul
a
468 0av
o°
O
t:
.N. Ww
a�
X
444.27
-
Im3
v.1mWi Cnvfm+tltemmo SOIL WALUATION MPORT von r on I
P.�mpSWFae BexP n®mown[vnnu We n 0e1p9ea
M MIRK Me We UMO
ert1 Ontv
v�m�~mm9i�eN �motl�m r7mnN
wmlW wA trmn
Peul
No,woft
Dab
sr�gtlxon
P
wlnem
mP3mn
xwS4 e- 5 zs r
zv xn
la
Prmexo�rr.xrv.m.e J'JN 0 6 2002
x.m W
one
IRO SlxY ptl
SGM1
nA1 y_
`Hudmon. l ion �mi RON�
Sa
SlpVn
Knrq
PO
WJ cnnd, rbT
6W
O
9 N4srnn y Wtle wrnsG.Onu4
OWWWM.Ir Fm Wn.won npv.e,
m
rmnr.rem. .e41n xewna n gmer.. n.v3 ma e.Pm m me. v s3n Wmevr.v.
t❑ee.g• M344V
a 020 ft ),Dm 1, rmp Wm 1+o
yyVnyrOR,
ow ur, e., nun,.
MV
2e
I OY IM30 nen. Y 2m.0e mM a 11
5
3 Pu 1ML. none .m 2"he mx o n.
•
e
3 1"1 1MNe none N ]mmx mm en' n.
a
B
vd 755H4 nm, MR zm.elr mh ewn OR
s
e
5 S 110 7S" nme me ON ml n, m
]
+.
9z *—
"blIrry
❑j pep. ARON
a PM0010 n pqr b muglm 110
Axve,
sar'x.�u
ONO D,mm Ce, M,Ml ryn Tw, So -A..
HM
OOm
613 101N! nme N 2nm Wk rmlr u +1
5
v
12-20 IMUe nme wll Ormbk m0 o m
e
8
S 26110 )SSrYe none nv mP m ru rr.
]
IS
CO(-
y
smmm.l.vw rx.mrrµme Tss.So< 15o mv..
sm.rr... 000. mrnvn.mns<ymvi
x.nAdded,M.rrr.wMs�
Uetl3 srp
482od
uvse
Oenene KX —
a`vimzvxW�
wave xe.
isa`mOwealYn`s
>�L ,bkn aMOf h+ 2 d 3
�°""°'
Ne
No
own mlwmsl.nd
lm
.
nom
s.on.. ow
emo o.�wr
ivu,
. corm
so.en
aurz
0-n
lun
none
a
2md,k mW
a
it
5 0
2
22.V
IV45I4
none
Ad
2m,bk mo
gw
no
4 0
]2J0
t5„44
nom
w2
2mWk mM1
px
na
4
4
bM
25emU4
none
me
ON ml
w
no
2 12
sneenoweRee
saw
oom.ec4o
eon om
r.M
rr.
ten_
Efts
❑m,me
AN
owm nlm,m noon-
sa�es:
ve
or
oom.orm
erK
room
:md„. .mom
eamm
son reu
son =emzm<2mnyn.wrss>x.iw ono. mm�.erss.aonyn
iSe OepmmmofConwn¢e®eyuelgq.mveremv�nndnmid flnw�Rl(, >npmvm®mma
PW 3of3
STEEL'S SOIL SERVICE
DMd/. stxl - 150loym IX.
CS NM956 SM 'e/n Anfe// New Richmond, M 51017
Lk 95
Teu N dron �C•u Y co (715) 2e 50055
<o�cr� s •�/f,/Lr
4%
-Da,,, da:S eeL
i
iVVWN1. omemmen 0II.m, PRIVATE SEWAGE SYSTEM vvw� SL Crdx
swmama.iugor.w.. ♦ a.iW v..axe
INSPECTION REPORT 901062 0
GENERAL INFORMAMN (ATTACH TO PERMIT)
vman wmmmn P. M IJI MY Mm'W Nw. F`n uv r'IN 0)(04
IN 010-135545-0W
GltlslenSm, MarkBMa wHudson Townakl
Pn
uT Tm
maxa
Pu.
a
uoa o.pn
P¢
u�
N>f^
aw.
NRIN
I',
MIT
MmoNro.1.
4Q
DISC
..„ax.>
Im
SOIL COVER gwnuas MS oNv
Z!/a1s 'I:.a,lf nx. dll�mlml r •�I �•'0°mo. wi`Sv_AQ_7e iNpNwux. �—
n
IImIBMa,oiP�.- (D��P.trrr�,
y, aw a e I.
z lkNem®aalarem- 5y Ien� "• o, �+.., ce=ems— slu.d
Pan mvNN,
�wm,m,we�ww
sao+� �iwf tP.NS�e-1 vacua. 9/tsfol'
LYY BUMiYgWM
iSConsln
)ly
ha
Sanitary Pemit Ap
m
tiowv�M.q
�d uw�µ2ln�d CouNp
xx
YW /•Yrna em.m4�Ym1
O/
I .lryllexb.lw,rmtlm�- rrm Mnf All leyrnW.
�S
rm.0�
�(k1K yNx sms.
...4 e.
yr
x..W
e S
r(L x. xL(.eyJ
TYwwe
I
�Ylwntlam.pphl
.5......._
�w.cm� . .. J4
.J
Pvmx:l r mYjor
Y p
rr. yu.vq� I❑ft
�r�
❑uvmar..u.erys.r.
❑.._tea
omk�ao.
wom Or.e.y.x Ov p ❑.iwe OWrr ❑
OiuyrTr ❑riA,
W ❑rsr.usr r w. Onr. ❑.rrm.rrr ❑
x�rs+r^me.rrun 0 ❑o.r
rx7
90 /
7
D Lt-t.2' S'Yas
a
o o�mm.,.
.
.-.
......m:�wmm •-m�
0
u;."m".x:.i
2
'•(�.JI'Ji�
SDP 398(11 01103)
1 tf- 6jtA :
N6 d9 &„-
H-ioa Zed14
1015
WmmNwimmoaw SNL WilLUATIOM REPORT Fy 1
LmaMSmryea RaYP n es. w. un
00AY
�iw�w
AYimirtasgmmmml�.m e�%�i Fsnw
St Got
0IM1 -i
r*+Awo+�.xxam.ewlA.ie..eW�.mmlmmx iea
.ml. 5-O
aao-�3G5 6
mm.Pn69.6mmm.upn.
In MM
o.abaim:
MIA SWIM 9 35 ]
H RR
19 W
dil.aMa.�a.
J'�M Q6 2002
b
SAMYL@Gd
mxmmrRa
E
SaI NM
�PR�-NR1µ®iai
Hu Wvp RJ
haw Vm. pmya.11nmYaa4mm
G LewNMCmPbaF
6W
GMD
M
NRop.1 51a cvm�m�o.-cru<u
nonn,mw.a QLMOUNn.A
FlvepYntMbAnMpbEM
a
raanmog9um yann.YnbnW1]InnM®gxvf va JgllibmGedBSfl dAx prN.
�MN. .CR.YV
110
■w aiereuler 99" •
y.�xemplm a
s.ArtemM`
Mom Gam IRA Rmealw nrs
SAMOA,Fnru SwF
IRMA
_
1 6B I(Mors circa a
1mN mh o 11
5
B
f Sinn I01r5M nwre py
2NAM mM1 o MR
.
d
d 111 I(MyN now J
Sm[M mm W n.
.
e
21M 75,rw an Ia
zMu mm W. n.
.
a
5 Y110 75woAl clam. I4)
mp M a no
]
13
[E6 rv. aRw
110
ON a SN,,M, W70 R
in
1awm.pb
..acm,
m none mRamowm�
d.. n
1 612 10FY1J nwp a
zimM neon u II
S
s
] 12IS MIA" now w
zm.LF mM1 w w
I
6
5 3 110 7S mm No
cq M w w
]
12
zxmPl aaiRb.so<,wnaT rs-BJ0.50iwh MCST rbS p:WT
wmlvwsanl yfl� e0aa
Ewa.• m airzo r'ne M' 1720144oss5
rlm•nw.n. Mx Ahn N,,M ID > J a n
El
�'
Mq 0
S90
fm
sso
n
ft
Mhwl*
4iIM+e�n+
H.
don
dndn rn,
n.m.low,
wm r wco
murwavo
stm
U]3
la
nine A
2nubk m+M1
o
11
S B
i
22.
1¢ 4
none d
2m0k m0
pv
no
. 0
]iJ0
IONIY
none d
:m4k m0
W
n.
I 0
10-110
751gH
non ms
cq on
n.
Ile
i 12
S %t 40
am
mleenulnfde
nom,
r.fr r
w•
n,oedl ,,
dd
r..m
ndti
aoe
❑m,..mq
ufd..n.l.fde
nftw
_iw
s+ngrd..
mono
don
wo d.
ra...>
.dY.1
41fn
Em-eao�m.vommwrnn>w<tnoma. .nomr..,n.�<xll..r
Th<Ommmfnlfmmlznxnnyvelepplwnlry rsuln�vlJnmJmpLyerrslYpu naJ,awelanmmimn
Page 39f3
STEEL'S SOIL SERVICE
r>J. Sul - iwe ctrna rc
CST -PO m Mg956 r/c�ix a/� New Rkh®n49/1 SI011
Lic.X
afN Hsk6. �.. (713)Masoe
A e yea
TOP
fnwhwr@roo'
Tel qf. .
TT •F
d2= 9F oa'
03e 9v. ee'
*t
(� CeRwMnla SOIL EVALUATION REPRT Of8°oie°0^e
opa $Mary ak m«mnedw"I Comm ss Am mor,. code Ram I a
Robasbna$xrKa' s OWTwK lac
ConnX
spaciousness, aciousnespaciousness, on pi up lam ldan on, IIIscMSI, eW EI
isGoes
Include , Winolllmlleelo"poll and hoomylrelemm� polnl(BM) duel
mlmnl slope.somordlmnno lslons nnanow, b oneulroM
lonandepannbmmi'
pdyllD
020 Mail_000
%doss Orinf ell rnlwmeYen.
wnWMrrq duW trampW w2•IPinm.Ylw! d011m11
m
RraP1Y CMa
Y BM CIaebam
Flmrr/melon
W
526. T.N1WTru
G�W
RBOmeM1wObsms
j0bY.1 SilMd.XmNed
C7
19sapMa
55
ee4
Village own Nnn Rood
Slow .
Hudvon W 540I6 71&38"041
HudsonIHI M1lenOar TraN
hh New Concluded Ilse - Resgennalll'umbrs NUlmms 4 Coca GT wool aw now am" GPo
'salmonella Nd.arrvmmeNSl.w mace
slow nvwml OrRxaYr (BUMMM 3wea bed wnakv aluminum lipsn.
f iwnm Pparmla®uw4nebamnahlvulrysBnxTa01}/p�Wg1(9�s Fq(i'zl5bnn5'Rb4a•'e+M+n 183�
mmmeleaMme3Byn Xq]NBa M)dn 5n
�'1S
r✓IL. hVIP-I
L
BonR» pound /u
n va Glwmdsulraeelev__ 99.54'_q, Depm no lemon NMr _5oN1{pfutlon RSY
IRwd
Human 0.gA Dommsnl COW RaknOwwplun
ure BNGwun hC6uMery
' GP611`
In millselp W .4 Can[ Call
Clulgn
I 0-M Igr3l3 0l_ sl Inroads rlRr dw
2N 0.6
10
3 36@
100r4/4 _ h M
21rsM mh 9w
IW
06
1.0
2al Inh go
—
09
06
3 4-50
10yrg4 sd
07
1.6
p W58
J 5Y14I6 nme is
0z9 M 9w
5 51
as 11 T5/6 name IsOva M
J
YB
=loll o� Rnmyrane TSsaap= lap ngM1 'ETwnIRaE0ps�3d mdtma L!!iudd yl
Tme'R aml Rrinll SIBnaLn C6TNumeer
wong"scnmdl a9429
seeress Salem so0 rp4ry.lna— Cob ErMuaW Conduits TeWnmeNumber
I Ws]2ne 51 rMwRMmd4, Wl Se01r mrz020 ]10-]01I9J3
G3C�S �C ON �SDD weA w sell -'ol- DI
JUL 08 2020St
Commonly enro m
i�
, c ST L°
'D
,Rl�r"-
\ SOIL EVALUATION REPORT xewe ew..
fifes
� j5p �[pds0spaa'�y.
\EJeLUGal sen#ne npme5 Wn Mm Cocoapgsl mj
SaWaka Tµm in
y Wm
MIN
tl cn rulyblobptln pePor, rrB�ax WnB%. t St, COM
_
omaml rtaIID
PoIR sn v neMOnlmw wed
ozo-+aosa+ooa
Plaeea Prinbllln/ormeYonro
_
Pars
nmyO
noriroedy
Lwlan
M& M Cnnatenam Trvn
Goa Lm NWI/a SW+la 525 T20N. RIM
_
opI Om,eae Mtly NNI
rm eerY0 Sb] Nameor CSrM
51BH,_BIIIaMer Trvl
65 Sant calls
CM SYYEq Cca Prrm NmMr
GM VW@ Twm nat"StROBT
HWapn WI SWI6 1i5dW6U11
Hudson Hl Mandor Trail
sow CSnWutlion tlaa r,PI Num IN mme Wdr< CodesCodesMnueE doing, Om 11, BGODGPo
Rapleumea puwlc Or wmmarne I - Dm,lb,
Pandsmadeded OuMLd;hSurkneM Series) __ _ plow plam 111 n appllwum 'LA 6
Wmnl mmments Rapadamnl aw Is awade for a mnwnlmasynod, rm a07gaPact rate mI system 5[9hu am wren sore t 63
bral Nmmmmpetro ccdndood of Dare man" AR and & by Tan Sn Ila.bt 10N
veX
Bpnmr Gundwd.w.Nr 595s' n DePnmlmdma reap e0. eNlNmaddn R.w
nd.
Hosaw aprn GOnsmo caa Radp. Guaiton OMM srrmure cunna.nw pme.ry GPDIM
In annual ou 3a COIL Color Gr sa Sn 'Eml loan
1 036 _1.Oyr3l3 mne a )mWk mG qw M_0.6 1.0
_ _
] 36,42 10yN11 lOne L 2msOk mh qw IN 06 10
3 91-P.0 1"I Yl 1m5Ek mh qw Oe 0,6
r,ttR —
a 5458 ) SM16 rz Is on ON qv 07 1.6
5 30/bl6 ml 0_I 1.6
_ _.a _Cso..
—5ar,s'_
a{
91're a.
f. s
'EfAmdV1-GOD $i3d�Mgry and 7E5 �30. 1W mah E a m nI 42- BODL E30 l and TS 5 EmpM1
CST Name lPo eP110 Sprtlun CSTNm'Lrt
TMmeaJ SCImll1 _22]e2B
bfma Sam Twg Inc � Da le EvtluaWn GVMuid TWpula NudN✓
I5a572a SL m,RWmm. W5s0+] 61+2020 ]1S)601a]B
Y St Croix County, M
Conducted By. Thomas J. itl Legend
819 M S Hi Christensen Trust 64 f ' 227429
Hudson,
Trail . W W020 T.
Nutlson, WI 54016 T.
Townof dson T29N R19W (6l8 Town ofN tlson OR
Y
u I • Y f .e...e.
r
041 • w.
see
1j� EXISTING
TING5
f mim+
6 ON
ExisTlNG sElmc
ANK ✓ �a
IWWTTIIII
crr`ae,a.ar. NI1
1--60 I � t
r,nr 3
. 444.27