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HomeMy WebLinkAbout020-1109-02-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Budding Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s 15 04 (1)(m)) & Lora Bovy 0 TANK INFORMATION TYPE MANUFACTURERr rt CAPACITY Septic i1 dew'' a 50 Aeration Holding TANK SETBACK INFORMATION I rA r!1 ; w TANK TO PILL WELL BLDG Ventto AuIrtake ROAD Septic 6�f Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand M\iModel Number ft; Fri tion Loss ystem Head DH Ft / Forall Length . Cis Di t to Wen Td f SOIL ABSORPTION SYSTEM TOWN OF HUDSON ELEVATION DATA STATION BS HI FS ELEV Benchmark • �� f,Y•1• VV IQd Alt BM •i Bldg Sewer 103.E St/Ht Inlet o `i�•5 SVHt Outlet �Q •� q 17' Dt nlet Dt Bb4gfr Header/Man But System l q Final Grade q / BEDITRENCH DIMENSIONS Width 3 Length \ a No Of Treeches �/!_- PIT DIMENSIONS No Of Pits Inside Dia, Liquid Depth SETBACK INFORMATION SYSTEM TO PIL BLDG WELL LAKElSTREAM LEACHING CHAMBER OR UNIT M to c Type Of SystemI On 11 1-IT / 1 l(/ t Mot Nym r DISTRIBUTION SYSTEM HeadedManrfold r tnburism Pi a($) x Hole Size x Hole Spaang Vent to Art Intake Length Vb One Le th Dia acing SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over BedrTrench Center �j / %� AA 1 . / Depth Over Bed/Trench Edges r I\ 7 l x Depth of T soil xx Seeded Sodded Yes o xx ed ❑ No COMMENTS: tlnclude code discrepancies, persons present, etc.) Location: No Address Av II Lye L` 11 Alt BM Description = � r 2 ) Bldg sewer length = - amount of cover = 7 i.71 Inspection #1. Inspection #2 Vultils Oh toe t1AJ iw'r* W�I-b J6LI 46 Plan revision Required? _ Yes V, No (� We Use other side for additional InformationSBD-6710 (R 3197) Date s Signature Cart No Indmsuy Servt s I r County - � I LDan P,rmu'C'anl (to be fIlcd m M Co) Madison, Wr 53707-716"_' "NOVy 0 ment Stale Tranxacuon Numberry Permit Application In accordance with SPS 35321(2) Wis Alm Code. wbmissrtrn of this Gum to the appropriate gosemmenwl unit is reyuned prior to oblaimng a Nation) pmmt. Note. Application fortns to: oo c-coted POWTS am sublimed to I Project Address pfdlfferent than matlmg address) The Depmnnem of Safety and Pmfcasaonal Scrvm,s Personal inforroabou you pu,vo, may be used flat sccondan ut�mscs a accordance ¢ ith the Pri I a v ,. 1I S (7;11 qm), 5[atN L,�/� 1. Iication Information- Please Print All Information /i I-1I/(Ey ZA+If Prel Owners Name --- I'artd ¢mo. - �arLcl Gao -1109 - oo OSi I'ropert. (7wner's Madtn_ Address tl( I pew Location GJY Ka BEY lln. Ln, C nY. Score Zip Code I Pbune Number -- _'•, /I/Lat '.. Section _ (circle on� uOS. , IJ __ _ �. Syo/ Sao Y93-/803 T 79 Ni R 11. Type of Building (check all that appl)) f I n 2 holly Dwcllmg Numb,[ ofnedrnonu S 2 Subdrcilion Nam, I i nluvk > ❑I'uhhc'Commerttal-DucnM1e Gse Oty of ❑Slate O'ber wned-llescritx Ose CSV1 YunI�1�q�5 El Village of _ - ZONE XV. ®Tours of /740Sow Ill. Tcpe of Permit: (Check onls one hoa on line A. Complete line B if applicable) A ;�(} New System Yl ` RcplaC¢o[ent Ssslan ❑ Uedmcnt'lloldmg l,u[k Replacement Onl} Other blod[hcation to11 Ensung System [czplaml —.. F7. T Lta Pm loos Pennil Nunnc�r and Date Issur�� ❑ Penn❑ R,ncoAl ❑ Pcnua Rcvsion� Chan_e, of Plumber ❑ PamnTrnustcr to Sas �l3eforc EspimGon Pwncr IV. Type of POWTS SvstengComponent/Device:_(Check all that apph'1__ ,,.,1..,,,1 .,,,,. _: _ il: m Nu:crma sun '� InlAmg Tm,k ❑ Other Dispersal ('nmpuncnt jexlYa[n )_ _ Li Pret¢a:ment Devac f,mlauu IF �. UispersalfTreatment Area I=formation: —`R- vt (.. Dc ion I law (gpd) Des[gn So[I appheauna Pall it l) I D[,persal Area per tired W) D[Npersol Area Proposed Is11 System Fleemmn ±J- Vl. Tank Info Cepacliv in Gallons total GailonN 4 of slams racture" Unit, IW Sow TLi E,i,l Tanw: �..I-_�'F ID / �;�� U 7 ti_ - v -- Scpnc or3lw.ixg-Peek Duva�Chmnbo 1 WJa• (v — - 6,fU - - J VII. Responsibility Statement- 1. the undersigned, assume responaihihb fro iastalla tiun of the POI♦ r S+Iwwn an the attached plans. Plumbs s Namo IPmul D _T Plumbu's S:;pyt c / aA P'WtZ Vumbc7 f3usoil Phone Nail Joyy `"E[/cE , d3/3YG 7/s G7,2-5-ol PWmbn s Ad re(Streel. (: ny Slate, Cap,ride) / /V d � 98 Sr. /t�aY a5 !.%uKA.�O G1I Sy736 _ �- V IL CountyitDclaartment Use Onl �— XAppror of ❑ Di: apprel Penna Fee F).w Iswed Issuing Age . [imamre $ MM 1 11 Ouncr Gscn Rvawn for Ucnml nditionsWN of 4ppraval/Rcsans for Uisa rova�— 5 K$ J f I �Ar 15°M OWNER pp 3 Srr i i M U _ 7- ,, 1 Sephc tank effluent Alter and Svlr- { A, /v.v + LC C'4 it4SS+ 2 •rs 4-4. "low g1iq, d'Spersal Cell must be serv': -O , :) :-�,n'a, le t° �('l5�'� -fYS iY.(M I� 1 h 0.1 m as per a:lagerneif G PD�� Z Sot%51 plan pr„�.irl('d I , All setback re l- umber TNS�w JI�r i{f.N+ �Y14t1( Wll/Sj_ /aiOVI� WLq In C {q %1 a alh(,bla cod"' i), ] '°'�stit 6 f[ ray.>a.e,.ud.n//limn n, mr• n.ii„n nep :n: pavr net la. In.. n [:_.O:ernes �P dnan.ps r 1hMr'tKa.{i'o r.. � Strove-i�P^fi i5 no% rC��;n.C�. � � 1Gtew..�.-ta" r�(v�ea M.vS� Pro os b.h q%r oarlas� wr}L�th loQof! of a rraps�cl,le Poll he„--&Vt- 4-keIll lle dot vto- i r-&4,y del 40 Z q•I•i41; y �37r>S or•) MI117 rY71 (b7 SdY� C�`i r h (r�s3/�d 'r�r3rgo �'^hFof , 30YYi /,o13i- �(' =,UI /3N' '7YlS /�'/ 'XY`✓ Xvrtov� �: � 71d r68o/ <p'o8o/ =3!> of It 0, x CrSrhF>r/2 5r37NY//7 /, >nin�j r>1rr,(>�>f„� 3Sf7 � r /37 ✓'7S oaf ll '73f ~�f �,h ��5� •731 78rb � e'rb �� nidxr✓4 ri }3Ysv7vg19s fy'£af S/S' 77Y 1°7 -?Y7Y 7B'£ rrJY =Q C— I ps It Al )d1/ 7°/„% •Y ) )1 rrind r u 0•74 i 91rd„y oy O°°f'f 70/„10/< S (rJ/rdv) ir3/7 87C6— z,' (-) Ttb £ rmdI v 07 Nrr} ySf � oSb��sgf(M dl7fvo�l� ,FX f,,,000f �Nb 3rv7 h3711Y 7vf-30-7"7 c� Of�oYv \A.r3avd p7s°d°7jf i '07 X,Dy, a .rrna Page I of 7 Private Onsite Wastewater Treatment System Index and Title Page Project Name: CN t r S f Zdta 46du Y - S- 4. XJC,tn.wo /eu rJ Aaa VA L ✓ANAFt ( Jraw) Owner's Name: Owner's Address 67//NJEY �0 /y UDSo.Ji 4i r S31ol Flo 9193- /8o3 Legal Description: /V41 /V41d 34, 79N /9G/ Municipality: Town, V444age, Gityof /t✓aose.) Count Sr. LAof C Lot Number. Block Number: Subdivision Name: X/4 eY zxie CSM Number Parcel LD. Number: 4mxcr +r oad- //09- Fio -65-0 _ Page I Index and Title Page Page 2 Plot Plan with Cross -Section & Plan View Page ; Septic Tank / Pump Chamber Cross -Section & Specifications Page 4 Pump Performance Curve Page � POWTS Owner's Manual & Management Plan Page 6 POW TS Owner's Manual & Management Plan Page 7 Filter Information Name of Designer: ToN+I ACC KF License 4: Signature: .', ��fP Date: Designed oursAnt to the followingPOWTS Component Manual and DSPS 381-385, `Lrg;owtu Soil Absorption Component Manual` Version 2.0 Attachment. Soil Evaluation Report CNrtts f 144.4 116 YIY- P- aF /�uDse Sr C.dorz Lo. fde/o 114 \ pAiu60AY �AofefEB F1® 4 po zuL-4E-SA[ ti RP[EY LABS }'of ` !L N`_ foa.o-6 A 1�1J `Od bAADE� °',� 44A.14 lAf�a Atd hAN II /I , N 3 qg,i 0 q'�•6 `A—J D UE.er CAIs �ppPs ye y„Pi/E. n 02 , IY•q 4=c Frrs 3.81 ,acAE- Lor ALL SPS 3ea. y3 Sa-r,S,/ccs r ,rr I /%D rronr LB/S �A� lI9[.a� II A`_ 7aF7 9Za` = 91.8` L4e J.T- SEc r/sN �Na SGI tI� l-yCSF �„1F/L rw,B rox �Iu/<K v L//AN6 Ea,S �/? K31' Ysj"� /080,07 /d89,,i frp r4o. cr4.— E 9.a 750-,7; r072 fr / SrAL. A6/T// S /JEAow G/¢F®P �% rQuC e?r�Ouc ScN•Ye 4" L.4/1 C9) odsE.c�B. P/tesC�) � I J CJENr p/r+ESC1}� Y 'LAd LAr'd `Ne S[Btl) WLP1000/650—MR TANK SPECIFICATIONS o o a a I 12'-2" DIMENSIONS: � o WALL-- 3" a a 4" CAST -A -SEAL 4" CAST -A -SEAL BOTTOM: 3" COVER: 5" w MANHOLE: 24" I.D. PRECAST CONCRETE RISER a IPI � HEIGHT: 54 1/2" Y iil a I I LENGTH: 12'-2" II illi I. WIDTH: 7'-0" - 'o2k liil r �--� yi BELOW INLET: 43" _ �' `� LIQUID LEVEL: 38" E I\ — Cy WEIGHT: 14,940 LBS. a o . , Il,lj `_�' INLET AND OUTLET: a 3 0 0 FILTER OR ii i' 4" CAST -A -SEAL BOOT OR EQUAL GASKET m o a o s jj BAFFLE Ilii� INLET AND OUTLET BAFFLE AND FILTER:< <Q }---_-_---- _-_==41¢_===s-..___ {� WISCONSIN, SEE DETAIL #10 o o (OTHER STATES SEE CHART) LAJ 0 LIQUID CAPACITY: 26.32 GALAN (SEPTIC) W 17.00 GAL/IN (PUMP) C TOP VIEW v u LOADING DESIGN: 8'-0" UNSATURATED SOIL CLn C m TANK CAN BE USED AS: G7 0 SEPTIC/SEPTIC, SEPTIC/PUMP, < N OR SEPTIC/SIPHON o a =0 4" VENT COVER: MIX DESIGN #8 (NO FIBER) 0 w TANK: MIX DESIGN #10 (STRUCTURAL FIBER) Lu N CUSTOMIZED TANKS: �- FOR CUSTOM TANKS CONTACT WIESER CONCRETE 3 INLET - _ - _ _ _ - OUTLET =tv vl ¢ M d VI a IMa V J V I d Q I. I w v O O REVIEWED BY p o PUMP PAD REVIEW DATE a w SIDE VIEW DRAWINGS SUBMITTED v, FOR APPROVAL APPROVED BY: SHEET NO. APPROVAL DATE: Z OF PRODUCTS NEEDED BY: / TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS 1 Page 3 of 7 COMBINATION SEPTIC/DOSE TANK CROSS-SECTION (DRAWING NOT TO SCALE) MANHOLE RISER & COVER FINAL GRADE {per SPS Sea 2s(7) & (e), appro+ec tslcpe ground surface away from locking devre & warning label Extend manhole(s) for proper drerruge) manhole nser as necessary } r/ t 4' Min Stll 40 PVC Tank Vent a' Min Sch 40 PVC Tani Vent ELEC I RICAL located 12- above grade or 24- BUILDING SEWER / located l2• above grade or 2a° JUNCTION BOX above Regional Flood Elevaton r (per Soy 3a2 30(11 J above Regional Flood Elevation (Wrnplyith SPS 316 l 300} I // FOR IONS I aver 23 I Foa �r .. I Main aDTTOM OF INLET (In I ele .ircn1 Lbat hen Weep y INLET— r3 Fide I `\ r - A �CAM` MomJr warm LPPNem'�,. Then mA uuU y3 I warm Fl.al On Floal u'rnlETvre6 T•PPmvea EflXlenl FW r��. Wrlc) so: vamde 9za 6 Z""ad On Owe: — 00 Fleet � Ele. Sur, MINIMUM OF 3" OF SUITABLE BEDDIN EN TH TANK & MAXIMUM BURY DEPTH OF 96" Anchonng of tank y be requ a per SPS 383 43(8)(g) Tank Manufacturer Septic/Pump Size Alarm Manufacturer Model Number Switch Type: Effluent Pump ManufaZber Model awater Flow (DWF) 7S0 GPD daily doses 5..2 i /91 Z Force main vot a 3S ft x . /L3 gallft = S. 7 gal Actual dose vclu e - vol /.f0 gal - S. 7 gal = /S'V3 gal (total dose vo ume of force main) Reserve above alarm 7. Minim/Darge Rate e7S GPM Alarm float above on floatOn/Off float measurementVerticalto lateral invert) •Y 8 ft Oft above tank bottom 8 System head (distal pressure x 1 3 ft): — ft JS ft Force main x /. `/ /100 friction factor . S ft DOSE TANK pDIMENSIONS: Filter friction loss..... _.._.._ ..... _.. ft Length /OS..S in Total Dynamic Head (TDH), S. 3 ft Outlet height 38 in in = S.fd gal (D) in = SO gal (C) In = /Sd gal (B) in = P?00 gal (A) /4 Width /0/ in Galions/inch .✓Jr. 0 14 PUMP PERFORMANCE CURVE MODEL 1511152-153 52 T-- '-0 20 X S h 50 70 Bo Eo m TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING MODEL Feel Melee - 151 ce. L1e5 -- 152 Gel -- -users I 153 Gee Ltere 5 .1 50 189 69 al 77 al10 30 46 45 �170 38 '44 61 53 23t 241 70 265 o1 23'. 15 20 6 1 26 76 29 110 ,6�61 44 34 167 52 1 t29 42 59 30 91 35 !22 f0 Sf,4jlrad - 23 67 33 125 11 I _ 42_- 44ep34.1 W11f9.1n1 xn(n 6m1 Model 151 V LItENS C ,C BeYJ ILC 2W ?J0 380 320 "v F PER VINUP-- Je • Timed dosing panels available. • Electrical alternators, for duplex system\fcrntrolfing and supplied with an alarm • Variable level control switches are availingsingle phase systems. • Double piggyback variable level float swab{efor variable level long and short cycle c• Sealed Owlk-Box available for outdoor ie FM1420. • Over 130'F (54'C) special quotation required. 15111521153 MODELS _ _ Selection Model Vol_ls-Ph Mode _Amps _Control simplex/�Xlec2 Duplex N 151 115 1 No, 6.02 - W 3 BN151 115 1 Auto 602or F151 230 1 Noe 323 - BE151 230 1 Auto a,2 n3N52 115 1 Non 85_2W3- SN1o2 1 E Auto 85 2 W 3E152 230 1 Nm 4320 3BE152 23G 1 r Auto 43_ 2 or 3N153 11' 1 Non 105- 2W3115 1 Auto 1052er3E153 230 1 Ne, 532or3BE153 230 1 Anb 53- 2�.� 1 Single pggyback -noble el float switch or double p%yback variable level float svnlch Refer to F 77 2. See FM0712 for cor model of Electrical Alternate, E-Pak- 3. Variablelevelco Iswdch 10-0743 used as a control activator, specify duplex (3)or(4)fl ystem A CAUTION 1 1� ,,6 I I� , I,Evanw 1 sn2:u 01d 1? oi,i, is 1521153 112 27.6 fl� I 1 Jaxe "Easy assembly" (puN:p a dr;wlye Poe W nra,eed.1 Reduces poi al clogging by debris Replaces rocks Nbricks under the pump Made of durable, nL corr=veABS Raises pump 2" off bottom of basin. Provides the ability to raise intake by adding sechons of 1 or 2' PVC piping. Attaches securely to pump. Accommodates sump dewatert and effluent applications NOTE: Make sure float Is free from obstruction Far unusual conditions a reserve safety factor Is engineered Into the design of every Zoeller pump. 0 Copyright 2008 Zoeller Co. All rights reserved POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE, INFORMATION Owner CN.irS • jag,,; bod y Permit # DESIGN PARAMETERS Number of Bedrooms 100 d/bedrootn) Number of Commercial Units - Estimated flow (average) Sda gaUday Design flow (DWF), estimated x 1.5 75'0gal/day Soil Application Rate , 7gal/day ft' IntluentlE@luent Quality (❑ NA) Monthly Average Fats. Oil & Grease (FOG) < 30 mg L Biochemical Oxygen Demand (BOD5) 220 mg/L Total Suspended Solids (TSS) <_ 150 mg/L Pretreated Effluent Quality (® NA) Monthly Average Biochemical Oxygen Demand (BODs) < 30 mglL Total Suspended Solids (TSS) !� 30 mgfL Fecal Coiiform (geometric mean) CIO cfu/loomi Maximum Effluent Particle Size 1/8 inch diameter Calculations: Soil Dispersal DWF <- Application rate = Area Recurred - Xia _ 7 = /o y,2 - SYSTEM SPECIFICATIONS Septic Tank Capacity Ac�S — yal ❑ NA Septic Tank Manufacturer_ 4)IE t E4 Cn�, ❑ NA Effluent Filter Manufacturer 4W, ❑ NA Effluent Filter Model 16 f-fo ❑ NA Pump Tank Capacity lrSp+95o gal ❑NA PumpTank Manufacturer W,,rsf Gew., ❑ NA Pump Manufacturer Zo6L[Erf ❑ NA PumpModel S/ ❑ NA _ Pretreatment Unit (® NA) ❑ Sand/Gravel Filter ❑ Peat Filter ❑ Mechanical Aeration ❑ Wctland ❑ Disinfection ❑ Other Manufacturer: Model: Soil Absorption Component (❑ NA) L In -ground (gravity) ❑ In -ground (pressurized) ❑ At �srade ❑ Mound ❑ D, -line ❑ Other. Lin Dispersal Units -- Manufacturer _ /.Ifie rs.s r" Aggregate Cell(s) Model d2± CK '/ End Cap (Dispersal Unit EISA) or EISA (Trench Width) yla.3) do.o fr° 9..I = t Units or Total Length of Trench(s) Sy ONANbf�S (/a89.1 Fr' ❑ "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publication ❑ "ICC Flowtech Mound Component Manual" Version 1.2 ❑ "EzFlow Mound Component Manual" Version 1211512017 ❑ SBD - 10854-P (R1/12) "At -Grade Component Manual Using Pressure Distribution" Version 2.0 * SBD - 10705-P (N.01101) "In Ground Soil Absorption Component Manual" Version 2A ❑ SBD - 10691-P (N.01101) "Mound Component Manual"' Version 2.0 ❑ SBD - 10657-P (R.6/99) "Drip -tine Effluent Disposal Component Manual" ❑ SBD - 10706-P (N.01,101) "Pressure Distribution Component Manual" Version 2.0 MAINTENANCE MONITORING SCHEDULE - MAINTENANCE AND MANAGEMENT Service Event Service Frequency Pum /ins ect to s , inspect dispersal cell(s), clean filter At least once ev ®l3 months 03 years ❑ Other - Inspect pump & pump controls, alarm, pretreatment unit At least once eve : ❑ months ®3 years ❑ NA_ Flush and pressure test laterals At least mice every: ❑ months ❑ 3 years 0 NA START UP AND OPERATION: For new 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. The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water -saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundr), waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of Food based greases and oils, vegetable/fruit peels and seeds, bones, and food soiids such as those produced by a garbage disposal should be minimised. Toilet tissue is the only paper that should be discharged into the system. Other non -biodegradable items such as baby wines, tampons, sanitary napkins condoms, cigarette butts, dental (loss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, Page 5 _ of 7__ disinfectants, pesticides; antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow, over the dispersal unit may cause it to freeze up. INSPECTIONS & &I AINTENANCE: Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, -Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and check for any backup or punding of effluent to the ground surface and test all electrical equipment such as pumps and alarms. Any defects shall be promptly corrected. Exposed openings greater than 3 inches in diameter shall be secured with effective locking devices to prevent accidental or unauthorized enty the tanks. When the combination of sludge and scum in any lank exceeds one-third (1/3) 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 NRI 13, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to relnove any accumulated solids according to manufacturer's specifications. Solids washed from the filter shall be retained in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system opemttn_. Alarms should be tested on a reuular basis by the home owner_ if an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. ABANDONMENT: When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is property and safely abandoned in compliance with Ch. SPS 353.33, 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 other 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: (§I 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 render it unusable. Replacement systems must comply with die rules in effect at the time of replacement. 0 A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area_ Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resurt to replace the failed POINTS. ❑ 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 CONTIAN 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 MPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINT R Name .%nf/N 6L A'E fA 13/3V4 Name_C4 4F Gwn4/.t4 Phouc /S L7R•.TIGG Phone 7/S t77-6.?LL SEPTAGE SERVICING OPERATOR, .,_(PuLnper)_I LOCAL REGULATORY AUTHORITY Name I Agency Sr. IA*ex Cor.rao1rr ewmi/-Err i Phone _. Phone _ ;Plf _ _ ,06 Pape � of J. Installation Instructions for the GF10 Filter Step t Locate and remove Step 2, Beere Installatwn, the septic tank covet, on place the filter case on to the ou tlet s ide of tank the outlet plot Make sure the case is positioned so the filter can he removed hem the tank for mainte- nance and set vice Step Glue the filter case onto the outlet pipe hnert the filter cartridge Into the core - (Make sine lire filter 15 completely inset tell into the case.) �J BEST TECHNOLOGY A. 7 of 7 Maintenance of the GF10 Filter A time farm, In whrzh septic taek, arc serIf, ed Is set by state and Iecai curio Although they may be different most regulatory agencies suggest two to five years. We ieronmmnd the GF 10 filter be cleaned when the septic tank rs noted l ly cleaned end pumped, or as needed WARNING: If the liquid level i n the tank is above the top of the © filter, pump the tank prior to removing the filter cartridge. Step For nstallatot,that © CAUTION: USE RUBBER GLOVES WHEN HANDLING FILTERSI require or desire additional support (If additional suoporns not needed, go to Step 4) Glue a Step 3: Remove the stone tank cover section of V Sch 40 pipe to the and pump the tank if necessary to two hubs for aced on the bpnum prevent any solids from escaping to the of the cast and the huh located field when the filter is removed. 11K 'kw�t on the side of the cm,, w 4 Step S. Fonnstallations,vhete it will be difficult to reach the handle, plate 1"Schedule 40 pipe Into the ter on the handle and extend it to height that will nialce it easy to iernove the filter In stall atlon of an Same as a new system only the septic tank d existing system. "lust be pumped prior to installation. le Step Pull the filter handle and slide the filter out of the, ase. L3J Step 3 Whle holdiny the fide, ranndgi, over!he access opening of he tank, nose the cartridge off with freshwater. Take careen make sure all solid material falls back halo the idol, BEST GY 3 Fairfield Blvd. Wallingford, CT 06492 1-877 765 9565 Fax 203-284-8514 f"A Step 4 Insert the caleldge back into the case making sure that it Is puyaei ly aligned and oropletely Inserted Into the case. Wisconsin Depanmertof Safety and Professional Services Paged_ D,v;slon a'Inousiry Services SOI_ EVA—ATION REPORT in accrndar^. '11, s?5 9ni '., Ad" _ode .:,,t, r ,tkacn cnrn Jele si e d�a,+o^ pgpe nr: less thaw. x _ .: �n.-n,..� IIe Plgr cT •"-oIs l ., s. „c,�dr b'v rot UmrPd :o' vernal and hertcrfel referen^e rout[ teM tiro • in air nn' wt s one Panel I [1 scale or dieters onsnorth arrov. and ;ocaror snc nlstance to nearest road TBD IPr000sen CSM I Please print all information 4rwrwed ny Darr Personal nfpmlaho'l you Mv'c<=aV ua ili9c fur aecpn J3ry Surcoses IPrvacy -0r. � 15D411 o-, ,. P'oveny Owner Propene '_oizilog - _,art-, K,, G[.I L . ^; A' - N'A .. S 36 729 N F -i opery C: ter s %failing Add, ,ss _oi S:Atd. Na­ rSM4 T =^ P'le, i c+ruposeo CSM {cu-ant PID' Ji0-I'�1b-00-[15C, Sta'e L: G CJ'Je hone Nur cer �,' D" e Ile ; J 0 U Tovm Nearest Road H.idsr 1'A 4'15 R Iev LN CN?w lensr ;4nr 'use M R^s do,!a Nun:c- -'b-CrooT S ReplacemepT -Jbllc 9e0mTe'Cldl-Ges-,ee �ateni gale. , Loess p,er loamy coy' amd sandy vd M1, �sC 3a7re s i looc P�alr e.,-,at _r, J apply :axle �'A Gene -a eomme-ts and gecorrmendaC ors ae --».�'-y-^.�. -^�,,. -�r .'�I..._r .... ✓..'-: del r � .,gr. ,'._x..ay :Ir B0..i,i. p Appicatron R.te �Rocts I c =-r - i,orn met Celc C...ro! s -e n..'e a r-� „r_ ..ups siel cr Bounuary S., Az G.ni Color .3- Sz 5h_—._—__— __� - _. _. 'Evt1 •EYu2 3 2 _ 2msbk ___ mfr •,,, 2m-V 0.6 0.8 2 1C-24 - -- '.�YR S» - z'.I 3rnaok mfr-rn` rs let-vf C.A na 3 24_--' ' SYR 4 nnsc CA, tm D -a 1 oa _-a aa_-__--_ _os _g loose _ _ 1 ba c Bonr3> r_ Eennr 43Jeele n iR]rati 5_o_d ApPUra:mn Rate He, z,;, Deotr Dominai,: Co.o- Rednx Desc, pt gr -exri, r S:rcCule C"rslsiel:ce Bounowy Roots APD'f?' r' I l-Insel, Cb A. "av ;,Jlc G' Sz SP _ ---- 'EHx+ 'EY52 2-,; y, ids cs 3c-4 C Z 13-215 JYR 4'5 - sl $sbe ulf, cvr 20-,rf 0 at Cn_ Jsq - - - -- loose I cw Set-vl _ 7a 1 Ea 4 36-'Ov^ tOYR a,e _ co, 'lsq loose - - )'a tga gad 13-"vs rock EY'r air 41_5(1G _ i1?se i. ,ag Ls'd Sn e.�.-<—tt ,ny- 'Eilh.-a}r.?-gOD `3C�220-�gL arr•TS`;>30c'Sp CST Nome IPieese Prnt, u t J^ _ _ r c, Nsg0 _ - � SP.iti50000' 0 Address -. -te F�a .� .a ;elepl one N. milxr 779 Spnny C-reeK RD 5 Rea Wing MN !) 0i L9 02 2„ r651' 327-OG74 SBD-63d0 �R04rt St ""—^I ❑ B�nng Bonng t Q °:t G•n.;nr ,,. �+ace ele. o �r. `7 `_ It Dept to Mnutmg IaUuf 96 Suit A pls6wion Rate HOn-, '_Kell- uny�.r ^;,... 'iCJ'+1�c�n[.,' n�� i c l., cu,iIslc-,c Bi:Undafy hoots G'IC)"t, Ir Munscli G� C; - _--- 012 CYR 2,2. 3mgr r1`• cs 2f-vf c6 98 2 '2-21 1CvR-:4 - cl 2mabk mfr cs Ivt CA 96 '. 3 21-29 ? 5VR 4.4 = Osc loose -__... . m• - C.'a '16a •: 29-98 ,:VR44 ,Gs 95� iJ `SP - - F'a- I6E . Banng b � 9,r1^a Dent to nmrrnq faca_' Sorl Ap La ;l on Rate Ho •mn ]eoth ^,ominam '_uec Reeox Deecn(,t ur' -erjl a Sr'LIWIE Cor,slste^ce Rouneary Rcots GPD'Ft Ir ld�nsel�.], a,: Co-t ::c.r' G- Sz Sh r : ---- _ -'--roun:: e,:"dce nle'., Cepth to lima n9 famr m Soll Apdica:on Rate Hommn Deo•` Dominant Cole Geccr O=sOm!o' 'eru-= 5t"CWre Zenslstence Bourtlary Roots Gp01Ft b Munse, G,.. :� -""Kole' G, Sz.Sh-_- _ 'E"e2 m_ r;71-Ror, -,rl22Cn,gLa,r.rsS>,-_ 5C,;. Rz=aoc 133�_x', - "f :� guano TSS>30<75L m5L C Desggner Ryan 8whel certified Satl Test. SP-111-aloII Designer of Engineering System,D 2265— 7 Jr, 1 5 y „ C�pAtlo x nr �,,,� a: •'nfv ''<,� �epm tm4 Pengr I soA ia710 urax,Mlen Riley LN F CUUfm] ttNerzwW ib IS qn 1W Jwd9naE oN mduNaC 'n oInpj N iWe or _xG . I. Rre 11 t 0, rt 'rnA reToln yvlMed Twn 5nwmrce onClw .ortyacAer Lefvre wq d(u q' mutr,rum. NO wA9VMY i5 WD� rll•1 'v`; SStBA Ifi,L aMwuE 10 NNCfgN e�OfFlNnrl.1. 9/etrrn. curt Ce pawr�r martainm Psww, to ird.+marr on prarw- <are v, ma.n..w..ra 1'k YI'ANI b H,N A, A It s' I HB 0.Iry 110dmn, M ; NIL• CIO TFi (.' 11,,, 1 .F . '86 lure% eua- Pending CJM aw Nw Ss6 1z,4N P19w Town It f'11ri,p rim --_ --' ! .y��ni���•g A� L �7=. Z._ _ ji :�niri. �. �17.SS-S� i iS. L _� :!� •.�nnnnny.mnuin. d- iPP�. P.1 -+• ijl}j ri.�.-1.��1 .I inPP1.�nP L .. ZL•f iit:'.•w rrw . i'� i �� - +.. . i..:i'1' .n. - AS'Rn rl..�r:• ��•2�• 5rcas}css��s t��lp•�:n,�4:"�'! o• u. ri.r. •a. � �� ��_ _mil i i . � i n ��ynnm!!:_� � :olu'= ■■■ ■■■FRONT ELEVATION ' � ■■ ■■■ J LiT A Ca U� DRAM AT M' X �' M r,-`'r4-sz t'i�i•eE:' L.'4r--_`r's_s__ is s __:-L__• S LSD giLL...7SpFp.,.L.��. 1r.{S• .LS_. = R S --�_ S�s�S_ -_ _ sr__Y �•�__r__ d LSJ7:2� �� • ■ ill �� l,lllllllll illlllll'■■� REAR ELEVATION WARNINGS I. WINDOW SM. LOCATION, AND GRILLES TO BE VERINED BY HOMEOWNER OR CONTRACTOR BEFORE ORDERING 2- HITCHEN WINDOW AND CABINET LOCADDN TO BE VERIFIED ON ACTUAL NHCHEN CABINFT I AVOUT 1 COLUMNS DRAWN AT f - X IS - UNLESS OTIERWISE SPECRTED BYCONTRACTOR 1. ALL GARAGE WALLS EXCEEDING 10' ARE TO BE 2X6 CONSTRUCTION PER TABLE 32125A PER WISCONSIN UOC i RAILINSISRFOUIRE06Y CODE NTOP OF PORCH IS MORE THAN 24' FORM TOP _ OF URAOE 1736 SO FT FINISHED 8' MAIN LEVEL WALLS 3.007 SO FT GARAGE 96 COVERED PORCH 26X 14 OEOX BE .N. OM .,a DINING GREAT ROOM BEDROOM 3- - ___ I __________ BATH __ ___ • 6 �y ''4• KITCHEN m f Z wn Wir i rnu: uLa anb BEDROOM �fOVEREO PORCH G 13'6x• Ip'!K• \ /1X6 ON GARAGE TION/G\ �6 vIw , ----.WALKOUT :J mL p 5 RE BEDROOM 3 air g € i - FAMILY :............_.__........_............_-........ SIARNMS W' NDOW SVE, LOCATION AND GR , ILLES TO RC VCRRIED BY HOMEOWNER OR ................................ } CONTRACTOR BERDRE ORDERING "" 2. RNCHEN WINDOW AND CASKET ,., ,,. IOCATM)N TO BE VERIREO ON ACNA\IVICHEN CABINET IAVOU' _'_ ._ ............. ....raw... {� Z W O 3COLUhT40ROWNAT IP'%18" IHJIESS OTHERWISE SPECIFIED �3: FUT MECH iF7i ii61 BY CONTRACTOR pR ooM m ! FR II 4 pia( N hh x W : " 4 ALL GARAGE WALLS EXCEEDING 10' a C [.,nn_ viT' `A h 'R C O K Ip 40 0ad `I M ARE TO BE 2X6 CONSTRUCTION PER VERIFY CONCRETE DEPTH o V / TABLE 32125A PER WISCONSIN UDC ._.... 3« - ......................... ....... PER CUN1RAClOP - - __ ya$y Qw ._ ... .• .. .. ...._..._................... m 5 NAUNG IS REDURPEDBYDUDE IF TUP OF PORCH LS MORE THAN 14"FORM TOP WIC ._._ '"' ....................... w UC GRADE [ 1 UNEXCAVATED ..................... .... ........ ......... . i .... ... ._.................. _...... 1" FOAM ......... ......._..... ........... .. 3 f i 4 QNIXCAVATED i 2" FOAM ON EXTERIOR OF HOME i ' 9'-1.5" FRONT WALLS FOR TOP CHORD BEARING TRUSSES ; W °' o 0000 SQ FT FINISHED 8' CEILING HEIGHT: 1 : .......... .__........ .......... _...... q h i:.............. ........ _.......... _............... ._..._ �..... .........emu.................. F c w Z es'Fo S 1. C'ROIX COl •NTl' SFPTIC lANKNIA1NTF\A\( I- AOPELNILM AND ()WM RSHIP CFRTITI( A.fIU\ 1'0R\1 Mailing address i'ropert) Addreia $ L 1 — - �-cif------ -- - \ :n:i:anor:.cqt:^rd r.,m Pianom k Zonin 1)cpartmzni tur nc•a co:unuctiou.) City Stag _ 5Q1�_� _�t�e_Z - Parcel Identification Number Q 2�) -- i `� CC-- osc) LEGAL DESCRIPTION Propenx Location _ NA). � . Sec. L1. T _��. N R_�q_\\ . 'I ot, n ol, (AC-Q,. , _ SubdiC ision Certified Sursec .Map rc . LUl Volume 3Q—. Page = __ �O 1__J _ \ [;inn). -- page r. -- i ones denr.:iahl: r3s SYSTEM MAINTENANCE: AND ONN NER CERTIFICATION Improper wr and ma:nienatKe of hour scpuc s) stem could result it,. its premature failure m Dandle wastes. Proper maintenance consists of pumping out tl:e septic tank even Three .ears o: sooacr. ifneeded. h,. a licensed pumper. What You put into the s.;stem can afP.ct the timcaon of sepuc :ank cc a dear ien; s:ae: to thr tcasr disposal system. Uuner maintenance responsibilities are specified_ in Womm. r3.52t I i an3 in t-hapter :2 St i roix (bunr.v mrinay. Ordtnans. I lie propem otrnci agxes to :uhmat to Si ( roic ( nnn:t P:antnn: k Zonis_ Dcnarimcin a :cm:ir. eat!on Tou. signed hp r.:c mn nei and by a ira,stei plait. gin. wutiic}ma:: plumber, r,snicte.i p,,ani;er a a licensed numpet venf%irg that i_ I ) tiie on -sit-' aastnwater disposal system i, r, propel operatmL- co't.liti n and of (2, altar inspect:,)t:send pumping lit necessary). the septic tank i; lass than 1.3 full of stu.L: 1 vie. diz ua,xrs!_re.i :a: c read ::: abort reyu:reme:us and agree to maintam, dx rn, it. sewa a disposal system tyith the standards set forth. herein. a, set b,. the Department nl Canut:erce and the Depamnent of Natural Resources. State of it'isconstrt t'erttficacon stating that pour sept:c systcur has been maimainea mast be _ompleted and returned ro the S;. CTni.\ County Planning S Zoning Dapartiuent u shin 3u cat , oC the three ear expiration date I tse certify that aL si.tiemerts on 1-:;, form are 'A tic :o ti:z bast of ni% our klltm ledge. ne am zm :hc onTen v ni the pn�perN des!:rtbri above--. bt UriU✓_ of a U':!RLaR' .: Yd S�:UTdr.t.:n Rr�lSirr !i; L)e:d_4 OeilY Numberof bedrooms — DATE _— - -- E. SIG\A•' ' -OF. PLIC AN tS) i '":Any nilorm'iunn that ie toil rcpreser: r.! nv•. re•:at m t1 .: sou:anpzrnut grin_ re•y ��c•d h.� the 1'iaimmg rl Zoning Ueparmtent. ••. Include with this application a :corded •.t.!i::nit d.... .• an the kc4i try of I)Vva, Oche and a u t of the ccittlied SUB C.� map it reference is made in the r.arrarn• deed. (REV. 08i0S l -- ¢ Wisconsin Department of Safety and Professional Services Division oflntlus(ry Services O a TO SOIL EVALUATION REPORT S�P In accordance with BPS 385, Wis Adm Code County ST Croix Attach complete site plan on paper not less than 8 112 x 11 inches in size Plan must Include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel D scale or dimensions, north arrow, and location and distance to nearest road TBD (Propose Please print all information. Re�wed by CS —(—a oao — A CSM) Pagel of 2 Property Owner Property Location Samantha Kann Govt Lot NW V, NW % S36 T 29 N R 19 W Property Owner's Mailing Address Lot# Block# Subd Nameor CSM# D- 3g79 TBD Riley LN �f Proposed CSM (current PID: 020-110300-050) City State Zip Code Phone Number ❑ City ❑ Village W T Nearest Road Hudson IWI 154016 1 1 1 &y') Rdey LN O New Construction Use Residential l Number of bedrooms 5 Code derived design flow rate 750 GPD ❑ Replacement ❑ Public or commercial — Describe. _ Parent material Loess over loamy drift and sandy outwash (Saftre sil) Floodplain elevation if applicable NA it General comments and recommendations Recommend in ground 'conventional' Powys benches at 30•-36• depth wth o 78gpdroz loading rate LF =>96- (extent of obseivatons) 1❑ Boring # ElBoring X Pit Ground surface elev 96.60 ft Depth to limiting factor '98 in Soil Application Rate Honzon Depth In Dominant Color Munsell Retlox Description Qu Az Cont Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' `Eff#1 -Eff#2 1 0-10 10YR 3/2 - I 2msbk mfr cs 2m-vf 0.6 0.8 2 10-24 10YR 5/4 - sit 3mabk mfrinfi cs 1 ni 0.6 0.8 3 24- 7 5YR 4/4 - s Osg loose oN 1 m 0.7a 1 6a 4 57-98 10YR 414 - cos Osg loose - - 0.7a 1 6a 2 Boring # ❑ Boring ❑� Pit Ground surface elev 94 90 ft Depth to limiting factor >100 in. Soil Annhcation Rate Horizon Depth In Dominant Color Munsell Retlox Description Qu Az Cont Color Texture Structure Or Sz Sh Consistence Boundary Roots GPD/Ff' 'Eff#1 'Eff#2 1 0-13 10YR 3/3 - I 2mgr ds cs 3c-vf 0.6 0.8 2 13-29 10YR 4/6 - at 2csbk mfr cw 2c-vf 0.6 1.0 3 29-38 7.5YR 4/4 - cos Ogg loose cvr 1m-vf 0.7a 1.6a 4 38-1 GO 10YR 4/4 - cos Osg loose - - 0.7a 1.6a Ali C `Horizons 3 4 had 10-1 / rock CST Name (Please Print) Signature CST Number Ryan Bechel SP-111500001 Address Date Evaluation Conducted Telephone Number 779 Spring Creek RD S, Red Wing, MN 55066 09/02/20 (651) 327-0074 ❑3 Boring # ❑ Boring ❑E Pit Ground surface elev 9720 ft Depth to limiting factor >96 in Soil Aoolication Rate Horizon Depth In Dominant Color Munsell Redox Description Qu Az Cent Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' "Eff#1 'Etf#2 1 0-12 10YR 2/2 - 1 3mgr mfr cs 2f-vf 0.6 0.8 2 12-21 10YR 4/4 - cl 2mabk mfr cs 1vf 0.4 0.6 3 21-29 7.5YR 414 - s Osg loose av - 0.7a 1.6a 4 29-98 10YR 414 - cos Osg loose - - 0.7a 1.6a ❑4 Boring # ❑ Boring ❑ PIl Ground surface elev Depth to limiting factor _ in Soil Application Rate Honzon Depth In Dominant Color Munsell Redox Description Qu Az Cont Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' 'Eff#1 'EfF#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev If Depth to limiting factor Sol Application Rate Horizon Depth In Dominant Color Munsell Redox Descnption Qu Az Cent Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/F1' 'EtF#1 'ER#2 Effluent #1 = BOD. > 30 5 220 mg/L and TSS > 30 s 150 mg/L ' Effluent #2 = BOD, 130 5 220 mg1L and TSS > 30 5 150 mg/L ❑3 Boring # ❑ Boring ❑� pit Ground surface elev. 97.20 ft. Depth to limiting factor >96 in. Rnil Gnnli—fim D.f. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az Cant Color Texture Structure Gr Sz. Sh. Consistence Boundary Roots GPD/Ft' ^Eff#1 I -Eff#2 1 0-12 10YR 2/2 - I 3mgr mfr cs 2f-vf 0.6 0.8 2 12-21 10YR4/4 - cl 2mabk mfr cs 1vf 0.4 0.6 3 21-29 7.5YR 4/4 - s Osg loose M - 0.7a 1.6a 4 29-98 10YR 4/4 - cos Osg loose - - 0.7a 1.6a ❑ 4 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor_ In. Snll AnnLl naflnn Rara I Horizon Depth In. Dominant Color Munsell Redox Description Qu Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eft#1 'Eft#2 ❑5 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. Rnil AnnLrafinn Rat. Horizon Depth In Dominant Color Munsell Redox Description Qu Az Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 I 'Efi#2 Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L • Effluent #2 = BOD, > 30:5 220 rig/L and TSS > 30 5 150 mg/L Designer Ryan Bechel Certified Soil Tester. SP-111500001 Designer of Engineering Systems: 0 2263-7 sr,vl 0' 0' 00' ,d� Tree g ° line L "Well to be located >50R from system components" ADVAN(' r Exuding P L New west P L ) 'All property Imes not C Benchmark � _ SYti 1 FNI NO] ES drawn are >1(lOft from Sepac Truk. system 41l,, Sol E3anng \\ Fmnp'I'anA Proposednorth \\\ P L. Ued I B3 ti s7.ao 97.00 i m / sa�f /01 0�`P N s ap O o li — 96.00 Grade at }, to proposed PVC pipe east P L Tree Igoe / t355' - — — — - / / Riley LN \ I Ca,06W Slotemenl: 11h, eyewe Im bew deigned oM ew1u iel 'o occp . Wth Stole oM Local en Me. M wl trtWmnl a,aa must remain ore ecteo from d,due a Door/or —ooiA'wn before ara after cIXgbu:nM. No wMPM'rY S 1 TNT null $T m will ¢CNIMIE 10 n.NCIION MIX.FINLELr S Ae muel tN prop" rmia6itM. Rvilmr ywr etem'3 mvagemenl on to infmmtgn M ,,e, wR aM ma.alwwnae Sf beeommend n-gouxd'mmedlonal' PO'MStrenches 3 30' 36' depth wlh 0 7aiii baring rate -0eplhloreslndran= 86' Contour =8700 Slope =4% Distribution 43wity dstnbhon posable LOCATION MAP (not to wore) PREPARED FOR: Samantha Kanne She Address. TBD Riley LN Hudson, WI 54016 PID. TBD (Proposed CSM) 3.86 Acres Legal. Pending CSM NW NW S36 T29N R19W Town of Hudson Scale V— 60' Date 9/2/20 CERTIFIED SURVEY MAP I� L=310.628, Al N 87'15' 38" E 280.33' 755 3.86 ACRES N Lo00 !v N O y O In I i I i i 661.89' S89'26'45"W / / / / LOT 90OF / SCALE IN FEET 0' 60' 120' CERTIFIED SURVEY MAP LOT I OF CEG31` BRED SM[RMEV IMIAP / MOO�o �C�o pC�o 4�L�39 I L=310.628, R=2¢4.000 / N 4 8.9883 N87_'15'38"E _ /�QQ — — 280.33' K � , R6. OR Poo Po / Q cb L OO u'7co) \Q \ COTTONWOOD G39Dal SECOND ADUMN I � w 3.86 ACRES M 00 N � M N O O ,. :• S89.26'45"w i NWOOOD MOO E [MID AMTECO)m i i C 07TO�I�nM0o0C MOGE SECOND G^QMMOON Ii I i i I/ i i SCALE IN FEET 0' 60' 120' CERTIFIED SURVEY MAP .N� r { L=310.628, R=2Q6.000 A-� 98.9883 Y \ ♦ ���D �� N87 1538" E '- 0280.33' - A .. 45" t{ T .. 120' 6C, 111497S BETH PABST REGISTER OF DEEDS CERTIFIED SURVEY MAP ST WI IORR CO RECEIVED FOR RECORD RECEIVED LOCATED IN THE NWY OF THE NWY OF SECTION 36, T29N, R19W, 10/26/ 202003:45 PM TOWN OF HUDSON. ST. CROIX COUNTY, WISCONSIN CERTIFIED SURVEY MAP VOLUMeeE�: 30 PAGE:YB79 BEARINGS REFERENCE➢ TO THE %EST LINE OF THE REC FEE: 30.00 NWY. OF SECTION 36 LINE BEARS NOO16'13'E, PAGES:2 ST CROR COUNTY COORDINATE SYSTEM LOT 9 OF OE4-ABED SURVEY MAP VOL. lk PG. 42M I / "CORNER, SEC ]6 AND ETIES OF RECORD N10 OF \ / lv / EDSTCHECKED WICROIXTH ST COUNT CRORUNATEY CODPaNAI£S7 \ � P W. * *� E 5' I NEW mL„Mormri �� — —' �� ��caR�.•nox �,o. < WI % �� (h RADRIS-2pW >3. -- F cENlC ANGLE-SE'9IC ARCLENGTM-31003 TANOEMH- IN NFTbSlF - LOT m ' yd° 188,0199OUARE FEET Rf.�P-O (3,WACRE5) w f H�61iE NW: � NSW26'45E 2` 76 /32.63 218.75 23420' '. n �, Np 131.99� iS ti Y S89'X'45w 661.SV L I9 OF fiLMOnTf COTTONWOOD RIDGE 60ffaWOOD mum \ \ i LOT 90 OF t o SECOND #00TTION \ \ commWo ® RMIGE, b I LEOE • DPJ IRON RE6AR FOUR \ i S W1510E ONMETER IRp! PN£ Faye i '' \ t � ,Z✓'E1d1f1E6ARFWNO �. I B t'OUTSIU M DMEIF,R IRgI PIPE FWN ' ® 074% 1CIRON REBAR N iammIG® ISo¢185 LI EARFOOTUT. 0' 60' 120' W% CORNER, SEC 36 I' = 120' (ALIAONUM CAP FOUND) GJ LAND SYRVEYWC PREPARED FOR: JOSEPH GRANBERG GREG h SAM KANNE DRAFTED BY JWG S �(� 742fl 134TH Ao£NUE 675 KINNEY ROAD JOB NO 100-676A SHEET NEW RICHMOND, WI 54017 HUOSON, 1N 54016 GATE: OS/21/20 1 OF L 3o-coAQ-7q SL Croix Cpmty 1114975 Page 1 of 2 V j CERTIFIED SURVEY MAP LOCATED IN TIE NW Y4 OF THE NWY4 OF SECTION 345, T29N, R19W, TOWN OF HUDSON, ST CROIX COUNTY, WISCONSON. DESCRIPTION: A PARCEL OF LAND LOCATED IN THE N✓INY. OF THE NW.OF SECTION 36, T29N, RIM, TOV N OF HUDSON, ST. CROIX COIMIY, W SCONSIN; FURTHER DESCRISEDAS FOLLOWS. COMMENCING AT THE V Y CORNER OF SAID SECTION 36: THENCE NWIfrI3'E 1314 43' TO THE SOUTH LINE OF SND NWY� OF THE NW , . THENCE NU'W45E 131 M TO THE SOUTHEAST CORNER OF OUTLOT 1 OF CERTIFIED SURVEY YAP RECORDED N VOLUME 16. PAGE 421U OF CERTIFIED SUMEY MAPS IN THE ST CROX COUNTY REGISTER OF DEEDS. THIS BEING THE POINT OF BEGINNING; THENCE ALONG THE EAST LINE OF SAID ODTLOT 1 IUT'"WE 97 7(F THENCE CONTINUING ALONG SAID EAST LINE N rOWE 300 W. THENCE NORTHEASTERLY 310 63' ALONG THE ARC OF A 200 OO RADIUS CURVE CONCAVE TO THE SOlIR1EAS'i VYIDSE CHORD f1EAR5 N6T'15'J6E Z6G ]3 AND IUS A CHNHtAL ANGLE OF 66'SP16'. THENCE S46'14'4l'E 14] 46. THENCE S 3775E 712117 TO SAID SOUTH LINE OF THE IMY4 OF THE NWY� BEING ALSO THE NORTH LNE OF THE PUT OF COTTONVgOD RODE SECOND ADDITION, THENCE SW26Y51W ALONG LAST SAID LINE S61 W TO THE POINT OF BEGINNING, CONTAINING 168.019 SQUARE FTC T (3 N ACRES) MORE OR LESS AND BEING SUBJECT TO ANY EASEMENTS, RESTRICTIONS OR COVENANTS OF RECORD - SUtVEYOR'S CERRHCATE I, JOSEPH W GRANSERG. PROFESSIONAL AND SURVEYOR, HEREBY CERTIFY THAT BY THE DIRECTION OF THE DINNERS, GREGORY AND SAMANTIA KAN E . I HAVE SURVEYED AND DIVIDED THE LAMM SHOWN HEREON IN ACCORDANCE VITH OFFICIAL RECORDS. CHAPTER ZW.0 OF THE WSCONSIN STATUTES, THE ST CROIX COUNTY SU®M910N ORDMNNCE AND THE TOVN OF MASON SIIBOASION ORONMICE AND THAT THIS MAR ANO DESCRIPTION ARE ATRUE AND CORRECT REPRESENTATION TO SCALE OF THAT SURVEY YE�BC OIV y�M 4 0C.4. 21 Z02'o + � k JO RCi DATE t �M G VM Ll1TN3N3, lJ.0 NCj►�0 14 134 AVENUE NEW RICHMONO. W W17 e T1124(iT529 1 N� Buy$ TREASURER'S CERIMG4TE I, DENSE A/DERSON, BEING THE DULY APPOINTED. QUALIFIED AND ACTING TREASURER OF THE COUNTY OF ST CROIX, DO HEREBY CERTIFY THAT THE RECORDS IN MY OFFICE SHOW NO UNPAID TAXES As OF oct4ber &0&0 ,AFFECTING THE LAMM INCLUDED IN THIS CERTIFIED SURVEY MUIP BY. 6 ,1s6� DATE _ _ Qcfbber d(a an'60 rnEAsu GENERAL JIDIP ESTATIPW EACH PARCEL SHOWN HEREON IS SUBJECT TO STATE, COUNTY AND TOVMISMP LAWS, RULES AND PEGIJ ATIONS ( I.0 . WETLMO RESTRICTIONS, ACCESS TO PARCEL, MINIMUM LOT WE ETC ) BEFORE PURCHASING OR DEVELOPING ANY PARCEL CONTACT THE ST CROIX COUNTY COMMIJN Ff DEVELOPMENT OFFICE AND THE NP OPRATF TOIN4 BOARD FOR ADVICE ARIKWG��dY1�gI11 ST. (((((�����`CAA`�A11����R��,�, ��'�OIX,IU COMMUNITY DEVELOPMENT OFFICE OCT 2 6 ❑RU BY�lyyj DATE St Croix Carry JSLAND iURYEYOIC PREPARED FOR: SOLUTIONS OSCPH GRANDCRG GREG do SAM KANNE DRAFTED BY JWG 1428 134TH A\FNL'F 675 KINNEY ROAD JOB NO 100-676A SHEET NEW RICHMONU, N1 5401) HUDSON, M1 54016 DATE 08/21/20 2 OF 2 S! Croix County 1114076 Page 2 of 2 I