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HomeMy WebLinkAbout020-1011-20-020Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Divvsicn INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law, s 15 04 (1)(m)] Permit Holder's Name City Village Township Jack W. & Jennifer L. Jorgensen I TOWN OF HUDSON TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic D Dosing Aeration Holding TANK SETBACK INFORMATION Lslly A c (Iii 1:; TANK TO P/L WELL BLDG Ventto it ntake ROAD Septic 521 Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM del Number T Lift Friction Loss Xvstem He d T H Ft For math ngth Dia. o Well SOIL SORPTION SYSTEM ELEVATION DATA STATION BS HI FS ELEV Benchmark sV to c� BM / dg Sewer D SVHt Inlet ( q )q SUHt Outlet . 1 1 Dt Inlet t Bo m Header/Man Dist Pipe Tot System t 1. 01 9 Final 13 4di13-3 q9 ` BED/TRENCH DIMENSIONS Width r Length O No Of Trenches PIT DIMENSIONS No Of Pits Inside Dia Liquid Depth SETBACK INFORMATION SYSTEM TO JPIL JBLDG IWELL LAKE/STREAM LEACHING CHAMBER OR UNIT Man cf ler J i Tye . System r ` y / Made Number UI51 KIIJUTION SYSTEM `f`- ' HeaderlMandold Distribution x Hale S¢a paan Vent to Art Intake I tl Pipe(s Length Dia Length is Spacmg OUIL. tiUVCK x Pressure Svstems Only xx Mmmd rh Af_Grodn Avefeme rinly Depth Over Sed/Trench Center G . J 1z Depth Over Bed/Trench Edges 0 i I�it xx pth of Topso Soddetl i — xx Mulched O No COMMENTS: (Include code dlscrepencies, persons present etc) Inspection#11(�p Inspection#2 Location: 1001 SCOTT RD v, . 4✓ 1.) Alt BM Description = 2 ) Bldg sewer length =� - amount of cover = i I Plan revision Required? C Yes No 1 ^ ( --- �� �, /�� d I. Q( Use other side for additional information �I—I�k —lu1-\ / y�'1"1'/L utd SBD-6710 (R 3/97) Date sepctors Signature Can No SY 1. d a 2A _ S Safety and Buildings Divis'wn ��ry c �� �rs`•j"���. s 201 W� Washington Ave., P 0.1L w 7162 MadisEn, gaoIIary Permit Number (to be filed in by CoJ WI 53707-7162 Sanitary Permit Appli h Scat TransactionN®ba —� In accordance wrth SPS 383212), Wis Adm. Codc; submsssim of tttis form to the apprtynatc governmental mt ss rtgnbrd prior w obtaming a sanitary anunt- Note .Appbcaron forms for sto e w wd POWTS arc subnnred w Project Address (d ride than maiLng address) the Department of Safety and Professional Servies. Personal udormation you provide may be used for secondary ses in accordance wth the PrivacyLaw, s. 15 04(11(m), Stars. i� / �() L A um—1 on Information- Please Print All information Property Owner's Name a e D SEX Parcel P 0J- — )/ Property Owner's Mailing Address I Property lacanoa b D t,tJi S Cry, Stain(/� Zip Code Phone Number 1 �` At k on IL Type of Building (cb all at a ply) Subdinston Name ly DweLing -Number of /./. ^�i 1 Block # ❑ Publir�ommerctal-Describe City of ❑State Owned -Describe Use village of CSMNmnbcr V.� 6 Doi: Ilo Town of BI. Type of Permit (Chttk only one box on line A. Complete line B if applicable) A System ❑Replacement System ❑ Treatmenr/Holdmg Tank Replacertiem Only O Other Modificauoo m Eaisturg Syst® (oplam) B- 13 Permit Renewal ❑ Permit Revision ❑ Change of Plumber ElPemur Transfer w New List Previous Pcmr Number and Dare Issued Before, Expranou Owner M T of POWTS System/Component/Device: Check all that apply) Van-PressmutA In -Crowd ❑Pressurized In -Ground ❑ At-Grnde ❑ Mormd? 23 m. of suitable soil ❑Mound <2 . of sortable soil D Holdmg Tank ❑ 0tba Dipersal Component (explain) ❑ Pteaabnent Device (explain ' V. Dis Vlreatment Area Information: e rp F�lo/w-(g d) Design Soil Application f) Dispersal Auer aired (sf) 1 Du Area Pro 9(St) Spystan Elevationp./ C/ `% 7•� VL Tank info - Capacrty in Totai # of Manu Gatbns Gallons Umts LtT'�e. • Fl�r = 5 j m - New Tauks 62twng Taa1a 1-, o o u a 2U - Septic or AoBi¢g Tank �1, s- r �„ IN>neB rbamba VD. Responsibility Statement- the undersigned, a pomabiliry for installation of the POVM shown on the attached plans. ' Plumber"s Name (Prior) Plum - ire MP/Iv1PRS *iumba Busutccs Pbmte N�// �� VIM County/Department Use Only �Appmved roved Permit Free` S Daie Issued Lssuw� Agent Siepanne 5/'-�+ �- �,� o, ven Reason far DL Conditions Approv raonSfirBisapprbval �\ _A 11L44Mq�n, t /TCl l K TEM OWNER , ` ptic tank, efflUent filter and A+) Ro$QQDtiMP Q^Q1L yw�a d� ryt— 1^1Q 11N 4LNl spersal cell must be serviced / maintained / per management plan provided by plumber. ?®ieplamortheymandmWttComity pnvtiitban8hes as per applcablecode/orb oms� hkll tOi- o {v n f�.mi 6ty-M2rc�• SBD-6398 (R, 11111) i� System PLOT PLAN PROJECT Jen Joraensen ADDRESS 1090 Wilson Ave St. Paul Mn 55106 SE 1/4 SE 1/4S 10 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX SYSTEM ELEVATION 95.0/94.0 4' below grade 4/28/21 BEDROOM 4 DATE CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE (�HHOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 \ BENCHMARK V.R.P. Top of 3/4° pipe �.l ^ �� ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE l- ) WELL :H.R,P. same as benchmark �J OP / Scale = 1/4" = 10' 180' Property Line f12" ent >6" of Cover r4'Long 34" Scott Road Pro 4 Bedroom House 20 2-3' X 9Q- cells with >3' spacing / ST 90, 30 2' B-2 B 99, 97' -3 95' 10% Slope Vents All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Quick4 Standard Leaching Chamber with 20.0 ft2 of Area \6.6ftA2/pair of end caps .-Grade at System Elevation cN 566' Property Line t 50' OPI Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 4/29/21 Owner:Jen Jorgensen Location: SE-1/4 SE1/4 S 10 T29N,R 19W Lot 2 Scott Road Hudson Manuals Used: In -ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber oss Section 4-6. Maintan d Contigency Plan 7. Filter Cr Section Sign #226900 System PLOT PLAN PROJECT Jen Jorgensen ADDRESS 1090 Wilson Ave St. Paul Mn 55106 SE 1/4 SE 1/4S 10 /T 29 N/R 19 w TOWN Hudson COUNTY ST.CROIX SYSTEM ELEVATION 95.0/94.0 4' below qrade 4/28/21 BEDROOM 4 DATE CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE (� HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 691 # of chambers 44 \ ,IBENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION I0o' Filter Lifetime Filter ❑BOREHOLE WELL *11,R.P. same as benchmark gala - 1 le - in, numv T ;-. All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Quick4 Standard Leaching Chamber with 20.0 ft2 of Area \6.6ftA2/pair of end caps .-Grade at System Elevation 566' Property Line Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 6.6f A2 pair of end plates Typical Installation Vent Grade � 30/34 Septic Tank 5' Long�t „ 5' Grade at System Elevation Spacing 5' To be >1' above grade Finish grade elevation 99.0' Vent 5' Lone t at System Elevation 2-3' X 90' Cells ✓ Same on other end Observation tubeNent At end of cell A B 22 chambers per cell System elevations: A 95.0' B 94.0' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page_, of_ Cs ]FILE INFORMATION Owner 7 �n Permit # DESIGN PARAMETERS Number of Bedrooms '-4 0 NA Number of Public Facility Units DNA Estimated flow (average) �( aUda Design flow (peak), (Estimated x 1.5) 15 00 aUda Soil Application Rate i aUda /ftz Standard InflueMiEffluent Quality Monthly average Fats, Oil & Grease (FOG) s3o mg/L Biochemical Oxygen Demand (BOD5) 5220 mg1L ❑ NA Total Suspended Solids (TSS) <150 mg/L ;'Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) SW mg/L Total Suspended Solids (TSS) G30 mg/L NA Fecal Coliform (geometric mean) 5104 cfu/1 ooml Maximum Effluent Particle Size Jk in dia. NA (Other. NA Values typical for domestic wastewater and septic tank effluent. NIAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank Capacity ! �,� al ❑ NA Septic Tank Manufacturer ❑ NA Effluent Filler Manufacturer tze, 0 NA Effluent Filter Model NA Pump Tank Capacity al C NA Pump Tank Manufacturer 10 NA Pump Manufacturer Pump Model tNA Pretreatment Unit ❑ Sand/Gravel Filter ❑ Peat Filter ❑ Mechanical Aeration ❑ Wetland ❑ Disinfection 0 Other. Dispersal Cell(s) ❑ NA -Ground (gravity) ❑ In -Ground (pressurized) e ❑ At -Grade ❑ Mound ❑ Drip -Line ❑ Other: Other. 0 NA Other. ❑ NA Other. ❑ NA Service Event Service Frequency ]Inspect condition of tank(s) At least once eve every: 0 morrth(s) years) ar s (Maximum 3 0 NA ,Pump out contents of tank(s) When combined sludge and scum equals one-third (Ys) of tank volume ❑ NA Inspect dispersal oell(s) At least once eve. every: 0 month(s) year(s) (Maximum 3 years) ❑ NA '-lean effluent filter At least once every: months) :ykjwar(s) ❑ NA ct [rSpepump, pump controls & alarm At least once every: 0 yez� sus) ❑ NA =lush laterals and pressure test At least once every: 0 month(s) 0 NA r0ther: ❑ year(s) ` At least once eve every: ( ) ❑ ❑yearmonth s)s DNA ❑ MP. I MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master [Plumber; Master Plumber Restricted Sewer; POWTS inspector: POWTS Maintamer, Septage Servicing Operator. Tank inspections must !include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of xmbined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shag be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local ,egulatory authority. When the combined accumulation of sludge and scum In any tank equals one­third (%) or more of the tank volume, the entire contents of !'he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. Ili other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, And any servicing at intervals of 512 months, shall be performed h; a mnified POWTS Maintainer. A service report shall be provided to the local regulatory adthait; w thim. 10 days of completion of any service event. Name R Phone / Page — of START UP AND OPERATION For new conal uciton, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals th0t may impede the treatrnent Process and/or damage the dispersal Cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start Up shall not occur when soil conditions are frozen at the infiltrative surface. During pourer outages pump tanks may foil above normal hlghwater levels. When power is restored the excess wastewater will Ile discharged to the dispersal ced(s) in one large dose, overloading the cell(s) and may result in the backup or surface dirge of efflux To avoid this situation have the contents of the pump tank removed by a Septage, Servicing Operator prior to restoring power to this effluent pump or contact a Plumber or POWTS Maintainer to assist in maritally operating the Pump controls to restore nomnal level within the pump tank. Do not drive or park vehicles over tanks aid dispersal cells. Do not drive or park over, or otherwise disturb or camped, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performence and prolong the Ide of the POW«: antiblotics; baby ; dgwette bums; condoms; cotton swabs; degreasers; dental floas; diapers; disinfectants; fat foundation drain (sump pump) water; fruit and vegetable Peelings; gasoline; grease; herbicides; meat scraps; medttailtans; ON; Painting Producils; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of servioe the following steps shall be taken to insure that the system is prope(fy and safety abandoned in compliance with chapter Comm 113.33, Wlscor s n Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of 0 tanks and pits shall be removed and property 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 filed with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POINTS falls and cannot be repaired the following measures have been, or must be taken, to provide a Code compliant rap system: stable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption syste►n. The replacement area should be protected from disturbance and compactil and should not be infringed upon by required setbacks from exisft and proposed avucture, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and sits evaluation to establish a suitable replacement area. Reptacerment systems must comply with the mites in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Baring 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 !den* a suitable replacement area. Upon failure of the POWTS a soil and site evaluafon nxist be perbrimed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a lest resort to replace the failed POWTS. ❑ Mound and at -wade 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 affect at that time. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. POVIITS INSTALLER POWTS MAINTAINER Name Phase � p SERTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Noma / 17Name Phone f — — �� 7/J =86 l� This doamerd was drellad in eampllsnos with aheptar 0S W&22(2)(b)(t)(d)&(f) and 393,Wl), (2) & (3). W✓sarni n AdmNatrative Code. ?4 0 0 4 a A 1.1921 SECTION A -A t� Sr CRO NTY. SANITARY SYSTEM File#: OWNERSHIP/ADDRESS FORM �°e`e;ce u1 only Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. Owner/Buyer Mailing Address OWNER/BUYER INFORMATION Zn City/State/Zip -;if. raL' �L /1) 6J �5 5l Phone Number Email Address (r Parcel Identification Number (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location Sr 'A, j,6- t/a , Sec% T Z�N P/ W, Town Subdivision Plat: Lot #. Certified Survey Map # ) Volume 3 D Page # 1 r Warranty Deed # ' L _(before 2006)Volume . Page # Number of bedrooms Spec house E3 yepgf:(10 Lot lines identifiable es 0 no OFFICE USE ONLY New Property Address I Q 0 I .Sc_oT'F 26 (Venflca on of new address required from Community Development Department for new construction.) s � l Zv21 (St ff Initials) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form 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. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cc1c12sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.00v 0 «m 793 . y � — � z m � 2�] L. ».. FRONT AI2& 13ACw__n Th FUN lNrof'NJ,T 01, .11111710N SHEETNHJR 11� FORTRESS T "PROJECT A2 FOUNDATION The FORTRESS ------- PROJECT 457 SHEET aA AS MAJN LrVEL Wiscorlsn Department ofL02'� S 'IL EVALUATION REPORT Page of� Division of Safety and BwlWance with anm85, Wis. Adm. Codeminty `x Attach complete site pla" as in size. Plan must include, but net limited to, vertical and horizontal reference point (BM), direction and Parcel l,D, percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R wed by Date Perfpnal edurmaian ym provide may I,e used la aacondary PurPoaea (Privacy Law, s 15 Oa (1) (m)) Property Owner Property Location / / O r-3W Govt. Lot S� 1l4 S T 91 N R E (oilg Property Owners Mailing Address Lot # Block # SeEti40. CSM# -e«,,; `.p1 LnJ S S Z Z— — J State. p Code Phone Number ❑ city Villa Town Nearest Road Q w t ZY 1 ( ) Construrzon Use Residentaf I Number of bedrooms Code denved design flow rate G GPD ❑ Redacement ❑ Public commercial - Describe. Parent material �L iK�' Flood Plain elevation if applicable ft. General comments >Vf —^ate- / r 13. / Q LcLt, r m and reco endatlons: System T e� IJ Elevation 11 Jp Y Type 614—PUYKd�— _System Boring 1-1Boring # pit Ground surface elev. ft. Depth to limiting factor in. 5W—Apoication Rate Horizon Depth Dominant Color Redox Deso iplon Texture Structure Consistence Boundary Roots GFEW •Eff#1 •Eff#2 in. Munsell Go. Sz. Cont. Color Gr. Sz. Sh. � 9So Boring # ❑ Boring 9 •ny ''7 y in Pit Ground surface elev! !ft Depth to limiting factor 1 Sal lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM •Eff#1 •Eff#2 in. Munseil Ou. Sz Cont. Color Gr. Sz. SR � J L 9s.o • Effluent #1 = BOD_ > 30 < 220 nxO- and TSS >30 :� ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 ngrL CST Name (Please Print) lgnature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 5 7 K'-r� b - yp 715-246-4516 Property Owner Parcel ID # Page 2—of l Boring # ❑ Bonng ❑ Pit Ground surface elev- ft. Depth to limiting factor in Sal Appliczition Rate Honzon Depth in Dominant Color Munsell Redox Description Qu Sz Cont. Color Texture Structure Gr. Sz. Sh Consistence Boundary Roots GPD#f 'Eff#1 'Eff#2 ElBoring# ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Aoolicallon Rate Honzon ')epth in. Dominant Color Munsell Redox Description Qu. Sz. Coot Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDM •Eff#1 I 'Eff#2 Effluent #1 = BODE > 30 < 220 rrYjL and TSS >30 < 150 mg/L ' Effluent #2 = SOD, < 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 matenal in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. seauru a smr Property Owner Parcel ID # Page 2of J ©Boring Bonng # • Ground surface �ftDepth off ❑ Boring# ❑ Boring ❑ Pit Ground surfaceelev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDM 'Eff#1 'Eff#2 El Boring # Ground surface slev. ft. Depth to limiting factor in. W Application El Pit SRate Effluent #1 = BODE > 30 < 220 mglL and TSS >30 < 150 mg1L ' Effluent #2 = BODY < 30 nwA 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. aB0.9330 (Kem) Soil Test Plot Project Name Todd Johnson Address 1005 Scott Road Hudson Wi 54016 Lot 2 Subdivision SE 1/4 SE 1/4S 10 T 29 N/R19 W C/$Yt'M #226900 Date 6/24/20 Township Hudson Boring 0 Well PL Property Line County ST. CROIX � "or VRP Assume Elevation 100 ft. Top of 3/4" pipe System Elevation TBD *HRpSame as Benchmark n__1_ d /Au 4^1 p.3 -�3 n TI, O J _ r 1 l_J m LEGEND i? FOUND COUNTY SECTION CORNER 0 MONUMENT (AS NOTED) o ' W I SET YZ X ITIRON REBAR, WEIGHING 5 in IS I M LBS PER LINEAR FOOT =wma N FOUND 125' OUTSIDE DIAMETER 10.0N PIPE o �wc (X.O(X) PREVIOUSLY RECORDED INFORMATION 0 o W VWW mmm p Vi V�V��U SCALE IN FEET 0w 0 , o 7099 d6b. v Q S •r'i I 6 w 00 W _ IL,S IT �I I M Q Q 22 �` I F m FI I W y �h ffl J r W`oro ail I. QF V I cal m 0.1 Cil �� u _I 'y6Fy- E—I 1`�Ia V%a u �I «I—R3IW o Q x a-1I 8 P yU0 WTwo Y. o" F O�w F F.3 1318.14' yy � S8-' 36'W- aOil 21 Q. �06°>.ERu'd�Rib .J y N r }{Ii4BM ;t 53].O1' 1.+l z. 536.04' 566.00 S89'49'36'W THE PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE, COUNTY AND TOWNSHIP LAWS. RULES AND REGULATIONS (I E. WETLANDS. MINIMUM LOT SIZE, ACCESS TO PARCEL, ETC) BEFORE PURCHASING OR DEVELOPING ANY PARCEL CONTACT THE ST. CROIX COUNTY COMMUNRY DEVELOPMENT DEPARTMENT AND THE TOWN OF HUDSON FOR ADVICE NOTE. SECTION CORNERS SHOWN HEREON HAVE BEEN FOUND&VERIFIED WITH TES OF RECORD AND PUBLISHED ST CROIX COUNTY COORDINATES FIELDWORK COMPLETED ON 00N&2020 10, R 6'W 131814' 5'W 1X818) HIM0Autl 1911NF a_ 4ANC,^iL�e�V �II 7.d�N&)S � uY �/ r LII r r ��II� 4ll 'XI Oil I is l 01 � I pit I 01 t31 n I -I n f31 3 6-I hi / G5 iV �2;g1 I &AI (zJMM) 23J8.32�� N89'4'W I'W 2624.46.46' r'w 2814.53) X O'l-i Q URASS RAWIE _2NPS AR?G`TV3.4 hi z ME .T la CROIXCOUNTY����� NO. 633345 STATEPANITARY PERMIT ��PREYIg1077- �S NO, OWNERqo�IL PLUMBER TOWN OF SEC 10 ,T_�N, AND/OR LOT 2 • PERMIT EXPIRES lid LIC.# 44tl w OCK'ow'"'^ 11b11RSUBDIVISION WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed far a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (Q The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. ISSUING OFFICER- DATE 'Ov�Z/ 7 UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI1/20)