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020-1494-03-090
Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal Information you provide may be used for secondary purposes (Privacy Law, s 15 04 (1)(ni TANK INFORMATION TYPE W ACTU ER n� (, CAPACITY Septic yj Dosin Ae n Hol g TANK SETBACK INFORMATION •®�I_�- MIMI =1M �M=��= PUMPISIPHON INFORMATION SOIL ORPTION SYSTEM REN Width / LengI DIMEN IONS COP SETBACK SYSTEM TO INFORMATION T Of S tem yto Ys DISTRIBUTION SY§TEM 2 Ft ELEVATION DATA County St. Croix Sanitary Permit No: 641902 State Plan ID No Parcel Tax No. 020-1494-03-090 Sec6onlTown/Range1Map No 12.29.19.3174 CHAMBER OR Ilip .i..+�►RtmLo'� UNIT Model Num4rr� HeaderlManif Distnbution x Hole Size x Hole Spacing Vent to Air Intake %VNP Pipe Length Dia Length acing ti SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedrrrench Center Bed(Trench Edges Topsoil Yes No Yes No (/ �Io E S:(11 code dis epencies, persons present, etc) Inspection #1: 70Z'7, Inspection #2.n• 1025 MOON GM �/ y/ f/\ %)TWM1,6 I M B SIou _ /► 1.) Alt BM Descnption =M� �1�(�µ 1 ! [ •U_ S�1Mi�1t+K 2.) Bldg sewer length ` (n� _ _ n _ ///�J��r L •�- - amount of cover = r-� • V:'Z jC ,� s Y� T- � Plan revision Required? Yes No ✓�'%� t /) p P / SIherlI sideJfo dditipnal information1��,. DD7t10'(R.O3/97 hj�l� "'r� �•b fit w�(� Date ^ �.O i tr-ta*Si turg.& 41 No f 1150 marl; , -Ftepj SAN -au,.1 _ 0 910 �.,hailinIq Savwft Dmium 2u22 4S2' var& Way cam+y S`( CI?OIX Sanitary P onvoil Number (to be RW a by Oa) M W( 53705 ' •,+.,.� a. Bat 7162 rat., ,c VA53707-7 2 J qo Z cy r Sand e-miit Application Soft TurAution Nrtmba In .cewamoe with SPS 313.21(2). Wis. Adm. Code. wbmiaion of f is arm eon the ie sequined prior to cbhmmg a osenly perms Nok: Appbc@b a fame for umb4rmmdJIOWM are arbmlaed lm Project Addmee (if difllanet taro onaili s eddr®) the De arleft torsa ty and Prmfea.iaor Sarieea Pbrsoral irniotmatiarn you Rovide may be ued for Secondary in Pumom accordance with the l.aw. a 15.04(1 m). SarW IReo M o a s G tow R d L Appileadles, hfenubiea - Please Prat AN L/ansadea Property owner•. Name LLoVD 4 JL3W VAS1LAKES Prod a M.- Properly OWIWS MallZ8 Iv I ` '141. 3k1 LA KW SE ytSw�j,� at,rt�L City, Scat CT- LWAAE.V_ rnN Zip Code S506L Phone Numba T ZL Q. Tytse of BmMftg (dwelt all dot apply) — ®1 or 2 Family Dwelling; -Number ofBadrooms a w r+ vJ ti 5 $ttAVOMp Noel q (Jll' Block a - Describe Uss � ElcityofnblicKommeread Owned - Desrnbe Use ill" of uAsaN CSM Number aowne� UL Typ elPOW TS P...de (Cwdt ewe. -Near w "Rmpbesmmr and etw.le.I N II ea rare A. Cbeak eat w: ne ise la. c..ywe lrr. C A. S System LJ` w ModiRation to Sypao (eaI l DAddstional Pretislmemt that (=plain) B•DWdmgTmk lt] In Gmud E31- de Mond bwwxkrl Sine Design FlwwType (eapha) C. Ramrvjd Baritone of Plumber iM ❑1 to New Pwrious Perrot Number and Do Land I Expoation, I H7.3 � I TV. Area lead Teak la6rtale__ : Design Plea (mod) Design Sad Application Ralc(gpdhl) Diaperssi Atha Re*mW (af) Dope" Aran Coj Wr re 93 � Y3 Tank Lnfamaion Cwscity in Gallons TOW Gmlla s / of Unv 1 G/(� JJ F")k — I Io Now Taakr Emaloing Talon S.e.e or Holding Took Doing Clo mbw V. gaapadkily sbdom Sat- L the d uam.e raq..Nlrly gr Lome"= and a PGWTS!!a d w sued" ORION. Plumtba's Name (Prim) S1 F P7 Fo X i mtegm3iftnew In ZZr32`I7- Nu■ber I5.411- 3g66 -fie Plumber's Address (Stmot, City. Stec, Zip Code) P.C. j?oX S(e5 �_SC WI S�iOo� VL Un Approved (03 Disapproved Permit Fee :sue• O 6 Dale ff 3 1 b z baton S*M= O Owner Guar Reason for Demid cog oFAppricivallReadm s;forDioppimrv,(3 �� CetnD�)`� ►`S i vt, v — Z— vZo a t^� t SYSTEM OWNER: „�L+ r 'Y I" rat 1. Septic tank. effluent filter and �-TQZ dispersal cell mutt as per management plan pmvided by plutnbel:� 1 k ({ r••�,cn�— ��-q (- `�-�-- P r 2. All setback raqulremants must be maiMaiflyd �^/� �/ ,(I,p l/� y� yvt to P M parr applica" E0000fdirAV & DIV 'f— 01 ivlu, SG sI `� `�) /' I nSi A b4v r A/md M agYY glace Sit er qsl� ri wa�r�t la ikewmp wb %qrr Yea eYaRa nq s I /rarma In Am (/T-✓, /\1 ,�,fVAIS.�X IJY,1-Co(fi,', jh L`J(11`CI��I,. -IL/ 'C: t^GZ(_7/lJ (I N/V�Jorr n5J SBD-639i (R. 03l21)5'-�- 1. 1 LI�`1D a Soby 1(RSIL�KES �► / ! 1-6'C q i��bDEN vU rEtiZS y r I v Sf.94 sw Vq s t2 -� Zq 01 R lq %011i 4 a+A 1 0 �A z 41 gw�Z Page 3 oW 3 ol1 � �._----- I POND J ,� , , Ih lr V "/ 1 1 10,003.7 s, &l 963.7 C168, 1 COPY /02.g /ar5,6 PLOT PLANS FOR: HIDDEN WATERS SECTION 12&13, T 29N, R19W, noRnl TOWN OF HUDSON SOIL TEST CONDUCTED.EIY: GARY SPANEL C717 SIGNATUII DA-rEg-3t-a0c)O INDEX CONTOUR r — JNTEfMEDIATE CONTOUR DRAINAGE EASEMENT 0 SOIL BORING LOCATION WITH ELEVATION .Y BENCHMARK LOCATION WITH ELEVATION BMl-TOP OF ORANGE 3/40 STEEL PIPE BM2- TOP Of YELLOW 3/4` STEEL PIPE ELEVATIONS SHOWN ARE NAVD iM DATUM. 0 - - 50 100 MR IAiOUf PMAM In. two >R� rrrr�r.at sr►.ar irtfwl a�i.lrilir rs� alssr► inrlJltiod�fJs so in Llanela! Pfaild"Em rowm r FAdit W I$ FIR -Fl LL. O`1) -, �Tb bj VAS I LP►1(.ES !3 4 s W 'iy S I Z ►" "Za ii� lq VJ t-iU�S o ►� 73-r aKow, ]MIND Now Aowo ow" ID"U~.. aZD - 11-I9N- 63- bqD pop 7 babe and !1R Pap Z Plot Plri — Paps P%P 4 FiRr boa Pop 5 - IrRIgiRRRnoR rldmftR P"a a t . PNIP T I Cfl* OF Swft TO& WnlMrnoi irons Pop e — - M-M.& Cwd pWqf AwAdl wft **Tom i HMM PUM .a.s �n�wtw r war�R AR�r Oa��t Ir.r AMow1� � ?A �1CTOiP AAtAtl P! t I LIb�.D a JUd�I I�AS1LaKa=S /� � � I_o7 Cl �tIibN SE 4 sw 1�f s i2 -T 29 ►Jl K lq �UQSJ nS Page 3 of 3 POND 1 4 , PIS r / �► J �� 906.7 B3 OJ I ( 1 1 CSC LID SB7. 1' r 1 II 906.144, 1 4o/ t J �\ 4 1 I I arc \ 373 k ` i JJ 1 J (' I1 3 MA OoA4? Fj vl Z '164.1 963.7 1b7i'l C,68' 1 �3 9oG,7 c.{� w' 97.(o ie1.3 1OZ.B 10606 PLOT PLANS FOR: HIDDEN WATERS SECTION 12&13, T 29N, R19W, Wm TOWN OF HUDSON SOIL TEST CONDUCTED BY: GARY SPANEL CSTI 8 SIGNATUR i DATES Oap _\_-�_-� INDEX CONTOUR I } INTERMEDIATE CONTOUR DRAINAGE EASEMENT 0 SOIL BORING LOCATION WITH ELEVATION BENCHMARK LOCATION WITH ELEVATION BMl-TOP OF ORANGE 3/4' STEEL PIPE BM2- TOP OF YELLOW 3/4' STEEL PIPE ELEVATIONS SHONM ARE NAVD ISM DATLNA. SCALE: o eB — 100 L&TM * r.d r�rrw V. rww r err• —w� mb� x im/ummu so Im SurnmA 16 3 a .15L,t sdneul. 40Fcwtplp F#wl c9t.�cls /0 i Vftwat cap � R qo 2: y SYbm Vat Or bbw vWson Poe /I— LmohkV Chwnbers I o- DhL i 1"I t Lug Manuftcw er And mmw _ I O MT KATO IL . ' 1, / E�I3Jl Rs4in9 —sL s1 it pet cd►amber Sop Appboatbn Rate 9PCL* it gpd DoWDn Flow# Soil AMAMIOn RoW t EISA u Ctambom 2 rows of —IL. dwnebom ewdt. ftpof POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2 FILE INFORMATION �/ Y Owner (.,101b -a �y Permit # DESIGN PARAMETERS Number of Bedrooms 3 ❑ NA Number of Public Facility Units RNA Estimated flow (average) 3 Qa al/day Design flow (peak), (Estimated x 1.51 I— 50gal/day Soil Application Rate v al/da /ft' Standard Influent/Effluent Quality Monthly average* Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BODs1 <_220 mg/L ❑ NA Total Suspended Solids (TSSI 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODS) 530 mg/L Total Suspended Solids (TSS) 530 mg/L Xl NA Fecal Coliform (geometric mean) _<10' cfu/100ml Maximum Effluent Particle Size Ye in dia. A"A Other: �KfJA `Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank Capacity 1604 16V al O NA Septic Tank Manufacturer V/'C-SE Q ❑ NA Effluent Filter Manufacturer ( ❑ NA Effluent Filter Model r 8 ❑ NA Pump Tank Capacity al iKINA Pump Tank Manufacturer �kNA Pump Manufacturer ,(NA Pump Model 4 NA Pretreatment Unit 4rNA ❑ Sand/Gravel Fitter ❑ Peat Filter ❑ Mechanical Aeration ❑ Wetland ❑ Disinfection ❑ Other: Dispersal Cell(s) ❑ NA 'kin -Ground Igravity) ❑ In -Ground (pressurized) ❑ At -Grade ❑ Mound ❑ Drip -Line ❑ Other: Other: ❑ NA Other: ❑ NA Other: a NA Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) 3 ear(s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ear(s) ❑ NA Clean effluent fitter At least once every: ❑ month(s) � year(s1 DNA Inspect pump, pump controls & alarm At least once every: ❑ month(s) NA ❑ year(s) Flush laterals and pressure test At least once every: ❑ month(s) ❑ year(s) NA Other: At least once every: ❑ month(s) ❑ year(s) NA Other: NA MAINTENANCE INSTRUCTIONS I Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identity any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cellist shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y31 or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page - of v 'ART UP AND OPERATION :or new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals :hat may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents )f 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. )uring power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be fischarged to the dispersal call(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of affluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to estore normal levels within the pump tank. )o not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area vithin 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the ?OWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. fANDONMENT Nhen the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is Properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and 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 filled with soil, gravel or another inert solid material. )NTINGENCY PLAN i the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant splacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations technology a holding tank may be installed as a last resort to replace the failed POWTS. Barring advances in POWTS alua o mg tank 6 e ai a T'Atwt$ lT� VbR- /�%� C*"5M(jc-: ❑ 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> > EPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT NTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A ERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. DITIONAL COMMENTS WTS INSTALLER POWTS MAINTAINER Name �£� �� Fo r, Name Phone `7 5 • 1 II - 3 Phone STAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Phone Name s-T—. C ( O ZDllll�(l Phone %/S— 3g(p- &7 D document was drafted in compliance with chapter Comm 83 220(b)(1)(dl&M and 83.540 ), (2) & (31, Wisconsin Administrative Code. Page_ Z of Z ART UP AND OPERATION or new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals 'tat may impede the treatment process and/or damage the dispersal cellis). If high concentrations are detected have the contents f the tank(s) removed by a septage servicing operator prior to use. ystem start up shall not occur when soil conditions are frozen at the infiltrative surface. luring power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be ischarged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of ffluent. To avoid this situation have the.contents of the pump tank removed by a Septage Servicing Operator prior to restoring ower to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to store normal levels within the pump tank. to not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area rithin 15 feet down slope of any mound or at -grade soil absorption area. leduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the 'OWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; oundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; -ainting products; pesticides; sanitary napkins; tampons; and water softener brine. ANOONMENT /hen the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is •operly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and alts 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 f01ed with soil, gravel or another inert solid material. NTINGENCY PLAN the POWTS fails and cannot be repaired the following measures have been, or.must be taken, to provide a code compliant ,placement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ 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. Ie�ealu ' a ing nk b e ai . 1'RD405Tri� �or21J�4✓ Co/vS-Mdc-qlD ❑ 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> > :PTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ITER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A :RSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. 31TIONAL COMMENTS YTS INSTALLER POWTS MAINTAINER Name I J�F-F- Fo K ame Phone ` i S • 19 I -3LL5e one TAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name ST, C ( Phone Phone -71S— 3S(o_ (p D document was drafted in compliance with chapter Comm 83.22(2)(b)(1l(dl&(fl and 83.54(1). (2) & (3), Wisconsin Administrative Code. ST. (- LINTY SANITARY SYSTEM File #: Office Use Only OWNERSHIP/ADDRESS FORM Created 2/2021 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. If you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. Owner/Buyer OWNER/BUYER INFORMATION Lloyd & Jody Vasilakes Mailing Address 14725 28th St. N. City/State/Zip Stillwater, MN 55082 Phone Number (required) Lloyd 651-260-3822, Jody 651-260-1987 Email Address (required) Isv327@comcast.net, j.vasilakes@comcast.net Parcel Identification Number 020-1494-03-090 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location SE 1/4 , SW 1/4 , Sec. 12 T 29 N R 19 W, Town of Hudson Subdivision Plat: Hidden Waters Lot # 9 Certified Survey Map a 1118832 Volume 11 Page # 106 WarrantyDeed # 1 A ?5 (0 (before 2006)Volume Page # Number of bedrooms 3 Spec house ❑ yes ■ no Lot lines identifiable ■ yes ❑ no AA OFFICE USE ONLY New Property Address I �Z� r//vl.0&ii� (Verification of new address required from Community Development Department for new construction ) 3, lb, (Staff 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 71 S-24S-42S0 Fax cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 wwwsccwi.00v VASILAKES RESIDENCE FIRM mmm: MATERIAL SYMBOLS .. fl.;....�..., i4AYAr..': I �M...,.,. En;ir�:, ..,.Q. ...:.__I ,. Era•:«���a. a:E: .,. 3D VIEW FOR BIDDING PURPOSES ONLY NOT FOR CONSTRUCTION nESF 0.Y6 yt ^Cs,n[D 10 yJ M!� A/RYS Pl. M� NV W`qN Vc I)Y VYM Uq'LC Yl rq'!.W Ha 6V4C.'O CMVr..( •�C i rt: •.W iVn'RC'.Cw CCCM.-5 • TAG SYMBOLS PROJECT SCOPE _ _ ^.E'N CCNSTHUC'IpN HAMPLPi � � � PROJECTLOCA110N _o-8.H'DDFNWA7nsas,7 HO"X70WNDFHucscN •wl DRAWING INDEX SHF�TI SHEET NAME .V� I�f�W f.LS.'41t N .14J51.IY/.'.)d i Y.h^l•f3`rt� GENERAL NOTE S' 'A `OHfs�4i`y5N9 W'I�MLC C4Tt'm MC ] Y �.v'I�t.`49'Y AW YpE^IM(S HYA •^ LIY:.'NG`VM TFLE T — - — - - _ DOOR SCHFDDLE�-_WINDOW SCHEDULE --_ - FOR BIDDING PURPOSES ONLY NOT FOR CONSTRUCTION t..s. n�.w r.eswo.o.c r to nrmsrs p4r .\..((}y1C [ NO p4I6C•f$ V 1 F M[ rn•[1r T Clr„pW[GE 4-3 TId ro ik ii��l• - _ S f � . _ F�J II u __ ---------- r uMY(' v.rtv va.uv.rtm re W � Y Z < }o}ff g � j Lu is � .7-7 — 1 I d d ffg LOWER LEVEL PLAN A1.1 DOOR SCHEDULE - WKDow SCHEDULE "-wM `- . 1P �^. __—_`wa^�`^�_l v>' —_ __ °'°P� 1._ -_ — — - 1p.w,.e,.f ws I r.y.' �_�•V'__+y, — �..npe. _._ �-.or.•._•.^ ~; >w_• Tom— � > __-..�.•. _ � __ _ � o_ _ iev_ eVf`� �r.� __ _ n w r`- if.. •_. ;-r 'sue r .-f''.- r" h'� FOR BIDDING PURPOSES ONLY NOT FOR CONSTRUCTION "ElH PM6W Pl✓N�C `OMn®^Vnf.(5 n f}tir h-MP\M'W M6 [.(M>1G rb"E I>YF � m o �av 2C0 A Va$ i co X rn k�a c o d m 8 O S z S V D�s ! ASILAKE ° — `:� RESIDENCE L>744 Ryan Dnve. Su,le 102.HWaon, Wl 54016 7153n 1555 has nanhomesmt mm m r m N y TI 14-sr z T 5xMO ; Fy Z m h! O T �p� n Z 1d6� i C �1186 c o p n N by Z N Z VASILAKES RESIDENCE gag ^'^•'• � ^' 744 Ryan Dnve, Sole 102, RWson, WI54016 7151111555 www ftanmanlwmeslnc com , a^ rr. i i 1i }I } i 4 v- 1 dXi D gb4 O F ipd 'o UZi o% i C yy w h; C Q • n 3 7 m n i U1 Z • m — VASILAKEAUTM D < --°°"v RESIDENCE N p 1 w. :wx• e.j N O O `` w•� n ` -M: v�..�« +w m cx•, 744 Ryan Onve. Sucre 102, HuC n, WI 54016 715 777 1555 _r V _ vnhv nanmanho Snc com FOR BIDDING PURPOSES ONLY MCAL.C4NSlRLKMQtLWTES: NOT FOR CONSTRUCTION '.f9(vN64(PFV.RC'O,D ,. BO v,}pMfS 1- co LIJ LLI Cc (Ql14SIKM{iWIbNOR] R16CF NNLiM.I�.OR] 'JYr 4l MdY.IW N�fV(IQa6 iR•ip.ST O ...OvaJC `O'iF4 `M R]lN{C"OC•W!/aRP "J .1W VII ]F/lll M6lIIXTtYIt F�j a n ....nr..r.....a w1FMX.IM1 iNYO MJIF] • � V O m � . n.].IX fNYEFPEO ER.]N.Si>tNFn -' N N/J] ] µl CMEI ICfAIY}q W CdMIpO M RNr •�...w••t. f.[. O ! I � � � r iO.FP ICI G.'M I] ' vc. w•• ♦n• � yJ4OE I , iL 3 •� _ .a...a..... j it ..... _ BUILDING SECTION — — — — — — -- A3.1 DOOR SCHEDULE - --- Rough i-Rough - ---- - - -- - - -� - Type Mark I ount Width Height I Width Height Description Comments LOWER FLOOR Z-e'n6'-B' 7n 2'66,_ 12-10' 6'-11' _ (INSWING —_ - '3'-0.3' DBL-S'-Ok6-f>• 0- IS fi'-0'_ �6'-e' 6'8' T_z f 6-11' 6'-71' iINsWING_— INSWING__ S'I 7 iFWH3t80 t 3'-01/8' ir111,7 �T_OS/8'- 6-0' _DOUBLE _IV,ryltlatl wood sugkinswing tloo'----_-- -� GARAGE_- 3-006'-8' i1 -3' D' - '6'-8' 3'-2' 6'-1'N .INSWING ',OH 947x8-0' 1 9.p- - 8•_p• -_ •8' 3' --OVERHEAD GLAZING 16' 0' 8' 0' I91-3' 113 3-- B.. 3' - iOVERHEAD GLAZING MAIN FLOOR Iz-12 6'-11' 3 -0'x68 1 43'-0 �3 2 6-11' INSWING DBL-4+)kG 8' 1 4' 0' .6'-B' -- 6 9-- i4' 2-- -- G-It• DC JBLE INSWING - - - - - ❑B.5'-ok6-8- 1 .1 5-0' 6-B' S'-2 6'-11' DCJBLE INSWING F-3-0'x6'T - .3 p - - _-�z .3'-2 �6'-1" INSWING FW�2968 �2_ - A 1r8' J6'-3' a-71t7 2 05,8' G -B. 1Lnyl.Clad wood sngb ais,rq dcor -- - IvKT-2-Ak6'-8' 13 z-A' 6'-8' .z-g POCKET Grand total 27 - - .6-111'r - -- -- - - - - - - WINDOW SCHEDULE J 1 I FRONT DOOR - 12' SIDELIGHT3 W,7RANSOMS-- - Rough Rough Heap Type Mark Count Width Height —Width Helcht Height Description Comments LONER rLOCR CX'G 9 --_12 /1i^ 15'-117/8' 7-11 1,2' !Vinylcladwool ca•;rmeni wv,Cow - -- --- --_-- - -- - _8O1A' iP.76rtc 12 3'-413,16' 5'-11 TV 6 03•8' wLYJ case^e^6 avmInLpwtLre mntlow I GARAGF _7'-'11/2*Vuryl-clad - - - A4' 2 - _ MAIN FR - - - -'--- 'A4t - __.-__-�_--__ I1 - i4'-0' 2-01rft' 4-01Z - 2-U5'8' t -- - - - - - -. �G'-B' Vrrryl-ciao wocd a,vn:'q w,rx,'rnv - - Ab'--1178' 2 018' 6'-0"3'9' z-058' rT -'112' (Vinyl -ciao wxC awrrq wrdpw •.7%, 0 05;8 --T-111,2 7 -11 1 AS2620 1 2-51,2 1'-111/2 - �2' 6' - - > C' Fbrexaanrngmndav - - --_-- -•OWNERS SUITE SHOWER CTR23lo-- - 14 r-!Ir" I' P 28'- �1' „•,2' VARIES Vnylcladw 1 casemrnt/avmrrg transom 1 ICX15_ 2 ?-7 tit 4'-117r8' 2'-8' 15-03,8' 6-P ivVulylclad wc>^d �semr,twindow� _-1 - ---- 'CX16 -4 15_ _ 71/2 -j5 r_•17/g' IZ'_B' _G 71B'-iVAAIFS___ - jVrryl{Iadwccdrase--.enlwmtlow CX15-- !-71/2' 413/16' 12-8- 5 i5'11 'P II 1i''V,ml-clad wcwl casemerl window-- - - - - P3560 4 3 - 4 13'IA' 15' 11 7,9' 35 5,16' 16' - 0.V'8' _- -• VARIES inyl-clad wood casemefit awn rig pictum window PTR3510 3 _3 - 4 1316' _ 7' p' S. 55716' - 0'2 1, - _ - 7 -' 1 1,2' Vinyl -clad wool casementlawr •q ;rarscm -- --- Grand total 56 - - - __ __ - • -- _ 2 0 o Fa V I � N O EN L G n � '^ E c n` c i P a E; w5 w U YZ,,,=C oz 06� O3 W g y� ¢ p axr`s M P DULES F L4 Date 17.23202' Craver By -KK A4.1 1 11883.a B IATAPPmpA10 ataipm m - .I TM/RFO1lpEE4 ]AIPUABtD�L4®NTf u2ra - -- r MOON GLOW Laa : ' COUNTY PIAT OF: lava - I NPravL ssu Tr ROAC HIDDEN WATERS o •.r.n.i•i -rnm.s LL:Ir �tiv yn LOCATED IN THE SE 114 OF TFESN V4CFSECTION .fd r �e _ ^.. n .`�/ '1 •� 12 AND FILET OFT ME NW114 OF THE NFV4 AND 4 LOTI Fnn uvrw {- ,' , a..vn1 N) ,�\.1 o. l,dc +� 1 ✓ PART OF THE NE I/4 OF: ME" V4 OF SECTION ly,� Eli i - 13. 1 N T29N, R19W, TOWN OF HUDSON, ST "If ,w CRO'X CW NTY. WIXONSI N, INCLU DING PART OF �4i u.aiu1rr ; LOT I OF CERTIrROSURVEY MAP, VOLU ME 24, �F,Q' ♦ Lm,�, UDev++' GAGE 51a3, DOCUMENT NO 926216 AND PART OF a,. � / a,�T,�' / :ac•K,1 i ,OT 2 OF CERTIFIED SURVEY MAP, VOLUME 29, A•L1yy. v ♦ I E PAGE 6302, DOCUMENT NO 1041909 R o ' e ♦Y ✓�I � �"" loT 1I PREPARED BY: F ''arl Y. uu. na S .urx me•mnarm s moe4ansQ r. 44r ,•i :ro.. .li LOT 10 i•- 1 F waMsau `•r+ FIPX1f ,' 1xi�. I�I) ,ao•M+i _t �\ PREPARED FOR: //!,' r I ri �Iln• ,�r. `� , aaru�oS.owlf 4Nmn ' ' X46AM1ClF � 9 - V� l.�P % 6 , ��b � i. � •� -+--1 c � LounoN wcercN , d _4 lOi9 1, v. • � � 'I n-n.4ettnt �t `. r I e LOFTS f ,4+r•4rt ' a ! j µis Wtne G 1R 9ECnCN 12. TtPN, RIsw I sff 3 N ID, T9G1F, RIPYY L I LLn•Klt •^--• z,. —. a�nv Y66RdQM i{ L IN4•.IPN��✓ DCnm.M I�? G1: N 1 O1FftCT1 `JE rolq rmu ✓�f I r �� w —� •� r .4.0a t�ln rwv "•N I b �•b T+1 {� rQ NY Y.• 't IRP q't / E lit iA I° �,,..w "/ . wcu.Nr1111983� • A / SNANK 1 vau . r•orw °u^'•N Q iMWSt i 'I{�--i'r.,�.,rr- ] MGQ'4 !,pP uvwr � 'uN.•n i ]•! ,.�-•�•..,•• � LAKE f I LOTIF ' C< ','.�� LmIIIIwAT Nal w+>Fx IrAPKwry �/J�1. /f t.o.N�un ItWi•[>me' lli �i1��'rrr I FFISIM IWTFR EILV M'] md1 wM6t 1 NRl'.GM J_i is AVENUE. i _ - r• -pd - -- -- - �- .a.w s�:-�:,�� - -^�•ae - - LOTTI 16 rraanr LLa.nl M4 ua•nl — j L0r6 11 i YVAr6Nr f xwrl� rgFrani �, uwrn i . Lit.. La. L LIP. ar14 LDTv_caa a'nao.:m� = ranea 1 E1 LOTA \Sx ONROrP / ] .ao. n./s ue V \, urxint.cn,s pLO�O LEGEND- we w.o...0 ' IF • � LOW[di (,�OIl 111 • 4. oPvva .,,•sn-.•.•n... v.o.. o :c i �., .°' d''f \' �� �� o:arrv. • '.'vr ru•m •e..0 P, �Q. rW,onn \ ` ' IOTB MILL CJiIIn NOTIGt .rii,:nEm.MM SCI u 1`tl.1Gd I 1 r \Ya-(f 1or1 ! / ` ua®nrtr ¢e� 4 ��a:-•• nwm.r:owv: vrm its �02 �Y wrvKw.. O •vv.Y ,(F� .� _ __ Iwro•on�u. M, 1oT20 /z �c.cYum.a...w ILLrrxin .>D ov~x�[Clcm+rr _-___ rmx -_ S -- J 0.ww a ♦` / .-r _ _ _ _ _ - - __ yn _ • �1Nbt45•YY LtS ~A MCCLITCHEON ROAQ-A' PE ROAD NFFT I Or 2 111683,), COUNTY PLAT OF: HIDDEN VVXI'ERS IO TED IN THE SE1/3 DF THE SW 1/4 OF SECT ION 1}ANOPART 01 MF NW1/A Cl THE NEUA AND PART O1 THE NE 1/4 OF ThE NW :,'A Of RCTION Il. ALL IN TRN, RIM, TOWN OF HUDSON, S•_ CI CC UNITY, VASCCNSN INCOLUNNG PART OF LOT l OF CERTIFIED S0VTY MAP VOL, ME 74 PAGE V43 DON MEN/NO SURVEYORS CTR"ITFICATF. 925115 AND PART Df LOT 2 OF CERTIFIED SURVEY MAP, VOLUME I/, PAGE E301, DDC'JMENT NO 1DXl L rTla lby. na.eorr� Ian sur.p. r..q anM Sb bwm.Pbo wb N P 0v.... 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P.a �1 •k�j/%/ii�.) 1___ �� � we u.m Ew. CON"SEVP OF CORPORATl: %1ORTGAGFE GOI INn IREALS1-RER:5 CE UICATE sr.d V+wnn ^c•VaraNbrc anbea .^..W nvwwa - _ b vNP.Nk.WhITIP, av„!bN a01 kkAm w�wUT a I:S lCF ST CRaLO IN M`WI VNEREOF. N W IM.l,. Wl+a' BVA 1e e^G yY M..w b u rvc SI rlNr. Awnv, �V f11 JI1 .IW. P•.14I N aL9 r•avr d El GIb Caery JwY'+Pb 4f4 N.YYdYp aal'aOn.Wr'.r.Pyr.Wb].'Yvb.SIN 6i he.tY..TY CLAY M'i llAvli JPW a.plrlYYlrN Mup.N \ 11 vsv.]sy Nl.r-vbadydNYN»WIHtl.1bNFYI F TlE N1EEACER �19SLaELYf' C}r. rr S lf3n _ fY�. ANv»'1 CY P W1Q P..tl.r S:. CROIX COUNTY COKWNTIY DFVFMPMEYf STATE OF Mf DCJ"l1TT I?•V LA, L ! V I\ CaMT^'[x �yl, ' rl Jig b.raIII <.A.O[.NmnYWudM00^WW3IEOJR,W.].N0ERD. uGurrX _A�1_Pwd_l;:rc� �:] r.nyPA+IL.+w P•.Iw<a»<o...mna [ay+ln•e n P n5.»r'.on ro NaXPI F'OwN by N 3 Ow Cur3Y Cmlvdy DerekRI DrPr3nd mars» b.vaC lLbvar. be b» E.P., b a.vA uN+v vr.br dr3 �>IPs w .am.YPpa»aCvaAtl Nbpv9 rG+rm,b.c•aRwrNladl Q..11 s/?xMM n r`� L. I � � NIA. LA woa m LAWWcr]NEW, �.A+ • - PI MIDI. brn3lYx 1n '"O'N.0 yj.- I J a�q Wisconsin De I f ertJP bfessional S rvices Page I of . Division of Indus J 10 SOIL EVALU TION REPORT 1025 YYIOOVI (yIOW Rd S�V Ip accord nce with SPS 385, Wis. Adm. Code County r Attach complete site plan on paper not �tiafr61 inches In size. Plan must include, but not limited to: verticAl and hori7,ofttgt- ce point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north a_rr�4rrifflocation and distance to nearest road. 7-- I �i 9 Lt - Q 3 - 090 Please print all Information. Re d by Date Personal information you provide maybe used for secondary purposes Priva Law, s. 15.04 1 m . l 1I-A AD Property Owner Property Location ❑ IG' II ll^ I �� ( I 1 ' Govt. Lot 'r 'A , w Y. S 12 T �' N R E (or) W Property Owners Mailing Address J Lot # Block # Subd. Nameeii-' 4 r. City I State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road New Construction Use: ® Residential/ Numberof bedrooms Code derived design flow rate. GPD � I � gZ 1 FILL ❑ Replacement ❑ Public or commercial - Describe: %�j X C �y�(� ( C O Parent material h ���"� Flood Plan elevation if applicaEfe n. P �� �I S Y-- General comments and recommen atiyns , ( S hc�< < (j� W 1 (\ UAS 1 0-5holelagd Z0Arnq W-A)l14 J 15 Boring # '1 1vlw-7 I, o�w ElBoring •,- rp Pit Ground surface elev. _ ft. Depth to limiting fact 1 � in. Snd Annliratinn Rata Horizon Depth In. Dominant Color Munsell Redox Descnption Qu. Az. Cont. Color Texture Structure Gr. Sz. Consistence Boundary Roots GPD/FO •Eff#1 'Eff#2 J aBoring # ❑ Boling ❑ Pit Ground surface elev. _ ft. Depth to limiting fac r % in. Snit Gnnhrafinn Rale Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt' •Eff#1 'Eff#2 CST Name (Please Pnnl) Signature CST Number - Address Date Evaluation Condu ted Telephone Number c- Bo,r# J - `: ? ` 'f; -t ❑ Boring 1j" Pit Ground surface elev. _ ft. 1 Depth to limiting fast r t ) in, Honzon Depth In. Dominant tyolor Munsell Redox Description Qu Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots ^GPD/Ft2 •Eff#1 •Eff#2 ❑ Boring # ElBoring ❑ Pit Ground surface eiev. _ ft. Depth to limiting factor _ in. Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft? Eff#1 •Eff#2 Boring # ❑ Boring - ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. --------------- Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' Eff#1 Eff#2 Effluent #1 = BOD, > 30 s 220 mg/L and TSS > 30 5 150 mg/L ' Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 s 150 mg/L Page 3 of 3 STORM\N i /o / � 908.9 906.7 � j t SB 2 SB 3 �1 p� 1180 . ... vJII I 903.7 BM 2 ♦♦__� ` 1 e 907.4 LO SB 1 9 ijjp� 906.1 y�0/' 910, rn / 0 BM 1 1 o — — INDEX CONTOUR 11 INTERMEDIATE CONTOUR — — • — — DRAINAGE EASEMENT SOIL BORING LOCATION WITH ELEVATION BENCHMARK LOCATION WITH ELEVATION BM1- TOP OF ORANGE 3/4" STEEL PIPE BM2- TOP OF YELLOW 3/4" STEEL PIPE ELEVATIONS SHOWN ARE PLOT PLANS FOR: NAVD 1988 DATUM. HIDDEN WATERS SCALE: Emomommomw SECTION 12&13, T 29N, R19W, NORTH o 50 100 TOWN OF HUDSON PIAT LAYOUT PRit AW BY: SOIL TEST CONDUCTED BY: GARY SPANIEL CST 222348 SIGNATURE DATE AIlth•Conswun6/amciates S&N Lud S1myiD6 rVisconsin Department of Safety and Professional Services Division of Industry Services Page of • SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. U ` U I 5 - 2 U ` o"` Please print all Information. Reviewed by �— Date Personal information You provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m Property Owner /1 Property Location ❑ ig k �A r-� ` Govt. Lot �i F 'h 5 (fJ Y. S ' %_ 9 N R l q E (or) W Property Owners Mailing Address , Lot # Block # Subd. Name or CSM# _ r --� D . ^ h! City I State Zip Code Phone Number ❑ City El Village 0 Town Nearest Road � IJ C r Ir, I _dy I � I I ''! CA c O r Y11 CJ O r1 .'7 I_ © New Construction Use: ED Residential /Numberof bedrooms Ll Code derived design flow rate,• GPD ❑ Replacement ❑ Public or commercial - Describe: _ Parent material Flood Plan elevation if applicable _ ft. General comments and recommendations: 0 _G Boring # ❑ Boring r y I ®Pit Ground surface elev. _ ft. Depth to limiting factof ( in. c_il ennr��n�n R��a _Horizon_ ___Depth__ In. Dominant Color-_ Munsell _ Redox Description__ Qu. Az. Cont. Color Texture _ __ Structure__ Gr. Sz. Sh. _Consistence__ . Boundary_ _Roots— __—_ GP_D/Fe 'Eff#1 'Eft#2 ❑ Boring ' ' . _� �p � Boring # � pit Ground surface elev. ft. Depth to limiting fact6r �I S in. cell Annlinefinn Gnln Horizon 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 n % - _ • -1 .02 CST Name (Please Print) Signature CST Number , Address Date Evaluation Cond ted Telephone Number 1 440-yNcrx d e 4S 1 /3 fZ (' aBoring # ❑ Boring ® Pit Ground surface elev. ^ ft. Depth to limiting f or -'c�in., c.;i A... U—t;-. ogre Horizon 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 # � Bonng ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. Horizon Depth In. Dominant Color Munsell Redox Descnption Qu. Az. Cont. Color Texture Structure Consistence Gr. Sz. Sh. Boundary Roots GPO/Fe Eff41 'Eff#2 E] Boring # ❑ Boring ❑ Pit Ground surface elev. _ ft. Depth to limiting gg—factor in. c„n A..f r—.;— o-re Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az, Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 •Eff#2 • Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L ' Effluent #2 = BOO, > 30 s 220 mg/L and TSS > 30 5 150 mg/L Page 3 of 3 I POND I f ! < 0908.9� sas.7 �— JSB2 SB3 1� \ ' 1 0907.4 / B (Z CD-) OSl � 1 r \ 373, — — INDEX CONTOUR INTERMEDIATE CONTOUR — • - — — - - — DRAINAGE EASEMENT SOIL BORING LOCATION WITH ELEVATION BENCHMARK LOCATION WITH ELEVATION BMl- TOP OF ORANGE 3/4" STEEL PIPE BM2- TOP OF YELLOW 3/4" STEEL PIPE ELEVATIONS SHOWN ARE PLOT PLANS FOR: NAVD 1988 DATUM. r HIDDEN WATERS SCALE: — SECTION 12&13, T 29N, R19W, NwfH D so 100 TOWN OF HUDSON nff LiTOlif Pled® f: SOIL TEST CONDUCTED BY: GARY SPANIEL CST 922348 �liit Y•Y aWr Y/ W� SIGNATURE r tsar. a ra-r-r s r. 7* W. sse DATE 3 { v c• o O .++�+.— r++—+.� d>rth• Consultin6 f to sm land 5time* F_ ❑ Boring 66,17 BOrirt�# 1 O �f lM q �.-� J�1Q0 { t•, ��d Ground surface elev. ft. Depth to limiting faet r �in., Rnil Annlirafinn Rate Horizon Depth In. Dominant Ciplor •Munsell, Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fe •Etf#i 'Eff#2 - Z /D VA 3 Z 1 - -- / o y - m ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. _ ft. Depth to limiting factor in. . c:.a en.,rr�tl,.n Refn Horizdn Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff ll 'Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ In. Rnil Annlirafinn Rata Horizon 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 ' Effluent #1 = BOD. > 30 5 220 mgfL and TSS > 30 5 150 mg/L ' Effluent #2 = SOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L ST. C C .LX �.�:00Oo''TY (5C(ff?�SLfZ 3/16/2022 Hartman Homes Inc. 744 Ryan Dr #102 Hudson, WI 54016 Community Development 1101 Carmichael Road Hudson WI 54016 Telephone: 715-386-4680 Fax: 715-386-4686 www.sccwi.gov RE: Conditional Approval: File# LUP-2022-020 Project Location: Sec 12 T29N R19W, Town of Hudson Project Address: 1025 Moon Glow Rd To whom it may concern, Community Development staff have reviewed the Land Use Permit application for the construction of a single-family dwelling, driveway, and POWTS within a Shoreland Overlay District. The request has been conditionally approved based on the application submission and the following findings: • The conditionally permitted structures are proposed in the Town of Hudson, on a riparian lot, within a Shoreland Overlay District. • The property owners are Lloyd and Jody Vasilakes. • The proposed land disturbance and impervious surface is within 300 feet of the ordinary high- water mark (OHWM) of Shank Lake as per Ch.16.345.3.a and Ch.16.335.2.b. • The proposed structure meets the 75-foot setback to the OHWM. The setback shall be measured to the closest point of the structure pursuant to Ch. 16.315.1.a. • The proposed land disturbance will not affect slopes within 300 feet of the OHWM that are greater than 12%, measured over a horizontal distance of 50 feet pursuant to Ch. 16.345.2. • The total impervious surface calculation within 300 ft of the OHWM resulted in 7.6%. Mitigation is not required pursuant to Wis. Stat 59.692. • Erosion and sediment control plans have been submitted and meet Wisconsin Department of Natural Resources Technical Standards. Best management practices will be incorporated. • A sanitary permit application was submitted on March 4, 2022, and is pending approval. Based on these findings, approval of the Land Use Permit is subject to the following conditions: 1. Prior to Construction, erosion control measures, such as silt fencing must be installed. A tracking pad is recommended at the entrance of the property to reduce sediment being tracked onto Moon Glow Rd. 2. A pre -construction inspection is required to validate setbacks and verify the installation of erosion control. Please call me at (715) 386-4742, to schedule this inspection. 3. The following must be staked prior to the pre -construction inspection: a. The OHWM Ben Hetzel benjamin.hetzel@sccwi.gov (715) 386-4742 b. 75 ft setback from the OHWM c. Drainage easements d. Proposed structure locations e. Property lines f. POWTS location 4. St. Croix County reserves the right to require additional sediment and erosion control measures to be installed if found necessary due to site -specific concerns and will be documented in an as -built site plan. S. All temporary erosion control measures shall be left in place and maintained until the site has reached a point of at least 70% permanent vegetation. Permanent vegetation shall be established once final grade is reached or as soon as applicable per plan. 6. A post -construction inspection is required prior to removing the temporary sediment and erosion control measures to verify proper vegetation cover has been established. Please call me at (715) 386-4742, to schedule this inspection. 7. The Department of Natural Resources shall be contacted for a NR 216 permit if land disturbance equals one acre of greater in size. Upon approval, the applicant must provide a copy to the Community Development Department. 8. It is the applicant's responsibility to secure any other required local, state or federal permit(s) and approval(s) prior to land disturbance activity. 9. Failure to comply with the terms or conditions above may result in the revocation of this permit by the Zoning Administrator pursuant to Chapter 16.570.1 This approval is subject to the conditions listed above it does not allow for any additional construction, structures, or buildings beyond the limits of this request. Your information will remain on file at the St. Croix County Community Development Department suite. It is your responsibility to ensure compliance with any other local, state, or federal permitting or regulations, including contacting the Town of Hudson and the Department of Natural Resources to inquire if additional permissions are required. This permit is valid for one year, with the possibility of up to two (2) six- month extensions if the applicant submits the appropriate permit extension fee and documentation to the Zoning Administrator. A copy of the Land Use Permit placard should be submitted to the town's local Building Inspector upon applying for town building permit(s). The orange placard must be posted on thejob-site and visible from public view. If you have any questions or concerns regarding the information outlined in this letter, please contact our department prior to commencing any construction activities. The property owner is responsible for meeting all permit conditions. Please feel free to contact me with any questions or concerns; I am typically available Monday -Friday from 8:00 a.m. - 4:30 p.m. Respectfully, Ben Hetzel Land Use Planner Ben Hetzel benjamin.hetzel@sccwi.gov (715) 386-4742 IMPERVIOUS AREA PER LOT AREA Drn."Matw = 2.618 SF t Roof = 4 087 SF t T.W-6705 SF± LOT AREA WITHIN 300 FT OF OHWM = 1 858 AC. t (80 916 SF t) IMPERVIOUS AREA WITHIN 300 FT OF OHWM = 6,188 SF± TOTAL IMPERVIOUS PER LOT = 6,705187 643 = 7 7% IMPERVIOUS ARFA TOTAL IMPERVIOUS WITHIN 3W FT OF OHWM = 6.188180 916 = 7 6% IMPERVIOUS AREA �r 0 ISSUED FOR PEI,.AIT I'!1(+I r tl_r II�L •, -_ Ialn9T". .:WMS f.tY.'P�•u w-7�sGyrvrc 'K.44Y%i rV.r-.+"atl CVnrJ�nn nS'PS�.In'�(T.H •1U V Pit`` O DRAINAGE 19. �4,2y .' 6ASMENT Q 1 09089 Q�y06,7 .' jj DELINEATED • -� 1 / 04"-° ' •.� 903.7 I 11.:- . - WETLAND EDGE BY ROPRAY �R Q19074 { 1i �� 1 +1Y', ENVIRONMENTAL ' (� - • /-_ 75'OwN t' - OHWM 11' r SETBACK !' LOTS FROM Nwm/-, 87,660 So. FT. ± L of 1 . --.'• 2.012 9/ORES+ L.B.O.r,907.g swwrcLwcE 306 3. GRADING ` LIMITS- /.-:-,• (APPROX) 904.0? sell ± i ' A I I P�I LEGEND H'r a`e v�r K.nrva. ti roJ�ry i nr 'rwr�-r rHr�4r •may wJ�ntl, :i .rK. nry l�Urwr rar w.nnxrs. r V.r •I. YM1. 6•'H I'—• �—~ I ram_ � r � - ®_ SIIL I'VW A1.1 3 lRedr000600,S !9. CI'oi Kcourvry NO. 641902 STATE SANITARY PIT lotsw PM OWNER PLUMBER J TOWN OF f dsbv% SEC- I Z., ,TZ9 N9 /OR LOT t � IAk{s o�LIC.# Z232q2 R1�E BLOCK SUBDIVISION CHAPTER 145.135 (2) 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 for 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. (I) 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. A4TjiO1IJZED ISSUING OFFICER - DATE 31 ij & / ZZ THIS PERMIT EXPIRES Zp2 K UNLESS RENEWED BfFOJCE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI 1120)