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HomeMy WebLinkAbout020-1495-06-000IE-D) 1rE S,Jv- 202,3-0lq I/ assrnKistrt �, o Industry Services Division Way - County ) 0S a "Ps I' MAR 06 2023 Madison Yards dison, Wl 53705 Sanitary Permit Number (to be filled in by Co.) zL�a P.O. 162 7 Box WI 162 7162 (� 4 ZS 411 s�rosn3• psi St. CrOix Count on, Communir D ! pn",F -x mit Application Q iw(3 State TransactionNumbVr — j4 In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Project Address (ifdiffe-ent than mailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(I)(m), Slats. I. Application-:Infot•tnation - Please Priltt All Information` PropertyOjw�pnerr''s Name Parcel ft < ©tv 1lUttC Prooperty Owner'/s^Mel ing Address Property Location Govt. Lot /4, Section � kNE`Wl/�� nC(ittyJ, YSCtate Zip Code gffV Phone Number �1� - `��� -N T � N R E or 1 , Typie of:Building (check a`n;,that apply): Lot 4 _, Subdivision Name OQI or 2 Family Dwelling —Number of Bedrooms 0 ❑Public/Commercial —Describe Use Block City of ❑State Owned — Describe Use village of CSM Number Town of PhI. Type of,POWTSTerinit: (Check either "Neiv `or "Replacemetit".and:other applicable tin'llne A:''.Check=ono boxror line B. Complete line C if a lie le. A. CKNew System ❑Replacement System ❑Other Modification to Existing System (explain) Additional Pretreatment Unit (explain) B �E]HoldingTa�nkIn-Ground L_r't-GradeMound ❑ individual Site Design Other Type (explain) conventional Change of Plumber Transfer to New Owner List Previous Permit Number and Date Issued C, Renewal Before Revision Expiration / l IV. Dispersal/Treatment•Area a:nd Tanknform'atlon • , De ign Flow (gpd) Design Soillication Rate(gpd/sf)[Disp6rsal Area Required (sf) Dis ersa Arca Proposed (sf) S step EI vation Tank Information Capacity in Gallons Total Gallons N of Units ' Manufacturer L;L1�yttol_ �(I _� R �t ` Ct lT� D V y ? New Tanks Existing Tanks 0 a U n ti n i% 0 a. Septic or Holding Tank Dosing Chamber V. Responsibility, Statomeftt , sI; the undersigned, s mea•espotisibility;for installaflon of the:+I!OWT&shown on'the attached plan Plumber's Name (P ' t) P is Sig»at MP/MPRS Number B mess Phone Number Nu Plumber's Address (Street, City, State, Zi Cod �LIti G' VI. County/Department: Use Ot ly' _. Approved ❑ Disap ved • Permit Fee Date Issued Is�Anature ❑ t ason for Denial Conditions o p / �) SY&TEN OWNER: - •� Y�2 S v�•+n�a-+1C� Septic tank, effluent filter and dispersal cell 4) P�,t. �leif �`^ P al must be serviced / maintained as per IO.2 / e n �� management plan provided by plumber. 5� S / LX setback requirements must be maintained ,< h "" F"" "NFn"Qutr, VVU1AVVA0R W9@8,plans for the system and subntll to the County only on paper not less than 8 112 x I I Inches In size SBD-6398 (R. 03/21) System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave. Suite A N 1/2 NE 1/4S 35 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX SYSTEM ELEVATION 94.2/94.1 5.5' below qrade @ B-2 3/6/23 3 DATE BEDROOM CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 LIFT TANK SIZE DOSE TANK SIZE t�)BENCHMARK HOOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark 345' Property Line 15' B-2 90' �1% Slope Area of poor soils Vents 2-3'x 94' cell > 3' Scale = 1 /4" = 10' 25'I B 3 25' Pro 3 bedroom House Vent 5' "' B-1 r0' g >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 6.6ft^2/pair of end caps 4' Long 12 34" Grade at System Elevation Magoo Road ' Copy Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 03/06/2023 Owner: Oevering Homes Location N 1/2 NE1/4 S 35 T29 N,R 19W 732 Magoo Rd, Hudson Used: In -ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintance and tigency Plan 7. Filter Cross Sec' Signature_ License nup6ber #226900 System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave. Suite A N 1/2 NE 1/4S 35 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX SYSTEM ELEVATION 94.2/94.1 5.5' below qrade @ B-2 DATE 3/6/23 BEDROOM 3 CONVENTIONAL xxx CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 �ENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Lifetime Filter ���❑ BOREHOLE O WELL -H.R.P. same as benchmark I�1�IR: 345' Property Line 15' B-2 90' 5 B 1 AL d1% Slope 0 Area of poor soils Vents 2-3'x 94' cell > 3' spacing 45' 25' B 3 Scale = 1 /4" = 10' 25' Pro 3 bedroom House Vent >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 6.6ft^2/pair of end caps 4' Long 12" 34" Grade at System Elevation Magoo Road 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 6.6ftA2 pair of end plates Typical Installation Vent Grade '341 �30/34 Septic Tank To be >1' above grade Finish grade elevation 99.7' Vent Y.S 11 5' Longyl „ 5' b/ 5' Lon9T 1 361 Grade at System Elevation Spacing 5' System elevations: A 94.2' B 94.1' at System Elevation 2-3' X 94' Cells Same on other end Observation tube/Vent At end of cell A B 23 chambers per cell POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of BILE INFORMATION Owner Permit # -- --- - 1PESIGN PARAMETERS Number of Bedrooms �— ❑ NA i Number of Public Facility Units (VA Estimated flow (average) �V//�,, caal/daL V 1 Design flow (peak), (Estimated x 1.5) ;•- �t-�1SL�=,,,Lai/da Soil Application Rate l— al/da r�/ftz Standard Influent/Effluent Quality Monthly average" Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BODe) 5220 mg/L ❑ NA Total Suspended Solids (TSS) :5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) 530 mg/L Total Suspended Solids (TSS) 530 mg/L ( NA Fecal Coliform (geometric mean) s104 cfu/100m1 !Maximum Effluent Particle Size '8 in dia, 0 NA Other. D NA, "Values typical for domestic wastewater and septic tank effluent. NIAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic'Fank Capacity (V al C7_NAv� Septic Tank ManufacturerI�� ❑ NA I Effluent Filter Manufacturer ❑ NA Effluent Filter Model j/� tr DNA ! Pump Tank Capacity al NA Pump Tank Manufacturer NA Pump Manufacturer NA Pump Model A NA Pretreatment Unit NA ❑ Sand/Gravel Filter ❑ Peat Filter CI Mechanical Aeration ❑ Wetland ❑ Disinfection ❑ Other: Dispersal Cell(s) E-I NA VIn -Ground (gravity) ❑ In -Ground (pressurized) ❑ At -Grade ❑ Mound ❑ Drip -Line ❑ Other: Other: ❑ NA Other: ❑ NA Other. ❑ NA Service Event Service Frequency Ilnspect condition of tanks) At least once every: month(s) (Maximum 3 years) � � �Vn C_l IuL\ j year(s) i Pump out contents of tank(s) ` When combined sludge and scum equals one-third ('fa) of tank volume Cl NA IInspect dispersal cell(s) At least once eve ry` El month(s) 'DVear(s) (Maximum 3 years) ❑ NA Clean effluent filter _----- At least once every: El month(s) T`, 1 year(s) ❑ NA r,spect pump, pump controls & alarm _ At least once every: ❑ month(s)N ❑ year(s) ra 1--lush laterals and pressure test At least once every: 0 month(s)D year(s) NA } I�ther. At least once eve ry' C! month(s) El year(s) I ❑ Nips) M .^. ._ ether: El _ , MAINTENANCE INSTRUCTIONS !Inspections of tanks and dispersal cells shall be made by an indivi&P,. carrying one of the following licenses or certifications: Mast,)r !Plumber; Master Plumber Restricted Sewer; POWTS Inspector POWTS Maintainer; Septage Servicing Operator. Tank inspections must linclude a visual inspection of the tank(s) to identify any missing or broker; hardwr.�e, identify any cracks or leaks, measure the volurne; of ,combined sludge and scum and to check for any back up or prwding O efflueri on the ground surface. The dispersal cell(s) 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 indicai�; a faiiinq oonditju,r and requires the immediate notification of the local I-egulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (X) or more of the tank volume, the entire conter its of !:he tank shall be removed by a Septage Servicing Operal)r and disposecl of in accordance with chapter NR 113, Wisconsin Administrative Code. 1NI other services, including but riot limited to the servicing Of Er�flC;erlt fi(tr:rs, me-:h ,nir l or pressurized components, pretreatment units, land any servicing at intervals of 512 months, shall be p rfornie.'F by a ot+!rtifed 1'0ki-J -S Maintainer. A service report shall be provided to the local 10i clays o:f c:or,ipletion of any service event. Page of START UP AND OPERATION for the presence of micals th,�t For new construction, prior to use of the POWTS check thedispersaltreat en I(s)S} If high concentrations rare detected have the rcontents of the may impede the treatment process ew ci and/or doperator prior to use. tank(s) removed by a septag System start up shall not occur when soil conditions are frozen at the infiltrative surface. will restored the excess r is During power outages pump tanks may fill above normal overloading the cells}ater ls. When and may result in the backup or surface discharge ofreffluent• discharged to the dispersal cell(s) in one large dose, 9 operator prior to restoring power to the P To avoid this situation have the contents of the pump tank removed by a Septage servicing the pump controls to restore normal levels effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating within the pump tank. the area within Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, 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 POWTG antibiotics; baby wipes; cigarette butts; Condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat: foundation d'raaiin (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting p pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is propeliy and safety 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 s()il, gravel or another inert solid material. CONTINGENCY PLAN easures have been, or must be taken, to provide a code cnmplir�n If the POWTS falls and cannot be repaired the following m replacement system: A suitable replacement area has been evaluated and may be utilized for the location of l replacement soil absorption systelm. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requhled for anew oil ands to valuating and on todestablisish alot suilines and table replacets. ment Failure to Replacement sylstemsent area will result in must comply with thehrule�i in for a effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologi/ 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 sail and site evaluatbon must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed) as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltmOve surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOI ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK' UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O� A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER t� Name Phone POWTS MAINTAINER Eme ne _ v� SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name `�' 'I I —_ Name'i' 't�jt I1 Phone 10Phone This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.540), (2) & (3), Wisconsin Administrative Code. 9j SECTION A -A 1921 .� ST od � O C T 2 0 2020 =PO Wrsoonsin l)eparlment of Counerce SOI EVALUATIO Page 1 of Division of Safety and Buildirnx�SC. C.r'OtK {s County L Commuiri tifiG2 m 85, Wis. Adm. Code �..�.CwIty , C r Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ct Parcel I.D. Wo Please print all Information. •raons Pl irtfornufion miry be for R by J Date '1/ iG 2-1 You provide used secondary D�+(Pr—Cy� (Pr —Cy Law, s. 15.04 (1) (m))• >'?A Property0w1w C 4 1Q Property location GovL Lot " 'I Zt l4 1 1 /4 S 3.> T Z_q N R I q E (or • .. ' •+ :: liz,-. . 9;-New won Use'04Resldential J Number of bedrooms Code derived design flow rate � / 1 GPD O Repfacement ❑ � � � � Pa rent material _ C7C-L J .+c�/7 t S" Flood Piain e{evation if applicable �/� R General cmvrwb and reconwnendatior►s: System, Type System El vati �� lalw � 1 I BOf'e # J rrn _ i'? n 27&wV# Qom- 9qI am, ME FffA- - tart" t m - BOD. > 30 < 220 mQ& and TSS >30 5 150 • Effkx" #2 - t3QD. 5 30 nV& and T 55 < 3v mg/L CST Name (Please Print) re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Data: Evaluation Conducted Telephone Number 1432 120th St, New Richmond, Wl 5401 -/5-. Z-D 715-246-4516 �-O Property owner _ LEBaring # parcel ID # Ground surface etev. i ` ft. Depth to "kV fact, %, � in. page � of 3 ❑ god # ❑ Boring ❑ pit Ground surface elev. ft. Depth to &noting factor in. Sod Applicabon Rate Hortmn Depth in. Dominant color MunseG Redox Description Qu. Sz Cont Cola Textum Structure Gr. Sz Sh. Consistence Boundary Roots GPON 'Eff#1 'Eff#2 F —1 Boring # ❑ ❑ pit Ground surface efev. ft Depth fo Writing factor in Sol Appbcabw Rate Horizon ',epth in. Dm*uwlt Color Munsa Redox Descrtp m. OLL Sz. ConL Color Taxi" Structure Gr. Sz. Sh. Consistence Boundary Roots GPDM "EJf#1 'Eff#2 EMuent #1 = BODI > 30 < 22o njA and TSS >30 < 150 nV& ` Efikxwt #2 = BOD6 = 30 rgft. and TSS < 30 nv L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 609-266-3 I S 1 or TTY 608-264-8777. Soil Test Plot Plan Project Name Urchins LLC Shau Address 1353 Awatukee Trail Hudson Wi 54016 1C&TM #2269UU Lot 20 SubdivisionSummer Prairie 2nd Add Date 10/15/20 N 1/2 NE 1/4S 35 T 29 N/R19 W Township Hudson Boring Q Well PL Property Line "Br VRP Assume Elevation 100 ft Syctnm mountinn TBD County ST. CROIX Top of survey iron_ *NR Same as Benchmark P"3`-� I I I I � I ego I I I i ft iz Op ` pNIN6 ;ITCXEN DO%99 ^ � _____—_—___— cc 9-0%11-0 El 1 I M'STER BED 1 .o 0 ------------------- ' I I �1g y — _ _ s uvIND RODM Q _________ I BEDROOM - _ L 1sBxse I I I e I 1 } I I I GARAGE 19 X 214 I I I I I I BRACED WALL LINE PANEL DETAILS w saA„z.Uw,..�saA^.w paDa>:owAPeAlseL na 988 SQ. FT. MAIN LEVELS 1 — EVEL �Y1�.. Nclping r0u Deci6^ YOUR Holm (715)248-3010 NOTICE! BIALDER TO VERIFY ALL AMEN IONS. S2ES. AND LOGTtONS AND REM T ANY ERRORS PRIOR TO PROCEEpNG. �on�:�Imsca� n+s.+.s�vi saida.�".wNc 1433 -- - A --- 715 5-11-1 ... ------ ----------- INFORMATION: ;______----- ------------ ---- - ---_________ ------- ------ ---- -0 --1 r- - - - - - - - - tj • - --- - ------ 4 ------------- --------- - --- - - 1 5 i I E 5 E- i J_OB-1 L INFORMATION: -- - - ------ - . .... ....... SHEET INFORMATION: FOUNDATION PLAN 5HEET PROJECT Y.- 15-56 5CAI,E: A5 5 OWN 2 Of 5 FOUNDATION SANITARY SYSTEM File ST. C201 .Y NTY. 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 INFORMATION Owner/Buyer Mailing AddrE City/State/Zip Phone Number (required) I is-- `1 Email Address (required) Bra L� �;'e,lti� �I� C✓�)�i Parcel Identification Number (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location (Vt ,'/a ,Sec. ?J , T rig N RW, Town of(L Subdivision Plat: t�.0111u- �(A- Ilrr lnil' Zrfia,0, Lot # ' Certified Survey Map # Volu Page # Warranty Deed # 2-(,41Y t-5 (before 2006)Volume Page # Number of bedrooms 'I)_ Spec house Ayes ❑ no Lot lines identifiable 0 yes ❑ no New Property Address ( taff Initials) OFFICE USE O Y (Verificapion of new address required from Y��Z-3 (Date) Development Department for new construction.) 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 cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.gov State Bar of Wisconsin Form 1-2003 WARRANTY DEED Document Number II Document Name THIS DEED, made between Urchins, LLC, a Wisconsin Limited Liability Company Grantors, and Oevering Homes, LLC, Grantee, for a valuable consideration, Grantor conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("P erty") (if more space is needed, please attach addendum): Lots 15, 16, 17, 18, 19 20, 1, 22, 23, 24, 25, 28, 29, 32, Summer Prairie Second Addition, a Co y Plat in the Town of Hudson. 1126678 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 03/30/2021 09:58 AM EXEMPT#: REC FEE 30.00 TRANS FEE 4,137.00 PAGES: 1 **The above recording information verifies that this document has been electronically recorded & returned to the submitter Recording Area Name and Return Address: Attorney Kristina Ogland Estreen & Ogland 304 Locust Street Hudson, W! 54016 Part of: 020-1106-90-100; 020-1106-90-200 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Grantor warrants that the title to he Property is good, indefeasible in fee simple and free and clear of encumbrances except: easements, restrictions and reservations, if any, of record. Dated / 2U AUTHENTICATION Signatures Janet P.Stout , , authenticated on U�— I. *Kristina O land TITLE: MEMBER STAT BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: Kristina OQland, Estreen & Oaland 304 Locust Street, Hudson, WI 54016 LLC, by P. Stout, Managing Member SEAL) (SEAL) ACKNOWLEDGMENT STATE OF ) ss. COUNTY ) Personally came before me on the above -named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Notary Public, State of My Commission (is permanent) (expires: (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED © 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003 * Type name below signatures. INFO-PROT" Legal Forms 800-655-2021 www.infoproforms.com St. Croix County 1126678 Page 1 of 1 El / ' 369°1631°E 52.60' L58 LS7 o LOT 14 - SUMMER PRA LOT26 2.01 ACRES I N87°51'43'E 434. 87,448 S0. FT. L.B.0.=979.00' I r 192-64— — L61 — — — aTLOT 15A. — — — — — � �I N87°47'27"W 870.47' i I IL— - _ 2.01 ACRES _ m I 87,515 SO. FT. DEDICATED TO THE PUBLIC Fn S87°47'27"E 870.47' - 'w1— m 209.27' � 33' 33 — — — L16 — 345.28_ BENCHMARK TOP REBAR \ i 6 i 6' i 227,46' S81054'00"E 443.4, A I I ELEV. = 976.07' HWL = 987.00 1 I` STORMWATER f L�j o f LOT 21 ti LOT 16 o I 2.01 ACRES \ IN J N BENCHMARK 2.00 ACRES 87,348 S0. FT. I� w TOP REBAR 87,195 SO. FT. w LOT 22 z L.B.O.=986.50' �_ . L14 _ ^+ ELEV. = 988.63' w rn r6 2.00 ACRES ti I o w 87,164 SD. FT.00 N I----+�►� "' w GI o I 231.92' S72° N N m I w. ; iO 46'01,E 45 oN N87°47'27"W 345.28' L12 w ,o S8g' I V G �35 O - Q w �— LOT 17 s �? . �� ^� 2.00 ACRES 87,232 SO. FT. < LOT r Ig . \ . ACRES OIL 95,217SQ. FT. 33' 133' PI 23880' S \ \ I I 6S°11 g."' C LOT 18 RES 100,6620,662 S0. FT. /, 9S / BENCHMARK FSg) 'll TOP REBAR / \ ELEV. = 999.46'LOT 2.82 A ROES \�% \ 122,669 S0. FT. Ful--DRCFE-1Rkt7�� OC T i 2 0 2020 Wisconsin Department of Commerce SO( EVALUATION PORT Page I of Division of Safety and Buildings St, Croix County n m m u tri i i66 m 85, ws. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan mustro include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. Percent slope, scale or dimensions, north arrow, and location and distance to nearest road. o Z G - I t lS ' O t 000 Please Print all information. Re . wed by Date Pesonal information you provide may be used for secondary purposes (prac7' Law, s. 15.0.4 (1) (m)). /i 2AD 2- Property Owner Property Location 7 i' Govt Lot �t/�114 1/4 S 3 >T L N R E (or J Property Owner's Mailing Address Lot # Block # I S . Name or CSM# 332 ' Gty State Zip Code Phone Number 13 City village PSZown Nearest Road New Construction Ujs Residential / Number of bedrooms ) Code derived design flow rate GPD ❑ Replacement ❑ Publi comm/ercia2tribe: Parent material d� i / %`i Flood Plain elevation if applicable General comments and reconvnendations: / SystemType� ' r 9,D . y� � S System EI vation F Tl Boring # a BoringPit Ground surface elev. io-L ft. Depth to limiting factor in. WMj (� Boring# U Boring Pit Ground surface elev. ft. Depth to limiting factor 6) 0 in. �014i m�.1�1r�r���l�►�' r-JULKWu it I = aw_ l x+ -1 ZZU mcyL ana I JJ >.iu < 7 bu MW Effluent #22 = BOD, < 30 CST Name (Please Print),W91gere CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 5401 / �) 2— D 715-246-4516 Prope y Owner 11 Borirw # 17 BoiN i• Pit Parcel ID # Ground surface elev. d fft, Depth to kni4rw factor % ;�--O in page -�- of Horizon Depth Dominant Munsetl Redox Des�iption ou. Sz Cont. Coior Texture Sbvchse Gr. Sz Sh. Consistence Boundary Roots R aoe �Eff Gin. 'Eff#1 #* E ` i E R i 664. i Brngt G Bonne Pit Ground surface elev. ft. Depth to uniting facxar in. M����� ill NIN EM - Effluent #1 = BOD, > 30 < 220 mg1L and TSS >30 < 150 mg& • Eftent #2 = BOD, 130 mg& and TSS < 30 mgVL 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 608-266-3I51 or TTY 608-264- 8 777. seu-saw (R.6M) - Effluent #1 = BOD, > 30 < 220 mg1L and TSS >30 < 150 mg& • Eftent #2 = BOD, 130 mg& and TSS < 30 mgVL 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 608-266-3I51 or TTY 608-264- 8 777. seu-saw (R.6M) Project Name Urchins LLC Address 1353 Awatukee Trail Hudson Wi 54016 Lot N Soil Test Plot Plan Shau 20 SubdivisionSummer Prairie 2nd Add 1/2 NE 1/40 35 T 29 N/R19 VV Township Hudson Boring 0 Well PL Property Line "r VRP Assume Elevation 100 ft. X-bli m ffLLbyUU Date 10/15/20 County ST. CROIX Top of survey iron System Elevation TBu *HRpSame as Benchmark S�e " S®`( prts I, vvwct 'cteQ � g" p ",.o cam,.. �lrl2&zr suaveroa owxEx COUNTY PLAT SUMMER PRAIRIE 2ND ADDITION y1o9T LOCATEDINTHENW7/40fTHE UWI/4,INTHE NE114OFTHE NWI/4,INTHE SE7/40FTHE �N IV 'I suRMuetw wa AwnniaEE RY4 NTT=1446"E NWI/4ANDINTHESWI/4OFTHENWI/40FSECHON 35, 779N, R79W, TOWN OF HUDSON, � �°, amaBn,w ST. CROIX COUNTY, WISCONSIN; INCLUDING PARTOF LOTS I AND 2 Of CERTIFIED SNRVEY NIAPRECOROEO IN VOLUME 29, PAGE 6614, DOCUMENT NUMBER 1071822. NT f E Ruarma, aflwuEirtroux°� ,R1 REMA/NWG LOT I_CSM VOL 2B, PG. 6614_DOC_#f077822 I ��T,o_ JAN 1 12021 § y i N 10110 1PE 376.50' m \ ST. CROIX COUNTY COO ID �I REMAINING LOT ' _"i N90'DOUD•E 329.38 Y \\ ly a' CSM VOL 2B Pg.01-4, r ,a g 5 \ \ I-. I goC_#fonez2 1 � � J� xwl.. seza N76°58'02' I 8 laT JyJ n 0T4 Q a I I¢— 510.9MWATER \ & � � x? Tai4�1 'i7 4s: CO_TYf SUMMERPggI kI- - d31.E R/E 7STgp�T / . a I \ y i...° �.. ume .a •i. �M4a29O / /lea RAIRIE ICOi rro ow Ra `` S?s zS61 9 -..`.. � 8 L aT -, 8 / 3 / ulw.a Exc svrc T, I I LOT 14 N9T51'43"EP434.421STADD/TN)N �eEraxeux "... 4 P _ e ., 2. X i 14k SIORMWAIER Eity. �.®'�-_ xwL=9ss.4 '� mw V9s . _.. _.. ..-.._ ..... _.._. 4NE0 I� 9 STQiMWATER JJJJ I 115 IS $ "`•.`•� ` / - �� / 57�. J� E I I IOM4WATER I IrTi 3i I s- ..tir 4 e Lo1n \\5 g I E ps° LDT,s �� --- NN'I1w'W A. *XB4M9 I tis 9 I I vrc Rrr,c 'OS'W 690./B• y I I A C wTST I: LOTIC.S.M_ ` ll ��UTRUNK 731577='IBie9 I� I I v�rs IL V. 17_P. 4566 DOC_i' = 8 w LOCATION SKETCH \ I �\ 4'� • J i cram SECTION 26, 729N, R79W I LEGEND awm4q I aEm aE ° "°.W6ECpxC°wERroSniWE°Rae I \ k RDIaw��ro51110NYEAIEY°WnH WMA/FNrM I \ N 1 2� ^ awa �� E • w" �x�a"Rrow n G x.'_x" a;rc'rn -. " xE xE I ❑ u.u,'r—RRuaeEwei<x woE°R PEEI T ���O �� � .,` r. u,�r,' % 1 •\. e uEE I _°_ xn,R�exwcM Rr —.._ s,oru"v.,ER roxoiwr°Ruusef cufBE"i NYIL.9sSA nr4, wStER uxEFLEVA,WN miew Raurxfvu, IY NWL=3Na4 \ f awm aE.m w E aE.- I a w a BwEa,a t°,�° fxRtiE� ax°BN Nu°"a°`fa�"�° II I1 _ _ I _ _ _ _ _ � 'nII °Rr+m"riorwnm t"�xEra�wmav,w uv �n�� \ `4,� • Y \ � 181" I mm I xfm II xwaE xEaf I ry ^'E_�_,' swRf°omTw.rEwcE.E", �F :f ro rr°REcii"erca'�sEr°' �n�wc1DTrwia,oR T�1�u��OTE YeA \ �\ N�\�`Y Y � � �I; °eeTBnx°u..�tcF wnmxr,crrn'".,e T`� � T+; wow I , m awaE wuErfB: iawzmt "` R 1. p '� . _ . _ . _ I $ w�iER URuxME °nuES.w„EA Po°R»a�v wa,[R ,. CRIXr mwrc NMui",F ar91FiA SECTION 35. T29N, R19W. c vER,s. wnaoxaussaEEaxm. eExcwwaa RU REEERErxsB wwwfr SHEET 1 OF 2 SHEETS 4�5 r. CKOOCCOUNTY No. 648414 STAT4E�SANITARY �PERMIT OWNER DEVO PLUMBER TOWN OF a LP SEC.3T_,T'62'j N, AND/OR LQT ZL PREVIOUS PTO. " S LIC.#_2 ,4& 4) LOCH •2'"}l0bb .susnivisioN 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. (f) 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. ' 3 )kf U RI ED ISSUING OFFICER -DATE 2 PERMIT EXPIRES UNLESS RENEWED BEFORE THAT DATE Imp— top-11ml— POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R11/20)