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HomeMy WebLinkAbout020-1495-06-000MP �F.fl E nl 202,3 -()if 23 „cx...� i y`a xnxra;f o - , Industry SiDivision nusryervces County , 6� pS2S MAR 06 2023 Madison Yards Way_ Bison, WI 53705 Sanitary Permit Number (to be filled in by Co.) z, L�r�Fr5110Y7d P.O. Box 7162 Ma WI 53707-7162 4// ~ '' ° St. Croix Count on, - Communi De I p e �� # 3�( 3 mit A�� lication State Transaction Numb r % 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 nre submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary pu poses m accordance with the Privacy ` J I. Ap llctitlolrllnfot°mation Please P.r±lnt 11.1 l Infol tnatioar: Property �Olwnneer's Name Parcel P ®VVvIUtoC Property Owner's Mating Address 1 Property Location ` a,Iho\`� Govt, Lot II, rr k NE %4 Section NCity, YState Zip Code sgoq Phofne Number �m WV'J -IC/V r I't^' I� ` VtJ i/ - T 2 N R E or I Type of BUildmg (ch@ck all'tikat app'Ly,)' or 2 Family Dwelling - Number Bedrooms Lot p _• 0 Subdivision Name of Y-' Public/Commercial -Describe Use ❑ /%�1r A ll Block tl City of ❑State Owned - Describe Use Village of CSM Number rVITOW11 of KII �qA III. Type of POWTS Peranit (Gheck:tti'ther "New"`ot "Replacement".and other.app4. l cable on'hne A.` Check one box or tine R. Completeaine-C]f a lie le• ;; ; ,: :: ,_ , ::. . , A. ew System ❑Replacement System ❑Other Modification to Existing System (explain)Additional Pretreatment Unit (explain) 13. ❑Holding Tank In -Ground at -Grade Mound ❑ Individual Site Design Other Type (explain) conventional JE]Change of Plumber Transfer to New Owner List Previous Permit Number and Date Issued C• ❑Renewal Before Revision Expiration —1 Iv DispersaUTrcaymenfAtupa:ndTanklnforrati4n.CARA De ign Flow (gpd) Design Soil lication Rate(gpd/s 'Disp6rsal Area Required (so qUU Di s ersa Area Proposed (sf) S step El vation `�; 9�I, Tank Information Capacity in Gallons Total Gallons Hof Units Manufacturer L''wte U L y New Tanks Existing Tanks 0g 0 a U in ti M VS) D u. C7 v� a Septic or Holding Tarilc Dosing Chamber V R.esponsiblhty.Starement- •I the undersi' ned; g s mca•esponsibllity•Cor�installuflon of the;+1;OW`P$-shown on'1he n'tta:ched plans: ! Plumber's Name (P ' t) P is Signat MP/MPRS Number B iness Phone Number Plumber's Address (Street, City, State, Zip Cod r VI'. Couiity/,D 'partntcncuse Or 7v' _ Approved O Dis p ved Permit Fee S 3 Date issued I'ssug Agent Signature O ason for Denial �Z! �n Conditions o pprov �� ,/�Q� /p��,�(�,�-4�QA. V��•O� � OWNER: r X - •� � S �*��� ptic tank, effluent filter and dispersal cell 4) p-6. 6e,F P oc must be serviced /maintained as per anagement plan provided by plumber. setback requirements must be maintained h ' - F"" UF'N°Lat✓tG WUTAVt Wullli�fli Mop [ails for the system and submlt to the County only on paper not less than 8 1/2 x I I Inches In size SBD-6398 (R. 03/21) System PLOT PLAN PROJECT Oeverino 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 1'"T-J17 T-JTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 LIFT T �HOO�LDING TANK SIZE LOAD RATE .5 ABSO t�)BENCHMARK V.R.P. Top of survey iron ❑ BOREHOLE O WELL *H.R.P. same as benchmark Fm ANK SIZE DOSE TANK SIZE RPTION AREA 933 # of chambers 46 ASSUME ELEVATION 100' Filter Lifetime Filter 345' Property Line 15' B� 90' u� -.,I% Slope Area of poor soils Vents 1-3'x 94' cell > 3' Scale = 1 /4" = 10' 25'I B 3 25' Pro 3 bedroom House Vent 5' B-1 r0' g I >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 'c 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 Sect' Signature_ License nut6ber #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 f�1�IR: 345' Property Line 15' B-2 90' 5 B Z. 1 AL Ad1% 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 Pe" Grade 411 A/30/34 Septic Tank „ 5' Long 1 55 36" Grade at System Elevation Spacing 5' System elevations: A 94.2' B 94.1' To be >1' above grade Finish grade elevation 99.7' Vent Y.S 5' LongT 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 car MANAGEMENT PLAN Page of BILE INFORMATION Own er%�"'""" _L ' Permit # -- --- - 1PESIGN PARAMETERS Number of Bedrooms J ❑ NA i Number of Public Facility Units j NA �` Estimated flow (average) i Design flow (peak), (Estimated x 1.5) - � cpal/da Soil Application Rate I - aUd_a iiftz Standard Influent/Effluent Quality Monthly average" Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BODs) _<220 mg/L 0 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 Ya in dia, ❑ NA (Other. ❑ NA "Values typical for domestic wastewater and septic tank effluent. NIAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic'Fank Capacity (U al ❑_NA Septic Tank Manufacturer WIi'71i4­ ❑NA Effluent Filter Manufacturer 14, D '�Jarl❑ NA Effluent Filter Model j�� li 0 NA 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 4 ❑ Disinfection ❑ Other: Dispersal Cell(s) E-I NA 't In -Ground (gravity) ❑ In -Ground (pressurized) ❑ At -Grade ❑ Mound ❑ Drip -Line ❑ Other: Other: 11 PEA Other: ❑ NAB Other: ❑ NA Service Event Service Frequency Inspect condition of tanks) At least once every: month(s) (Maximum 3 years) 3 Vn C_l hi 4 year(s) I !Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA (Inspect dispersal cell(s) At least once eve ry' ❑ month(s) �year(s) (Maximum 3 years) ❑ NA Clean effluent filter — ___ ------ At least once every: ❑ month(s) 1 year(s)0 ❑ NA rspect pump, pump controls & alarm ---- - At least once every: — month( ❑ year(s)s) --- 'VNA 1--lush laterals and pressure test At least once every: 0 month(s)D year(s) NA j I�ther. At least once every: ❑ month(s) 11 year(s) 1 ❑ Nip M nher: - MAINTENANCE INSTRUCTIONS !Inspections of tanks and dispersal cells shall be made by an indivi&W� carryirig one of the following licenses or certifications: Mast,)r (Plumber; Master Plumber Restricted Sewer; POWTS Inspector: POVVTS Maintainer; Septage Servicing Operator. Tank inspections must linclude a visual inspection of the tank(s) to identify any missing or broker; hardw< �e, identify any cracks or leaks, measure the volume; of ,combined sludge and scum and to check for any back up or prinding o's efflueni on the ground surface. The dispersal cell(s) shall be ,visually inspected to check the effluent levels in the observation pikes and to check, for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may inrlicart: a failing conditju,r and requires the immediate notification of the local I-egulatory authority. When the combined accumulation of sludge and scum in any tank e-7ua!s one-third ('X) or more of the tank volume, the entire conter its of !:he tank shall be removed by a Septage Servicing Operafcr and disposer of !n accordance with chapter NR 113, Wisconsin (Administrative Code. INN other seivices, including but riot limited to the servicing of ei`flUent filir.xs, or pressurized components, pretreatment units', land any s ervicing at intervals of 512 months, shall be rt-rforn ,,uj' t?y a oertified 1=' DV I-S Maintainer. ;a service report shall be provided to the local reguhtcry author>i; Vit!­iir1 1:: clays of i ampletion of any service event. Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) If h the concentrations rare detected have the rconeten'ts loftt e may impede the treatment process rylj�n pogld'dt0! prioamage r to udges�rsal cell(s). tank(s) removed by a septag 9 p 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 cell(s)ater ls. When and may result in the backup or surface discharge ofreffluen� discharged to the dispersal cell(s) in one large dace, 9 operator prior to restoring power to the yoperatingthe um controls to restore normal levels To avoid this situation have the contents of the pump tank removed by a Septage Servicing pe effluent pump or contact a Plumber or POWTS Maintainer to assist in manual) pump within the pump tank. the area within Do not drive or park vehicles over tanks and dispersal cells. Do not drive or patio over, or otherwise disturb or compact, 15 feet down slope of any mound or at -grade soil absorption area. erforrnance and prolong the life of the POWTG: Reduction or elimination of the following from the wastewater stream may improve the p antibiotics; baby wipes; cigarette butts; Condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat: foundatiodt (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 prope(iy 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 properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code cnmpli��n replacement 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 requitled for anew oil and site valuating and proposed n {o establish atot suilines and table replacems. ment Failure to Replacement sylsteemsent area will result in must comply with thehrule len 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 evafuat�on 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 infiltkalive 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 TANI� 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 I o_ POWTS MAINTAINER E ene SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name I, ,, Name1` Phone EPhone This document was drafted in compliance with chapter SPS 3&3.22(2.)(b)(1)(d)&(f, and 383.54(1), (2) & (3), Wisconsin Administrative Code. ol ,zc co 0 LU Ul) OCT z o zozo Wisoonsm bepartrnent of Cor�unerce SOI EVALUATION PORT Page _ , of Division of Safety andSuiidinjs SL. �XOA Cc%unty commuinit titipCWP m 85, Ms. Mm. Code .:...........�._.._�._ County � � Attach ate site plan on paper not Iess than 8 112 x 11 inches in size. Plan must indude, but riot &mited to: vertical and horizontal reference point (W), direction and Parcel I.D. q percent slope, scale or dimensions, north avow, and location and distance to nearest road. O Z O } 15 O Please print all information. R by ` Date Pen onal information you txov de may be used for secondary Dor9�es (Privacy Law, r, a. 15.04 ( 7) {m}). J �/1O1ZA L1 Property Owner Property Location D ( Govt. Lot �j �i 2.1 /4 El /4 S 3) T LCl N R E (or Property Owner's MaikV Address Lot # Siodc # Sc6d. Name or CS&W 35 G42k n State Zip Code Phone Nurr er 11 at: [a V liege own Nearest Road 9,N1 ' Corutruction Use &eslderrtial / Number of bedrooms Code derived design flow rate _ f �[LLL(t GPD ❑ Replacement ❑ Pub5 cometrWci8.- tribe: _ _ _ Parent material 42 - .Cf/1 / �l Flood Piain elevation ff applicable General conmants and reconxnendabons: System_ Type►_? • J Boring I ! 8oriN # c I Ytt1 1 m - H 0 ®®®© PAP �®0�M,� WM 7 BWV # Q Boring 1-7-12 1 WA a mmmw W,.40M� • Enxr t #1 - BOO. > 30 < 220 mg& and TSS >30 < 150 • Effluent #2 = 84D. { 30 rr>gt and TSS < 30 mgfl. CST Name (Please Print) CST Number zpt�:�- Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 5401 �� —/5- . 715-246-4516 �-O Proopesty Owner- �.�.1 BMV # Pprcei ID # Ground surface elev. Irfol Vft. Depth to kr� factor %.�LO in. page � of 3 C.-9 A r..J:...... sS--'�- Tom-=� •._�•3 -,L'� i f� gp� # ❑ Boring U❑ pit Ground surface elev. ft. Depth to &mitng factor in. Rate Sod Ap-pkation Hortzon Depth in. Dominant Color MunseG Redox Description Ou. Sz Cont. Color Texture Structure Gr. Sz Sh. Consistence Boundary Roots GPOM ' 'Eff#1 'Eff#2 F # ❑ BoriN ❑ pit Ground surface elev. fk Depth to fmiting facer in. Sol Appbcabw Raie Horizon -)Opn ru. Dattiteattt Color Munsel Redox Description. Qu Sz Cont. Cola Texture Structure Gr. SZ Sh. Cons}sfence Boundary Roots GPDM 'EJf#1 'Eff#2 Effluent #1 = BOD# > 30 < 220 rnglL and TSS >30 < 150 rng/L ' ERkrerd #2 = BOO, 130 rngt and TSS < 30 rng�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 609-266-3I S 1 or TTY 608-264-8777. Soil Test Plot Plan Project Name Urchins LLC Shau Address 1353 Awatukee Trail Hudson Wi 54016 Lot 20 SubdivisionSummer Prairie 2nd Add N 1/2 NE 1/4S 35 T 29 N/R19 W Township Hudson Boring Q Well PL Property Line B r VRP Assume Elevation 100 ft Syctnm maxintinn TBD 'C$TM #226900 Date 10/15/20 County ST. CROIX Top of su� rv, e__y iron *ia R Same as Benchmark €a I m � I o pVEo as vxwn 9�s 9 --- 9 x ww16 I I 's C ---------- I — — — ° -- - --- — - — - — - — - — - — - — - — I I Ci $ a B& y f� M 19 a N� 8F b 6 Q 4 to I I �y —_--------------------- a 5 I I d° .5�, v 1 I iao ussanoleow wvurtbu I a) I mo z� O ` o� aF I r' FC ;:bQQo x N N v MEN y8OAz " 04�, d{v 8 r m � O A 3 LN; 4 ��wti i Ici � Is lP Ol y Z o IZ OC N I= D � I� Z I I � y 'lpkpC I €�AR lox � F IiD WIItOq AOIM4e -------------- -----t --- I ! I I I i i i I i I 'I i I I O F$ IMP 1Y i- k i �I -- � I h I I P� � I I e•naoclurm a.roc. I f 11 i$ -------- — - _ _ - —� l-----------------�----- ----------- �- — � I � I • i I ---7 8 m � � 1( i I ��� 1 --1-- - -- - . - j I � I I Ij I LIxaS1y tl& E g a R= SnQ y 4 r 2 io y F^ I � SANITARY SYSTEM File #: ST. CROI .Y NTY Office Use Only � OWNERSHIP/ADDRESS FORM created212021 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) 71 is-- 1 t(), MM I Email Address (required) Bri�L(C-o I. fAmAn }l("C" r✓r3m Parcel Identification Number (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location IV )� , N E 1A , Sec. *36 , T 7A N RPW, Town of �LAStiYI Subdivision Plat: S1,0AITIC'r rm!)'' 2r'tA, (dial Lot# Certified Survey Map Warranty Deed # ( 2(Q Number of bedrooms 'I)_ Volu Page # (before 2006)Volume Page # Spec house Ayes ❑ no Lot lines identifiable 0 yes ❑ no `� �O�FFICE USE O Y New Property Address T Jl '- M C- 921:� (Verifica Z f new address required from Community Development Department for new construction.) z3 ( taff 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 cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.c�ov 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, WI 54016 Part of: 020-1106-90-100; 020-1106-90-200 Parcel Identification Number (AN) 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 f Z �;ri / 2U 21 AUTHENTICATION Signatures Janet P. Stout , 11 authenticated on ?j( *Kristina O land TITLE: MEMBER STAT BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: Kristina Oaland, Estreen & Ogland 304 Locust Street Hudson, WI 54016 Urch' s, LLC, by (SEAL) t 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. St. Croix County 1126678 Page 1 of 1 INFO-PROT' Legal Forms 800-655-2021 www.infoproforms.com r ^i w ti < / W Day ycmi_ N y O N tQ° �p ri o \ to HQa- ON II M W r W N �y� _ Cd 1, - — m NO2°12'33"E 620.51' �Ob•62 MAGOO ROAD — - -PE DICATED T TO HE PUBLIC "M' \\Jbb 164.2T � ---- -- 457.6T M r T 113 � 204.69'— L19 \O B ti i i 3 oCl) EO J gyp; N / / N oLei Z I k JI�wa, / I �o s1?�� �.dJ T L17 I F. — — — L23 NO2°12'33"199.32' � E 45Z.30' / o 252.97' )2 N I ry NI y ri cR Z I N N I ~ C m all / 149.02' 240.80' M I NO2°03'43"E 389.82' � 57.62' 33' 1 / I �r JL O C T 2 0 2020 +Rlisconsin bepartment of Commerce S011 EVALUATIO PORT Page I of Division of Safety and Buildings St. Croix County Comm uilrit; bti@6 m 85, Wis. Adm. Code /n Attach 'ro I complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. Percent slope, scale or dimensions, north arrow, and location and distance to nearest road. o L 0 — I L1 Jr.) " 0 000 Please print all information. Re ' wed by Date ` , ersonai information you provide may be used for Secondary purposes (privacy Law, s- 15.04 (1) (m)). '11012- L' Property der Property Location Govt. Lot �� Z:1 A L el14 S 3 ) TT L. N R E (or J Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 3 J i Uty State Zip Code Phone Number I] City village own Nearest Road Construction Use Residential / Number of bedrooms Code derived design flow rate GPD Q Replacement ❑ Pubi/ is or � tribe: — a r Parent material d�/�/� Flood Plain elevation if appGcab(e /�/ �i ft. General comments and recarxnendations: / System Type yrr � S System El tion r • J 5Boining# Boring ��� � Pit Ground surface elev.10-1 L ft. Depth to Nmiting factor e- in. w ••� =Rlj 1-1 2 Boring # U Boring aPit Ground surface elev. ft. Depth to limiting factor - /1) 0 in. M. �CMIEMEEE ��� �'►isE(iTitr��®����I ur.ueru w i = aw_ l OU !t ZZU mgrL ana 1 ---b >JU < IWMW` Effluent #2 = BOD, < 30 CST Name (Please Print) re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 5401 ) — S— 2— O 715-246-4516 �Lo P'ropemy Owner 11 Boring # Boiw i• Pit Parcel ID # Ground surface elev. d ft. Depth to kniiiee tailor / Q--O i_ page -�- of Horizon Depth in. Dominant Munsefl Redo. Desciption Ou. Sz- Cont. Coior Texture St ucture Gr. Sz. Sh. Consistence Boundary Roots I Sou Rate GPDff `Eff#1 •Eff#2 1) d- ?7 ---_' i E l � Boring # Q Bonne 11 Pit Ground surface elev. ft. Depth to uniting factor in. ,- • • .��� EBAderd #1 = BOOS > 30 < 220 mg1L and TSS >30 < 150 mg/L • Eftiuent #2 = BOD, < 30 mg& and TSS < 30 nxl/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 608-266-3I51 or TTY 608-264-8777. SBo-saw (Rboo) Soil Test Plot -I Project Name Urchins LLC Address 1353 Awatukee Trail Hudson Wi 54016 Lot N 20 SubdivisionSummer Prairie 2nd Add 1/2 NE 1/40 35 T 29 N/R19 VV Township Hudson Boring 0 Well PL Property Line B*r VRP Assume Elevation 100 ft. Date 10/15/20 County ST. CROIX Top of survey iron System Elevation TBu *HRpSame as Benchmark LqTj3-SUMMERLRAnIE STAOUTION I I ips L - - - - - _QALPIAMLADI S89'411rV I/ VOL SONS-321W SDO48'51'W 239.51' 1 ISOIrW L8_P9.R60_DOr — — — — — - SUP 81.74' 500'29-51-W 351,15- 309IS51-W 417.40, C, t2l < CM C*IJ g-5 S02-12'3 3-W —F—Z—A44GOOR _REDrd7LO_T2,�, qv/ S!T' ji T4 IWMVE 211A5' 12 ....... =.-W i H m wufl vol LOT I R LOT —41 L0T3 IDOC. #414046 •.7 Lai W, MUNI. t x �61 HIM H§ H HMO H M rh I... VE v Mi-M V` Oil Qi Uh I I I p .■■❑ oili�; Ar �I j! ri MI 0 . L � o a L a+ A •�' F C b � 'b �. L •� � � y; a L a k141 >a .d � y •iy a f]. a� d L M d U p � W w � � O 'LO a-'. p w � H � L O. a •C .L eR C a .� •C a�i pF,� y y� r q E. y F ca E- W U y a a bd F — aLi •�a 3 y;w d a �Mmm� h O a