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HomeMy WebLinkAbout020-1491-15-000 (2)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law, s 15 04 (1)(rri] Permit Holders Name: City Village Township Thomas and Cynthia Brinsko TOWN OF HUDSON TANK INFORMATION Dosing TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number T PFEnctionss System Head TDH Ft Dia. Dist to Well OUIL AMMU1tM I IUIV JT* I LM ELEVATION DATA STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer SUHt Inlet St/Ht Outlet Dt Inlet Of Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BEDRRENCH DIMENSIONS Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L IBLOG IWELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer Type Of System. Model Number t ArARMI-nuI-ic�ae�aa�rli Header/Mendold 10istribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing YWl" V V v Gm V Pr fti a CVIIYTI r1nW — U--A A. A. P--A- en-A. Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil_ Yes No _, Yes _ , No COMMENTS: (Include code discrepancies, persons present. etc) Location: 876 CRANE HILL TRL 1.) AN BM Description = 2.) Bldg sewer length • amount of cover = Plan revision Required? 0 Yes ® No ���— Use other side for additional information. SB0.6710 (R.3/a7) Date Inspection 01 Inspection M2 Insepctors Signature Can No no n <AN -aox-) _ -�(. L/ e� Department of Safety County & Professional Services, ST CROIX Sanitary Permit Number (to be filled in by Co.) Industry Services Division County >] Corn, ° It Applicatii5MvXCQP1taUnit State Transaction Number In accordance with S 383.21(2). Wis. Adm Code, submission of this form to is required prior to obtaining a sanitary permit Note Application forms for state-owned PO ined to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used to 0 876 crane hill trail s in accordance with the Privacy Law, s. 15.04(1)(m), Stats. rl Property Owner's Name Parcel M Thomas and Cynthia Brinsko 0a 0 — ly - 11.5 - 00 Property Owner's Mailing Address Property Location 715 countryview circle Govt. Lot City, State Zip Code Phone Number Hudson 54016 SWv., ne v., section 13 T 29 N R 19 E or VX _N577Lot a 0 1 or 2 Family Dwelling— Number ofBedr000mms5 15 Subdivision Name ❑ PublidCommerciDescribe— Describe Use crane hill Block M ❑City of ❑ Village of ❑ State Owned — Describe Use CSM Number x -- 0 Town of Hudson 111. Type of S Permit: (Check either "New" or "Replacement" and other applicable on Hoe A. Cheek one boa an line B. Compkte line C i applicable.) A. New S stem Y ❑ Replacement System p y ❑Other Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) B' ❑ Holding Tank ® In -Ground ❑ At -Grade ❑ Mound ❑ Individual Site Design ❑ Other Type (explain) convemi C. ❑ Renewal Before ❑Revision ❑ Change of Plumber List Previous Permit Number and Date Issued hang ❑ Transfer to New Owner Expiration Design Flow (gpd) Design Soil Application Rate(gpolsf) Dispersal Area Required (sn Dispersal Area Proposed (s() stem Elevation 750 .7 1072 1100 1upper 99.5 lower 96.2 Capacity in Total g of Manufacturer Tank Information Gallons Gallons Units (( �s {1 z u' $ New Tanks Existing Tanks iD ny4K— SZs-�'1 I e4/ 0 u Ff y2 id Septic or Holding Tank x 1600 WIESER x Dosing Chamber V. SWtwgat- 16 uhe the dM IOWU *A** gge do [W Plumber's Name (Prim) Plumber's Si MP/MPRS Number Business Phone Number PAUL R KOEHLER s� 225410 715-246-2660 Plumber's Address (Stroc , City, Slate, Zip Code) 321 WISCONSIN DR NEW RICHMOND WI vt veconk Approved ❑ Dtsapprov Permh Fee Date Iss mg Agent Signatule ❑ ven Re for Denial f ��� (�l0%zZ Conditions -GiCro onsterBixpproval 3 M OWNER: I. Septic tank, effluent filter and dispersal oan must be ! serviced maintained as per i��rv�nt1t p� management plan provided by plumber. f All setback requirements must be maintained cur .or ."r qaa= aria Mery to a a.eaafr aaq on pop" nor leas man a ]a a 1 I Peat! O We SBD-6398 (R. 03l22) 1 copy 0 Parc�� b],o���lyl -15-Doo S« 13 T��nl Rl�w sw NF ib �c•nL HAI Tea: low r� OT �u4svv� gC-°tlC I` - Laf+ 1— 6nf�• � `, ` , > > \ {CICOPY CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Thomas and Cynthia Brinsko Owners Name: Owners Address: 715 countryview circle Hudson W i Legal Description: sw ne sec 13 t 29 r ] 9 w Township: Hudson County: St Croix Subdivision Name: Crane Hill Lot Number. 15 Parcel ID Number. 020-1491-15-000 Page t Index and title Page 2 Plot Plan Page 3 System Sizing & Cross -Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber. Date: Paul R Koehler License Number: 225410 12/06/2022 Phone Number (715)246-2660 Signature Designed pursuant to the In -Ground soli Absorption Component Manual for POWTS version 2.0 SOD-10705-P (N.otrot ). Page 1 A07'" qs and Ein t�1ti Q,ins�'D Parcel D�,o-il°�I -I$-Doo sit 13 T��N Rl�w sw N� 8 �6 ��• n � ► A( Tra: ( Io L., rN of Usvv► SCg1t Iw - LUf+ 1 Ac ( 4.s SOIL ABSORPTION SYSTEM DETAIL I GRAVELLESS LEACHING UNIT PepeLof Project Name: ,y , nA C 1 No. of Cells I / Per Coll n Cell Width � 2 Total No of 20 //a n Cell Length n EISA Per Cell '- n Coll Spacing Oo sq n Total EISA mw 1 w . 1 wdA WMA a. . IrlAtrator Q120314-511 &0' 25.0 EZ12031+10ft 10.7 50.0 :J Gravolless Leaching Unit Manufacturer. 141//J7n�er Gravelless Leaching Unit Model: I)-Od H /o f� Finished Grade 7-2 In Typical Cross Section 161 Observation Pipe with approved cap or vent Soil Backflll .Geotextile Fabric rt Infiltrative Surface �n Limiting Factor ' ---�Sk>tted and Anchored Vent/ Observation Pipe with Cap ............................................... Plumber/Designor Signature: .# ,,/ /P�OC /i, r License e: ? 2 S Y/C) Date: lO e c. 41"'fC �2 a. Z paL ._ Inr Muforrtions in Prrwt Ormis r Zabel' 6 WMawter Product: A OlNrlon of Polylok Inc. PL-525 Effluent Filter PL-525 Filter The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. I it Features: • Rated for 10,000 GPD (gallons per day). • 525 linear feet of 1/16" filtration. • Accepts 4" and 6" SCHD 40 pipe. • Built in gas deflector. • Automatic shut-off ball when filter is removed. • Alarm accessibility. • Accepts PVC extension handle. PL-525 Installation: Ideal for residential and commercial waste flows up to 10,000 gallons per day (GPD). 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. 3. Glue the filter housing to the 4" or 6" outlet pipe. if the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 5. Replace and secure the septic tank cover. PL-525 Maintenance: The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be done by a certified septic tank pumper or installer. 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PLr525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely inserted. 7. Replace and secure septic tank cover. 06" Filtration Slots xg, fAir Accepts 4" & 6" SCHD 40 pipe CSC Alarm Switch (Optional) Accepts 1" PVC Extension Handle Rated for 10,000 GPD 525 Linear Ft. of 1/16" Filtration Slots CartMled to NSF/ANSI Standard 46 Gas Deflector Automatic Shut -Oft Ball u Outdoor SmartFilter® Alarm Extend & LokTM Polylok, Zabel & Best filters accept Easily installs the SmartFilter® switch and alarm. into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, Cr 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylok.com POWTS OWNER'S MANUAL & MANAGEMENT PLAN IPage 1 of Z FILE INFORMATION Owner Thomas and Cynthia Brinsko Permit I DESIGN PARAMETERS Number of Bedrooms 5 ❑ NA Number of Public Facility Units ❑ NA Estimated flow (average) 500 galiday Design flow (peak), (Estimated x 1.5) 750gal/day Soil Application Rate .7 al/d /ft' 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 (BOD,) :930 mg/L Total Suspended Solids (TSS) !;30 mg/L ❑ NA Fecal Coliforn (geometric mean) :91 W cfull00ml Maximum Effluent Particle Size Ye in die. ❑ NA Other. ❑ NA *Values typical for domestic wastewater and septic tank effluent. KAAI uwurc cruenra c SYSTEM SPECIFICATIONS Septic Tank Capacity 1600 al ❑ NA Septic Tank Manufacturer WIESER ❑ NA Effluent Filter Manufacturer POLY LOCK ❑ NA Effluent Fitter Model 525 ❑ NA Pump Tank Capacity al k7 NA Pump Tank Manufacturer RI NA Pump Manufacturer 5j NA Pump Model ® NA Pretreatment Unit ❑ Sand/Gravel Fitter ❑ Mechanical Aeration ❑ Disinfection ❑ Peat Filter ❑ Wetland ❑ Other: N NA Dispersal Cells) 61 In -Ground (gravity) ❑ At -Grade ❑ Drip -Line ❑ NA ❑ In -Ground (pressurized) ❑ Mound ❑ Other: Other: ❑ NA Odter: ❑ NA Other: ❑ NA ........ , uw. yr .. Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 ® mXth s) (Maximum 3 yews) ❑ NA Pump out contents of tanks) When combined sludge and scum equals one-third %) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 3 m mearlsl sl (Maximum 3 years) ❑ NA Clean effluent fitter At least once every: 1.1 [I monthm eaarls) ts) rl ❑ NA Inspect pump, pump controls & alert At least once every: ❑ monthls) ❑ earls) ® NA Flush laterals and pressure test At least once every: ' ❑ monthle) p ear(s) m NA Other. At least once every: ❑ monthls) ❑year(s) ® NA Other: k) NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector, POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cells) 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 (Y,I or more of the tank volume, the entire contents of the tank shall be removed by a Saptage 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 fitters, 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 Z of 2 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tanks) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal ceNls). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cattle) in one large dose, overloading the call(s) and may result in the backup or surface discharge of effluent. 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 restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: 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; meet scraps; medications; oil; painting products; 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 properly 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 compliant replacement system: A suitable replacement area has been evaluated and may be utilised 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 tines 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. o mg tank e taileaZD} (181T� �� Cbh1STRU0n 0n1 ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. COMMENTS POINTS INSTALLER POWTS MAINTAINER Name COUNTRYSIDE PLUMBING Name PAUL R KOEHLER Phone 715-246-2660 L Phone 715-246-2660 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name MARCO SEPTIC Name S C I,20AJIAJ Phone 715-386-2160 Phone (p This documem was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&If) and 83.5411). (2) & (3), Wisconsin Administrative Code. � of t�ECEIVEDWhwwla OIL EVALUATION REPORT' a o 17 - ao lr I � y D1hioia daft d &"so;�p 2 5 201i in ="noe wM C: n WIL Adm Code .. AM*� t x. t t �."r .�. n....CKVKY Y 11 St, Croix rr.ees+ioA l vdm (Bt "AWVEY . - Plow Print aR latbro F4Paz V0-jj GY4 ,/s/M ROIRM U.C. OWL trot u u 113 29- w R 19 w %s ►1s uanda Rd. , Cr ;1 �a.a9. Its 6 WY Soft zip C06 U City U VUMF M Town >r- Rod Hudson WI 54016 651-248-0390 Hudson Akexaoder Rd. 0 New Caeafntaioo Use: 0 Residential / Number of Bedrooas Code derived doWp flow rote GPD O Repiroemard O Public or Cmmerciai - Dawft: Patent MatrW Loess over Otawash Flood Plain elevoflm if oppliable N/A ft Ga rrl aommowls and turcomsendadow 20".4< B=*" 0 i i ' aroaod surface Lrkvstion 99.2 ft Depth b uniting faaor > 110 7. Hannon Depth Deadnna Calor Moor oeeatpaon 99.8t Twtae SL Oeuatuie 24-13k Coneutnos nit Roundwy -.-- _ P Root -- 3 Rao -am 0.6 I'EM2 1 0-10 10YR2/2 - 1.0 2 10.19 7.5YR4/4 - SL 2-m-bk rrir go 2f 0A 1.0 3 19-33 7:5YR414 - s s - 0-89 0-109 mi — m !as - If - 0.7 0.7 1.0 1.6 4 133410► 1DYRM4 - - - 8wht * 0Ph aromd stn 4ce movatim 102.8 it. Depth to Limithtg 3ctar > 110 hL Hermon Depth Do~ Cdor Redw ri F o ban Tetrw SL tntu*m 2-f-W Coptlttsom mk t111f Bom dry 9s 95 Roam 3 Roo 21 'EM 0.8 0.6 I -EM 1.0 1.0- 1 0-9 10YR212 - 2 9-M t0Y M - SL 2-m-bk 3 26-38 10YR413 - Ls 049 rM ml _ 98 -- - 1f 0.7 1.8 4 110+ 10YR414 - S 0-sp - — - 0.7 1.6 • Bmoar -= ttao. s �d :930usL • t - > s > w s too n.n -- Mark Iverson22M�� 46672 Nuobw P.O. Box 155 "wwriond, WI 54015 August 31, 2017 715-796-5664 ft0j" OWDW Rolling Ridges LLC. ° F31 Ba* N on Around Surface Elevstioo ,Pj 104.7 R Depth to [.trailing factor Lor I Paa` --2—°f >l 10 �eoosorlos� ap we froAron OWS In. DaNnsnt color Munodt risda t3ssatotbn Tod" seurllw Carlsomm tiowaoy ROM Im Tdw 1 0-10 t0YRW - 31 24n-gr mfr go 3 f-00 0.6 1.0 2 10-26 10YR314 N 2-m-bk mfr gs 2 f-rn 0.6 1.0 3 11 10YR414 - It 0-4Q rtY - - 0.7 1.6 mom © ...,• NEW •EfflowAII-BODr>36S=wjLdTBS>30S150mWL 0EMM02-90gS3*m@L&WTSSS30*AWL Tie Dopmunew of Con.naee is an egesl opporumk arvice provldo and employer. If you need ms m m to nooem savwa or Need.reaisl in an sMerasle fba plows eontat tie dopm ma t st 608-266-3151 or TIY 606.264-EM. DENOTES SOIL it BORING LOCATED ON 9-13-1 7 IN � }`: i / , � ter•-. �; � 98L i l l � , .\ 1 ' Z -t •: r-•• r 0 100 1 s0 L3M2 07%7. L� CORNERSTONE 4 LAND SURVEYING. INC SEPTIC LOCATION FOR: CRANE HILL OF HUDSON aM vmpay � i ' It ' S { f �1 LOTI,, Area 5.4� f� 138L I ST`. CR�rvTY. SANITARY SYSTEM File#: office Use Only OWNERSHIP/ADDRESS FORM crafea 2�ozi 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 Thomas & Cynthia Brinsko Mailing Address 715 Country View Circle City/State/Zip Hudson, WI 54016 Phone Number (required)651-263-7044 Email Address (required) Tom.Brinsko@gmail.com Parcel Identification Number 020-1491-15-000 (found on the property tax bill) .r L DESCRIPTION Property Location 1/4 , _ t/4 , Sec. 13 T 29 N R 19 W, Town of Hudson Subdivision Plat: Crane Hill of Hudson Lot* 15 Certified Survey Map ire Volume Page # Warranty Deed # 1146746 (before 2006)Volume . Page # Number of bedrooms 5 Spec house O yes ■ no Lot lines identifiable ■ yes O no New Property AddressV-� (Verification of new address required from Community Developrnentbepartmt for new can 1' 0 tiZ Z ( taf 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.00v 1101 Carmichael Road, Hudson, wl 54016 www.sccwi.gov IIIIIIIIIIIIIIIIIII"""""' �u\ IIIIIIIIIII_III """"""' IIIIIIIIIIIIIIII " IIIIIIIIIIIIII illuluulll � ��,��;IIIIIIIIIL�. � WIN ��,� �Illllllllllli�lil "" Illll�il IIIIIIIIIII�I_II_IhI�I �,_. - ®�� _ 1111 III�IIII IIIIIIIIIII��'�� �1111111111111111111 III' ''�!'IIIIIIIIIIIIIIIII IIIIIIIIIIIIIII �__� !�,�Q� - IIIIIIIIIIIIIII�-=''� '-� �' �1111111111111111111 �;; ` �-I�� Ilhllli- II mm!_ IIIIIIIIIIIII,- IIIIIIIIIIIIIIIIIIII�'i FA' �? it DERRICK HOMES 7J5-246-2320 BRINSK0 RESIDENCELOT 15, CRANE limill HUDSON TONS�P, WISCONSIN t ! y f „ ,I •_ fi � II I i i I I_ , OYY� to '-i7iil�Pin _^ O b n 0 C n Z�aAaan9ra :Q=' DERRICK HOMES 7►5-246-23ZO IPI BRINSKO RESIDENCE �q LOT 15 CRANE BILL HUDSON TOWNSHIP, WISCONSIN az=111� � r-- OTC Rf Ilk rA XJ Z - - -------------- pill a L rrr" w � � ° e �i D BRINSKO RESIDENCEERRICK HOMES 715-246-2320 LOT 15, CRANE HILL NS HUDSON TOW HIP, WISCONSIN In" Rom l—=—A-_ -- ---------- -------- O -------------- A --- ------ --------- -------- ------ AICHT SIDE ELEVATION ------- ------ ------------ -------- ----------------------------- ------- ---------- -------------- 4 ------------- ROOF PL4N Ll ------------------------ -------------------- LEFT SIDE ELEVATION ----------- ------------------ --- - ---------- BID SET -NOT FOR CONSTRUCTION: r— DERRICK HOMES 715-246-2320 BRINSKO RESIDENCE LOT 15, CRANE HILL o [0 w HUDSON TOWNSHIP, WISCONSIN LBO-933.0 _NW 1/4 OF TIE NE I/4 _ _ _ _ _ _ _ SW 1/4 OF THE NE/4 BUILDING'(b/' •�; \\\ LOT 14 5.092 ACRES 221,790 SQ.FT L80=989.0 41p4 , \ 'J` OF NO.10 RFBAR \ ELEv-931.2 \\ oo� 24-w 'F �Ijl NDO Lu I \ y eO'`g1� I -i I \\\ -- u \ n -•4y 44 'T`� yQ > 5.L��T 15 7 50.00' - .�NJ7o 22 . 76 SQ.FT. N83ro8's 7v LB0=957.0 py Ss t5�_ ti, I3, E 4 i s0.00' h H.W.E. 2 �' --------- -- -- -`}fir =929.6 14 LOT 2 5.002 ACRES 217,900 SQ.FT. s RECEIVED C51-90o- a06 • Wisconsin Department of Commerce SOIL EVALUATION REPORT Qy Co,rpage 1 of y Divisiorr of Safety and Buildings 2� 17 In accordance with Comm 85, wIS. Adm. Code O / (o Co 0C W N erl SEP County Attach complete sIltan 8 %r x I I inches in sire. Plan must St. CrDIX Include but not li f:rcnce point (BMkAirrctit& ad 19 11 Parcel 1 D O7_O _' 491 - (c - coo Percent slops arrow, and Bc. / J Please print all infora V0T1 GY4 �cdby Date F4PR2X S /S Personal information you provide may be used for secondary pu Property Owner t'roperty Location Rollin Ridges LLC. Govt. Lot SW v. v, . 13 T 29 N R 19 W Property Owner's Mailing Address Lot N Block q Subd. Name or CSMN 0a0_ I - I "000 965 Alexander Rd. 5 ciC i'-ft I1, I3.�9. lq. 31 6 Cary State Zip Code Phone ❑ City ❑ Village ®Town Nearest Road Hudson WI 54016 651-248-0390 1 Hudson Alexander Rd. ® New Construction Use: ® Residential / Number of Bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or Commercial — Describe: Parent Material Loess over Outwash Flood Plain elevation if applicable _ N/A _ft. General comments and recommendations: Zew--i{ JBoring # ®Prt b Ground Surface Elevation 99.2 ft. Depth to Limiting factor > 110 in. SWAW n Plate Horizon Depth in Dominant Color M Redox Description r Texture Structure r. Consistence Boundary Rootsme �If�2 1 0-10 10YR2/2 - SL 2-f-bk mfr gs 3 f-co 0.6 1.0 2 10-19 7.5YR4/4 - SL 2-m-bk mfr gs 2f 0.6 1.0 3 19-33 7.5YR4/4 - S 0-s9 ml gs 1f ..7 1.6 4 33-110+ 10YR4/4 - S 0-s9 ml - - 0.7 1.6 Boring V 22] Bormg # ®Pit Ground Surface Elevation 102.8 ft. Depth to Limiting factor > 110 in. c�a w....I:ws•iwn Gs1a Horizon Depth in. Dominant Color Mu I Redox Description - Texture Structure Gr. Sz- Sh. Consistence Boundary Roots G Ye •EIfMt 'EI2 1 0-9 10YR2/2 SL 2-f-gr mfr gs 3 f-co 0.6 1.0 2 9-26 10YR3/4 - SL 2-m-bk mfr gs 2f 0.6 1.0 3 26-36 10YR4/3 - LS 0-sg ml gs 1f 0.7 1.6 4 36-110+ 10YR4/4 - S 0-159 ml - - 0.7 1.6 - • - <30 dTSS30moA • Efnuem q I - BOD, > 30 < 220 mg/L and TSS > 30 <_ 150 mg/L Effluent q2 - BO D s - mgl- an <_ CST Na(Please Print) Si CST Number Nam Mark Iverson 46672 Address 6�Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 August 31, 2017 715-796-5664 -17 !11':,L' 1 0, 14 f , 9�:- t . x Property Owner. Rolling Ridges LLC. Parcel IN Lor 16 Page --2--of ❑3 Horizon 1 Boring # El Boring ®Pit Ground Surface Elevation _Soil I Depth D Inarot Color Redox Description in. Munsell Ou. Sz. Cont. Color 0-10 10YR2/2 - 104.7 ft. — Texture al Depth to Limiting factor >110 set. Structure Consistence Boundary Roots Gr. Sz. Sh. 2-m-gr rnfr gs 3 fco Apol"tion GPI *E##1 0.6 POW 'EfW2 1.0 2 10-26 10YR3/4 - sl 24TV4* rnfr gs 2 f-m 0.6 1.0 3 26-110+ 10YR4/4 - s 0-s9 ml - - 0.7 1.6 a B❑ Boring Boring # ®Pit Ground Surface Elevation ft. Depth to Limiting factor in. Soil Avalicabon Roo Horizon Depth In Dominant CoNox M I Redox Description Toftre Structure r, h. Consistence Boundary Roots P 'EfM 'ERM2 0 Boring a Boring # ®pit Ground Surface Elevation ft. Depth to Limiting factor in. G:1 Annlirnlinn Rafw Horizon Depth in. Dominant Color Murrell Redox Description Ou. Sz. r Tetdttre Structure Gr. Sz. Sh. Consiatsmx Boundary Roots -E1M7 1 -11#2 • Efltoan N I - BOD>> 30 <_ 220 mg/L and TSS > 30 <_ 150 mg/L • Efnuad M2 = BOD, <_ 30 mg/L and TSS <_ 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Ned material in an alternate format, please contact the department at 608-266-31 S 1 or TTY 608-264-8777. SEPTIC LOCATION y� FOR: CRANE HILL OF HUDSON NORTH 913 L150M1 150 982.06 DENOTES SOIL BORING LOCATED 55 0501-� ON 9-13-17 950.23 S8 LI5B3-� \ 982.54 it =i .. 50 LISB2--- '� 986.36 i 5 LOT 15 Area: 5.46 se L16—� 967.49 °8 SB L168�--4 I 961.95 / r r s0 L 1603- 95o 963.5n �. iv 55 L 1681-� i' 958.31�r ' SB Lt6BM1 3005 1 GAS c 3 , y, 51 LF , . 1 _ 0 100 20 �' -- - 9601 � l -55 L363 58 L30M2--�� G57.39 957.�- L3B2 ' CORNERSTONE g57\24 , LAND SURVEYING, INC D . 78.00 ft� s3s �6 N m 1" = 100' SW '$Q 02"01714400 3145 992. 020-1491-15400 3146 LOT IS 8 Hudson 7so 0017 .r -377 96 Sr-CbIkOUNTY STA E C PLUMBERIJ TOWN OF SEC18L:,T_ AND/OR LOT PERMIT EXPIRES J •Wfbow, NO. 645491 SANITARY PE. F74 Ck" µu..-iu. M PREVIOUS NO. LIC.#-226�Q 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 maybe renewed for a specified period (d) Changed regulations win not impair the validity of a sanitary permit. (a) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal (Q The sanitary Permit is transferable. History: 1977 c. 168;1979 c. 34,222; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the Permit, Please contact the county authority. ISSUING OFFICER - DATE L S RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (Rl 1/20)