HomeMy WebLinkAbout038-1242-14-000Wisconsin 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)(m)],
Permit Holder's Name:
Franklin's Carpentry
City Village Township
TOWN OF STAR PRAIRIE
CST BM Elev:
Insp. BM Elev:
BM Description:
TANK INFORMATION
TYPE
MANUFA URER
S
CAPACITY
I
Septic
V%�
Dosing
Aeration
�4nI A;.-,
•
V
TANK SETBAck INFORMATION
TANK TO
P/L
WELL
BLDG.
Vent to Air Intake
ROAD
Septic
00
Dosing
Aeration
Holding
_PUMP/SIP N INFORP;lt`TION _
N'C nufactur r 11
Model Number
TD u
Frictio Lois Syste,-n Head
A l
Forcen Lengt Dia. Dist. to We
SOIL ABSORPTION SYSTE►VI
ELEVATION DATA
County: St. Croix
Sanitary Permit No:
651286
State Plan ID No:
Parcel Tax No:
038-1242-14-000
Section/Town/Range/Map No:
31.31.18.1329
BId6._ S-ewer
r fflf,
Fbv W"
St/Ht Outlet
==MEMO
1 FATIWi Wi
AM
Wi, A
11 PA
A
1 9 M 0 M1
NAT&VMNL,FMMKrA,
Header/Man.
=
=
M
no Ine,
Dist. Pipe
mmm
Bot. System
==go
ROM
Final Grade
4 M10
BED/TRENCH
DIMENSIONS
Width
Len h
I lob
No. Of Trenches
1 0 7
PIT DIMENSIONS
No. Of Pits
LEACHING
CHAMBER OR
UNIT
Inside Dia. Liquid Depth
1
M c r:
611WW �%
SETBACK
INFORMATION
SYSTEM TO
P/L
BLDG
WELL LAKE/STREAM
Type Of System:
.
M t(0Kumbe
�MA a 10•
DISTRIBUTIO"YSTEM
Header/Manifold Distribution
Pipe(s)
Length_ _ Dia Length
SOIL COVER
C")
x ;;ole Spacing Vent to Air Intake
Dia IN g
x Pressure Svstems Only xxJlo=d Or At -Grade Svstems
x Hole Size
Depth Over
Depth Over
xx Depth of xx SP,ded/Sodded
�x Mulched
Bed/Trench Center
Bed/Trench Edges
Topsoil ❑ Yes ❑ No
❑ Yes ❑ No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 1825 90TH ST
1.) Alt BM Description = fl, I � �oJ�✓ *We. 0�
OF
2.) Bldg sewer length = S
- amount of cover
�l
Plan revision Required? [:]Yes ❑ No AW
Use other side for additional information. 10
SBD-6710 (R.3/97) Date iUigna ure Cert. No.
-----County nit ry Permi—tAppfication
ST. CROIXCOUWSCONSIN
In amord wdh Chapter 12 St. Croix Cry Sanftary Ordinance
COMMUNITY DEVELOPMENT "ARTI ER
NTH''' Personal inferrmaWn you provide rney be us for secondary pees
- (Privac y Law. S. 1 .. 4(1)(m))
ST.. CR 0 IX C 0 UN.lY GOVE RNMEMIT C E N i`P h
1101 Carmichael Eked rt.x
( 1 ) 6-4630 Fax (71 ) 4 .. 2 0
- ®
Attach corn plete plans for ili+e system on paper not Iess than 8 112 x 1 f inches I n size
I
Count a nitar Permit # (� J Check, eck, i f revision. to p P vi of a pl I � iQ�n
i�'je
,i .0.,f a--
J3 0 #2 1 %7206 te,
SAV
I. Application Ire - Please Print MI Inforniation
Locat :
Property Owner Name
FRANLIN'S CARPENTRY LLC
T 31 �j. R 18 E(or)W
Lot Number
r
Block Number
Prope rt y Owner's Ma 111 ng Add ress
Ivb
912 172ND AVENUE
14
NA
City, 'State
Zip 'eode
Phone Numbef
SUbdwislon Name or CS.M Number
NEW RICO, W1
54017
715- 441 =8042
BELLAVISTA
it [I Village 0 T'ovvn of
li ype of Building: (check. ones
0 1 (N 2 Family Dwelling - No. Edroorns.
C1 PUblic/Commercial (describe use)-
STAR PRAIRIE
Nearest Road
TH STREET
0 State-owned
11. T Wit: �k o iir boy ors it a Pl i
i
Parcel Tac Number(s)
1,❑ Repair �ecorinection f3 Ion-plumbir .[3 Rejuvenation
anittlof'1
038 - 1242 �' � -000
B) Permit Number Date issued
El State Sanitary Permit was previously issued 651286 �OnC `� -
I'V. Type of POWT System: (Check Ic all tM1 apply
l Non -pressurized �In=-gro)Urndd 0 Mound 24 1n suitable seiI 0 MOU`Pd !e 4 in, suitable seII ❑ Mound .
0 Sand Filter 0 Construcled Wetland E] Peet Filter El Df 1p L-ine
13 Pressunzed In -ground 0 Holding TarlIK 0 Single Past D Offier
At -grade E7 Aerobic Tri tm e rn Unit R iifi�ulat inn
' . Ilis rsal re talent r Information: EZ RoU2 3 � 65 +Ce��hes
1. n Flowd
l3r ll AreaDispersal
Area
4. Soil Application Rate
Percolation Rate
stern El�`1�atdon
, Final rade
45
Require
Pr o d
(Gals /day/sg.ft.)
(Min /inc:h)
8711869
Elevation
875
V1. Tare Information
apwAty in Galin
Total
# Of
Manufacturer
Prefab
Site Con
Steel
Fiber-
Plastic
Gallons
Tanks
NAY)zkConcreteete
525
tructed
glass
New
Existing
Tanks
Tanks
low
1
W I L= SE N
❑
0
0
❑
❑
0
0
❑
❑
Al. Responsibitity SWienient
1, the urwJersigned, assume responsibility for repaifire-nnectiontrelaveryatiotVi toltat rn of non -plumbing f6r the POW S ghown on the attached plans
license is not required for terral ift repair or the installation of non -plumbing sanitation system
Humber a(print)Ili
's i at r
MPIMPPS No BMIness Phoirie Number
Plumbers Address (Street, Cfty, State, Zip cede)
793 TH AVENUE, AMERY,, W15400y/�"
'All. County Use On I
Disapproved
iven dial versel
Sanitary Permit Fee
Date 1SsLred
7 /
Iss[jinq Agent Signature (No craps)
ate r r7� i what i
IX Cond i tion s of A p priovailleain s °tor Ci sa pP!rraval: i CJC�-�� G✓�'���� � G'�'L E�� � � �/�.
,
eG b
Z, New 100P 110) +221 i 6`1�
�.� M ,, cx ie0j4Qn � JJ 5i� P I� . uQdd'�cd �, 1 sus VSec� .
y , 5I otm Bel-5 cka)-ec tc;;, "6c 'j Ili ne . M v,6 - mai 44in f' 5�+6ck. .
53 At oon 41,'h on S �rv�- PtvVsous 01P?rpvc4i att in a'�6J' LIf nropGgc le)
Rev: Y11
, g, I LTel M KOIZ, -
InwGround Gravity Plan
Index & Cover Sheet
Coff,womrd MarwW D&stn R*%mms:
n-Ground Sad Absorpbon fbr PCWTS Version 2.1 (May 2022-20271)
Aftwhments:
7601! "ILORIM� -c :111,114 129
index & Gover Sheet
Plot Plan!
Dispersal Area Cross -Section & Plan View
Management Plan
Enclosures:
lu-
POWTS Application for Review_,_._,
Soil Evaluation Report & Site Map
wrloject Name / Descripti,on
0111
,twnw Name(s). F RAN KLI N6S CARPE NTRY LLC 715 .441 - 804A
912 172ND AVENUE, NEW RICHMOND 0
lwmer Address. -- - — ZIPE 54017
1�roject Add
,�TV-. Lot* NA
o
1825 90TH STREET
1/4 of 111/4, Secti(>n 31 T 31 N-R-1 8 E or wai
I own S hi PA'. -O-T7N M-r-f-ITA 1 r% I COUW.
ProJect Parcel ID 0: 038- 1242 - 14 - 000
Designer Name: MARY JO, HUPPERT Phone: 7 15 426 1775
lzsigner Address: 25720 FIREFLY LANE, WEBSTER, WI Zip. 54,893 -
hollisterdesign@oudook.com
E-mail.
Licerm Number. 1859 - 007
IVI =v - ITT
17 21 23
Date-
Tniwr L, I s on
OM
qk \ w —.
f � Vey "t ?� A. '' �. _ _ '"� ""s _ ,w +.ae -. r .� •w'• 1 �, J
ti 1 /
do Or p
ki p % %k % . � .,,� � � ��" �t 1% % 1% � � F-I or
% R% 4r 1 do e
r a dip
R $ ikx r n
"�� O
oo
kq
r011
r. `, %
ON Or
90
+. -"
l II �yq%04F r I i I I %,
p yF L i ■a ■
{) y ykr
1p
it w
IPA A4
f & #k
0 �1 k + %
RL ,9 k
—. . r•
-ram —. �ez +4% i4
on 1 9%
%�� k.' ■
rwy a �• M - � yI� { y '46
i 1 %
% i
or
�y w y;•
� M } t �i � � � y � s e � 7 • {J
111F
..:. k . 6 y fix: 1
%r.
x
-,fix;
4p Op
1—op Op
r—
wp
a i
,."r
pr
41
qm
40 At Op
if i +�
OF
Vn3cl
07 PI, A A)
(,.c-1 1 -11 tLu-A V I s7h
Pay:
$�f-
.00
Z
+.PF
d. UO
o
dp� �.w 1 0 �l "I r
f ON
-9 41F p-
ww�l if
op
OF
Ik
00
or
F■ I %
Rk J,
IL
LN6 --a,
-RO
*L 44
N
% % 4
-b. to
%N6 A
a
RL %b w% W4 a I
% 4k
>t
qft
%
%
% %
*4
dop
Ar -L
%
%
%
bL-,4�
+46 f
1p, � Ll
1;6
IL dop or
%\
% qk
R%
A -am'
%
% or
NN 14 N- 1
ok % %IL TA do op
Ilk % N6
K) .;,414AJ
% )Of,
•
% pr
m
-rA SK wo 0
Ol/ M?r
IL fie %
%
A01
INL At
do 5
4% A* OF
or
4 4%L
4le A
df
.0 qL
dF 06 %
ar % '%6 It %
%
N
f A& z NL
�l % 91L
Wr -P W
.0 %L
OF PIP At W.6 746 1%
r.N. 't 4L
Or IL
Wr 14
LAO '46 if
% *4 \
.00, qL
a we %.9— Ao*
e mop�
*r Af 4k—
A
IN -GROUND GRAVITY DISPERSAL AREA
Stepped Elevation Trenches with EZ1203HP Bundles
3-ft Trench (down -sizing credt)
Lmin., 120
Geotextrie
SOIL COVER C•
ov"r Jr -1 1ti
It -1 Oyp Cal)
DR Ali. -b
mio, 'rench
-4C
(typl-�al)
t k L; ) M &i i-1 -L i f r-i IL re F
Septic TanK(-.) Volume(s),
1000 al a I q al
LE:ff-Ajent Filter Mani.4,�Kfti3rer
POLYLOK
Effluent Fi'i
ter Mea
o,.-j,E
TYPICAL TRErICH
CROSS SECTION VIE
(No Scale) 1
Highest- Trench Lowey Trench (as applicable)
System Elevatilons - ft: in
TYPICAL TRENCH (Show location & iniet outlet pipe connection ofl plan view,)
PLAN VIEW 4 11 0 Observation Ppa sriiwl t* insulw
at Jun cti or. 09tvmen two units. 10 ft
(No Scale) Perforated Lateral Observation Pipe �typrca
(typica 1) (ty Dica; j
B= 65
hv ry rz 11
Provide nninimum 3 ft
separation between trenches.
OBSERVATION PIPE DETAIL
(No scaw)
ft Screw -Type Gr
Finished Grade
$110 Cap (100-;G)
-iulched & seeded)
4L-13 PVC P'p@
4-
I o psol I Cover
Top of pipe to tarri-irialo
(min. I fwf)
at or a hme f in ished
4 voo
114"-irr x a,, sints
90 apad
Archon— Oev'ca
irfiltrallorl
A= 3.0
I
INSTALL PER TRENCH] 4 Z) Ur U r- U / U. I L rl = 04%2 r 1 EZ1203H Bundle
643 / 50 EISIT 12.86 (typical)
T , -_
I 0-ft bundles @ 50 f EISA/unit 300 ft 2 OP 13 UNITS X 10 F , (mild by 'nflitrator Systerns Inc
130 FT,fttai' oijr.g-iant to rnenufactureT's rnstrixton:s-
j 12) 3 FT. X 65 FT�
+ 5 -ft b und ; es a 25 ff E I SA/unit 25
Pr o E I SA oar trench =
Roquired Infiltration Area = 13
x
trenches
Proposed Total EISA 6
Distribution Method:
branched manifold
PAGE 4 OF 4
In --ground Gravity Management Plan
IMPORTANT:
Ttte aww of this w gmnd shall to re for rts perpetual i'nain#enance pursuant to
requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383_52 (2), Disc. Admin. Code, this system shall
be considered a human health hazard if not maintained in accordance with this approved management Plan.
Furthermi�'e, all inspection and m rye shad by as m
accordance with SPS 383.52 (3), Wisc. Admin. Code.
Lftifts:
Des4n Flow _ 450 - 5 "C' TSS 51 50 niW, FOGS 30 nig l
in EMSP'EC T EVERY 3 YEARS
o type of use
o age of system (ire. ofts, user complaints, etc.)
o mechanic malfurction (i.e., pumps, valves, switchM floats, ML)
o material fatigue (i.e., lea breaks, corrosion, etc.)
o solids volume in treat tames) and wV dsliftfim s) (i .e. , disi lbutm � des)
o neglect or improper (i.e., ICcIII eding design es, prohibited ac tivitim etc.
o extent of ponding in dstribution gall prior to tang
o dosing hTegiftrities . if bje (i.e., pump re -cycling, f oat Soh settings, etc.
Ma+inienar" Checklist RAAiNTAiN EVERY 3 YEARS (or when necessary)
a $�tlg and dose isnkts) 5ttali be iwmped by a Certified septage sewiCing operator licensed under s. 281.48 Wis.
Stats. when the volume also in the t�rtk(s) enceec� onehrd (1/3) the quid volume Of the tanks) or
as reWired by local ordnar=_ Disposal of sha!1 be pursuant to NR 113, Wish Ikinin_ C.tade_
o Efltuertt fiiterlS) shall be inspected 3 yeffis and shad 6e leaned when necessary to [emvve any
aocumWated solids acaciittg to manufacturer's 5pecifirations. A servicing period will always be greater than 12
months.
sys*m m ee reports sM11 be aubmINSMA to the proper kx* v+ennawi t un t #n � Wfth
SPS 383 wtsc. Acknin. Code. Report any �n #furs to:
Name of individual or company:
BRADY UTGARD
uxw yo„61111e„,,,,;c ST CROIX COUNTY COMM. DEVELOP phone,
ftl ► ivy: it unit address:
HUDSONv WI
715-760-0946
715-386-4680
ZIP: 54016
Any defeo ve part of this shad be repaired, replaed, or removed pursuant to SPS 383.51 (1 ), Wisc. Adndn.
Code. Repair or of failed or rta#urcfiwwg comiponents shall fly with SPS 383,Wisc. Admin. Code.
No product for chernkal or physical revraon of the POW'TS may be used unless approved by the deparrnent in
ao dance with SPS 384, Wisc. Admin. Code.
Cow Play
In the event that any failed treabnent componetrt of this POWTS cannot be snap be re�+aoeapursuant to
a plan submitted to ft appropriate agency for review and approval. A failed in -mound cbspersai component may be
abandoned and teplacad by a Dods-*omQiying disper5ai oompon�t in a pm-detenmimd area of suitable soils.
Svstem Abandonmsirt
if use of this Pa'VU''T'S is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
91 . .. � . ,..
d
r "[y
mod'
�� 1 t �� �' `�'• � . mod— _ ,_ . ., .� ._. _.._� i � w� _sue --^,._. ,.Y,. _ . . _ ..__ ,.�, n
San!Perm-itApplication
y ! 1y
%f .'F 1 x � � , � A a '�. o. c M� J.� . � �d n � ,� . W � �+' � 4 �
. �.. - ' n . � ^ ..�r•• �hil1'� i !'s.'h�+ `.' d � , . .. + ' ' ' � '' �iyti: r h, s.a ' -'7P . �; +a „' .. •a. , � .�. ..�...,� �--�
4 yl ��.1�- y- 1�dd" rN4'I� iN`W ..'K °"� iil �' °�,, �4 h �p �i� .• ��� .� .. °��1"I��,
"1f I.�1VI %fNN rHLi44� "Pik"n - d .� •i w
99 y
t 9
�.. vrr �'� N �1�1•�7!®.��^S�'� A^ 9q. n.�,i * '��Yy�k � I�
i
At M
r a A4__
or Firm N nmoftg - -fir € i w A P14 �N ^
f
LJ C Eta
I 'Type, of rw mid. It'laic, L. tMov JNWL barti es low A. sompk4f, IkCA bkc
yJ +•■yr+"�y ■. �,�d�. 10 ■� q qp y
"� Ain I ..._,� • a . R � dl ■ Ai �l� � 1 4 1
0,
il, t P, h e 7 1, 0, OTTK br7cT" 0 '44 .2 R j,: -C If 4M
. _
RAW WW6(0
C-W
...
- L
i
• w v "' W
°
^
1
r # d 1 �' W A+ v. b , W
• .
°mod _ _
d• � ° ....''"r'" '",,,,.����.;aP' a cuk
,i
. ...... lvjwuw� aWLA. liillllA&AM4&
■Irw ti. +rwgd *=A "Amm" &a W6v I wmial't s—ON "s 0 44"r w4 ,,. +1 � # � T I �
S. CFile #:IRO UNTY SANITARY SYSTEM Office Use Only
OWNERSHIP/ADDRESS FORM reated 212021
Ccorn nILJFIity Development Department will Utill7e this 11'401111f-At'1011 to Provide tie property owner wide
infort-nation regarding operation and maintena-rice of your new or replacement sanitaiy systern , This
information will be provided as part of our angoing efforts to protect public health, your well, groundwater,
SUrface water, property values, and county reSOL]aces. Once approved, this completed farm and educational
information w0l be sent to you by email. If YOU would like to vlew your issued sanitary per mll ofilirye, you can
do so by using the Property Files Scanned webl-Ink-
0v-,rn(,',r,/BLJyer
Vla,Tng Address
City/State/Zip
OWNER/BUYER INFORMATION
r �u�U �, Aim � �rP'=�' �, l—1,CJ
Phone NUtinber (required)
Email Address (required)_L0 6
Parcel Identification N'b�nber
(fowid on the property tax bill)
t, I
2M
NEW SYSTEM: LEGAL DESCRIPTION
Property Location 4 1 L 1/4 , Sec. TJLN R W, Town of
SLjbdivisioni Plat: Id �j 4 dot#
Certified Survey Map # VOILP-ne Page
Warranty Deed #
Number of bedrooms
(before 2006ftlume f Page
Spec use 0 yes 0 no Lot lines idpntlfiable 13 ales 0 r�()
OFFICE USE ONLY
New Property Address lq2
� 0� 5�
(Verification of new address required from Community Development Department for new construction.)
�% l `7
Z�
(Staff Initials, (Dale)
This form must be submitted with all Private Onsite Water Treatment System-) (POWTS) f7pplicotions.
N ew System: It) chide with this fo rm o recorded worrari ty deed from the Register of Doeck Office ond a copy of the certified
survey me if reference is made in the worranty deed.
Conir-nunity Development Department - Land Use Division
715-386-4680 St, Croix County Government Center 71.5-245-4250 Fax
C
C.dd - S C C Vvi-9DY 1101 Carmichael Road, Hudson, W154016 WWW.Scc W1, Lo Y
as verizon LTE 5:47 AM
i
<
New septic permit 0 �/
James
1170291
"if" Peou f
IF I * I * of gorrAl
COMONOW" %kAM&W
5 - I Co-, UR
arc t, too 14MMM
3C.&D """ Somm"M
i "BOWAM 4��,
oxx a* a
Sm
"10 M 40
"o OW
WM%Of OWPOW
W 'I o dW jr "I"- ir, It i Pr h,
1W ojjjjFjjft AW
INOW P1 r1w % IV low 4,
or
%.,#Van Am -"W XAWQOqWj*' T WodM dp� It ANINOW @EEO=
A
*I 45A-
--ps UP WOROW
Irdow" 96 ^Wft .11 ijes Cow*#
COUPOW ft"Prov "qr, 4,0 AIRWWO is opoo Pleaftsoble in %W 000� so* ow W* 'OPW of
tAA& &A
-1L.W. ALM ANIJU
F— -
r�. - jv�, o,ft, Oftoijo IN* 1- 6 WWAWAW
*T %W%Mok* OF S* W"W10- on"
MOWN. jkoo
1 A�4 OfA 1 0& ra-�
a.
411
STATIt fW *'1lW.fV4%RW
L
vviotondlo WOW lWoWt,
MOW @MgM3kftll 9 W'
PWAREFWO ON OVA oftft dooWlaw alop
Alai%, u9
<
&
"OIL EVALUATION DEPORT 58, 20Z3
Attu oompkAe sft pbn on popm no ion Om 8 112
x 1 I Wwhm in skze. F ffwM wK*Ae. _
bLA rmt Wnded W verfical and � � p �). pw� 1.0,
scale or dwmesKm rorm arrow. to nearmM roM. 0 -1 4 - 14
mM WhmonuftwL Rovwavd byaWty f
Loca6m 0
FRANKUNCARPENTRY LLB
Propmrly Owns Mmift Addram Soe Addom or CSU mW La 9
1 17 NDAVEN
(26 �
18 TH STREET: LOT 1 LL VISTA
TA
` . Zip,— . _ . _ Li Cfty 0 V*We EXTomm N681W:RWd
NEW RICHMOND, WI 54017 71) 441 - 8042 STAR PRNIE 90TH STREET
mxrtw oe mr. 3 Cade dWMW 4.50 cvpo
Dent materW- AN DY L � .
2nd test conducted to rncw site
CONVENTIONAL IN -GROUND T NCH .7 LOADING RATE
- I sWv.
8.7 .
[ Sod AwWM*on Rate
..Y...j
1h-
„
i R ■
■
M
■
"
{
NMI
14 n nf"'*
Qft
.92 fL
I
-...ul
,r
r
ANh
.
`I r0,2
M ,w
.
1.6
�.•��0.7
{
CST Na" (Pkme P6mt) ::T
MMY JO I- UI I ( Ii t e3 SoN meting _ L„ 224832
T
70 Firefly Lane, Wr,, W1 5489 1 -1, 71 - 26-1776
O ( )
FRANWS CARPENTRY LLC
3] &ofta
.1
1 orb,, 1NTA
'+
"
..
..�,.
v 1
IiIiI
ml e
-Fc
GPDIF
CoW RedoKw
.4,%01�ra rstMAM A 1 i +Cis S ".M"1I` IL: Tom" "
Pft'"f
M43HT Or-M I +d s Tcp 'rO ~T u Ir8 IJI�F if 4i.
FWM
'4%* 26 PEE T CAMS tO 1EA TI+� �. - do r
TO FT 'or SIDE IAI 91RUCTLpf __ �+� t `' am (comer4m do ie A?
'� f',+dF,' to r� f� , s € l r
# it i ' NI Joe .� •, dF i�'
s
OF
40
do
do
#Aw r dr Afell
eJul jo
too
if
I �
�y I L
` ,,
.00
Nj or
IL
OK 10
lbk
i
oor
if
� -!
.01
Of
it Or OF
+ ` OF 00 Of or 40 or dP or OF if< T le + f r
R � / 3 OF ale M1.
x' of.F HIV, .� h ti b P
# f 4wdo �
�
e f r
I i 1 I J {
s 40 ...T
ol
.000
ILI
40
op OF OF
,'r'Ri,i.`•i� � N.
.- ��.�'' E_ �; •4�� � �� �� ,ti
1 i a +k Rr ..z as a r rF I• +_' s af ' y } �. { y. % 14
s }
1 08 ACRIS OC
!lei
W-i
3'45 E
)o
S89 i E 416 17'
r cc
is
P7.
878.0
'v J,
N Ln
S89'616'50"E 327.59
U.--i
Ft N 44
S top
14
bb,082 SQi PT
I.f)17 ACRES
-
L LB -
FT
tEs
i4.0
%mol
lot
>
<
fic
mi
COUNTY NO.65)7-9/e
..... ........... ....
.. .. . ........... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
man
EITRANSt'Eitiic�.ii r �x,�L
OwOWNERi-#rlanit�op
�n`sC«.........................................................................................
SBD-06499 (RI 1/20)
i
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: 1f you wish to renew the permit, or transfer ownership of
# ca authority.
t e erm�t lease contact he uu h
permit, P ty
ESSUING ul"FFICEIR - D""ATE 0
..... .....
U-MM'' off a
N
InduEfty Services Division
I 4DO E Wash ington Ave
P I . 0. Box 71 b2
Madison, W1 5370-1-7161"2'
Sanitary Permit Application
n, 0)
In accorclai4cc 'L� fth SPS 38.1'r-1 1(? ), %V1,, Adin Code, whmlssic�ji )T- thf� fciTm to the a�ppv-op'
It) UhtJinln -1 5 aP I I ary [ k. ni I I. I N t)je - Appi 1"t cxl Co rni s for nc d P0 �V S .1j tt-ctj lk�
I i I �-1 D413 I I mt� n I o f S afe rL xi d Pi L,.:; -orial Sery i ces, Pc rsmal if0
n - rM at
Ion Vou Rovide may be used fix- sccondary
u i pe s 1�:s i ii a,� co rtian, cc m i I h th F
L-1. 1:11fiv 11C
1. Application Infarmation — I'licase Print All Information
V- 4e? Y11
r� ne rty Owrwr's N-Ta I I ing Ad&css
TTI F
San; t ary 11'em it Niunher to b,,.L f-i I I ed i , b CO L)
IR(
�'It/-20
store T T a 11 -- a,: i. i ) n NN un*- c r,
Project Addrtss i- difficTent �hmi inal ling address
92
Ty-f C
payccl
000
1 PrOpWy Lociation
Goo- Lot
e ul I oil
(C11'Cle
T I.or
NuDcli'% ision Nar mL
r J A
Ll 'lid- of
V I I 1aae of
T..,r bL%- i i i *F
LJ 0 t h�T N fad,i ficat iton to F- isl in 2 S % � te ti 1 11 c N n 1, - -
bi:,-L PfciloijPemiii NLVO)i�,- Mid Dail: i�ipptwd
y5tem-1C o m pone u ty'De N" Jcc: (Check all theat
- ---- — �i R 2 1 'V
7 )
Sri ploy III-UTOUAII Ai -Grade Mound > 24 in- of suitable soil L1 Mound < 24 ire_ of s u i zabk- soi I
Other Dispic-r3,al Componew (c\piain) El PrCITC-atmew ncl icc (C Ap!z]An)
-1 F
Dosing Chamber
Ll
Ar 11. Responsibility Statement- 1. Otte uRdersigned. -2ssume respm-tsi hitfity for lustallitfion of the POW TS slivii n on i fic .2 tia -c h c 0 pla 11
"P1 u In ber's Nanic (Pr i nt)
Wi) Sinn, XTRAMPRLS Numher N%114C NUTOU:r
YN:
-3
1111111nbof S Ad I -el (St r% V City. Statc. Zip Cod
---' ik t �-Si
3 e-- __J --,�
0
L
WIL CounnL-/ partment Use UIV., -J
Femit J:L-C -pent S -it u rL� Approved FSOPPF D T ed ksuizw, AL n4m
e"tso nlial S 57 3 St--
�Vnl. EV Condifiopl-� Qf(;,r%pTPi'()
SYSTEM C'-'14ER-
I. &2piic Wk, Ment F,- i �-,Id dispmal C61
Most tN.-sffvcjad f maintained as pef
mnsgffreni pbe pmyx° d by dumber;
2, M 9124bac* "Pjixonent5 musi to mahtalned
as per appkaCcAe I ordinanm
Atlich to compitne ptaus for t* -v%-51trn and sir mit In tive 0iont% ov1% 4vn paper rins lts,5 than'-i-T-2t 11 iwkes in sizc
j' 1�-I = ion i
1/0 5-3
COPY A) ��1 � �3� -row
T1,���v-.z
io3
m
CONVENTIONAL I J T DESIGN
Residential Appikation
INDEX AND TITLE PIE
J
a
_
L.ct Numbe,
Parcel ID NumbLC"F'
Page 1Index and btl
page �. Plot Plan
Page 4 Filter
Page --maintenance I nforrnat'i n
Page. 6 Management Plan
Page t. Cron Cty SepticTank Maintenance Form
Page 8 Warr Deed
Page 9 r"Sm or Plat
ftahment :*Soil Test & House u P l r7
03
Date. - r
Signature
•
Desmyied
,wsuaM to the IrV-GfOUW ,D,,1 Atuzjorpvon cc rT,por efi t ma r7 era i l o F' �°r T ti: � - i4 ' . D-10 0 -P (N()1101).
Page I
j' 1�-I = ion �
1/0
/c7zl`� '��3�=1on�
1,���v T 1 =C/ i:y
io3
m
rw Cell EZ Flow InspGrouno Dispersal Component
%.-.ross Section of a
14 imal Gt ade
+P
I A, L-f. Obswvatlon Pipe
JellP[)-AjI9 tQ11,
44 POP
Fab*
A
I I I F I ev t I
COIJ-#3 e
. . . . . . . . . . . . .
+
Req ti'l i i s pe rs a I a re,
D e sign I-'I(.lw Loading Rate -jr 7
R qu*red dispersal ra-rea 6 50 (1 -ISA- (mimber of units)
e i
G ea I e x.Ne fabric in ;neet comw 84,30(0)(q) Wis, Adm. Code
Mimmun i of 12" of rover over top of ce-11
I,uvo observ;i0mi/vent piprns it) be lircovid P-rI ppr c -11
Nf)t I() Fcrnkn-
r-/ C ,PII ft2
Cell 01 Cell #3
S y S to I I I I' I e v a t i O,j I
Tir
%-- it -- System Flevalij, Ft
J.Final Gtadt
q I C71 -r-] r
13 X sG - �.s�
pp
r Y�
Eat !
F jR r r
i +
A v1 OUTLET PT
Y•. �•!# ya el 'NCH 40 (J CH Q '�• ..
}
rJ �y P
4
r �•
PAY
arm' •*••�.
-
!
M
9
s�
'L-525 FILTER HOUSING
'ART NO. - 30142-52-5
A-rE R I M--:
HOUSING w POLYPROPYLE*
OUTLET BUSHING - PVC
6.5 BALL - HOPE
_ � � .. ®. ., - - - - � •t,-.-�.� _ �... �.. a �. � � , ,
5A
5 i■��� �e 1 Fa � 4 T1'4�T fM�■�a T # 7.
i ! i
d ,rum M wu
P
! c
!
-+a r- ���9� - _-"�'_=_-ese. 11 il•!e5 .�
i ; a
<._ ■��. tS] a*P'■-Ta �. _ � _ v.%.+lR'.-. �'�+F�l iE.a e� sn. 9 - �-ra� er+�,�as � - - _ �i/a�':�
• i
r !8r� . � !
t P
1
1 ,
!� It,
I! 1 H � jr
4 •
i
r
PVm4'VV "S OWNER'S MANUAL. & MANAG PLAN Page Iof -20.0
FILE HWWWATION
Owner
Permit #
DESIGN PARAMETERS
M mber at Bedrooms
0 NA
Number of Pubec Facility Units
J NA
Estimated flow #average)
gaYday
Design i flow (peak), J Esftated x 1 -5) 1Y40? L7Vd
Soil Apprcadon Rate 7 gaildaytw
Standard Influent/Effluent Quay Mo:r.171thiv average
Fats. OR & Grease f FOGi -<30 rng L
Biodwnicad Oxygen Demand (BODO -5220 mg/L E3 NA
Ta LW Suspended Solids (TSS) sl 50 mg/L
retreated effluent Quar" I Monthly average
Biochemirai Oxygen Demand fBOC61 <.30 mg/L
T otal Suspanded Solids �"SS �3� mg/L JE NA
Fecal Conform (goomenic m ) :7 W aut 7 oarni
Maximum Effluent Particle Size X. in di a. 0 NA
Other: iA
a
*Values typical for domestic ►va wirer and sew tm: of fivarr,.
NLANTERANCE SCHEDULE
SYST CATKW
Ssptic Tank Capacity
���
gal C3 NA
Seic Tank Manufa =rer
0 NA
Effluent meter ManufactUa w
0 NA
EfWant Fi tar Model
l
c '� E3 NA
Pump Tank Capac4ty
ai 11 NA
Pwinp Tank Man
11 NA
Purim Manufactmer
0 NA
P'�rrr�p Mode! �,�,,;,
CI NA
Pie 'sarti nent Unh
0 Sand!Gravel meter
Me:hanicai Aerr w
13 Disinfection
E3 Peat FZter
0 Weld
M Other:
;kNA
is� COWS)
4K, In -Ground (gravity)
M At -fie
C D.'4)41ne
11 NA
13 In -Ground (prmmLuiwdj
0 Mound
E3 4„dw:
0 NA
�-
J NA
"~'
0 NA
servke Even#
Service Re quency
lr�spect condition of tankis)
x
� At least vncw every:m(Si
y'earl ) (MS y�l
0 NA
Pump out contents of tankisi
When combined sludge and scum equals one-thW of tannic vale
0 NA
Inspect dial call(s)
At #east once ev$�:
rnoarahlr� 3
� Yes}
0 NA
�.ean eff art f`ia'
€ At i once eve
� rDDRt[3�5�
0 yewis)
0 NA
inspect pump, pump controls & alarm
; At lest vnca every:
yesr�s)
13 NA
st
I$�C�S $�1d est
pressure te
} fl�
At € i�i�t once
12 �nth(S)
El yawl$)
13 NA
Other:
At ieast once evey:
earls) si
E3 KA
..
�.
r
13 NA
MAIN I HKANCE Ci IONS
In of tanks and d'agmsel ceUs shall be made by an kWMdusi drying one of the following licenses or certifications:
MasW .` Master Pkmnber Sewer; PCwTs , PCikrrs mabitaaner; Septage opwatar. Tank
inspections must include a visual inspection of the tankis) to 1dentffy wy misses or broken hardware, kkwr tfy any cracks or leaks,
measwe the volume of combined stage and scum: and to check for any back up or poncling of effluent on the ground surface.
'rho d- rsai call(s) shag be vhaft stied to check the affluentknrels In the observaiion pipes and to thcomllank for any ponding
of �t on the ground surfaoa. The poncOng of effivant on the ground � may kwfwate a
rnrnedi no�#i � and requires thei
con of the �
When the oombined accumuiedon of sludge and scum to any tank equals cane~ -third (33) or mom of the tank volume, the empire
contents of the tank mil be i wvwved by a Septage Servicing Operator and disposed of in aoccrdawe with chapter NR 113,
Wisconsin Administra0ve Code.
All othw varvicas, but not finked to the swv1chV of eMent Viers, rnac;hwk:W or p, 89S-ownponeffls, pretieabnmt
unlm, and any servicing at ha"INMull s of :02 moaft, sui be pW-1fi 4, by a cerdfaed MATS Mailmdum.
A ser► lce report shag be provum iv the kxW regulatory authoft within 10 days of =nplardon of any service event.
Septic -Dose Tank Cross Section And Pump Pons
TIC) 11 k Man u fac t u rer
I'ank Model Number 10bb
Total 600
L1 . Bury.Deptl'i
I —
Filter Mari u facturer
Filter Model Number
Minimum, Pminp Performance Required
1: t TDY1
Pump Manufacturer
Pump Model Number
Alarm -%lanufacturer
Alarm Model Nuniber
SwItC11 "rype
-ToLd Dynamic Head (TDID - Feet
Elevation Head
Distal Pressure
Network [.oss
Force%Liin 1,,oss
Total
U
Duflet Manhole Mim 4" Above Grade With
Locking, Device. Wet Manhole Nlaiihole Min. 4" Above Grade
6" Below Urade Seale I Waterfight Securely tVIOLLIWIC-d With Locking Device
d
Weaffier-proof
Junction Box
LFinished Grade
=milt dmft�=
ftm
Deptli o f
(11 Vent Min. 12""
over Above Gi,-ade Disconnect
V With Vent Cap Means
57�
Outlet
Outlet Filter
Inlet lnlct Baffle
liv— 7
A
Switch Settings and Reserve Capacity
Y4"
1,-Ink Vo!urne
q17Q� him= Weep
Dimension Inches Vol I [Ole
um-c Gal-.
(reserve) A
Ic ft6m
7)6 16 -3 3
9 (alarm) B 2 Off Elevatic)n
+1
(dosc) C 1"' -r
16
(dead) D 1 i Bottom
Elevation
Total
t
. L-O� C
>
3 51 51 1s t1 4 4 4 e 4. C C C 1 4 4 4 4 4 Ic
3' jo N 5
GENERA.1, fNS1`AL1A110N: The septic/dose taii,k Is bedded and back filled in ar=tdance with the
manufaeWrer's prod kict approval specifications. Maximum depth of bury as specified by the manufaclurer may not
be exceeded Nvithout prior approval. Manhole coveirs exposed to grade Iiiave an effbefive locking device (padlock)
installed. Piping at the inlet and outlet is of appmved material, connected to the tank with walerfight fittings, and
laid on stable soil to prevent settling or sagv -, I I
ing. 'The. force main is sleeved with 4" Sch. 40 PVC to bridge the tat k
excavation and the sleeve is sealed watertight. E'lectfical service complies with NEC 300 and Comm 16.29 WA'.
02/05 U Page of
��GOULDS PUMPS
APPLOCATOONS
Vel Ifl. ally lipw4ned for the
' ff u(£ nt
41
4)+ at rrrt+y
SPECIFICATIONS
04k h,in[fling capability:
• t ,j�at#� ft'��� uP to 60 GPM,
UP to 31 feet.
41 Di h, m4p size. V12" NPT,
seal' 4cafbon-
�+ f; v, £ r •ratni(- statiomly,
L
• 1 fsrl'F}ICr'���fi1-
} continuous
#_0 [-1 intermittent.
10#0 sehes
to
�ol�r
r �t1� `,trts�; Pads. 4 HP,
rr 10 V 60 Hz, 1550
" M. built In overlra=id wr#h
s PO5 �Iflgfe Ph'.1w D 'j 14P
#lo �11,
r
with
`rI f Y}% vvgt -,, thrptk
(jr0ttrldd►1g PIM] 1)r)t#()rl,ij ){-!
• FUIN submMo to high
grade Wfbilli oil fQF
#ubdc,ar on and effkjent
heat transfer-
AvaW41W f w ' f
m and -
ma* Modes
Medum" Pon swb*
assembled and preset at the
factory.
FEATURES
■ EPOS 41KS-
tic semi -open des* M;;b,
PUMP Out vanes iOr mechanical
seal protection.
Submersible
Effluent Pump
EP04 & EPOS
Series
0 EM5 Impeller: Thet r �}t#plat.
tic endosW design V
imprOved peiformant-t•
■ Casing and Base: Ru{sgc'd
therrnoplastk design provides
superior strength and : nrrr,;%� on
resM,3n(e.
a motor Hots�ng:
far Pff-i-nent heat transfet
strength, and durability
0 MvtOf COWer. TherM4:JJAj5trt,
cover with #Rtegral handle an(j
float switch attachment points
■ Power Cam, Severe duty
rated oil and water Fesistant.
W Bearings: ljpf)tAt .irltl 1f,,�v3,;
heavy (ItitV frail hP ifinq
t. onstrtjct€nn
AGENCY LISTING
C.ar�ati� 5ti�1[�.11rr* AS �r x >attf x!
F4P # t R iR549
100kK PuWrwo- K NO ")1 RogiNtef �41
METERS FEET iy
4 r
Q
y EPOL,
E PO4
f �
( APA( IVY
'A � oe ('07
6(x II( IL, h 11 I II.)",
tT T �� t►ti r;#;
!l, °07�
-
STE CROIX GC�,)LJNTY SANITARY SYSTEM File 4
I Office Use Only
OWNERSHIP/ADDRESS FORM Crea red 212 027
L
[T) H' U I
C DCv(zd()pn--ic.�,nt Dep(grtmentwill utilize this information to pi-av [lie �%i
I)-)! I I., is
�c) I] rey I." fi:).� 1),2 ration i�i d ma riteria nce of you r new or re: ) cernen t rj _.:�j y
J[, grOUndwater,
1,F7 k_
of our onw)1119 effort,_. to protect [�H":"' Ik
-)tv r souri-es. -0v'_
11'ty WdU( 1 0 LJ i e L ppi
111it -an
i t, t c, r i i-i a c) n wi I I be se n t to i h v e 111 -i'l, II %i U L.1 (J% I I I G' t c y lied "H'YOU
view
dc-'! so k-)y usilig the Pr erty h
I weblink.
OWNER/BUYER INFORMATION
Ovmer/Buyer -rrQki
Wiht-lg S
L
. _rr . y
L2 2y oi
407
I- 1-1 -),3 I I A dd, r C, S 5 (re q U i red) 0
0 P 5 OL Jl(��4)1
,-ltIN im er .-0-
I I I y hill)
NEW SYSTEM: LEGAL DESCRIPTION
-.%erty Locatk
I' C. n 1A 114 Sec. J_s.7 N Rj/W Townof dY rc� t
pht, Lot#
Cei'tified SLIt'vey Map # 0 volLime Pclue
Wairi'anty Dee%d U i, ".1 2- 0 0 6) A) I e
Spec h(Ai'se IJ ye� 0 nc)
Lot ident'fire fl() 1-1 yes 0 nc)
OFF ICE US E 0 N LY
0
A-ddr(.-�s �5z
1: -iw�)[ f(,,i- tie,
I d
I ment Dcpaor Jim)
t
L
-IbT[� is '1L. L eS 4 fn VVe- '-S',
' l7"ufi ttIVIutjD(.L VsI A/T tuIc)!
N e S y s t 41 e.,Y (l(i wo Y r on ty deed ftoo-) the Register of Deeds 0 ffi c 6., a i � d (7 copy o f ti i (:,i
V:�V!Jnly cleecl.
% o -nerit Del lci i'Ll i i(--,; it --i mil Us;%_i 1, -)Ivl )'I Cfl
7 15 - 3 8 (0--) .4 �t 3 Ifni, S... Croix 15) - 2 4 5 - 4 2 _�) 0
c d clt @ s c cvv cj o v 1 Ca rmi'l c I I R. n a d, H t id s o n. vv 1 4 1
vv1-vV/'SCC sov
as Verizon LTE 5=47 AM C� �
50,
New septic permi)
I WAlUkAh" MFX:D
r�m EMED. not* bo~
n�� O%ewmft UX. a Wkwwwim Wnftd b*Wft ow"WrY
(,"Coo p -'r, r who" ow w vwv� Wid
F # ,, ik o , ��� LJLC, a lqrMwMqwpwum Ohl k"W be" y
C. I - I ow a vskjaW, om�.. iwaWn. convep to 10,90014W mm
a I MW t4lplw, proft. rwft. wd cow ON um 1 rl m r1ol blow " , 4or
lopow jo d - " pkwmw
1170281
NTH PAISST
REGISTtla OF P990S
ST, cjtc)lx co-o wt
RECEIVED FOR RECCOD
oaf" 12 / 2o2 3 OW-07 AN
IL,XIEMPT 6:
Rac ru 30-00
TRAJIS "m 22500
PAGES, I
Tm e abo" recAog"w 14, rorw^acmm
if he a that tw bat
Im,tm e4*ctroulcoft 4 *Wed
arAdurmw to ow -- -
gocoTl" Ar"
�A 16
-Lt (I" ALIS''*Wtl &Tdo CO., WW,
N K, -W�os A ve SP OR
030,1242-14--,,,O
pry bs W WI Note P1 lopomy
LW 14, C4uft PW of Beft Vl%ft in Ma Tow cg 9W Pmf*, St CmA -�j�4 w Ocbn& r,
C"Vw "Im"Wo ow to mw to I* Rap" is gmd. w "Sla"d'AAf At 4tAkl!eolefW-"
I, 'D - 4 J., "lf
D~ � 'm - - + lo...
LOIN
JOIDW
1p.
AUFH6NT"TM
00-a NOM404 LLC, STATE OF WMCONM
bmwo Ima Oft omm" mWhwtocabod an
p9m" corm 1, 6 nwr to 'lay 4
ft fftAlrE &M Of WtS(L "J#t"
TrME
sh ortad by Wia BRK i ?W.,W) 10 me knwAn to be VW
IN r Ps WSTPRAWW ORMTED We
I icko
OWN cowwAbwv-
K, A%*,
(if FU* sts" *11*lkdam
I--- mw be .., .
St r�rw CtKm I I 7t2ol NO I & I
Till � G� C�
44
44
#
47+� fly0 13 13
DEFT ELEvATION
PRONT ELEVATION
'a <sWT ELEVATION
*CALM.
L;
d
Wit
Go
U
Lt f[rw�i
r23-
WAUJ 5L
Olk TOP
CS-wsp M,
c.
14- Ix
m.
PoprFAL Fk
7'
rA
fins
W3
TIO,
\
ili 71
MAIN FLOOR WALL 5RACINC2 PLAN
a—L-5EMENT WALL 15RACING PLAN
,MD. (Q - WO)
AND OWX "tW f$W. 00 ',-,vrO W4FtLr %CMW
MNO WAOSM WIG:- -i
999JUTUX DAUL
WALL% Ro"RTW Ote .10:)p A0 mil"
iAVE tO CDW WOW - LY ir
Aaj Tk, (y !V-*-I
A4).11 -4% rA'Afftl,p 14r r* W4-t
;4RWr1ALdl -'I! Lir
S".
PA
444MI =( L ROV 1,
. I. - .1 .1 - '*In Irr imlywiftL lm"K= gmw is
Wj' -1 3M. T-if QSQ=D GA_ACM A"oUpkT
4fCTAmE&=shALx
'LWM P. �4 e JjC" Mop SM
MONRA
-,r-r wA= ktALL F*M Lipto
Isl R.
po- o so-
V
aO 7116' -.Vt -If I. I I.Ml -OP4
rWl k:�'T
,, _.�. _... t
E=l
6�l
ML I OMER'S
r-rmkM Carper" LLC -
I m 9" %reek sw Pra** VA
.1
;�i
:F=& &AMNOW lw4P4~lw4mFPwm NOW
JVA"-�W OF -w%#
I"
m
IM3
E
C
SOIL EVALLJ. .1(�N,;�,El CIRT
D�V*-*'-' 0., 'SEt Page
rr, BjZ, �jVfS. Adrn LZ �Ylr
/6%tLS&� MmOet6 s hie P! 51, ar. a W 1) ies 3'n m
Usl
ilMlijde, burf dL re e,.,et�
ton and
,
percent stopescaie or dire', 6-si-�)n-s, norr armw. rgC, a. parm
location and zPl
P
Flea�C-o Reo-ewe-j
y,-.,u p-cwick ma, t* use-' (CW Date
DA
b
Propely C>*-,)er
P LocatlV-
T
Property ow-ow-'s maj
�21 JOY
Lcl( V ar Csh#
cry no�-)a Number
C C&Y Cl A -I Town Beres( lage -e s( Road
4rz
C) Cods; deH vad d esipn 5ow ra,L
r. if 3ppfirable Alw/
I-
olllv'�
A-t
sn
L 't
Pit Ground surfac& else'. ft
4
1 11 " 2 C t h S Bevy R -,C h rn o n d'. V'Vi 5 4 0 17
System Sevc-abon
Depth to fimitng lraecrci,
/ boli irl,
Denth to lim�hnn farinr / 17.'�%7 ) in
Diatis Evaluation 'onducted
t-;2
Property Owner
Boring# �] Boring
Pit
Parcel ID #
Ground surface elev. -712ft. Depth to limiting factor in.
Page . of
AAA Annlit-Aik% - Dim
Redox Des c:riptim
Structure
. . ............... . ..... .... .. .............
MMFA����
MR-Omm-0
�.ffl�1'J��MM
M
MMMM
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. ,
Soil Application Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont.-Color
Texture
Structure
Gr. SL Sh.
Consistence
Boundary
Roots
GPDM
*Ef #'i
*Eff#2
Boring # ❑ Boring
❑ Pit
Ground surface elev. ft. Depth to limiting factor In.
SW Application Rate
* Effluent #1 = SOD,, > 341220 mg/. and TSS >301150 mgA- * Effluent #2 = BODE 130 mg& and TSS c 30 mglL
The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3 151 or TTY 645-264-5777.
sB"M (R 6=)
l'I Test Plot P
P
Prolect Name Oevering Homes Investments 'haUn Bird
Address 1433 Cernohous Ave Suite A
New Richmond Wi 54017
Lot 14 Subdivis4lon it Vista
N 1/2 SE 1AS 31 T 31 N/R1 8 W
F 13oring 0 Well I'l, Pi-operty Line
k 13N] or N.'Ril Assume Elevation 100 ft
System Elevation TBD
I M �2.ZOVUU
1
Date 1212r2-,`21
Township Star P�'a' �"ic',
County ST. CROI
Top of survey iron
* W, q pSame as Benc h mark
Scale - 1/4" - 10'
COUNTY PLAT OF -
SOIL TEST IVii-l)/L8ALi-XH I BIT W/ CONTOURS
LnCA"10 M IAWr OF THE WA WNR OF DIE SOUTHUAW Qf PAFrr OF T, -HV -WWFFEAST QUAWrZFr 0,p- - - .l - P. OF 59t-nam 31 - TUVW-UP 3 t ROFrH- RAN= I FL WF-LU. TOW NDF YT&R PRMR13F_ ST, L-RQJX C.CKJM, �A99CCWXLW,
IVC 7 OF V7P1 wn'rEp SLrRM Lj,,k. J.!PAGK 1,m AS rxmLiMENT HIWEWT 356 [13
VICIN'ITY M A P
skmr—oft EIRT J�b-C
v-A - cw dis LKTuq4 L L-We
"I a, IX m I dq).qmL -ff. 1J roan qm"F R-eid I L&L LA
sIor 6ft
al 4 L01
4tv p P
cE R I i F�l D 5,JqVE Y MAP AT IF IE(l
--—4 2
w.0 L U V E 9, P AG 5 3 1 V 0 L Ll V, E 2 PA 60 u\ � P-ro—N 0 A K
j
�l w7lr�ft sumvir. LQ-"F �dt
COOP" k" 14
PmAlmow"mmZ -�
AL
UAW- - r.
fia
6, &A&4-mlI6 /77- �i
TN -F f L A 'YO p
t
.28 1 4-
1� - -011 . SECT1014 J3, T11N, iZ Vq
r or SC,.F-
r
wm r STN
%-i Ln . . . 91L 47
Acro
id, O13 A170-1 H Y r
1#- 3-1 tyl 5% -
NpAp-mm-C, I , -- IRA T R AC4
Jv � ff I + - -
No
cl�l dQ Lfff D IVA p
j+
rut
.0,
Lu r KA�
2
- . + A - c� - �l Tl — - ,A
r k qkx W,
LAO rMATO t
t
13 fl' L 110-Nd PL-14M P90fid"Im 14 741 lim'.04Plig FLrW POM ror Rk A •11L
-JLM Is kjmpmmrk t- L I Lh 1111, pout* 4�
% IL
I 16 K
Fq zNr,Fm mmm 4 IFF A p0d k-%" vvq rapt
L.Li ult ftb LF-m6kh FCgW L 7
ww-r+s+w nrv*rwm r rr m%umpw"mit 5 1%
arty PLkmpi" saw LfiiWlp NmalftW ffprtH -ice um ia. ry
4
DW4WA 0 LDUQX4 7
# ;L h awnT PA amm Gn % h I! ffvd�wq Alo
m ff I How wo-tp ci r.@:Kw
+
fLim,i -h— rAdLI
+
NAM" KlNh4Iw T=;'
It-K. �Illdl
CL 41004,110hov NNW —Arw 4dhrlz,,,- 77� A rft . . . . . . .
-.FW L", -1 1 �--1 I -I dh
cl MUNN 401
+
Lat 14 VL.
lzr U %, -i Ir L `1 div
-dewlrj
j,
a i tw 31r *Araink-i --'L . IF + +
EA J. IL
did
t -. j l� --±-- —
jrl dwww-I r
bc
IF nti%
j'14'1 I'- —e ri %b• %
3Lr31rW s `w ULW Womp a Ad' -09
Lip d 11 1 L34 &F M CM I 'Id- I -i'm
r ':rlv -I -.I t •c.11-111 urdj no-t
i:-Wmn hIA-Lrjdl%
LW f rpin':d�i k
MEW I- --% =
mm bwwn-is
no- ur.ol K :d I
ca
aA Larmor w-m-mr IdWL FM VI — %34-Lr%" U_N2 L�9j LE_p
-, LAxu
,:;l I —rc—, [fr pi :ik;l
d3A 3., h-h jmr i irmrLr 11 ri vcrl4a 1" b: I -,Y'Ovt-K 6-1—AMFIA
"d"b` I f4t
Ile D
nds dMIL"d No vaurPlm imk
Nw papm 03riffl"
J6 mi N*hw m I D TF4 ffl al:am
j ��j -cum" wuww" vr.vw
dc,
>1
r
-Orr
'k,4 � -4
Lu"
jr 1 1- 4
r�
A
17%
EL
-.dt_ 7 1 N4�WV U? 114- 1 Ran apwl�.--mw
f" ?-A L K dK
ir AA aLLI __,W or Cbnmmd W
CLI
wc rt A iVC-o'
I Pik EL
ti
-6
7d-lhm--
L X* 6W
7• `ter -0 T
ed P /A T TaE A LCLS TlJEID StRVE T MAP
ti �4` L ME 79, PikGF 662-9
A" woom Raw &oom ftpck uDd" Lrm til or a munwT rD N
,y . -In in im " "w
5 A L%WbU Of UXATMAT rkF .-miNdwLewsm v.-
- A3vGAAff FAA "r msj;T. enow
L LQ IlJWrXP4 LWW COP ME wl Wr A. rklfldwkL
X ON'. lc—v*;Up
ri3fiAo"m
FORM AERE226wwr poon.,
4 cui odmI r mi loumitrt tv -A%mp -ae*-"ft
FM APIN 64KINKM Cm 4101FINAPP4011" IV MIN' ZVK�
ibm1bm H E
0 - -
L U.477i 0 N R"(""R
G 1 97-- Of
if, ac=OE mee V'%h Comr-11 A6r
.9'.'
�� 3
DOMPleta Wt* r3ia;ri = ma Imp than -S 112 Zj-
A6. ba nci� `14-nfted it; - ve tza 3nd �;O- 7-0 lta� re., Us,
f
sit -W. L I
Ple nt R. p e. s car ci rk--Ift� a r-row .3
09L? distance tc rumwew rcLad.
Rama U1 intomuWar, ynv Or Ovidt. r-.; gv' bt f, 0- r
p
roil. vtv L o
A ------------- I
L7 design fiow ratra
P'Ubfi
Fiwd PI8.'7 F, app§Cabje
AN fL
Its
Svs-term Elevation
ED
Pit Ground swtam elsv. L r ) I
fL o'-ft"m m fkrmirn fuf4mr
kPticaftOn FbMS
Haim-, I D'aptl Doft4ron't CmIx. RG:Szx D&,s
criptv--, Textf,-s SMxturer i inry, Roots
QU.
Gr. 9&Ef 5 1# 1
yjI
tl
Pit GF31LJ�4.6 SuFfam else.
- I'
EffUent 0; goo > �l) -tt, m n -4 mc
4b
" Effluerg #2 r- B-%'DID < 30 mmt anid TqR < -V man
FWcel V
Groundawbw *,w. 77, fL
ID bcor IZ77) . in.
SetAnninifim ChAm
w8���O000mr�mWom=m-
ml
a soft
Rc n
oepftlo tockor IrL
• FRLwt #2 a BMs 130 maL =W TSS < 30 moOL
The DCNWUDM of is an a�uutl `ty cvi�c am f to accass or
nisi in an a fivask piea n m lite c t do at 608-266-31 S I or 7TY - .
Soil Test Plot
Project Name Oeveft 4mms InveshnenftAddress �
1433_Cemohous Ave _ oils A
NW Ricnm«w w saon v
Lot 14 Subdh►Isbn Bela► Vista
N 1/2 SE 1/4S 31 T 31 N/p1$ W
Boring ()Well PL PropertyLine
IL BM or VRP Assume Weiration 100 ft.
Date
l.J 1 M #FLLOYUV
� 12J22I21
Township Star Prairie
County ST. CR4tX
Top of survey iron
System Elevation TBD *HRPSaffie as Benchmark
Scale = 1/4" = 10'
Li J
74,403 SQ FT,
.. 1,708 ACRES i
Ln
-N 26*23'45" EfL.ROV -1
i rP i
1.19
.
Cb
CL
% 15
V Ln
f1 5. T.
rn
C)
�p voa
.5 5 ACRES00
rn L,J
N49'69%14 "E 0', L.B. . _
4 `� {
F}
A Ln
sol
14 1
1bb,1382 SQ. ET. w
_ Ln
61 L. .ACRES r4 Ln
0
E f
34.
�,�
�'v352.14
t
-
i � L
1
.,
- i
4
i
�a ,�
;�ci —'
+" [ ^J13
[� t
3
�o cr�
'
*
10._.
;
3.910 ACRES
--•�
- '
071.J.y Cam+{!5
00'
t' . �f "ter
- /}•"y -
�
t )
�}
i
n
• .4v! fir''•.
it }
1L
co
CL-
Q
�
�I
N
W
Ll-j
cv��IQ
v)l
T
AS
ter,- CVO Ix COUNTY
No. 6sl 2 8�
... .. ......
..... ...... . . ..... ... .....
. ..... OKI I
.... ... .. . ... ..........
AMA
Aid 'm
f� 7 D►�/ [�117.Y►[�a
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: 1f you wish to renew the permit, or transfer ownership of
the permit, lease contact the couu authority.
P � P ty ty
"�RIE THAI, D""A'11-F-Ij
R"'
'UNLESS REN'r"-,jWm "'r-j-r u
W M 0:14MIJIMI&XI: No RL741: U1, n
..... .....
SBD-06499 (RI 1/20)