HomeMy WebLinkAbout020-1220-50-000 (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)(m)],
Permit Holder's Name:
City Village Township
Matt & Jodi McCorkel
TOWN OF HUDSON
CST BM Elev:
Insp. BM Elev:
BM D cription:
OL
I
TANK INFORMATION
TYPE
MANUFACTURER
CAPACITY
Septic000
,
Dosing
Aeration
O\C
TANK SETBACK INFORMATION
TANK TO
P/L
WELL
BLDG.
Vent to Air Intake
ROAD
Septic
;�6*
Dosing
�
Aeration
Holding
PUMP/.SIPHON INFOAr11�lATION
Mnufa urer
Demand
GPM
M del umber
TT/
Lift
Fri tion Loss
ystem ead
TDH Ft
For main
L n
Dia.
I
Dist.
I o II
SOIL ABSORPTION SYSTEM
BED/TRENCH
Width
Length
No. Of Trenches
DIMENSIONS
SETBACK
SYSTEM TO
P/L
BLDG
WELL
INFORMATION
Type Of System:
7 15 0%
I L * Lo_A: a 4.
DISTRIBUTION SYSTEM
ELEVATION DATA
County: St. Croix
Sanitary Permit No:
651351
State Plan ID No:
Parcel Tax No:
020-1220-50-000
Section/Town/Range/Map No:
17.29.19.1217
Wx0jalMimiL�11�
Bldg. Sewer
St/Ht Inlet
St/Ht Outlet
WAIN A"
MArAINAMA
A
r
am►
ATAMIrm,u�bw,
i,
A, M-,
I I A- ( -Vwa*6
PIT DIMENSIONS No. Of Pits Flnoside Dia. L quid Depth
LAKE/STREAM LEACHING ctur
CHAMBER OR
UNIT Number:
Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s)
Length Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over
Depth Over vv ner)th of 1xx Seeded/Sodd
ulched
Bed/Trench Center
Bed/Tionch Edges Topsoil ❑ Yes ❑ No
s ❑ No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 930 SHERMAN RD
1.) Alt BM DescriptionLVW4�5
2.) Bldg sewer length =f.AW11
- amount of cover000
=
Plan revision Required? El Yes No 2
Use other side for additional informatio . 1�44&Alwlol
SBD-6710 (R.3/97) Date 6epctor's Signature Cert. No.
W" Scfviors Division
4922? Madison Yar& Wy c
a
4,
�11 is 07
NOV 1 07 202i Madi153
N F's Sanit:MN Mausbor (to be Hed in by Coj
R0. Box 7162
MWison, W1 -53707-7162
513YI
-- — I
Sanitary Permit Application Staw'rrawmcfm Number
In accordwice with SPS 383.21(2� Wls- Adm. ('ode. sWxnjsskm of this fi3cm &n the appropn-we, goverrmlenw t,W] I
LS requircd 00Y to obtaining are subirnaled to ', —Pmjr�i Addrcss 61- diffierem fl= n=flMic addkss)
dvL- l Paftnkmt of Safety and Pm&ssk=W Scrvi=, PaMOMI infbirmation You pm.e may be usW for semndary
Purposes in accordame with d3c Piivacy Law, & 15.04(f)(m), SAw&
1. Applica,tion Inform n — Ple2se PrW AM -h-arva Parccl
don e—
['Mperty Ow-ne r"
0 k Zs00
0�0 o-
F'riDpen), Owner's Mailing Addmiss 7�r—upert)- Locatmin
k-�
3 GUvL W
State, Zip
Phone Nw-nbvT
15 to-�- S 14. Smilon
VON
II. T"e of Bui Idi g (check &U that apply) Lot it T N R FarW
Or. 2 J7,aM1 -1y
Dwr I ling -- N!u nAxx ofBedroom Sum ismo Nanw
DJubi tcX:ommerci a I — Describe Use # pk�vl CW
1 City OF_ 0S,tale Ch%,ncd — Dt�sx:�be Uw CSM Num.
b—cr illage of
Zone X own of
HL'rype of MNVTS, Wit.. (Check either "New"'civ "Replamment'" and other a kan Foe A. Check one, box on tine B. Comp4efe line C, i
xx I
E]
A. wW' systcm
1 JWP641W F.Y Dkher Modiflimtion to F--xLqing %,s-=n (cxpl2in) E]Additimal Prutr=mcnt I Init ("- plain)
13' D-1olding Tank
r Individual Site DL-Sign (Xhtr'Fypc (explain)
c
C
A
c. E]Renew-al Beforr 11CV11SIM. 0FP1mntw Drawfer to Ntnv Owner I 1-st 'revicus Permit Number and Drile, Issucd
Expi"tion TT 3 10/30J
99 2-
Iv- DispersaMentwent Area and I -auk Informaden: Two 3W0'trenches = 4 Quick4
De-zign Flqv4, Design Soil Application Rate(gpcVsf) Dinzd Area Rcquired (Sf) Diq�c Azea F-Im postd (4) system M.'ev3-tiOn
C,;i:lw ty Total of
Tmk htfirnizfian G. a? Ions Galh3ns Units
r.,= U13 New I'ank-s F% imirtf, Tanks
Z5 r,,
Septic -Url luld-big,fank
f U() It
L I
V- Responsibility st2tenwat- 1, aw 'hifit-v for imstmHadawn or the FOWn M the aftmebed pJans,
Number (PF-int i l B Phone N -r
dr 3 U
P I umber's A IMSS (SMIMet, C ity, Suar.. 2�p Gpde)
Vi., countY1114va'Ament Use Ocdy
,u
Penr�k Fee Date Issued Lss"ing Agemit Soptaft=
Appruved JI/
S - Zal 7
CKvner G' 3
Condili
s F�` �Ia 3. Existing ST must be certified plumber at the time of
S) Y S T E- M 0 IN N rE R: replacement installation.
ts-6 tapk, effl,.ent f0er and 6c.n-ersa-1 c.pl]
aL 0
nius t bk� se Fvj Ced i ma inta i P. ed a s E,..7zLi- vj ve���Ze— �
s�
management plan mrrj,4-7j C. C] I.L,! I � M er 2. A I I setback r e qj! j I F �-7- R 1 r1,11 IS C'Ji i,: i,; I ai r- d
a s per a pp !� iic-a b I e. c od e Grp..il
Alt axt to compLete pUun Y" the S3ste%o Iind x0mit to the Cam.an_r ou p9pW 09 bma thWiiili 3 JU2 X II imcbm is
S. RD-6 3 98 (R - 03/2- 1 )
�T
�t�.sa3iur� w�
G�o� Ma�uxa�S 9�6 � �tot�1
L
di1w
'ps �l�t�w : ai.ueN
IftmGROUND Q.OSEDw-GRAVITY DISPERSAL AREA
Stepped Elevation Trenches with QuIck4 Standard'wW Chambers
3wft Trench (downwslzlng credit'
TYPICAL TRENCH
CROSS SECTION VIEW
(No Scale)
r
34 H
ProvIde minimum 3 ft
Hlghe,st Tretich Lowest Trench (as applicable) separaflon between trenches.
ftft
5 0
System n Elevatlos = t ft;
QuIck4 Standard-W
w/ End Cap Show locaflo n of I n I at out] at P) pe 00n n eoflon on p Ian view
(typical)
ri
B = ft
(typfcal)
I N STALL PE R TREN C K
Cbsarvat�w Plpe
(typIcal)
Install per martAoturees
Z Instruadons.
TYPICAL TRENCH
PLAN VIEW
t1fiRf-A01
I—QuIcM Standard-W Chamber
(typical)
L4 IPAIF
J'7 k1pi my POLUF W"Mul I nc.1
=L Install P w rsuant to mmmured
® in stnj t aions.
Qulck4 Std-W @ 20 ff EISAIr1pMbarn
+ Pairsof end caps @ 6 ft' EI$Npalr
Proposed EISA per trench LLI ft 2
R eq u I red I nfi I t rod on Area
DIstrIbutlon Method.,
x trenches Proposed Total EISA ft2 branched manifold
I
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OWNERSHIP/ADDRESS FORM
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W' Lat 1. Itew or t epla,:ernent sankuy s1ster. i� This
infonx-nation vii!] bfE.L provided as pnar-, of onaoing -!a7l�orts tc :�,rotect. pubfir, hmaftl% vocnu- 1P. ell
ir
Curf-ace water, propemtj values, couryty resources. -ad u C an ti o ri a I
nto
' rMation wifl be se-nt -to you by email
u 'S.-elf KmM _q
2-1
BAN
City/StarterZip L'
PhortcEf NIL
A
E-mail Addmss (re quire� M
NJ
Cation 16,%lul C;r,;q-'4
the p m p arty t& -%, b i 10
D2-D — L2-ZO —5-D —000
W. Tom o
4
J-, LU'/
C-ert—eed Su--n-fz- %
Deed �qTocl 7 r'l I. n -- - - - -1 i
e
Number. of b2drooms 3 Spec house E3 yes 11 r4 Lar't lines identifiable CK yes E3 no
(st2ff ?fdfials) (Date)
This fo r-rji musit .tat--> sub-n-titled i".1" -' a U P eyitE0.,-7sita Wm'— - _7
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71 S-386-46-80 St. Croix Cau�r Cinxi,-emmoft Center 71-105-245-42W Fax
are Ft t4 -di .0� x 'odd
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La MCI i C11 &'-?. 'od Ut. I I Udso , "VV 'U V V-fl,f,5CnViGOV
STAR BAR10A AS1N FORA 112Za
Document Number I 'WARRANTY DEED
This Deed, made between Stevan R , Luck sinaer and
Kris. t L . Lucks in ar husband and wife
Grantor,
and cCorkcwl and Jodi A . McCorkal ,
Matthew J ..__,,,.,..,.,.... ..
husband and wife as survivorshi marital ra art
Grantee.
Grantor, for a valuable consideration, conveys to Grantee the following
described real estate in St. Croix County, State of
Wisconsin (the "Property") (if more space is needed, please attach addendum):
Lot 118, Park View Estates Fifth Addition, Town of
Huds on
Together with all appurtenant rights, title and interests.
fs�- ���<—=:) --7
KATHLEEN H . W A LSH
REGISTER OF DEEDS
ST. CRC11 X Co. 0 W1
RECEIVED FOR REC GIRD
05 - 06 -- 2002 9 : 30 AM
REC FEE: 11.00
TRANS FEE: 659. 70
COPY FEE
CERT COPY FEE
PACES. 1
Recording Area
Name and Retum Address
Title One Premier Group, Inc .
706 19tYx Strut South
Hudson, Wisconsin 54016
020-1220-50-000
Parcel Identification Number (PIN)
T'bis i s homestead property.
kis) kis not)
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except
Roadways, Easements, and Restrictions o:E Record.
Dated this day of April , 2002 .
T
AUTHENTICATION p�� 4
Signature(s) 0- 4Z
authenticated this day of T V.
J
TITLE: MEMBER STATE BAR OF WISCO OF
(If not, ;_•:.;~..`.
authorized by §706.06, Wis. Scats.)
THIS INSTRUMENT WAS DRAFTED BY
* S taven R . Luc
L
* 1$ L1c 1n or
ACKNOWLEDGMENT
STATE OF WISCONSiN }
) ss _
Q2:-QjX County. 3
Personally came before me this —_ , day of
r11 , 2002 the above named
Stvv$n R Luck in er and
Kris Ilsucksincrejr
to me known to be the person s who executed
the fore ing ' stru nd acknowledged the same.
* a1m
Michael H . Foreckl Att--oznsay
Nary Public, State of Wisconsin
Eau Claire ZnFisconsin My Commission is permanent. (if not, state expiration date:
Si natures may be authenticated or acknowledged. Both are not necess I)ecumber 12 04
I*Names of persons signing in any capacity must be typed or printed below their signature.
WARRANTY DEED STATE BAR OF WISCONSIN FORF*11 No. 1-2000
ttomey Michael H Forecki 1834 Brackett Ave, Eau Claire WI 54741-4627
Phone: (715) 835-3029 Fax: (715) 835-41l2 Michael H. Formki T692394I.ZFX
Produced with ZipForm"110 by RE FormaNet, LLC 18025 Fifteen Mile Road, clirdon Township, Michigan 48035. (800) 383-9805
%V
Wisa mn Department of Safety and Professional Services
Division of Industry Services
SOIL EVALUATION REPORT
Page j of 3
In accordance with SPS 385, Wis. Adm. Code County
Attach conVAete site plan on paper not less than 8112 x 11 inches m size. Plan must irx*ude, St. Croix
but not limited to: vertical and l xx tzontal reference point (BM), demon and perm t slope, Parcel I.D.
r
scale or dimensions, north arrow, and location and distance to nearest road. n D� (
0 0 0 N) Ref #2734
Pkase print aN lnformadon. Reviewed by Date
Personal iiftirtatiort be used for Law, s. 15. 1 m .
Property meter Property Location ❑
Matt & Jodi McCorkel Govt_ Lot SW 'l SE % S 17 T 29 N R 19 E (or) W
Property tanner's Marling Ids Lot # Block # Subd. Name or CSM#
930 Sherman Rd. 118 Na I Parkview Estates 51h Addn.
city State Zip Code Phone Number ❑ City ❑ Village 0 Town `` Nearest Road
Hudson VW 54016 (851) 216-9737 1 Hudson t Jensen Ln.
❑ New Construction Use: ® Residential i Nt nber of bedrooms 3 Code derived design flow rate 450 GPD
® Replacement ❑ Public or commercial -- Describe:
Parent material Flood Plan elevation if applicable m fit.
General comments and recommendations: Site suitable for In -ground POWTS installation with 0.7 gpolsq. ft. design loading rate. Recommended infiltrative
surface elevation to be 94.50'. Infiltrative surface elev. of existing dispersal cell = 95.26.
Boring # Boring
pit
Ground surface elev. 100.21 ft. Depth to limiting factor >112" in.
I� e.nhr--afinn Rntp I
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont Color
Texture
Strudure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDfFt2
*Eff#1
"'Eff#2
1
0-14
10yr2/1
none
A
2fgr
ds
gs
2fmc
0.6
1.0
2
14-19
10y313
none
sl
2msbk
dsh
a
2fm 1 c
0.6
1.0
3
19-27
1 Oyr414
none
sl
2rnsbk
dsh
cs
2fl m
0.6
1.0
4
27 3S
7.5yr416
none
Is
Osg
dl
cs
1 f
0.7
1.6
5
36-62
10yr4 6
none
s
oscj
di
cw
0.7
1.6
6
62 112
10yr5J4
none
gr s
0sg
dI
-
-
0.7
1.6
Boring # ❑
0 Pit Ground surface elev. 99.81 ft.
Depth to limiting factor >108" in.
erwJik-atkin Qntp
Horizon
Depth
In.
Dominant Odor
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDIFt2
*Eff#1
*EfW
1
0-8
10yr3/3
none
sl
2fgr
ds
a
2vf,f
0.6
1.0
2
8-15
1gyr4/4
none
sl
2fsbk
dsh
cw
2vflfm
0.6
1.0
3
15-20
7.5yr4/6
none
is
OS9
dl
cw
1 Vf
0.7
1.6
4
20-27
10yr416
none
s
osg
d
law
-
0.7
1.6
5
27 78
10yrW4
none
gr s
0sg
dl
gs
-
0.7
1.6
6
78-108
10yr5J4
none
gr s
0sg
dl
-
-
0.7
1.6
7Esffr_'ai&-tWFs7.i/:ai7V111rii a�fNIP-1i's01L4kLWa A.r.7A 3:iilT-- .�i.'4?Fff:(ai0W7GIaCiiRo1#T a71EIPTA AWSZOIW3W?#Lil.;WltE 871
CST Name (Please Print)
Signature
1
CST Number
1
James K. TRE022
30021
Address
Date Evaluation Conducted
Telephone Number
340 Paulson Lake Lane, Osceola, WI 54020-5413
October 11, 2023
715) 248-7757
zitfu- u itfwi o)
Baft # ❑ Boring
0 pit Ground surfer elev. 101.14 ft. Depth to Um&V factor >11 in.
Snil AnMmfinn RatA
Horizon
Depth
In.
Dorrtinant Color
MMWI
Redox Description
Ou. lAz. Cont Color
Ted
Stnxture
Gr. Sz. Sh.
Roots
GPD/Ft2
*Eff#'f 'Eff#2
1
0-11
1 oym
none
sl
2fgr
ds
cw
2fm 1 c
0.6 1.0
2
11--15
1 Oyr414
rm3m
sl
2fsbk
dsh
cw
2hn1 c
0.6 1.0
3
15-21
7.5yr4/6
none
is
Osg
d1
cw
1►rU
0.7 1.6
4
30-83
1 Oyrfi/4
none
s
Osg
dl
aw
w
0.7 1.6
5
83-11 T
1 ayr5/4
IVNW
gr s
Qsg
CN
--
-
0.7 1.6
Boring # ❑ Ong
0 Pit Ground surface elev. ft, Depth to limiting factor in.
Sn- An -A-w:; inn Rate I
Horizon
Depth
In.
Dominant Color
Mansell
Redox Description
Qu.Az. Cont. Color
Texture
Structure
Gr. Sm M.
Consistence
Boundary
Roots
GPD1Ft2
*E#1#1
*Eff#2
Boring # ❑
❑ Pit Ground surface elev. ft. DepM to limiting factor in.
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
C u.1Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
*Eff#1
*01#2
* Effluent #1 = SOD, > 305 220 mglL and TSS > 30 s 150 mglL * Eft #2 = SOD, > 305 220 mglL and T SS > 30 5150 mg1L
5 OW e. 1 /4 a /" A &n P;i.--
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FOR OT:EL_TZ&T_TCW
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have
1'1, Mc- �tc Xc tank present, i
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D,
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Cbuntyl.
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2M good CC-.Onclit on, nd it
C3LOnr I Certify that
Last -time �, � . awe be
-° M 0 t 3. ' M9 e r
App f
Dma
' mf tjLe �-
MCapaci ty� y
* ��.,
cons
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Name
Signature
._ -
VMsconsin Department of Safety and Prof cssional
Div Isro n of Industry Services
Page 1 of 3
SOIL EVALUATION REPORT "02��
C) V In accowdance with SPS 385, VVIS, Adm Code County
St Croix
�t P I ete s de plan on paper riot less tha in 8 1 '2 Y 11 inches ire size Plan must 1 nc I ud e,
but not limited to- vertical andhon.-ontal rc-,,-..,rprce point (W), direction and percent slope Parcel 10-
scale or dimensions, north arrow, and joca'lio,),arid cl�stanc .0 to nearest road. Inc, f#2734
Please print all information. Reviewed by Date
Personal information you provide may be used for 5c.condary purposes Priva_ _ Law, s. 15.G4Lj,j(n1j
Pr Ovn e r Property Location
G o vt Lot S W 1/4 S E '/& S 17 T 29 N R 19 E (o 0 W
.. ..... . ......
jyner s Mailing Address Lot # Block # Subd, Name or CSM#
6 r) Rd, 118 N'a Parkview Estates 5" Add'n
City State Zip Code Phone Number 0 city F] village Ej Town Nearest Road
Hudson I VVI 54016 (651) 216-9737 1 Hudson Jensen Ln
New Construction Use: Z Reside n t,, a I ! N u m b e r of bc, d ro orms 3 Code derived de si g ri l' I n w ra to 450 G P D
-ibe
�rient Public or commercial --- Dasci
Pat-e; i i,etc rial Glacial Outwash Flood Plan elevation if applicable na ft-
.3 e r e ra � c o m rn E- nts and recommendations: Site suitable for In -ground POVVTS i nsta I I at i on w[t h 0.7 gpd/sq - ft. design leading rate. R e c o rn r-�cHaled i n h I t ra ti v c,
Burface elcvatton to be 94.50' Infiltrat'rve surface clear c)f e xisfing dispersal cell = 95.25.
Boring 4 0 Boring
E] Pit Ground surface elev 100.21 ft Depth to limiting factor > 112"' In.
Soil Application Rate
Horizon
Depth
In
Do m'i na rVt Color
Munsell
Red'ox Descriptilon
Qu. Az. ant- Color
Texture
Structure
Gr Sz Sh
Consistence
Boundary
Roots
GPDiFV
*F , -ft# I 'Eff#2
1
0-14
1 Cj-�r2i1
none
S1
2fgr
ds
gs
f mc
0.6
1.0
2
14-19
10y3 3
none
none
$I
sl
2msbk
ms bk
dsh
dsh
CS
Q5
0.6
2f 1 rn 3,15
1-0
1.0
3
19-27
1 Oyr4 `4
A 27-36
1 '2
7 Syr 4/6
none
Is
S
Osg
dl
S
if
0.7
1-6
1 Oyr4ov
none
Osg
Osg
dl
dl
CVO'
1Z
1 Cy r5/4
none
gr s
07
1.6
# F1 Boring (0 � �V
Boring
El pit Groared surface elev 99.81 ft
Depth tc limiting factD, >11Y3" in
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda!y Roots
In- Munsell Qu. Az- Cant. Color Gr. Sz Sh
or Application Rate
GPD,.'Ft-
ffEff#1
6Eff#2
0-8
1 Oyr-3.'3
none
51 '2 f g r
ds
Cs
2vff
06
1 0
2
8-15
1 oyr44
none
Si
2fsbk
dsh
cW
2vf 1 fin
0.6
1 0
3
15-20
7.5yr4/6
none
R5
Osg
dl
CW
1Vf
07
1 6
4
20-27
1 Oyr4/6
none
Osg
d 1
0-7
1-6
5
2 7- 78
1 Dy r&4
none
nonegr
`3 so6
grs
Osg
dl
dl
s
07
1-6
1 6
78-108
1 Oyr5/4
s
Osg
07
Lfflluerft #1 = BUD. --> 30sc 220 mg1L and TSS > 301.50 m Effluent #2 60D. > 30 15 220 mg, L and TSS > 30 5 150 mq!L
CST Name (Please Print) Sig na e CST Number
James K, Thorn I�U� 30021
A �---O'd i'c Ss Date a luation Conducted j. Telephone Number
ake Lane, Osceola, VVI 54020-5413 O.-tober 11 202".3 � 715) 248- 776 7
S B D-8330 (R 04� 15)
w
3 Boring # ❑ Boring
® Pit Ground surface elev. .101.14 ft
Depth to limiting factor > 11 T' in.
Soil Application Rate
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDIFt2
*Eff#1
*Eff#2
1
0-11
1 Oyr3f3
none
sl
2fgr
ds
cw
2fm1 c
0.6
1.0
2
11-15
1 Oyr4I4
none
sl
2%bk
dsh
cw
2fm1 c
0.6
1.0
3
15--21
7.5yr4/6
none
Is
Osg
d l
cw
1 vf, f
0.7
1.6
4
34-83
1 Oyr6l4
none
s
Osg
dl
aw
-
U.7
1.6
5
83-117
1 Oyr514
none
gr s
Osg
dl
-
-
U.7
1.6
I
`1`f.Sp
ltsw
.......
. .....
L
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor In.
Rnil Annlir--atinn RaiP
Horizon
-------------------------
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
*Eff#1
*Eff#2
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
RIM Annlin-atinn Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDfFt2
*Eff#1
*Eff#2
* Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg1L * Effluent #2 = BOD, > 34 5 220 mg1L and TSS > 34 5 150 mgfL
44i
SURVEYOR'S CERTIFICATE
I. ilexv4r G. Johnson, registered VIscaaain land Survey. hereby certify to the bAAt of ar profeamimai
1rnarledgs, undsrstandiAg and bellefa That I have surveyed. divided and upped Park View EAtatsa. Fifth
Addition. located In the S►i1/4 of the SEE/4. the NYI/4 of the 511/4. the SE114 of the 511I/4. and the 11E1/4 of
the S111/4 of Section 17. T25H. '919v. Taws of 'Audsm . St. {�roix County. Visconsins that I have made much
survey. Lend div1■inn and plat by direction of Darrel and ilw■ ,11 Vert. owners of said land described as
follows r
Commancing at the X114 corner of anid Section 17i thence S89°19'41"V (bearing■ referenced to the auttl
'Lim of said Section 17. aneumed S89°09'27"x) 1332.98' aims the East -wet 1� sectl$n lin■1 thence SO 03-03"V
106 29• to the point of beyImIngr thence ccatinuiag $0 03'03"V 664.92'1 thesc■ 589 09'27"V ig85.86'I thong
x17 12449"E 641.40'1 thence 936 26'37"V 161.59't the to Acrthwe■t■rly 177.74' alb the are of a 383.00' radius
carve concave to the northeast whose chard bears 1123 09'16"V 176.15'3 thaace I 11'47"E 67.01• (recorded as
N89a15`14'2)1 theaas �authaastarly 136.364 along the arc of a 317.00' radius curve concave to the nor-lht"�t
whose dIiard aaara at+ re-[ S3041"t thstice S36426`57'E 143.14' (recorded an S36°23`3=) i !heat 1171ni"O'jj"!
160.96' (recorded an W71 thence x8$011`47"E 243,00` (recorded as x82015'14`E)1 thence SO 03-03-V
108.00' recorded as SO 06'30-11)t thence S53 33`03"V 259.16` (recorded as $53 36`30-11)1 thence southsaaterly
96.13' along the arc of a Z17.00' radius cure concave to the nartheast vhoee chard bears S78006'44"E 95.35'1
thence x89011'4M 920.00' (recorded an 189 15'14"E)1 theso8 aarUmmoterly 91.20' along the arc of a )00.00,
R'80 2 814`E 8 ' th rah t 1 91 44• al
PARK VIEW ESTATES FIFTH ADDITION
LOCATED IN THE SWI/4 OF THE SE1/4 THE NWI/4 OF THE SE1/47 THE SEIM
OF THE SNII/4 ANO THE NE1/4 OF THE 9WI/4 OF SECTION 1711 T29NfR19WI TOWN
OF HUaSON, ST. CROIX COUNTY, WISCONSIN .
� Offi 1
Q Cow �w WIL
�1L so, socx f Mi
&.'o�7_A 0. llt'f
40
L S ✓ 1 ''`E ,� 7
CURVE D&TI TABLE
CurvA lot
Radius Central
Are
Chord Chord
'lungaat
No. 110.
Angle
I.awth
lAndih Imaring
Bari igs
1-2 -
234.000 96005118"
Z29.074
220.03' !W059'36•E
S0003-03-V s56c02'ire
11�
234.00' 23°57'52"
97.87`
97.16' S11p55'53"E
115
3.4 116
234.00' 32°07-26"
250.00 55011 42-
131.20'
240.83
129.48- 939058-32-'Y
231.63 S28 2i5 24"!
o o . .,
S56 0x 15"Z S0o50 33 E
5-6 117
7-8 -
184,00- 55011142-
300,00 36 05 18
177.25i
293.68
170.48- S28o26-24"E
282.09 x27°59 36 V
S56002415-2 30050433"z
ilk OZ 15`Y x0 03 03'-r
118
300.00' 25056'40-
135.85,
134.69' x4; 03`55"V
Aced
300.00' 12°40' "
66.344
66.254 02� 45'12"V
'Brady
9-8 �y
300.00, 17°Z7.52-
300.00. 17o27'5Z"
91.44,
91.444
91.09• 198 40'53"V
91.09' 38°40'53"11
x17°24'4g"V x0°g3'O3-9 .
4-10 Bhdy
11.12 -
3oa.004 170z5406"
366.00 18 25 C4
91.20.
117.65
g0.85, neaoz9:i4-z
117.15 979059 In
x89Ilhrz x7io46441"E
189011 4TE 1170 4b 43"E
119
118
366.00' 14oO6@360
366.00' 4°18'28-
90.13'
2~'7.52'
84.414 V82008'29"t
27.51` lr72°53'57"E
13-14 -
8ndy
217.00' S4°21`16"
217.00' 25°22458-
205.86'
96.134
198.23` 963°37435"V
95.35' x78°06'44"V
S89°11`47-V x36°26'57"V
129
217.00' 28038`18"
109.73'
108.56' x5oO56'05"V
15-16 Endy
317.00' 24o4O'58"
136.564
135.51` x24o06'28'V
1#3 °26457-V '99°�7'19-V
radio, Burr, cOeav4 to the northvest whoa■ chard bear, 9 90. 5 1 We 110 1+s■ er y eeeg 17-18 11ndy 383.00' 26 35'22" 177.74` 176.15` S23 09`16-E 59 gi 35"t S30 26 57"1
the arc of a 300.001, radius cu v* sonoev■ to tha northegat whose chard bran 98 40`53-V 21.09`1 thencA RMH SMVEYINQa INC ■ 14-20 - Z53.0o' S40H U" z68.47' 258.5't' S63a37`35"E Sib 26`57"E XWII'47'E
x0 03 `03" E 150.00` (recorded a■ x0 O6'30"2)1 thence x89ll `47"Z 470.05' (recorded an x89 15114"1t) to the point +e kOTE' NAT}! R AL �OmaltiG AREA T 0
1}CMAik uRaEsT11■EEO EXCEPT 128 28;.00 1404.68260 72•47 72.77 �}3 50 10"E
of bec minx, containing 1.070.738 square feet (24.581 verse) more or less. and being subject to all sassmants. FON ACCEl3 ORIVEMAr3 AND 127 283,00, 150Il'Dw" 75,00' 74.78` S5BO48`55"S
r■stricttaaa and covenants of r hard. "VEYINQ V1 KAPPING uxotAGRouwo uTIUVIEs. 126 253 00' 180.46'50- g2.76' 92.35` S75047'52"t
That mach plat 1■ a onrrect representation of All the exterior bmmduiss of the land surveyed and the H=Na WISCMSIN u5 �3'�. 5° ` " 27.74` 27.73' S87°A'45"8
oubdlvielon theme! made. V�7
That I have fully complied with the provisions of Chapter 236 of the State of Vieecinsin Statutes and the � eEdTE ALL tlmEaeE mEA>fYtllleELeETt1 IIa1tE SEEN eEADE
subdivision regu7a►tima Of the 70 of Hudson and St. Croix County in surveying. dividing. and anpgftllT the aAas.a/�{� Tv trE Oaf aR E fT >,uNONE1rr>f QF A #04T. 3' 13' 4} • r
�'. "
Dated this lath dal of rebruary. IW. Ilk
ALL KEA$&NIY6AR *IX IRE ND* >e "Avg SEEK NaGE TO
7 � 1i THE kEAaE■T al]I ![GONG! aR6 mAY1F =Et?R � 1332.118` f#/i CORIIEEN
Revised this 17th day of Karcha 1W. HARYEY p, i!Y COMPUTED To THi WALVIS 111IOWN. m CORNER
SEC. IT tiC. 17
x � JCt•iFISaN
y HUDSOl� 0.
REVISED THIS a1! GA! OF Af'#11L. IaaR.
ltu,C31Harv,r$urv■ Inc 899 1W93T LINE Of THE It 1 /4 *,�a S
407 secend Street W.
su>;'a�^ T j [� _ - - _.. - LEGEND
iludeom. ilisconsln 54016 _JAele111- - - - - - ---
Ie1�'I'f 14�1!# �~ r - AUIL nt iFT. =iO ALL
0VWN L��OR1N[e1/
Na w11O'XI4" mpg
' 47 E JIRD-O-K L}Q� 1)F-U Sr ) w1juaiNM Lao UIS,J M. PT_
7.01 ' ._ _ - __ m x"unr1r1 roueo� o - 113 to ;*are t1P1E 1wv1r10
08 I _10 ! -ALP_ _�1�- - - � •°+ .� � YTTLITV Alta 0MAkSAeltl ttAs1E11 INT
�t WIDIm As SHOWN)
'+,� _YlLw E �YAr _FOURTI♦ ` AItaago
o1.1t11c1r1#Erlovs#.r mstcoeloso ImrommATlom
14J# ��� _ (H8g'15`IVE E ( t►sf - sECTIow CORKER IloRvtltilT
4 'rrl0, 3h`30j4��� N 89•f1'47'E € I (1169'15`14"E} , Ca1r1rON ■R}rESeAr POI AT ttto' ONEaCH
ttT ' 0� 1 243.0I3' (j L�T ( . • LOT RitMIIZM/ 4ti aL0lI8 COMMON LOT
y �s t .33 - --- I i N 8S•11 47 E 478.05` 1 1 LIMA 1
as . c 242. a1:
�29 fin"+ [[ ( (PARK)
t- 41i.o4' 1
o E o n ^ I 114 115
d d ' 66187 Sq. Ft. o O a I :` Q P'a 48880 Sq. Ft. �► 69176 Sq. Ft. I
mI �•'• * (1.520Ac.) o .a O O 00 na 0.IZZ Ac. n•' (1.596Ac.)
z En
N�o� s 7S sa ?7 a 10o zoo 3aa x x L 1 u
• 1i1 1 1 d� ICAL,€ Yk FEAT 1 w3#
o r
+' I•1 7 \ �'3 �6 d`4` 1 100 , 1 a o1 �11
i xl
'� .'� ► t a.3' Alf
oe .at' t \`� r�FJ�'� L1189'15'li"E) 3ourN L}kE OF THE wllx
o z 41 OF INC SE 1/4 � � iv
5I 128 �4 N 89'11'47•E 820.00• �.� �- a' j�
ky
'' T • 0 'r F
d� R 53179Sq. Ft. �i� PUBLIC - STREET - _ p _ .-- ti �7S"9 t 1 w I"I
oar (1.221Ac.) ~� -- m - - m Q A 0 I 3
s rn f e K e}s<�.4Q t 70 -;_ L eiaGsk J , 54737 Sq. Ft. 0.
".. f ► r1Y•.I•.t-T 4 _ �U.•GD � ill! -••.. - 1 "
(1.257 Ac.) n �1
c v r wb * J i e, J- i_ I- -I 1
ws '� II' dad Q
4u r`► Q'I = I �FPoNOIke EASEMENT �f: �+ ® Off.
04 N ! p
F I In [
�a.
123 ■te• _ 122 raw• e+'uv
' l47,2h' s =153397 5q. Ft. >t 53353 5q. Ft. a 53368 Sq, Ft. 53354 Sq. Ft. 53339 Sq. Ft.. 53651 Sq. Ft'�?j • �'
>s u sIt 27 u ► s° �' n 1 I {l,ZZ6 Ac.) n (1.22b Ace( n (1,x25 Ac.] `" (1.2Z5 Ac.y (I.I25 At.] n t (1,t32 Ace) , t0.
x 1 n (1,i�7Ac.1 0„ 1 1v x I raw .� ew in un°Q its
' 127 s* �� I I w� g o Ao no 045474Sq.Ft.�1f` 1
12' 61E03 Ft. 4 w 047961 Sq.F11 w .'s I a M a1 p +X {1,044 Ac,j p-- tii
1 Sq (1.101 Ac,t m o 117
j (1.419 Ac,) 1 0�!
I act a I a 44889 Sq.Ft. r�
I tt! [ (1.031 Ac.) �1 1
l 1
GETAiL (NOT TO
i 1 3CaLE)
- ._ •.-i�2a7.3 _ _ 1>t1f"biS' TaB 11i1'- - - '13. '- •_ - - Mir3tl'- -`� es. 0 1 LOT i1i
_17 - iR7.8 T 13is.b0' -sue s!� "" - 37rrDT"" -' - a11.00 -12a�a I� wa
- 5 89 09' 7'i1 1985.86' It ( s
_ aw' t• 3#T.34'..- 1 (�2 F �� I 1❑4 1 F
} li.3i' 203.41' t0a,a3' Ia2.EO' ��� � ���7
84 85 I 8F� 87 ' i 1-1 [ 88 ' s as* Os' 27'•is o
1 a _wI1.ILgYi RIDGE EAST 11 =
WILLOW RIDGE EAST -- - - "'
PROPOSER
YOL. S. PAGE ]4 p �.w
'0 o c544.E3'
x j
SW CORNIER 3a!'01' ET'* SE RNER
SEC. 17 lECTIOR 17
4■T- 1333
• TI113 INfTRYmENT bRAFTEO IT R.3.1.
SHEET # ❑F 2
LOCATION SKETCH
I, • tsoo'
f
STC 10 4
AS BUILT SANITARY SYSTEM REPORT
OWNER SA M MILL F 9
ADDRESS 86X -0-282
HUDSQu wT. syo14
SUBDIVISION / CSM# ?a�'Vi Q.ua F_STATE L M� LOT # // 8
SECTION / 7 T 2 4F N-R / W Town of 14cIPso #41
ST, CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
ID
PF
11*40
r ty 40
RL�
R W
y
r r'
k
acL 01 .
�s
#OU 5 E INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
x
BENCHMARK:
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: _uucb.R s Liquid Capacity: 00 0
Setback from-*. Well Houses 7 Other 5f 7o TaA
Pump.* Manufacturer Model # Size
Float separation--- Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
Width Length Number of trenches --- __
Distance & Direction to nearest prop. line : --L
Setback from: well: House other f 7"a d. � IC
ELEVATIONS
Building Sewer ST Inlet; <i ST outlet, r CS
PC inlet - PC bottom --- Pump Of f. -
Header/Man i f old .vim Bottom of system
µ,
Existing Grade 6 - Final grade t�
DATE OF INSTALLATION:
PLUMBER ON JOB:
LICENSE NUMBER:
INSPECTOR:
3/93 : 3t
L004=9e 4artrVPPPXst;? . 29, 19, 1 �HERMAN
Labor and Human Relations INSPECTION REPORT
Safety an-J Buildings Division
(ATTACH TO PERMIT)
GEN AL INFORMATION
r—permit—Aider's Name: I ❑ City ❑ Village [Town of:
CST BM Elegy.: Insp, BM Elegy.: BM Description:
iil � �.JC.i ..i 1 •..�: ...
TANK INFORMATION ELEVATION DATA
TYPE
MANUFACTURER
CAPACITY
Septic
)1) 0
Dosi nq
Aeration
Holding
TANK SETBACK INFORMATION
TAN K TC
P 1 L
WELL
BLDG.
Vent to
Air Intake
ROAD
Septic'
7 r
NA
Dosing
NA
Aeration
NA
Holding
PUMP 1 SIPHON INFORMATION
Manufacturer Demand
Model Number GPM
TDH Lift I Loss Friction System e TDH Ft
Forcemain Length Dia. Dist, To Well
SOIL ABSORPTION SYSTEM
aunty:
Sanitary Permit No,:
186513
State Plan ID No.:
Parcel Tax No.:
020-1220-50-000
A9200398
STATION
BS
HI
FS
ELEV.
Benchmark
Bldg. Sewer
St 1 Ht Inlet
Stl Ht Cutlet,
Dt I n I et
Dt Bottom
Header/ Man.
6),S6
y
Dist. Pipe
- -7
S 1
Bot. System
Final Grade
. C)
y
J�
BED/TRENCH
Width
Lencitb
No. 0f Trenches
PIT
No. Of Pits
Inside Dia, Liquid Depth
DfMEN f N
o
I
I
DfMEN f N
SYSTEM TO
P 1 L
BLDG
WELL
LAKE/STREAM
LEACHING
Manufacturer:
SETBACK
INFORMATION
CHAMBER
OR UNIT
Type O
Model Number:
System:
DISTRIBUTION SYSTEM
Header/Manifold A7
Distribution Pipe(s)
Z—L
x Hale Size
x Hale Spacing
Vent To Air Intake
Length Dia-
9 1
Length Dia. Spacing
g P g
SOIL COVER x Pressure Systems only xx Mound or At -Grade Systems only
Depth Over
Depth Over
xx Depth Of
xx Seeded/ Sodded
xx Mulched
Bed / Trench Center
Bed/ Trench Edges "
Topsoil
ElYes ❑ No
❑Yes ❑ No
COMMENTS: (Include code discrepancies �ns present, etc.)
LOCATION: HUDSCN 17.29.19.12 7,SW,SE,LCT 118, SHERMAN LANE
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Plan,revision required? ❑ Yes ❑ No
Use other side foradditional information.
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SBD-571 Q (R 05191) Date ,' Inspector's Signature Cert. No.
� � CKsrJc
COUNTY N08..6sf 3S'
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NAM. ........... .. .... . . Kim
93o S,=tV=11�Mw R� .
n�'�.�rERinLlv�:wfi�- PREVIOUS NO. I �'6513
OWNERMm*mew � 50t I fy�o CoQ�L
SBD-06499 (RI 1/20)
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, please contact the county authority.
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