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HomeMy WebLinkAbout020-1479-18-000Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM 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 David Meyer TOWN OF HUDSON CST BM Elev: Insp. BM Elev: BM Description: S i .�; C TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic 15ya G#;L9M Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic t Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Numb TDH Lift Fr Loss System Head TDH Forcemain Length Dia. SOIL ABSORPTION SYSTEM /2,2-1 rJA ��/Lpr c /—I—r�v► c ELEVATION DATA County: St. Croix Sanitary Permit No: 651367 State Plan ID No: Parcel Tax No: 020-1479-18-000 Section/Town/Range/Map No: 36.29.19.3039 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer St/Ht Inlet .. � 7 St/Ht Outlet Dt I n I e_f-�'_ Dt Bottom Header/Man. Dist. Pipe _ AD_ j- 1'0%, 0�- 19LO1. qqg q�� I 9 K Bot. System 0 Q/D 0rK0 �3. Oh Final Grade 4-,�19 /DO,ID St Cover .. e veL-_2 . � C-�f • f /o , � qr *� TREN DIMENSIONS Width r Length 1 9 No. Of Trenches( (2- PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT I Manufactu t� Type Of System: r 2� ti I 3 � OWK �I r s� S -EaI Model Number- ` I Q DISTRIBUTION SII�,S M ' `__J t "� Header/Manifold A CJ� Distribution P, (s) x Hole Size Spacing Vent to Air Intake " Length Dia Le Spacing � D SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only 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 discrepencies, persons present, etc.) Inspection #1: 12 2_'� 12v2_3 Inspection #2: Location: 614 SCHWALEN CT 1.) Alt BM Description = &Cl t,�,`l �&q- d, �Zaw_ -2.) Bldg sewer length =25_�J � v-cA-I^ Sc-c�"-`7 N dt-re doL,.0,6erS Vejek. - amount of cover = n j)-it Plan revision Required? ❑ Yes No 2 717 zo28 1S / Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. 5,a;Z� ji 7 I'Mus" swfices Division comty C, 4822 Madison Yards Way Madisoi4 WI 53705 Sanitar-Y P=Pit Numbar 03 be Ed led in by co iRilir'T P, E C I tq 20:23 P-0, Box 7162 Madison, W1 537U7-7162 SamPermit Application State TE&ftSRCtkM N uniber In acOmtaace with S PS -3&3. 2 1(2), Wis_ AdIaL Codt, of this form to t& a e i tal unit PPMPMI R is required pniat to obtaining a saniwy pffmtt Note: Apoimfion forms. For,_"e-owned PDVM, am gAmitted W "W t I fdi dum Tmilme addrc-.z,) the Dcpwimcnt of Wcty and Pmfim:5, Pcr5=W you provWe niay bt: usW ftir secondaly purposm tn =xudamcc With thir, Privacy La%%r, s- 15.04(f)(ra), Seat& L Applicaden Infonomfies — Please Mot AV In fidrmafia a Property (kAi-ncr's Name Parucl 4 ()r) ftopeny Owner's Mailinp Addrcs�,; Pmperty Locati0j) Govt- 1,0E oty, state Zip Code Phone Nluttiber ` �p 1/4 S=figM W 11. hype of Buifl&mg (check afl that s pp4,) T L 2..Lq it Eor Ln- 2 Fairni ly Dwelling - Number ufrkx1rouim R Ina .0 SuWiviskm Nwm C woo ubt, 1 clCom rncr6al - Dcsca-be Usc lip SUItc Oymed - Describe Use CSM Number -i 113ge of, ILL Type of ro'%V'FS Permir. (Check- efthex "New" or "Replacement" and other appficable ou tine A. Check one box on Kim EL Coaqiiilieft Use C A - System EISy5aem L..101her MoW fica t is P tin EN isfing Systun je�Vlain) tic -umatment. Unit (cNplain) WW EJAW ' nal PYL F�.Idft T,.k a-Gruww, [:14kt-Grude Mound Individual Sim Lksign Other Typc Nx-plaii'll URewwal Rd, DRevision 7han of PIum r ard-mfcr to New (hvner I .I st Pm v os Permit iNumbc-TwId ;pie lssue(F Expirativa I r2 '77 Dispe m" - _V'_ rrmtment Am =d Tank 1ffnnns&m.- MW Dtsipi Sail ADL)licarian Ratpd/d) Diqrmr-mJ A Required (sf) D, I a S d Fr 111 E cv3fion (sf) yslc 0() Olt js CMKIMY Ill Tow] "of MM3Ufi=Q= Ciallons I in its, New T*mks Fxi stift Tank s" 1�csi % C4 !7: r_ Qn L17LA C. Septic or I luldi ug'['mk F-1 W V. Responsibiffity Sig jenten(- 1 tie under-dgard, assame r for insuftfien of the POW'IrS showim on the aftached plan& Plumhcr I; Nye r 's si MP/MPRS,.NumN_-r &L!Jnr�ss Phone Numbtr- Phianber's Address (Sirtet, C'ty, Smar, Zip Gndej A4 V1. CountyADepaAment Use Una AppmvW A M —yed pennit Fee Date N.qteid himing Agemd SigrLaiure S Chvner iii 5-3 42t Con(Fflofis nf(Ar, M_ a W-L II c41-o ckQ-, 4fL 'SYSTEM OWNER: 1 Sc, p 1-C ta c� 1,,., effl u c. n t -'I;-i I te r a in d d i s pe rs a I cc- I I f Must bi.---- 5C-Fv'1.-X'L--1-j i rnq'1nt,.-T'n(4'J r�s ["jer man agomc,ni provided by P'!tjm1_,,;E-r, 2. A1 I S otback, ,.j rc- rn en ts rn u s t be rn,-r; nj t a I n e, d VWj-4-* 6.e— la s p -e r a p p I j ca L, I (j racod e I C., rd i 4 AltalcL ter CoijaplEft Pbass for Ow WYNOM 2" %VAMk ft ibe COMA0 Only M p&W M4 hem tbm 2 In 3L U hachn In sim SBD-6398(-R 0;r,2i) 6o4)�r Ulf Mi4A H,a ►ra S�S-6b-;,'"3 t 0 h b J\o'JaV4�fks tv" v Q.6 KE �qno3 PtatqMYos (I uW- 4w�Q-j t &JAM ���dd :aw eN �t 0 0 ,J z _ �Y 6obty�e� r (All !LC tohb I\o.javo f ks hil"'alto? t t P1,13 f*""tqM`t'S 19) JN7GROUND D08EDoGMV1TY DISPERSAL AREA w h, 4 St Steppea Elevation Tre'nches it' iQuick, andardanW Chamber,,, 3waft Trench (down'sli g"7,q­redjt) System Elevations � TYPICAL TRENCH CROSS SECTION VIEW Z z El, I 4L I- r r d j Highest Trench Lowest Trench (as applicabig) ISOIL COVEr. Qu1r,k4 StandardoW wl End Cap (Show locaVon of Inlet / Outlet p1pe connectlon on plan view.) (typlow) B ft (typical) INSTALL -PER TRENCH. fe Qui6k4Stdm!W( M RO ff EISA/al�a Pa Iry of a n d 00 ps,,G 6 ft'I Mips Ire ProvIde minimum 3 ft separation between trenches. oboaryallon Pipe (typIC411) Install Per manufaft'refs / Instruaftns, TYPICAL TRENCH PLAN VIEW {No Ar%call=% A= 3.0 tf (typical) uIck4-Standard-W Chamber (mfd by willsor 8YOMB, Ino.) a ta 11 P u rou an t to man U_ NoW reeij In struoijons. fta Proposed E18A per trench 2 Required ,10traflon Area r- x tronQhe s-.= Proposed Total E ISA DfStribution -Method: branchfi.d pan''1101d 6T a � l I:1 T � alMIA Pit gh lei IA IA rid 00 OOGI� �p00 � � y � �� as l� � � ,�'�'� a . -• __.•r - .mow �� �_„rr: `w � .� . - - . ' . f s �-' • �• .. ' • ' ' � � is • � • • • • ' �- w • - • �r r � _ Fes• - � _ . 40 z . ••.,w &W = AL7 IL-41 sb 4:. '. .• • ' _ ' • • • ' ' •• ' �••�-- ..fir • ' ' '• • . • ' - __' �- ti • fly" _ • _ • • ' . . �r •• '• - ST. CR M7'Y, SM1TARY SYS7EM File}" th CAWERSFI�/ADDRESS FORM o°�r izam it flat ITS •'f'' .`i:;M al •'! �:�� �.. # !I 1 &N a I W,07,[:.� '■"/`W. :.• i� i r#` '�' # is ! :.# '!: ijrit MaingA�es lei q Sc.h Wb)YN c bu): ��,� 1�1�bsau-Msxi.�', S�o1-, 1, EMM Dov pj L° s�q Mai . Q2h- 19am� �u (sauna on fhe properly teat bid 4E1N SVST� P�tiy Locations � U L) 4!a ,Sec 4 T a 9 NR Totim of Subd+�saon plat c bN WD'O � � sti �, Now Lot # � v- tartiiad sum IYhip # Volume ,,Page* (l�se 20063Vtfluw* . Fage # Nucnper of bec�r� Spec house O yes W no t of des � 01 yes 13 no I New RmPertJrAddress O�tE 415E0N8.Y . fte ifirmfil of new addrm fitxl far near 71, NM9 �r tfi� {arm a r�ded j+did ftam tine of i ds OPeww o mwafffiee c�r�ied sr�eyrnap $lffcrwIs mode �t d� wam�tydeed Gc 6-wd Use Mvislon 715- St yenta 715-Fax 1101 Cannchad �� v1F1 54016 WOM. . State Bar of V isco nsin Form 1-2003 WARRANTY DEED Document Number ! Document Name THIS DEED, made between Jay Wanken and Carolyn Wanken, husband and wife "Grantor," whether one or more), and David C. Meyer and Lisa A. Meyer, husband and wife as survivorship marital property ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St Croix County, State of Wisconsin ("Property) (if more space is needed, please attach addendum): Lot 18, Cottonwood South*, Town of Hudson, St Croix county, Wisconsin. minty Plat, 1009494 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR. RECORD 03 / 24/ 2015 8:00 AM EXEMPT # NA REC FEE: 30.00 TRANS FEE: 1305.00 PAGES: 2 "The above recording information verifies that this document has been electronically recorded & returned to the submitter Recording Area Name and Return Address T Parcel Identification Number (PIN) This is homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrance except: Roadways, Easements and Restrictions of Records. Hated March 13. 2015 Z,� �, - - I (SEAL) - (SEAL) r n Carolyn Wanken (SEAL) (SEAL) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 2003 STATE BAR OF VASCONSIN FORM NO. 1-2003 * Type name below signatures. File No.: 30279 Page 1 of 2 } St. Croix County 1009494 Page 1 of 2 0 See 4 4 r consin SOIL EVALUATION REPORT #2002 Department of Commerce in accordance with Comm 85 Wis Adi�� Code I of 3 Division of Safetv and Buildings Steel's Soil Service Attach complete site plan on paper not less than 8/2x 11 inches in size. Plan must County St. Croix include. but not limitedto vertical and horizontal reference peen! (13M), chrection and percent slope, scale or dir-nensions north arrow. and location and distance to nearest Toad. Parcel l,D. 02 Ll In Please print all information. . ...... Rtev'ed 8 D a t (Pnva I/ Personal infornnatbiri you provide may be used for SnLaw, s- 15.D4 (1) (M)). 71716 Property Owner Property Location Bast, Kernon Povt- Lot na SE 1 4. SVV 1 /4, S36, T29N, R 1 9VV Property Owner's Mailing Address 2 ,0L / 1/4 at # Block ft Subd. Name or CSM# c s 948 Labarge Rd. C"00' na Cottonwood Ridge South C ity State C.-,�ode., i:PMWe um6 City Village To,,,Yr,, Nearesi Road �D Hudson W1 5 016 8,6-7775 Hudson Cty Rd N New Constructior- Use Residential I Number of bedrooms 4 Code derived design f10W rate 600 Rep[acement PLJI'lir or commercial - describe: na Parent material outwash plains and strean-i terraces Flood plain elevation, if applicable na General comments Conventional system, system elevation 95.49ft. Trenches speed and depth to code 3 16ft below grad( and recommendations', ----- Or D Borinq # "'Ing GPD if Pit uround surface elev. Y9.b-') ft Depth to limiting factor 110 in Soil Applilation. Rate Horizon Depth Dommant Color Redox Description Texture Structure Consistence Boundary RoW5 GRD/ftl in Munsell Qu Sz. Cont Color Gr Sz Sh -Eff#1 Eff,#2 ti 0-12 1 Oyr3/ 1 none. SJ1 2msbk nift CS if .6 .8 2 12-28 10yr4/4 none SO 2msbk MfF CS na .4 .6 21 1.1yr4/4 none gr-cos osg III Vf r gw na .7 1. 4 53-110 . . .. ........ 7.5yr4/6 none M5 osg nil na na 3 1.6 IRorinct ;t Boring Pit Grourd s%urface elev 98.65 ft Depth to limiting factor 110 in. ES oil Application Rate Horizon Depth Dominant Color Redox Description Text u re Structure Conslstenl�:e Bou,ndary Roots GPD/ft2 in. M unsell Qu Sz Cont. Color Gr Sz, Sh. 'Effli-i" IF 'E,"#2 i 0-12 10yr3/1 none it 2msbk Mfr CS if .6 2 12-31 10yr4/4 none 5,1cl 2msbk mfr CS na .4 .6 3 31-110 7.5yr4/6 none MS 0sq MVfr na na 1.6 r k 7 Effluent #1 =- BOD,.> 30 < 220 mg/L and TSS >30 < -150 mg/ Effluent #2 = 80D < 30 mg/L and TSS < 30 mg1L CST Name (Please Print) Slgnatur0, CST Number David J. Steep 48956 Address Steel's Soil Service - Date Evaluation Conducted Teleprione Number 994 200!h St. Baldwin, Ail 54002 10/13/2006 715-760-0347 Property Owner Baste Kernoin 37P r% n n M :9 Boring Parcel ID # Pending Page _2 --of Pit Ground surface elev 1:) 1 V Tt Depin icy iii-niiing TZIC[Gr I W in, Soil Appillcation, Rate Horizon Depth Dominant Color Redox [Description Texture Stfucture Consistence Boundary Roots G pDjft2 Munsell Qu Sz, Cont 'Color Gr Sz. Sh, *Eff#1 *Eff#2 1 0-12 10yr3/1 none 511 2nisbk mfr CS If .6 2 12-29 1 Oy r4/4 none sic] 2msbk mfr CS rya .6 3 29-39 7.5yr4/4 none g rcos osg MW g W n a .7 1.6 - - — ­­­ - ... .. ................ 39-110 7.5yr4/6 none Ms osg ml (71a na .7 1.6 Boring Goring Pit Ground surface elev ft Depth to limiting factor in. Sod Application Rate Horizon Depth ireMunsell Dominant Coior Redox Descrlpt�on Textu re Qu Sz. Cont. Color Structure G r. Sz. Sh. Consistence Boundary Roots °` P F) 11 Pdl 4 Boring Boring Pit Ground surface elev. ft. Depth to limiting factor in. qn[I Annhrafinn Rnlp Horizon Depth Dominant Color Redox Description Textiire Structure Consistence Boundary Roots GPD/fF in Munsell Qu Sz Cont Color Gr. Sz. SIB. II * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 -150 mgIL * Effluent #2 = BOD:5 < 30 mg/L and TSS < 30 mg/L Fhe tkpiArImen't ;1,1 cqu"fl opportmlil� dervi-t' prn� Mc r and cirnph')-yer- I !'� ou v­,istune to til- need mint%: r 1 :11 1 r i -, i i 1 41 l. I i � r r 1 , i i �- I r i 'i i �i L l: I k2 -L j L.-k I i 11 Act ihik1cpartment at 018-266--') 1 � I oi- I'FY 608-26.1-S-7. 7 If)- 8 3 3 0 (R OT00) Steel's Soil Service STEEL'S SOIL SERVICE 3of3 David J. Steel Kennon Bast 994 200" St. CST-POWTSM SE 114,SW 114,s3f,T29N,R 19'VW Baldwin, WI 54002 Lie. #248956 Town of Hudson, St Croix Co. Direct 715-760-0347 Cottonwood Midge South, Lot 16 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. a-o L rwr .-c Legend N 1"=40' ■ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe = Alt Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe ❑ = Borings Boring Elevations B 1 = 99.65 ft B2 = 98.65 ft B3 = 99.05 ft Rd = n nn ft N D "u -V M VEN7 FOUND a UN D Pi PE R 0. IN R E B A R '%S ET, WEI G3 H I N, J_ P;:P,' INE(T59 0 MARK"R i:0UNID U) 1034.5 f%`Av, S-.TBAC-K LNE I C_- T: H LEDI 3 VV I S E S H 0 VVIN) .,2 T' �4 0 C � F76. j, C). D -CONT(DUR 0"NTOUR _FVr,'C)N FA ,.,US 3UILDABLE AR B U!LD 11111 G 0 P E N; NG ELEVAT 1 OM ,x .RY HtGH WATEER MARK 'X 103 9. 2 T SL-iALL DO Wri-HING R GEE THE ENS IVE WA71 ER N PLAN FC:--) 7IS PLAT. 7UJS F) TO S U! LD! IN C 'J JC) N, LLI N Oq F_XC�'-w'4TIC NG 0 R NTS. F? S S 0R EN,5 NO, PF RLMAYS), VVATEP 5 F: E C I N G71 S. . 3 �_J6 6C,� x 1 C) 39.4 17 20 2,60 Acres 113304 sq. ft n Lo C -B.A. = 1 .6 AC, 2-39 Am 104 OC, LE3G_;__: 103959 sq SS, J"7 2, 79,36. LBO 104 30 2. C V. x 1059,0 1036-4 TIC �o �7. 5,11 HWL= 7 -1, 45 r 0i x 7 2 0.5. 2 0 9 �.-3 2035, z x 10 37.1 -_;, 7:, 16 2 19 Acte 9539- 1 Lam0 /L 2 0 0 '1040.6 x X, 1039 5 213.721- 1039.3 x 15 2.14 Acres 93096 sq. ft C.B.A. = 1. AC_ I X 1038.6 x 1040.4 14 fr 2.13 Acres 9282-1 sq. 8 AC LE3 C = 104-2 . 00 S A R E 10 E LAC E � S l,"C'] UL D 1L) i S7, i _n` S A N NY 3 U 9 VE Y N ALONG LOT LNE OP x co T%LANN NC-z, L7 ZONENG 1.0 November 19, 2009 Kernon Bast c/o Edina Realty, Inc. 400 South 2"' Street mr Hudson, VVII 54016 Code Ad7 n in 7's 17 -c ii io n RE: Compliance deposit refunds for Cottonwood South '07 lots 715-386-4680 Section 36, Town of Hudson Landb�forntatio?z & Dear Mr. Bast: Planning 715-386-41674 1 recently reviewed the Board of Adjustment Decision for the above subdivision while -Re al Propert) processing a sanitary permit application and noted that YOU have compliance deposits that 71 - - may be eligible for refund. According to Condition #5- -538646/ r F Recy-cling ,The pla n shall be accorr pa med by a $100 nonref undable staff review fee a rid a cas h 715-386-46-75 compliance deposit for the lot. The ccirripliance deposit for the six lots under constrUction shall be $ 1,1 each, and the compliance deposit for the remain ing lots in the subdivision shall be $300 each, The cash compliance deposit will be held by the Zoning Administrator until construction is complete, permanent vegetation has been established, and the project is found to be in compliance with the cord itions of this approval, at which time the deposit will be refunded in full. Upon completing construction on each lot,, the applicant shall submit to the Zoning Administrator photos of the completed constrUction and certification from the project engineer that the construction has been conipleted as approved to serve as proof of compliance." Our sanitary database records show eight (8) permits were issued whose PGVVTS have been installed and inspected. However, there are some non-compliance issues that must b �e resolved before lots 2 an will be considered "complete", We need to obtain elevations and documentation of the building sewer and 'tanks that were installed on lot 24 without county inspection.'and the mound on IDI 2 does not meet the required setback from the north lot line. When we have received photos that document completion of conStFUCtion on each lot, your deposit refunds will be processed- S- ely, 71 r-arn Quinn Zoning Specialist Cc: Brian & Molly Hayes. lot 24 property owners Andre BLiechner, lot 2 property owner S T 09 0 LK Cc UN 7-Y G 0 vE-Pivmvv 7 CEN TE-R 0 1 CAR ICHA EL ROAD. HUDSON. W 540 16 CR 1 ■ � o Cammenve Division of Safety ancl Buildlnas SOIL EVALUATION REPORT #2004 in a000rdance wdn comet BEi. was. nam. coneAm,." Page i of 3 SisePs Sol Service Atfach sfe plan on paper' not iess than 8% x 11 inches in size. Plan must St_ Croix include, but not knited to: vertical and harizontad relbMice pant tom, dW ction and Parcae! I.D. pendent slope, scale or dhimWiMs, north anr+ow, and location and didanoe to nearest road. Perpdft Pho" pant &N R�t Peraanat you PMW49 maybe UMW for mcanday WK s. t 04 {1) {m)). a v � Z� o r a�ner �l r'"OPWILY Location Bast, Kernon Govt.. UA na SE11 , SW114, S36, T290, R19W Owntees Ma t9 Address Lot # BkX* # Subd. Name or CSMW [Property 948 Labarge Rd. 18 na Cottonwood Ridge South e Pho CAy Viiiage L Town Neared Read Human W1 0i _ � 5 Hudson Rd N Ej Now Cvrdstnoan tom: of bedrooms 4 Code derived design flow raft 600 GPD d Replaoeroent 0 Pub or commerchd - : na Pwert materW Si sediment over Frackired III Flood plain ekmWon, if appcable� no f!. General comments Con system, sysstem elevation 96.5W Trenches spaced and depth to code 3.75ft below grade. and _ _-_-.__ jig # El Boring M pt Ground surfoce elev. 100.30 fL Depth to limiting factor 110 in. Sail Application Rate Horimn Depth in.tliunset Color Redox Qu. St. Cont. Color Texkft Structure Gr. Sz. Sh. Conside Boundary Roots GPDW *EfW 02 1 0-12 10yr3/1 none sil 2msbk rnfr [S if .6 .8 2 12-29 10yr4'4 none 9d 2MSbk n* CS na A .6 3 29-36 7.5yr4/4 none sl 2msbk n* Gs na .6 1.4 4 36-110 7.5yr4/6 KX Ms osg ml na na .7 1.6 .� tt 10 [-]Swing 0 pt Gnwnd surface aim. 100./30 ft. Depth to limiting factor 110 in. Soilapplication Rate Horizon Depth in. Dominant Color Munsell Redox escriplion Qu. Sz. Corm. Color Texture Gr. Sz. Sh. Cons Boundary Roots GPDW *EW 1 0-14 10yr3/1 none 0 2MSbk n* cs 1f .6 .8 2 14-29 10yr4/4 none 9d 2msbk n* 9W na A .6 3 29-34 7.5yr4/4 gone gr cos osg mnrfr gW na .7 1.6 4 34--110 7-Syr4/6 none ms osg MI na na 7 1.6 f� �� rt * Efiluenrt #1= BOD a 30 < 220 mg& and TSS >34 < 150 mgp, Effluent #2 = BODs s. 3o m9& and TSS S.30 MA CST Name (Please Print) S' CST Number Davy J. Steel 248956 Address Steel's Sod Servioe Date Evaluation Conducted Telephiorie Number 994 tooth St. Baklvrin, Wl 54002 1 DWWM 715-7$040347 SBD4MQLffM" �'ty Omw §!j� KWW .,...._._,_ ParoW tD 0 ---Pero&'v ._ _ Pwa 2 ot. 3 •� El � 3.75 ® Pt Ground surface fir. 99.90 fL Depth to Umiting ialor 110 in.Rate Horizon in. Color MunseN Redox ' n Ou. Sr- Cont. Color Texture S#rudurs Gr. Sr- Sh. Boundary Roots GPD Ne '"FJM "E= 1 0-14 10yr3j1 SU 2msbk mfr cs if .6 .8 2 1+36 10yr4j4 none sd 2msbk mfr 9w na .4 .6 3 36-110 7.5yi4/6 none 059 mvfr na na .7 1.6 i �l•7,0 46 _�...' " Lf Pit Ground surface elev. ft. UOPM to IMUMV tocor in. Moraon Depth Dominant Dolor Itedox Despiplioo Twdwe Structure Boundarp Rods G�PDVI!' in. Munse9 Ou. S=. ConL Color Gr. Sz. Sh. 'EiAe2 Boring El Boring El Pit Ground surface obv. R. Depth to limiting fear in. Appficalim Rift Hodwn Depth in. Don*mwt (color Muusel Redaex Ou. Sz. Cont. Cobr Texture Structure Gt : Sz. Sh. CmshA mve Boundary Roots GPCW 'EM " EMLwd B1 = OW5> 30 < � mg/L and TSS >30 < mgAL m. " E� 82 _ SM5 - 30 rng& &W TSS s 3a m91L. The DqmUnmt ofCommume is an equal qVortunity service provider and employer. if you need to accm Se vim or need muterW in an al#ernate f mnsL please contact the drprujimmt at 609-266-31 S 1 or TIT 608-264-8777. mum" (xW/00) St men Sad SeiW e • STF,F.L'S SOIL SERVICE 3 of 3 Davi.d J. Steel Kamen Bast 994 2) 00 St. CST-POWTSM S E 1 /4, S W 1A S 3 6, 1'2- 9 N, R, 19 W Baldw-in, W1 54002 Lic. #248956 Town of Hudsoa, St Croix Co. Direct 715-760-0347 Cottonwood Ridge Southl Lot 18 Fax 715-684-3449 'Yh is so 11 e valuat io n was co nd.uc (ed to satisfy a zon in re q u i rernent it m a y u r may riot k- suitable for your use. 'The location of this teg may or may not Ix- as shown, as permanent ILat lines were not estahl ished at the time the soil test was conducted. fiend N 1" 40 % A - Benchnjafk Eic. 0,00 ft tot? Top of'3/4 N% PVC pipe )V� , 115 _el - e - Alt Benchmark Ele- 99.85 ft Fop of 3/4" Pvc pipe'. El B-or i lig's Boring Elevations B I w 100-30 ft B2 - 100,30 ft B3 99-90 ft R4 0.00 ft WROMM.. 4 1037.9 sdb1, x 11 M ' OF d r WIN 1 { � T 4 pp dr f w iO r* LU k 1% tOF P i r 1039.7 x e •, f 7 F i f y b t i .µt s r M. w • a . r a i • } o i Rali t 1 qMRTI_rI0w.Lcw SrFATEMZMT -FOR UTILTZATION. TMS to certi-fy that D T- have the r+ the t Secis IOCated at: S C T R A-9-Yr Town Upon inspectio and LaL j- t ato be-, 3rulmtiontng prop, line, 0-Tpti on Sys -Cem-? Yes No 6. ate � �JL LD. ga 11 N - , - N/ Other -�- �`Steel r 'L c -�. . ........... 1111L E i [ t: [s }TITEMI-e) J 2 71g" - - ILEY that r to, -� .I l�. r Oet �Cept for _ to Name ,f'Vl ' ur �.aa7oy ' r. 44 y' *Wisconsin D epartment of Commerce PRIVATE SEWAGE SYSTEM Safety and. Building Division INSPECTION REPORT GENERAL,,iN FORMATION ATTACH T� PERMIT} Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)}. Permit Holder's Name: City Village X Township Bast, Kernon I Hudson, Town of CST BM Elev: I nsp. BM Elev: BM Description: I ..- I " , () 1 /6 D'� 0 1 Xe V TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO- PI WELL BLDG. Vent to Air Intake ROAD Septic t Dosing Aeration Holding PUMPISIPHON INFORMATION Manufacturer r mand GPM Model Number TDH Lift. Friction Loss ys Head TDH Forcemain Length ia. Dist. to Well SOIL ABSORPTION SYSTEM t ' �64/-,­- BEDITRENCH DIMENSIONS Width ! Len th D No. Of Tr es SETBACK SYSTEM TO =4P/L BLDG WELL INFORMATION T Of System: Ft ELEVATION DATA County: St. Croix Sanitary Permit No: 546355 4 State Plan ID No: Parcel Tax No: Section/T❑ n/Range/Map N r36-29-19. STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer 0 F AV. Stlt StIHt Outlet a 3 T Dt Inlet Dt Bottom I�U,4040ej M 0A 1'5,23 Dist. Pipe ` /, Bot. lw�System � r oe Final Grade 93 �•� . St Cover , i FV hA 6/ i PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth �ISTREA LEACHING Manufacturer: C AMBER OR 1 UNIT odel Number: PST.RIBUTION SYSTEM Head istribution x Hole Siz x Hole Spacing Vent to Acilrta , Pipe(s) O r T Spacing_* Length Dia Length Dia S p 9 SOIL G VER x Pressure Systems Y stems 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 Yes Nu Yes No r COMMENTS: (Include discre encies, persons present, etc � Inspection #1:---� _ pection #2: I I Location: 614 Schwalen Court Hudson; \1 l 54616 (SW 114 SE 114 36 T29N R19W) Cottonwood South '67 Lot 18 Parcel No: 36.29.19. 1.} Alt BM Description S 2.) Bldg sewer length amount of cover = f •S Plan revision Required? ;Yes j No s K Use other side for additional information . Date Insepctor's Signat re Cert. No. SBD-671 0 (R.3197) S 1 � i � !' � � �� .�� . � � �� ��; �r.��a�� ��� ����� "� J z�� G�� 4500 �116 C2o �k COUNTY Noe..6�► �� PLUIVIBER,�w�. F2ot&oAi8Cr--d5Me. L1"k.",'0# TOWN VY 14qZ50AI sr-ju 3& N9 AND/ BboLdi Or4woob So Ilk SBD-06499 (RI 1/20) M6'y 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