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�
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�
�
y �
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as l�
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�
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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
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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
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i
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2 71g" - -
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r to,
-� .I
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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