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PRIVATE SEWAGE SYSTEM Countly_ st. Croix -I sin Departmeot of Commerce Fsanititary P Permit No; nd5061 Ing Division INSPECTION REPO INS RT ............. 45 State Plan ID No'. (ATTACH TO PERMIT) Q:11 NERAL INFORMATION oses (Privacy Law, s.15,04 (1)(M)I. 71 Personal information you provide II urP be used for secondary PParcel Tax Na: ow— 1Aq city V01age X Township A A c 0 Permit Holder's Name: Hudson, Town of Bast, Kernon jo e �nl nge/M pNc: Btvl Description: V 36.29-19,4444 CST BM Elev-. jinsp BM Elev C-I�J ta" 0 ELEV I E;�tD A4 36 Z"7 TANK INFORMATION CAPACITY STATION HI F S ELE TYPE M Benchmark -7 Septi. Alt. B M1 A . Z5� Dosing Bldg. Se tj Aeration StjHt Inlet qa._� Holding L . .......... Cut et TANK SETBACK INFORMATION +, Intake ROAD n e, � � w i � �� 7e t A r TANKTO kr PJL WELL BLDG. 2. M Dt Bottom 13- 1 sptic Header/Man. Dosin Dist. Pipe eration Bot, System Holding Finai Grade TIO PUMP/SIPHON INFORMAIO Demand St Cove m nu ac urer �j Is GPM ilk _ �)S Lostem Hea' TDH TDH Lift i Friction y.35o Dist. to Well Forcemain Length,llllll,l,lll" D Z, SOIL ABSORP 0 N SYSTEM Of Trenches PIT DlMENSIC o. Of F ts inside Dia. Liquid Depth I L BEDIII-TRENCH Width Length DIMENSIONS 3 /&S 6 1 r, LAKE/STREAlvI G manufacturer: P/L BLDG WELL CHAMBER OR SETBACK SYSTEM TO UNIT I'M,)del Number'. INFORMATION Type ot Systern:, Ll Z-7 �� x Hole Spacing Vent to Air Intake DISTRIBUTION SYSTEM x Hole Size n Header/Manifold istributio i III' Pipe(s) Cia Spacing Zow Length Length_:!��DlaX)c Mound Or At -Grade Systems Only Xy mulched SOIL COVER X Pressure Systems Only XX Depth X eede dded Yes i Depth Over Topsoil Yes 0o Depth Over Bed/Trench Edges BediTrench Center L� 5 / b f inspection #2- COMMENTS' (include code discrepencies, persons present, etC,) InspeCtIon #1: Parcel No: 36.29-19.444A 36 T29N R1 9W) Cottc)nwo d Ridge Lot 6 ri— Location: Hudson, VVII 54016 (SE 1/4 SW 1/4 IV-& 1.) Alt SM Description i 0- h= 0�� 2j Bldg sewer iengt -75 - amount of Cover > 1� I Plan revision Required? Yes >�, No 10 01 /6 Cent, No. Use other side for additional information pate Inse toes Si U ZOT SBD-6710 (R.3/97) 7IIIiIIIIIIIIIIIIIIIIIIIIIIIIII"` llh� OF F?ES4R A TJ 0 N 7 Ift I I .. -+ - ; Mob Ana%* AONNE 2 14,6X %OA"%ST DRIV., 041%0 Iwo-ww C C4� N%" 46'.42wul Wr 5 ma A N IAM CA Ii P 'low 4t A 1p rARY s S ENT K FROpA I WA MARK 22Z742 'rpm IS dr ammms" 5714E 1489�151,58*W 575,38� A� v p v 19, vow" s A& 'R s "Mmw mp arseww"" *Www mom* P* *W**,o f *two a11 -1 v 0mm— *'a F"m amw *, mow .0 -V Ampm 0 11 QAW 372-74' ohm. 8 9 *0 And E 1: 3D -11 u 1-�� LZA� -Am ]-% -,. '64 "".— ~ -*M — +T "4 *a, 4,* -,* C3 il Ln r — In I SOUT LOT C 0 8 N Ew R I s OCCUMED BY TREE U 2739P 317 EXHIBIT A Parcel 1: A parcel of land located in part of the SW '/4 of the NW 1/4 and part of the NW 114 of the SW/4 of Section 36, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin; more particularly described as follows: Beginning at the W 1/4 comer of said section 36; thence NOO'16'10"E, along the west line of the NW 1/4of said section, 1248.49 feet to the north line of Lot I of Certified Survey Map recorded in Volume 3, page 669 at the St. Croix County Register of Deeds Office; thence N63'02'59"E 148-42 feet to the north line of said SW 1/4of the NW '/4; thence N89'26'58"E, along said north Imie, 1182.70 feet to the east line of said SW 1/4of the NW 1/4; thence SOO'2 1'3 7"W, along said cast line, 350.04 feet to the north line of Lot 73 of the Plat of Cottonwood Ridge First Addition recorded at said office; thence S89'26'58"W, along said north line, 10.00 feet to the west line of said plat; thence SOO'27'24"W, along said west line, 2096.76 feet to the centerline of County Tnink Highway "N" and a point on a 1999.00 foot radius curve, concave southerly, whose central angle measures 7'10'30", whose chord bears N84'30'41 "W and measures 250.16 feet; thence westerly, along the are of said curve and said centerline, 250.33 feet to the point of tangency; thence N88005"56"W, along said centerline, 83.64 feet to the point of curvature of a 2700.00 foot radius curve, concave northerly; whose central angel measures 3'17'53", whose chord bears N86'26"59.5"W and measures 155.40 feet; thence westerly, along the arc of said curve and said centerline, 155.42 feet; thence N04'2956"E 244.01 feet to the point of curvature of a 167.00 foot radius, concave westerly, whose central angle measures 3424'12 ", whose chord bears N 12'4 2'1 0"W and measures 98.78 feet; thence northerly, along the arc of said curve, 100.28 feet to the point of tangency; thence N29'54'1 6"W 274.22 feet to the easterly extension of the north line of Lot I of Certified Survey Map recorded in Volume 12, page 3456 at said office; thence N89"' 12'45"W, along said easterly extension, along said north line, and along the westerly extension of said north line, 670.44 feet to the west line of the SW '/4of said section; thence N44'37'50"E, along said west line, 496-89 feet to the point of beginning. U_Q Parcel 2: A parcel of land located in part of the SW 1/4of the SE 1/4of Section 36, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin; described as follows: Beginning at the South 1/4C,orner of said Section 36; thence NOO"27'05"E, along the north -south 'A line of said section, 1216-78 feet to the centerline of County Trunk Highway "N"; thence S76'47'47"E, along said centerline, 1354.82 feet to the east line of said SWV4 of the SE 1/4; thence S00107'02"W, along said east line, 897.02 feet to the south line of the SE 1/4; thence S89*33'25"W, along said south line, 1326.80 feet to the point of beginning. to ZMA " S. r. IA 225 Acrr4 1 916137 SQ. FT ,1 (� ! tq TOP OF jjE"R a3l 42 y"_W ca AL 509`52's 135� OUTLOT 1 E c; as3 AGES ` } 31 Xg S©. FT. p €` 1 T. ]0 c Q, � g 0 3.27 Acne& 142.341 SO. FT. 2.00 Acre& ROCK FOOTINGS $7,i2S SO. FT. ySq �i84'S2'58'W i 58.QU Z?7.74' w4 { . WEA.SEMEWr _ ' F 7 ' .117 t A.,., VATER i ". '�+��C ? o T; F W 'w r 01 • ry ��r'P6 \ .''1 f * '� 200.75 4 ' 37T.7lS' SOUTH UNEOFTHE 3E1f4 N89°33'25"E 1326.801 LOT CORNEALS 4 OCCUpiED 6YTREF- rt, Irfu ER -.COMPLETED PLETED BY DATE mm CONTROL PU LEGEND S. 1% 40 LLB ..J EROSION CONTROL PLAN CHECKLIST 6W Check (V) appropriate boxes below, and complete the site diagram with necessary information. < 0 0 Z Site Characteristics North arrow, scale, and site boundary- Indicate and name adjacent streets or roadways. Location of existing drainageways, streams, rivers, lakes, wetlands or wells. Location of stor'm sewer inlets. Location of existing and proposed buildings and paved areas. The disturbed area on the lot. Approximate gradient and direction of slopes before grading operations Approximate gradient and direction of slopes after grading operations. Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices Location Of temporary soil storage piles. Note: Soil storage .piles should be placed behind a sediment fence, a 10 foot wide vegetative strip, or should be covered with a tarp or more than 25 feet from any downslope road or drainageway. Location of access -drive(s). Note: Access drive should have 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick. Drives should extend from the roadway 50 feet or to the house foundation (whichever is less)- - • Location of sediment. controls (filter fabric fe*ce, straw bale fence or4 0-foot-wide vegetative strip) that will prevent eroded soilfrom leaving the site. ONSTO-t> Location of sel!kment barriers around on -site ' �.Storrri sewer inlets. Location of dW ersion f9r Note: Althod by code, it is recommended that concen- u a s ec.; uire tvd flow ( raga 0-, diverted (re -directed) rland runoff around disturbed areas. i adjacent areas greater than 10,000 sq. ft. We 'r*a-PI .should also be diverted arou'n disturbed areas. ( Location ces that i0l'bifoapplied to control erosion on steep slopes greater than 12% grade). Note; Such practices include ?hbintainingexisting vegetation, placement of additional sediment ifLnces, diversions, and re -vegetation by sodding or seeding with use of erasion'control mats. Location of practices that will control erosion on areas of concentrAted runoff flow. Note: Unstabilized drainageways, ditches, diversioh5, and inlets shoo y be protected from erosion through use of such practices as in -cannel fabric or straw . bale barriers, erosion control mats, staked sod, and rock rip -cap. when used, a given in -channel barrier should not receive drainage from more than two acres of unpaveck area,", r one acre of paved area. in -channel lamctices should not be installed in perennial streams (streams with year round flow).` Location of other planned practices not already, noted. I 0 l..i W Indicate management strategy by checking (V) the appropriate box. 2 Management strategies 0 0 Z ❑ Temporary stabilization of disturbed areas. Dote: It is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding (between April -1 and September 15), or by other cover, such as tarping or mulching. Permanent stabilization of site by re -vegetation or other means as soon as possible (lawn establishment). Indicate re -vegetation method: Seed ❑ Sod ❑ Other • Expected date of permanent re -vegetation: Re vegetation responsibility of: Nn Builder %) Owner/Buyer • Is temporary seeding or mulching planned if site is not seeded by Sept 15 or sodded by Nov. 1 5. C' Yes ❑No sJ/A Use of downspout and/or sump pump outlet extensions. Note: It is recommended that flaw from downspouts and sump pump outlets be routed through plastic drainage pipe to stable areas such as established sod or pavement Trapping sediment during de -watering operations. Note: Sediment -laden discharge water from pumping operations should be ponded behind a sediment barrier until most of the sediment settles out. Proper disposal of building material waste so that pollutants and debris are not carried off -site by wind or water. Maintenance of erosion control practices. • Sediment -will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the height o f the barrier. • Breaks and gaps in sediment fences and barriers will be repaired irnme- diately. Decomposing Straw bales will be replaced (typical bale life is three months). • All sediment that moves off -site due to construction activity will be cleaned up before the end of the same workday. All sediment that moves off --site due to storm events will be cleaned up before the end of the next workday. • Access drives will be maintained throughout construction. All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized_ For more assistance on plan preparation, refer to the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Construction Site Best Management Handbook, and UW-Extension publication Erosion Control- for Home Builders. The Wisconsin Uniform Dwelling Code and the Wisconsin Construction Site Best Management Handbook are available through the Mate of Wisconsin Document Sales, (608) 266-3558. Erosion Control for Home Builders (CwQ001) can be ordered through Extension Publications, (608) 262-3346 of the. Department of -Commerce, (608) 267-4405. BUILDER. SPEER BAST CONST 4 pRojFCT. WARNER Ul 87--0- 1T-0" 24'-0" 01-711 6'.$01 111.2" 21.2*1 41j" 51-9" &0. 8'.0 117 x V-0 104' R.O. 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OKS)UNS ANP FOR ATJ, "pU(,ABLs CODIC 0oMPbtANcU,j,o LiOCAL (VOU, GET THE RESULTS YOU EXPECT WWWBRGBOUP-INC.COM BtrlLj)ng RZSOURCS OROUp IS NOT itEspoNgIBLE FOR ANY 'XMING ot INCORUCT INFORMATION. 102 fAGKV DMVE PHONE! 713-698-4781 13UZLDRIS REGOURCR GROUP OWKS ALL ItIQH7S AND COPYRIGHTS WOODVILLE,WT.54028 FAX716-698-4782 OFTHIS HISDRAWINGISIUZ( 14' 4'-V DAWN 3723-2W KO A'VXVI pS'1'11 SI QHiti►vuQ 61Hsdt] sPtoLL+rJI'IdiIQAEfV nrElA VRO Bluz4o r8b"99-!!L 71Cyd 9aet9 !M `r MAOOaM WaOmAja E atvv &ilkH3M T)v mmo anaxm as ga(WIV ffmcni a8 TU f-e6"U WN()Rd $Amu (1(moym $or INULLY"NOdN1 gym N z 1I0 0141"tT1 ARV RUA WIRIONOdg" jA N m jnum1] solinS]Eii x u!li cning ll[U•�'711t1 dl}a����1t41�H11�1] �.Z].`j[�'��$ RO+� ����►� /Ti� Q $'AQQa'111XU'i WI iIQKYI1dIriY.l 8a07 7Iry8YOi'Id M d w ouo a 17 iL.li 1 V A7 au SuW71i i LR 'I•sv K TW,jd JG7'd7iWOV AA119A 04 VMMYdIIOrL�VSMOO I Lli �J _ SAOOV ,T,K'f3 Roam '.................. 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DwRNSTOMS, DMSTUM AND YOR Al PEv'sloNs BUILDERS RESOURCE GROUP mArx fAr., spr APPUQ%BLB CODB COMMANGB 7D LOCAL COM- 4-08-13 _lNr o WWWXRGRojVp COM BU I MRS RNSOURC H GROUP IS NCrr RISPONSMS FOR &N - GET ME MUM YOU RXPECT MISqlNo Okt jNCOjt'KFXTlNFOftXAM0N- PRO PROJECT: WARNER 102 11AGEN DIUVE PHONE.- 715-0,98-4781 IIIJITDKM RNSOURCH OHOUP OWNS Al Hlo"Ta AND Copynl()HTS WOODVILLE, M. 54028 PAX, 715-698-4781 OF THIS I)RAWING. ANY DUPLICATIONS OPTM9 DRAWINO IS 1!jEC / . . . -�1/8___ B ILDER- 9PEER-BAST CONST, BUILDERS RESOURCE GROUPJAPPUCADLE COD? COKPLIANCE TO LOCAL 0001119- to 6Z�n NOTICE TO OCC U FkjN'j' T'* "�'X i I vtodwod by t��StAvft 1'�t-otzd ZASTt V, *utrwV'r aawmw I rj"m Mc PAS'74 IrWM4VT 1A A (0"t ftr*r you- PAST V �ozot%, V", zmV t itWCmdanT with W=da&'w-X'% and xpsnrw,"v Quem-a-, aomnt� ,a wAijmt (found '0 *O'CMS b*WrfX7; prom"', f%--" wrify yow ww%-40 pcevidw afb% � Qrisr4r W � T-'t! MCA9MM, showw b'r 1ep*wlt, Wsl )Q4N 0�mphvt. (Some A.-M 6, Humm, A4.4, aDd ECOWAZ U'a while -fa 0'n p4prf rroduu swine fLww*j WKIr-A4 do got CW 0013r dy" iA popo WA dwifmcdo Dot hreakdo" Non-iAractwad.pqpa tbro-ft ear color'} WA4h a IVY* 60" W N'n 4W to 0K tad kvtj Cd swxv.) BE UsED NO DiSCHARGE FRQ'A WAM SOFTWERS SHfXrLD 00 INTO TfiZ SYSTEM Ica ANIMAL FATS. $UC-44 AS A('ON ORL ASXµ LAKZ,. OR ANY CITHER OtLZ SVOLI.D 00 1,"tM TM SYSTEM (Nmui t;10=aS of POU XVd PIM 0 WX' "Mblr) A31=rtsw, 1:hMQ9 draA cimlas un oc tAAN1-1 out use spwl ati y bft'Atox they arc toxic to the bw'tc;-aa vi the sylkm) NO LIOULD FABRIC SOF-1-F,"M SHOL11,D Bt US',"AD ampwr'm No Ich fs t'PX' W tht wk-ltna pit4'&e UW os�'v' shcam ;Ngift! sojvwts I jhjnVx-$ j t� cw4mcn; pmjchtrbka 0" (21- IQ AL ELI 1:j 0 33 1JAV=' rRAC ncs Co" COSS SID., G* 0�n h4micAl 0'VS 11 ij ttmt vv&j4,. loads oc grad WOUVOW 10C week. Ur,kr, wxwjd he WMCft%Ar,'*VS %dw-AM9,0d 'j-WWU "CftS &Md Dot rrcov-z=idr4 fLv a161MA; wumm VIOLA'rIONIS OF THE ABO'%"E SI'ANDARDS OF GOOD PRACTICE MAYWID THE PRODUCT WARRAN-ry 3/�, Z9 .19. 36Z Private Onsite Wastewater Treatment System Individual Subsurface Treatment System Thank you for allowing us to help extend the life of yo ur system! Let us know if you have any questions. ThLv 45 our report too oii - 01ease retid carefully InsUltafton Locab*on: ' ATU Installed: ATU Serial Number, Inspecti regiment date: Vid N Phore Number 7 Ile.3L.,) Owner 10�-� Sarnofing Needed: /Ij L', ? Install Date: F J/ CL Petersen Managenwnt Co., LLC PO go x 340, 421 WheOe r Avenue Fredonia, W1 53021 Tel 6B8455-6864 or 2162-692-2416 Far. 800-669-1232 or 262-692-2418 E-Mad saissgpetersenprodusts,co,m Rrv. W