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042-1085-31-110
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 ROSCON PROPERTIES - STOUT I TOWN OF WARREN CST BM Elev: Ilnsp. BM Elev: IBM_Description TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic J g W t� 0 Aeration t MAIM, •4il,,NWei%1 1► d Who 1 ►'i�l� TANK TO P/L WELL BLDG. I V nt t'°Air>n_Gke IRbW Septic Dosing Aeration Holding '11JI4W&i10Is]►IIZ1;161NIvi/_rIII Is] ► nufacturer ,• Demand M M del Nu er I /T TD Li iction L s JD H� ad TD Ft Fore ain Length Dia.�to Well SOIL ABSORPTION SYSTEM ELEVATION DATA I`UU"`Y St. Croix I itary Permit No: 657200 Plan ID No: Parcel Tax No: 042-1085-31-110 Section/Town/Range/Map No: 31.29.18.477B MIME, NON I M Milk �A AM An rAl �AA &I IIWIWNNZ� I&AS37EA MEN IN rim BED/TRENCH DIMENSIONS Width [ Le th It No. Of Trels PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/I�641 BLDG WELL LAKE/STREAM LEACHING Ma ctu er: INFORMATION Ty Of System: a 7 CHAMBER OR UNIT Mo el V DISTRIBUTION SYSTEM I Header/Manifold Distribution x Hole Size x Hole S acin Vent o Air Intake Pipe(s) Length Dia Length a SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over 1 ( Depth Over ded Bed/Trench Center V, 3.� - t4 Bed/Trench E s Topsoil ❑ Yes ❑ No ❑ Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Location: 961 70TH AVE 1.) Alt BM Description 2.) Bldg sewer length =� -amount of cover Plan revision Required? ❑ Yes jl• No ��IoX Use other side for additional information. Date SBD-6710 (R.3/97) Inspection #1: Inspection #2: kAo vxkk Im l* a+ ints-Cw6t\ f 1'Rtas i��o OuK /-�Knci►es ehOS 1 4y ns t Signature Cent. No. _ 77 Indust Services Division Cotrrtty �s! 5 �� 4822 Madison Yards Way Madison, W1 53705 ?5;A 024-139 ps j.,' JUN 0 3 2024 P-0, Sanitary Perini; Number (to be filled in by Co.) Box 7162 Ntadison, W153707-7162 657200 1 , - --- kr;ltefrntrr:+.',�Cllr9t tiU:n:'.Cr + it Application in accordanc;: frith 5PS 383 21(2)• Wrs Ad-, r :,;h dri i r; h, for n to the appropriate governmental unit is rcquiied prior to Ob[amurg a sanitary per •r;, ,\I pI � d r t tt�•n�wned POW'TS are submitted to Project Address (If diF�ercnt than mailing address) the Department afSafety and Professional Seri; Personal n r:I, ide may be used For secondary 687 & 6 9 96th ST purposes in accordance wills tlic Privacy Law, . ; :t(' }frr}. .t,.i• 1. Application Information — Please Prirrt All lnfurdnrrlrttn � Property Owner's Nar Parcel # S�� 1 Pending - Part of `} / 042-1085-31-110 Pr erty Owner's Mailing Address Properly L.Ftr;i:i, r i Govt. Lot j Ci State ip Code Phone Number Section - Lot Type of Building (check all that apply) Lot # .'- w T 4,sk, NR / orI or 2 Eatnity Uwelting — Number ofBedroums�Subdivision Name Mock ublic/Cortunercial - Describe Use r -TF L'• 4�� ! lJ FiCity of State 0%vhed - Describe Use CS%l Number V411age of �zT33 ' �yll own of C o 11 94/2. 111, Type of POWYS Permit; (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C it a li le. I. I ivc.v System ❑Replacement System Dotltcr Modification to Pxisting System (explain} Additional Pretreatment Unit (explain) 13" 0` lolding Tank ln-Ground ❑qt-Grade Mound individual Site Design Other Type {explain} -- .- (conventional) t •• li ntw:r,] M.forc "Revision hange of Plumber Transfer to New O�vne; List PreViOLdS Permit Ntrrrtber and Date Issued l tpl:a:;ts;t IV, iJispersalll rcatrnent Area and Tank Information: 3 o 6� Design Flow (gpd} Pt:si =r it Application �Rafe(gpdlsn ispersal Area Re uircd (t Dispersal Areaj Proposed (so S Stem Hcvation s J • dr� Capacity in l ottrl rf of anulacturer ! aitk Information Gallons Gallons Units f .t r, Ne L� a a New Tanks Existing Tanks 4• TZ Septic or bolding Tank Dosing Clramher ` V. Responsibility Statement- 1, the undersigned, assu r sponsibilily for installation offhe P01VTS shown on the attached plans Pi�nber's Name (PT it) Plum ignature MPIMPRS Number Business Phone Num. ( C. M �1cess (:5[rez:[, 5sat , p Codc � - L/✓ A/ t V1. County/Department Use Only IX Approved spproved Penal! l ee Date Issued Issuing Ayt:nt Signature !'•� son�for�NnWi�al�O/�p/�2 Conditions ok rYrn n C c far• E].Ll SYSTEM OWNER: 3. Replacement area must be preserved! Additional soil pits may be 1. Septic tank, effluent filter and dispersal cell required. must be serviced 1 maintained as per management plan provided by plumber.. Addresses issued 6/6/2024: 687 & 689 96th ST 2. All setback requirements must be maintained as per applicable code 1 ordinances, Attach to complete plan, I'ur rC,• _rrrm and suimw re r i, c ,;jrjr, .?illy an papernot less than 8 11'2 .X ; 1 ioncU:+:L ,icr SBD•6398 (R. 03/2 1) SAN-2024-139 System. PLOT PLAN iii[).li:L"r Richard Stout ADDRESS 1353 Awatukee Trail. Hudson WI 54016 NW 114 NE 114 s 31 l 29 N1 R 18 W TOWN Warren COUNTY ST. CROIX 99.8'199.0'r98.2' 4.5' Below Grade 5'29,`24 BEDROOM 6 SYS'I'E�i ELEVATION ('C)Ti1'E\'i'1[}1AL xxx C[)ti1 i-\ I'ii )o:1I. LIFT HOLDING TANK 1200;801Gallon LIFT IAZi. SIZE DOSE TANK SIZE Nl()L'ND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE -7 ABS010 1 i[» AREA 1340 # of chambers 66 IL BENCHMARK V.R.P. Top of Lot Corner Post ASSUME ELEVATION 100' Filter Lifetime Filter BOREHOLE 0 NVELL ■11.R.P. same as benchmark Scale = 114" - 10, Vent_ ,,, � Quc:k4 Standard 'Y Address Assignment CSM VOL 8 sE sw - SE CSM VOL 10 PG 2192 PG 2931 ----------------- ----------------- 70TH AV, ; 0 70TH AVM 961 70TH AV 65 70TH AV 8 963 70TH AV 10 �w 15 ' 12 SM VOL 25 PG 5850' 1HE SM VOL 29 PG 6646 T29N R18W ; WN OF ARREN 13 ------------------ ST. CROI UNTY CDD@SCCWI.GOV 6/6/2024 IIAW - HE CSM VOL 33 PG 7411 HE OL 26 14 689 96TH STD 687 96TH STD N W+N S 0 60 120 180 240 Feet SAN-2024-139 Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 05/16/2024 Owner: Richard Stout Location: NW1/4 NE1/4 S31 T29 N,R 18W Lot 14 70th St, Warren Used: In -ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. infiltrator Chamber Cross Section 4-5. Maintance and ContipjTy Plan 6. Filter Cross Section Attachments: Soil Test Signature License numb,&26900 SAN-2024-139 System. PLOT PLAN iii[).li:L"r Richard Stout ADDRESS 1353 Awatukee Trail. Hudson WI 54016 NW 114 NE 114 s 31 r 29 N1 R 18 W TOWN Warren COUNTY ST. CROIX 99.8'199.0'r98.2' 4.5' Below Grade 5'29,`24 BEDROOM 6 SYS'I'E�i ELEVATION E'C)?i1'E*S'fl[}1AL xxx C[)ti1 i-\ I'ii)o:1i. LIFT HOLDING TANK 1200;801Gallon LIFT IAZi. SIZE DOSE TANK SIZE Nl()L'ND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE -7 ABS010 1 i[» AREA 1340 # of chambers 66 IL BENCHMARK V.R.P. Top of Lot Corner Post ASSUME ELEVATION 100' Filter Lifetime Filter BOREHOLE 0 NVELL ■11.R.P. same as benchmark Scale = 114" - 10, Vent_ ,,, � Quc:k4 Standard SAN-2024-139 Cross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 cells QUIcit 4 Standard Leaching Chambcr \with 20.0 ft? (�[ Area per C haCl h l' 6.61 t^ry pair of end plates, Typical Installation Vent A/ Grade 4' 44 l_()n"7 1 34" Spacing � 30/34 Septic Tank System elevations: A 99,8' B 99.0' C 98.2' 5' Ciracic ,it S� slim Elcvation To be >1' above grade Finish grade elevation ►►/ 104.3 Xci't H 4' L on«i 1., Gracie at System Elevatioi7 Observation tube/Vent Same on other end To be located on end of Cells 22 chambers per cell A B 02 POWTS OWNER'S MANUAL & MANAGEMENT PLAN SAN- Page -139 of FILE INFORMATION Owner Permit #t )ESIGN PARAMETERS i Number of Bedrooms 6 p NA Number of Public Facl;ity Units �• A Estimated flow (average) rl allda I Design flow (peak), (Estimated x 1.5) aElda Soil Application Rate i , aifda /Pt i Standard Influent/Effluent Quality � Monthly average" Fats, Oil & Grease (FOG) s30 mglL Biochemical Oxyger. Demand (BOD.) 5220 mglL 0 NA Total Suspended Solids JSS) s150 mglL Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BOD5) 530 mglL Total Suspended Solids (TSS) :530 mglL X NA Fecal Coliform (geometric mean) 5104 cfu1100ml iMaximum Effluent Particle Size ka in dia. G NA I Othe r: - A "Values typical for domestic wastewater and septic tack effluent. MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank Capacity ! _ gal ❑ NA Septic Tank Manufacturer ❑ NA Effluent Fitter Manufacturer ❑ NA Effluent Filter Model ❑ NA Pump Tank Capacity al NA Pump Tank Manufacturer NA Pump Manufacturer NA Pump Model NA Pretreatment Unit i3 NA 13 SandlGravel Filter ❑ Peat Filter ❑ Mechanical Aeration 0 Wetland ❑ Disinfection © Other: Dispersal Cell(s) ❑ NA In © In -Ground (gravity) -Ground (pressurized) C At -Grade /❑ Mound ❑ Drip -Line ❑ Other: Other: ❑ NA Other: ❑ NA Other: ❑ NA Service Event Service Frequency 5 Inspect condition of tank p () At least once every: eve "� EZ3 month(s) (Maximum 3 years) ❑ NA ears {Pump out contents of tan'K(s) When combined sludge and scum equals one-third of tank volume ❑ NA (Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) .year(s) ❑ NA Clean effluent filter At least once ovary: yVm Tyzarth(s) ❑ NA ' ns ect pump, controls & alarm p - p, p urr p _ At Least once eve ry 0 month(s) Cl years) ❑ NA l=lush laterals and pressure test At least once every: —_ ❑ month($) ❑ ear(s) ❑ NA 7thec At least once every: ❑ month(s) 1] ear(s) ❑ NA Ixher: Lj ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POV�JTS inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the grour.d surface, The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any pending of effluent on the ground surface. 'The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (4) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 1 t 3, Wisconsin Administrative Code. %il other services, including but not limited to the servicing of effluent filters, mechanical or pressurized cornponenis, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer, k service report shall be provided to the local regulatory authority within 10 days of completion of any service event. SAN-2024-139 Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s} for the presence of painting products or other chemicals thzil may impede the treatment process andlor damage the dispersal cell(s). If high concentrations are detected have the contents of thy tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil corditions are frozen at the infiltrative surface. During power outages pump tanks may `III above normal highwater levels. When power is restored the excess wastewater will bis discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluenit. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to tt);e effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tacks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area wlthln 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWT13: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation dralin (sump pump) water: fruit and vegetable peelings; gasoline; grease; herbicide% meat scraps; medications; oil; painting producls; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails andlor is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with wail, gravel or another inert solid material. CONTINGENCY PLAN If the POINTS fails and cannot be repaired the fobow'ng measures have been, or must be taken, to provide a code compllir'int replac ment system: A suitable replacement area has been evaluated and may be utilizea for the location of a replacement soil absorption system. The replacement a -ea should be protected from disturbance and compaction and should not be infringed upon by requhled setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area Replacement systems must comply with the rule.,; in effect at that time. O A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technolog,l a holding tank may be installed as a last resort to replace the failed POWTS. C7 The site has not been evaluated to identify a suitable replacement area. 'Upon failure of the POWTS a soil and site evaivation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be irrstalledl as a last resort to replace the failed POWTS. 0 Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the inf ltralive surface, Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>a SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O� A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name Phone POWTS MAINTAINER Name Phone SEPTAGE SELRVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name �, Name `7 Gs:�.t Phone - ] i 5- 4j - f ( FPhone This document was draftec in compliance with chapter SPS 383.22(2)(o)(11(d)V) and 38354(l),(2) & (3), Wisconsin Administrative Code. 9 0 1p 2: C) u uj ri Yi `'r �ViaddLr�l�ptrhtntd� $� Professional Services Divisianoflr3duy4rlyS�erivlces I SOIL EVALUATION REPORT JUL 2 5 2023 •xraV„ ,+'i I In accordance with 5P5 385. Wis. Adm.Count Code Y St.Croix Attach complete site plan o6pa} mnat[jml, Olt, 8 1/2 11 inches in size. Plan must include. but not limited to: NerUdalraM ftil VW fef1e�,�r} oin (BM), direction and percent slope, Parc I I.O. scale or dimensions, nb"f! drrBB , nce to nearest road. Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law. S. 15.04(1)(m)l. ! Property Owner Richard Stout Property Owner's Mailing Address 1353 Awatukee Trail City State Zip Code Hudson 1wi 54016 SAN-2024-139 Page of_ Property Location Govt. Lot NW /. NE '/. s 31 T 29 N R 18 Site Address nd of #:� Future ioT78' Phone Number ❑ City ❑ Villag Q Town F70th arest Road Warren Ave E (ory W i Q New Construction Use:❑ Residential INumberof bedrooms 6 Code derived designflow rate 930 GPD ❑Replacement ❑ Public or commercial — Descnbee Flood Plan elevation if applicable N/A ft. Parent material ❑utwash Gener mme and recommendations: M System Type:Conventional 4.5 below grade j Boring ❑Boring 100.3 1 1 0 ®Pit Ground surface elev 1t. Depth to limiting factor —in. 1 elev ft. Soil Application Rate Honzon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont_ Color Texture Structure Gr Sz. Sh. Consistence Boundary Roots GPD/Ft 'Eff#1 Eff#2 1 0-8 1Oyr 3/2 none L 2mgr mfr cs 2m .6 .8 2 8-36 10yr5/4 none CI 2msbk mfr gw 1f .4 .6 3 36-110 1Oyr416 none S Osg ml n/a n/a 7 1.6 ov ju Boring # ❑Boring 100.3 110 QPit Ground surface elev. ft. Depth to limiting factor —Lin / elev, ft. __ _-- Sall Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Con(. Color Texture Structure 3r. Sz. Sh Consistence Boundary Roots GPD/FV Eff#1 'Eff#2 1 0-6 1Oyr3/2 none L �2mgr I mfr �cs 2m _6 S 2 6-42 1 Oyr5/4 none Ci 2msbk mfr gw if A .6 3 42-110 1Oyr4/6 none S Osg ml n/a n/a 7 1.6 -V1 �J- CST Name (Please Print) Si CST Number Shaun Bird 226900 Address Evaluation Conducted Telephone Number 1432 120th St. New Richmond Wi 54017 7 123 715-246-4516 Effluent #t = BOO > 30 5 2ErrfglL and T5S > 30 is 150 mg/L Effluent #2 = BCD, 5 30 mg/L and TSS 5 30 mg.rL SBD-8330 (13041i21) SAN-2024-139 Page of ❑ Boring 104.3 0 . Boring # ® Pit Ground surface elev. ft. Depth to limiting factor n. 1 elev. ft. 9 Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az, Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt2 *Eff#2 1 0-6 1Oyr'312 none L 2mgr mfr CS 2m .8 2 6-30 1Qyr514 none CI 2msbk mfr gw I PA .6 3 30-110 1Oyr416 none S Osg ml nla n1a1.6 Boring # ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor in.1 elev. ft. Soil Aoolication Rate Horizon Depth In, Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFtz *Eff#1 'Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in.1 elev._ ft. Sail Aool'x ation Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt1 'Eff#1 'Eff#2 * Effluent #1 = BOD m 30 5 220 mg/L and TSS > 30 5150 mg/L * Effluent #2 = 800, s 30 mgJL and TSS s 30 mg/L SAN-2024-139 Soil Test Plot P1 Project Name Richard Stout Address 1353 Awatukee Trail Hudson, WI 54016 Lot 18 Subdivision ----- ut1 131rd 5`FM #2`16900 ' p e 7/24/23 N W 1/4 NE 114S 31 T 29 NfR18 W Township Warren Boring 11 e11 IT Prolu'rty tine County ST. CROIX 131 �►� 1 IL1' Assume Elevation 100 ft. Top of Lot Corner Stake System Elevation TBD *HRPSame as Benchmark Scale - 1 /4" _ 1 a` ,,�> THIS INSTRUMENT DRAFTED BY EDWIN FLANUM JOB NO: 23-62 DWG: CSM7 12-191/.SLOPES DRIFTED:6/22/2023 FIELD;6/2la023 I I N C.S._M=V. 8, P. 2192, DOC_. #456664 C.S-M. - V. 10, P. 2931, ROC. #529654 20-2410 SLOPES LOT 1 - - I LOT2 o a LOT tf1F5 NE CORNER SECTION 31 - I - ALUMINUM MONUMENT FOUND ti Pj '^ 589°07'20"E 683.21' _ 70THAVENUE, 589'07'20"E 1565.70' - _ - - - 389°07'20'E 261.21` - - - n - - 1 - 'r NORTH LINE OF THE NEI/4 - —� I95.21 5fi-QO' z Z: �• Ln 6 6 o w v❑ I �� q CE) ISTING c ErLANUN DRIVE Eo II - S-2487 a µ - - w z p� rnr ~a cp '-" " AMERY vo 60 LOT 12_I I a y� RES ry r �hI?� _�j;,,,llsiui�itiit.te���� 7 I FT- DDOC. 1GE EASEMENT - -- _ v L2 c��� U q� Go R S89`07'20"E 212-01' SOp�y558°W o Q0�'� I oia7 a' W S 98 °07 40 E 195,01' J p ` G° �O�°�� SCALE IN FEET 1" = 150' U m Easy • L�'� �QI 0 160 309 o HWOWF 01m.0 —J ^ �'� LOT 13 LEGEND En LBO = 1019-0 G� ST. CROIX COUNTY SECTION CORNER a yj C POSITIONED FROM COUNTY 4 COORDINATES. POSITION VERIFIED o p qE yj f LIO I WITH MONUMENT AS NOTED OR TIES OF RECORD Tz _ w CC c F L3 'µ - _ �"�[' g� ❑ 3/4' X IS- IRON REBAR SET WEIGHING �I = �.. SOIL BORINGS 4"tlTg 'Nr' 1-50 LHS. PER LINEAR FOOT fi947RES I ■ 3/4" IRON REBAR FOUND z SQ. FT. o w _ _ o • I" D.D. IRON PIPE FOUND s m (/J W PROPOSED DRIVE D x L Cl N$a°22'37"W B52 ai' `HEARINGS ARE REFERENCED TO THE NORTH LINE OF Z sal°aa'1a°w N p m U.S. IMERSTATF "94" 97.2.0' THE NE114, SECTION 31, BEARING S89-07'20"E- O (ST. CR01X COUNTY COORDINATES). W SAN-2024-139 n�-� Page at Wisconsin Department of Safety and Professional Services n c Division of Industry Services 3 " -' SOIL EVALUATION REPORT __ P� r�4y In accordanto with SPS 385, Wis. Min. Code County St.Croix Attach complete site plan on paper not less than 0 112 x 11 inches in size. Plan must include, parcel I n.+t not limited to: vertical end horizontal reference point (BM), direction and percent slope, 9:ee or dimensions, north arrow, and location and distance to nearest road, Reviewed by Date Please print all information. Personal infarmatlon you provide maybe used for secondary purposes (Privac Law, s. 15.041,1 )(m). I ElEl Dwner Property Loca"--ion Richard Stout Govt, Lot NW '/. NE V. s 31 T 29 N tt 18 E (or) W Property owner's Malting Address Site Address or CSM and Lot 4: 1393 Awatukae Trail Future lot 16 City State Zip Coda =h.,ON.Mb., ❑ Clly ❑ Vlllaga T6vm Nearest Road Hudson Wi 54016 WarrenFul 70th Ave New Construction Lse: O Resido ntial I N umber of bedrooms Code derived designflow rat®2DD --GPD C,JFieplaCement []Public or t:ommerclal »Describe: Fiocc Plar ei,.alion if applicable N/A ft. Parent material General comments and recommendations: System Type: Conventional 4.5' below grade ❑Boring 100.3 11 1 boring Y in, I else. R. Grountl surface ekev. ft. Depth 1tl limiting factor Soil Application Rate In.. Cont. Colo northnonenone #,De,,plh&RedDescription I 2 f Boring 0 Texture Structure Consistence Boundary Roots i GPDiFi' G• Sz. Sh 'Etf#1 'Eq#2 L 2mgr mir Cs 2rn .6 .8 Cl 2mstyk mfr g ti' 1f 4 .6 S Csg ml n!a n/a ,7 1.6 dBoring 100.3 ®PIT Ground surface elev, 1L 1.10 rt. Depth to Iimiling factor in, i eiev. Sot! Application Rate rF•2 HorizonR Dominant Colo Redox Description Texture Structure Consistence Boundary Roots E1fll1 'Efl#2 Munsell Qu, Az. Ccn1. Color or. Sz, Sh. j —10yr312mfr csf?m2 1oyr514 none mir gw�( `t3 10yr416 none S tlsg rril n!a nla 7 1.6 CST Name (Please Print) Shaun Bird Address 1432 1201h St. New Richrnond V i 5401 Effluent rit = 1300 � 30 5 2 VFC,ncl, CSTNvmbcr269Dcted TephoneNumber 715 246 4616 and TSS > 3o 5150 mgll_ Effluent 02 = HOD, S 30 mg1L and TSS s 30 mgrt, SBD 8330 (RO4r21) 'M' NPz1YZ519Y' Page 01 [] Boring ��� � 1 ft. Boring 11 0 PIt Ground surface elev. ft. Depth to lintiling iaclor �in.l etev. Soil Appticatiar Rate Horizon Depth Dominant Color Redox Descriplicii Texture S'ructure Cons stance Roots G_PplFiz In. Munsefl Qt+ Az. Cont. Color (;r. Sz. Sh. •Eff#1 'Eff#2 1 0-6 10yr3i2 none L 2mgr mIr [Boundary Cs 2m 6 .8 2 6-30 10yr614 none_ CI 2msb% Or gw if 4 6 3 30-110 10yr4f6 none S Osr� ml r/a nla .7 J:�� QBoring is E] Boring [] Fait Ground surface elev. fl izon Depth In. Dominant. Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr- Sz. Sh. consistence 0 Boring # Depth to limiting factor in. 1 elvv _ -.- }t. Soil Application Rate Boundary Raots GP;/Ft' `EffN i 'Effh2 Depth to limiting factor In. I oley-_ ft, SO Appti�atien Rate ` Horizon Deltic Dominant Cola Redox Description Texturfl i L) Structure Consrstenee Boundary Reots Gol` In. I MunsNl I Qu. Az. Cont. Color I I Gr. Sz. Sh. I 'EffPf1 'Eff#2 © Boring Pit Ground surface elev ft. ' Effluent 91 = BCD a 30 S 220 mg,"L and TSS > 30 s 15C mg1L ' Efftuenl 02 = BCD" S 30 mg1L and TSS 5 30mgIL SAN-2024-139 Soil Test Mot: PT Project Name Richard Stout Address 1353 Awatukee Trail Hudson, W1 54016 Lot 18 Subdivision ----- N \AY 114 tiE 1145 31 T 29 N/R18 W Boring C) N 'ell I'll, Property T,ii,i BM or Up ASSUnie Elevation 100 1 System Elevation TBD Scale = 1/4" = 10' n Bird CSTM #226900 D e 7/24/23 Township Warren County ST. CROIX Top of Lot Corner Stake .HRPS.7r ,c .as Benchmark r THIS INSTRIIMENT DRAFTED BY EDWIN "NUM i I cai JOB NO: 23.62 DRAFTED:6/22/2023 DWG: CSM7 FIELD:6/21/2023 ° a I UP, - V. 8, P. 2192, DOC_#4566S4 ' 0.S,M._V. 10, P._2931, DO 0. #52_9654 r �" o w 3 u m y a N N h W . w 0 W fh 0 'r--�-- LOT 1 — � EOT2 Ln °❑ w LOT4 LOT5 -- NE CORNER SFMO1J 31 MINI} 1, .i u. .+ a Q m Q x m ti r-��- - - - - _ ri K - S89°G7'26"E 683.21' lOiHAVENi1E `� j .. 1 j 0 0 .. n= w a 0 0 0 a 0 / - - - - � -- -- -- - - _ - - 589V7'20"E261,21' - ;fr NO,-.1I i:liE,+;F114 L' _ mNUN� O a�UL Lu � Ln a �oLL rn `r �I -t" 6 Lu d' �c u7 II `�t5111111111ffflll 1 'c oU ,,�' �ScgHsiN�, K 4 U Q ' F XI5TING EDWIN C - c CL �. O: f ❑ I Q,[p a �s o `I DRIVE r w J FLANUII = S-2487 = cc w 0 C os; [i rn � AWER1' i 2 g i a; cn 0 ca w Wl I O # O� `v c 2.04 ACRES LOT 12 %9 68,980 SQ. ETLn '!!filly, 17 w > STORM WATER EjM�J� f C.�lG�� DOao ` w i2 f G" '; v` / �f � r I �! W n S89°0T20"E 212.01' SQp'15y5B V1 ��h�Oy �� o Ilr� UJ o 31 - r a ° F ` " °':. �j SCALE IN FEET 1" =150' N r� r 589`OT20"E 196 01' " U ~ C a i�.jjj�1.J.. G 1p A,. 0 150 3flit i ] G�.; N LEGEND x STORM WATER DRAIP, ,; _ '' 'I- C��I LOT 13 w W � HWLOEOF i ':5._- Q CROIX COUNTY SEC ,ON CORNER ,n HBO iGaGA POSITIONED FROM COUNTY cJ3 a x G `� q YJ C4 f LID lS15. CDORDINATES- POS;TION 1IRI7IE1 WITH MONUMENT AS NOTED OR TILE CFLu � Z m m y5 Ss� RECORD W1u a F y i4 5 'T a - - = L7 LB 4' E " `� 3 314" X I8° IRON REHAR SET WEIGHING w o t"'a LL ¢sp I 50 L85: PER LINEAR FOOT a � LOT 14 3 r' 6.97 ACRES Ln ■ 3/4" IRON REBAR FOUND cn z 303,447 SQ. FT. w ❑ T w : BENCH•3ARK rs- o • I" O.D. IRON PIPE FOUND = p TOP OF 314" IRO'J RE3 R r'n --- 16b.n5' + ELEV. _ :023-I$' -- PROPOSED DRIVE o 486.ib' [3 a N88 22 3 V 652.81' S$j'>40`14"Ud BEARINGS ARE REFERENCED TO THE AORTH - [I y OF I TERSTAT = "9 THE ".Flj4, SEv, IO'J 31, BEARING S8 71f 'E. '5T. CROIX COUNTY COORDINATES;. cn s-r. Cfb[)C COUNTY im- 'IN I h, T in N 0 M-WILI 9MA NOG SAN-2024-139 65720C 1 r PREVIOUS 1PI" OWNER QoS caN 'lean rcre-S ( let c4APO STb uT PLUMBER . /0 TOWN OF SEC T 2 7 N R j I wuwv AND/OR , LOCK SUBDIVISION—CtjPA(33--q4(1) 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: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. AUTHORIZED , DATE THIS PERMIT EXPIRES,,UNLESS RENEWED BEFORE THAT DATE VISIBLEPOST IN PLAIN VIEW ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R11/20)