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040-1032-40-100 (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 Seasons 45 LLC TOWN OF TROY CST BM Elev: Insp. BM Elev: BM Description: 8D .6 Oo .O t i = CST TANK INFORMATION TYPE ! MANUFACTURER CAPACITY w.o. 6&. _ ail - Septic fESC2 aoo Dosing, Aeration Holdir TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ! 5-0 r ! Dosiny� Aer�ati� Holding PUMP/SIPHON INFORMATION "ELEVATION DATA -;gompg Manufacturer Dema �� GPM 2� Model Number N• 5) TDH Lift Friction Loss System Head TDH Ft q, i 1,55, — Forcemain Length Dia. it Dist. to Well SOIL ABSORPTION SYSTEM / I� ) �,��„�� /_/0_A c, County: St. Croix Sanitary Permit No: 657143 State Plan ID No: Parcel Tax No: 040-1032-40-100 Section/Town/Range/Map No: 07.28.19.105D STATION BS HI FS ELEV. Benchmark .� DJ•`I(a r DD�D Alt. BM Bldg. Sewer i SUHt Inlet SUHt Outlet Dt Inlet Dt Bottom d (0 3 �t -vu = I9.1 gS3f' Header/Man. Dist. Pipe Bot. System w,u Final Grade I n St Cover � '^ �T IMo-n • I � See Io��' 1 rY.S I 1,49 %Wol RENCH DIMENSIONS Width ! 3 Length _.D t No. Of Trenches Z PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of System: f ( CHAMBER OR UNIT " Model Number: ` r DISTRIBUTION SYSTEM Header/Manifold _t,� Distribution x Hole Size le Spacing Vent to Air Intake ��6�+wJE3` Length Dia '��I Pipe ) Leng Dia Spacing ' Z5-r SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Over xx Depth ofxxSeeded/Sodded xx Mulched BedtTrench Center TBedprench Edges Topsoil ❑Yes ❑ No ❑Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 517&2� Inspection #2: Location: 422 CTY RD F /1 1.) Alt BM Description = SJ o °° °h�V Pipe w'u w tnd/ c.1.a��{urs a,/rte�i�- , v,44 -9,, per, 4e/ 2.) Bldg sewer length = - amount of cover � ����� 3) �� 5 CI . °� f'� lY`r-' - LW - Plan revision Required? ❑ Yes >< No 2126 I� Use other side for additional information. 7 .�-^0 .L. o. oJ.l Date Insepctor's Signature Cent. No. # -r .vt� �w.t I W . i An -NA % N cll,z. n _Cep to . lieA l nA t. , fat A 2�f' f rau. � t aQ � � � , SAN-2024-074 ' Indtsshy SCrvi= DiVision '• 492Z Madision Yards way �L tjrlls� V 1© 1�„l s�, Wi 53705 �y•ti ;, � f_.^% P.D. $oX 7162 �9 f'r� �°oder{ea be 511ed in6y Ca.) APR Q 4 2024 Mattison. wt s37a7a16z �5 3 � �t Croix C�}k el�p Application Star TMOSNaion Number In 3( CQi?jaLCC with of this form to tries approprtzte govemmenLd unit a required prior W obiami g a Softly permit- Now Application farms for statc—wned PC3WTS arc atbmmed to the DEPOrtawdof Sz&ty Praft=iimwst ScrvxM Project Address (if &fffkcrr==Ma -fail tmrbng addcesal and Baal informati n y-oa provide may be used for secatrdary Purposes to aeomdance wi& the ftiwacy Law, s- 15,K])(m), Stars. � ~ [. ApltNgtbu Iadler=tWU-.Please P'rW AN Prrfot-rxtapau PmPmy 0amer's Name �SaN LC.' om Sc�eP- Parrel # Uwars M=I ng A �yL = D f D - 103 2 - r{o boaPrapy ` > Location a . � Govt I" fit'• Zip Code rI u On N W - S � 61 pion _q�L T � 6 N R q Ear W H- TyPe of Sn11ding (check all that apply) Lot i, 2 Subdivision Narne III or 2 Family Dwelling - Number ofBWrooms ` Bloci � �PoblicACbmmerciW - Downbe Use aY o 11168e of EStaie (wheel - Describe Use CSM ?vtttobcr !\ t� f2 Lo tbQo cQ t{� IRT of j[ L JIL Type of POIiVTS Permit: (Che& either "Neer;" or "Replscemernt'• and wilier appficab)c on rme a iicable.) A. Check one box on line IL Cempiete tune C if A. cw System lacrtuenr System Elmer Madiiiration to Fristiwg 5ysa (evL-on) �AeieTttional Prr�tttnent Unit (explain) j^'`doidingTanl L_j` ratatd �4[�rade EIMwmd Individual (c,ottciattictn-al) Site Desigt Other Type (ecplain) C- j''� EI RcumM Eiefare �Revistan hanee oFPlumber Dftansfer to Lnv Qvwrrer •tst Previous. Permit Number raid Date issued ];Xp7I1i]an IV. - reabovmt Area sand Tank ibrfarmation: Z IC D—is t Flow (�) s ication Rate(gp(m) Dispersal Area Required (sf) Area Pia G 9 C.(tSysunE E Calracity m 7'ow mofTank le%rtnationGallons Gallons Units R Exisfft Tasks P('f o d F w c U to m in r; 5 r— r i f j -p x, Lle'J' ===H DomoS. Ch3nibx �""� u V. Responsibility Start- C the bitih for ntrs titian of the POW M shown as the attsebed plans. Ptnmber s Name (Print) s MPIMPRS Plane Number Plt b s Address, Strem City sa Ik TjP CO&) pt 1e u s u 1 LJl SCE VL Conncat use Only APPm Q - Paunk Fee IIlatc Issued rtiteg Agent Signature Conditionso A SYSTEM OWNER: 1. 'Septic tank, effluent filter and dispersal cell Cer-�tiV 2 w t� " Ga dZrL must be serviced I maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code 1 ordinances. :sitar h to c>amprere pb m Sur the sltesu and sabmit is the cmtn4 Qn1V un rapes rrui kss tb= a t¢: U idirks in skat S BD-6398 (R- 03/2 ! ) -Pk m;, SAN-2024-074 dim Vm","3-6 L:+c. trt pR5 as a 9 c '. 3 64poon, 5,1D)ry j 1Asrt,r,\-, r},V - 10 0,CD � I �j 0 0=10, 1abd/456 SePtR A CkDmbj( COn,Lx} Exl j'iw SeVticlowV 4 ID t �wf � � t o 4 6 ti 1 0 rol c"t Pi 93 a Teti � 3xld 17 C%tr.,h.1IR5 ac �+ t►G� WoobeN 'Fwc.t SAN-2024-074 d o Laow -S 1 T r wI bim�zm PWW2 Page a Dead 9LL' D SAN-2024-074 -Pk m;, r 1. 9q✓ -T m Vm","3-6 3 64poon, 5,1D)ry j 1Asrt,r,\-, r},V - 10 0,CD � I �j 0 0=10, 1abd/456 SePtR A CkDmbj( COn,Lx} Exl j'iw SeVticlowV 4 ID t �wf � � t o 4 6 ti 1 0 rol c"t Pi 93 a Teti � 3xld 17 C%tr.,h.1IR5 ac �+ t►G� WoobeN 'Fwc.t SAN-2024-074 SAN-2024-074 IN -G ROUND DOS ED GRAVI,TY.DISPERSAL AREA Stepped Elevation Trenches with Qu1ck4 S tandard-W Chambers 3-ft Trench (down -sizing credit) min, W SOIL COVER (typical} TYPICAL TRENCH Min. trorepoh ' CROSS SECTION VIEW dappsal) (No Scale) {typic',; � '� 4' n 4 ' j I� Highest Trench Lowest Trench as applicable) Provide minimum 3 ft _ C pp ) separation between trenches. System Elevations = , `� L ft, ft; ft Culck4 Standard--W wl End Cep (Show location of Inlet I outlet pipe connection an fan view. (typical) p p P ) (typical) INSTALL PER TRENCH; quiok4 Skd .W 2a ff fM16A1Qhamber f}= Pairs of end dope 0. Bft' EISAlpalr p t> it= m Proposed EISA per trench w Observaftan Pipe PY01- 1) Install per marulaptures / instructions. TYPICAL TRENCH PLAN VIEW Min Qr%01ga% A +s 3.0 n (typlcal) `—Qulck4. Standard-W Chamber (tYPlrat). (mrd by Int3Rrstarsystem#, km) In0tail pursuant to manuraowmea tnalruc>u*s, Required Infiltration Area e. ft� x ,;,. trenches .-m: Proposed Total EISA _ 016trlbutlowMethod: branched manllQld 5 T L: J r❑ a M w i� T i N O N O SAN-2024-074 Soderberg Puma Chamber Calculations I. Force Main: Diameter 2" Length 60' Flow rate 40.00 ftaLimin.± Friction loss 1.55' (60'x2.58 ft./100') = 1.548 ft. 2. Total dynamic head: Min. supply pressure 0.00' (forcemain will discharge to distribution box & gravity feed to trenches) Vertical lift 8.00' (P.C. bottom = 87.50',Off float = 88.50', Dist. box inlet invert = 95.50' ) Friction loss (network) 0.36 Friction loss 1.55' Total dynamic head = 9.91, 3. Pump selection: Manufacturer & Model number. Zoeller BN 53 Pump will discharge approx. 35.0 gpm @ 9.91' TDH ( l' low Velocity 3.57 ftJsecond) 4. Fluid Flaw Calculations: (H20 flow through PVC pipe 5 I It � & It. l V = (0.408)(35 Gpm) = 3.57 gpm 4 5. Dose chamber manufacturer & capacity: Wieser Concrete WLP10OO/650-MR gallon pump chamber, liquid depth 38.00" Ca,) 17.00 gai./inch (6446R) gal. actual) Maximum dose volume: (450.Oga1./5 doses/day) + (.164x60') = 99.84 gallons per dose Tank component is properly vented Midwestern 1000/650 Capacity 646.00 Volume 17.00 Dose Tank Information Manufacturer Gallons gal/inch Dimension Inches Gallons A 19-00 323.07 B 2-00 34-00 C 5.00 84-93 D 12.00 204-00 Total 1 38.001 646.00 3' 8 Alarm Manuafacturer [SJE Rhombus Alarm Model (+lumber JB Plugger A- Pump Manufacturer lZbefler Pump Model Number BN 53 Forcernin diameter ErE 2 in. Weep hale or antF siphon device Rij n �ar[ eievaGon 8-50 1 l 1,4 Dose tarok eievation ft under tank. 87.50 SAN-2024-074 WLP1000/65O—MR TANK SPECIFICATIONS 12'-2" DIMENSIONS: WALL: 3" 4" CAST -A -SEAL 4" CAST -A-SEAL BOTTOM: 3' COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER r I'I HEIGHT: 54 1/2" II ii' CL jf LENGTH: 12'-2" II III f WIDTH: 7'-0" BELOW INLET. 43" Z44 l �' A LIQUID LEVEL: 38" I ! T + Q WEIGHT: 14,940 LBS. IL INLET AND OUTLET: 4' CAST -A -SEAL BOOT OR EQUAL CASKET FILTER OP�BAFFLEINLET AND OUTLET BAFFLE AND FILTER: �____--�______-__�=�r�_�__T_r__ �� WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 26.32 GAL/IN (SEPTIC) TOE VIEW 17.00 GAL/IN (PUMP) LOADING DESIGN: 8'-0' UNSATURATED SOIL TANK CAN BE USED AS: o SEPTIC/SEPTIC, SEPTIC/PUMP, W OR SEPTIC/SIPHON L p 4" VENTui COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE INLET - - ---- _ �ET N fo u1 ' 0] IMp I U � - -rl--S------- f 3" I REVIEWED BY PUMP PAD REVIEW DATE [ TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: o o G w� LLA Lo 'z cc � N 0 a x op pn r; � J I Q � Lo Z 0 U o OF SAN-2024-074 TOTAL DYNAMIC HEAD FLOW PER MINUTE MODEL 53/55/57159 Feet Meters Gal. Liters 5 1.5 43 163 10 3.0 34 129 15 4.6 19 72 Shut-off Head: 19.25 ft.(5.9m) rn L PUMP PERFORMANCE CURVE MODELS 53/55/57/59 1 s 20 15 Q4 35 n disd arge rate 0 2 j l 0 10 20 30 l 40 50 UTERS 4 80 L 16o FLOW PER MINUTE' nr�yVr Model MODEL COMPARISON Seal Mode Volts Ph Amps HP Hr Lbs Kg Simplex Duplex M531M55 Sireslle Auto 115 1 9.7 3/10 60 23 10 1 -- N53/N55 Single Nor 115 1 9.7 3110 60 23 10 2 3 & 4 ' ON53 Single Auto 115 1 9.7 3/10 60 75 11 • BE531BE57 Sincilo Auto 1 230 1 4.8 3110 1 60 24 i 30 11 1 13 D53 Single Auto 230 1 4.8 3110 60 23 10 1 E53/E55 Single Non 230 1 4.8 3/10 60 22 10 2 3 & 4 M57/M59 Single Aulo 115 1 9.7 3110 60 29i 33 13 15 1 N571N59 Single Non 115 1 9.7 3/10 60 281 79 12 13 7 3 & 4 . BN57 Single Aulu 115 1 9.7 3/10 130 30 13 D57/D59 Single Auto 230 1 4.8 1 3/70 60 30133 13/15 1 E57 E59 Single Nol! 230 1 1 4.9 3,110 60 28129 12 " 13 2 3 & 4 Eb9 Single No 230 1 1 4.8 3.,10 bo 29 13 1 2 3 & 4 • Single piggyback switch included. SPECIAL MODEL FEATURES Additional cord lengths are available in 15 (5 m), 25' 1.9 mt and 35' (11 m), 50' 115 ml cord lengths available for 230 V units only. BE and BN models include a piggyback variable level pump switch. Model 53: cast iron switch case. motor and pump housing, a plastic impeller and base. Model 57: all cast iron construction with a cast iron impeller. Model 56: bronze switch case, motor and pump housing, a plastic impeller and base. Model 59: bronze construction with a bronze impeller. Optional pump stand IPfN 10-2421). SELECTION GUIDE 1. Integral float -operated mechanical switch, no external control required. 2. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FMO477. 3. See FM0712 for correct model of Electrical Alternator, 4. Variable level control switch 10-0743 used as a control activator with electrical alternator 13) or (4) float system. OPTIONAL PUMP STAND PIN 10-2421 • Reduces potential clogging by debris • Replaces rocks or bricks under the pump • Made of durable, noncorrosive ABS • Raises pump 2" 15 cm) off bottom of basin • Provides the ability to raise intake by adding sections of 1112" or 2" (DN40 or DN50) PVC piping • Attaches securely to pump • Accommodates sump, dewatering and effluent applications MOTE: Make sure float is free from obstruction. Q GAUTFQN All installation of controls, protection devrces and wiring should be done by a qualified licensed electrician. All electrical and safety codes &hood be loll owed including the reosi rerenl National Elactrical Code (NEC) and the Occupational Safety and Health Act (OSHAI- Cc) Copyright 2020 Zoeller'- Co. Ali rights reserved. 502-778-2731 1 800-928-7867 1 3649 Cane Run Road I Louisville, KY 40211-1961 1 Zoellerpurtlps.com SAN-2024-074 Dose -Conventional Septic System Management Plan Pursuant to SPS 383.54, Wis. Adm. Lode General The conventional septic system shall be operated in accordance with SPS 382-384 Wis. Adm. Code, and shall be maintained in accordance with component martual SBD-10705-P (N.01/01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Boumeester at (715)760-0117 or the St. Croix County Zoning Department at (715) 386-4680. Septic Tank Septic tank servicing mechanics comply with SPS 393.54(1 Xe). Septic tank to be located within 150' of service pad, with bottom of tank to be <_ 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1 /3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. if the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1 /3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to r;:rilure must be replaced. Exposed access openings greater than 8 inches in diameter shall he secured by an etfecti'<, 1i,ck1110 iL \ i �, I s, prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as danger. r, : ; ,,. ..:n,i\ Ili present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis \dry c ode when the tank is no longer used as a POWTS component. The addition of biological or chemical additive lei cirlr:rrice septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every two years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed at the pump discharge, it shall be inspected and serviced as necessary. Soil Absorption Cell Trees or shrub: should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided_ Soil compaction r,tay hinder aeration of the infiltrative surface within and above the system and will promote frost penetration duntio cold gather months. Influent quality into the system may not exceed 220mg/L BODS, 151) Mt i I I :Yti. and 30 mg/L FOG- Influent flow may not exceed maximum design flow specified in the permit for the installation Observation pipes within the dispersal cell shall be checked for effluent [1� ind mo. Ponding levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitor i n;,. Continjeney Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. SAN-2024-074 Wisconsin Department of Safely and Professional Services Division of Industry Services SOIL EVALUATION REPORT In accordance wih SPS 385, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and hor¢ontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and oration and distance to nearest road. Please print all information. Reviewed by Page 1 of 3 Ref #2747 Date Property Owner Property Location ❑ Seasons 45. LLC - Tom Soderberg Govt. Lot SW '/4 SW % S 07 T 28 N R 19 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 422 Co. Rd. F Na Na I Proposed CSM City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Hudson WI 54016 763 219-5568 I Troy W. Grove Rd. ❑ New Conshix lion Use: ® Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ® Replacement ❑ Public or commercial — Describe: Parent material Glacial Outwash Flood Plan elevation if applicable na ft. General comments and recommendations: Site suitable for In -ground POWTS installation with 0.7 gpd/sq. ft. design loading rate. Recommended infiltrative surface elevation to be 94.50'. Boring # ❑ Boring ® Pit Ground surface elev. 99.54 ft. Depth to limiting factor >122' in. Gail Arni" inn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fe 'Eff#1 'EfIW 1 0-12 10yr2/1 none I 21gr ds gw 2vffm 0.6 0.8 2 12-18 10yr2J1 8 3/4 none mixed sl 2fsbk ds gw 1vf,fm 0.6 1.0 3 18-36 10yr4/4 none sl 2msbk mvfr kw 1vf,f 0.6 1.0 4 36-46 7.5yr4/6 none Is Osg di cs - 0.7 1.6 5 46-88 10yr4/6 none s Osg dl cs - 0.7 1.6 6 88-122 10yr5/4 none s Osg di - - 0.7 1.6 F Ong # ❑ Boring ® Pit Ground surface elev. 99.33 fL Depth to limiting factor >119' in. R�ull ' Arw4kts tim Rate I Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fe 'Eff#1 'Eff#2 1 0-13 10yr2ii crone I 21gr ds cs 2fm1c 0.6 0.8 2 13-28 10yr2J1 8 3/4 none mixed sl 21sbk ds kw 2fmc 0.6 1.0 3 28-36 10yr4/4 crone sl 2fsbk ds cw 2f1m 0.6 1.0 4 36-41 7.5yr4/6 none Is 089 di cs Urn 0.7 1.6 5 41-70 10yr4/6 none s Osg dl gs - 0.7 1.6 6 70-119 1016/4 none s Osg di - - 0.7 1.6 CST Name (Please Print) Solo" CST Number James K. Thompson 30021 Address Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020-5413 March 20, 2024 15 248-7767 0OVV,1' \V %M%"r 101 SAN-2024-074 Boring # Boring ® Pit Ground surbw elev. M 7S fL Depth to limiting factor >117' in. Soil Applicabon Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az_ Cont- Color Texhxe Stn.ucture Gr. Sz. Sh. Cansistiv" Boundary Roots GPDIFt2 'Eff#1 'Eff#2 0-12 10yr3/2 none sl 2fgr ds cw 2fm1c OX 1.0 2 12-20 10yrr3I2 & 4/4 none mixed sl 21sbk ds cw 2fmc 0.6 1.0 3 20-33 W414 none sl 2msbk mtr cw 1 vf,tm 0.6 1.0 4 5 3345 45-87 7.5yr4/6 1Oyr4t6 none none Is s Osg 059 dl dl cs cs - 0.7 0.7 1.6 1.6 6 87-117 10yr514 none s Osg dt - - 0.7 1.6 Boring # ❑ Boring ❑ Pit Ground surface elev. ft_ Depth to limiting factor in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gt. Sz. Sh. Consistence Boundary Roots GPD1FV 'Eff#1 'Eff#2 17 Ong # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate 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 Effluent #1 = BOD. a 30 5 220 mg/L and TSS' 30 s 150 mg/L ' Effluent #2 = Bt7D. n 30 5 220 mg/L and TSS a 30 5 150 mg1L SAN-2024-074 h Ed ■ 50j/e✓Q✓ua�coP:f ♦ Ex f5b, 9 ?•rack O.W. Sc4son.s yS,tLG Ten tl-�ods�6c��q q0 Octs.•+a O7-ti• /&y do<c 4, F/. 33W O/-ltcol.SoncJ/• .55��/G Lot 0101'/A VOsewe sm s�yys40y5; .std. o% -,r Ze-4., �. /9w•, Tit. o{Troy, 5•£. C,roi�r fie., �/. t b. rrt�yrsApt- � tltrou�. 5y s,EtM.4f to daboll&Ufed 45,49- b54b38'.LSA Wisconsin tonal Services Page t ofy q Division of, r SOIL EVALUATION REPORT In accordance with SPS 385. Wis. Adm Code County St Croix Attach camp torte.plan per not not less than 8 1+'2 x 11 inches in sire Plan must include, but not limit" v0tiebt ahY horzerlf GPieference point (BM) direction and percent slope. Parcel I D scale or dimensions, no-rt}i`iffio V;'andtmation and distance to nearest road f ) / Ref #2747 Please print all information. R e dby /t n 'D`ate Personal information you provide may be used for secondary purposes Prrvae Laws 15 04 1 m Property Owner , Property Location ❑ [( Seasons 45, LLC - Tom Soderberg Govt. Lot SW Y. SW 1A S 07 T 28 N R 19 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 422 Co Rd. F Na Na Pro used CSM City State Zip Code Phone Number [] cit y ❑ Village [9 Town Nearest Road Hudson WI 54016 t (763) 219-5568 T roy W. Grove Rd ❑ New Construction IJse ® Residential Number of bedrooms 3 Code derived design flow rate 450 GPD ® Replacement ❑ Public or commercial - Describe Parent material Glacial Outwash. Flood Plan elevation if applicable na ft. 2--e u X tk-4 i+K General comments and recommendations: Site suitable for In -ground POWTS installation with 0.7 gpdisq. ft design loading rate. Recommended infiltrative swrfacc alcvarton to be 94.50' Boring # ❑ Boring Pit Ground surface elev 99 54 ft. Depth to limiting factor >122" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDiFt` In. Munsell Cu Az Cont Color Gr. Sz. Sh 'Eff#1 'Eff#2 1 0-12 10yr2.1 none I 2fgr ds gw 2vf,fm 06 0.8 2 12-18 1Oyr2+1 & 14 none mixed sl 2fshk d-q nw 1vf fin n 9 1 ri 3 18-36 10yr4r'4 none sl 2msbk mvfr cw 1vf.f 0.6 1.0 j 4 3G-46 7.5yr46 none Is Osg ill cs 0,7 1.6 I v 40_ un 1uyr4ie none s osg ill cs 0.7 16 6 88122 10yr5'4 I none s Osg all - o,7 1.6 f ❑ Boring 4' 4 `%6• Boring # ElPit Ground surface elev 99.33 ft Depth to limiting factor >119" in Horizon Depth In Dominant Color Munsell Redox Description Qu. Az. Cont Color Texture Structure Gr. Sz. Sin . Consistence Boundary Roots 0 V ri -PRUGa I10 Ti mate GPDIFt' "Eff#1 'Eff#2 1 0-13 10yr211 none I 2fgr ds cs 2fm1c 0.6 0.8 2 13-28 10yr2r1 8 14 none mixed sl 2fshk ds cw 2fmc 0.6 1 0 1 3 28-36 10yM4 none sl 2fshk ds cw 2f1 m 0.6 10 4 36-41 7 5yr4'6 none Is osg dl cs 1 fin 0.7 16 5 41-70 1Dyr4.,6 10yr5,14 none s s 0sg 0sg dl dl - gs — 0.7 0.7 1 6 16 6 70-119 none r �tll,&_ Effluent #1 = BOD, > 30 s 220 niq. L and SS � 30 s 150 mg/L ICST Name (Please Print) ignature J James K Thompson _ ✓' Address ate Evaluation Conducted 340 Paulson Lake Lane, Osceola, WI 54020-5413 March 20 2024 t FlUerli rFd = bIJU, 7 .yU 5 22U rriglL anO 1 SS > 3u 5 150 m vL CST Number 30021 Telephone Number (7151248-7767 S60-8330 (R04r'1--i) 3] Boring # ❑ goring Pit Ground surface elev. 98.25 ft. Depth to limiting Factor >11 T' in. Horizon Depth In. Dominant Color Munsell Redox Description CQu. Az, Cont. Color Texture Structure Gr. Sz. Sit, Consistence Boundary Roots GPDIFt2 'Eff#1 -Eff#2 1 0-12 10yr312 none sl 21gr ds cw 2im1c 0.5 1.0 2 12-20 10yr312 8 414 none mixed st 2fsbk ds cw 2fmc 06 1.0 3 20-33 10yr4/4 none sl 2msbk mfr cw lvf,fm O.fi 1.0 4 33-45 7.5yr4f6 none Is Osg d I as 0.7 1.6 5 45-87 10yr416 none s Osg dI ce 0.7 1.6 6 87-117 10yrV4 none s 059 d1 - - 0.7 1.6 ,q' Is/�I F-1 Boring # 0 Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth In, Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gu Sz. Sh. Consistence Boundary Roots GPDIFt2 'EfW1 `EfIW2 1:1 Baring # ElBoring ❑ Pit Ground surface elegy. R. Depth to limiting factor in. Horizon Depth In. Dominant Color Munsell Redox Description 4u. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt' 'Eff#1 `Eff#2 ' Effluent #1 = BOD, > 30 S 220 mglL and TSS a 30 5 150 mg/L ' Effluent 42 = BOD, a 30 s 220 mg1L and TSS a 3015 150 mglL I IW t z asrav �sR33��.33. ■ 5.01,1 ■ cx,:5 i 7 grad( e 14,1 -R'�JGS �'tC� W c�a�rnPt�S�/f �nCt Pe� �27y% SC(a.5an.s ,rS,.C.CG roar-5odir&cir.� lr/Q �l�¢4r1 �Jd• 1 a/P�y &4c k, Fl. 335'B3 Q �lua(san, cJr. 5y��6 5� C.rvix Co ,'ter. �Gl a 5&7 /032 - �l -/,I( P�.3a,3 CERTIFIED SURVEY MAP LOCATED IN PART OF GOVERNMENT LOT 1 OF SECTION 12, TOWNSHIP 28 NORTH, RANGE 20 WEST, AND PART OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER, PART OF THE SOUTHW EST QUARTER OF THE SOUTHWEST QUARTER AND PART OF THE SOUTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 7, TOWNSHIP 28 NORTH, RANGE 19 WEST, TOWN OF TROY, ST. CROIX COUNTY, W ISCONSIN. - S M A L L CURVE DATA TABLE ,h� 589°3515'f TRACT r oT. NUMBER RAMS 10ENTRAL CHORD CHORD ARC TANGENT TANGENT - 76't r C' LENGTH ANGLE BEARING LENGTH. LENGTH I OUT �• 1 - 1© `S 2 Cl 353.00 33 40'00 N84°55 15'W 2014 207.42' N68 0515'W 578'1445'W _ jS Cl RECORD T 3 ,](] �-3-3 41'pL7 .�1F35' �l 'W 111r' S i 1 207-9 C Nbr3 00 t f ' A' 5 l C2 567.00 21 3 3S'39 N89"56 55 5"W 232 00 233 65' S78 1445'W N78"09'36W_ ry' % C2 RECORD 5.,1 0' 2 i'4D'56 539°05 22 W 232 69 ;_ 234.36' 577 I4 1'W N79'04'10'W I 0 h� (80] z l EANDE{�• ��1 ° sQ9s� `P 1461t MINE / 4sTf. 1 ssF� C 5 !]TAB PREPARED FOR: SURVEYOR: S75F] j am- _ �� moo ' 1, Ss'�43., `FAG �(• _` JIM SO ERBERG AOTH ONSUL ING & ASSOC, ,�' �y-S7��g8 �'6Gs�,1 rC�f EIIas lSs -/,l . 6401 CAM DEN AVENUE NORTH 2920 ENLOE STREET SUITE 101 3° 1 /.? 7•• 1 ) 6" SRC=OKLYN CENTER, SRN 55430 HUDSON, WI 54016 lj f7lS.S.B•(y , r� 11`l - -r-' 9' S6.• `• Ci 41 d'p, N66 02 j LOT 8, C_S. M, ?9, VQL. A, PG- 1120 (N54°02'Is^w) Nss's6'D1"w o�� � , s � L fJ fT 9, C . 5 . M Q a {48 D4') 48-15' 3k , �''.p l� NORTH LINE SWI/4 - SWI/4- !)R1 U vvn i - - j589 I7'2D"E z (N6654I 17"w, N62'2S'31"W 2 '"r r s� LN['ROA r , ) o rr c o -_ 584°12'S4"E 217 a W oc {6I-$5'i 61.60 w u o r 3bQ51' 207,43' LL - - - - - ti r y ou N4i'12'04"W 2, •,1 0 o k ... t_. 12.8.29' 's•., oy� '� `Puy,'�`r �. �; T \.. fF fvPTE-�-f/ Cs.`-`7 — z r= e' fN42 j128.23') "I3'42"W) �prd a. ' •'6, Il 4'c'� SSO•`-8U7LINAi; SF�3ti 1 •Sty N r7 Z p SCALE: I INCH = 250 FEET ti t LINE {rYP.] :.a;S NOL15E "d u O s 'Z F',„ }• (>f l fy 20E° '�. Nn.kP� I ! .��L;CPRC ---4NESTiIIVE J` NORTH 250 125 0 250 -.,J'` N28- `36'29"W f1sp4 -�-'vim - $ StF EASTLINESE1/4-SWI/4 f� Q 131.2 V 6y ,�'e.. 9, swo - S W1/4 f 'Y 46 �' LOT I S38° S99'47'09"E LEGEND Q S (13I2:5) �2,4?• 683,863SO- FT.3 ` . 1276E 47.37' 's?• 15.699ACRES± - + FOUND COUNTY SECTION CORNER ALUMINUM CAPPED MONUMENT fN20'07'59"W) N19°22`48"W ,1,` ` 110 76' I _ �-NG3'03'23"E (122.45) 122-25' �N 588'23'48"E :r 113.15' S00112151"IN D FOUND 2.3/8 INCH OUTSIDE DIAMETER IRON PIPE OF VUl,90 6e7¢ 142,65' ....... ��ti N53°23'54"W--- _ 73-.,YA7E.7 ivELLL°I �� ,• to I-, 91.17' _ /.. FOUND 1-1/4 INCH OUTSIDE DIAMETER IRON PIPE OOZLkGI ER,J, SIX (N55"22'23"W) M1'S7S3;29' O SET l INCH OUTSIDE DIAMETER BY 19INCH LONG * 11 ! f31.17'] 3I'yY c� ?H•'.L [j UJJ �,, 5.2145 1 1 LEP rrE'C� IRON PIPE, WEIGHING 1.13 L85, PER LINEAR FOOT t HUL}S N, � TIC N'29'42'37"W PRE7POSE0---.. <<,' �� S 131.7I' y t - --- - - -- DRY vEWti r i - - — — — LO FT, WIDE INGRESS/EGRESS EASEMENT .,� (Ar29"OS'S6"W] S'3,?S (N87°48'S6"W482.4q ) G - `'� •y. (I33.49'1 (NO3°43'57"Ej PREVIOUSLY RECORDED INFORMATION SIIFIWE liLss{j6,s943, N86°4S'49"W 483,74' 6 I-�-WESiL1NESWl/4 SWI/4 � Y 2& - 73 - s• � �� b.s7 ... .. .- SECTION 7 �9'• N77'09'Do-,w . -- -�__ - 02 SHEET 2 OF 3 T+.,_UMr-- : fN-1'r=ENT WAS DRAFTED aJ-IE 'L 166 V0. a r�-oar or L 0 T 12 rora•o&:�s w :77/v�Si2ti2e ------------ 360.51t LOT 1 683,863 SQ. FL 15.699 ACRES ± 207.43f 5759-IZ'59"E Z173.14', BAD INI WEST LINE EAST LINE SE114 - SW114 EIARN I S W114 - S W114 S89047'09"E S78756406,tr 127 61 t 47.37 wt, C 110.76 0 �% .... ...... 401 SOOO12,5111W Ilzl- # V# S88*23'48"E 113.1.5 *DOUGLAS J. i 142.65* co/ll*r-'AFR,E,'V; WE" L@01' ZAHLER S-2145 HUDS No I? A GA 401 I l3i 4*141k ft PROP,), s tj RNI ORt IVE WA Y (NS7*48'56 W 482,44 Of N86'045*49"W 483.741 6 `6 LOT 12 SECTION CORNERt * INTY -04110OW1 1;6 I CAPPED MONUMENT (N79 (A J202,669 1 'ln%'rt.... CERTIFIED SURVEY MAP LOCATED IN PART OF GOVERNMENT LOT 1 OF SECTION 12, TOWNSHIP 28 NORTH, RANGE. AND PART OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER, PART OF THE SOUTHWEST QUARTER OF THE S( SOUTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 7, TOWNSHIP 28 NORTH, RANGE 19 WEST, TOWN OF L 0 T 8, C ' S. M VOL. 4, P G..., 1. 1. 0 LOtT9, C.S.M., VOLUM-E, 8, PAI.G.J. 2.1 I VF. w! NORTH LINE SWI14 - SW114- (S89'17'20"E) NORTH LINE SE114 - S 589*I2'59"E 2173.14' 207.43' 1565.18- F 3 !,N C ORIWL �VA y- WEST LINE 63 EAST SE114 - SW114 EiAi'W I S W114 - S W114 LOT 1 $78-56' �$89*47'09"E LOT 2 i: 0. 683,863 SO. FT. 127.61, 47.37' U TOTAL AREA 15.699 ACRES 1,337,99S SQ. FT. Of WISC. 30.716 ACRES 110.76, -N63*03'23"E �n ....... 0 I .�4� S00*12'51"W �zo "x . '. , �p S88*23'49"E z 113.15' DOUGLAS J. 142.65' EXCLUDING 0 0 C., ZAHLER RtGHT-OF-WAY S-2145 1,301,294 SQ. FT. OZ u Z � �: HUDS N, HofisE 29.874 ACRES G FYI to 6 PROPOSED—, 90 tj ORI VE WA Y NORTH (IV87'48'56"W 482,44) 00 N96 -45'49"W483.74' 136.9;r, LEGEND N77*09'00"W—l' u� 97, - - �cj 78, LOT 1 2 '36 C2 Zqa FOUND COUNTY SECTION CORNER, 60.58' .3.4 T— Vill (N79-04'10"W) SIB ALUMINUM CAPPED MONUMENT (202,66) '04 - -- (51j31',w) T (N77-14*54 I LOT 2 * FOUND 2-3/8 INCH OUTSIDE DIAMETER IRON PIPE LOT 5 ... . ..... . .... . .. ..... .. L * FOUND 1-1/4 INCH OUTSIDE DIAMETER IRON PIPET -�-CGRIQVE R01AD WEST I OUL01 11, * SET 1 INCH OUTSIDE DIAMETER BY 28 INCH LONG LOT 6 IRON PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT W E S T GRAVE ESTATES I — — — — 10 FT. WIDE INGRESSAGRESS EASEMENT (NO3-43'57"E) PREVIOUSLY RECORDED INFORMATION SCALE: I INCH = 250 FEET PREPARED FOR: SURVEYOR: SEASONS 45 LLC DOUGLAS J. ZAHLER JIM SODERBERG AUTH CONSULTING & ASSOC. FIELD WORK COMPLETED: 250 125 0 250 6401 CAMDEN AVENUE NORTH 2920 ENLOE STREET SUITE 101 HIIS !NSRUMfN,' WAS DRAFTED UY-AV JOR NC' 8316 007 OATS: OCTOHER 31, 2023 BROOKLYN CENTER, MN 55430 HUDSON, WI 54016 �0� " WwAlro CV1)( COUNTY SAN-2024-074 NOG 65: 1N 3 STATE SANITARY PERMIT N 22 G-tY RN F r WRA-Td- FER/R IvEW'�& PREVIOUS NO. 32.4iAu2gto ld� x s 4.r.-,,', �Lc- PLUMBERT-vk, LIC.# -z2zc?b4 SEC r ♦Nq ,4f AND/OR A fe ko I 1 SUBDIVISION 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 ISSUING OFFICER - DATE 4//Ir/202 L/ PERMITTHIS ,UNLESS RENEWED BEFORE DATE SBD-06499 (R11/20)