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651360 020-1342-10-210
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 Todd & Laura Franck TOWN OF HUDSON CST BM Elev: 1 Insp. BM Elev( I BM Description: I eo'n (0o — 0' sk.�Q csr gwkI TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic 12 sa � Dosing �V1- Aeration Holding, TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing / f Ae ratl Hold' PUMP/SIPHON INFORMATION ti3CTP""__k Manufacturer G DU��s Demand GPM 4-19 Model Number ,p6q f 11 ��ll ( TDH Lift �`1� Friction ��ss System � Heads, TD Iz �O Ft Forcemain Length O I jDia.2 (` Dist. to Well ^- D SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 651360 State Plan ID No: .Tr- — 1123 D2(o �S G Parcel Tax No: 020-1342-10-210 Section/Town/Range/Map No: 32.29.19.1837 STATION BS HI FS ELEV. Benchmark •�5 7 lll�s / �tw.a Alt. BM Bldg. Sewer SUHt Inlet St/Ht Outlet �•`fa i D6.3.� Dt Inlet to-2d DSS�� Dt Bottom �•�°f loJ•9b' Header/Man. lot) L Dist. Pipe S Bot. System S Final Grade e , St Cover�""�� C'x+S BED RENCH Width [ Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS N 16� SETBACK INFORMATION SYSTEM/ TO P/L BLDG IWELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer: �L�€� �Sr� Type Of System: fl Model Number: I 4 UNIT DISTRIBUTION SYSTEM Header/Manifold / 1 Distribution III L „ t /2 D x Hole JSize /l 6! -3 x Hole Spacing I Vent to Air Intake Length Dia L I Dia I Spacing �• 2 7 _11-ngth 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: "717 122122, Inspection #2: IZ�� jz3 [1 ( Location: 520 CARRIAGE LN �; (�erww (reQQ = 2 G��jcyZy2ST 1.) Alt BM Description = DySeY,Xf nY �Z I tK C'", -,Q 5a,—Z&L. 2.) Bldg sewer length p-amount of cover -yyI� �,�J,,, Q�, [D6,Og i2 `f3 9932' 3)(%(t�•v��1er Sty � ` AI L'—" ""`"� °1d �Af ��to. too , [ol,1 tt-�`� = r�o.si' r� LISq = jDz,21' 10.3o Plan iFevision Re uired? ❑ Yes X No Use other side for additional informati n. SBD-6710 (R.3/97) /1 Date Ins et^ s Si ture 2( / Cert. No. i L. �k � �5� 2°11@ Y19/2s2If (ro ty Department of Safe 0I )I L t S T C R 0 1 X & Professional Services, I'll il i ii Lumber (co bL filled in by Co.) Industry Services Division Jo5l 360 I Sanitary Permit Application :d 4LOIze-tal state Transaction Number In accordance Mth SPS 393,21(2), Wis. Adrit, Code, submission of this form to the unit ?wTS- 1L2362.(-?S_-C iti i(7quired prior loohtaining a sanitary permit, Note: Application forms for state-owned POWIS are submitted to Project Address (if different than mailing address) dic Department of Safety and Profiessional Services Personal information you provide may be used for secondary 11LUPOSCS in accordance with the Privacy Law, s 15.04(lXm),Stats 1. Application Information --Please Print All Information Pioporty t-hyricr's Name Parcel # TODD AND LAURA FRANCK 020-1342-10-210 Property Cmmcr's Mail inti Ad,lt k:s Property Location 520 CARRIAGE LANE Govt. Lot City, State Zip Code Phone Number HUDSONVA �540116 S E '/,—NZL—`/`, Section -4 2 T29 N R 19 EorWX IL Type of Building (check all that apply) Lot # 0 1 or 2 Faintly Dwelling- Number of Bedrooms 4 21 Subdivision Name Block 4 0 Publ ic/CommercW - Describe Use El City of 0 State Owned - Describe Use El Village of CSM Number \,I( 1 0 Town of HUDSON 111. Type of PONVI"S Permit.- (Check either "New" or "lZeplacenneril" and other applicable on line A. Check one box on line B. Complete line C if app icable.) A 11 New System Replacement Systcni) L3 Other %lodificatjon to Existing System (explain) Ad'Jitional Pretreatment Unit (explain) Holding Tank In -Ground At -Grade E tgn I EOther Type (explain) C. El Rent!wat Before El Revision ❑ Change of Plumber El Transfer to New Ownerl List Previous Permit Number and Date Issued — ! Fxpimtion IV. 1) Lspersairrrelitment Area and Tank Informaden: (3) 41,x '3 5 6LcSEfi Design Flo,,N pd) Design Soil Application Ratc(gq.disf) Dispersal Area Required (st) Dispersal Area Proposed f sl) S%-stcrn Elevation 600 .6 I 1000 1000 A 11 16 1. 3o led. go 9.3b Capacity in Total 4 of Manufactures Tank In formal ion Gallons Gallons Units .2 Tanks rxmi-ing TanksN� ct U in H v7 LL 3 R. Scptic or I fuldiny, Tank X 1250 1 X Dosmg Chainbcr X 1000 INFILTRATOR X V. Responsibility Statement- 1, 1 lie undersigned, assunit re.Npon-si hility for installation of the VONVI'S shown on the alisched plam Plumber's Name (Print) Plumber' tg11L1'.1!:L %I IVmPRS Number Business Phone Number PAUL R KOEHLER 225410 715 246 2660 Plumber's Address (.So k•ct_ 0[% State. /11) Code) 321 WISCONSIN DR NEW RICHMOND 54017 VI. County/Department Use Only yu Approved N Permit Fee Date Issued"Sulm" AgemNtgnaturc 5_35r_— [honer Given Rc ial $ J2/q/9,,_, -, V Conditions of rov, 31 Au (&�- N.1 c , DSK &SF -T. QIA. -0_1LQt!1 SYSTEM OWNER: *+e,-ttkzs fAr.4+- Q 1. Septic tank, effluent filter and dispersal cell 6#— coiz"� -0 ?Qr b 0"Pr- 4) ?&_ssuAa_ must be serviced I maintained as per &AiAtA - I management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code / ordinances. A I fac I, to complete plans for the system and submit to the County only on paper not less thin it V2 i It inches in size SBD-6398 (R_ 03/22) 1+) 5�c,-5 -kAJJ, -}, �, 0_� --a Pau- L8.00- Aza4a-VL* Designer: Ryan Bechel (D 2023 Advanced ry A`' C 'Alf property lines not Benchmark SYSTFNI NOTES Certified Sail Tester: 1330832 Environmental LLG. P ADVANCED drawn are >100ft from � Septic Tank: `c NV Sail Baring N ❑es,gner of Engineering Systems: D 2263-7 All rights reserved. - system" fxuling Meser 1250gallon l-compartmerittan k —� Tank appears warertighf and iurdonir g: to be BM2 107.97 (Top ofS.T. manhole) ,F _�eab�t����� H o lJ grade 109.75 . • _ ~ -Existing PotyWk PL-525 fiber instakr to verily Mier j t1 �r11 C •+ , p ir,r,t and functioning; replace in kind if necessary S . grade ^ 10 7. 0 S Ears•:r np trrc enrtes re aAar donedper SPS 383 33 I A- S outlet ^+ 105.90 Pump Tank: V -New Wiser 100b gag n single co"a r"nl tank Boring evaluated 10/ 18/23 + -• -Pump reeds -4Tgpm @ 11TI]f4 i ^ l -Move lank as necessay, nsairdain al setbacks T1: Contour z 105. ; Bo '60vta,ti6n." 3by Advanced Environmental,-- +- -Reca>culatepumpFrl�nLossandTUHafMW I, T2: Contour z 10 0; Bottom xcav!4o'n""too . I EYenIULRter,kmemete.«watermeklecamm ded v t Landscaping 1 ��Soil TrealmentArea : T3: Contour z 3.50; Bottom Ex a Wn 99.3D boundaries I ! r'nar�encsa.6g��e,badr (nave, above e6n urs are from the tend to � r + f I {3j 4' c 85' Eden GSF aead+es 171 B43 rri dl regriaadper bench, 53 rWdj -17'asTIAQ3 sand reMued Delow csc depersal ' � . .. i `• ` .i � Product i Wieser 1250 al 'j T1:101.30klf ativearlace,105.30contoer l • . g // T2:100.30 MIrarre srrlace; 1000 cvnqur i 'i' f' i I T3:99.34ink17apveWlace;1D3.50conW Polyiok PL-525 �` p f 1 -0eplh b resl idw -- 48' lotismalion etteolj r. `/ _ F r1 �Je1 FGLL^J4 ALL MRNCIr&CTL'RER Pk00lILT LJ i \ M , / / IN$TAII-MIONREOl11R MENT5 • 1 `yE� I V 1 1�1 - r�D' pc ! ' -}t+ Yy Distribution ------ 1 1 ' EZ-Flow *Qj { O43)84og1I'sch40PVCIaPeASWNhcleana,i&-use - y _ � / _ �] sprinlder bobs fly p o"o - - - -- _•_ Wieser 1DD ryal trenches +�; j ;. rI 1 tEVELPRESSU>?k06TRr JPON, SF.F );STA! I g _ I HEAD CAVERAMNWJRKSifE7 4 with alarm _ _ (abandon) , � fen,*rakbAnr,isedat r'r o,s'arfry, i 8 3 i J I 2' treader, end -led naWl;.. fi orifices @ 3.a spacing CQPY 1 _ % ? -Laterals to Ge spaced ling stew endig ae vifes— ti[f � Q � -Demand dose balsethngs per design W e t 'Go at in--- p LOCATIONMAP (nut to scale) s nr ., ,rr boxe required Property 4ine position as Fb� k `t `sure balancing 1 °j r I fLU surveyed by Ty Dodge I _ - - -- — �y + (q F: cr (� /vd 0 ___-----"� : ` � y-'" 1/d (�• �} rim � -- ---- _ — �� a��a J 1 PREPA}IF:II FOR: 17 Va - — Todd Franck Buried 'y *y ,�� 60= 100.00 Site Address: I utilities , TO 1" steel pipe 520 Carriage LN Hudson, WI 54D16 50' (3) 4' x 85t Eljen ,' if g _ - � SCALE 28 above rode} PIO: 020 1342.10-210 1.013 Acres l I GSF B43 trenches Legal: Let 21 Windsor Heights i5r (stepped) (original CST BM) SE 1/4 NW 1/4 a S32 T29N R19W 01 30 Town of Hudson CWHod 4tetwrn nt- This system has been deslgnsd and evaluated 1". accordance with state and loco! coder The sail treatment area mart remain prahct%d from cliwturtoance and/ar Carnpoction before and after ecrmtructlon. scale: I" = 30' Date: 11127�23 No WARRANTY Is h"M TK%T THS S"SiEN WILLo0#iMNUE TO FUNCnON iNDMNMay. Syet+m.. must be property makddrw. Review your "6m•s menopunent plan for information wiproper core and mofntenarrrw. Y9 Lf2-)' RECEIVED ST. CROIX COUNTY ZONING OFFICE FFR 19 21124 $% CR41X COUNT' CDD CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) ' located at: '/,,,1'/� Section _J Z ,Town ZT N, Range. /% W, Town of ,,� St. Croix County Wisconsin. Upon inspection, I certi y that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service �,%� A OD--2 Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: Construction: Prefab Concrete - �� Steel Other Manufacturer (if known):F, , Age of Tank (if known): Permit number (if known) 1�7 (Licensed Plumber Signature) s (Title) 'r_ e /'� '26).2.3 (Date) (Print Name) (License Number) MP/MPRS Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) 520 carriage Ln located at: SE 1/4, "W 1/4, Section 32 , Town 29 N, Range 19 W, Town of Hudson , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service 11/10/2023 Did flow back occur from absorption system? (if no, skip next line.) Approximate volume or length of time: -- Tank Capacity: 1250 gal Construction: Prefab Concrete X Steel Manufacturer (if known): Weiser Age of Tank (if known): 21 Years Permit number (if known) 420533 (Licensed Plumber Signature) (Title) (Date) Yes No X gallons -- Other (Print Name) minutes (License Number) MP/MPRS Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 November 28, 2023 C UST ID NO.: 1330832 RYAN GARY BECHEL. W 11932 560TH AVE PRESCOTT, WI 54021 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/28/202.5 MUNICIPALITY: TOWN OF HUDSON ST. CROIX COUNTY SITE: TODD FRANCK 520 CARRIAGE LN HUDSON, WI 54016 LOT 21 WINDSOR HEIGHTS SE 1/4 NW 1/4 S32 T29N RI9W TOWN OF HUDSON FOR: Design Wastewater Flow Value: 600 Bedrooms: 4 Limiting Factor(s): 96" Maintenance Required: Effluent Filter Phone 608-266-2112 Web: hitn'l/dsps tvi eau Entail: d i�isconsin s o� Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-I 12302675-C Application No.: DIS-I 12350003 Site ID No.: SIT-124361 Please refer to all identification numbers in each correspondence with the Department. Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Eljen GSF In -Ground Component Manual - November 2019 Edition Pressure Distribution Component Manual - Version 2.1 (May 2022-2027) SITE REQUIREMENTS • A Cull size copy of the approved plans, specifications, and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. The following conditions shall he met during construction or installation and prior to occupancy or use: • Prior to construction of the dispersal area, check the moisture content of the soil to a devth of 8 inches. Smearine and compacting of wet soil will result in reducing the infiltration ca aci of the soil. Proper soil moisture content can be determined by rollinga soil sample between the hands. if it rolls into a 1/4- inch wire the site is too wet to repare If it crumbles, site preparation can proceed. If the site is too wet to re are do not proceed until it dries. • Abandon Existing System per SPS 383.33 • Pump Floats to beset and verified per approved plan. Any ehan;++e.r• tray result in pumlk resizine to meet TDFI and GPtiI Spccificsttiotati • Diecrt stit1ace waler from N)11' l S area. • All piping hall conform to SPS }able 84,311 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recontmc[id:ttioiis. • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 811 OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code & SPS 38354(f). • In the event this soil absorption system or any of its component parts malfunctioris so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of constructionli nstal l ati on/o perat i o n . In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101. 12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, Fee Required: $500.00 r� Fee Received: $500.00 r/,c;vyerc Balance Due: $0.00 Tim Vander Leest Refund Expected: $0.00 POWTS Plan Reviewer Division of Industry Services Phone: 608-516-6134 Email: tim.vanderleest@wiscons'rn.gov ADVANCED 4� I=NVIR0N MENTAL Property Owner/Client: Todd Franck PIN: 020-1342-10-210 Site Address: 520 Carriage LN, Hudson, WI 54016 County: ST Croix FL 0W.• INDEX Pg, 2 SITE PLAN Pg. 10 MANAGEMENT PLAN Pg..3 SOIL DISPERSAL COMPONENT Pg. 11 MANAGEMENT PLAN Pg. 4 SOIL DISPERSAL COMPONENT Pgs. 12-19 SOIL TEST Pg 5 DISTRIBUTION LATERALS Pgs. 20-21 SURVEYOR'S REPORT Pg. B PUMP TANK SPECIFICATIONS Condr[ransky P . T DOSE SETTINGS & PUMP SELECTION APPROVED DEPT.OF SAFE it AND PRDFES5lDNAL, SERVICES Pg. 8 DISTAL HEAD CALIBRATION (NON -LEVEL DISTRIBUTION) DIVISION OF INDUSTRY SERVICES Pg. 9 FILTER MAINTENANCE DESIGNPARAMETERS SEE CORRESPONDENCE Wastewater Type: Residential Estimated Wastewater Flow: 400 gpd Design Flow: 600 gpd SOIL & SITE EVALUATION.• POWTS Type: Non -pressurized Conventional Limiting Condition Depth: 90" Maximum System Depth: 66" Contour Elevation: 1-05.30' Limiting Condition Elev: 97.80' Land Slope: 17% # Bedrooms (residential) : 4 # Occupants (per capita flow) Public Facility Flow: NA Treatment Level: Effluent 2 Code Required Separation: 24" Soil Texture: SL In -situ Soil Application Rate: 0.6 gpd/ft2 Dispersal Cell Loading Rate: NA POWTS DESIGNED PURSUANT TO. GSF In -Ground Component Manual (N. 11/19) Comments: -------------------------------- ------------------------------------------------------------------------------------ ;Replacement system for 4 bedroom home. (3) "stepped" Eljen GSF pressure trenches with dosed :parallel distribution. Distal head pressure balancing required at system start up and maintenancE ,Existing trenches to be abandoned per SPS 383.33. Minimum 5' setback to be maintained to all ,property lines (survey stakes have been set along south property line). '-------------------------------------------------------------------------------------------------------------------- SIGNED: 11/27/2023 ADVANCED ENVIRONMENTAL LLC W11932 560TH AVE, PRESCOTT, Wl 54021 (651) 327.0074 E Designer: Ryan Bechel (D 2023 Advanced ry A`' C 'Alf property lines not Benchmark SYSTFNI NOTES Certified Sail Tester: 1330832 Environmental LLG. F ADVANCED drawn are >100ft from � Septic Tank: `c NV Sail Baring N ❑es,gner of Engineering Systems: D 2263-7 All rights reserved. - system" fxuling Neser 1250gallon l-comparberittan k —� Tank appears warertighl andfurdonir g: to be BM2 107.97 (Top ofS.T. manhole) ,F _�eab�t����� H o lJ grade 109.75 . • ~ -' -Existing PolyWk PL-525 filter; instakr to verily Mier j t1 �r11 C •+ , p ir,- ct and functioning; replace in kind if necessary S . grade ^ 10 7. 0 S Ears•:i np trtc enrtes re aAav donedper SPS 383 33 I A- S outlet ^+ 105.90 Pump Tank: V -New Wiser 10DO gag n single co"wirnenl tank Boring evaluated 10/ 18/23 + -• -Pump reeds -4Tgpm @ 11TI]f4 i ^ l -Move lark as necessay, ri airit8in al setbacks T1: Contour z 105. ; Bo '60vta,ti6n." 3by Advanced Environmental---- +- -Recalculate pump Frl�nLoss and Tol,aft MW l T2: Contour z 10 0; Bottom xcav!4o'n`)too . I: -Event ULRter,nmemete.«watermek lecamm ded v t Landscaping 1 ��Soil TrealmentArea : T3: Contour z 3.50; Bottom Ex a Wn 99.3D boundaries I ! r'nnar�encsa.6g��e,badr (nave, above e6n urs are from the tend to � r " + f I {3j 4' c 85' Eden GSF aead+es 171 B43 rri dl regriaadper bench, 53 rWa'j I w-17'ASTIAQ3 sand teliured bebw GSF dispersal . ` .1 � product i Wieser 1250 al 'j � T1:101.30h9rAveadKe,105.30contorr 1 • . g I T2:100.30 MIrailve solace; 1000 cvnqur Polyiok PL-525 i 'i' f' i I i T3:99.34ink17apveWlace;1D3.50conW b resl idw -- 48' lotismalion etteotj r. `/ _ F r1 �J�1 FGLL^J4 ALL MRNtIr&CTL'RER PkRGOLT i J i \ M , / / I IN$ TAIL. L4'iCNREGIfIW:MEN T5 • 1 `yE� I V 1 1O1 - rED' pc ! ' -}l+ Yy Distribution: __—___ 1 1 ' EZ-Flow *Qj { O43)84og1I'sch40PVCIaPeASWNncleana,i&-use - y _ � / _ �] sprinlder bums f,x protein - — — _•_ Wieser 1DD ryal trenches +�; j fit;. rI 1 tEVELPRESSURE 0I51Rr�rlfrtN SF.F );STA! ' g _ I HEAD CAVERARON WJRKSHEE7 4 with alarm _ (abandon) fen,*raLbAnr,isedat r't o,s'a4ry, i i 2 header. end -led ra Wk.. fi orifices @ 3.0' spacing 8 3 f t e * ` -Laterals to N spaced 12' hoer end of aencl es of I i -Demand dose iloalsettings per design — W e t Globe at -in- LOCATION MAP (nut to acme) s nr ., er boxe required ,. Property 4ine position as Pfb1'k:, `sun 6alaneir 1 °j _ � f LU _ 9 r .,. I Q surveyed by Ty Dodge ! __ .-_- -- - *gel- + -'� �°'a o —ore-- � J , i - - �_____ (Z>[.., r15 , PREP kIII II F[1R:_ — Vd Q5 V V• Todd Franck Buried 'y *y ,�� BM 1 = 100.00 Site Address: I 520 Carriage LN4D16 I1 , l pipe Hudson, WI 5 i Alp- 50' utilities Top 1rf stee SCALE 28 (3) 4' x 85r Eljen tf above grade) PIO: 020 134_ - 2.10-210 1.013 Acres r l I GS F B43 trenches Legal: Let 21 Windsor Heights (stepped) (original CST BM) ! SE 1/4 NW 1/4 a S32 T29N R19W 01 30 Town of Hudson CWHod 4teter+ant This system has been de� and evaluated 1n accordance with state and local coder The sa:l tnsatment area must rremoln prat*ctecl from d4turtoonce and/or Compoction before arrd after eurntrudion. scale: 1° = 30' Date: 11127,r23 NO wARRANn IS IMEIE TFUT THS S"SiEN WILL L`OHi1rA.tE TO FUrJG SFON rNDET1NfTELY. Syetsm.. moat W praperfy mairrtoined. Review your eyHem`s monopurrent plan for Infmnal3an o op.er core and rrutnterwrrw. GSF WI IN -GROUND DESIGN PROGRAM GSF IN -GROUND DRAWINGS In -Ground Component Dimensions A 4.00 ft 131 85.00 ft D 1.00 ft F 7.00 in H 1.00 ft 1020.00 (ft) Basal Area Available TRENCH1 TRENCH TRENCH3 Finished Grade 103.88 102.88 101.88 Lateral Invert Elevation 102.88 101.88 100.88 Dispersal Cell Elevation 102.30 101.30 100.30 Excavation Cut Depth (ft) 4.00 4.00 4.20 Bottom of Excavation 101.30 100.30 99.30 Contour 105.30 104.30 103.50 Typical Cross Section Trench View MN12'CF CLEAN FILL(FQ T' (F) FlNSHE D GRADE LATERALIMOERT ELRATION aSPERSALCELL ELEIATION L C_I BOTfCMCF 1z' Exc.MATIoN a' � Typical Dispersal Cell aSee Page 5 o C 2 ft Geotextile h g c� m Fabric —> F c 4) o 0.5 ft 1 It A Project: Todd Franck Page 3 GSF WI IN -GROUND DESIGN PROGRAM DISTRIBUTION MEDIA GSF Distribution Cell Media Layout ®Cell Width (ft) OSidewall to Lateral (ft) Ki 3 4 ft V�(de _ l � Component ....._..... ASTM C33 Sand/Mound Sand ... A42 or B43 Module i Lateral __J Turn -up (contained in Turn -up Enclosure) Distribution Cell Plan View Layout - Typical 4 Cell Width - A (ft) 85.D0 Cell Length - B (ft) 21 B43 Modules Required per Row 63 B43 Total Modules Required Pressure Installations A standard 4 - inch perforated pipe, SDR 35 or equivalent, is centered along the modules 4 - foot length. Orifices are set at the 4 & 8 o'clock positions. Insert a low pressure pipe (LPP) into the standard 4 - inch perforated pipe. The LPP orifices are set at the 12 o'clock position. All 4 - inch pipes ,ii;, �,ecured to the modules with manufacturers supplied wire clamps, one per module. Orifice shields are also permitted on the pressure distribution pipe, one per module. Page 4 DISTRIBUTION NETWORK SPECIFICA TIONS MANIFOLD DETAIL PIPE SELECTION 102 88' GLOBE OR GATE VALVES Forcemain Diameter: 2" (Lateral Invert) �(place insprfniderbox for access) Header Diameter: 2 " Lateral Diameter: 11/2" 14.0' 02 101.88 0 1 1/2" *"All pressure piping to be Clea n o w t Detail Schedule 40 PVC unless s (Lateral Invert) otherwise specified" I Sprinkler Box 0 2„ �] l `U Ball } 7.0' 100.88 Valve Threaded } (Lateral Invert) J Sweep 9Q" (Alternafrve manifold or (2) 45/� connection) LATERAL DETAIL 1 84.ao' --- }� s/32" E- --T. (Af;emative rnanifad -{�� canrracJcn! Number of Laterals = 3 Orifices per Lateral = 29 Orifice Density = 11.7 ft2/orifice Orifice Discharge ,Rate = 0.54 gpm CIO Minimum A verage Head = 3.5' Lateral Discharge Rate = 15.6 gpm System Flow Rate = 46.8 gpm Page 5 TANK SPECIF/CA TIONS • Minimum cover = 6 inches; Maxin, um cover = 8 feet (unless spcci(ied by manufacturer) • All manhole covers shall extend 4 inches above final grade • if the tank is within 2 Feet of final grade, insulate the lid to an R-Value of 10 • Minimum 18" of cover required over building sewer; Insulate if greater > 30' long and < 42" from grade or if c 60"from grade under all high traffic/snow cleared areas (driveways etc.) • if forcemain will have a J-Nook` assembly, drill a weep hole in the 'hook' • Building sewer: No 90`s, keep 3 feet between 45s, maintain 1 inch in 8 feet (1%) slope, install cleanouts Watertight control box with separate pump and alarm circuits 107.05' ic16.5a' id/ , I .. 1 ".. - \l/F \l//\li wJ, 105.901 102.83' 4'$CH40Rog- S r I l� +�- 10, 99.00, Tank Manufacturer/Model: Wieser - WLP1000-MR ------- ------ -- ------- ----- ----- -------_---------------------__----------------------- Filter Manufacturer/Model: NotAppllcabie - ------------------------------------------------------------- .._------------------ Panel Manufacturer/Model: SJE Rhombus - PS -Patrol 1' CAST -A -SEAL TQE VIETI ix 2 i INLEf4'l j CitITLET i ry M PULP PAD TA K'r ARE. MANUFACTURED TO LIEET oR EXCEED ASTM C-1227 PrOUIRELENTS Quick Disconnect Sleeve foroemain In 4' SCH 40 PVC pipe across tank excavation to preverrt pipe settling —1'-1.5" PVC Float Tree 100.25' __-- _-- (Pump Oft) - Weep Hole 4' Pump Block ------------------------------------- WLP 1000—M R TANK SPECIFICATIONS OtMENSM& WALL.:. 2 1 /2" BOTTOM: SEPTIC 3' COVER: 4" MANHOLE: 24' I.D. PRECAST CONCRETE RISER HEIGHT: FLAT COVER 53 $/4'" O.D. LENGTH.: 104' O.D. WDTH: 55" O.D. BELOW INLET: 42' O.D. LIQUID LEVEL: 36' Y1EIGH7: GJ90 LBS_ INLET AND OUTLET: 4' CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAR BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: "SCONSIN. SEE DETAIL i/E0 (OTHER STATES SEE CHART) LIQUID CAPACITY. 27.83 GAL/IM HOLDING TANK: OUTLET HOLE PLUOCED ACTUAL CAPACITY; 1,085 GALLONS LOADING DESIGN: 8' 0' UNSATURATED SOIL TANK CAN BE USED AS, SEPTIC/ HOLDING/ PULP OR SIPHON COVER: MIX DESIGN JE NO FIBER) TANK: L1x DESIGN /10 STRUCTURAL FIBER) CUSTO%nZM TANKS: FOR CUSTOM TANKS OONTACT WIESER CONCRETE � CJ a DRAWINGS SUBMITTED', FOR APPROVAL &FPRO4TD et: _, 1"4FF7 N:) 3PPQQVAL. Da".E i I I DOSE SETTINGS & PUMP SELECTION I PUMP PERFORMANCE REQUIREMENTS Elevation Head: 5.0' 106•50' —. Distribution Head: 4.55' Equipment Head Loss: 1.0' Forcemain Friction Loss: 0.4 #t =--- =---_ _--- -=_c TOTAL DYNAMIC HEAD = 11.0 ft TDH 103.44'- MINIMUM 'FLOW RATE = 46.8 gpm DOSE REQUIREMENTS Minimum Dose: 115.9 gallons 102.25' ----------------- -- Maximum Dose: 120.0 gallons 462.8 gals - 16.6" 1 A (RESERVE) Design Dose: g 120.0 gallons g 100.86' ---_____—___-__g is 83.5 gals F_'�-- 3 B ALARM Forceniain Feet: 10, 100.611 Forcemain 0: 2.d" 121.6 gals 4.4" G (DOSE } 100.25' --------------_ _ Drainback: 1.6 gallons njD TOTAL DOSE = 121.6 gallons 334.0gals 12" (PUMP COVER) 99.25'---------- -___ �� . NOTE: Double floats, C-level Sensor, Transducer, or equivalent required when dose volume Option 1: exceeds pumping rye of a single pump float! Option 2: Zoeller - 152 1 Goulds - PE-41 FEET w PUMP PERFORMANCE CURVE 4060 4 MODEL 15111521153 -pE51 3o PE41 ■ -- 1 FT 40- - - - -- zs 30 - «p 1A 20 12� to IN 1 5 00 tO 2O 30 30 so rio - 70- AO 10 20 30 10 50 w 70 w 40 100 n ,I / NON -LEVEL PRESSURE DISTRIBUTION., DISTAL HEAD CALIBRATION I This system contains pressure distribution laterals at unequal elevations (1 lateral per trench). Distal head pressure balancing is required to ensure equal distribution to each trench. This system has been designed with pressure balancing valves (globe or gate valves only, do not use ball valves) to allow the distal head pressure for each trench to be manually adjusted until all 3 trenches have equal distal head pressure. The head pressure should be set initially at 3.5 feet for each trench to match the required minimum head pressure for 5/32" orifices. This process should also be performed by the system maintenance professional at each service visit to evaluate pump performance, calibration, and ensure correct dose settings. ----------------------------------------------------------------------------------------- DISTAL HEAD PRESSURE CALIBRATION PROCEDURE: Distal head pressure measurements must be taken at the "distal" (furthest) end of each lateral. The pump must be turned on and the valves adjusted until the distal pressure is equal among all trenches. There are two " options below for determining the head pressure for the procedure. E 1. STATIC TEST To conduct a "static" test, thread a 5 foot (or longer) clear plastic pipe over the distal cleanout of each trench and measure the height of the water column in each tube. Run the pump and measure the column height of each lateral and manually adjust the valves until each lateral has an equal column of water) . 2. SQUIRT HEIGHT TEST aka dynamic) ' To conduct a "squirt height test" place a threaded test cap with an 1/8-inch orifice drilled in the center at the distal cleanout of each trench. Run the pump and measure the "squirt height" of each lateral and manually adjust the valves until each lateral has an equal "squirt height") . ------------------------------------------------------------------------------------------------------------------------------------------------------------ Page 8 L F doXim INSTALLATION INSTRUCTIONS fn wastotre P'Mui,iham:.gc A..',Il;L F,,,,:..,,.... PL-722IPL-5 51PL-625 FILTER 6 WasTawatin ProduRr INSTALLATION INSTRUCTIONS Step 1: (A) Locate the outlet of the septic tank. (B) Remove tank cover and pump tank if necessary. GrrSto MSF;ArJS1 Sastandard 46 MAINTENANCE INSTRUCTIONS Step 1: Locate the outlet of the septic tank UU NU I UStt FLUMt3ING WHEN FILTER IS REMOVED ■ Center flltFrr with opening, az w� J� ii D 2 Additional pipe or Palylok Extend & Lok' For centering. Step 2: (A) Before installation, place the filter housing on to the outlet pipe (B) Make sure that the housing is positioned so the filter can be removed from the tank for maintenance and service. Step 2: (A) Remove tank cover and pump if necessary. (B) Pull the filter out of the housing, (C) Flose off the filter over the septic tank. Make sure all solids fail hack into the septic tank. Step 3: (A) Glue the filter housing on the outlet pipe. (B) Insert the filter cartridge in the housing, making sure the filter cartridge is properly aligned and completely inserted in the housing. Step 3: (A) Insert the filter cartridge back into the the housing making sure the filter is properly alighed and completely inserted. (B) Replace septic tank cover Poiylok. Inc. 3 Fairfield Blvd Wallingford, CT 06492 Toll Free: 877 765.9565 Fax: 203.284.8514 www.polylok.W 9e 9 GSF WI IN -GROUND DESIGN PROGRAM SYSTEM MAINTENANCE SPECIFICATIONS System Maintenance and Operation Specifications Service Provider's Name Phone POVPS Regulator's Name ST CROIX COUNTY ZONING 1Phone 715-386-4690 System Flow and Load Parameters Design Flow - Peak 600 gpd Estimated Flow - Average 400 gpd Septic Tank Capacity 1250 gal Soil Absorption Component Size 1020 ft' Septic and Pump Tanli Effluent Filter Pump and Controls Alarm Pressure Systerr In -Ground Systerr Other Service frequency Maximum Influent Particle Size 1/8 in Maximum SODS 30 mg/L Maximum TSS 30 mg/L Maximum FOG 10 mg/L Maximum Fecal Coliform 1DE1 cfu/100 mL Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years Test once every 3 years Should test monthly Laterals should be flushed and pressure tested every 1.5 years Inspect for ponding and seepage once every 3 years Evaluate distal head pressure at each lateral at each service Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to the standards, have a watertight cap, and are secured in a as shown in the Eljen In -Ground component manual. 2. Dispersal cell media conforms to Eljen products approved for use with the Eljen In -Ground Component Manual approved November 2019. Eljen media is covered with the manufacturers geotextile fabric. 3. All gravity and pressure piping materials conform the requirements in the state code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. S. The system structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail 6- 8' EXANETER LAM SMN q-ER FINISHEDG�A[JE-- ig•-• �r - Project: Todd Franck f ] LONG DEGREE 5 OR TV4C7 45 EaE7V7S AS LATERAL 0 Page 10 GSF WI IN -GROUND DESIGN PROGRAM MANAGEMENT AND CONTINGENCY PLAN System Management Plan Genera This system shall be operated in accordance with SPS 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals Eljen In -Ground Component manual November 2019 and SSWMP Publication 9.6 (01181)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SIPS 83 33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole 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 failure must be replaced. Exposed access openings greater than fl- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under S. 281.A8, Stats- The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code- The operating condition of the septic tank and outlet filler shall be assessed at least once every 3 years by inspection. 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 continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm - The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank_ If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as In -Ground and Pressure Distribution System No trees or shrubs should be planted on the system. Plantings may be made around the system's perimeter, and the system shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the system is not recommended since soil compaction may hinder aeration of the infiltrative surface within the system and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the system be heavily mulched as protection from freezing. The pressure distribution system its provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency 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. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the in -ground component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project. Todd Franck Page 11 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I 't -�' FILE INFORMATION Owner Todd Franck Permit # DESIGN PARAMETERS Number of Bedrooms 4 0 NA Number of Public Facility Units ❑ NA Estimated flow (average) 400 al/day Design flow (paakY, (Estimated x 1.5) 600 al/day Soil Application Rate .2 al/da /ft2 Standard Influent/Effluent Quality Monthly average" Fats, fail & Grease (FOG) 530 mgfL Biochemical Oxygen Demand (BOO,) 5220 mg/L ❑ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BOD,) 430 mg/L Total Suspended Solids (TSS) 530 mg/L ❑ NA Fecal Coliform (geometric mean) 510` cfu/100mf Maximum Effluent Particle Size Y$ in dia. ❑ NA Other: ❑ NA `Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SC HFDIJI E Septic Tank Capacity 1250 gal C NA Septic Tank Manufacturer �Kl NA Effluent Filter Manufacturer POLY LOCK ❑ NA Effivant Filter Model 525 ❑ NA Pump Tank Capacity 1000 gal 0 NA Pump Tank Manufacturer INFILTRATOR Cl NA Pump Manufacturer GOULDS ❑ NA Pump Model P 41 ❑ NA Pretreatment Unit ❑ NA ❑ Sand/Gravel Filter ❑ Peat Filter ❑ Mechanical Aeration ❑ Wetland Disinfection ❑ Other: Dispersal Call(s) D NA ❑ In -Ground (gravity) X In -Ground (pressurized) ❑ At -Grade ❑ Mound ❑ Drip -Line ❑ Other: Other:. FLJENS ❑ NA Other: ❑ NA other: ❑ NA Service Event Service Frequency InsInspect condition of tanks} p At least once eve every: ❑ yearWmonthsl � � ear(sl (Maximum 3 years) ❑ NA Pump out contents of tanklsj When combined sludge and scum equals one-third (Y.) of tank volume ❑ NA Inspect dispersal cells) At least once every: l (Maximum 3 ears) 1] m year(s) � �1 years} y ❑ NA Clean effluent filter At least once every: 1 . I ❑ month(sl Ck year(s) ❑ NA Inspect pump, pump controls & alarm At least once every: 3 ❑ months} 0( year(sl ❑ NA Flush laterals and pressure test At least once every: ❑ monthlsl ❑ year(s) AS NEEDED ❑ NA Other: At least once every: ❑ month(s) ❑ year(s) ❑ NA Other: CI 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; POWTS 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 affluent on the ground surface. The dispersal cells) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding 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 (Y.) 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 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of <_12 months, shall be performed by a certified POWTS Maintainer, A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page ?i of Z' START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(sy for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal celils). If high concentrations are detected have the contents of the tanks) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the 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 tanks and dispersal cells. Do not drive or park over, or otharwise disturb or compact, the area within 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 POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers;. disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or 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 soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or, must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required 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 rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in P01NTS technology a holding tank may be installed as a last resort to replace the failed POWTS. T rf alua ' a o in�cjl ank ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. C WARNING 7 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 OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name COUNTRYSIDE PLUMBING Phone 715 246 2660 POWTS MAINTAINER Name PAUL R KOEHLER Pnone 715 246 2660 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name DARRELS SEPTIC Phone 715-425-1025 Name~?(jLly- 204 mN Phone �% S— �(o_ (o eYD This oocumertt was dralmd in :urnplisnce rrltr: chap[ur Cumm 63.22i2)(b)li)id)&Ifl and 63.54i1). ill & (3), Wisconsin Administrative Code, ST. CRC? UNITY SANITARY SYSTEM File # Office Use Only OWNERSHIP/ADDRESS FORM Created212021 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. If you would like to view your issued sanitary permit online, you can. do so by using the PropeW Files Scanned weblink. OWNER/BUYER INFORMATION Owner/Buyer TODD AND LAURA FRANCK Mailing Address 520 CARRIAGE LANE City/State/Zip HUDSON WI 54016 Phone Number (required) 651-343-6933 Email Address (required) TODDFRANC K c@KW`COM Parcel Identification Number 020-1342-10-210 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location SE t/4 , NW '/a , Sec. 32 , T 29 N R 19 W, Town of HUDSON Subdivision Plat: \0ImbSoe Certified Survey Map # Volume Page # Lot # 21 Warranty Deed # 113 -Re I (before 2006)Volume , Page # Number of bedrooms 4 Spec house 0 yes E no Lot lines identifiable ® yes ❑ no OFFICE USE ONLY New Property Address (verification of new address required from Community Development Department for new construction } (Staff Initial's) (Dale) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and ca copy of the certified survey mop if reference is made in the warranty deed. Community Development Department _ Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd@1-wcvui,aov 1101 Carmichael Road, Hudson, WI 54016 ww,v.sccwi.ctov WARRANTY Y DEED l lrl�urllc,u r.�,. 1137618 BETH PABST REGISTER OF DEEDS ST. CROIX Co„ wI RECEIVED FOR RECORD 08/24/2021 12:14 PM EXEMPT#: 17 REC FEE 30.00 PAGES- 1 "'The above recording information Verifies that this document has been electronically recorded & returned to the submitter Name and I(cttlrn Addrpas tEYMAN III-1,1- 5813 S. I11G1I SS'1 COLUMl31.!S, UI i 4.i215 [l211-I "342- 111-2 i 0 P,rrcel NUrnher (PIN) I his --is _u hnnlcsNe W prul+crly (isf(is not) l hrti D cd, rr'ys.. hctivc t 11.1:'ti %L I I.I'INSKI AND 1 V NN"i W'. LEPINSK1. IIIISHAND AND NVIVE: whose nttrifinr, r?arc:;.ti I, 1 ��r�G/f-�+t'l <i',... /r�l J [`"Crranlor :end I'0131) _- _�-2c-1_ ��hrtlttis urlc r,r r11 c, ['C) hEl;�NC I. .h%D f. AURA F RANC E, FI SKAND :x;Nf) WIFE, Al, S[IRV1'%0RSI1II' MAR1TAl, PROPE:RTN tvhbsc; nrtiGa r ldress is 5?0 CAl:ltl:lc } f.:�R l', iital)�t l�., WI t01 f, ("i rtanrrt rNlcr r nC ur m n+). C.tantor, 2,or a vallloblc nvcicr.r+.fort, c me%4 to (Jr:tnlcc tht• fldtoiviigL describEd rc;11 atilalC, logvthur with the rent=., I)rofitc, fixtures and oth+, r ",pptrrtoriant interests, in SAIN I C'R01N County. State of Wisconr,iri ("Property") (if tore space is. E needed, pleas: attach ;rt!dcrtdnrrr ). L.O"1' « 1. WIN DSOR II E1C:11 i'S IN TTIIE OF I11.1I)SC)I!. s,r. C'ROIX CUIIN'I Y,'WISC ONSINI. This deed is kern„ rnadc in fidl ;2ricfactinn ofthat certain Land Contract dated 05/20/16 and rocorded tin 08122i2.016, as lrlsirullzcnt "'o. 1034"93, ill the county of -saint Croix, statc. tar LVisconsin- Property Addretis520 CA I,ANF'„ f ILIL)S0N, W1 54016 QraoWT- ti lrranls that the title to the Property is good, indcfeasihlc in fee simple and tree and clear aC cncunlhrances except: Nonc ISrtcdthl.5�z� _daYor r`_�i _.�0� t i t q t 7LLEN M. I.E•:PINSKI I I NNl VV_ I.f Itt�SKl Ali E'IIF;N I ICA'CION' ,AC'KN0W1,ICI)C NII-N-1 Signature(s) SI'At 1. tf71 t,r L'-alrnt} J �\U0W001aled this 1 erstrrl [I t'::e;rc hefnrc ine this - dar art the above ❑ riku, I t'L.Ei klL'.N113ER SIATE BAR If- WISCONSIN to me knawn to be (tic persorl(s) wlhn ctea:ulcd the tiv-egoi.ng inslruencnt wulsrt to be. the person(s) who excctl[cd the foregoing inslrt.rnicrlland tick nut+'hedged the sank. Authuri,rcd by y 706,6. Wis. Stars-J IIII IN•-,Ilet MI `.I IE \, UR.AVIfil) 11Y �� + R01111fW.AKIIY-x`,lIt)i,FYAYI.AW"(P11/!7I3(_.l.Yr1.VJ,hIfY.A_t,f.n lfY:.� 42 h- 0RAN[7 AVE_I,III_, BEIi 31'I,_LV1 5.3511, Nolary Public, Stalc of tii ;ruHures may be authentic;,lvd or 1100t :lee not tle CCtistlr\.) My C'ntnitIMs 10rt IS pernnlncn (If n[rt- sulte ex pira[ion date Fri } -? P-e < -, aE fi---I /-z'.e, � C ft1CHARD LANG YANG `* Notary public ! Minnesota "�- My CQmrnm5ton Expires Jan 31. Z026 St Croix County 1137618 Page 1 of 1 r Wisconsin Department of Safety and Professional Services D,, �r OF, 2 Q?3 Division of Industry Services SOIL EVALUATION REPORT 2- �- 31f In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan an paper not less than 8 112 x 11 inches in size. Plan must include. ST Croix but not limited to: vertical and horizontal reference point (BM). direction and percent slope. Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 020-1342-10-210 Please print all information. Revi wed by Date Personal information you provide may be used for secondary purposes Priva Law, S. 15.04 1 m . 12 R[ Property Owner Property Location: Todd Franck Govt. Lot: SE '/. NW /, S 32 T 29 N R 19 IN Property Address i `, }� Lot # Block. # Subd. Name or CSM# 520 Carriage L N L`� i 21 Windsor Heights City State Zip Code Phone Number ❑ City ❑ Village ❑■ Town Nearest Road Hudson I WI 154016 I (651) 343-6933 1 1 Hudson Carriage LNlOneill RD New Construction Use: ❑■ Residential I Number of bedrooms 4 Code derived design flow rate 600 GPD ■❑ Replacement ❑ Public or commercial - Describe Parent material Loamy drih over sandy and gravelly outwash (Burkhardt-Sattre) Floodplain elevation if applicable NA ft General comments and recommendations: so,t verlficatlort boring for replacement system. LF = >98" (abservat.on extent) 'See comments at tine bottom of page 1 • -& NE x a Boring # ❑ Boring ❑� Pit Ground surface elev. 103.90 ft. Depth to limiting factor '98 in Cnil h—N—fi— P.f® Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. ConL Color Texture Structure Gr. Sz Sh. Consistence Boundary Roots GPMFt2 'Eff#1 'Eff#2 1 0-24 7.5YR 3/2-414 (fill) I-sl 1 msbk-Om mfr-mfi cs 1 c-vf 0.2 0.5 2 24-29 7,5YR 312 (in -situ soil resumes) sil 1msbk mfr mfi cs 1m-vf 0.4c 0.6 3 29-34 7.5YR 313 sil -1fsbk mfr-mfi gs 1m-vf 0.4c 0.6 4 3446 7.5YR 4/4 sl 1 msbk m f r gw 1 m-vf 0.4 0.7 5 46-92 5YR4/4 (noneapparent) sl 1mabk-Om mfr-mfi cw - 0.2 0.6 6 92-98 7.5YR 5/4 - s-grs Osg ml - - 0.7a 1.6a Horizon S al lo had discon 111nuous pockets of Is Ll Boring # Ll Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Cnil G—F—fi— qW. Horzon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr, Sz. Sh. Consistence Boundary boots GPD/Ft2 'Eff#1 'Eff#2 crrluent 0 l - MULJ, I JU 5 LLu m h- ant? I .'7;7 - JV :-IOU m /L - LTTi nt W = t uu, 5 JU m fL ono 155 5 JU m 1L CST Name (Please Print) Signature CST Number cyan Bechel (Advanced Environmental LLC.) 5eJ1330832 Address Date EvaVuatio onducted Telephone Number N1.1932 560TH AVE, Prescott, WI 54021 10118/23 (651) 327-0074 Soil condrt+erns appear ielatively C-onsisrent t tth the observarrons of Kim O'conoel's 11-16-97 repor*. a fet1 e,cephozs. First. 20-24" of loamy fill rnareoai appears to have beer? broughl In following the construction of rile horrie and is ar parent in horizon 1 Secrond. I did not observe moderately structured sandy loans In 56 the sandy bran? III horizons 4 arrd 5 .v.as weakly structured but generally "loose" fnot densrc, While not a "massive" sandy loar7n glacial till often observed in ST ." rorr County, the sandy loams tvould st+N be considered mostiv srrucfareless, especially beyond 46" of depth No Redoximorphic features t:ere observed in the pit. Given the "loose" nature of the sandy loans and the w0erlying gravelly sands, It Is unlikefy the soils remain saturated for any significant penod of tr'me Hooiever ioadin_g rates should be reduced for horrzcan 5 to aCCOOM for slowed effluent movement through the horizon. Designer: Ryan Beehel Certified Soil Tester: 1330832 Designer of Engineering Systems. ❑ 2263-7 BM2 107.97 (Top of S.T. Hou grade z 109.75 S.T grade 107.05 S. . outlet 105,90 1: Grade 105.40; 1�611 2: Grade 104.35,? TI Grade 102.�d; Bottor j Possibly property line:. location based off of CST\ benc-hrrrark— • — Q 2023 Advanced Envi onmentaf LLC r All rghts reserved P\\ manhole \ f 1 i .44 I } W! property lines not C-i Benchmark Sl SI'E NII NO'YES S drawn are >1DQft from ticpll[ lank system' tir Sod Boring N . n 103,10 Q Boring evaluated 1.0,118j23 I �J402.10 ,.' by Advanced Environmental n y a71.15, l,, i' Landscaping boundaries - ?00 Wieser 1250 gal w-1 Polylok PL-525 Property line per Bounty GI5 data Vd 4BR OME {3) f50' �t� Ik 'I EZ-Flaw / �o trenches ` *B- a 50' Drop 1 box a BM 1 = 100.00 Top 1" steel pipe k ti 5t1' (28" above grade) 4� :,� r Buried t i5 A utilities (ongnal CST BM) fir 30' ' Certired Statement: This yvte- hoe been designed and evluoted m ac:cxdance with State old Local cWm. The sal treatment orm must r ,n protected from. dwturbar mid/o compoctiw befora and after oortatmcuon- NO wARRAMTY is ►LADE THAT THIS SVSTEV Ad COPONUE TO FUNCTION INDEBMTELY System must be Properly mointaoined. Renew your system's monogemeM pion for in'.xmallon on proper cars mW maintenoace. lump Iank: Soil 1lratment Area-. _all a I'IC31 c , prrmy •'x replacemeni ;.y5.em ,?o i4C;E"-,I; rR! eit9pl. - life = I,-% IIIIiGunin; I O(AFION MAP (not to eente) `u C7 It SITE 0 11RI:I'ARI:I1 FOR: Todd Franck Site Address: 520 Carriage l..N Hudson, WI 54016 PID: WO-1341-10-210 1.013 Acres Legal: Lot 21 Windsor Heights SE 1/4 NW 1/4 S32 T29N R19W Town of Hudson Kale: I" - 30' Date: 10118Jf23 fE OF E SEt OF THE NWl 4 f I 66 X X— X.. FO� 4 : po 34 � r ca j 1 +: ,p 1 1,286 ACRES ra56,014 S0. FT. I� I' 1.150 ACRES EXC. R%W ; j m wJ v2 " 5,829 SQ. FT. N. ja 86'S9'08" E 419.5V w $CU-`DE-ACRA�J � —: �7QM a / 1.354 ACRES "� � Z r 4r . S7 58,961 SQ. FT. o f t 1.312 ACRES EXC. R/'W P 1 t 57.127 SQ. FT. 1 4 IL 41 as QD e / 1.249 ACRES 54,397 1. q O7 ��• 11 Lp t 4 Ln a`r dt w 1.141 ACRES �` C7 49,696.54, FT. V _I F] wry r IP Ln to ``�• � / � ` t� 1 r'� 1 ! E-, coo 2 r ryti 21 1.076 ACRES r 4.6,885 50, FT. _ r, ���---_--- j io crr\ r a B5'32'O6" .E f r 0 � ay' r 269.45 '�"�� r 133' G7 r � 20 IR - W I y I 1.013 ACRES 44,116 SO. FT.. 9 O -- T I T• j. A /•? A V) " W 1.150 RES -' 5 8$'45'43" 50,102 SO. FT. 12.50' ° �'`� �•-� Ln r 18 '7 1.456 ACRES t 63,434 SQ. FT. ACRES 1.395 s 60.745 SO, FT. L'49'43" '+ EI m 57.75' al • f SDUTH NE OF nr, TL4r jE/A TEMPORA UPON Ex NUMBER L1 Wisconsin Department of Comm PRIVATE SEWAGE SYSTEM Safety and Building Division 1Ah I `r" INSPECTION REPORT w GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15 04 (1 )(m)]. Perrnit Holders Name: City Village X Township West Lake Builders I Hudson Township CST BM Elev Insp. BM Elev. IBM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANI�SETBACK INFORMATION TANK TO PIL WELL BLDG, vent to Air Intake ROAD Septic 1, 30F s -I5f 2 I Dosing Aeration Holding PUMPISIPHON INFORMATION Manufacturer Demand GPM Model Nurllsr TDH Lift n Loss System Head Tp Ft Force n Length ❑ia. Dist. to well ELEVATION DATA County. St. Croix Sanitary Permit No: 420533 4 State Plan ID No: Parcel Tax No 020-1342-1 d-210 STA-10': '3S HI FS ELEV. Benchmark (I,l,�,,,.'�' �,O fit• ins• s�7 Alt. BM Bldg. Sewer 'IQ 3.10 St/Ht Inlet St/Ht Outlet (p Dt Inlet DI Bottom Header/Man. Dist. Pipe Bat. System I Finxt Grade ► tA C. ta.� SfIgover BENCH 4 dth { Length No Trenchers PET DIMENSIONS No. Of Pits Inside Dia. L quid Depth DI ?'?) SETBACK SYSTEM TO PIL 13_pG WELL LAKEISTREAM LEACHING Manufactur INFORMATION CHAMBER OR —� ' •ype GE Cj�titrui f C ,,,�� UNIT Atonal Number DISTRIBUTION SYSTEM 1eaceur.laniioi05 I'is DEstriSution x Hole Size x Hole 5pacrng Vent to Air Intake s - --� Lenyth_ Dra_ _ . LengthDia_ SpaclnQ SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx .- :: tr' -I' .x Seedea/Socded xx Mulched Bed:Trench Center Sed/Trench Edges Topsnrr Yes C No S' Yes 7allo COMMENTS: (Include code discrepencies, persons present, etc.) ;sir:ec on # . Inspection #2: �.r.0 . s 3 Location: 520 Carriage Lane Hudson. WI 54016 (NW 114 NW 114 32 T29N R19W) Win Cr Heights Loi Parcel No: 1.) Alt BM Description = . 2.) Bldg sewer length = .L - amount of cover Plan revision Required? Y 2 No Use other side for addition n ation. SBD-6710 (R.3197) D 32-29.19.1837 Crr tc� I It Wiscrmrlsin Department of Commerce Division of Safety and Buildings SOIL AND SITE EVALUATION — �... PW Bureau of Integrated Services in ac RCe',Wlth S. IL'HR 83,09, Wis. Adm. Code of Attach cornplete site plan on paper not less than 8 t include, but not limited to. vertical and horizontal 1ri , must `r >,i County ref point and percent slope, scale or dimensions, north arrow, loci ionwd ,distance to nearest Parcel I.D. #. ... .. .. APPLICANT INFORMATION • Pfaass pr 11 lot R��jJayyed Date Peraonaf information you provide may be used for ggcOnda y (OM 116p4 (1) 1 r Property ¢wntK l r jF J`j PopeA Local Lot 114 114,5 7 ,N,RIIf Prop j Ownees Mailing Address Lot # Bfodt Subd. or '7 r'� 'E� V _ 27, '�Z' City State Zip Code Phone Number ❑ C41Y Vl" ® Town Neareg Rpad II 7..J •? r/Z i I a New Construction Use: Z Residential 1 Number of bedrooms '! Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: I Code derived daily flow gpd Recommended design loading rate _gibed, gpdRf? trertctt, 9F Absorption area required 1 7/?t': bed.ft2 ' C" —trench, ft2 irnum design loading rate bed, gl _ f Z trsrtch, gpd/H2 Recommended infiltration surface elevations] % ft (as referred to site plan benchmark) Additional designlsite considerations Parent material 92 Flood plain elevation, if applicable ft 5 = Suitable for system Conven tonal I Mound In -{around Pressure AT -Grade System in Fdl Hvk*V Tank U= Unsuitable for system PS❑ U P S ❑ U 0 S ❑ U ❑ S ❑ u 1 ❑ S 0 U ❑ 5 ® U Bonng # a, Ground Nev. /K42ft. Depth to limiting factor SOIL DESCRIPTION REPORT ME Dominant Color Munsell e Remarks: _ Boring # t, �z Ground elev. !:'�. r': ft. Depth to limiting factor � lr��ll�= ►l l� In. RernarKS: CST Name (Pleas riot) Sign lure ' Telephone No. . Address } Date CST Number SOIL DESCRIPTION REPORT PROPERTY OWNER PARCEL I.D.0 � �I Boring # Li Ground elev. Depth to limiting factor :L�.i .in. Boring # 141 Ground elev Depth to limiting factor Baring # Ground elev. At'; tt- Depth to limiting factor 2&—In' Remarks Boring # L:1 {around elev, Depth to limiting Page of y� Horizon Depth in. Daminant Color Munsell Mottles Qu. Sz, Cont. Color Texture Structure Gr. Sz. Sh. Consistence Bourdary Roots aeoftl Bed Trench Il - Z. S A 7 .ice C LA, r Remarks: Remarks: m1:! M Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots r Bed . Trench kJ factor in. Remarks: SBD•8330 (R. 07/96) `o5`7» S -ir/r-hrMl� wo 9� 5 M r111sOn17' v Wisconsin Department of Safety and Professional Services Division of Industry Services SOIL EVALUATION REPORT In accordance with SPS 385" Ws. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, ST Croix but not limited to: vertical and horizontal reference point (BM). direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 020-1342-10-210 Please print all information. Reviewed by Date Personal information you provde may be used for secondary pugposes Priva Law, s. 15.04 1 m . Property Crooner Property Location: Todd Franck GovL Lot: SE '/4 NW % S 32 T 29 N Rig W Property Address Lot # Biack # Subd- Name or CSM# 520 Caniage LN 21 Windsor Heights City State Zip Code Phone Number [] City El Village ❑■ Town Nearest Road Hudson JWI 54016 1 (651) 343-6933 Hudson Carriage LN/Oneitl RD ❑ New Construction Use: ❑■ Residential/ Number of bedrooms 4 Code derived design flow rate 600 GPD 0 Replacement ❑ Public or commercial — Describe: Parent material Loamy drift over sandy and gravelly outwash (Burkhardt-Sattre) Floodplain elevation if applicable NA ft. General comments and recommendations: soil verification boning for reptacemeni system. LF = �98' (observation extent) "See Comments at the twtiom of page 1' F 6-1Boring # 0 poring ■❑ Pit Ground surface elev. 103-90 ft, Depth to limiting factor '98 in. Horizon 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 0-24 7.5YR3/2-4/4 (fill) I-sl 1msbk-Om mfr-mfi cs 1c-vf 0.2 0.5 2 24-29 7.5YR 3/2 (in -situ soil resumes) sit 1 msbk mfr-mfi es 1 m-vf 0.4c 0.6 3 29-34 7.5YR 3/3 sil lfsbk mfr-mfi gs 1m-vf 0.4c 0.6 4 34-46 7.5YR 414 - sl lmsbk mfr gw 1m-vf 0A 0.7 5 46-92 5YR 4/4 (none apparent) sl 1 mabk-Om mfr-mfi cw 0.2 0.6 6 92-98 7.5YR 5/4 - s-grs Osg mf - 0.7a 1.6a 'Horizon 5 al had discon nuous pockets of Is F-1 Baring # ❑ 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 Gr. Sz- Sh. Consistence Boundary Roots GPDIFtz 'Eff#1 'Eff#2 CST Name (Please Print) Signature CST Number Ryan Bechel (Advanced Environmental LLC) 1330832 Address Date Evaluation onducted Telephone Number W11932 560TH AVE, Prescott, WI 54021 10/18/23 (651) 327.0074 Soil conditions appear relatively consistent v ith the obseiveitions of Kim O'connel's 11-15-97 report faith a fev" exce:•pr+ons. First, 20-24" of loamy fill material appears to have been brought in following the cons!ruChoi7 of the home and is apparent in horizon t Second, l did not observe moderately structured sandy foams in S6 The sandy loam in horizons 4 and 5 r:as -weakly structured. but generally "loose"' (not dens+c) While not a "massive" sandy loam glacial fill often observed in ST Croix County. the sandy foams v.,ould still be considered mostly structureless, especially beyond 46' of depth No Redoximorphic Features were observed in the pit. Given the "loose" nature of the sandy loam and the undertying gravelly sands. it is unlikely the soils remain saturated for any significant period of time. However, loading rates should be reduced for hGn on 5 to account for slowed effluent movement through the horizon. Page 12 Designer: Ryan Bethel Q 2023 Advanced ADVANCED All property lines not d Benchmark SYSTEM Na fES Certified Soil Tester: 1330832 Environmental LLC. M � DVA N C E D drawn are >i00ft from Sep€t� Tank Sri Vl Ro �.-r. e,:�y._ � Soil Boring N Designer of Engineering Systems: D 2263-7 All rights reserved. system' , rFGlrgi hg51Gb£ 3 Ot13dpCfSFSaB�.�3 BM2 107.97 (Top of S.T. manhole " Hou grade z 109.75 P,L �- --� S.T grade z 107..05 :' ` =T1 °" p,Z Pump Tank S.f. 'OLittet z 105.90 �•��, _ 1: Grade � 105.40; B m 10.10 Q • ; • Baring evaluated 10/18/23 �+ 2: Grade ..� 104.35• Otto N,4[].1[ P by Advanced Environmental T3: Grade M 102. ;Bottom 0.1�.15, Landscaping / Soil Treatment Area: -Soil vaffcaC m hGre+g tar reftimrned system ^. boundaries -Deplh to restriction - BBB• {observation ezwrM t _,� -Sbpe-ram Wieser 1250 gal f /�//' Polylok PL-525 f - + 1,77.1 4BR HgME (3) f50 �_ �! lltscrihutinn i EZ-Flow 1 0 trenches to -oo Well - f LOCATTON MAP coot Possibly property lines , Drop 1 locakion based -off _ - `i•._./ F� box �__� _°�� LU of CST\ ben mark4—_03� _ =_ --*B2 �� ` �� _�---- SITE w _-----------------------1---= -= ----------- - L O Property line per vd PREPARED FOR:ounty GiS data Todd Franck ..—'yd N-Y yD BM1 = 100.00 — Site Address: II Sza Carriage LN i Top 1 steel pipe ; Hudson, W1 54016 50 (28" above grade) - SCALE Buried RID: t]20 1312 1G 210 i.a13 ages lPi Legal: Lot 21 Windsor Heights 1 (orignal CST BMj r Utilities 5E 1/4 NW 1/4 Q ' IS 3�, a S32 T29N R19W Town of Hudson CartOW Statement: This systam tars taw designed and aroruoled in occordonce wHh State and Local codes. The soil treatment aeu must remain protected from dsturbance ad/or compaction before *0 otter ooruhuciion. Scale: 1" Date: 10/181123 mo w,kMWM IS K4LE THAT Ti5 SYSTEM WILL CotMNLIE TO rupcnDN iNDETi1nuy. "jet be property maintained. Rwiew yaw "am'& nwragament plan for infornadon on prayer con and rndnterwrca. ---- �aL,39 qjk LO v V p < t S a5'OB'2 S ?S gFi��j.S� E �1+-LZ m m eo CA C29 MU5 0 '2B 723.99 y 2s� I tn �� yam' j o x._ m "00 jy �7' y t I '� n� Q ►� y I co -4 �N �8 I ff r +oV V> I I �� 7'r4,. {/� urt re I eD E XI �n�Q7 ow ea �+� I m N ��! 2}t8Z E� .r> n,, r 0 N`� D +� V� � Vk .��a Q 0 I ro N I x VI I - � -� I Af � m t*❑I - Q N n d N Ar In rn U N m o aw . Ln 4 S C 38.56' 04.42'41" E 247.78 52. 5 01.49, 3 E 159.93 ii3.89 ca' __ t^ u af01CA7EU TQ THE PIJBl�C . 3, 19i.g35. F3'' -_-�0.89L.` ii IS'£i S DD'55'16" --�-- __1 �- o fti ❑21 E 215,85' � S 01'OD'35" E � ----- ass. ��"' 33� 00' ' 96.13 v 19.73' _ ---r— as 113113 I �— _� S Dp'55'16" E rA L' C° i N I O' NEIL ROAD i � ! 1 •Z 3 D�,. w I �93� � 27 . � * W Ln L'i—LOT f I Q� I s __ _ to ---LOT --__-----T-- __— _..�,.,___—_--SOO`55'16"H 5291.73' —_ �___— ! ! C. S—M__- s j LOT'_3 l LOT 2 I LOT i — — J —---------- !--------- ��-----------�--- i C.S'.Ji� ! VOL. 4, j PC. fOOi— a VOL. 5 � f347 ---- -- I ----------- -------- LOT 2 j Z x� + L Y Wisconsin Department of Comm of 1i � F 1 PRIVATE SEWAGE SYSTEM SaI" and Building Division •1� INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law. s.15_o4 (1 Xm)]. �ofmit Holders Name: City Village X Township West lake Builders I Hudson Township ::ST BM Elev' Insp BM Elev IBM Desraiplion- TAMS INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANkC SETBACK INFORMATION TANK TO PIL WELL BLDG. Vent to Air Intake ROAD Septic 30 " 1 S' i. 1 Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Nunlr TDH Lifi n Loss System Head TD Ft Force n Length Dia. G st to well 5011�.A,€�" PTION SYSTEM ELEVATION DATA S:ounty: 5t. Croix Sanitary Permit No: 420533 0 State Plan ID No- Parcel Tax No: 020-1342-10-210 STATION BS HI FS ELEV. Benchmark I�� • r Alt. Blvl . I.�� Bldg. Sewer 3.10 StfHt Inlet Co • 8t;3 SUHt Outlet .11 1 Dt Inlet Dt Bottom Header/Man. Dist, Pipe Bot. System Fin Grade S over RENCH 4 dth Length Trenches No17?) PIT DSMENSIONS No. at Pits nside Dia. Liquid Depth D13 SETBACK SYSTEM TO PIL BLDG WELL LAKE/STREAM LEACHING ManufaoEur INFORMATION CHAMBER OR — 4C.Li~— Typo OI S stem r [ Model Number: lA.�_'�, � � ` 1� x ` �� UNIT Ulb I KItSU I IUN'ST;7 I tM HeadedManifold it Distribution x Hole Size x Hole Spacing Vent to Air Intake pQ 5 Length - >y` Dia Length pia ` $pac ng SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Ontv Depth aver Depth aver xx Depth of Seed�edtSodded xx Mulched Bed/Trench Center Bedrrrench Edges Top50H Ai Yes j* No r - ■] Yes Ill No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection # Inspection #2: Location: 520 Carriage Lane Hudson, W1 W15 (NW 114 NW 114 32 T29N R19W) Win or Heights Lot � Parcel No: 32.29.19.1837' 1.) All BM Description 5 2.) Bldg sewer length = f r �o3.S3 - amount of cover = 1 r r Plan revision Required? Y A No 4 Use other side for addition of at+on. SSO.6710 (R.Ng7) � � p 1 " �n ors SiJn, re J Gera. No. "`* Page 15 a6ea n 1 wscnnsln Qepar want of Commerce Division of Safety and Buildings Bureau of Integrated Services in Attach compete site plan on paper not less than B 11" include, but not limited to: vertical and horizontal ref percent slope, scale or dimensions, north arrow, I APPLICANT INFORMATION - Please Personal Inkmmation you provide rrray be used for aeoaxdary Property SOIL AND SITE EVALUATION i�r5elw tkF s. ILtiR W.09, Wis. Adrn. Code r • '. f must * and ion di5tartce to nearest _ L Parcel I.D. 0 7 1997 1 infor�lYwed by, -P!!�6 Location �[ T �t 1 /a .Uj,:) 1 /4,S Lot a Bk * I Subd. Nawo or C5 City State Zip Code Phone Number [] CRY Mage ® Town ( j Page --2—.[.3 Date l A- oe T A.R New Construction Use: - ® Residential / Number of bedrooms Addition to existing banding 0 Replacement Q Public or commercial - Describe: Code derived daily flow /I y) gpd Recommended design loading rate —,5'— bed. WV t2�trench, g CV* ,Absorption area required .L-�bed, tt2_ 2SM—trench, ft2 ma dmum design bacrov rate Lbed, gpol[F—,�s trench• gpd* Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design he considerations Parent material/ _ Flood plain elevation, if applicable S = Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in FdI Holdr>g Tarlac U = Unsuitable for system 5as ❑ u P S© u L] S 0 u I ®S 0 u I p S Nfu D S u Ground elev. ,42kl n- Depth to limiting factor -'>2p in. SOIL DESCRIPTION REPORT Remarks: _ Boring # Grocurd elev. f44&ft Depth to limiting factor x4(—in. Remarks: CST Name (Pleas rent) Sig tore / e Telephone No. Address Date CST Number fJ r Page •PROPERTY OWNER ` PARCEL 1.134 Ground elev. j a-. Cft. Depth to limiting factor a� Ein. Boling # 0 SOIL [DESCRIPTION REPORT Page ,-�) of !1� , Horizon DWth in. Dominant Color Munsell Mottles Qu. SZ. Cant Color. Textur© Structure Gr. SZ. 5h- Consistence Boundary Roots 2 Bed . Tr6rlCii I 1` �.. Aj 1 . Ad. 11 Remarks: Ground ellevv tt. Npth to . f "fin3 factor �in- Retrlarks: ',Boring # i Vr Ground ewv. 14�ftt DepM to limiting factor ?ice -in. Boring13 # to v Remarks: Ground 01ev. Depth to limfting factor -- in. Remarks: SBD-8330 (R_ 07196) Page 18 WV -raWG ,( xI;,Js 4 3,-' 3 fatFj�t-/f Page 19 October 27, 2023 Todd Franck 520 Carriage Lane Hudson WI 54016 RE: Mark property corners for 520 Carriage Lane, Hudson, WI Surveyor's Report On October 27, 2023 my team retraced property lines on the above referenced lot (Lot 21 of WINDSOR HEIGHTS) per your request to ascertain the location of the property boundaries. My team acquired a copy of the recorded Plat (the Map) and performed measurements to locate the property corners. We found the iron survey monuments at the property corners along the south property line of lot 21 as indicated on the Map and measurements between found monuments fit with the dimensions shown on the Map. My team placed wood lath and flagging near each monument to mark the locations. Additional wood stakes with flagging were placed along the south property line to aid in visualizing the line location. 1, Ty R. Dodge, Wisconsin Professional Land Surveyor, hereby certify that this survey was done by rife, or under my direct supervision, and is true and correct to the best of my Knowledge and belief. Field surveying was completed on October 27, 2023. Page 20 !1 I off. ! 1 ---------------------- -,too (TV ob 'II'YN' 0 � 011en w - QQ ll !! [' al Q3.� V'OCO Q� o roe '5:L r • LLI ■ . \2 1 7 ` C) z . r.: to m 6Z,90•� � Zo 4 w -� � 9 66-�z 3 ,6Z' ` • • • ' Aj i . ■ ■ • r • • • ■ ■ a r • a } • ' • w t!y �-' w i F � � •� Ica. 0 � 4 r ■ wAz� e) fY S i - ego Ix. No. b9-1 3100 S"11"'ATE SANITARY PERMIT -f- 6'zn ckgp p4g 'La, 1. 1 Zo533 t c L _LAU1- V06VIVAL TOWN , ► r .zI 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. HATE 1z z r,kq Imp r / j . . SBD-06499 (R11/20)