Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
020-1411-22-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 41 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 5(a -7 6) Z_ Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: BMW Residential LLC, C/o Brian Whitemarsh Hudson, Town o. 020-1411-22-000 CST BM Elev: i Insp. BM Elev: BM DescfQtion: 01 1 0 : Section/Town/Range/Map No: 13 9.19 2 TANK INFORMATION ELEVATION ATA TYPE MANUFACTURER CAPACITY STATION BS HI F ELEV. Septic Benchmark 41 Dosing Alt. BM L ~t• I f ` L t, A_ Aeration Bldg. Sewer , Holding St/Ht Inlet ~5 18r 5 TANK SETBAN INFORMATION St/Ht outlet TANK TO P/~ WELL BLDG. Ven~Air Intake ROAD Dt Inlet Septic / rr / r yy Dt Bottom { L: Dosing . ead ' an. _ Aeration Dist. Pipe 7 -_7 Holding Bot. System PUMP/SIPI-CON INFORMATION Final G e Manufacturer Demand St Cover --7 N,1 lc 1+V1 GPM ITi f . Model Number - TDH Lift Friction Loss s ead TDH Ft Forcemain Length Dist. to Well SOIL ABSORPTION SYSTEM t+~ t'U~ -mot ~C~, tt[.:~ t"i~' ~-C~%• S ./L~.~-z~~/ BEDITRENCH Width -7 i Length ~ No. Of Trenches PITRIM IONS No. Of Pits I side Dia. Liquid Depth DIMENSIONS , SETBACK SYSTEM TO P/L ~J BLDG Wes ' LAKF,/STREAM L CHING Manu t ler.~ R INFORMATION CHA BER OR > "I vZ'U L~ ~~C•12f TXp O(f System: t % ~Vlk~~1 1 ! - ~ L IT Model Number: r Z;, IBUTION SYSTEM ea anifqId Distributio x Hole Size x Hole Spacing Vent to Air Intak ^J I t Pipe(s) Length 4 Dia Length Dia Spacing l✓ F' I IF SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only 7 J Depth Over / Depth Over xx Depth of xx Seeded/Sodded T Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes No J l l 7 ~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 21 Inspection #2: Location: 930 Alexander Rd Hud nn WI 54001f.(NE 1/4 SW 1/4 13 T29N R1 9W) Alexander Meadows Lot 22 Parcel No: 13.29.19.2592 1.) Alt BM Description = %Gj-~{ Eh^ 2.) Bldg sewer length - amount of cover rr G ~ W~.~ 1 •2 ~ Plan revision Required? Fw~ Yes [No t(~('lol/h~ S~ s Use other side for additional information. SBD-671 0 (R.3/97) Date Insepctor's Signature Cert. No Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 567202 0 GENERAL INFORMATION (ATTACH TO PERMIT) State n ID Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel T &x No: BMW Residential LLC, c/o Trevor Bruce Hudson, Town of 020-1411-22-000 CST BM El Insp. B"NElleev: BM Description: Section/Town/Range/Map No: 3 _ q `t~+ ,(...ee.c" e_t1 ..sue' x 13.29.19.2592 TANK IN RMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic IV6,,t~,Z 12, 0 J L-i Benchmar Dosing Alt. BM , Aeration Bldg. Sewer 5,4 Holding St/HtlalBt-, 4 , a ~ TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WE y BLDG. Vent do Air Intake ROAD Dt Inlet Septic Dt Bottom _ Dosing CV, Header/Man. /T I 6) ry Aeration Dist. Pipe -7 -7 Holding Bot stem PUMP/SIPHON INFORMATION Final Grade 1 1 Manufacturer Demand St Cover ' ► ' 'Z PM 3 GS- Number Model TDH Lift Friction Loss em TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM - lv v BED/TRENCH Width Length No. Of Trenches ~-7 PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WEUI, LA E/STREAM k Manu r INFORMATION CHAMBER OR aj Typ f System:/ y , _ I UNI Model Number: D BUTION SYSTEM Header ifold Distribution/_ r~~) x Hole Size x Hole Spacing Vent to Air Intake I Pipe(s) h i (✓1 J ewl Length Dia i Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over j Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil L1 Yes No ~ Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / ~7+ 1- inspection #2: Location: 930 Alexander Rd Hudson,, WWII 54016 (NE 1//4 SW 1/4 13 T29N R1 9W) Alexander Meadows Lot 22 JParcel No: 13.29.19.2592 1.) Alt BM Description 2.) Bldg sewer length =43) - amount of cover = /r .L 1n ( d 'tX,(- t ~G Plan revision Required? Yes [lo Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. ~ J PLOT PLAN PROJECT Trevor Bruce ADDRESS 634 Commerce.Dr. Suite B Hudson Wi 54016 NE 1/4 SW 1/4S 13 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX SYSTEM ELEVATION System A 97.0 System B 95.7/95.4/95.1 BEDROOM 8 CONVENTIONAL XXX AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 2-1255 gallons DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA2-1200 # of EZ Flows 2-24~' 21 BENCHMARK V.R.P. Neighbors Vent cap ASSUME ELEVATION 100' ❑ BOREHOLE O WELL *H.R.P. same as benchmark Property Line Scale is 1" = 40' Alexander unless otherwise Road noted W To Alexander Pro 8 Road ST/ Bedroom Duplex B.M.* SOtm-( Bedrooms I A ; er side 3-3' X 80' EZ Flow Cells 45' 3-3' X 80' EZ Flow Cell System B i 8 ~ B- System A 99.5' ' 30' 30' 30'4 t Vents 10' 15' 98.5' 0% slope B-1 4 4% Slope 2 100' Vents System A tested area B-2 B-2 40' 45' B-3 1~0 20' Slope increases as you go south, tested area B was cut. Area of poor soils, possible fill from cutting of hill Property Line ",.;<:''e"y... - County :,Ft Industry Services Division Ct ro 1400 E Washington Ave Sanitary Perini[ Number (to he filled i by Co.) ti, p P.O. Box 7'162 Madison, WI 53707-"7162 5 / 2 b 7 r>~>f ~7 l0 / v anitary Permit Application State Transaction Number" - In Sd with ' 383.21(2), Wis. Adm. Code, submission of this form to the appropriate €rnmen[al unit 10A- is pri o obtaining a sanitary permit. Note' Application forms for state-oS mitted to Project Address (ifdifferent than rnail ig address) thrt nt of Safety and Professional Servies. Personal information you provide may be used ~ndary r ,t~nt~. urposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats.___ 1. Application Information - Please Print AN Information t~_ _ Property Owner's Name -If P_U0 -J~ auQ, 13mbo I&Ae Property Owner's Mailing Address C Property Location O~ fl~_- U • ~C _ Govt. Lot 6 TV " City, State Zip Code Phone Number , Section 1 trcle o II. Type of Building (check all that apply) Lot # r Z-- N; R__ 1 r W .1or2Family Dwelling -NUlnberofBedroo SubdivisionNaittc lCi2~ Block 4 - 1<C 4 ❑ Public/Commercial - Describe Use r- ❑ City of-_-- ❑ State Owned- Describe Use____ _ CSM Number ❑ Village of _ r IjQJLXA lJ V rO G~ l~lO G l Town of 3 Ill. Type of Permit: (Check only ne box on line A. Complete line B if applicable) A' New System ❑ Replacement System ❑ 7"reatment/Hoiding 'tank Replacement Only ❑ Other Modification to Existing Sys[e it (~ex-plain~) List Previous Permit Nuniti r td 1346 1 suetL' ' f TT r 3 B. El Permit Renewal Permit Revision hinge of Plumber ❑ Permit Transfer to New Before Expiration Owner Z /4_C IV, 'Type of POWTS S stem/Component(Device: (Check all that apply) _ - ,`o Xon-Pressurized In-Ground ❑ Pressurized In-Ground D At-Grade 0 Mound ? 24 in. of suitabl e soil G Mound < 24 in. of suitable soil z/ 3 CJ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)___-__--_____ V. Dispersal/Treatment Area Information: Design F w ( pd) Design Soil Application Rate pdst) Dispersal Area Required {y Dispersal Area Pro d (sf) System Elevatum VI. Tanlc Infot- Capacity in Total 4 of Manufacturer - Gallons _ Gallons Units New Tanks Existing Tanks n o ) v z U n n C7 a Septic or Holding Tank -y - - L - / _ - - - Dosing Chamber ~ l-- - - - V11. Responsibility Statement- 1, the undersigned, ass a esponsibility for installation of the_POWI'S shown on the attached plans. _ Plumber's Name (Print) Plumb ' Ynature MP/MPRS Number Business Phone Nu ibex Plumber's Address (Street, City, State, Z" Co 32- VIrl. County/ Department Use Only pproved Permit Fee Date I sued Issuin,; Agent ature $ ~ q even Reason for Denial IX, ConditMTjpllgr l .easons for Disapproval L Septic tank, etllt*nt fitter and dispersal cell must all be services I mairttalrted nrQ: e as per management plan provided by"phu[il !K Z. All tseOwk requirements most bo,ittsettsid et' Attach to complete plansfo, the system and submit to the County only on paper not le.,s thou 81/2 z 11 inches in size SBD-6398 (110313) Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 9/4/13 Owner:Trevor Bruce Location: NE1/4 SW1/4 S13 T29 N,R19W Lot 22 Alexander Meadows Hudson System type: In-ground absorbtion system(conventional) Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. EZ Flow Cross Section System A 4. EZ Flow Cross Section System B 5-6. Maintanance and Contingency Plan 7. Filter Specificatio Sheet 8.-10. Soil Test V Signature License n er #226900 i PLOT PLAN PROJECT Trevor Bruce ADDRESS 634 Commerce. Dr. Suite B Hudson Wi 54016 NE 1/4 SW 1/4S 13 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX SYSTEM ELEVATION System A 97.0 System B 95.7/95.4/95.1 BEDROOM 8 CONVENTIONAL )00( AT-GRADE CONVENTIONAL LIFT HOLDING TANK 2-1255 gallons DOSE TANK SIZE MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA2-1200 # of EZ Flows 2-24 BENCHMARK V.R.P. Neighbors Vent cap ASSUME ELEVATION 100' ❑ BOREHOLE O WELL *H.R.P. same as benchmark Property Line Scale is 1" = 40' Alexander unless otherwise Road noted Pro 8 To Alexander ST Bedroom Road 5 Duplex B.M.* 60' Bedrooms per side 3-3' X 80' EZ Flow Cells 45' 3-3' X 80' EZ Flow Cells 8' S s tem B B-3 System A 99.5' 30' 30' 30' 45' B-1 Vents 10' 15' 98.5' 0% slope B-1 40' 2 0' 49"9 Slope 100' Vents System A tested area B-2 40' 45' B-3 B-2 20' Slope increases as you go south, tested area B was cut. Area of poor soils, possible fill from cutting of hill Property Line c a o a m io a~ U_ aa)i m w E m v m o i~ o cn O CL c o !1i LL_ W o v CL \ c N d3 ' cs3 E LL Q. L_ E a Q- Q V aa) V o ' O II CD d Q U_ M _0 (D i N IE: n 0U) N O U 9- C) O - ai ' . Ir U V m W a, a> m 0 m - U_ - T ' ~ UE~ fn V 'Cy -O.E co V . . m a) Q1 m 'J z O .I; (0 a? c? CO C7 w O 75 :V; D E N e K co LL o c o_ v o N c LL N 0 a m w E m m is N o C w LL Q Uo cq O a E 4-1 L N L > co M a U ~ W m W ;m A E N z... m f :Q:. N ~ iL 0 r L- C (U cn _ W E U O : 'U (n c - Q L 7C3 C N 0 -0 ca ~Oa) A L- Cl > IL ::3 1 O O 3 O I! 00 ~ N V„ p U O p N E N' . c)- LO p p a d ? D N ' . C) z° s . . N w U D W d'•'•'• mom. E Q a c T a) E : : : J U N li V a~ L 3 • ca r- H . c~ O LL a ~ _ C: d M v v a v w 0 CO) N E O V 14- ~:J pf?WTS OWNER'S MANUAL. & MANAGEMENT PLAN Pat; of FILE INFORMATION SYSTEM 6rl"ECIFIGATION s t?wrier j ' T J-f-Q1 Septic'1 ank Capacity at C7 NA Permit# Oeptlc, Tark Manufacheer t I NA DESIGN PARAMETERS FffIuent 1= ilter Manufact1irer 0 NA Number of Bedroon is 11 NA Effluent I- ilter Model LJ NA Number of Public 1--acility Units 11 NA Put tip °Iank Capacity xl I NA Estimated flow (average) go __Tql/day Purnp `t'ank Manufactur~ r --1 NA Design flow (peak), (Estimated x 1.5) - al/da Putrip Mat nrfactmer -1 NA Soil -Application Raie al/da /ft~ Pump Moclel l NA Standard Influent/Effluent Quality Monthly average` I'retreatrr lint Unit I 1 NA Fairs, Oil $ Crease (FOG) <30 rncg/L. ❑ Sand/Gavel Filter 1-1 Peat Filter Diochemical Oxygen Gernand (BODs) s220 rng/L. CI NA 17 Mechanical Aeration I ] Wetland Total Suspended Solids (TSS) .:150 rig/1 17 Disinfe.,tion It Other: - _ Pretre:ated Effluent (duality Monthly average Dispersal .,ell(s) Fl NA Biochernic:al Oxygen Demand (1301)5) 530 mg/1. n-Ground (gravity) 1.1 In--Ground (pre; surized) Total Suspended Solids (TSS) 530 rriglt. NA L-1 At-Giatle Ll Motind 1-ecal Colif'orm (geometric mean) X104 du/100trri F] Drip.-Line 1_I other: Maximum Effluent Particle Size %k in dia, CI NA other: 1-1 NA Other. - - NA Other: 1 NA 'Values typical for domestic wastewater and septic tank effluent, t,)11rer: t. N MAINTENANCE SCHEDULE Service Event Sttrvice Frequency Inspect condition or tank(s) At least once every: 1 month's) (Ntaxtrnurn 3 ye llrs} 1-1 NA Pump out contents of tank(s) When combined sludge and scum equals one third (~j) of tank vnlurrre 1_.1 NA Inspect dispersal cell(s) At least once every: El month, s) ~ `„year{s (Wlaxtmurn 3 yri rrs) E7 NA ~ Gleam effluent filter' At least once every: f° 1j wonthis) 1-3 NA Inspect purnp purnp controls & alarm At least once every: L] I tonthlS) I . NA El year(s; Flush laterals and pressure test At least dace every [_I n~anthl y) 1 11Vf1 C) year(s) t rec. At least once every: 1-1 lnc)nthis) U t NA Other: - - year(s) - - C NA MAINTENANCE INSTRILIGTIONS Inspections of tanks and dispersaf cells shall he made by an individual carrying ono of the following licenses or certific itions: Master Plurnber; Master Plurnber Restricted Sewer; POWTS Inspector; POINTS Maintainer; Septage Servic.iny Operator. lank in ~pections must include a visual inspection of the tank(s) to identify any rrjisainp or broken hardware, identify any cr winks or leaks, rneasurr the volume of combined sludge and scum and to check for any back up or ponding of efflUent or the around surface. The dispersal ':ell(s) shall be visually inspected to check the effluent levels in the observation tripes and to checl' for any porrdirrg of effluent on the ,y ound surface- The ponding of effluent on the ground surface may indicate a failing condition and requires th j immediate notificati(rr of the local regulatory authority. When the combned accurnulatiorr of sludge and scorn in any tank equals one-third (?3) or more of the tank volume, the on ire conlents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NK 1 3 Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, Inecharical or' pressurzed components, pr'etl )atinent units, and any servicin at intervals of s'12 months shall g be erfonned ki a . p by c,ertifiecf F'OV1/T:5 Maintainer. A service report shall be provided to the local regulatory authority within 10 day<; of completion of and, service event. F age of STAIN' UP AND OPERATION I-or- new construction, prior to use of the POW/ S check treatment tank(s) for the presence of painting products or of ier chemicals tha may impede the treatment process and/or darrage the dispersal cell(s). If high concentrations are detected have I ie contents of the tank(s) removed by a septage servicing operator prior to use. System start up shalt not occur when soil conditions are frozen at the infiltrative staface- During power outages pump tanks may fill ab3ve normal highwater levels. When power is restored the excess i castewater will be discharged to the dispersal relf(s) in one large dose, overloading the cell(s) and may result in the backup or surface dls charge of effluent. To avoid this situation have the contents of tho {ante removed by a 5e s < pump y ~ t age Servicing Orrerator I,anor to rests ring power to the effluent purnp or contact a Plumber or' PONAIT,"•; Maintainer to assist in manually operating the t-orrip controls to res :ore noraial level:,, within the purrip tank. Do not drive or part( vehicles over tanks and dispersal cells. Do not drive. or park: over, or otherwise disturb or comp. ct, the area within 15 feet down slope of any rncx.rnd or at-grade soil absorption area. Reduction or ellrninati0n of the following frorn the wastewater stream may improve the performance arid prolong the 1 fe of the PO\NTS: antibiotics; baby wipes; 69arefte butts; condolns; cotton swabs; degreasers; dental floss; diapers; disinfectants; fal foundation drain (surnp pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scrape ; medications; oil; tainting products; pesticides; sanitary napkins; tarnpons; and water softener brine. ABANDONMENT When tire POWTS fails and/or is permanently ttlken out rat set-vice the followinq slaps shall be takian to insure that the iystern is properly and safely abandoned in compliance with chaptor Comm 53.33, Wisconsin Administrative Cade, a All piping to tanks arrd pits shall be disconnected and the abandoned pipe openings scale I. 4 'Ifie contents of all tanks and pits shall be removed and properly disposed of by a Septagr:: Seiviccing Operatot'. m After- pumping, all lanky and pits shall be. excavated arid removed or their covers rerno ed and the void spa :e filled with soil, gravel or- another inert solid rnaterial. CONTINGENCY PLAN It the POWTS fails and cannot be repaired the following measures have been, or rrrust be taken, to provide , code compliant replacement system'. A suitable replacement area has been evaluated and rosy be utilized for the location of a replacement soil a sorption system. .I-he replacement area should be protected t'rorn disturbance and compaction arid should not be infringed ipon by required setbacks frorn existing and proposed structure, lot lines and wells. Failure to protect the replacement area will esult in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must compl ~ with the rules in effect at that time. N=) A suitable replacement area is not available due to setback arid/or soil limitations. Barring advances in POV IS technology a holding tank may be installed as a last resort to replace the failed POWI-S. t 1 the site has not been evaluated to identify a suitable replacement area. Upon failure of the POVVI S a soil ai d site evaluation must be performed to locate a suitable replac.:ernent area. If no replacement area is available a holding tank mr y be installed as a last resort to replace the failed POWTS. l :l Mm ind and al-grade soil absorption systems may be reconstructed in place following removal of the hiomal at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time <<WARNING>> :ir°PTIG, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL. GASSES AND/G1`4 INSUFFICIENT OX 'GEN. DO NO7- E:NTER A SEPTIC, DUMP OR OTHER TREATItAENT TANK LENDER ANY CIRCUMSTANCES. DI:_ATH MAY RESULT, RESCUE OF A PERSON FROM THE iNTE141OR OF A TANK fAAY HE. DIFFICULT OR IMPOSSIBLE. AIN)ITIONAI- COMMENTS - POWTS INSTALLER POWITS MAINTAINER IZtdrY1P ls _..r..,....._..a.,___._ / t Narne Phave ('Eton. 3/JG2 SEPTAGI: SERVICING OPERATOR PUMPER LOCAL REGULATORY AU CHORIT'Y Name "7`a 117 Naine /l f'honc. Phone phis document was drafted in compliance with chapter SPS 383.22(2)(b)(1)((:i)&(f) and 31331A(1), (2) 8,(3), Wiseoiisin Administrative Code. f Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code r County 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 horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. p~ Please print all information. Revi ed by Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). Property Owner. Property Location ~ r) V G) r r (,L Z-~Q- Govt. Lot N-~- 1 /4_5114 S T Z N R E (or Property Owner's Mailing Ad ess Lot # Block # Subd. Name or CSNY 41 rr)' 42 c,- Z Z- City State Zip Code Phone Number ❑ City ❑ V age Town Nearest Road ( ) l XaP/- Ilk, 6e I 1A 14 Construction Useg.Residential /Number of bedrooms Code derived design flow rate 4 12- n73 GPD ❑ Replacement ❑ PubliicJ or commercial - Describe: Parent material 13 ac f2d~e~J~v Flood P n elevation if applicable _AZ ft. General comments >vn:- $ and recortrrlendations: System Type System Elevation ~•3 71,9 J - S' / M R Boring # Boring Pit Ground surface elev.44. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 •Eff#2 I-rL ,3rL S 2 [x,-36 Q S r! Boring # ❑ Boring /c~/9 ❑ Pit Ground surface ele4. 1r9-1-1- ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 7-0-IL U r3~z .S 61--Z 1, 2 !z 3 p s S` .C i'r' r-r~ 3 S / / ~1 S rYl / Nlr~ P/ It Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 1150 mg1L ` Effluent #2 = BOD 130 mg/L and TSS < 30 mg/l. CST Name (Please Print) Signa4por CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 715-246-4516 Property Owner _ Parcel ID # Page of aBoring # Boring 01 )t Ground surface elev. ft. Depth to limiting factor in. Soil -Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ow ~1Z - s S~ r o O s S ,O F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I F-1 Boring # 11 ❑ Pit Boring Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Iepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 r Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/l_ ' Effluent #2 = BODS < 30 mg/_ and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD.8330 (8.6100) Property Owner Parcel ID # Page of r' Boring # ❑ Boring ® M~Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 - s 3 a /YI~ . s✓ , O Boring # Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 -Eff#2 r Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD4330 (8.6/00) Soil Test Plot Plan Project Name Trevor Bruce Shaun - d Address 634 Commerce Dr. Suite B Hudson Wi 54016 C #226900 Lot 22 Subdivision Alexander Meadows Date /4/13 NE 1/4 S W 1/4S 13 T 29 N/R19 W Township Hudson Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of neighbors vent pipe System Elevation 95.7/95.4/95.1 *HRpSameasBenchmark Property Line Scale is 1" = 40' Alexander unless otherwise Road noted To Alexander Road B.M.* 45' B-3 J' 99.5' 30' 30' 30' 1 X45' B-1 10' e~')- 98.5' 100' 45' 40' 0' 4% Slope 0% slope B-1 25' System A tested area B-2 B- 40' 45' B-3 20' Slope increases as you go south, tested area B was cut. Area of poor soils, possible fill from cutting of hill Property Line lv%GE INSTRUCTIONS Elm CAP.TR x+rlts~ ~ y raw x Dry at the am- case •wta the ow at thrt uutlg t*, to etraurn it ix Cehtered und,r the jocewts opens v. 0 nrttr Owl somr irlwt ,,lots pipe owe the tank through 0- au4A 4r eelvent -ww (plbe) additluirat plpe afros the uWhrt ptpn' :;imp a whg~ um owe 40 as dry mw on the outlet tjipa, taaryiarrtr ttru ieagrtit Lit 316-11AAA rip t«r. All to b acu tfte ttgwr !n bEre tanlt slid ►airt# it ►illirikig the aptlorra1 xupp~brr►"gW suvourt•. xf silo suMurt tuatfiW is ho utknd, Prato: k. Zw s•-.Ga» ~i Fur lMAA4Mk-ANtlMtiirl>d thrr taytbld6"POWMagl side support: SOWO t wrN t+se tli Ahctt 144 u:d:e the filth cam*- If 4i6i suppurt tr►ett►ad is cwt ufted, protr~ld'to tp~etp law. err Y3•..♦ . SeiW 014 lgtel trio tN1ta the tNlilltrt (>•tne. It+twrt the filte+ 51 cartsrdge "lie }ne rai+►, P etcsttt4 dosVlra wit His fii4tr lotm i„th the but+,*,, of i +t~. this vsv. t iackWise 90e ttHiknyJ_ insert &rte the awns and iuciC by turning Mfafbrteaa~wce The at"Lierdl flits, 7ti.ot0d ltc dobhud every tirrrrt tl►e r"Upt,C GGhit 15 serviced. 2. Open tyre a►Itlet am", eltit#.l,rp to lnspact iLte tahk, dtid rytCei; fl- trop tk.rt ar ptic track lawn " lugs, t"3 tine iuttur►a r f t4rw hytx lye, tnnkirlp sure to rtsrrruUe thri sfuddu ust 19 Y- tNrCte tit- eff tiv et' 1svtd hiss Liver, ianwy t glow the Crrrt ahCl dllLavr►L. "Wet pipe, firrttltr pup up oil the Hoer harrdt~t to s IttVrJYt of the rJrrtridp„ freiu titre t:tlse, dll9lrrd~U tlir! 5 slide thr rea trldtlrr ►at, acrd arcs: of th. Guise, f N t - G, Ira Vats ~watcib trrrrnarcicr! to am iar caluagirty. s6uuld he rwrl:ovad by hw,,, e r ir'f is Itf "Bent With file swrtClt wtatarurrly. Y ":*"";arcluck,vW.v ShJN btid ulhilerrtd r• White hW41hy Lhe ivrrbidge, off its lads a " K fa' duwn) over flit! dcLross uirer8! rilr (tare ttni su - uniy, makih 1L)r 4ib o/d the t:tlriYlrl LW frralau H rrrrre all arq,iry,k rursl'ori>gl is rtirge tlk With Whterr ut • a 1t' VKS Uwltnh !s utth. d r iMek Intp thq tbEle rte * burniirp datckyyfsa ~r OllpjiArAk by IialsYtihtq tats Niter a ttd d~: 1 9• lirsrrt the filter r:rrrlti r 'lid"4 i ttre fill,,, luokr ir, ` back ierto the ~ . dtu itra brrtlrucrv Of the a 40" ilrttmiki doom ta.IRnpiat:e brtri sucitro tba ilCGttlrffi llkrahNly Olr tile t14b4. ilrrtii v+ w e: tom. er':.,••`"`dh:. `YC : OMI :"vu:~}(ref •ti 4'r t? N CIJ j T~ Zf- s k I 07 ! _ tT L - i chi 4t~, pl~ t~ ~~ff..ll.~~ fr ! { ` t~ sr fa P L~j I COPY ~ ~ rn -w-um a,, da w Shya®dBwI&WDMmu County 201 W. W=WmOon Ave,, ha Bay 7162 , Cr o; ~ n Wt 53707-7162 Si ilmy Pa Number(ft be Mod iaby Gx) 4ti emit Application In axvodsoae with :g Adm c ouS srb.issiaar aftbis foam to the aPPmPriel unat is M"ir d piar m . " kag Old e P Nate: Appiiead. ffar uw..,d POW18 MI'Miifdiffi~addoca) submitted m the Departmat a£ %-)rsl you Pt-A& may is. 15 1 Soft L 1'kaae Lim~matiasi Property Owmer's Nasac 51 GRO A, . e Q r m ZZ - cSO~, 1 ra r (3rL-,te G Properly Owmr's Main Address ~Y 1.oc06oa r~we A 3 Govt Lot Cily> sh to zip t ode Phoaa Number ^l a7o9 _el_~.~_~ seob°m°~~- IL Type o`B.7 (efee><a~ tftat apply) Imt# T~`~ LE ~1 ar2 Faaa7yDweii~g-Namba•of $ SsbdirisiaaName sysFe.►~s oZ Black ❑ Ody of O Shft Owood-Desoka use Csirl rlo®bQ t0 VA*F of 8 bi- U t..J / q E Z , W TO mef 140r`Son, HL Type afftnuitz ((3 mxk wely aalt bm an i:e. Camp I F I, B if A RNewSystem O Reel mmwsystem O v Ta®t Only ❑ OtherModocuOeotoBenham Syrtssa(CION-) IL O Pe®t Ra cmd ❑ Rau* R,eriota O anew of Pest Trmuf r I. New till pmrojma Peril Numbes Md n.le lmrod 13efare Expimfim OwaMW ~o ~ovLb 1V.T ofM3W18 Cieetai[0mit )krtm- hFGm=d O Pasaw ed Ter amend O At-Gallo O M mta>2a AL of eatable soa O Mond <2a iw ef=iMbk sod O ikiring Tact O Otbv Disposal CampaarN (OWWR) O Prebptmesr DMiQ (capkOL w Ana Desigm Flow (SW I Dm~p Sera An6cation Rale{~ Dispose) Area (SO Disperser Ana Pmpw sH system He+aeo~ CoOO .7 858 I'~ 90© 9-7 R~ VL T=k Ca y in TOW oaf AGNIN&Ctmer cxdwm NewTsets Eldof"Talm< CraUa~ i7eaN rE~ f.C ~i O o U 28 ~ s~ ~ ,g~ at F `Z p`~. 6~> ao 3 m W i5 G. Sapwca: %ididTaet QO Or L. tuJi 5 r K Do®gt7meber VIL Reap Statement-1, do smimsijo 16 mmmw andwh fir of the POWTS tiwrn an rit sNwW d rtes phrmba'sName(Print) s Nwr bes H P)iaseN®bes Le-w;%. 'ct' K a 534=7 rs - -7375 MwubWs Add = ( Cal,, Sae, zip Cade) vin the F Oka a Doe baood sip EL Ca■e6t t + fse' D'sappeoval 1 ` Wearlk, of"Ubnt fNtarand 33, ii1 o Pc t- o persel 04,Msf all be sar\ilees f n~aintailled OVermanapetnent plan pmAdOd by M-t-# IW 2.. ? s k ►equiiamants must be PRa Mai" ate pelt ap~igibie Optli / pf~I1M`pM,, Mace a a.Pleta plans toratesyseeo and solwa t as are Ceaaty s* sa paper eat lea terns i lts z ll lathes Ina sine SBD-6398 (R 02/09) valid thru 02/11 t In-ground soil absorption Index and Title Page Project Name: Trevor Bruce - New In-ground non pressure Owners Name: Trevor Bruce Owner's address: 634 Commerce Drive suite B Hudson, WI 54016 Day time Phone: 715 - 790-2709 Project Address: 930 Alexander Road Hudson, WI Lot 22 Legal description: NE % SW % 13 29 N19 W Township and County: Town of Hudson St. Croix County WI DSPS Site ID No.: Parcel ID No. 020-1017--50 Plan Transaction No.: Page 1 Index and Title Page 2 Data entry, Design Criteria and Sizing Designed Pursuant to Page 3 Plan View Cells Following manuals Page 4 Cross View Cells In-ground Absorption Page 5 Over view cells SBD-10705-P(N.01/01) Page 6 Tank Configuration Page 7abc System maintenance specifications /contingency Page 8ab Filter specs Page 9 Tuff tight riser systems Page 10 Plot Plan All materials must comply with Page it Plot Plan Legend DSPS 384 and installed with the Manufactures specifications Attachments: LB soil report, warranty deed, tank service contract, Aerial photo, Steel soil report, House Plan, No CSM part of subdivision. Lift pump esi d i alling plumber: Lewis Bjork License # 253976 Signature Page 1-10 I i i 1 Data entry, Design Criteria and Sizing Residential strength waste water <30ml FOG <220MG/L <150MG/L TSS Anticipated effluent for In-ground treatment and dispersal should be Bedroom Home 4 Estimated flow = 400 gpd 400 x 1.5 = 600gpd X 2 systems serving same dwelling (Floor drains will serve finished floor in mechanical room. ) Design Calculations In situ design loading rate .7 Depth to estimated high water N/A Depth to Bed Rock N/A Cross slope at system Flat Trench sizing 600 gpd /.7 gpd per sq ft = 858 sq ft minimum effective area for medium sands. Install EZ-Flow, engineered aggregate in 3' wide cells. 900/5=180 tinier feet of cell min. Propose 2 cells Win length. 180 linear feet Total proposed sq ft area 900 sq ft d x 2 systems serving dwelling Ez-Flow ESIN 600 Gallons/dav .7 gallon per Square foot 50 Square foot each 10 Ez-flow = 12.86 min we propose 18-10' EZ flows x -----2 systems serving same dwelling Page 2-10 In-ground cell plan view vent Final and original grade 100' 12" ~ Sch 40 pvc pipe 6"---► LD Bottom of System 97' 90' Page 3-10 Cell Cross Section View x 2 systems serving same dwelling Final and original grade 100' vent or watertight cap 4" Sch 40 PVC ► (D(::IL) Bottom of System 97' T Tmin ' Page 4-10 Over View cells x 2 systems serving same dwelling O O 3' ->3# 3' 90' O O 4" 30/34 PVC pipe Page 5-10 r r LB700 Design Sequence Septic 1400 gallon Tank A Tank B 5" 7" 5 7" Baffle Filter Pipe on bottom of tank _i 2"above bottom Page 6 POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE INFORMATION X 2 systems each side Owner Trevor Bruce SYSTEM SPECIFICATIONS Permit # Septic tank capacity 1400gal N/A Design Parameters Septic tank manufacturer Lewis Bjork LLC N/A Number of Bedrooms 4 Effluent Filter manufacturer Orenco Filter N/A (100gpd/bedroom) Effluent Filter model MDW -FT0822-14BA Number of Commercial Units N/A Pump Tank Capacity Gal X N/A Estimated flow (average) 400 Gal/day Pump Tank manufacturer X N/A Design flow (DWF) estimated x 1.5 600 Gal/day Pump model X N/A Soil Application Rate .7 Gal/day Pretreatment Unit N/A Influent/Effluent Quality (NAF) Monthly average Sand/ Gravel Filter Peat Filter Fats, Oil and Grease (FOG) 30 mg/L Mechanical Aeration Wetland Biochemical Oxygen Demand (BODS) `220 mg/L0 ]Disinfection Other Total Suspended Solids (TSS) :5150 mg/L Manufacturer: Model: Pretreated Effluent Quality Monthly Average Soil Absorption Component Biochemical Oxygen Deman BOD5) <530 mg/L IDrip-Line In-Ground (non pressure) In-Ground (pressure) Total Suspended Solids (TSS) <_30 mg/L At-Grade Mound Fecal Coliform (Geometric mean) cfu/100m1 Other Maximum Effluent Particle Size 1/8" diameter FIDispersal Units - Manufacturer: EZ FLOW Aggregate cell(s) Model: 1203H Calculations: Soil Dispersal (EISA) or DWF _ Application Rate = Area Required = (Aggregate Trench Width) _ #Units or Total Length of Aggregate Trench(s) F_60_0 .7 _ 858 ~5 _ 171.6 linear feet Designed: 900' dispersal =180 linear ft Design Criteria "Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publication 9.6 (SSWMP manual) "ICC Flowtech Mound Component Manual" Version 1.2 "EZ Flow Mound Component Manual" Version 8/20/2007 SBD -10854-P (R.1/12) "At-Grade Component Manual Using Pressure Distribution" Version 2.0 SBD-10705-P (N.01/01)"IN-Ground Soil Absorption Component Manual" Version 2.0 SBD -10691-P(N.01/01) "Mound Component Manual" Version 2.0 SBD -10657-P (R.6/99) "Drip-Line Effluent Disposal Component Manual" SBD -10706-P N.01/01) "Pressure Distribution Component Manual" Version 2.0 Other- Maintenance Monitoring Schedule - Maintenance and Management Service Event Service Frequency Pump/Inspect tank(s), inspect dispersal cell(s), clean filter At least once eve 13 months X 3 years other Inspect pump and pump controls, alarm, pretreatment unit At least once eve 13 months X 3 years other Flush and pressure test laterals At least once eve 13 months X 3 years other /A 1111 Start Up and Operation: For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a Septage service operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of the water-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwashers, ect. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins and others of this kind shall not be introduced to the system for they may cause premature failure to the POWTS. INPSPECTIONS AND MAINTENANCE: Inspection shall be made by an individual carrying one of the following license or certifications: master plumber, master plumber restricted sewer, POWTS maintainer or Septage service operator (per attached maintenance schedule). Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and check for any backup or ponding of effluent to the ground surface and test all electrical equipment such as pumps and alarms. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with effective locking devices to prevent accidental or unauthorized entry to the tanks. When the combination of sludge and scum in the tank exceeds one-third or more of the tank volume, the entire contents of the tank shall be removed by a Septage service operator and disposed of in accordance with chapter NR113, Wisconsin administrative code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufactures specifications. Solids washed from the filter shall be retained in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. ABANDONMENT: When a POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. SPPS 383.33 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 service 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 other inert solid material. Page 7b CONTfNGENCY 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, render it unusable. Replacement systems must comply with the rules in effect at the time of replacement. There are two potential mound sites evaluated fior replacement areas. A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. = The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the bio-mat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at the time. WARNING: SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TRATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MY BE DIFFICULT OR IMPOSSIBLE. COMMENTS: Bjor'k: 4 e V 41( Full Service Plumbing "aftm illi4 715-231-7375 041-11, IV Your plumbing and seollvcp lop Page 7c MAY. 9. 20 13 :10: 5 BAM rA+ i r s t Supply LLGIV IS iON TE~:fipx :b, 9aAC.518i ' 3AFE7Y Arm t3 XUNY1GS amsl0N Pl-*big P"W Review 7162 10iscon~1n r P.O_ Box 63707 Madreen. 4Vhceriein 1707 pepartment of Commerce B&O MaCalkwi, G www Philip W. AL"It, aeoretary March 28, 2002 ORENCO SYSTEMS INC BUSINESS DEVELOPMENT BILL CAGLE 814 AIRWAY AVE SMERLIN OR 97479 Re: Descriptim- SEWAGE TREATMENT APPARATUS Manufacturer ORENCO SYSTEMS INC Product Name: 8" BIOTUBE EFFLUENT FILTER Model Number(s): FT0822-148, FTP0822-148 Product File No: 20020129 The Specifications and/or plans for this plumbing product have been reviewed and deterrrdned to be in compliance wAh chapters Comm 82 through 84, %4swsin Administrative Code, and Chapters 145 and 160, Wisconsin statutes. The Departmernl hereby issues an approval based an the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the and of March 2007. This approval is contingent upon compliance with the following stipulatton(s): • An access opening of suffident size to anow removal of the filter must be provided over this outlet tee baffle of which this product is installed- This access opening must terminate at nr above grade. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter will be necessary. • When this product is installed in an Interior compartment, the discharge connection must be solvent cemented to a single four inch diameter schedule 40 PVC, plastic pipe (ASTM D-2665 or ASTM D-1785) which is solvent cemented to a four inch diameter schedule 40 PVC coupling encased in the interior wall- • The influent holes on the effluent filter shall be appropriately configured by the manufacturer so that the influent holes are positioned between 65% and 75% of the tank's minimum liquid level. This shall be coordinated with the manufacturer or manufacturer's representatives by submittal of appropriate tank drawings and/or dimensions, • The discharge rate of the filter must allow sufficient flow to prevent the tank's inlet from becomvrg submerged. • When this product is installed in an exterior compar rnant, the discharge connection must be solvent cemented to a single four inch diameter Schedule 40 (ASTM D-2665 or ASTM D-1785) or SDR 26 (ASTM "34) PVC plastic pipe which extends through the outlet opening of the tank to a point at least three feet beyond the undisturbed ground surrounding the excavation made for the tank. When the boss stop is required to be removed, v✓ritten permission must be obtained from the tank manufacturer prior to installation of ftre product The department is in no way endorsing this product or any advertising, and is not responsible for any situation Which may result from its use. Sincerely Michael J. Beckwith, CIPE Plumbing Product Reviewer phone-. 008-266-6742 fax: 608-267-9966 e-mail: mWeRwMiCcommerce_state.wi.us 6804MB&E (NAW7) Fle Ref. 020`12901 ~a MAY_ 9_2C13F1C:58ANb Pn iPirst uop'`Y_LLC FftH NO. 541 459 2884 NO, 5187 P•Oi ro ~ p •K N N N ~ C m c m v d OJ) P W-W Fal Note 7671 T. F ~Q prime t PAanu Par e Fox 0 Tuf-Tite Riser System L. Ili Tuf-Tite makes a full line of Risers and accessories for Pre-Cast applications. Riser Lid - with Molded-in gasket. Available in 12",16", 20" and 24" diameters. Green Only. Concrete Lid - with handle. Use the Safety Pan to cast your own concrete lids. Safety Lid - May be used in place of concrete lid. Fits 24" Riser Pan only. Black Only. Safety Pan - Safety PanTM available for 16", 20" and 24" Risers. Green Only. 6" Tall Riser - For septic tanks. Stackable in 6" increments. Available in 12", 16", 20" and 24" diameters. 12" Tall Riser - For septic tanks. Stackable in 12" increments. Available in 20" and 24" diameters. Black Only. Tank Adapter Ring - For mounting riser or lid to tank when casting-in is not an option. 1 Plot Plan Legend 1 4" PVC ASTM D 3034.42"Min. Cover where snow is not removed. 2 24" inside diameter concrete manhole brought min.4" above surrounding grade. Concrete covers chained and padlocked . 3 Precast concrete septic tank. 4 Effluent filter location. 5 4" PVC ASTM D3034. 18" Min. cover. Effluent piping or building sewer where tank is within 30`. 6 Precast concrete dose/pump/filter tank. 7 12-2 OF-B Power conductor. 14-2 OF-B alarm circuit conductor. Both wires are UL listed A-2057 8 2" PVC ASTM D-2665 -09 Schedule 40 Pipe Force main. 9 4" PVC ASTM D-2665 -09 Schedule 40 Pipe . Entering and exiting concrete tanks min 10' in length. 10 Carlon All weather pvc junction box. UL listed # A-241 11 Ez-Flow Cell treatment/dispersal cell 12 Inspection wells Project Trevor Bruce Page I w? cz 40 ~ O O C) o V9 N - vi ~ J ~M _ O i ~ \ ~ pP illy Alt, A oJa o a ` xh" e- sFZ~ 1M"IiN MOlwl~ • _ Larr f * 1.-. LO? ffi • . 1 LMACM . •;l~~lNIC~L ~ I 16. rGt11M t~E Of M 1liv `M Of TFElE11s \ CF TtE N'nl~ U 2 0 1 4 P 2 3 0 STATE BAR OF WISCONSIN FORM 2 - 1999 4 S -7 Q7 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO-- WI This Deed, made between LaCasse Development, Inc., RECEIVED FOR RECORD 10-17-2002 11:55 AM WPRRPNT DE=D Grantor, and BMW Residential, LLC tX> ^1,7 REC FEE: 11.00 TRANS FEE: 900.00 COPY FEE: CERT COPY FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Name and Return Address Lots 12, 20, 21 and 22, Plat of Alexander Meadows in the Town of Hudson, St. Croix County, Wisconsin. CSZ A 020-1017-50,020-1017-70,020-1018-20 Parcel Identification Number (PIN) This is not homestead property. Ili) (is not) Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this day of October 2002 LaCasse Develo enter r * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. County ) authenticated this day of - Personally came before me this day of October 2002 the above named Las sse evelopment, Inc. ' / 11 TITLE: MEMBER STATE BAR OF SM• - (If not, to me kn n to bet rson(s) who executed the foregoing authorized by § 706.06, Wis. Statspr instru nd a edged the same. THIS INSTRUMENT WAS DRAFTED BY * ~/L Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, 154016 M o lnissio is permanent. (If not, state expirati,on~ da : (Signatures may be authenticated or acknowledged. Both are not necessary.) , - ) * Names of persons signing in any capacity must be typed or printed below their sign re. lnfam,atim Profesaionola Company, Fond du Lac, VA STATE BAR OF WISCONSIN 900-655-2021 WARRANTY DEED FORM No. 2 - 1999 1Vi rrum; r-uu-13 I:ulpm P, a of z ST. CRAM COUNTY Shims TANK NIANT TE AIoCE AGREEMIEN, T AND OW~TERS;~IP C>✓R.?TFT~ATIOI\ hOR~i mailing Address:.. Property Address .erification required fi om Plai~iriing & Zoning Deparhuent for new construction,) 6.ftwstaie t `~'Spyti Parcel I lenti. cation 1rt=ber H i y a. LEIGAL DESCRIPTION-1 Properlty Z ocaU+ is 114 , 5C~ 'l~ Sec. T ~gj_N ToVv'n of W s +1 Subdivision Plat:: IQk e7~v~ . P r Q rA r tac:~ 5 Lot :0 C -ified:Sun ey Map 9 Volume ;Page ~4'arranxy Decd0/ .before 200 i)Volume ' Page n d }rqusa : yes " no 116tiztes identifiable ❑ yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Tinproper useand niaintcnanct of your septic ss~stem could result in its premature failure. to handle wastes.. Proper airitenanue consists of pumping out the septic: tank every three. years or sooner, if needed, by a licensed pumper.. TXhat you put into the systen can :affect the function :of the septic tank as a treatment stage in the waste disposal system. Owner maintenance ras11 nsibilities are:. specified in §SPS, 383,510,) and in Chapter 12 St, Croix County Sanitary Ordinance. I lie property o- ar.agrees to submu to St Cron:. County Planning & Zoning Department a certification form, stgi5 rd by the. owner and by a master plumber; journeyman.plumbe .:maricted:p;lumber or alicensed pumper verif ditg that"(1) the on-tite "tevVater disposal systerii is in proper operating condition and/or ('2) after inspection and pump ingif.necessary the septic tank is less than full of sludge. Ir'i e, the UWersxg zed have read the above regii rement5 and agree to maintain .the private: sewage disposal sysfern u th the staiidards'set f orth; herein, as set bVI)e Department of Safety And Professional Services: and the Department of Natural Resources, : State; cf Wisconsin ^erti catlou statuig that your septic sN=stem :has been maintained must be cornpleted and returned to the St. Croix County Planning & Zoni - Depaarttrnent wj.t iii 30 days of the. three: year expiration date. ; f 1 ue.certi .that all stateruerits on this form .arc true to the best of my/oiirkto\n-led?o. l.'we am'arc the o'Aae:{s) of the pt opezty described above by vift of a >arr tv de d records in Register of Deeds 0ffs:ce, Tt> tuber of beclroonis ;SI S4,e 'S SIGNATURE O APPLTCAJ(Sl DATE * -Any info iiatioL`that is xizisre .resented taiav resul::in the sanity p ry perm it i being ei oked by the Planrung. i~ Zoning llepartmemt.: Inoludc with this applieatr.on a'recortlcd warranty deed from the TLeoister cif Lieeds Offce and a copy of the certified stuvcy map if reference. is Made:in tiie warranty .deed. -E' V. Wisconsin Department ofComrr~o 1 SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Bt C;m: Gv in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on pagp~eery~t ss than 81/2 x 11 inches in size. Plan must include, but not limited verti. and horizontal reference point (BM), direction an I.D. 020-1017-50, percent slope, scale ornsions, noM06, and location and distance to near C "'~~~PPP \ Date POnt all information. / _6 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 6Z_ -4 - Property Owner Property Location Trevor Bruce Govt. Lot NE 1/4 S 1/4 S T --9 N R 19 En(or) Property Owner's Mailing Address Lot # Block # Subd. Name or Mif 634 Commerce Drive Suite B 22 Alexander Meadows City State Zip Code Phone Number ity []village ■ own Nearest Road Hudson WI 54751 ( 7f5-790-2709 Alexander Road Hudson a New Construction UseEl Residential / Number of bedrooms 8 Code derived design flow rate 1200 GPD Replacement Public or commercial - Describe: na Parent material Out wash Flood Plain elevation if applicable 14 A ft. General comments Install shallow in ground non -pressure (conventional ) style system. Cells must be located over pits 1,5 and 4 and recommendations: on or adjacent to the 100' contour . System elevation should be 97' or 36" below grade. Use .7 loading. P1 Boring# Q Boring ORIGIN Pit Ground surface elev. 100 ft. Depth to limiting factor >84 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Ett#1 `EfW2 1 0-9 10yr3/2 sl 2mgr mvfr as 2f .6 1.0 2 9-70 1 5/6 s Osg ml as Im .7 1.6 3 70-84 5yr5/6 grs Osg ml .7 1.6 [P2 Boring # Boring 102.4 40 E Pit Ground surface elev. ft. Depth to limiting factor in. Soi Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh_ 'Eff#1 'Eff#2 1 0-9 7.5yr3/3 sl 2mgr mvfr as 2f .6 1.0 2 9-40 7.5 4/4 - sl 2msbk mvfr as if .6 1.0 3 40-60 7.5yr5/6 c2p10yr6/2/5yr5/3 fsl lmabk mvfr • Effluent #1 = BODS > 30 < 220 mg/L a S > 50 uent #2 = BOD < 30 mg/L and TSS < 30 mg/L -4 mdE CST Name (Please Print) - - ture CST Number Lewis Bork 253976 Address Dat I lion Conducted Telephone Number E7818 county E Menomonie WI 54751 6-28-2013 715-231-7375 w Property Owner Bruce Parcel ID # Page 2 of 3 0 Ep--q Boring # 1 Boring 100 4 . Depth to limiting factor 62 Pit Ground surface elev. ft in. Soft Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-10 10yr3/3 - sl 2msbk mvfr cs 2f .6 1.0 2 10-30 1 r5/6 - s Osg ml as if .7 1.0 3 30-40 7.5yr4/4 - &I Imsbk mvfr as - .2 .6 4 40-62 10yr5/6 _ s Osg ml as - .7 1.6 5 62-84 7.5y/r4/4 c2p10yr6/2/5yr5/3 fsl Ifabk mvfr - - [T4 Boring # Boring 100 >84 Pit Ground surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-10 I0yr3/3 - sl 2mgr mvfr es 2f .6 1.0 2 10-84 7.5 5/6 s Os ml - lm .7 1.6 1 P5 _ Boring # Boring 100 72 ■ Ground surface elev. ft. Depth to limiting factor in. Pit Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-8 7.5yr5/6 _ st 2msbk mvfr cs 2f .6 1.0 2 8-72 7.5 r5/6 - s Osg ml cs lm .7 1.6 3 72-84 7.5yr4/4 c2 10 2/5 5/3 fsI lfabk mvfr - - - - I Il 3 ` Effluent #1 = BOD5 > 30:E 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material m an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330Tnt (R.07i00) O -4;0 a 4 s ,,A/ ° .416 -1 A vt v ~ z _ W Zr, I o i a a ArtA Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 0- 017-50 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all informatib: - , ifED Review by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Lz~ , 7 //tr/ 3 Property Owner I Property Location 1:1 El Trevor Bruce Govt. Lot NE 1/4 SW 1/4 S 13 T 79 N R 19 Property Owner's Mailing Address N of # Block # Subd. Name or CSKW 634 Commerce Drive Suite B 22 Alexander Meadows City State Zip Code Phone Number rority Village E]Town Nearest Road Hudson Wl 54016 ( 7f5-790-2709 Alexander Road El New Construction UseE) Residential / Number of bedrooms 8 Code derived design flow rate 1200 GPD 11 Replacement Public or commercial - Describe: N/A Parent material Outwash Flood Plain elevation if applicable wrv ft. General comments I / O (r`~ and recommendations: nRIPUN9 Boring Boring # Pit Ground surface elev. QN0 ft. Depth to limiting factor i 19-4 K Z n. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. <Eff#1 <Eff#2 0-11 [x`14 3 i I s (r~ 6`5 .7 11.6 Z ti-7z to 'T2 s16 s o - 77 Boring # KBoring it ® pit Ground surface elev. /00 ft. Depth to limiting factor 772 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/1112 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. <Eff#1 <Eff#2 _q 7 s f s 17 6 < Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ` E(fl = < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si CST Number Lewis Bork 253976 Address Date Evaluation Conducted Telephone Number E7818 Cty. Rd. E, Menomonie, Wl, 54751 { j 715-231-7375 ^n -7- 17- 201,6 t s Property Owner Bruce Parcel ID # 020-1017-50 Page 2 of 3 j( Boring # Boring 7 Z RPit Ground surface elev. 1 co ft. Depth to limiting factor `.9442M in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 -Eff#2 l C) - lUh2j(z Is j(/ Z F .-7 l +"-7r loA I ~r rKuv- C .-7 c 7644-`1 I 3 wlsld~c Mort #+5 , y 6 T Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in ORIGINAL Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/tt2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2 it Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330TW (R.07i00) 17, , r 10 e` i r w .c V I i I e s. lam, F -77 - ! ' ~'~j Q• J7 1 , _ I 1 r. f f ORIGINAL. i------------__._~ _i (max 1060 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north amm, and location and distance to nearest road. Parcel I.D. '92-0- /1 / g2 Z _ GYM Please print all information. R r{d Date Personal information you provide may be used liTseagridary purposes (Privacy Lew, s.15.04 (1) (m)). 3 2"] ? Property Owner s - • o , ^ rPrm! Location LaCasse Development , Inc. LNE 1/4 SW 1/4 S 13 T 29 N R 19 W Property Owner's Mailing Address A U G 1 Lot Block # Subd. Name or CSM# 573 Cty Rd " A" 4 2002 2 na Alexander Meadows City State Zip ode 1;'TioW~ypb~UNTY - Village Town Nearest Road Gl) Hudson WI ` I &IF-54Q5 Hudson Alexander Rd. New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material Glacial Drift Flood plain elevation, if applicable na General comments and recommendations: mound design, system elevation 96.75 ft based on contour line elevation 95.75 ft 4~ a~f2, D. S vn ~,~¢z cow O/Z -kCaj h^ ?1136 y k Boring # Boring j!I Pit Ground Surface elev. 96.55 ft. Depth to limiting factor 72 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtft2 *Eff#1 *Eff#2 1 0-8 10yr312 none sil 2msbk mfr cs 1f _5 .8 2 10yr4/4 none SI 1 csbk mvfr gw na 4) .6 3 36-72 7.5yr4/4 none Is osg mvfr 9w na .7 1.2 4 72-96 7.5yr4/4 c2d 7.5yr5/6 scVsl 2msbk mfr na na .4 .6 Horizon # 4 has stratified layers a Boring # Boring le pit Ground Surface elev. 96.55 ft. Depth to limiting factor 26 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 1 0-8 10yr3/2 none sil 2msbk mfr cs 1f .5 .8 2 8-26 10yr4/4 none sl 1 csbk mvfr gw na .4 .6 3 26-96 7.5yr4/4 none SCI/SI 2msbk mvfr gw na .4 .6 Horizon # 3 has stratified layers * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5<30 mg/L and TSS <.-30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel 248956 Address Steel Soil Service ~ 'h6D Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 8/312002 175-246-5085 property owner LaCasse Development, Inc. Parcel ID # pending Page 2 of 3 3 ] Boring # Boring Y` Pit Ground Surface elev. 93.95 ft. Depth to limiting factor 72 in. H ~n Rate F Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= *Eff#1 *Eff#2 1 0-16 10yr3/2 none sl 2msbk mfr cs 1f .5 _9 2 16-26 10yr3/3 none sil 2msbk mfr gw 1 of .5 .8 3 26-58 10yr4/4 none sic[ 2msbk mfr gw na .4 .6 4 58-72 7.5yr4/4 none Cl 2msbk mfr gw na .4 _6 5 72-78 7.5yr4/4 c2d 7.5yr4/4 Ifs 1 csbk mvfr a na .4 .6 6 78-96 7.5yr4/6 none Is osg mvfr na na .7 1.2 ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz *Eff#1 *Eff#2 ❑ Boring # Boring Pit Ground Surface elev. ff. Depth to limiting factor in. i~;-HApplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= *Eff#1 *EfW ' Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 <30 mg/L and TSS <30 mg& The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or 1 Page 3 of 3 STEEL'S SOIL SERVICE David 3. Steel 1564 Cty Rd GG CST-POWTSM LaCasse Dev., inc. New Richmond, WI 54017 Lic. #248956 NF1/4,SWa/4,S.13,-T29,R1.9W (7_15)246-6200 Town of Hudson, St Croix Co. (715) 246-5085 Alexander Meadows, W.22 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may uo be as shown -as permanent tot -lines were not N blished at the time the test was coadwted. :5 3&1c.4 fjAe-k £I-. 100• $or+rtjS $o;r)~ f(eAfforrS 62~125 p° i ~ g3 Ca~er.~l.he- £c ~nGe ~C.wt ~ r 76 To CeOc.- J~w 3_a v L736 A�. � �3, z q. l q. 2 55 Z- - hVVY� -- State of Wisconsin DEPARTMENT OF NATURAL RESOURCES Scott Walker,Governor West Central Region Headquarters 1300 W.Clairemont Avenue Cathy Stepp,Secretary Eau Claire WI 54702-4001 Telephone 608-266-746 PDEPT.OF Toll Free 1-888-936-7463 TTY Access via relay-711 RALRES UURC ES l January 21, 2014 Trevor Bruce T-Buck Properties LLC 3320 - St. Croix County 634 Commerce Drive Town of Hudson - Junker Landfill Hudson,WI 54016 Special Deep Well Casing Area Subject: Variance Request–Granted (subject to conditions) Dear Mr. Bruce- — The Private Water Section of the Wisconsin Department of Natural Resources (Department) has received and reviewed your request for a variance to construct a new well that does not meet the minimum well construction requirements of the special well casing area. This special well casing area was established due to the presence of volatile organic compounds (VOCs) in groundwater. Recent testing has shown that levels of VOCs near this location are below the public health related groundwater quality Enforcement Standard established by s. NR 140.10, Wis. Adm. Code. Consequently, your request has been granted (subject_to the conditions noted on following pages) based upon the general requirements contained in section NR 812.43 of the Wis. Adm. Well Construction and Pump Installation code. Specifically, the variance has been requested to exempt you from the requirements outlined in NR 812.10 (5), NR 812.12 (3), and NR 812.12 (5). Complete application received: January 8, 2014 Well location: 930 Alexander Road, Hudson, WI 54016; NE %, SW '/ Section 13, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, WI; Lot 22 Alexander Meadows Subdivision; Parcel Identification Number (PIN) 020-1411-22-000. Code compliance feasibility: This special well casing area requires construction of a ten-inch diameter upper enlarged drillhole to a minimum depth of 50 feet into the Cambrian sandstone and sealing of the entire annular space with neat cement grout using a pressure method according to the requirements of section NR 812.20, Wis. Adm.-Code. The'Cambriah sandstone in this area is located approximately 300 feet below the ground surface. Constructing a well to these standards is time consuming and requires a significant financial investment. For these reasons, it is not feasible to require the new well at this location to be constructed.to the required standards. Please note the conditions of this approval below. Well construction and comparable protection: The well must be constructed according to the minimum requirements of NR 812, the Wis. Adm. Well Construction and Pump Installation code and must be comparable to other wells located in similar geology. This variance does not guarantee that the system will produce acceptable water quality or quantity. The comparable protection provided for drinking water quality will depend on the method employed by the owner to negate the concentration of VOCs potentially present in the groundwater. Please refer to post-construction condition 1. dnr.wi.gov ONREC g NamtO Iy WISCONSIN PAPER E° Wisconsin. ov °"'�N St. Croix County 992215 Page 2 of 5 II II IIII 1111111 1111111 I III WI DNR WELL VARIANCE 8 2 0 9 5 7 2 Document Number Document Title TX:4172824 Lot 22 of Ak4-Y- ,v-Ar 992215 BETH PABST C ified map REGISTER OF DEEDS ST. CROIX CO., WI Volum RECEIVED FOR RECORD 02/03/2014 3:39 PM Page EXEMPT #: REC FEE: 30.00 In the NE'/of the SW'/of Section 13,Township 29 North, Range 19 West, PAGES: 5 Town of Hudson,St.Croix County,WI Recording Area Name and Return Address 5 T-Buck Properties LLC 634 Commerce Drive Hudson,W-1-5401 6 - i 020-1411-22-000 i Parcel Identification Number(PIN) i THIS PAGE IS PART OF THIS LEGAL DOCUMENT-DO NOT REMOVE. This information must be completed by submitter: document title name&return address.and PIN(if required). Other information such as the granting clause,legal description,etc.,may be placed on this first page of the document or may be placed on additional pages of the document. WRDA Rev.1212212010