HomeMy WebLinkAbout020-1049-90-100
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit N .
56388
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. S
Permit Holder's Name: City Village X Township Parcel Tax No:
Schrank, James & Dawn Hudson, Town of 020-1049-90-100
CST BM Elev: Insp. BM Elev: BM Description: !OP a Section/Town/Range/Map No:
!Q> 0 M C5 P 20.29.19.1921310
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Z Benchmark
plc.,,. 5 99 s Zod /GIO
Alt.
BM G • Z .
lob dp
Aeration f f Bldg. ewer 9'S • 3
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet ,13 92.7
TANK TO P/L WELL BLDG. a to Air Intake ROAD Dt Inlet
Septic Dt Bottom -1
to lS 13-9 L 7 70' -
Dosing drHeader/Man. C1 1, -7
Aeration / Dist. Pipe 7• , q b '7
G 7,1 dy / . cp
Holding Bot. System 90 • C~
7r'Q • 5
PUMP/SIPHON INFORMATION Final Grade
.E.; a Z•~ ~7
Manufacturer Demand St Cover 11
GPM ~ 11-~-. G V•-t-~. ~ . ~ 97 ~
Model Nu
TDH Lift Friction Loss System Head 714~- Ft
Forcemain a Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length / No. Of Trenches ( PIT DIM NSA IONS No. Of Pit Inside Di=_ Liquid Depth
DIMENSIONS 13 f6 Z
SETBACK SYSTEM TO /CJ P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR !ti-
Type Of System:
21"1 /Zip / UNIT Modeltumbe
DISTRIBUTION SYSTEM Ae al Z+ZZ q# 'o& }
Header/Manifold Distribution \ x Hole Sizr~ x Hole Sp cing VeCo Air Intake
Pipe(s) ` C'4-4k
Length 9 Dia Length Dia `Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of Seeded/Sodded xx Mulched
Bed/Trench Center / Bed/Trench Edges O Topsoil \xx Yes 0 No Yes tft No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2:
Location: 803 Martin Ave /HHudon-, WI 54016 (SE 1/4 NW 1/4 0 Unknown) NA Lot 1 Parcel No: 20.29.19.192610
1.) Alt BM Description = r'~~ j 0J4-..- Gf _ 4--
2.) Bldg sewer length = 45 V~o~ I
- amount of cover
~Z o
Plan revision Required? rS-~ Yes r`No JVh `7 Q• 1('7
Use other side for additional information.
SBD-6710 (R.3/97) Date Insepctoes Sign a Cert. No.
Soil Test and System PLOT PLAN
PROJECT Jim Schrank ADDRESS 1522 Hunter Hill Road Hudson Wi 54016
SE 1/4 NW 1/4S 20 /T 29 /R 19 W TO YVN Hudson COUNTY ST.CROI X
MPRS Shaun Bird 226900 DATE 9/10/13 BEDROOM
CONVENTIONAL XXX IN-GROU PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 890 # of chambers 44
BENCHMARK V.R.P. Top of telephone pedistal ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
SYSTEM ELEVATION 91.2/90.7 5' below qrade
B.M.*
C Road A
30' 161' Property Line
20' No All piping shall be SDR
30/34, within 10' of tank,
B-1 100' 1% Slope B-2 piping shall be Schedule
40.
2-3' X 88' cells '
2-3'X 88' Cells with >3' spacing
with >3' spacing
40' Scale is 1" = 40' RAW I unless otherwise
50' noted
Martin Ave B-3 2 '
b Not enough slope to
have contours
Pro 4
Bedroom
House
31'
24'
Further testing is to be
6, 33' 12, done to lower system
elevation and find
a more suitable area
- `A~ l' - - County
Industry Services Division
P I l 1400 E Washington Ave Sanitary Permit Nu ber (to Ile filled . by Co.)
P.O. B x 7162
Madison, WI';Q076?
Sanitary Permit Applieati State Transaction Number
In ac ce ith SPS 383.21(2), Wis. Adrn. Code, submission of this form to the approeal pr rmnental unit
is requi ed prior to obtaining a sanitary permit. Note: Application forms for statitioyyned 110 k rr submitted to Prgiect Address (ifdifferent than rriail ig address)
the Department of Safety and Professional Servies. Personal information you provid"Ty be used for secondary
..Purposes in accordance with the Privacy Law, s. 15.04({)(m), Stats_. CO ~{x Me. r~-i
1. Application Information - Please P hat All lnfor _ l `
Property Owner's Narne aw~~ Parcel N
r_. l
Property Owner's Mailing Address Property Location
----~J- z Gent. t.ol.
City, St to Zip Code l l^ Phone Number Section
ff. Type of Building (check all that up y) - Lot t N; IL J L
or 2 Family Dwelling - Number of Bed orns ` Subdivis n Name /
, cam - , Block 4
D Public/Commercial -Describe Use fin`
r.~ ~ ❑ City of
❑ State Owned- Describe Use CS`M NJrrtber Village of
1 L.,
111. Ty p of Permit: (Check only one box on line A. Complete line I3 if applicable) _
A. - -
ew System D Replacement System D •I'reattrtent/I-iolding'I'ank Replacement Only D Other Modification to Existing Syste it (explain)
B. ❑ Permit Renewal e., 7Rryl~icin D Change 'Plumber JerrnitTransfer - to New List Previous Permit Number a d Date filed
❑ f
Before Expiration Owner O Z
IV, Type of POWTS S /Com - Z6
-~stem ponent/Deyic c. (Check all that apply)
mrPressurized In-Ground D Pressurized In-Ground L1 At-Grade D Mound ? 24 in. t~f'suilabl a soil U Mound < 24 in. of suitable soil
D Hol(i ig'i'ank Other ispersal Component (explain}_` Pretreatment Device (explain) - _
V. Dispersal/Treat nt Area Information: -
Design Flow (gpd) Design Soil Application Rate( dsf) Dispersal Area Required (sf) Dispersal Area Proposed (7_1
ystem Elevation
-6~ _
_ _
1
vi. 'rank Info - Capacity ;b tal of Manufacturer
Gallonlons Units
4J O u V ,
New Tanks Ec v 6 ; " 9tS
n U n n ii U a
Septic or Holding Tank - -
-
Dosing Chamber - - -
VII. Responsibility Staterne - 1, the undersility for installation of the POWTS shown on the attached plans. _
Plumber's Name (Print) - MP/MPRS NNumber Business PhhoneNu fiber Plumber's Address (Street, City, State, Gip de)
Vlll, County /De ar•tmcut Use Only
Approved asap Permit Fee Date I ued Issuin.KA! i gnature
fiver Reason for en' I QJ
/ (Q 3
IX, Condit ptjh4*casons for Disapproval
1`: Septic tank, effluent fitter and
3 J
dispersal c gnt all be services ! maintained
. as per management plan provided by plumber. U4-"
L u ~s>Q
2. All setl~a requirements must be maintained n t!✓
as per bra code / ordlnar4ft.
Attach to complete plans For the system and submit to the County only on paper not less than 8 112 x I1 inches in size
SBD-6398 (R0313)
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
DivFion of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County n ~
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. 0
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)). Ito /
Property Owner Property Location
^t
Govt. Lot 1 /4 /4 1142 t~ N R E (o W
Property Owner's Mailing Addre Lot # Block # Subd. Name or CSM#
lj - 2 Z '
city State Zip Cade Phone Number ❑ City ❑ Village Town Nearest Road
Dl ( )
New Construction Us Residential / Number of bedrooms Code derived design flow rate GD GPD
❑ Replacement ❑ Publi or commercial - Describe: _
Parent material 'c.<,c~cci c Flood Plain elevation if applicable ft.
General comments
and recortunendatio~Ans: J~ Q /
System Type &2 System Elevation r ~5-
F-/1ng # O Boring IX7
Pit Ground surface elev. ' ft. Depth to limiting factorL 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
Eli
S D- ~v w)4- - 1.
Boring # p Boring
'-Pit Ground surface elev.A 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
U , lL
znc Y--
Effluent #1 - BOD 30 _220 mg/L and TSS 30 _ 1 'Effluent #2 - BOD _ 30 mg/- and TSS _ 30 mglL
CST Name (Please Print) nature CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 ~~O 715-246-4516
y
Property Owner _ Parcel ID # Page of
Boring It ❑ Boring X ® 'Pit Ground surface elev. 7ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. j*Eff#1 '
/a / vZ- i
r ~ II
F-1 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/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2
II
i
I
I
F-1 Boring # F] 11 Pit Boring
Ground surface elev. ft. Depth to limiting factor in.
Soil Application 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
Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/_ ' 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.
SOD-6330 (R.6(00)
Property Owner Parcel ID # Page of
Boring # ❑ Boring
® 'Zpit Ground surface elev. A• 7ft. 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
/d I L011 Z_ - S C ~ ~o ~fl
d- - 1 r..c7 ) • r
Q- oe -7
4Z
❑ 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/lf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
F-1 Boring # Pit Boring
❑ Ground surface elev. ft. Depth to limiting factor in.
Sal lication 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
Effluent #1 = BOD5 > 30:5 220 mg/L and TSS >30 < 150 mgA. ' 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 in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-9330 (8.6/00)
S it Test and System PLOT PLAN
PROJECT Jim Schrank ADDRESS 1522 Hunter Hill Road Hudson Wi 54016
SE' 1/4 NW 1/4S 20 /T 129/R 19 W TQyVN Hudson COUNTY ST. CROIX
-~G 9/10/13
MPRS Shaun Bird 226900 BEDROOM 4
DATE
CONVENTIONAL XXX IN-GROU PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 890 # of chambers 44
BENCHMARK V.R.P. Top of telephone pedistal ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. SameasBenchmark
SYSTEM ELEVATION 91.2/90.7 5' below qrade
B.M.*
Ct Road A
30' 161' Property Line
20, No All piping shall be SDR
30/34, within 10' of tank,
B-1 100' 1% Slope B-2 piping shall be Schedule
2-3' X 88' cells `a'
2-3' X88' Cells with >3' spacing
with >3' spacing
40' Scale is 1" = 40'
eats unless otherwise
50' noted
Martin Ave B-3 20'
Not enough slope to
S have contours
15'
Pro 4
Bedroom
House
31'
24'
Further testing is to be
61 33' 12, done to lower system
elevation and find
a more suitable area
- - - County -
<i Y . industry Services Division ( ~ c'
fit y 1400 E Washington Ave Sanitary Permit umber (to be fillets in by Co.)
P P.O. (Sox 7162
n S Madison, WI 53707-7162
- f}ate'i'ransz1~11/hNumber'
ary Permit Application
.
In accordance with SP 3.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental r [
Y
is required prior to obtaining a sanitary permit. Nofe' Application forms for state-owned POWTS are submitted Projec Ayfif dl Brent than mailing address) -
and Professional Servies. Personal information you provide may be used for secondary ?'0"
the Department of Safety
purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. ~
rati n- Please Prin All Inl" orma d 3
I. Application-info m
o - Parcel fJ
Property Owner's Namce~j 4w rti /7
_ Property Locatior/~J 7 -be
Property Owner's Mailing Address I / / L 8-1
Govt. Lot--
City, S to Zip o de Phone Number Section z
/ cc one
W ! - T - N'. It L W
11. Type of Building (check tr11 that apply) Lot B
) Subdivision Narne
1 or 2 Family Dwell ng - Number of Bedroo ns.-
I Block #
❑ Pubiic/Commercial -Describe Use d r City of
~1a.` . - q 1
C5M Number ~ ❑ Village of
❑ State Owned - Describe Use r V 4-rows of
M. Type f Perrnitr (Check only one box o line A. Complete litre B if applic:► 1 -
A. New System ❑ Replacement System ❑ Treatment/Holding 'rank Replacement Only ❑ Other Moditicaiioii to Existing System (explain)
Lisi Previous Permit Number and Date Issued
B. ❑ Permit Renewal C_ Permit Revision ❑ Change of Plumber ❑ Permit l'ratisfer to New
Belpre Expiration Owner Xf ` " ' ~e. i fJ
l -
IV. T e of POW-B System/Component/Device: (Check ali that a
CGta el5
t-Pressuri)Ld In-Ground ❑ Pressurized In-Ground ❑ At-Gracie C.i Mound ? 2=11 W. cif suitable soil C] Mound <24 in of suitable soil
Pretreatment Device (explain)___-
❑ Hoiding-rank C~ Other Dispersal Component V. !!is cereal/Treat nt Area Information: - pis pr , tI Arca Propos c (sl) Syster Iaevatio
Desi n Flow (gpd) Design Soil Application Rat/(DT
NoA _ Dispersal Area Required (si)- - -
Capacity in Total # of Manutac,tu
Gallons a, c
V1. "Tank Info Gallons Units v
n ,y ~ .v+ L a ~ v
Tcmks -Existing Tanks U N n -
Septic
Dosing Chamber - -
VIL Responsibility staten_ne - 1, the undersigned, assome re ility Inr installation of the 110\VTS shown on thrr Cached plans. ss Phone Number
Plur a 's Name (Fruit} Plumber's S T MP/Ml
Plumber's Address (Street, City, State, Zip Code)/
11111. Connt D artrnent Ilse Only -
Permit Fee Date slued- Issuing it Signature
Di
Approved ❑ $
❑ er n Reason for Denial
IX. Conditi masons for Disapproval
T: ° ►c tank, eflkIIW'Mter aftd
Alispersal cell must a0 be services I maintj100
at. per Management plan provided by plumber.
g; regtlhegnertts must be maintained
-
s~i-cue roc s - -t size
Prttacb to complete plans fur the system and saburit to the County mdy on paper nor less than S U2 z I t arches size
SBD-6398 (8031: }
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 8/25/13
Owner:Jim Schrank
Location: SE1/4 NW1/4 S20 T29 N,R19W 803 Martin Ave 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. Chamber Cross Section
4-6. Maintanance and Contingency Plan
7. Filter Sp;catin et
8.-10. Soil Signature
License n
PLOT PLAN
PROJECT Jim Schrank ADDRESS 1522 Hunter Hill Road Hudson Wi 54016
SE 1/4 NW 1/4S 20 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 8/25/13 BEDROOM 4
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44
BENCHMARK V.R.P. Top of 1" steel pipe ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
SYSTEM ELEVATION 91.2/90.7 5' below qrade
Ct Road A
161' Property Line
All piping shall be SDR 30/34, within 10'
MartinAve of tank, piping shall be Schedule 40.
Vent
>6" Quick4 Standard
of Cover Leaching Chamber Scale is 1" = 40
with 20.0 ft2 of Area unless otherwise
5.6ft^2/pair of end caps
4' Long 12„ noted
3 4" Grade at System Elevation
B-1
10' ST
B-4
7'
5%
SLope
2-3' X 88' cells
with >3' spacing
155' Pro 4
Bedroom
House
Vents
B-3
B-2
31'
155'
45' 24'
60' 94' 95' 96'
40'
Further testing is to be
6, 33' 12, done to lower system
elevation and find
a more suitable area
Cross Section of Infiltrator Quick 4 Leaching Chamber
Typical cross section for 2 of 2 cells
Quick 4 Standard Leaching Chamber
with 20.0 ft2 of Area per Chamber To be >1' above grade
5.6ft 2 pair of end plates
Finish grade elevation
Typical Installation 96.0'
Vent Grade Vent
3' 4" 3'
X30/34 Septic Tank
5' Long 1 19 5' S' Long 1 99
3 6" Grade at System Elevation Grade at System Elevation
Spacing 5'
2-3' X 88' Cells
Same on other end Observation tubeNent
At end of cell
I
A
B
22 chambers per cell
System elevations:
A-91.2'
B 90.7'
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity ai NA
Permit # Septic Tank Manufacturer Nq
:)ESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA
Number of Public Facility Units ;144A Pump Tank Capacity al NA
Estimated flow (average) gal/day Pump Tank Manufacturer NA
1 Design flow (peak), (Estimated x 1.5) al/day Pump Manufacturer NA
Soil Application Rate al/da /ft2 Pump Model NA
Standard Influent/Effluent Quality Monthly average* Pretreatment Unit NA
Fats,' Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BODs) s220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg/L O Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BODs) 530 mg/L -Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L *A ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other:
Maximum Effluent Particle Size 1f3 in dia, p NA Other: NA
(Other; NA Other: NA
{*Values typical For domestic wastewater and septic tank effluent. Other: NA
I~IAINTENANCE SCHEDULE
Service Event Service Frequency
Ilnspect condition of tank(s) At least once every: ~ O month( s} (Maximum 3 years) ❑ NA
par(s)
Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank vdlume ❑ NA
IInspect dispersal cell(s) At least once every; ❑ month(s) (Maximum 3 years) ❑ NA
ear(s)
❑ onth(s)
].":lean effluent filter At least once every: ear(s) ❑ NA
nspect pump, pump controls & alarm At least once every: ❑ month(s)
NA
❑ year(s)
1=1ush laterals and pressure test At least once every: ❑ month(s) 11 NA
_ year(s)
I3ther. At least once every: ❑ year(s)s) NA
ISther:
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
linclude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of
i,mmbined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) 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
I•egulatory authority.
INhen the combined accumulation of sludge and scum in any tank equals one-third or more of the tank volume, the entire contents of
j:he 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,
lind any servicing at intervals of 512 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.
STARTUP AND OPERATION Page,___.._ of I-nr new construction, prior to use of the POVV I S cheek treatment tank(s) for the presence of painting products or other
chemicals tha
may irrlpede the treatment process and/car damage the dispersal rell(s). If high concentrations are detected have the contents of thr
Tank(s) 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 abave 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 rriay result irr the backup or surface discharge of effluent.
.I-ca avoid [his situation have the contents of tho pump tank removed by a Septage Servicing Operator prior to restoring power to the
eftluenl pump or contact a Plumber or POWT;; Maintainer to assist in manually operating the Rump controls to restore norrnal levels
within the pump tank.
Cro not drive or park vehicles over tanks and dispersal cells, Do not drive or park over, or otherwise disturb or ccimpact, the area within
t s feet down slope of any mcrirnd or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater strearn may improve the performance and prolong the life of the POINTS:
antibiotics; baby wipes; cigarette butts; condoms; vottor► swabs; clegreasers; dental floss; diapers; disinfectants; fat; foundation drain
(surnp purripa) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scrape ; medications; oil; painting products;
pesticides; sanitary napkiris; t,impons; and water softener brinei.
ABANDONMENT
When the POW1Stalls and/or is permanently tlrken out of service the tollowinq steps shall be taken to insure that the system is properly
and safely abandoned in compliance with chapter Comm 83.33, Wisconsin AdminiMrative Code:
All piping to tanks and pits shall be disconnected and the abandoned pipe openings wale- 1.
Fhe contents of all tanks and pits shall be rernoved and properly disposed of by a Septayr, Servicing Operator.
After pumping, all tanks and pits shall be excavated and removed (it their covers rernoved and the void space tilled with soil,
gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or rntist be taken, to provide a code compliant
replacement system:
Mable? replacement area has been evaluated and may be utilized for the location of a replacement soil absorption syste3rn.
The replacement area should be projected frorn disturbance and compru;tion and should not be infringed upon by required
setbacks corn existing and proposed structure, lot lines and wells. F=allure to protect the r-placement area will result in the need
for a new soil and site evaluation to establish a suitable replacement area. Replacement systems roust comply with the rules in
effect at that tirne.
El A suitable replacement area is not available clue to setback grid/or soil limitations. Barring advances in POWl-S technology a
holding tank may he installed as a last resort to replace the failed 1?01M-S.
L_I Tl►e site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation
roust be performed to locate a suitable replacement area. It no replacement area is available a holding tank may be installed as
a last resort to replaoe the failed POWFS.
C_.I Mound and at-grade soil absorption systems may be reconstructed in place fallowing removal of the biomat at the infiltrative
surface. Reconstructions of such Systems must comply with the rules in effect at that time.
<<WARNING>r
SE,PTiG, PUNIP AND GT"ER TREATMENT''rml(S MAY CONTAIN L,ETIIAL. GA WES ANDIQI; INSLO-FiCiENT OXYGEN, DO NO'T
L::NTE R A SEPTIC, PUMP OR OTHER TREAT)WENT IANEC UNDER ANY CIRCUMSTANCES. 011,:ATIi HAAY RESULT, RESCUE OF A
1'F,RSON FROM THE INTERIOR OF A TANK 14AY HE DIFFICUL:TOR IMPOSSiBL:.E,
AL3DITIONA1_ COMMENTS
t S 1NnALLER POtttFfS MAINTAINER
Name ~
Na►ne
"hone
y~ -
Phone
S[IPTAGw« SERVICING' UPf=RATI)Ft PI1MF'~12
LOCAL, REGULATORY .AU r,HC)12!'!f Y
Name
Name
Phone A'Name
Phone
This document was drafted ill compliance with chapter;;pS 383.22 2 h 1 d & f and 383.54(l), (2) R?) (3),Wisconsin /Vdrninistrative CadeGT~ _
0
CARTRIDGE INSTRUCTIONS
.,.,rye
s"r'WP x My Nt time IYlttfr caul Irr" ft fltid Uf 1:11rt outkfrt pine, to arrutrre it is
tenured und0r• Nre aacems opaning. If trot„ thgp vithWir tnbart triure rtipd ibto thw
took thruuirh the uutitrt or uolrroot weld (glob) edaitltrhal lalpe uhtu the outlet
pip".
u mP a Whiffs dt6 G6ft IS SUN ?try f 'ed utl thri OUdet rtiprf, rnuasure tiro lorrgdl
of M-1mich pipes nueded to bract. the ►ittme to Um tank Uvid wuC) if Utlllelrla the
optional Supplemattta) x611" Support. If side support hrathud.IG IrA utAlxd,
pritreed to step fatly
smvi;" ~ For iututallatirrttir totilixirnil ttla aptfartui rsUpplrlrr ood side 6rrpp/Nt-
5niwruk wmM time A -inch pipe anl:D titer flit,,,, C09111. If Fide subpart MathArl is halt
utliilod, Irroeeed to stets hour:
Sa4vent weld the litter c:aule Unto the nutlet Oil- It-Ort tire, fiftel'
cartridge in'lu tills rase, prftltsllu'I down uhtit tiler filter laekt; lute the buttatw ut l~ S
aft, ,:wise.
if a VRS switch is at*..Aa-d: irrsolt: into thra filter tirrd lack try Nriewy
clockwise 90"
tw~ail~ltetnan~f
t. 'tile effluent Out ,ai,riuld be d"aned every time mire +aaptlC W"k lu
servftxd.
2. Olteh the uutlet- atxas,a uttarolrrgr to inspact the tank doll ttltr r
9. pump the Saptic tautk,;:wrtptalt:lyr MMkih9 *lYO to ,101600 the stud-jo
ley"- co the hatkorrr Of thra r.:rrik avad ttot juatt the sa lln :ttid iefilrrtattt. ,u
a. once tire, oflturnt lever has tioun tnwared balow thy; invert of tills yr
Dutkt pipe, ffrnrly purl up attt the litter huadle to dlaiudge the 1
r Ilittill" boles the CRIPe.
.w•
1
5. Slide the cartridw up amt at": of the 43MIN ferr cisattfitgl
G. yr:a VttS switch omtttm:tiad to am Itlarht is IW1!Sent, tine SWRLI'i
sh'uuld be rornuveti by torwing v;autsterduck wisp yilu kind d1aillsed y
WWI WMtr r uuly.
r. White holding the calrwidga all 4t, side (larpa that surf tt;u fa drru `
down) over the Yij.-gwti uptmirrgr visme ufl" the csltridou With wartar
Drily, malkitig aura all SOPLOgtt tumtUrbi 1$ tlriswd Mick Into th6 Wilk- ti~~wl• t,
tl. If VRfi awltr:h Is utttfxefllr rmlrfWm, try fitstlrClhg llltrl Niter mul
LurnNra LkH*Wica 90r
9. Insert mites ffitnr certridillle back ft'do tits 4ott, lirwhAig dawri linfll
tfra filter lua ks into ttru brrttwUrv ur 4'140 cavio. !k ,
iu.Kepiace and secure the accevii 11ON111 rg err the teats.
kr ir• • ab.~•. , •'r5 "Y r; 4r1 "1'kaartil ' 0 i.: "r OJ r hilt';.6JVa4103 V
~+t+nW'~Y~I~~itiwutl~t.il~arrrt ~'"l'~'•-~M►~~»a"t`~~'~ ~~il~~~+~al~r~.~
.a.
12
SEPTIC TANK.M,
Qwkrft
. ?wi~:il?i~g Adams ' • ` , :..,1 S . ' , ' ,
ILL 044,0,
qty Address $0-3 M
A2a'+N
dW WZ ~
1~~ *~s~ig ant fvr ~i ~tiaxt.}'
t3! Skate Wv)S~JW Js'4aus,.J ,1'aacl Idtiron. I~ItzzzFie aZc9 - j0~l4 - ~Qo- boo ;
x o y Loeaxiou _ gtr ?l lta , S Zo T f i . 1L:.: ; ;TOWn ref ~Iv o~se~•1
-Subd{i?WOU
Lot.
: e i Sarver' P _ g3! ~1f ~qlz e. i(o , Page 4 '5393
t9 : V. ate , Page
Spec haitse • No ut3 i e, OAS ..PA.
e"
ef_yciiiar septic s_N ca:~3d'sa3t'.3a:its premarue.fai~iu to haiadls:*as#es. Pmpcr
n inieriat c c JS;Sfs .a pa:z rz~g cam: t :s e: to C ev y pr se er, if nets. by a tic eeci pri er. 'What you put into
• . the;sScst.csn.~~cttlxefu~etiva~off~~ptic~s.a.t~a~•set.ti~arasfectispesa3.:sy~tern: C}w~ner~maigxe~nce .
:respansibi~tesarc:specsriboil-CCrm&,85:52(I:oAdjwCh I2.-St:'Craix.~ Ordhmce.
i'he gragGrtx;owner agrce~ to• s ba3it.4a ; xoi7~ GC•oiu~ty'Pu ,-zormg #3epart nanf a Cer¢ifcation fo w_ kgr4 by the
a+rrneraa8by:e'actor.}adi i,.loume3~uiau,plumties,- ctcd,plttaber'.aralicensed.ptunnper'verifytstg:tl~at(bif)eoa-site..
wasters titer daspvsai systcrxa•.is: iii:~Zropez opessttts .cunt ~}fg. (2~ cr in pectian aid pus ttg ( s~ecessa*};);. the septic'.rzslc is
.less than 113.fiiI!'.ofsli. : ; .
dge.
Dive, the titx3mi&ed' hiv . W'the ,above }t r~ . age. dispo
aC •to ttraitain the p~i~fe sevr •sal system with the
standai& set fort; hero n;: s`set D4p - i' oklgstbral -tcsau~ccs;:State o£ Wiscrinsiii:
Cert fica sta ifi *a .
. ~ your seP~c: s~!staahas ittetl nattst:~ cvmpleted`azbd retti~ed tis tlie: St Crois'Ccrtinty'P.taiaung
Zou*Peparlm"m.eV*= 34. days.of2Iie'Aft~.year'
ptp~titiu date
Ilwe:certi£y .t3tat. all slat sne is :chi fonWart "c .-w t is b sf'of m~>fv~rz l~iov~ledge. Ii'c~e amf . titr a ver(s) Qz t -e
proP"'desclie3.ab6Ve; b5:virtrfe ova- e3¢pe~l iti.Rogis#cifI?rds t7fficx:.
_w X13
5. aA?II:NTfS) $ DATE . .
A-qy;infortnatlgn.thatj: ies t iuaY result #i.fb~c.- p4mk.6e, irevoked,bt^ the Panning &.; oning I7epaitmeM
3us:Tutle rv`ct ,t s apOcaOoil a:rfco *d:' a+ W coed f tbo ~O&ict•of i' de&{}ffme W a c6Oy of the certified survey map if
; ference:is aia4e:4n. the *amnty.deed;
.
693489
VOL 16 PAGE 4393
KATHLEEN H. YALSH
REGISTER OF DEEDS
ST. CROIX CO. MI
RECEIVED FOR RECORD
CERTIFIED SURVEY HAP 10-09-2002 10:30 A
LOCATED IN THE SOUTHEAST QUARTER OF CERTIFIED SURVEY MAP
THE NORTHWEST QUARTER, SECTION 20, REC FEE: 17.00
COPY FEE:
TOWN 29 NORTH, RANGE 19 WEST, TOWN OF PAGES. , 4
HUDSON, ST. CROIX COUNTY, WISCONSIN.
~ a
DEC 16 2002
03 t
,3,
, ''moo
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N
c 1
0'3a
5
C
u toaoo' "
~c .30 pUB E
c ~r TH pr-N79•23
51, \ -0 352.57 -
.299.. pEp%CA~p F. ' 191.28
z r 110875 S' o
• N z 2,545 Acres or'~ SAT 2___ ~ z w Ww z O W
,r W / 03 L - F-
r O 3 6 .-58 N N
•
0p
A l E W~ 49292 S.F. 60<04W
O ~t N7 8S m a I— D N
~T 5
to
0 o W 4s 11, 2 z y N Q z
to V1I .y O .a M S (n W F, U 3
Q W W
I W
~ ~ h 1 N Qo
O 1 W
fi;e~6' 0705 S F. wa
S35*W5ZE .thy 1.164 Acre
0
50.
z 3
~ CALE IN FEET
UNPJ-AITED-LANAS 0 200 400
(n o
co G
w3 ~ r~ tP
•
l . o 1 inch = 200 feet
z _ % N88'S0'WE
x.00'
SOUTHWEST CORNER OF THE
SOUTHEAST QUARTER OF
THE NORTHWEST QUARTER
SEC. 20, T. 29 N, R. 19 W.
1319.52' 3989.66'
N89°25'02"E 5309.18'
~ EAST-WEST QUARTER UNE EAST QUARTER
i SEC. 20, T. 29 N R.
19 W. CORNER SEC. 20, T. _
WEST QUARTER 29 N, R. 19 W.
,--CORNER OF SEC. 20,
T. 29 N, R. 19 W.
CURVE DATA TABLE
NUMBER ARC LENGTH DELTA ANGLE RADIUS CHORD BEARING CHORD LENGTH TAN. BEARING IN TAN. BEARING OUT
Ct 280.21' 25'02'49" 641.00' S23007'27.5"E 277.99' S10036'03"E S35.3W52'E
C2 251.80' 05'29'09" 2629.85' S32'54'17.5"E 251.70' S35'38'5rE S30'09'43"E
C3 122.74' 02'36'31" 2695.85' N31'2Y58.5"W 122.73' N30"09'43"W N32046'14"W
C4 135.38' 02052'38" 2695.85' N34012'33'W 135.36' N32046'14"W N35GW52"W
CS 251.36' 25002'49' 575.00' N23'0T27.5'W 249.37' N35.3852"W N7 0.36'03"W
C6 258.12' 05029'09" 2695.85' N32'S4'17.5"W 258.02' N30-09.43"W N35.38'52"W
APPROVED
I I ST. CROIX COUNTY
~-41annind Zoninn and Parks Committee OWNER AND SUBDIVIDER:
unuTY , SIENNA CORPORATION 1143
EASEMENT i~~
I- J 4940 VIKING I OCT o 9 2002 M PODS, MN. 5SUITE
5435 08 O
I ( C\O LARRY THOMPSON
6'--j it at rocoradd wilnin 30 days o1 l
- - - - - - - e roval date approval shall be IM=
U1? TY EA T , nf and-void O
ALLTMUMM CCOONTY TION CORNER
MONUMENT FQ>~JND
EASEMENTS ARE AS DEPICTED 1" O.D. X 24" ROUND STEEL PIPE WEIGHING
UNLESS OTHERWISE SHOWN. 0 1.13 LB. PER FOOT, SET
NOT To SCALE -.SBL- SETBACK LINE •
P~ e i df 4 James R. InVol. 16 Page 4393
IIIlI~!!II11N
II II III I~H I !
8 0Tx:4041371 3
955406
STATE BAR OF WISCONSIN FORM 6 - 2000 BETH PABST
SPECIAL WARRANTY DEED REGISTER OF DEEDS
Document Number ST. CROIX CO., WI
04/30/2012 4:11 PM
THIS DEED, made between AnchorBank, fsb, Grantor, and James A. EXEMPT*: NA
Schrank and Dawn M. Schrank, husband and wife as survivorship marital REC FEE: 30.00
property, Grantec. TRANS FEE: 214.50
Grantor, for a valuable consideration, conveys to Grantee the following PAGES: 1
described real estate in St. Croix County, State of Wisconsin (the
"Property"):
Lot l 'of Certified Survey Map recorded in Volume 16 of Certified Survey
Maps, Page 4393 as Document Number 693489, being part of the Southeast
of the Northwest '/4 of Section 20, Township 29 North, Range 19 West,
Town of Hudson, St. Croix County, Wisconsin.
Recording Area
Name and Return Address:
Land Title Inc. File No. 373193
2200 W. Co. Rd. C, Ste 2205
Roseville, MN 55113
Together with all appurtenant rights, title and interests. 020-1049-90-100
Parcel Identification Number (PIN)
This is not homestead property.
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances, arising by,
through or under Grantor, except Easements, Restrictions, Reservations, Roadways and Rights of Way, if any, of Record.
Dated this 25th day of April, 2012.
An or ank, fsb
* mes D. i oemke, Vice President «
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN )
DANE COUNTY. ) ssS*
authenticated this 25th day of April, 2012 Personally came before me this ► day of April, 2012
amed James D. Hoemke, V ice Prestdent n behalf of
AnchorBank, fsb to me known to be the person(s) who executed
TITLE: MEMBER STATE BAR OF WISCONSIN the foregoing instrument and acknowledged the same.
(If not,
authorized by § 706.06, Wis. Stats.)
rrrl~,,,
THIS INSTRUMENT WAS DRAFTED BY Notary Public, State of Wisconsin 0vlottro t ++r~
My commission is permanent. (If not, s ep,
i Larry S. Mountain Attorney at Law Y "V M
(Signatures may be authenticated or acknowledged. Both are not necessary.) C
•Nutnes of persons signiug in any capacity must be typed or printed below their signature. t:
A;A
1 of 1 SPECIAL WARRANTY DEED STATE BAR OF WISCONSIN FORtw ( JA
~~~h1N11Itllt~~~`
Y Parcel 020-1049-90-100 02i26i2008 09:55 AM
PAGE 1 OF 1
Alt. Parcel M 20.29.19.1928-10 020 - TOWN OF HUDSON
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - WEST LAKE BUILDERS INC
WEST LAKE BUILDERS INC
1714 CRESTVIEW DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 803 MARTIN AVE
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 1.166 Plat: 4393-CSM 16-4393 020-02
SEC 20 T29N R19W PT SE NW EZ-U-1797/610 Block/Condo Bldg: LOT 01
BEING CSM 16/4393 LOT 1 1.166AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
20-29N-19W SE NW
Notes: Parcel History:
Date Doc # Vol/Page Type
07/13/2005 800165 2842/203 WD
10/09/2002 693489 16/4393 CSM
2008 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 06/05/2007
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.166 98,600 0 98,600 NO
Totals for 2008:
General Property 1.166 98,600 0 98,600
Woodland 0.000 0 0
Totals for 2007:
General Property 1.166 98,600 0 98,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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1078
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
County
Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D.
percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. -Z -r Cju
Please print all ' 1b R gy Date
Personal information you provide may be used second Er0&El>tEtQs.15.04 1) (m)). 6 Z 3 6
Property Owner I Pr Location
Sienna CpAwa lo-n U 2002 Govt Lot S,6 114 NW 1/4 2 N R 19 W
Property Owner's Mailing Address Lot Block # Subd. N or CSM!~
4940 Viking Dr, Suite 608 ST. CIZO~x. COuN-, na rholer~ ~
City State Zip Code Ph 1AbMtLg~i F I C E City Village in Town Nearest Road
"Ott MN 55435 a Hudson Carmichael Rd.
New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement Public or commercial - Describe:
Parent material Pitted outwash Flood plain elevation, if applicable na
General comments
and recommendations: DSystem elevation 91.62ft, trenches spaced and depth to code 4.58ft below grade
I Sy,: 44-v- at (o Z t r,,46Lw
Boring # s' a Boring
e Pit Ground Surface elev. 96.20 ft. Depth to limiting factor 96 in. Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftl
*Eff#1 *Eff#2
1 0-12 10yr3/2 none sil 2msbk mfr cs if .5 .8
2 12-36 10yr4/4 none sicl 2msbk mfr cs na .4 .6
3 3)-6 7.5yr4/4 none Cm)s osg ml na na 0 1.2
i~
a Boring # Boring
f e, Pit Ground Surface elev. 96.20 ft. Depth to limiting factor 120 in. Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDJfV
*Eff#1 *Eff#2
1 0-11 10yr3/2 none sill 2msbk mfr cs 1f .5 .8
2 11-43 10yr4/4 none sicl 2msbk mfr cs na .4 .6
3 r120 5yr4/4 none Is osg mvfr cs na .7 1.2
4 7.5yr4/6 none cos osg mvfr na na U 1.6
* Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS <J0 mg/L
CST Name (Please Print) Signature: CST Number
David J. Steel 248956
Address steel sail service Date Evaluation Conducted Telephone Number
1564 CR GG, New Richmond, W154017 8/23/2002 715-246-5085
Property Owner Sienna Corporation Parcel ID # pending Page 2 of 3
3] Boring # Boring
Pit Ground Surface elev. 93.70 ft. Depth to limiting factor 96 in. Application Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ft2
'Eff#1 'Eff#2
1 0-12 10yr3/2 none SO 2msbk mfr gw 1f .5 .8
2 12-36 10yr4/4 none sicl 2msbk mfr gw na .4 .6
3 ~8 7.5yr4/4 none is osg mvfr cs na 1.2
4 (9896 7.5yr4/6 none ms osg ml na na .7 1.2
emu''
[-4 ] Boring # ' Boring
. I Pit Ground Surface elev. 93.50 ft. Depth to limiting factor 96 in. Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
'Eff#1 'Eff#2
1 0-6 10yrW none Sill 2msbk mfr cs 1f .5 _8
2 6-15 10yr4/4 none sicl 2msbk mfr cs na .4 .6
3 15-96 7.5yr4/4 none cos osg mvfr na na .7 1.6
t,~s~~-sue-.
❑ Boring # Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/fF
'Eff#1 'Eff#2
' Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 <30 mg/L and TSS <130 mg/L
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 I Steel 1564 Cty Rd GG
CST-POWTSM Sienna. Corporation New Richmond, WI 54017
Lic. 4 248956 SWl/4,NWi/4,S 20,T29,R19W (715) 246-6200
Town of Hudson, St. Croix Co. (715) 246-5085
Fh zGlen lot # 1
This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for
your use.
N,r~~ ~ y0r
r
V
r £~3.v►{.?:o~r 9~ rAF~ f~ y tr.to ; A t},,~,,,y,a,. F 98.
~ = 13a c'~`i1 s
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y ~z= Of`,2p;"t
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