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020-1479-03-100
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 569533 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID N Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. —7 7 Permit Holder's Name: City Village X Township Parcel Tax No: Bast, Kernon J. & Don Ida J. S ee I Hudson, Town of 020-1479-03-100 CST BM Elev.: p Insp.BM Elev: BM Description: Section/Town/Range/Map No: z� ,-, —Fo�, o 36.29.19.3022 TANK IN ORMATION ELEV ION DATA TYPE MANUFACTURER-r^ 31 CAPACITY STATION BS HI FS ELEV. F} �... Septic v�J /Z Sa Benchmark r C•(� DosingL n 76,o Alt.B Atemmir Bldg. Sewer F I 6 cam- 7 7 O Holding SUHt Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO D/L / BLDG. 7—,Air Intake ROAD Dt Inlet 1 O N� Septic 96/ /�� / _ Dt Bottom A Dosing / / L Header/Man. .g Q/• 5 90 I l / Aeration Dist. Pipe 7 /6!. Holding Bot.System /Q� 1 3,S 1 PUMP/SIPHON INFORMATION Final Grade Manufacturer t-r 9 Demand St Cover 9 . w � GPM �—' ��,�. J T- Model Number �/T t �� O �Q J �• �q /Z t TDH Lift/, C Friction L System He rb V Forcema/in Len Dia.Z / Dist.to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No.Of Tr es PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Model Number: Type O tem: — za.5 o.r 1�i8r I / 78 DISTRIBUTION SYSTEM /+ � ,n�.•� Header/Manifol Distribution I x Hole Size Ix Hole Spacing Ve Air Int Pipe(s) L Z Length Dia � Length � Dia Spacing ,31i SOIL COVER j x Pressure Systems Only xx Mound Or At-Grade Systems Only " Depth Over Depth Over xx Depth of xx Seeded/S ded U 7No x u ed Bed/Trench Center / Bed/Trench Edges Topsoil ' � s � a Yes No COMMENTS: (Include code discrepencies,persons present,etc.) InspectionA1: 7 / d / /All, Inspection#2: I / Location: 855 Settlement Drive Hudson, 1 54016(SE 1/4 SW Q1/��T29N R19W) Cotto*olo* S o th'07 o Parcel No: 36.29.19.3022 1.)Alt BM Description= � ,� `�"' ! ��Dt..� 2.)Bldg sewer length= �j+�Y/�4'rb l b �-- l a C,lLS O -amount of cover= 0 fJ�Required? Yes 74fUse otherlside for additional Oformation. No SBD-6710(R.3/97) Date Insep is Sig na Cert.No. t PLOT PLAN PROJECT Kernon Bast ADDRESS 948 LaBarge Road Hudson Wi 54016 SE 1/4 SW 1/4S 36 /T 29 N/R 19 W TOWN Hudson COUNTY ST.CROIX ,SYSTEM ELEVATION 99.9' BEDROOM 4 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none IL BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' ❑ BOREHOLE O WELL *H.R.P. sameasbenchmark County Road H Property Line Drainage Easement Settlement Drive Tank is to be properly/ bedded and provided with lockdown covers with approved warning labels 98.9' B-2 Grading is to be done to divert un-off away t from m I ID u t Co bo Tank Pro 4 ❑ 5% Slope Bed roo m House B-3 Scale=1 /4°=1 0' Area 15' below system 98' is to remain undisturbed B- 1 389' Property/ Line 99' B.M.* r &15 9EH SERIES SUMP/EFFLUENT PUMP 11.65 8.95 O Specifications MODEL CAT. LISTING NP VOLTS SOLIDS SIZE RUNNING PERFORMANCE(GPM @ READ) M0. N0. SHUTOFF PSI PWR.CRO. WEIGHT DIMENSIONS (Dia.W AMPS(WATTS S. 10' 15' 20' (FL) lal (lbs.( (NxlxW( 9EH-CIM 509330 UUCSA 4110 115 3/4 13.0 1000 70 64 55 41 32 13.8 20' 24 9.11 x 11.64 x 8.94 9ei-CIM 509340 UUCSA 4110 230 3/4 6.5 1000 70 64 55 41 32 13.8 20' 24 9.11 x 11.64 x 8.94 981-CIA-RFS 509350 UUCSA 4110 115 3/4 13.0 1000 70 64 55 41 32 13.8 20' 27 9.11 x 11.64 x 8.94 981-CIA-RFS 509360 UUCSA 4/10 230 3/4 6.5 1000 70 64 55 41 32 13.8 20' 27 9.11 x 11.64 x 8.94 Continuous Duty Rated—'Little Giant Wastewaterpumps are rated continuous duty as long as they are run within the published ratings forthese pumps." FLOW– LITERS/HOUR Construction 0 1000 2000 3000 Motor Housing Epoxy Coated Cast Iron Impeller Material Poly Carbonate 30 10 Impeller Type Closed Vane Volute ABS W 1.s Lu Power Cord STTW-A 20 11 Mechanical Shaft Seal Nitrile with carbon and a s ceramic faces w Fasteners Stainless Steel 10 W 2.5= Shaft Stainless Steel Bearings Upper Sleeve and Lower o ° Ball Bearings 0 20 60 80 FLOW- GALLONS/MINUTE PUMP PERFORMANCE CURVE P� �°"`"'� n p�� co.115V 60HZ n '^ Little Giant 1 Limp W PO Box 12010.Oklahoma City,OK 73157 s Phone:405.947.2511•Fax:405.228.1550 a ' www.LittleGiantPump.com E-mail:customerservice@littlegiant.com A Form 995235—07/03 �y County Safety and Buildings Division /4 s ' K 201 W.Washington Ave.,P.O.Box 7162 Sanitary Permit N (to be Co.) Madison,W1 53707-7162 -' Permit Application ?p �N"Z 3� In accordance with SPS 38321(2),Wis.Adm.Code,submission of this form to the appropriate gov is required prior to obtaining a sanitary permit. Note:Application forms for state-owned POWTS area eQn°►ddress(if differrut than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary DEV ]-' p pmposes in accordance with the Privacy Law,s.15. 1 m Stets. O S ✓ r " �� cJr L Application Information-Please Print All Information E(Op/lI ov Property Owner's Name Parcxl# (Q( O Property Owner's Marling Address Property Location (4 `jby� �.,c.. ✓ Govt.Lot�— City. fate Zip a Phone Number J(,�/ V, Simon y J C le on IL Type of Building(check all that apply) J / Lot# T N; R E W 1 or 2 Family Dwelling-Number of Bedrooms t/ / Subdivision Name Block# 0 Public/Commercial-Describe Use ❑City of El State Owned-Describe Use CSM Number 0 Village of own of /lYz/ III.Type of Permit: (Check only one box on line A. Complete line B if applicable) A' New System ❑Replacement System 0 Treatment/Holding Tank Replacement Only 0 Other Modification to Existing System(explain) B. ❑Permit Renewal Revision 0 Change of Plumber 0 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV.Type of POWTS S stem/Com onent/Device: Check all that ap I 0 Non-Pressurized In-Ground ❑Pressurized In-Ground ❑At-Grade ALMound?24 im of suitable soil ❑Mound<24 in.of suitable soil 0 Holding Tank 0 Otber Dispersal Component(explain) S Pretreatment Device(explain) V.DispersaIlTreatment Area Information: <_- ` Design Flow(gpd) Design Sot Appfi 'on RAr(glydsf) Dispersal Required(sf) Dispersal Area Proposed(sf) System Elevation /,07`// &CV / Z'� VL Tank Info Capacity in TOW #of M liver Gallons Gallons Units �p o $ 13ew Tacks Existing Tanks (N/ L� /Tc-of w g' rL rn y w C7 LL Septic or Holding Tank s— Dosing Chamfer VII.Responsibility Statement-1,the undersigned,assume bility for installation of the POWTS showa on the attached plans. Plumber's ame(Print) Plumber' MP/MPRS Number Business Phone Number _-7G Plumber's Address Street,(Sty.State,Zip Code)C-- 2 Z /� l Conn /De artment Use Only %4provod ❑Disapproved Permit Fee Date Issued, suing Agent ' ❑Owner Given Reason for Denial DL 9!nditions of Approval/Reasons for Disapproval -)4V i'?'+-fl"w�t�✓ Attach to compietedkos for tie system and submit to the Comity only mijApor not less Ono a vt x 11 ioebes in sine SBD-6398(IL 11/11) oEeAAALRR DIVISION OF INDUSTRY SERVICES 141 NW BARSTOW ST FL 4TH WAUKESHA WI 53188-3789 t Contact Through Relay www.dsps.wi.gov/sb/ www.wisconsin.gov �Us�1cxP�s Scott Walker,Governor Dave Ross,Secretary April 15,2014 CUST ID No. 226900 47-TN:POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 04/1512016 Transaction ID No. 2388779 SITE: Site ID No. 801092 Kernon Bast Please refer to both identification numbers, Lot 1 Settlement Dr above,in all correspondence with the Town of Hudson St Croix County SE1/4, SW1/4, S36,T29N,R19W Lot: 1, Subdivision: Cottonwood South FOR: Description:Mound,4 bedroom Object Type:POWTS Component Manual Regulated Object ID No.: 1479373 Maintenance required; 600 GPD Flow rate; 28 in Soil minimum depth to limiting factor from original grade; System(s):Mound Component Manual-Ver. 2.0, SBD-10691-P(N.01/01,R. 10/12),Pressure Distribution Component Manual-Ver. 2.0, SBD-10706-P(N.01/01,R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above.The owner,as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the"Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P(N.O1/0 . `x/12)and the"Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Ij N 2.0" SBD-10706-P(N.01/0I,R 10/12). Q/`/ O ,qr . ���` �'/ �'� f' The building sewer and distribution network piping shall be of material listed in Table 3Q 1384.30-5, Wis, Adm. Code. v�� In the event this soil absorption system or any of its component parts malfunctio as create a health hazard, the property owner must follow the contingency plan as described in the approve In addition,the owner must comply with the operation,maintenance and monitoring duties as described in section VIII of the mound component manual. A copy of this information must be given to the owner upon completion of the project. All holding/treatment tanks are to comply with SPS 384.25(7)(a). SHAUN R BIRD Page 2 4115(2014 Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per SPS 384 product approval conditions. A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19,Wis. Stats. Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis. Stats. Owner Responsibilities: • SPS 383.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4)shall be considered a human health hazard. • SPS 383.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department,which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2),nothing in this review shall relieve the designer of the responsibility for designing a safe building,structure,or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required$ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Julia Lewis-Osborne Please Include a Copy With Your POWTS Reviewer 2,Integrated Services Payment Submittal. (262)397-6005, Fax: (608)283-7481 WiSIVAT ems:7b33; julia.lewis @wisconsin.gov Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly Safety&Buildings)will be modified. Code references with prefixes starting with "Comm"have been replaced with"SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services. Additionally,all IS(formerly S&B)codes have been renumbered and addressed in a "300"series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. ri Cover Page g RECEIVED Shaun Bird APR 10 2014 Bird Plumbing Inc. INDUS I'RY SERVICES 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 4/7/14 Owner:Kernon Bast Location:SE1/4 SW1/4 S36 T29 N,R19 Lot 1 Cottonwood South Hudson Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9-11. Soil test 12. Filter Specifications and cr section Shaun Bird Signature License 26 numbe 900 y ;� 3 R ey rSFR� p� S �FN cF PLOT PLAN PROTECT Kernon Bast ADDRESS 948 LaBarge Road Hudson Wi 54016 SE 4/4 SW 1/4S 36 /T 29 N/R 19 W TOWN Hudson COUNTY ST.CROIX .SYSTEM ELEVATION 99.9' 4 BEDROOM CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none IL BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' ❑ BOREHOLE O WELL *H.R.P. same as benchmark County Road N Property Line D ra i nape Ease me nt Settlement Drive Tank is to be properly bedded and provided with lockdown covers with approved warning labels 98.9' B-2 Grading is to be done to divert run-off away from system Huffcutt Combo Tank Pro 4 5% Slope Bedroom House B-3 Scale=1 /4"=10' Area 15' below system 98' is to remain undisturbed B- 1 389' Property Line 99':�� B.M.* Mound System Cross Section and Plan View Dimension Feet A J B `s A s D l �. T E A F - µ . w L:z:, _ G A! w H MLI.Q C, Z- J i uq w' :d I I �F J L K 2 L 3 .......... .. ... ........: . . . . . .. . ..... . . . ... :........... y ... . . . . ...... .: . ..... . ... . .. . .. ... . . . . ............:.:.:.. W K -- B 1 Z e• Slope L =Topsoil =ASTM C-33 =Clean aggregate =4 in. sch. 40 pvc " Cap Material sand fill 1/2 to 2 1/2 in. dia. observation pipe Geotextile "' ' a.i H Fabric y; -Ft D E 9 A N Plowed Surface 'Ft Contour .Slope Direction GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area(L x V) is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a 1/4 inch soil wire when a sample is rolled between the palms of the hands. 'ASTM C-33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to miirimize compaction of the plowed surface. After the topsoil cap is placed,the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing:. The observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange. 9 10/071gj Page 3 of Pressure Lateral Layout Two Laterals -- End Manifold 4 Threaded f Ceeanout Lateral Turn-up 10 Plug Manifold ' i M X --� F; Long L Force Main ,r . Sweep 90 Bend Distribution Network Sp ecificadons Pressure System Construction Lateral Diameter In. Manifold Diameter In. Laterals are constructed of Schedule 40•PVC Orifice Diameter Z In. pipe. Orifices are drilled perpendicular to X Orifice S _y In. the pipe with a sharp drill bit and face down. L (Lateral Len tr Ft. Lateral turn-ups terminate with a threaded M(Manifold Len Ft. cleanout plug and are enclosed in a 6-8 inch Force Main Diameter In. diameter lawn sprinkler valve box accessible Force Main Length Ft. from finished grade. • • • • • Grade • • • • • • • • • • • • • 6-8 Inch Lawn Sprinkler Valve Box Page of 03/051gj i Se 'c-Dose Tank Cross Sermon And Ptxmp, Per€orma= SPOCiflcW ons Tank ttModal Ni'r3nber Tank umber Tots1 Tank Capaait� 2 Alm Modal Nt�ber 0 111,11 111111U, Max•Burg Dpth t Switch TM w Total Head(MQ-Fort Filter Modal NNumber Head DitRa1 Preasms N Lose M� gmquued Farce Mafia Loos l Ft TDH Total oust Mmhole b4 V Above tirade W h Maubole Min.4"Above G m&. D640% Inlet M Mom WWLocdftDmim <it Below arj&Sealed WdK JuncdcaBox . te♦ rr Vent Mm it i�i>soonneCt .A6ov�Oracle Memns With Vest Cap Inlet ? � A. '/: y weep Switch amid Raw Hole .'. a � �l }� e• Tank V 8•. � Volumes BOOM L a� • 2 ..•. (dose) C won '•'• Total � y� .,., :... �,• ,ti .•'•a'•,•;•: • • ���� s , , a a a a•••••,..a•, .•►.i•••• •,•,a••s •ti , ra Y • Y ,a• �i a•. 1• ,•rra• • doer.mac !d1 bedded.and blr m aoGO tlye not GF1 ISTA .L ' N: The. of bool by the lock) .man of is p .�� Hbu�ole to�e ". fltci is% and lime"to be emoodal vv'sdront p is of 00 44 P"VC to> e the taA and out 4 Such. iaalac .. p}pitig at tlw i vanre.as Wa a Series Submersible 4/10 hp Solids 0 100 150 200 M 30 9 r• n • OstfMl ♦. 20 : 5 1 7 c f y` 0 20 60 I b r ��- riu pranklin Electric 5 t , 1 11 Tel:260424.2900 0 Fax 260AM2909 POWT$ fNER`S MANUAL&MANAGEMENT PLAN Pia ur <... SYSTEM SRECIFICA MNS. FbIt L$' RMA�N Tannk CapaCq 5.- Z D C1 fyA Sepdc Tak MaMftu� G NA Pe It# D NA F y 'rer C P R$ Rk Efflet M thimber of BedFngms b pump Tanta Cam al 13 NA Plumocommerdal Units 5' � Pump Tak M OIA Estimated flow(aveaP) :. i�l8ted x 1.5) •dJt _Nik Design . . pump _ 13 NA Sol APP W Rate . 1 0 Peat FEW Fats,018 Grease (FOG) 530,m (3 Mechgnicd Aeration .17 Welland t3 oxygen Demand O Other Total Suspended.Sodds (tSS) S1150 Monthly aosge" SPersai Pr,etr, abed Efi ut Quality ` 0 In�rtaund(gravity) (Presumed) ftchw Oxygen Demand {t301)� O ode Told suspended.Solds (TSS) s30.mgIL at 0 Other. , 510`�du/ t)Ornl G . Fe °(le tu�c mean Maximur�u; t Particle Size K inchdiarrteter • val�esiypiEal for ao '(� 'tx'u'd SqpfttudceMuent !+ Vdues M*d for pmbuated - MAIWTENff1Nt SCHEDl3Li Service FreguencY SeMce;Event At least once every O months. s) {Ifllaxiraeam 3 Yes.) Inspect conKffIcrr d.tank(s) ais one x ite -third%3)of tank volume . Pcanp.oat cms of tanks) when Combined sludge and scum eW least once eYerY 0 morMS r(s) ,(tl�dmt3m�yrs.) tnsped Cell(s) s, ,4t least once every / O months . c t; et G s) UNA Con 8 alarm At hst once` tetY hrspect pomp.t�P 0 s) rNA NA pressure At least ortce every ofl+er. At least once every D months D year(s) Othsc' At bast once every O months �year(s) titildANCE 11NSTRUCwNS one of the"awing licenses or { bias'of tanks and:disposal s shad be made by an lnidual 9 POVYTS Wes: Pitumber;Master Plumber d'.SeMVet;POIAIFS Septego c Master ndude ut kwpec ftn of the tank(s)to>d+ arnt r g cw broken Operator. Tank k the volurtue of combined sludge and:scum and to check for any bade UP �, any cracks or leaks.measuc�e � the etbuent levels of etAtrent.or 1he.ground surface• The dispel�S) b v cif an the P and b check for any of oeihe ground`. The pemding a m the vahon pipes of the`bcal regulatory. t#INX X- g surface may,indicate a fairing'condion and r"Uires the&rtmediabe nab and u:am any,taut o (K)or rye of thectank.wlume.the tii�tett the cornbuued aecqunulabon of sludge of in accxxtiance with ch.NR a e,Servdrtg pperatcx and ` e�t*e contfw"'of the tank shag be by �Pmg 1 i�3 Wisconsin Adinkiistrative Code-. an d any nical or pressurized POWTS Components.Pre"at 't°Omponents. The serviang of etlluent fits. a ceffiW POV1fTS MainCafier. or monitoring at of 4 ,mon"or less shad be perlorrned by within 10 A report shah be provided to the local tegd*xy authority days of completion of any service eat. STAtTefUp AND OPERATION e{ or other For new oor>stRUdion.Prior to use of the POWTS d�edc Ott tank(s)for the presence P katicxts are that W impede the treatment Process 8n&Or dama9$ the ' OKs) to Use_ detected have the contents of the tank(S)removed by a septage servicing°P Pd" Psi of t START UP AND-OPERATION S Check t tanks)fOr the Preser+oe of painre oor+1 of thBthB the For nary ca►stn►dlon. per'to use of the dP�amage the d{eparssl rell(s). if high the i�atment P 8 or to use. may Impede servicing oPe�Pd tanks)removed by a sepq the IMiitratve$urface• wNl by Systenn startup shall not oochrt'when soil conditions are fry � restored the Mass w � � �{ ahoNe normal higtrwatei�S• Why in the badWP or surfeoa dle"Wof pump tanks may ng the ow(s)and may prior to restoring pow diedwrged to di w9W O°N(s)in one W" twy a Septags Servld V p to normal levels To avow this siRuad�d a u��Pp�S Malntakher to assit m manually operating the effluent pump lie distwb or compa�,the area within within the pump tank. Ogg. Do not drive or park over.Or other" Do not drive of Park vetticNas over O or ailrad aoii absorp��• ar�d prnbng the life of the POWTO: 15 feet down stops of arrf►m°uthd stream may knprohro g7° diapers; disirttedade: fat; foundelion dr* Redaction or elimination of the O �: dpgrea ra��t I ��s; ON; painting p��; antbiotim. baby wipes; O%Waft peelMgg; gasoline; gr ; meet acrePD; water, fruit mid veget soAenm pesticides" naPk�:tie, brine. is propetht ABANDOWENT taken out of service the f0IWWng s�shall be taken to insure that the"Stem When the pCIWTS falls andlor Is Permanently Comm�. ;Win AdminWr&"Code:. and safety abwndoned In oompoance with chapter I ba disconnected and the abandoned Pipe opwto std. e AN piping to tanks Ps and properly disposed of by a Seplage Operator. e • he oont n%of all tanks and pits shall be removed filled with "11, • After Pumping, all tanks and pits shall be excavated and removed or their covers rerrhoved and the void spans gravel or anod rinart solid malarial. e a code come CONTINGENCY PLAN tha following measures have been, or must be taken, m provid ff the POWTS falls and cannot repaired replacement anti absorption system. reel systern; has been evaluated and may be utUftw for the to d�d ot be inMnpsd upon by required C3 A suitable repiaoement aMa *w Wince and corgi ead� area W it result In the 000 The replacement area should be Mateded re,lot Tines and Wells. Failure to praRect the repiaoenreM Pb wo the nrleO in for ano imago -4 am end pr estaelish a suitable ronlac�++t area• Replacement for a new�and attar e+eluatb^ in P011YTS technology a sited at that time. and for soll limitations. Baning w"n'� 0 A suitable�e�is not av r"650*due to set Wiled POWTS. holding tank may be installed as a last resort to replace area. Upon faou I of the POWs a soli and ails evehmoon site has oat been evaluated , If no replacement area is available a holding be installed as to Wentfy a suitable tit 1atNt may be periotrned to locate a Suitable C) s.� _ at the intotret� a Mal resort to mpWm the failed m p�%,WAa9 remove,of the biomat rd and *grade eoil On "Y may be � In effect at dud time surface. Reoonstrtxdlom of such systems must comply cNItARNING» TANKS MAY CONTAIN LETt'lAl-DASSI:S AND/OR INSUFFICIENT OXYGEN- DO KNOT SEPTIC,PUMP AND OTHER TREATMENT ENTER A SEpin C PUMP�OTHER� TANK UNDER ANY CIRCUBMSTANCt:8. DEATH NAY RESULT. RESCUE O A PERSON FROM THE INTERIOR OF A TANK NAY 8E DIFFICULT OR 1 .-- ADD ITiONALCOMMENT$ pOW M MAINTAINER POWTS INSTALLER Name Name l Phone S �-- Phone �i ✓ LOCAL RE©ULATORY AWTNORfrY SEPTAdE SERVICING OPERATOR U PER Name �- Name '71�..�� ��J Phone Code. This document vats drafted in compliance with dhspiarSPS 383.22(2)(bX1)(d)s(fl and 383.84(1),(2)a(3),V Adm J SNORVOOSSV 13SONOD 1SV338d MSNOOSM 8 1VNOILVN g wo3•44nDjjnyx,MM ■ IIIL-£dL (SIL) Xdd :d0 838W3W 9ISL-4Z6 (008) ■ 944L-£ZL (SID 3 U I 3 13 d 3 U 03 NNdl JI1d3S ao dwnd (U 6 ff 1103130H ��I N[]„d� osL,osz c � � ” 6ZLbS IM 'SIIV!tlM3ddIHO 1NVld ml♦ua� y d N 133NiS p-AEZ1 bSlb 1133f'OJd 13-ano I I aD Ln zo v i in .66 .6£ I I .8L � o In n N a „W,y O ,n 'n to v ~ _ Z W Q to Q Q CL < a. v C3 O Z J � � v m m N I I I .89 I I I .ZL BL LO K z w o da a� a w.t. W 131N1 SNOIIVIOOSSV 31380NOO 1SV038d NISNOOSIM a 1VNOIIVN § WOD'4}n:)JjnyMMM X TIIL-EZL (911) XV3 m 0 UI 3 1 3 H 0 0 0 0 ' NNVI 3I1d3S aO dwnd N do a38w3w a 9ISI-486 (008) 944L-E8L (SIU ❑ a 62LOS IM 'SIIV! VM3ddIH3 N011tl] OSL/OS2'i a 1NVld 031111a3O 'y'�'�J'N o AMUS p-AEZT bSTb 1133('odd N Z �a ❑ z ¢ Z P ❑ � W Q J ❑ O 1 L7 Q ui U W rn w D a o c7 3 ¢ ❑IL r J nom.LD a� > ,6 .84 ❑ ❑ ❑ U S S U Q � F7 ~< ❑ J W Q w W ¢ aQ 3w w �Lo a n w W Q tY d W m w U o0 W W U tY W E 1—to Z "'N w� Z< ❑ R r J W W U U ❑ II II W 0 H 0 U < Z J _j W W Q ¢U pZ � Z W U CD 0 QU Q Q JQ Zpe ¢ A W l.7 O U aZ N .S'9 vQ J 3° N Y O W Q Q p 'r Lo A ^ :t U2 Q- O� �0 ,Z. W ❑ N N r N > j p b 1 ¢ nu U 0 06 M dl N N Z pa II II p =d U ~ U �¢ �U �N J A Q Q M l7 O -1 Y Z Q H --------------- ro J W D�, W Q� M LL-O; wW Z W ih LL-U') U w C I F Z_j p w DN' ❑w Q V z 0.Wl U J > oa OY W ❑ N ^ Ca QQ N° A F ID ^ .cb .e L ,c .09 to (4 Q .LS W Pq M Q F" I v I I I I I m -__--_-_____J Property Owner_ Parcel ID# Page of 3 Boring# E) Boring A Q pit Ground surface elev.l 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 d �31y s C� >� 2 s- ,� - — C/ c — ye J i F-1 Boring# El Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil A44ppli cetion 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 I •Eff#2 F-1 Boring# 11 E] 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/fP in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 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. SB68330(8000) t Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code my Attach complete site plan on paper o han 8 1/2 x 11 inches in size.Plan must include,but not limited to:verti I a on I reference point(BM),direction and paw , percent slope,scale or dimensi w,and location and distance to nearest road. P ' t all information. f Date Personal information y e m e used for secondary purposes(Privacy Law,s.15.04(1)(m)87* ~ �' Property Owner Property iTY DE1 /, ELOPA$ C a�i Govt.Lot 1/4_S 1/4 S 3 r Z N R E(or W Property Owner's Mailing/+ddress Lot# Block# I S Name or CSM# City State Zip Cod Phone Number El city ❑Village -Town Nearest Road L ( ) New Construction Use. Residential/Number of bedrooms Code derived design flow rate 6 6 O GPD ❑Replacement Pu lic or commercial-Describe: Parent material a Flood Plain elevation if applicable N l„f4 ft. General comments and recoryunendations: System Type OL1 ^-1 6l System Elevation �. F—I] Ong# 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.Si. Cont.Color Gr.Sz.Sh. 'Eff#1 •Eff#2 I f-Is z s rr 1 , Z -30 s ✓ta�'fJ < .7J �� oZ a Boring# a Boring / ® pit Ground surface elev. ft. Depth to limiting factor J in. Soil Application 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 i ®- 0 .3 --- 11-5 S p i Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD <30 mg/L and TSS<30 mg/L CST Narne(Please Print) Signa CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Co ducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 r8— 715-246-4516 Soil Test Plot Plan Project Name Kernon Bast Shaun Address 948 LaBarge Rd ,� Hudson Wi 54016 #2 Cr 0 Lot 1 Subdivision Cottonwood South Date /7114 SE 1/4 S W 1/4S 36 T 29 N/R19 W Township Hudson Fj Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of survey iron System Elevation 99.9' *HRPSameasBenchmark County Road N i Scale is 1" = 40' Property Line unless otherwise noted Drainage Easement Settlement Drive 98.9' B-2 5% Slope B-3 Scale=1 /4"=10' 98' B- 1 389' Property Line 99, B.M. County I L i ndustry Services Division ; � 1400 E Washington Ave Sanitary Permit Number(to be filled in by Co.) P.O. Box 7162 _ Madison,WI 53707-7162 �/ ? J L-, (p Sanitary Permit Application State Transaction Number WA In a ordance SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate ovemmei is req pri r to obtaining a sanitary perrnit. Note:Application forms for state-owned POW �tyg submitted o Address(if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide Jy be uVlrD'u egondary purposes in accordance with the Privacy Law,s. 15.04(1)(m),Slats. T e I. Application -Please Print All Information (� / Property Owner's Namq F��p� Pao 2 ._ Property Owner's�Mailing Address � �� �Rroperty Location ? �� Govt.Lot ( J ZZ ) City,State Phone Number � 3 // �/., Section v le one _ T_ N,..R E r W II. ype of Building(check all that apply) Lot# / or 2 Family Dwelling-Number of Bedroorns Subdivision Name Block# f- ❑Public/Commercial-Describe Use U ❑City of ❑State Owned-Describe Use CSM Number ❑Village of_ own of III.Type of Permit: (Check only one box on line C plete line B if applicable) A. .0,New System�+1. y ❑ Replacement System Tr tment/Holdin Tan lace t Only O r Modification to Existing System(explain) B• ❑ Permit Renewal ❑Permit Revision h f Pl er a •t T fer t e st eveioLusPit Nu rand Date Issued Before Expiration O er IV.T e of POWTS S stem/Com onenVDevice:. Ch k all tha apply) -Pressurized in-Grout d ❑ Pressurized In-Ground. ❑ t-Gra a ❑Mound}24 in.of suits ble soil E] Mound<24 in.of suitable soil ❑ Holding Tank ❑Other Dispersal Component(ex lai �Y[ e reatmegt Device(explain) e V.Dis ersal/freatmentArea Information: Design Flow(gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required(sf) Dispersal Area Pr sed(sf) System Elev t' n t/ � S VI.Tank Info. Capacity in Total #of Manufacturer Gallons Gallons Units fah- �r S�ev New Tanks Existing Tanks �K S/ a u U � ti 'a p -2 F T � is a U CO H rn iz .Septic or Holding Tank. Dosing Chamber VII.Responsibility Statement-I,the undersigned,assu a ponsibility for Installation of the POWTS shown on the attached plans. Plumber's Name(Print) L Plumber' ' ature MPR RS Number Business PhonqNumber ) -/ 2 Plu is Address(Street,City,State;Zip Code)VIII oun /De artment Use Onl Approved ❑ Disapproved Permit Fee 00 Date Issu ssuing Agent pa + ❑Owner Given Reason for Denial IX.Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: f00 1..Septic tank,effluent filter and dispersal cell must be serviced/maintained, // plan rovided b lumber. Y �nCC PG� � KC f!'1 5E 2,A#I setback requirem6"hi1R btFrWprt dsya and submit the County only on paper not less thong 1/2x 11 inches si s as per applicable code/ordinances. ./d Cb",F�Jl /5/6 ✓�tQ� Gh'ndi /� SBD-6398(R0313) ,.F.a'd6.i._SM ..... ,.«Z:�.Tw:,:s.V.:. .,z..S,,,s,fi.^G.s...:...'X94.?ZF:,Y.".•...CiTk....2,.3".SG�:;:: o STO CKOIX COUNTY AA I PLANNING & ZONING November 19, 2009 a Kernon Bast c/o Edina Realty, Inc. E 400 South 2"d Street '`,, Hudson, WI 54016 Code Administrat 1, RE: Compliance deposit refunds for Cottonwood South '07 lots 715-386-4680 Section 36, Town of Hudson c� Land Information Fri. Plannin Dear Mr. Bast: g 715-386-4674 1 recently reviewed the Board of Adjustment Decision for the above subdivision while processing a sanitary Real Prope;. '"`` p 9 permit application and noted that you have compliance deposits that 715-3 `677 may be eligible for refund. According to Condition #5: Y00 Q'f a�� �i C�'TGrJ-�-L Re .:cling "The plan shall be accompanied by a $100 nonrefundable staff review fee and a cash 5; -386-4675 compliance deposit for the lot. The compliance eposit or a six o s un er cons ruc ion shall be $1,100 each, and the compliance deposit for the remaining lots in the subdivision shall be $300 each�The cash compliance deposit will be held by the Zoning Administrator until construction is complete, permanent vegetation has been established, and the project ' is found to be in compliance with the conditions of this approval, at which time the deposit will be refunded in full. Upon completing construction on each lot, the applicant shall submit to the Zoning Administrator photos of the completed construction and certification from the project engineer that the construction has been completed as approved to serve as proof of compliance." AV Our sanitary database records show eight(8) permits were issued whose POWTS have been installed and inspected. However, there are some non-compliance issues that must be resolved before lots 2 and lot 24 will be considered "complete". We need to obtain elevations and documentation of the building sewer and tanks that were installed on lot 24 without county inspecto and the mound on lot 2 does not meet the required setback from the north lot line. When we have received photos that document completion of construction on each lot, your deposit refunds will be processed. hifZ' S' ely, A ` 1 Pam Quinn Zoning Specialist Cc: Brian & Molly Hayes, lot 24 property owners Andre Buechner, lot 2 property owner ST.CRoIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, WI 54016 715386-4686 FAX PZ @CO.SAINT-CROIX.WI.US WWW.CO SAINT-CROIX WI US Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 3/26/14 Owner: Kernon Bast Location: SE 1/4 SW1A S36 T29 N,R19W 855 Settlement Dr. 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 Specifications Sheet 8-10. Soil Test Signature License nu er#226900 PLOT PLAN PROJECT Kernon Bast ADDRESS 948 LaBarge Road Hudson Wi 54016 SE 1/4 SW 1/4s 36 /T 29 N/R 19 W TOWN Hudson COUNTY ST.CROIX MPRS Shaun Bird 226900 3/26/14 DATE 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 .5 ABSORPTION AREA 1212 # of chambers 60 IL BENCHMARK V.R.P. Top of 2" pipe ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 93.2/93.1/93.0 5' below qrade @ B-1 All piping shall be SDR 30/34, within lO of tank,piping shall be Schedule 40. County Road N Please note: retention pond and lot Vent lines are to be clearly marked by Ed Flanum prior to installation >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area Scale is 1" = 4�' 12" �5.6ftA2/pair of end caps 4 Long unless otherwise 3419 Grade at System Elevation noted Rentention Pond(manmade no setbacks) _ Settlement 140' Drive 3-3' X 82' Cells with 30 >3' spacing B•M•* -1 B-2 80' Vents 10' 40' 30' ST Od Fro 4 40! Bedroom 40' House B-3 25' 100' 99' ( ' y�(L Area of poor soils and limestone 255' Property Line � N 389' Property Line �� 1061.4 25 �/ ;� x � � a' �� p� `.� RING PR DEPTH 15' / ^• FILTRATION POND 95556 sq.ft '� �' BORING PIT DEPTH 75' ` � INFILTRATION POND C.B.A. = 2.1 AC. HWL=1048.00 10 .6 LBO=1051.50 x ;� / _24 1 x o 2.79 Ac 1063.8 ;f ' Acr 1 7 sq 880 _sq.ft C.B.A. 2.7 AC. �- �� B 1050. c 1060.8 Ss. t 8. 9 .257 sq.ft \� B.A. 2.2 B0=1 0.0 rn \ V ` 6 8 396. 214. - !245.4•ST D ROA ` 10 1.6 1 x 37 , 5 96 1069.3 o V OT .ft 73 AC C. .909 SO. FT. .50 � 2• ores Z, _ 130381 ft 1 72.9 rn N B.A=2. C. 2 N LB 1043.5 Ln Acres N J x 141 q.ft °' 1 071.6 3.2 C. = 3. AC. 142: LBO 1043. 0 150 A .00 46. 10 � \•� _ 1 '•—WETLAND 7 DELINEATION \\ If 0 218.01' a1)7,0 Cross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5.8ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 100' l/P 0 r a� ent Grade Vent -Z 4„ (o= 4'.Ai30/34 Septic Tank �Fo�",jV 5' 4' Long 1 Grade at System Elevation 34" Grade at System Elevation 34" Spacing 5' 3-3' X 82' Cells Observation tubeNent Same on other end To be located on end of Cells VI.4-U at e 6th J �%A IhG Z"LJ B Lq System elevations: C A-93.2 B93.1 20 chambers per cell C__93.0 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code n Attach i non paper not less than 8 112 x 11 inches in size.Plan must County �'` /r include, ited • ertical and horizontal reference point(BM),direction and Parcel I.D. pe ' tt s r dimensions,north arrow,and location and distance to nearest road. ° 1 Please print all information. Re ' wed b Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.14(1)(m)). ? 2 Q Property Owner Property Location 1/4 �/4 S 34T N R E( W(Q/ 071/ Govt.Lo /5 Property Owners Mailing Address Lot#, I Block# SZ Name or CSM# Z=Zu / City JLV�� State Z45 Code Phone Number ❑city ❑'Mill ace Town Nearest R d h I S ( !2)32 New Construction Use: [(Residential/Number of bedrooms Code derived design flow rate� GPD ❑Replacement ❑ Public or commercial-DescribEp Parent material Q KJuli/I J q/i 7_ FlooNQ elevation if applicable ./ti General comments o�5 v' C�ic p�and recommendations: c c !f , System Type �OpMSystem Elevation e tF F [] Boring �j M ng# ® Pit Ground surface elev. / Y, U 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 I •Eff#2 8- - v 4,117 E I A / \ 3 ' .Z i' .b �– S� e Lam/ G/ �— 3. Boring# ❑ Boring /�rh r E9 pit Ground surface elev./�/I/• ft. Depth to limiting factor/3 lJ 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 I 'Eff#2 AV_ Jkl Effluent#1 =BOD >30 1220 mg/L and TSS>30 11 n 'Effluent#2=BOD <30 rrKA and TSS<30 mg/L CST Name(Please Print) /gigKalllure CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address ate Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 540 Z 715-246-4516 Property Owner_ Parcel ID# Page of n Boring ❑ Boring pit Ground surface elev. ��' V 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 I 'Eff#2 VVII F-1 Boring# ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. _So_ilAppllcation 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 E Boring# ❑ Boring ❑ pit 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 =BOD5>30 1220 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. SOD-8330(8.6100) Soil Test Plot Plan Project Name Kernon Bast Shaun B Address 948 LaBarge Road Hudson Wi 54016 CSTM #226900 Lot 1 Subdivision Cottonwood South Date 3/26/14 SE 1/4 S W 1/4S 36 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 2" pipe System Elevation 93.2/93.1/93.0 *HRpSameasBenchmark Countv Road N Scale is 1" = 40' unless otherwise noted \ Rentention Pond(manmade no setbacks) Settlement Drive \ 30' — B.M.* B-2 80' 10' B-1 40' 40' B-3 25' 100' 99' d Area of poor soils and limestone 255' Property Line 389' Property Line __ 55' 47' 8" 3' 44' 5.75' 2' C A D N LAU " '. w r Z m m £ r L vI I 4 -1 O D 2' _0 A < J m = d d ❑ D D 0 v I � n D 3 �- 7ZC m X D 3' r C3 D £oo-o Vi cam N in (n Z t7 d 70 ID n mnnZ.0 6.5' m E3 i m ry D p°� o Z II 11 II N n m I❑ ZD N W w V) A Ll �1 D Zl? D D0� m ? m .D.l rZ C)D m r r Vl A t7❑ - Ow m o o -i <m m ❑ m a a am mr '7 n A r r H� A3 Z ❑ ❑ C) r r mm MW _ O m D D A Dm zm m m m -i m m m£ vd m m m ❑ r r �� m A D 45" 10' m D A A m == N 42' mn h C3 j a A 7❑c Z m DA. �y A ;o D Vl �-0 rO 2' ❑° £ ❑ y D ;u ❑ �1< 0 V ❑ £ m cm V1 w -- I ❑~, m H E3 Z D m o ro v £ m P c d A M m 00 0 m r I m D 7 m Z z3 Z DZ N p rm 13 zZ z -<Z C7Ln �m D Vl m D Vl O❑ D r m Z Z 7 p m d n ! £� 1> () D D O m Vl r Z d D mN Z z\ to �w A n� r M m c' ❑ O A A r v m L) m A r D m Z m m 0 0 p PR❑JECTI 4154 123rd STREET =NA710NAL& A. CERTIFIED PLANT NUFFCUTT CHIPPEWA FALLS, WI 54729 c3a gL ],250 GAL. LOW PROFILE EMBER OF: ❑R PUMP GREASETINTERCEPITOR C 0 A C R E T E. I A C FAX (715) 723-711 ■ w w.huffcutt corl PRECAST CONCRETE ASSOCIATIONS o SNONVIOOSSV 313NONOO 1SV338d NISNOOSM 8 IVNOIIVN g wog}1no j ipAmM m IIIL-£2L (SIL) Xtld . aO1d33831NI 3SV3a9 a0 Oj :do 830V43v4 F O� 9191-626 (008) )K 96OL-£2L (SIL) U I 3 1 3 U O 9NIO lOH '9I1d3S 'dNnd 0 11n���nN I� 3�tJoad Mop w9 osa'I c W_.per 62L6S IM 'Slltl! tlM3ddIH3 1NVld 031311833 'y OWN � o 133211S p-A£Z1 bSlb '133('Odd -------------- _l ih ipi I N Ld Z W I I zw o =j o w ❑J W Q rn x oa J 2 W J O Yx0 WC O 0 I � � F iU� WFa H h N I � Q W PA J Y C3 Q 0 � v I I I I I ih _J nr. U W Z H Ld Q Q' o LjO W J L� Q PO co Q Z W Q H a as Q as w Y ~ w O Z J ¢ _ w w �D N < h N lo r r z � o .9'001 1901 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner �' Septic Tank Capacity — �_ al ❑ NA f�� _ ---- ❑ NA Y Permit# C) 3 3 Septic Tank Manufacturer — Effluent Filter Manrfacturer 0. ` DESIGN PARAMETERS - -- ❑ NA Efiluerd Filter Model ❑ NA; of Bedrooms — A Pump Tank Capacity "':. .ti 5= - al :; NA Number of Public Facility Units Pump Tank Manufacturer NA Estimated flow(average) jfE'� yayda __. _ Pump Manufacturer NA Design flow(peak},{Estimated x 1.5) al/da — NA Soil Application Raise �Uda /ftz Pum p Model Month) average* Pretreatment Unit' NA Standard Influent/Effluent Quality Y 9 f' Fats,Oil&Grease (FOG) _<30 mg1L O Sand/G-avel-Filter Cl Peat Filter Biochemical Oxygen Demand (BODs) 5220 mg/L O NA 0 Mecharical Aeration ❑Wetland Total Suspended Solids (TSS) 5150 mg/L ❑Disinfection ❑Other: Month) averse . Dispersal Cell(s) ❑ NA Pretreated Effluent Quality Y 9 , Biochemical Oxygen Demand (BODs) <30 malt n-Ground(gravity) ,n ❑in-Ground(pressurized) Total Suspended Solids (TSS) :530 mg/1.2 NA= ❑At-Grade Cl Mound a _❑_Drip-Line ❑Other: Fecal Coliform(geometric mean) 510 cfu/100 Other: I] NA Maximum Effluent Particle Size 36 in dia<. ❑ NA -- A Other, ❑ NA ____ *Values typical for domestic wastewater and septic tank effluent. Other: y �, : ❑ NA m r : MAINTENANCE SCHEDULE Service Frequency Service Event ❑monthrs) Maximum 3 years) ❑ NA Inspect condition of tanks) At least once every: ( s Pump out contents of tank(s) When combined sludge and scum equals one-third(3j)of tank volume J_ O NA -- - — month;s) (Maximum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: —_ earls�_ _ __ _ ❑ onth�s) ANA Clean effluent filter At least once every: ear.s,Cl months)Inspect pump, pump controls&alarm At least once every: ❑years; — —❑moFlush laterals and pressure test At least once every: O years)other ❑monthi s)At least once every: ❑year(s)Other: 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 Servii:ing Operator. Tank inspections must include a visual inspection of the tank(s)to identify any missing or broken hardware,identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent or the ground stirface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to checi:for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (6)or more of the tank volume,the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordant-: with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechar ical or pressurized components, pretreatment units, and any servicing at intervals of s12 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 an!,service event. Page-r_of START UP AND OPERATION eck treatment tank(s) for the presence of painting products or other chemicals that For new construction, prior to use of the POW/S'ch 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 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 ab3ve normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s)in one large dose, overloading the oell(s)and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the Frump controls to restore normal levels within the pump tank. dispersal cells. Do not drive or park over,or otherwise disturb or compact,the area within Do not drive or park vehicles over tanks and 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of tthhe POn dra: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scrape; medications; oil; painting products; pesticides;sanitary napkins;tampons;and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chaptor Comm 133,33,Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage.Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN It the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replace ant system: 21,a S� /S� --� suitable replacement area has een evaluated and may be utilized for the location of a replacement soil absorption system. e rep acement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure,lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not w0lable 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 availkible a holding tank may be installed as a last resort to replace the failed POWf S. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING>a SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC,PUMP OR OTHER TREATl1AENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK tAAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS _ POWTS INSTALLER POWTS MAINTAINER Name Name 7 fj/ Phone /J T '� Phone SEPTAGE SERVICING OPERATOR(PYMPE R LOCAL REGULATORY AUTHORITY _ Name , / Name Phone —cl "$ Phone �•/ �� This document was drafted in compliance with chapter liPS 383.22(2)(b)(1)(d)&(f)and 383.54(1),(2)&(3),vviscoirsin Administrative Code. ..: SON, A n.� F� =s FILTER, C ffiRTRIDGE INSTRUCTIONS 2005 TM Installation STEP 1 Dry fit the filter case onto the end of the outlet pipe to ensure it is centered under the access opening. If not, then either insert more pipe into the tank through the outlet or solvent weld (glue) additional pipe onto the outlet pipe. STEP 2 While the case is still dry fitted on the outlet pipe, measure the length of 3/4-inch pipe needed to brace the filter to the tank end wall if utilizing the optional supplemental side support. If side support method is not utilized, proceed to step four. N STEP 3 For installations utilizing the optional supplemental side support: solvent weld the 3/4-inch pipe onto the filter case. If side support method is not utilized, proceed to step four. STEP 4 Solvent weld the filter case onto the outlet pipe. Insert the filter cartridge into the case, pressing down until the filter locks into the bottom of the case. STEP 5 If a VRS switch is utilized: insert into the filter and lock by turning clockwise 900. ;gin y z Maintenance 1. The effluent filter should be cleaned every time the septic tank is serviced. K i 2. Open the outlet access opening to inspect the tank and filter. 3. Pump the septic tank completely, making sure to remove the sludge layer on the bottom of the tank and not just the scum and effluent. ' 4. Once the effluent level has been lowered below the invert of the gn outlet pipe,firmly pull up on the filter handle to dislodge the cartridge from the case. 5. Slide the cartridge up and out of the case for cleaning. .` 6. If a VRS switch connected to an alarm is present,the switch should be removed by turning counterclockwise 901 and cleaned with water only. �. 7. While holding the cartridge on its side (large flat surface facing ";• i down) over the access opening, rinse off the cartridge with water only, making sure all se to a material is rinsed back into the tank. Y, 9 P 9 a 301 S. If VRS switch is utilized, replace by inserting into filter and turning clockwise 900. t # 5 9. Insert the filter cartridge back into the case, pressing down until the filter locks into the bottom of the case. , 10.Replace and secure the access opening on the tank. BEAR ONSITETM FILTER CARTRIDGE-FIVE-YEAR LIMITED WARRANTY Bear Onsite filter cartridges are warranted to be free of defects in material and workmanship for five(5)years from the date of consumer purchase. BEAR ONSITE-Filter Case-Lifetime Limited Warranty Bear Onsite warrants the filter case will be free of defects in material and workmanship during normal use for the period of time the original purchaser owns the product. If a defect is found in normal use,Bear Onsite will,at its election,repair,provide a replacement part or product,or make appropriate adjustment. Damage to a product caused by accident,misuse,or abuse is not covered by this warranty.Improper care or malfunctions resulting from units not installed,operated,or maintained in accordance with instructions provided will void the warranty.Proof of purchase(original sales receipt)must be provided to Bear Onsite with all warranty claims.Bear Onsite is not responsible for labor charges,removal charges,installation,or other incidental or consequential costs. In no event shall the liability of Bear Onsite exceed the purchase price of the product. : >. sT"1 a S ?` 1C Tpi)`+ £• A N A EE1 i +TT' y.Ad&ess Vic etieaait= frgm &Zoubsg Dwaramut.forevG Cif°s .'__7,� w,r u 1 'Pw' po T&afiftca6bnNbmbdi, JOL011a? _ E Acv 'ropexty I�caiio� ,_ il.,ys+�_ . '.lf;,:Sep.. 3 ,T" .1 ,°' iiwa Of �4t�ras'�J subcvsionwaoD �jptKlk LaC# Voluriie. -- ----- Page# ' arraPeed# /p) Vattiixte Spec h6m.. NO i tYST `�j .' ... •lei,jus�,:. � . saptie s� t�smlt,�:its .. :x zstes. por • iii` • •" a co�7d �e.fai€�#o�aaadie tnaintena e c u is ' tom' tas k evesv� yes ru =if nee et,.by!a 4W'mm4m r•' '��yGu Put iuro the,qs.t ,,91uaffimt t f `of septic micas a.tat .'. i tie. �}vvtter;maiatereaai a .. tespansibii ies aEC: 'irk§ rsrie 8 :521I : 1 is 22�- .: t.Ct atq:S #aty 4ndlime. RmP X o ,Xw. to s irao t-to S4.Croix P •8c ?i.a certif�ation ioa?cxs,sigrrc!by the " awneram3.�, :aar. ��� hY p� -.11' �t��un '.: irie�;d.P2z .ar's: dpt►�er"veg:that�.i)theonsite.. ro�estewa�ar c toss!system, is:ari:propo�e:apeta MCOMTWo� t�(2�' insgeCtiotz�gtt (if ryk.the septic'ta�x+lc is we,'the u rig ed ve. ad�e;ab�sv�£ t a C 2v arta :tEz fc sewage•dispaSd systers�.vrith rte: stat�dards`ser forth;'he o.ss'set by ati t.b . ID t o Naomi Rescuaices;.S roe bf vViscortsia C.e caticasstati ig. }o e3t Grtix Caut P2anttin that Zonin D�:t wig ail diYS-of�3't .exp tc x date: �Iwe ceztify'.d at�sit�,ts vii ids faitia;are e:�, c"fieat'df i»y>i our lafovi)edge. D,%*as .the o ner(s;4f a3?C vroP by`desc�i ed abG $}:vittoe'o£ y.dew fi stf if Duds f cc: 1' tt . ; exts� : „ DAB . ` `**Att y, nforrt tian.&t ogii inay iosu{t iii is.s .peis .be g revia3ced bar the F3amnutg .Zoni g episxtmeu*• i tua �Ll tiffs a ae 'R� D c �a�y a �a sum�y=p iff Ytie n .is madoi:in thew ire7uty° Ci, Parcel #: 020-1479-03-100 03/28/2014 08:16 AM PAGE 1 OF 1 Alt. Parcel#: 36.29.19.3022 020-TOWN OF HUDSON Current XX ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 09/25/2007 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner 0-BAST, KERNON J & DONALDA J SPEER- KERNON J& DONALDA J SPEER- BAST i 948 LABARGE RD HUDSON WI 54016 Property Address(es): '=Primary 855 SETTLEMENT DR Districts: SC=School SP=Special Type Dist# Description SC 2611 SCH DIST OF HUDSON SP 1700 WITC Notes: Legal Description: Acres: 2.020 SEC 36 T29N R19W PT SW SE COTTONWOOD SOUTH LOT 1 Parcel History: Date Doc# Vol/Page Type 09/26/2007 861243 AGREE 09/25/2007 861165 11/23 PLAT 01/28/2005 786109 2739/316 WD 10/30/1998 590369 1371/572 WD Plat: "=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: * 11-023-COTTONWOOD SOUTH LOTS 1/26 020- 36-29N-19W SW SE LOT 01 2014 SUMMARY Bill#: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/18/2012 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 2.020 300 0 300 NO Totals for 2014: General Property 2.020 300 0 300 Woodland 0.000 0 0 Totals for 2013: General Property 2.020 300 0 300 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 U 2 ? 3 9 P 3 16 78E. 1 09 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO.. WI STATE BAR OF WISCONSIN FORM 2-2000 RECEIVED FOR RECORD Document Number WARRANTY DEED 91/28/2005 03:15PH WARRANTY DEED THIS DEED, made between Neil L. Wilcoxson and Mary Jo EXEMPT # Wilcoxson,husband and wife,Grantor, and Kernon J.Bast and Donalda J. Speer-Bast,husband and wife,Grantee. REC FEE: 13.00 Grantor,for a valuable consideration, conveys and warrants to Grantee TRANS FEE: 4212. COPY PEE: the following described real estate in St.Croix County,State of Wisconsin: CC FEE: PAGES: 2 SEE ATTACHED EXHIBIT A Recording Area Name and Return Address: Edina Realty Title,Inc. 400 S.2'd St.—Suite l 15 Exceptions to warranties: Hudson,WI 54016 Easements,restrictions and rights-of-way of record,if any. 456780 020-1110-30-000... 020-1109-55-050 Parcel Identification Number(PIN) This is not homestead property. Dated this 28 y of January,2005. 11 L.—WilcoxWn Mary Joyif4oxson AUTHENTICA la LOIC 1n ACKNOWLEDGMENT Signature(s) 1'�t ;CC�S STATE OF WISCONSIN ) ST.CROIX COUNTY. )ss. authenticated this 28th day of January,2005 Personally came before me this January 28, 2005 the above named Neil L. Wilcoxson and Mary Jo Wilcoxson, * husband and wife to me known to be the person(s) who TITLE:MEMBER STATE BAR OF WISCONSIN executed a fore oing instrument and acknowledged the same. (If not, authorized by§706.06,Wis.Stats.) THIS INSTRUMENT WAS DRAFTED BY *Cherrllrown Notary Public,State of Wisconsin Peterson,Fram&Bergman—Steven Bruns My commission is permanent. (If not,state expiration date: 50 East Fifth Street,St.Paul,MN 55100 1 3/11/2007 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names ofpersons signing in any capacity must be typed or printed below their signature WAR kANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000 U 2739 P 317 EXHIBIT A Parcel 1: A parcel of land located in part of the SW'/4 of the NW'/4 and part of the NW'/4 of the SW'/a of Section 36,T29N,R19W,Town of Hudson,St.Croix County,Wisconsin;more particularly described as follows: Beginning at the W'/4 comer of said section 36;thence N00°16'10"E,along the west line of the NW'/4 of said section, 1248.49 feet to the north line of Lot I of Certified Survey Map recorded in Volume 3,page 669 at the St.Croix County Register of Deeds Office; thence N63°02'59"E 148.42 feet to the north line of said SW'/4 of the NW'/4;thence N89'26'5 8"E,along said north line, 1182.70 feet to the east line of said SW'/4 of the NW'/4;thence S00 021'37"W,along said east line,350.04 feet to the north line of Lot 73 of the Plat of Cottonwood Ridge First Addition recorded at said office;thence S89°26'58"W,along said north line, 10.00 feet to the west line of said plat;thence S00 027'24"W,along said west line,2096.76 feet to the centerline of County Trunk Highway"N"and a point on a 1999.00 foot radius curve,concave southerly,whose central angle measures 7'10'30",whose chord bears N84°30'41"W and measures 250.16 feet;thence westerly,along the arc of said curve and said centerline,250.33 feet to the point of tangency;thence N88°05'56"W,along said centerline,83.64 feet to the point of curvature of a 2700.00 foot radius curve,concave northerly;whose central angel measures 3°17'53",whose chord bears N86°26'59.5"W and measures 155.40 feet;thence westerly,along the arc of said curve and said centerline, 155.42 feet;thence N04°29'56"E 244.01 feet to the point of curvature of a 167.00 foot radius,concave westerly,whose central angle measures 34°24'12",whose chord bears N12°42'10"W and measures 98.78 feet;thence northerly,along the arc of said curve, 100.28 feet to the point of tangency;thence N2954'1 6"W 274.22 feet to the easterly extension of the north line of Lot 1 of Certified Survey Map recorded in Volume 12,page 3456 at said office;thence N89°'12'45"W,along said easterly extension,along said north line,and along the westerly extension of said north line,670.44 feet to the west line of the SW'/4 of said section;thence N00°37'50"E,along said west line,496.89 feet to the point of beginning. AND Parcel 2: A parcel of land located in part of the SW'/4 of the SE'/4 of Section 36,T29N,R19W,Town of Hudson,St.Croix County,Wisconsin; described as follows: Beginning at the South 1/4 Comer of said Section 36;thence N00°27'05"E,along the north-south''/4 line of said section, 1216.78 feet to the centerline of County Trunk Highway"N";thence S76°47'47"E,along said centerline, 1354.82 feet to the east line of said SW'/4 of the SE'14;thence S00°07'02"W,along said east line,897.02 feet to the south line of the SE 1/4;thence S89°33'25"W,along said south line, 1326.80 feet to the point of beginning. �I ( L@--L? 69 �V7gq ,bc N'8°474�"W i *3g•10V I _, 2 f 9 25 y 2.19 Acres ........ 98,545 SO.FT. Q \ . ...........�N°1 8 _ 15 Ls0=1051.50 r� q 1 °oar - I HWL=104�G0......... ........ 138.-`-.� `'t,.81•' 004 $' x y c�j� \ DRAINAGE - l EASEMENT ° ip � T 2.02ACre. 66 � . 88,010 SO.FT. ON L90=1050.00 N87° '2TE \ �. le S88*28'18'E 389.01' 'OFF o 2.00 Acres 87,125 SO.FT. I 2.25 Acme L80=1050.00 !15 t5" 98,137 SO,FTC 3 . n it /" ,� �\ \ 1�` •.,• of _ .7Op...................... �15'15' ___ E OFAEBAq yl —3 3, _ LEVA710N°1057,98 �... 7o - __. _ 189.43' j�$. '�",• '+` .�"-- YQ48''r2�E 998.09' ST pRWE _. __ __ _y N83'48 'N J t0os1S. W 2.99 Acres ................ Z 130,381 SO.FT. is F ' SEE NOTE A J W Leoatoas.ao ..................... = T ao S89°52'S8•E 135.00' v N OUTLOT 1 L u■ 01 0.73ACRES �*Isconsln SOIL EVALUATION REPORT #1987 Department of Commerce in accordance with Comm 85,Wis.Adm.Code _ Page 1 of 3 Division of Safety and Buildings Steel's 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 dimensions,north arrow,and location and distance to nearest road. Parcel I.D. Q Q / 9-103. Please print all information. Revi led By Dat Personal information you provide may be used for tlivacy w,s.15.04(1)(m)). Property Owner roperty Location Bast, Kernon �ovt.Lot na SW 4, SE/1/4, S36,T291N, R19W Property Owner's Mailing Address NOV 13 Luuu t# Block# Subd.Name or CSM# 948 Labarge Rd. 1 na Cottonwood Ridge South City State Zi Cod%-t,ffdi�?I er city [:]Village ty ❑ g ❑ Town Nearest Road Hudson WI 5 016 - 5 Hudson I Cty Rd N ❑New Construction Use: ❑ Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD ❑Replacement ❑ Public or commercial-Describe: na Parent material Silty sediment over Fractured limestone. Flood plain elevation,if applicable na ft. General comments Mound design, sytstem elevation 101.00ft based on contour line elevation 100.00ft Minimuum 12 Inches an�df?commenLdatio�n/s: STM 33 Mound.sand. a-e F 1-1 Boring# !Ground surface elev. 100.00 ft. Depth to limiting factor 31 '/in. ❑ P 9 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-11 10yr3/2 none sil 2msbk mfr cs 1c .6 .8 2 11-31 5yr4/4 none sl om mfr gw na .2 .6 3 31- 10yr7/4 none =racturec Limestone na na na .0 .0 ❑ Boring# ❑ Ground surface elev. 100.00 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-10 10yr3/2 none sil 2msbk mfr cs 1vf .6 .8 2 10-24 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 24-48 7.5yr4/4 none scl om na cs na .0 .0 4 48- 10yr7/4 none Fractured limestone na na na .0 .0 *Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD5 s30 mg/L and TSS S.30 mg/L CST Name(Please Print) Signatrme: CST Number David J. Steel 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St.Baldwin,WI 54002 10/10/2006 715-760-0347 SBD-8330(R.07/00) Property Owner Bast, Kernon Parcel ID# Pending Page 2 of 3 T Boring# El Ground surface elev. 96.40 ft. Depth to limiting factor 29 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 I *Eff#2 1 0-12 10yr3/2 none sil 2msbk mfr Cs 1vf .6 .8 2 12-22 10yr4/4 none Sid 2msbk mfr Cs na .4 .6 3 22-29 7.5yr4/4 none sid 2msbk na Cs na .4 .6 4 29- 10yr7/4 none Tacturec limestone na na na .0 .0 ❑ Boring# Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 I *Eff#2 F-1 Boring# ❑ Ground surface elev. ft. Depth to limiting factor in. F-1 Ground Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 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-8330(8.07/00) Steel's Soil Service STEEL'S SOIL SERVICE 3 of 3 David J. Steel Kemon Bast 994200 th St. CST-POWTSM SW1/4,SE1/4,S36,T29N,R19W Baldwin, WI 54002 Lic. #248956 Town of Hudson, St Croix Co. Direct 715-760-0347 Cottonwood Ridge South, Lot 1 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement,it may or may not be suitable for your use. The location of this test may or may not be as shown,as permanent lot lines were not established at the time the soil test was conducted. Legend N 1"=40' =Benchmark Ele. 100.00 ft Top of 3/4"pvc pipe • =Alt Benchmark Ele. 100.00 ft Top of 3/4"pvc pipe ❑ =Borings Boring Elevations BI = 100.00 ft B2= 100.00 ft B3= 96.40 ft B4= 0.00 ft -s 7 3 ' .2'.0"L 27*-6" 8'•6" -6 12 20'-11 1/2" 1'd01/2" 4'•8- 4.81, 10'-81/2" 11.0" -------------- > z lip 24'•0 1/2" ------------ -------- r --w-11 fl 6-•9. 7'•91/2" nv (5 t 7r VANITT n W•9" 6'-8" 2'.4- T.Q-' T•4. 6'-8" 12'.0" 8'4. 42'•6" 44 tl BUILDER:SPERR-BAST CONSTRUCTION REVISIONS Oro BUILDERS RESOURCE GROUP GROUPINCCOM APIUCAMNCOUM PUMCSMW COM. 'THE BRADEN#r )WEAGENDfiNg PHONE.'M498.47B] MISSINO OR JNMRRWT INPORMATtON. PROJECT: GET%WE"'Mrs youaXPECT ivwwxn 8B B4B )?AX rj"894MS IL MR=m amup 4.11""D mpyuom r=Du r 2 wb.=s FM.VMMNG.81IL80AL1 60'-6" 27-6" B'•8" Do DINRNWONRI'0 or €9 SILOOR TRU88RS lo.Y^OIC - - -- ................ - - ,, � b ......................... ..... •"� __.•-• Y%SOT8M1'RO JDIBT Ia'OA; � � ���� ,q� i 6,0. vwwrrAao" 9 'a " �»nvaiswAU ' �� O�` m § t i I ' p1.a PWeN aex1D NF♦ �3 --- - £ '•2" 4 12'•6114" 9'•69!4° Vk b E 9 ' O7NfON10Ne TO DINRN8ION81'O nv1VmBDa IDAN uvremR,ox ROAN � 4 11'•8" 8'.10" E2'•0" i 601.6" o g B1JILDEH:SPEEF-BAST CONSTRUCTION RsViStoNfi not'&COA'MAMMWNRRTO RR MACOUMCTDPALL y 55 BUILDERS RESOURCE GROUP MATBIUAI.BRBLYMIG'ttONe.DiNB'N810NB,D%tONB AND ROe ALL ARRwcau COURCONPLIANCRTO LOCAL CUM URTTNRRMULTBYOURXPRCT WW6:DROR0UP•INCC0AI 0MARR RR80URM OROUPIB NOTREWONRIDLR FOR ANY a PROJECTI"THE BRADF.N OY" 122HAGENDR" PHONE:718.888.4781 NNBN:OORiNCORRRCf MRORNA"ON, WOODVILLG M.64028 FAXr 9]8.888-4788 BUfLDBRRR88DUR060WUROWNBALLBN)HTBAMWPY11 P" OTTHIBDMMN(1.ANTOWLICATR)NB OR TNIBDMWINO fB D.I.RUA4 n� , 1B'•B 8/8" r m -- ®rill m ((�� O EED31 [ x ®®11® El 11 8 � x 8 � z F J, 0 -- - 4 >3 - F---d B'•1 118" 1'•B 114" N BUILDER:SPEER-RASrCONSTRUCTION RKMIONN BUILDERS RESOURCE GROUP "°"COI�BAMrox,B�„M"vsB ACCexA�9WF MATxxNL.BPxIR8:0AT1ONB,DMRNBIONB,D8810RB AND FORAM p tl APPUCABLx000R COMPLIANC81D WO OODU O OETT719REaOLTBPOusRPRCr *NM1P.OIanovP•INCCOM Bun.ORBe Rxeovsesaxmm,B N ROPOMMLx FOR r1 xB PROJECT.-THE BE ADEN M$" 162HAORNMM PROM 9IB Be&t9Bl �NODRtmwxBCCt INPORS MN. 6i I y *OOOVA.LN,*7.$4088 PAX 97I 8884988 BUWDRR.IRRBDURCROROUPO"ALLRIOHTB AND COMIORTO OF MDRAWWO,A MndCfiTIONSOFTMDRAWMIBHASOA