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Home My WebLink About020-1380-37-000~~~~ ~,~..~ ~ ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4686 Tuesday, August 21, 2001 Sam Miller 659 Packer Drive Hudson, WI 54016 Regarding septic inspection for Sam Miller. Dear Applicant: Location of Property in St. Croix County: Municipality: Hudson Township Subdivision or Plat: Homestead Certified Survey Map: Lot: 37 Address: 659 Packer Drive A septic inspection of the above reference property was conducted on August 16,2001. This property is located in the NW 1/4 SW 1/4 of Section 11, T29N R19W, Homestead (Lot 37 ), Hudson Township, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant fora 4 bedroom home. If you have any questions regarding this, please contact our office at 715.386.4680. Sincere ~ ~ J n Sonn g ~ ~~„ r ,~,~ Zoning Staff cc: file - ...~ _ - _l ~" vwsowt~t oepartmer>< of Comner~oe bmtegr arvd BlAldirlps Oivisiolt GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT Prrsoneil lntormalion you proace may oe usea for seoaWary P~P~ IP~~Y law. x15.04 (1 xm)j. m s Name: City Vi age Town o Hudson Townshi E 1"sp. BM E v.: BM Desu~pt ~~ t 6 TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic / e Z ~O on Holding TANK SETBACK INFORMATION l~ TANK TO P/L WELL gLpG, Ve"tto Air Mtake ROAD Septic > ~/ `R' ~ SSA NA NA tion ~ NA Holding SOIL A~ORPTION SYSTEM ELEVATION DATA ou"ty: St. Croix Sanitary Permit No.: 384160 State "10 No.: Parce Tax No.: o- 3~0-3 -000 STATION BS HI FS ELEV. Benchmark 9. Bldg: Sewer e = 9~ 3 3 Ht Inlet ~ ~~' 90. Ht Outlet ~ 2 Z Header /Man. ~ Gist."Pipe , ~J 4• s~ sue' Got. System ~ /i;a:? d- . 3 V Final Grade R , OU ~'y ~-p cover ~ 9.~a Gf ~ .J~L / I l~ I/ ~ ~ _ J _ ~ I 6E0 / EN Width , Length ~ No.Of~ enches PIT ~ No.Of Pits Irnide Oia. l"puid Depth ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STR LEACHING ~ ~~ ~"S durer: INFORMATION ype S ~ J ~~D~ Z ~ ~ ~_ ~; j - T a Num r: ~ ~ ~ r ystem: (4~ DISTRIBUTION SYSTEM Hea er / Mani of er Oistributio" Pipe(s) ~~ x Hole Size x Hole Spacing Ve"t To Air I"take ~ ~ t.ength ~ Oia. Length ~~-rDia. /~/~~ Spaci" 9 `' ZS SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center ~ Bed /Tre"ch Edges Topsoil ^ Yes p No ^ Yes ^ No COMMENTS: (Include codediscrepancies,personspresent,a Inspection #1: ~//` /O( Inspection #2: / / Location: 659 Packer Dri~ve/,, Hudson, WI 54016 (NW 1/4 SW 1/4 11 T29N R19W) - Homestead -Lot 37 1.) Alt BM Description =~`~r~holc Cdurv ~~Utv~ ~i,ce~ 3~ S~avc-~•,,. ef~ «.s~orc{~ 2.) Bldg sewer length = 3S' ~ -amount of cover =~(,' \ ~ `+ ~~-~w`'~~ SysF~,„ ~ ~Sc sy 5-qty,., e(,r Ga. wets G ee, f ~ `~~ ><`~ 3-)d~sc~rV~-~~ ~P;~`5 ~~sf~ll~d ~w 9rad~ L''~ r( y Plan feVtSlon f Ulr~~-~ TeS O Use other side for additional info a 'on. S8O-6710 (R.319~ Date Inspectors5~ ture CM. No. PUMP /SIPHON INFORMATION . Suety and Buildings Division ~O®`r Z01 W. q-ssttiogton Ave.. P.O. Box 7162 5 C-~('~ isconsin ~ )vladtsot-~ ~ 53707 - 7162 ~ ~~ r~ D R.. De artment of Commerce ' ~_ Saniary permit Number Sanitary permit. Application `~ _ In soeoed with Caaim 83.21, Wis. Adm. Code, peaossl ' ~~ ` ~-~' ~ Chect Ae . . ~ u~ ~ Pri Iiw si3. Stsoe p~ 1.D. Number i ... L Apgication Intocrosdiou - rled. Yrlot Au Wormadon ~ 2~~, ; _ ---' - .,.~-- ~ ~, parcel Number Propeept Oaorr's Name / ~ ~, ~` ~ S~~~l ~ ~ ~ D2 D -', jgO ~ ~~J "' GS O l5 C ~~~y ~...~/~ • ..7r-.Y 1/~ ~_ i ~ Addrem ~ ~' ~' ' ti ~t ~.iuo~ ,~'-, , ,: ti Carl ~ Sw ~. S ~ ~ T z~ N R I ~ B ~~ r/° // ,..~ / 1 ~ i /~ ~ Code l.a Number 3 7 Bloct Number aqr, sw. Subdivision Name CSbt Number n'ryp. or stmabu (~ an that app4) ~`'' a 2 Fsmity DMdlio6 - Number or Bedrooms ,_,~. Village t~ D e ^ Publlc/cammercW - ~acrib• U'e ~ Nesrat Aced OMaed ~~ `~ ~" ~' ~ ~ ~ scheme for Internal use). Complete line B U applkabk) ~ ~ Pettoslt: (Check only one boat on line A (numbering of 6 ^ Addition to ~ Carrnl7 me ~' 1 ~Piew Z O ~~ T,~ ~ ~ rem Permit N r Date Issued a. ]~t~ect d sau.rr permit pteviousb lswea ~ ?~ iv.'lype or harmle: KLedc all thac apPly')(numberingJ scheme is [or mternat use) 30 - l3 t b D' {~u S er"" / ~ - F,~ c ~•[ 21^ Mound 47 ~ Sand Filter SO ~ Consomcted Wetland "r`~Z,Q,~te,~ ~ -Ptenurtzaed b~ ~~ 41 ~ Holding Tent 48 ^ Siogle Pass Sl ~ Drip line 22 ~ Ptrsatrised In-tir'ouod 30 ~ Other 45 ^ As~3rsde 46 ~ Aerobic 'lt~eamtent Unit 49 ^ Rec' V. Area Intormstion: Percolation g~ System Elevation Final Grade >~ (~ Dispersal Area Disperal Area Soil Application Elevation y~,,;~ proposed gia((Ia1s./Days/sy.l~t.) (Min.l[ncb) ~ 40 ~ p o in Tdat Number Manufacturer Prefab Site Steel FOr~ Plastic ' VI. Tanlt Into allow ~.~ Concrea Cott:<tttcted New psiMias Taab Tsahs Ssptk ar Holdin'[Lek l ~. ~ ~ 5 i~/ bill Statement- I, the tsnderslgtkd, assume respoodb0it7 for installation o[ the POWYS shown on the attached plans. VII. Mp/MPRS Number Busieess Phone Number plumber's S' pbmtber': Name (i'r~ ~ ~~ f ~' L Z :, ~ . ~ ~ 3~ G . ~ b `/ 2.~ ~ k~.- ,~`~~. Oar ci</ ~~ ptimtber's Adateaa (saw. ~Y. Sure. ~ code) ~ ' ca'7 b w4v ~~ ~ r ' ~~ ~ ~ u ~~'U ~ ~ 5 `}d l-6 Vm. /pe eat Use O Date Issued IswinB Agent Signature (No Stamps) Saniary permit Fee (includes Groundwater Approved ^ D~PP~ed a Pee) DtrDermimtion Imtul Adverse ~~~ CTS 13 2C0 ~JI~M- ~ lt. caoatdon: oe pro~vauBetts~t,w ~~ P~'°~ D ~ s,,:,,Q co~4~ ~t,QP~.re,d~ °v~ tY S~Z`'^ g slr°~ Pt,s~ - ~ le,~.s-t- 3~ ~ s s~ ~P~~~ , ~1 t I S b . ~ ~ ~ us ca,.t, ~ ~ l~C~-~- 11 la.iae ~p~ SAS-6398 (R. 0~l01) ~~-^~^-~- ~ ~2./isioh ~ l~¢rr-1~~ ~ ~ ~ 5~~-~ ~ 1, = ~S~S goo ~ i ~itil~ C~2.~- I~~O-37- p~tJ n. '` ~~ ~ ~ a ~ ~ ~ a w ~~ ~ ~ ~.°~ v1 ~~ a V7 - _...J Q__ 6, y I~'A~ ~! E2. Dom, ~._ / t ~ ~~~'~~ ~ z. ~ n ~ ~. d, aT ~t!/tom b c.. Cj o p . ~t<i ~7~~ ~ t \ G/- t3 E ~ ;; ~_ _ ~ - '1 ,.,,. i ` 1 I ~ ~j ' I /~ +~ l ~ _ /oa, o~ ~ B_t ~ P y~ ~. ~ ~~~~~ °~ ~~'~~ ~ ~- ~~ ~y ~ -3 ~~ ~~ r-- ~. R T \ ~, 3- z,, i ~,.~`~ 3 7z, ;'; -~-- c~ rJ ~,. t~- ~ ~ ~, ~~ a 5~~ /~~IGG.~~- ~o~~' sT~"~1a ,~aT~ 3~ ~Sy ~'A~~E2 Dr, ~2. J i 5 ~ o h -- l~¢ ~ wi ~ "~ '~ ~ 0~'ZL-vt-~-.c ~~l ' `cr/„~, ~,~,,.~/ ~ Z Z. S" off,, ,~ r rl ~ C:~ Z. D - I „~~ ~ O - '3'7 - ~ c~ CJ 1 ~,,.~' ~ ~~ ~! a ~ ~ "~ l~ ~ a ~El , ~- Q °` ~ ~- ~r ~ ~ ~ .. ~y a ~j v~ ~.i h ~ T W b L l a k1 ~~ ~z_~n ~~~, s ~~ It o r~r /f~/~ ,, ' ~ 13E~ 7~ + \~~ ~ .. ` ~ A /1 ? t?t ~ ~ b(~ ®~ ,J~aL~~di1~~l ~~~ - ~ ~AQrkF p ~ ~ /~rvF E -3 r--- \\~ ~, ~b 3~ ~ ~ 13- z lilt rJ ~a. ~ ~~ ~,'~r ~ n~,~ N X (~~' ~- a f L Wisconsin Department of Commerce SOIL EVAL TION REPORT Division of Safety and Buildings ~« anm:r.~a. ~~ ~~~ ~ ~~ 1438 ~ 1 of 3 AC.E. Sal 8 Sid Evaluations Attach complete ske plan on paper not less the 8'h x 11 indres in size. ~ -fiust ~ C~ ` ' ~ R`'.' ` ~~ "•~ St. Crobc Include, but not limited to: vertical and horizontal reference print (BM), and I o- percent slope, scale ~ dimemsions, north arro~rr~arrd~atiar dis nearest road. ` ~ • 028=X380-37-000, ID#11.29.19.2363 Please prfnt,af! frrfonmatyon. ` , . t ti' , , ~ , Pecsaial infatuation you provide may ~usad fm secoed~y P4 (Privacy , . .04 (1) (m)). ~ '~ Val ~-, 11~q ~ i v v' /3 (~ PropertyOvuner ~ , ':'` C~C~ , ~' ~ ~ ~ v y 9 ~~`~~ t` Miller, Sam ~ ~ W NW 1 SW 1/4 S 1I T 29 N R l Property C+wr>er's AA~lirrg Address ~ L:ot # ~....`._ _ Block # ~~ ubd. Name ar CSNMI P.O. Box 151 ~ 4~,`, ~ s ~~, 37 _ 1st Addfion To Plat Of Homestead City State ~ Code PhWZC ~ City _J Village ~ Tam Nearest Road Hudson ~ WI 54048 ) 386-2789 Hudson Packer Drive U' Naw Constnxx;ttion U~: !~ Residential /.Number of bedroans 4 Code darin~ed design fkHV rye 600 GPD ~ Rapla~nent ~ Public or carrxrrercial - Describe: -- Parent nrakerial Glacial outwash Flood plain elevation, if applicable na General comments and rex~ommendatio ns: Install 2 trenches at 3' x 93.75', 30 High capacity BioDiffuser infiltrator chambers at 88.00 '. Replacement area identified on previous soil eval. report ref.#1303. Borirg # ~ ~~ ' > 143" in. r Pit Ground Surface elav. 98.04 ft. pepth to limiting factor ~ Apples Rye Horizcrr Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft: "Eff#1 1 0-21 10yr4/4 none sit 2msbk dsh aw - 0.5 0.8 2 21-34 10yr514 none os & gr. 0 sg dl aw - 0.7 1.6 3 34-91 10yr6/4 none s 8~ gr 0 sg dl gw - 0.7 1.2 4 91 14 10yr6/4 none s 0 sg dl - - 0.7 1.2 g 1a . a ~ S~- c Existing original g prior to soil evaluation to allow access to soil at 3' beloww proposed system elevatia'r. ' 1 ~ ~rw: ^ Bonng # ~ Bonng /J Pit Ground Surface elev. 97.79 R pepth to limiting factor > 139" tn. Soil Application Rye Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DI(t= " ff#'1 `E 1 0$ 10yr4/2 none sl 2fsbk mvfr aw 2f,1m 0.5 0.9 2 8-21 10yr5l4 none sit 2msbk dsh aw 1 f8~vf 0.5 0.8 3 21-77 10yr6/4 none s 8 gr 0 sg dl gw - 0.7 1.2 4 7 3 10yr6/4 none s 0 sg dl - - 0.7 1.2 -- --- . ~ 8 . ~ ~ ~7` ~ o.,L ~f 'Effluent #1 = BOD y> 30 <_ 220 mglL and TSS > < 150 mg/L ' Effl - D < 30 ~ and TSS <,.,90 rrrglL CST Name (Pl~se Print) S' CST Nurrrber James K. Thompson -~ 3602 Address AC.E. Sal 8~ Site Evaluations Date aluation Conducted Telephone Number 340 Paulson take Lane, Osceda, Wl 7/17/01 715-248-7767 ~~~ _~~_p__. -u.c~ • properly Owner Miller, Sam _ p~ lp ~ 020-1380-37-000, ID# Page 2 of 3 goring # J Boring rd Pit Ground Surface elev. 98.04 ft. Depth to limiiti~rrg factor > 140" in. ~ gpplir;aticrr Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots p 'Eff#1 `Eff#2 1 0-16 10yr4/4 none sit 2msbk dsh aw - 0.5 0.8 2 16-30 10yr5/4 none cos 8~ gr. 0 sg dl aw - 0.7 1.6 3 30-63 10yr6/4 none s & gr 0 sg dl gw - 0.7 1.2 4 - 40 10yr6/4 none s 0 sg dl - - 0.7 1.2 ° • $ $ --- Existing original grade cut approx. 3' prior to sal evaluation to allow access to soil ~ 3' below proposed system elevation. Boring # ~ Boring ;J Pn Ground Surface elev. ft. Depth to limiting factor in. ~ APPS Rete Horizon Depth Dominant Color Redou Description Texture Stnrcture Consistence Boundary Roots 'Eff#1 "Eff#2 ^ Ong # ~ Boring _( Pit Ground Surface elev. ft. Depth to limiting factor in. ~ q~~ce Rate Horizon Depth Domin~rt Color Redox Description Texture Structure Consistence Boundary Roots 'EtT#1 "'Eff#2 ' Efflrrerrt #1= BOD g> 30 < 720 mglL and ?SS >30 < 150 mglL 'Effluent #2 ¢ BODE <30 mgA_ and TSS <~p mglL The I3epartrnent of Commerce is an equal opportunity service provider and empbyer. If you creed assistance to access services or need material at an alternate format. viease contact the Bert at 6118 26Cr3 t S 1 ar TTY 6t)8-254-8777.. (~~, 3 of 3 ^ so./edQ/uaE, /?- ~ C~2dct~on p~ ~ S c.a /e.: / = sd /o t 3 7 / ~-~/l~,'b'~ ' P/dt a{ f/or-es~ eao SQC. ~/, T~, off' f~ucls 9B.o Con~oar 99. o' ~oo.o decX ~~ ^ 83 ~^ eu~3~~ fcS~dence ~~~~ ^ Q2 ru~-~ ~ ~ Tpo~'Cd,-,c~~lz~ 6/out: Assu.~rtc~l elect.' = ioo.tb.' ~~ ~~. 3j-Z. i~ . Red'. '~ / y.3 ~~ ~ S~ ~~~ ~ Sanitary Permit Application ', Satety & Buildings Division 201 W. Washington Ave. ~ In accord with Comm 83.21, Wis. Adm. Code PO Box 7302 . ~~ ~ See reverse side for instructions for completing this application Madison, Wl 53707-7302 sCp~$ ~ Oepertment of Commerce Personal information you provide may be used for secondary purposes s. 15.04(I)(m)) [Privacy Law Submit com leted form to coun if not ( r ty , state owned. Attach com lete tans to the coun co onl for the s stem, on a er not less than 8-1/2 x l 1 inches in size. ~~~ State S ~ I ,PO it Number ^ Chxk if revision to previous application State Plan 1. D. Number A lication In ormation -Please Print all Information I Location: . Property Owner Name Pro~perfty Loc~a~ti/on q S ~~ ~ R~ B o ~Y~'il /4~w1/4 N rn L~ ~ , , Lot Number Block Number property Owners Mailing Address f3,pX ~ /,SI Zip Code Phone Number Subdivision Name or CSM Number City, State /~L D ~o ~ ~~ s yap ~ 38~ z7G y Har-~-~57',p~.D II. Type of Building: (check one) s :~ d f B N ^ city ^ village ' room e o. o ^ 1 or 2 Family Dwelling - _ ~_ 3 k 9 3, ~ S ~~t-~cNp~ ~1 own of J luOCd J ~[ ^ public/Commercial (describe use):_ ~ ^ State-0wned N es Road ~~~E'.~-~ Q I dom.. ~/ c~ ~) 3 ,/' / 3.7 ~ / ~jh~ .t /u ~ ~' dr"S ^ ~ ~ •~ ~ C' H{~O / Parcel Tax Number(s) III. T e of Permit: Check onl one box on line A. Check box on line B if a licable 5 6. ^ Addition to A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. Existin S stem S stem S stem Tank Onl Permit Number Date Issued B) ('a A Sanita Permit was reviousl issued e of POWT System: (Check all that apply) 30-•G s T IV d tl d W yp . an e ^ Sand Filter ^ Constructe ~~Q'C~ ^ Mound ressurized [n-ground /t, Non- Li i ^ D , p ne r p Pressurized In-ground ~ s ^ 1 Tolding Tank ^ Single Pass robic Treatment Unit ^ Recirculatin ^ Other: 7 ^ A X ~~ • e ^ At- de 'Z.-Titi~AK ~ S V. Dis ersal/Treatment Arca information: Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area .L 4. Soil Application 5. Percolation Rate 6. System Elevation Elevation ~e 1 . Required~Z Proposed ,~"r Rate (GalsJday/ q. ft.) (Minlinch) ~ :9900 1v3,~° pC> Apo 53'7 .~ /,z - ( -, VII. Tank Capacity in Total # of Manufacturer Pre! ~b Site Steel F lass Plastic Con- Con- g ' ' anks T Gallons dallons Iuforn-ation Crete strutted Ncw Existing Tanks Tanks ^ ^ ^ ^ / Z40 w~ ~S >c~ ~Ze~ le»b fIIG ~'!tr VitI. Responsibility Statement 1, the undersigned, assume res onsibili ~ for installation of the POWTS shown on the attached tans. 13usincss Phone Number ' /h1PItS No. a 'numbers Name U~rint) 1'lu r' ignature (n cps): t,11 ~' ~ O ~ 3~G l~l ~ ~ ~ ~ f j ` . 2 Sa rlun,bc rs Address (Street, city, stag, zip code) IX. County/Department Use Only Date Issued Its 'ng Agent Sign cure (No stamps) Sani Pc!mit Gee (Includes Groundwater ^ Disapproved ~' Approved ^ Owner Given Initial Adversr. Surcl ge Pee) ~ ~ ZBO'l ~ 22S • Dcten tion , X. Conditio ~p{}~gvyll oasons for disapproval: ,/1 /A/ - /^' ~~~/~ ^~f~ C J~~ J 3..-....Z~..:~.`A r J `T ~ EVIL o (}'~ /r~{A.t,llw-~`~- _ C ~ r T - ... ~ l ~ [~ i V //t-~o~~~ '~ ~~C~1y~ ~ -E-d-`'~ ~~~`~`~ t ~ ~ ` ~... ~ ; v ~.~~.:~ m 1 ,.-'~, GOUN'fY ~, c ~ zOAIING OFFtGE , ~;' ~,.. __ `~ . f ... , . , ~, , sfd~ ,/~>O~L~e2. ~-/o~~~E STFo~IV ~Co7 '`'~ ~ ~ /~'~~ 9 r~4~1~/t UK.~ ~,+~ ~~5 ; ,;.~ srt4.. VY~ E l ~. ~j 5', 00 ~ "s c A~ 1. E j ~ ": / p ' • !' a ® ~~ d ~ r ~1 , ~ 93~! ~~ ~~ ~ ~~ !~4 ~ ~ 1 3 ~~ ~ ~~ ~ I S _ ~` ;~ I 3 3 i ------- p „ ; SQt I 9~ ~.-- - _ ,~ i ~- ~~ n~ TQ~~ s a 1 ~~~~~ ,!'' 1; i ' / ,~ ~/ •;! ?. / i1 f' i ~ I t`t 3' 6 Z ~ ~ ~. s t ~T37 •x.31 ~G ~. ' `~ o P ~ .. aa' A~~bQr ~r P~ ~ ~~xc~ [a ~ ~.~ f~ ~~ sa 3 ~~„ _- _-_ ~1~ ~~ y~ a ~~~ ~~~ a-TiQ~Ncn~g ~ ky '3p-C rhAM$~s~ 'T-o'ra- ~ Z (.o X64 L 5 ~' ~~ W/ ~` / LTA 2 i ~ s ~5~~ t ao' t T %. ~.~..7 -}, A\ , '~0 ~ ~ ` ' !-~ ~~ y; ~~ __ _~ _ s~ n~ tilt t-Ea~L. ~-/a~r~°i~ ~T`~~~ ~Cc~~ ~ 3 ? ~~g t~/4cKE/L DR.r 4~~' S-~3 7,~' ~~ ~~ ~/ ,~' ~, ~. v~ °'r`62~'NC M~ g ~ ~ ~~~ b y~ •~--~..'.~. 1 ao ~ t T i''i ®~ E -~ ~-c r+~1Mn~s ~j'7S t'~Z ceo ~~}L s 7~ ~~ =~ ~ ~ ° ~ 93,- ~ ~ ,~ ~~ ~ ~ ~ ~~ 4 ' "' 1. a ~ ? ~~ ;~: ~ ` ~~, ~ ~, 3 ' 3 ~~;Dr E-- yO ---~ t~'IY'~'I~ ~,5 ~ ~ v ~'~' ~. > f ~~ ~. ~T37 -~ . 31 ~}~ ._.,. d °`.b~ r ~AQ~~ 1 a~,~~' p2i/~ vvriY ___- _--- t ~~ ~ i Ny ~~ ' ~ ' r' ~~ Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in ~rrnriinnrc wi}h r"rvnm RF Wic ArfT C:n[fP. 1303 page 1 of 3 A.C.E. Sal & Site Evaluations County Attach complete site plan on paper not less than 8'/: x t 1 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and ' Parcel I D istan to nearest road. percent slope, scale or dimemsions, north arrow, and loca ~ . . 020-1012-40 ID# 11.29.19.548 Please print all info a 'o~ ~-' -~~ ,, ~ ~ , eviewed B ~ ~ Date Personal inforrnafron you provide may be used for ` rposes (Pr~cy Law, s. 15.(1) )). _~ ~' Property Owner Property a;ation Miller, Sam ~~=' ,~/ Govt. Lfif: ~ NW 1/4 SW 1/4 S 11 T 29 N R 19 W Property Owner's Mailing AddrBSS ~..__ ~ c, t:' ~ ? j r. # Block # Subd. Name or CSM# P.O. Box 151 ~ - . i, - ;,, 37 ~. 1st Addition To Plat Of Homestead City State Zip C -Phone Nun~r~~ ~ "CttY ~ Village ~~ Town Nearest Road _ ~ , ~~ i ~, Hudson WI 54016 ~ - 715~~~~-2T~9 Hudson Packer Drive ~ New Construction Use: ~ Residential /Number of bedroans 4 _ Code deriv~ad design flaw rate 600 GPD `f Replacernent ~ Public or canmercial = DesCn-be: Parent material Glacial outwash Flood plain elevation, 'rf applicable na General comments and recommendations: a Boring # -1 Boring " /~ Pit Ground Surface elev. 103.40 ft. Depth to limiting factor > 132 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P D/ft2 1 0-9 10yr4/2 none sl 2msbk ds as 2f,1mc 0.5 0.9 2 9-34 10yr5/4 none sil 2fsbk dsh cs 2fm,ic 0.5 0.8 3 34-40 10yr4/4 none gr.ls imsbk ds cs ifm 0.7 1.2 4 40-86 10yr5/6 none s &gr. Osg dl gs - 0.7 1.2 5 86-132 10yr6/4 none s Osg dl - - 0.7 1.2 .fl 52~ •g a Boring # -~ Boring k" Pd Ground Surface elev. 103.13 ft. Depth to limiting factor >136" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP 1 0-9 10yr4/2 none sl 2msbk ds as 2f,lmc 0.5 0.9 2 9-27 10yr5/4 none sil 2fsbk dsh cs 2fm,lc 0.5 d.$ 3 27-32 10yr4/4 none Is Osg dl cs ifm 0.7 1.2 4 32-80 10yr5/6 none s &gr. Osg dl gs - 0.7 1.2 5 80-136 10yr6/4 none s Osg dl - - 0.7 1•.Z .Sb * Effluent #1 = BOD y> 30 < 220 mg/L and TS >30 < 150 mg/L uent #2 = BODS < 30 mg/L and TSS <,~0 mg/L CST Name (Please Print) S ature: CST Number James K. Thompson ~~ 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number Osceola, WI 54020 9/19/00 715-248-7767 Property Owner Miller, Sam Parcel ID # 020-1012-40 ID# 11.29.19.546 Page 2 of 3 Boring # J Boring Pit Ground Surface elev. 102.14 ft. Depth to limiting factor > 129" in. Sal Application Rate Horizon Depth Dominant Caor Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0-12 10yr4/2 none sl 2msbk ds as 2f,lmc 0.5 0.9 2 12-28 10yr5/4 none sil 2fsbk dsh cs 2fm,1c 0.5 0.8 3 28-32 10yr4/4 none gr.ls lmsbk ds cs ifm 0.7 1.2 4 32-82 10yr5/6 none s &gr. Osg dl gs - 0.7 1.2 5 82- 21 9 10yr6/4 none s Osg dl - - 0.7 1.2 x }3. Boring # ~ Boring - r/~ Pit Ground Surface elev. 100.74 ft. Depth to limiting factor > 126" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 'Eff#2 1 0-8 10yr3/3 none sl 2msbk ds as 2f,imc 0.5 0.9 2 8-12 10yr4/4 none ljI 2msbk dsh cs 2fm,lc 0.5 0.9 3 4 12-15 15-74 10yr4/4 10yr5/6 none none gr.ls s &gr. Osg Osg dl dl cs gs lfm - 0.7 0.7 1.2 1.2 5 74-126 10yr6/4 none s Osg dl - - 0.7 1.2 Boring # J Boring ~/ Pit Ground Surface elev. 101.31 __ ft. Depth to limiting factor > 128" in. Sal Application Rate Horizon Depth Dominant Caor Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0-15 10yr4/2 none sl 2msbk ds as 2f,imc 0.5 0.9 2 15-39 i0yr5/4 none sil 2fsbk dsh cs 2fm,1c 0.5 0.8 3 39-45 10yr4/4 none Is lmsbk ds cs ifm 0.7 1.2 4 45-92 10yr5/6 none s & gr. Osg dl gs - 0.7 1.2 5 92-128 10yr6/4 none s Osg dl - - 0.7 1.2 * Effluent #1 = BOD 5> 30 < 220 mglL and TSS >30 < 150 mglL * 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 ahernate format, please contact the department at 608-266-3151 or TTY 608-264-8777. P. 30{'3 • Ul /Q-Ei or- ~'Ek~ S~i~g ' ,erx~/ind ./ /(/ ., Sc~e: ~ = s~o' /ot 37 ofP•opos~d /l•~(dd.fc P/a,E o{' f+/o~n~~ca,ol~ fin. of //udSor, St. '4oi,r Co.~ cJ~. al 85 61 ^ ^ {,L ~6.~t.:ToPop'.3/y/~a.Ivan;iLt.s ~;pc a~E. ~'tnce cornea: Eler1.' = /f,~.ZG " B 3 G o/ ^ ~5 ~o~oe 3~nc.~,rrto-r K: rvpc/'3ip'i~t-bay'. Ass w,.„~ed c -ev~ = i oo. cep' ^ Sy ^ ~ BioDiffuser Specifications, -~~~~~--~ z~~3~ ~6• ~ T T 4' Knockout ~,, Universal End Cap ~x~ ~ '~ .. Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: System Design Specifications Sanitary Permit Number o Number of Bedrooms Design Flow -Peak (gpd) oO Estimated Flow -Average (gpd) Septic Tank Capacity (gal) ~ D ~ ~ Soil Absorption Component Size (ft~) 5 z ,~ b Type of Wastewater omestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absor tion Component Design Flow -Peak (gpd) Z -cep ~ Maximum Influent Particle Size (in) 1/8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 ~B, I ~ [Y9~5 ~'~' ~ Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se tic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet filte shall be cleaned as necessary to eass.tre rp oper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component :j .. filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the inferior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 .'. ~ , .,~ / ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~~1!~}1`" _~r%'~'/ l~L~~- Mailing Address ra ~ ~ ~ SJ Property Address (Verification required from Planning Department for new City/State t~Ld' ~S ~+ X/ /.~~~ Parcel Identification Number i F(;AL DESCRIPTION Property Location ~(-~ '/,, s ~ '/,, S~• ~ T Z q N-R-'~ ~~~Town of ~<1' ~ Sd~ _ ~bdivision /~~ ADD }-~nY11 ~ s~m~~ ,Lot # 3 7 ~ ~ ~ z- .5 `~ ,Volume ~ ,Page # 3 ~ Certified Survey Map # Warranty Deed # ~ ~- Z / ~ .3 ,Volume 50 ~ Page # y ~ ~ Spec house ~ yes O no Lot lines identifiable yes D no SYSTEM M.A ~ NANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes.. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterpltunber,journeymon plumber, restrictedplumber or alicensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requiremtnts and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to~the St. Croix County Zoning Office within 30 d~tsrof~the thre ear expr~~~n date. 'N'7 ~ SIGNATURE OF APPLICANT DATE '. •=:rDWNER CERTIFICATION i.; ~'(we) certify that sii statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) o the praptt'[y,. described abov , by virtue of a warranty deed recorded in Register of Deeds Office. ~.. SIGNATURE OF ' PLICANT DATE •+*+'• Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. •*"* •• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ,a • ~ S'T'ATE BAR OF WISCONSIN FORM 2 - 1998 WY R~~~~A E~C7~ Docunwnt Ntrrrber Nark D. F:DSencranz and This Deed, made between ._-- -. - -- - Christlna ILOSencranz, husband and wife, _ _._ ~- - --- - - - Grantor. and -Sam E. Miller, a single person, _ _ _ _ _ - ______ _ _ __--. • Grantee. Grantor. for a valuable consideration, conveys and warrants to Grantee the following described real estate In St. Croix J (,aunty. State of Wisconsln: /~~ 622 3 23 KATHLEEN '}I. WALSH REGISTER OF DEEDS ST. CROIx CO.t WI RECEIVED FOR RECORD 05-O1-P000 10:00 All YARRANTY DEED EXEMPT t CERT COPT PEE: CORY FEE: TRANSFER FEE: 900.00 RECORD]N6 FEE: 10.00 RAGES: 1 Name end HelWn Address First Federal. Savings Bank LaCrosse-Madison 201 South Second Street Fiudaon, Wisconsin 54016 020-1010-tSO; 020-1012-90s and 020-1012-10 __ - Parcel Identiheati0n Number (PIN) This >ls -homestead property. (Is) (Is nol) Part of the NE 1/9 of SE 1/4 of Section 10 and Part of the N 1/2 of SW 1/4 of Section 11, ALL in Township 29 North, Range 19 West, St. Croix County, Wisconsin described as follows: Colmnenciny at the SE corner of the NW 1/4 of SE 1/4 of said Section lOs thence East 2739 feet; thence North 610.5 feet; thence West 1419 feetr thence South 549.5 feet; thence west 1320 feet] thence South 66 feet to the point of beginning. Exceptions to warnntles: Subject to easements, reservations and restrictions of record. Dated this a ~ ~~''day of April 2000 AUTHENTICATION Signature(s) (SEAL) -~~!~ Q /4'ytn"r~ (SEAL) ~ RK D. ROSENCRAC (SEAL) / (SEAL) CHRISTINA ROSENCRANZ ACKNOWLEDGMENT authenticated this day of TITLE: MEMBER SPATE BAR OF WiSCt (If riot, au[horized by §706.06. Wis. StatsJ THIS INSTRUMENT WAS DRAFTED STEPHEN J. DUN LAP • 1 ~. ! `N~s~~~'~o t . ,~.'..__.. __... eft f . Hudson, Wisconsin (Signatures may be au[henticated or acknowledged. Both are not necessary.) State o[ Wisconsln, ss. St. Croix Cout, . Personally rame before me this day of April _, 2000 ,the above named Mark D. Rosencranz and Christina Rosencranz to me kn wn to be the person 3 ho executed the foregoing tnst tit rid acknowledge the r ~ L ~~~ Notary Public, State of Wisconsln My commission Is permanent. (If not, state explratfon date: ' Nanwc of person a~ynlna in •ny up•cey „.nr a typed « prinud Eelow ,hen siRrotarn. w~scansin r-eoy eanh Co.. inc. 5'fA'I'E BAR OF WISCONSIN t[ewe,~w wi• WARRANTY DEED FORM No. 2 - 199a HbME STEAD ~stAeD~TinN DOC*'L372S9 I~G~ 31 VDt. ~~ / ~ ~ EASr 1/4 CORNER r !!! SEC, tl, i7fN, RHw 3' µUHNUM •t:sr 1/4 MRNER 4!!~?ll!??[Q1,1!NR~ caNtr roraNlLNT SLCI101111 i.79N.-R.19r4 3• '~O wuNiT NE ov sECnON 11 yO1R1YENr EAST-WEST 1/ S89'43'OS'E 1315.40' A3N - - - .:Lse ~Y~~ j ~+•~)• -- e2s.12' -- se!•43•os'E 3yw.lo' I =q1~. . o~ "' OT 36 , I ~1 ~ !* ; LOT ]5 ° ~1 "+ 2.16 Ae. \ j3~3~ \®\ 2.07 Ae. $y lOT 34 ~_ ~: ~ 93947 sq. 11 \ \ 90344 sq. 11 ^ 3.21 At. ~ ~ ~ ~ _ ~\ ~~ ~ \\ , n 139935 s-4.7 Il ~ P a xlo7'e ~~~~• \ ~ ~ 1 ~l.To? P ~ ~ - ~ ~ / ~ ~ / ~ siaio~lY <OKFR ORi 1 \ oe-L ~ ~ /:, LOT 37 / / _ ~ / \ ~ NisyY 2.]I Ac. ~ / / ' ~ 1 ~ ~ ///I /~/~~ / I ~ / LOT 3] ~ 2.06 Ac. - ~ ~ / w)7•u• / 1 ~ ~ i ~ 89579 p. It s ~ i ~! of Is' ~ .!''3 I LOT 70 ~ 'i vl ~~~ $' A 1 2.33 Ac. ~ i 1 n 4 n ~ / 101344 >q. 11 ~ s,~ B[NCN PARK iOP O ~f~f e :1 ~?• 1' NON PIPC c ~ v /~ p ~ ~ 1 I / S Z ~° ~ bt [l[vA1KS1 • ssl4]' _ LOT 7• 'm ^r LOT 38 ~ I ~ ~,~ I / t0 ~` lOT ]t w LOT 32 '~t~~ wt7 uses OAnw ~ a ° • I i < 1 %1 2.01 Ac. ~ _ Z. ~' 2.33 Ae. ~i , FI Q ~ f 1 ~~° 93602 sq. Il 87460 sq. 11 Z - t~' z 101352 sq. It 7 • ~ ~ J •I I {,~ 6 l * u 569'35'43'E <I 569'35'43'E ~ ~ - ~ ' ®! 1 I \ti• ~,7~ 99.00' 6.22 _ _ 1 ' ~ ~Aa.e! ~ 192JS' - u.fe- - - ~k - - - -'~ 90i \ / '6 ~, LOT 29 2.79 Ac. " - u IW7S'14Y /N.SO n Np719't;7'L 1H. ; \ I • ~` Y~~r ~JS! 121520 aq. Il :.~..__ ~OLO HOPKINS P.~ACE!If,77'E 1J1.W !d~ \\ \\~ :t` ~3\ •ys^e~A Nw,r1.Y ao.ls• ~ ~ •+---- 1 !!•!t' ; \ \' r 2.94 Ac. R -. a- --~ \ \~ ~ \ [:s[wii+i ORAINACE EASEMENT \ sss• ~' 128127 sq. Il \ \~ T ~ Hwf 901.00 ,C `` \ ! w~Sr ~ ~ \ ~A 91 !4!!1'+3111 77l.4Y ~ ~ \ ' \1p ! O it v1 70' 011ANAGE EASLMENi O KE'R ` Ij \ `, .OT 6 1 = DRAINAGE ~riSEMENT ~ \ 7 <C r ~~ Is'~. _ ,~. to ~ITi D ~ ~ NWE = 901.00\ w~Yr• ~~ j 4 i!4' ,~ r42\ - \ \ \ ` ~ !!' ~~7"4 ~I_!f S49'30.OSY 504.14' 3 O W z = R l0T ]9 ~ LOT 40 k LOT 41 \ ~ \ ~~ \ ~ \ LOT 27 (~ 2.62 Ae. ~ 2.27 Ae. ~ 2.11 Ae. ~ ~ \ \ c 114244 sq. Il ti+ 96956 sq. It ; 91673 sq. 11 ~ \ \I 3Y I\3 \I ~ 1.20 Ac. z Q ~~~ O t 1 182.946 sq• 11 1 0 lif : I \ ~.'--R ~ ' ; ~ I ~ ; I crs~ • ~ BLNM MARIE 10/ O7 ~ j ~ ' I ® 1 /~' NON /IN LlLVA00N • N404' 1477 U1109 OAIUM I i ~ I +~ i I r'S4'w fOUTM .CIW 1/4 - iW 1 4 OI tiECT10N 11 N69'3643'W 1{12,6] / \ 33' 33' st pO11N[R ~ f01R10 MONINENi Af 1107[0 \ NAI!,~SlE.H2.leRQ!?!a'! / ~ ~ ~c sw eoRNER Nw 1/, a feu \ N12ME.SIEIIR.DA4l?IS2N I oli I LoT e• / 144N. M4W fM 1/4 \ \ ,~ I \ LoT 7 AONIAILNT ~ ul / l0T 14 \ ~