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Home My WebLink About020-1393-19-000~ r''~`,,N,,~. /' .w~dr' 1~ _ .. _._.. __.. _. c. . _;;; / ~~ M}IIN~M^ Tuesday, March 19, 2002 Dan Beer 871 Charlie Ryan Road Hudson, WI 54016 Regarding septic inspection for Dan Beer. 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 Location of Property in St. Croix County: Municipality: Hudson Township Subdivision or Plat: Moonbeam Ridge Certified Survey Map: Lot: 19 Address: 871 Charlie Ryan Road Dear Applicant: A septic inspection of the above reference property was conducted on December 21,2001. This property is located in the SE 1/4 SE 1/4 of Section 12, T29N R19W, Moonbeam Ridge (Lot 19 ), Hudson Township, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant fora 3 bedroom home. If you have any questions regarding this, please contact our office at 715.386.4680. Sinc rely, Kevin Grabau Zoning Staff cc: file Wig~onsin Department of Commerce PRIVATE SEWAGE SYSTEM SC~ty and Building Division INSPECTION REPORT G~N~RAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ermit Holder's Name: City Village ~ Township Beer, Dan Hudson Townshi ST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic 1 I f C,. ,~ - ( Dosing Aeration Holding if TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~ r~ J / Dosing Aeration Holding PUMP/SIPHON INFORMATION to County: $t. CrOIX Sanitary Permit No: 399619 0 State Plan ID No: Parcel Tax No: 020-1393-19-000 ELEVATION DATA STATION BS HI a3.7~t FS ELEV. t ~i. Benchmark ~ 2 ~ r D ~,~ i ~c Alt. BM ~ r ~0~. Bldg. Sewer S3 9°t • 2l0 St/Ht Inlet 5.(Z f 98.6 SUHt Outlet 5r 3~ 96.5f`( Dt Inlet Dt Bottom Header/Man. ~• ~ •~/ R Dist. Pipe .2 Bot. System Final Grade ~~O [~ .~9 / st Cover '~ $~ 0' q } ~ SOIL ABSORPTION SYSTEM ((~ ) ~u,,,,,,, ~.a..Y BEDITRENCH Width Length No. Of Trenche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS '3 t ~~~,~'~ ~Z SETBACK SYSTEM TO P/L BLDG WELL LAKEISTREAM LEACHING Mant~agtyrregl ~ S_ ~~ INFORMATION CHAMBER OR }. I~e~~ ~CW.~ Type Of System: ~f ~ ~ t ~ ,~~ UNIT Model Nu ber. DISTRIBUTION SYSTEM Header/Ma ' Distribution x Hole Size x Hole Spacing Vent to Air Intake t( Pipe(s) ._. - .L ~~ f Length Dia Length is Spacing _ SOIL COVER r Proe¢nra Svstam¢ ~nlv YY Mnuntl Dr At-Grade SVStem3 Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil ~ Yes ~ No ~ Yes ~ No Ps; K~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ 2 ~ /~ Inspection #2: -t-T~ Location: 877 Charlie Ryan Road ~HudsQQo,,,n~,., WI 54016 (SE 1/4 SE 1/412 T29N R19W) Moonbeam Ri Parcel No: 12.29.19.2392 1.) Alt BM Description = ~°'~ ~'~~~'~^""a'^'~'~ ~~ 2.) Bldg sewer length = Z ~ q` 3, - a ~ u/ nt of cover = 2 a} , ~ ~r ~ ~~.~,,, ~~,y~,W . l.Sot,.Se ~ / ~te-~~ ~ ~ ~f Plan revision Required? o , ~• ~eI t Use other side for ad ' io orma 'on. S~7'rl Date Insepctor's Signat re Cert. No. SBD-6710 (R.3/97) - ~.R~"~'' ~ /~ _ ,6~ ~ - ~~`~ "'-=---•, Safety and Buildings Division County ~ j ' ~ `-~- - 201 W. Washington Ave., P.O. Box 7162 J ' ~ /`+CO~~~~ Madison, WI 53707 - 7162 Site Address ~°~v ~~ ~~ ~~'r~l'~ ~ De artmentofCommerce ~ + Sa"'~'~' Permrt Number Sanitary Permit Application ~_ C~ ~ ~~ ~' , In accord with Cotttm 83.21, Wis. Adm. Code, personal information you p~s¢e ^ Check if Revision , ,, ma be used for second ses Priva Law, s15 1 to A lication Information -Please Print All Information % ~ I S Plan I.D. Number . ~ - -. P v °t , `.5 , 9 Property Ow~r's Name .l v~ v, ~ Number / . / ~ /~ ? 7~j ~/ ~,- - J / Property Owner's Marling Address c 4 °' " ~ ~~, : ~ ~ t t1 ~ Location , ~ ~ ~ .. ~ ~" J7~ ~ 54 ~ S L~ N, I4 City, State Zip Code )?lone Alum ~, ~~.. \ bo umber Block N ber ~ ~ ~ `-~ "'~ ~ ~ ~~ ~ s. ~ Subdivision Name CSM N ber 7 ~ S~IU 1 ~~ ~~ ~ ~,.~ II. Type of Building (check all that apply) ~ ~~ OCiry 1 or Family Dwelling -Number of Bedrooms ^Village ^ Public/Commercial -Describe Use ownship U ^ State Owned Nearest Road p.~y ,/ UGC /l 'i C III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Com to line B if applicable) A 1 2 ^ Replacetent System 3 ^ Replacement of 6 ^ Addition to For County use stem Tank Onl Exis ' S stem Permit Number Date Issued B. ^ Check if Sanitary Permit Previously Issued l:V. of Permit: (Check all that apply)(numbering scheme is for internal use) n -Pressurized In-Ground ~I^ Mound 47 ^ Sand Filter 50 ^ Constructed Wetland ^ pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatmem Unit 49 ^ ReciYculating 30 ^ Other D' ersal/'h~eatment Area Information: ~ Gha V tnybC g ~' ~ (' - ~ c ' . Design Flow (gpd) Dispersal Area Dispersal Area Required proposed n Final Grade Soil Application Percolation to System eva Ra Gals./Days/Sq.Ft.) (Min./Inch} Elevation VI. Tank Info Capacity in .Total Number Manufacturer Prefab Site Steel Fiber Plastic Concrete Constructed Glass Gallons Gallons of Tanks New Existing Tanks Tanks Septic - ,~ Dosing Chamber ~j .~ ~ /4`~ VII. Responsibility Statement- I, the tmd a respo 'bility for installation of the POWTS shown a the attached pleas. Plumbe/r's Name (Print) Plumber' cure MP/1vfPRS Number Business Phone Number Plumber's Address (Street, City, Stan, Z' ) ~ S ~~D17 ~ / , ~~,~ ~ .-moo ~~ , Count /De artment Use On! gent Signature (No Stamps) g Sanitary Pernut Fee (includes Groundwater Date Issued Issui n A Approved ^ Disapproved Surcharge Fee) ~( / / ` ~ ~ (~~/`- / ^Owner Given Initial Adverse t( Z25 { bpd /~- ~(~ 'L~~ Determination IX. Conditions of ApprovaUReasons for Disapproval ~{1, 5d1, ~dvti~ ' s Systc~~t-~a#l~rrt S_ t ~lt.F'~I,.a.-~--~ 1~,nr w+v5+bc i~rsiwll~l a~cQ,an.aivt,~4r,.ihtel Pep' man~.R-~~c.v..o~. Z) wtaMi~~v~ ~ ll ~ w~,-k,,, l i~.t.c S~(~~c. ~s p ~ ~ ~o ~ rn ~•3. ~! 3 /~) ~ . ~i'~ A[rYL:n comp~ae pupas lw Inc a.wu~~ vWJI av. u.c +y..~....... ri.~.......~. SBD-6398 (R. OS/O1) PLAN PROJECT David Beer ~'DDRESS 705 Co. Rd. E Hudson Wi 54016 S E 1 / 4 SE 1 /4 S 12 /T 29 19 W TOWN HudSOn COUNTY ST. CROIX ~...,__. MPRS Shaun Bird 226900 DATE11/17/01 BEDROOM 3 CONVENTIONAL XX~~ IN-GROLI PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .9 ABSORPTION AREA 514 # of chambers 30 ,BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 92.6/92.5 Plans Designed Using Vent Conventional Powts Manual Version 2.0 > 12" Sidewinder High of Cover Capacity Leaching Chamber Pro Tow 6' Long 16" Road 3 4„ Grade at System Elevation ~~O Pro 3 Bedroom House ~il1/i ~Z 20' B-3 5 , ^- " - -- ~ ~ Set Este nation ~- ~_ ~ ~ ~" `~ 3.5' Below rake ~ Ol 5' 2-3' x 94' cells with >3' spacing 30' Vents (v ~~ ~ B-1 30' ~ 103' Vents 0' °~~~ ~ B-4 45 SRS 12% g_2 % Slope ~, _ 55' 12' ~-~~' B.M. ~--- v~ * - Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ___~_ of Division of Safety and Buildings m accoraance witn Comm tsa, vws. iaam. ~oae County ~ ~0•fl 5 ( Plan must 11 inches in size t l th 8 1/2 l i l r . ess an x an on paper no ete s te p Attach comp inctude, but not limited to: vertical and trorizontal reference point (BM), direction and p~ I,p, percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ~C r ~ t^ Please print all Information. Reviewed by Date Personal intortnation you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ ~' r 2.-' ~ t7" p~ Property Owner Property Location .1. .~. y . '1' Govt. Lot 51= 1/4 51c ,/4 s ~ a T a~ N R J J E (or Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# City State Zip Code Phone Ntunber ^ Ciry ^ Village ®Town crest Roa R~~, O ~cPes~ID v ~ Syot (~JS )a9y-.~~ys E. v s ~, "Fats New Construction Use: ~ Residential / Number of bedrooms ~_ Code derived design flow rate ~S b GPD ^ Replacement ^ Public or commercial -Describe: parent material _~ ~ Q G 1 C., ~ D y t i,w.~ t.~. S IL. Flood Plain elevation if applicable tt. mentiatlons: M ~ S u5 5 ` s-F "~ ' S• ~ >~ 9®' TQENc ti ~ S Fo r~- ~G ~ c. Lr 5 . ~ ~. ; 91.3~'~ P~',w.~r.y . ,~,~ C t:t,s~') ~ C89,f~, Boring # ~ Boring ® pit Ground surface elev. _ ~~ ~~ 6 ft. Depth to limiting factor ~ a ~ in. Soil lication Rate riz H De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF o on p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 d- lay~~J,a. -- L aF62 r .S -~ 7.SyR~1 ~ S L d ~ 5k ~r G~ f , S . 9 7s yRy~y ----~-~ ~.S O -5 ~. l ,~F~ , ~ 1. ~ `~ `- is 7, s y2YJ -°-----` SL a ~5 k. M ~ '-' • S ~~ ~~ (•ltr Boring # I~n~1 Boring aa l~ pit Ground surface elev. _?5~ 9~ ft. Depth to IimiGng factor ~ a ~ in. ~A ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Etf#1 `Eff#2 I b•8 yQ~ F~ ~ -t. 3r. ° ~ ..~~ I ff~.z . ~.. , S ~.R N-r`i ~•. ` Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BOD _< 30 mg/,l and T ~1t~ ;;;; T Name (Please Print) ~ ~ ~ Signature ~~~ ^ ;~ Il~urrber v~- `T V umber a~Cy a ~ a oAAa{ ~ 5'~' lr ate Evaluation Conducted f:Ln d` ft'/-4.f"~: ~ h~ .S~IO~~ '" (S "d 7J ~ T ".3S O p t w r ~ , ~dt lq Property Owner ~C C®~ 1 rsya _ V V r'+~ ~S Parcel ID # r C ~ ~ ~ G --r Page ~ of y~ a Boring # ^ Boring Cj ®Pit Ground surface elev. _! ? ~ / ft. Depth to limiting factor ~ ~ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIff in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ b -~ y 3l ~ ~- a F G 12, wt rFrr- d F , S .~ /~-eZ~ 7~S~R2 Ir Ile:a.+y ~r,5bk. w-~v- Cw~ ~~-ya ~.s~,~yl --- .~ Fs~ k ~~r ~~ ~ ~ 5 s r~-i s~rR ~~ y - s a~$ ~~. -~ ~~r --- - . s 7~ O a Boring # ^ Boring C~ u ~' Pit Ground surface elev. _ `~~ ~ l ft. Depth to limiting factor ~ ~ ~ in• Soil lication Rate n H ri th De Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP o zo p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 o-~ ~-14 leyR3/z 7,5`t(Ly ~ ..,--~-- L Nom"' a~G 12 arvt K. r ~ S Gw a~' , • ~' 3 1~•aY ~,sy,~yl 5 L t31FSb~ r Cw I v ~•~ `l a8-Ny ~,SNRyIy - S - ~ G~ v~ w ,~. s y y- s ~ -,,s YRy~y --~-----~- s ~ ~~~ ~. v F~ G ~ -- ~ ~ st /oo S`f /t y~ '~, 5L. a~~b tit r~ f r -' -° ~ 5 ^ Boring # ^ Boring ` ^ Pit Ground surface elev. _ ft. Depth to limiting factor in. - -, ~ Soil lication Rate H ri th D inant Color D Redox Description Texture Structure Consistence Boundary Roots GP D/fP zon o ep in. om Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eif#2 ' Effluent #1 =BODE > 30 < 220 mglL and TSS >30 < 150 my/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 6U8-266-3151 or TTY 608-264-8777. SBD-8330 (N.6l00) .! `- ' ` . ~ P.C . ~.o I l rx,a. ~ v: ~~l a mss, Truc ~a e 3 0- s 'E '1y~ S ~ `/yf SC. ~ , r ~. ~ T ~ ~ lily ,~, ~ ~ s~ - ~ o "~" hof+h Ivt I:r+c..> 35 ~' 1 ~ II I ' ' L, ut 19 ~ ~ C ~ - • fl n~ .g t O~ ~~~ of a ~~`~~r~~"~ 4 / ~ g-?,c +1 ' ~" QQ11 ~S~ ~~ 1 y ~ ^~. Irv 1'r.I i ^ i P~ ~IW ,.,,,,, -,- ._.. - --~QS, ~ ~, r.. ~ .., ... 93^c J _ ~... -9a.c f ~ ~~ o et I /i ~~ ~ F~.KC•t past 5S' 95' -~• - ~.. ama Ta P ~, w~aN-~ c,,\~r5 ©1~ FLr.c,a.1;r,C, 4hf1 a. Ibo.oo' ver-~.+1~.or-~Z.. Q ~ 9 ~•3G~' a3 97.~~ ~ Maintenance and Contingency Plan for a Septic System Malnt®nanc® Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in orcierto extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Pian 1. if system fai{s, determine cause of failure, use aftemate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715-246-4516 ~k.~„ -- 1a M. i~ ~ ti~~ ~~ .~" ~~ ~~ ~ St ~ ~ Shaun Bird # 6900 r nC(''1 r ~ ~_ul.l_OVA BG.LRS, i 1'1C PM_hc (`+~:. ~' . ~ 549 ~ = "-1 4 r • . ", S1' CROIX COUN'T'Y ' SPPTIC TANK MAINTENANCH AGRP.I:tvIENT AND OWNL~RSI~IP CERTIFICATION FOR,1ri SAM . P OwncrfBuyer f~ • ~`- ~ (jam ~ I cv.~• g I ~ ~ S ~.,v L.. . :viailing Address t C~ ~_ v . n" d . %_ ~!~;); o-y ~ ~' i. 5~~-y ~ ?L ?roperty Address (Verification required frotr, Planning Ue^anmen~r ; ew eon~.r~c:ion) -~-~ C. Ciiyi$t3tO ~~.ix/Vl ~ ~~~aICC: fCC:IL{ C.:t:C:l :IL'IIlt)Cf LEGAL DES t~ I'~IpTIO N Prcpemy I.cc~ticn 5 ~_ ;a, ~ ~;:, Sec ~ ~ '~~f-~~'tV, :'cwl; of St:Udivisian 1 1 \ ©dl~ l~~ ~1~~ ~5~ 1'~~Ol . Lo ~ ~{ ~. Cert.L~t:d g,~r~ c '2.n ;T v~;,,,~T., ~_- ..r See; ~; cusp ^ ye.~`~.:a Lam[ ~ „~~: :•?_'::,_;;ai:1Cy~ ;:..:. _ r._ S`'S ~M M:~~'E:N~'~C ix.~^t'oge: ':.:c and m3i.otcaac•~~ of you: ~~~~ :y>:cam ~ouid re:si! i4 itr cre:...-t~e fiut:.~ cc !az is -rash:. i :epee ~.. i ic.:a~ :aesisu of pttapiag out the srptic tac.ic every thz-c ,car: or sic: e:, ii ..cc-..~ :v a iic_~sea rut::tc:. `,4 aa! you put Ito :he s ~•str-rat caa asT~ the :unc:icu of •,ue 'ts tic ~ as a 7ea."-..eat ;trge is t.oe waste d~,csai, systea The property artner a~secs to suistz:i; to St. G:roiz Z:.aiag Depar.y ct i c.-ttitrcatio2 farm, sigac3 5y ! c ownr* and 'oy i n.,..trrpismbes, Jon~ey-...sapiuatoet. Wit: C.ea pla:.bcr or a LKaased pur..re: -e=:fy? :3 +Lt (i j :he en-s:ia mstc~atcdis~:esal :ysteW is is grcpez cperatiag cxditlon s ;G~cc ~Z) aP.:: ia-:.ec;ioa snd pC::.piag lif ac:.::.sa-; ;~, tLe s~tic ::ek s lass tita.^. I!3 £ul: ~ s:uoge. Jwc, ttte ltud~itaed have trod the :have :aqui._mea~ sad sg"s :a auiauin ~::. pnvate ssvr..~c a:rposai sys'~m with the standards ter fott~. Tlt.:':Jt, 3S se! Gy the Lepaztt~'s:t of t:,utame:c..: and the Deputeseat of ; latta~l ~esattsros, State of wist~si>L Cemficatto2 s'atiatg t4tat yotzt septic :yateai lus been rnaintairud r„tr be cerr~ic•cd zad :e^sracd to +1 St. %:oi: County Zoning Of~ica ~ritfti : 30 days of ix Huse year ex;' 'os cafe. `' ~,~ /I ~ lS~ al st •, TZ3R: O APPLIC.•~iv ~ ~Ar O~YNER CERTIk`~C~TI4y I (we) xrtiiy t4tai alt statc:aeats as this farm ar o,.:e to the bc:t of ray !c•.:r) kaowicdge. ? ;we) ant (:roj the owner(s) cf tht property dewrzbed above, by virtue oC a ~rar:anty dead recarced in ;trgiKc: of Deeils OiTica. ~j~~~_ l I ~ /S~ o f ~---- StGNATVRE OF APPL':Gt,Yi DATc "~~•~ Atry iafocrostion that s mis-represented may resu{t is the szaitary xt::lit beirts revo~cd by tl:c Zoning ~cpsrtmcrt. """ •' Ineiude witL this sppl[eatlan: a staatpcd waaauty dec3 from tha Ragistcr of Deeds ofJtce i a:~y of the caz:ified :uKVey map if rsferenca is atade in tke warranty decd ~c..~ ! ~ ~ dCk:UMF.NT -JJ. ~AR~N'rr (~~~~ rM~s s-cct acccevaa row accowoiNO o~*~ - ~ +~ ., BTATiC $AR OF WISCONSIN FORM S--tiA9~ ,f ~~.1 9QO+c ~~hlPAGE ~~ __ f _ ._ _._ .. , fY. C'~Oi~ t 4~ '! ~ :...~~~,~~•,-~.~-..Ord--~~tary-,I.--liet.chlzr-t--Husband,-.ard ......... ,I Ihc,'d for R 1~ ...}~.~~f~ .................................................................................................. ' ~ ioy of oct. _,A.0. t9s6 ...............................................:...................:...~...........................~.......... 1VL . e H. ^nc. Kir berl A ~ conveys and warrants to .....:DAX'.~...~..........¢ ............. ~..........3t.-................ I~ ;. ....Ileer.,..?~usbax:d..and..~«.fs.,...a~..ra>;~1t1wJ...Dr~n~'x'~y...... ....ldith..z~i(.:?ats~..o1'..aur~.Yl.v.czsh~,p......----• ...................:............. ', ...~. .~ ~i ...................................................... c ........._...---.............:................... Llu toliowin~ described real state in ,: t . C i; o i X ............County, - - _ -` -_-~- - - - " ` Stag of Wisconsin: Taz Parcel No :..................•--......... SEE. EXHIBIT "A" :ti. -. ~'~ r ~~~ u.. ~, ~~.~ e ;~rF This .~S_.yCJ`}'------------- homestead property. (is) (is not) EYCeption to warranties: Sub,~ect to easer.:ents, reservuticns ~:nc restric+icns cf reccrd. Dated this ..T.kt1.Y'd .................................. day of .......Ontca~zT:- ...........-..-•---- ------............, 19... ~~. ................................................•---(SEAL) - - •--t~~- -. .. ... -.. .... ...... ...tSEAL) • .................................................................. ..Roger....E,. N`e,p,Lc~'h',,~len~r.........---.......... ...........................---..........._........----.......---•-••-(SEAL) ....-... .. - ~~+"-"""':~^...-...._.......(SEAL) . • .......Ma ..-•-.•---•Hetchler ---.. - AIITSSNTICATION anthentieated this ._..._..day ot ........................... 39....-- TITLE: DdEMBER STATE BAR OF WISCONSIN (It not . ...................•-•-----...........--••------.....---.... authorized by ~ ?OH.06, Wis. StataJ ACHNOWL$DliMI3NT STATE OF WISCONSIN St . Cr0 I X __..County. 1 ~ Personally came before me this .. 3rd.......day of ----•-•-•-October ..................~ 19.86_-- the above names ----------Ra9~r..~~..H~~~hl.l:r.._and-------------•-•------------ ---._....Mary...I....H~L~h ~~r ....................................... to me known to be the person 5........... who executed the iw ~ss.~z ,. ~~ ~ ~a ~ m 'i ~~ ~ ~,~~` ~ . \ ~ ~ ~ , _ ~ - \ ~ ~~ ~ c$ cm ~ ~~ mv~ m~ ~n c O D ~ ~N '-. ~..~ J m ~ T ~ r O ~ ~~~ m ~ ~~ ~ ... s •-~ I /~~ 'O' ~ ~~ i ~ i~ ~i~ ~ G~iu , W ; i~~~ ~oo~ iii ~ iqi~ yA i i W i ~ ~~ ~ ~ . i~~~ 1~ i irt] ~ 0 S~01~ ,~ ~<~ D O C m~~~ mmm n~ n~ ~~ v~ v Z~ S00°01'08'W 780.14' --- .- cs°uTMq dOO 4 ~ -----r---------------------------------------- ~OL3Df~D OItvJ ~IOdo ~ 4~_ P~o ~ ° d ~ ~ ~ ,~ ~ . ~ r' '_~ ~ ~A~ I ; 1iJ I I 33' 33' S00°02'18'W 526.82' ~$ ~ ~' . -.. j • \ • ~ ~ O ~~~ ~ \ ~ ~ Q70N ;., \ ~ ce ~ ` \~. 21_28_ ~' ~ ~ ~ ~ 1 S00°'0144"W 338.30 7 ti _~ WiscorSsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT Page of Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County ~ ~ r'?~7 y include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R viewed by ( ~ Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~~ ~~ J ~ ~ ~i~i~v..'v'~ Q „~-~ ( l Property Ow Property Location ~ ~ ' 1 ~~~ J Govt. Lot j~ 1/4~ x 1/4 S ~ T N R E(or'W ~ ~ Property Owner's Mailing Address Lot Block # Subd. Name or CSM# City State Zip Code Phone Number ~ City ^ Village Town Nea~irest Road /~ -New Construction Use:esidential /Number of bedrooms ~ Code derived design flow rate `'~ S l~ GPD ^ Replacement Public or commercial -Describe: Parent material ~ ~-~ ~~ Flood Plain elevation if applicable N i.~ ft. General comments '~ ~ ' ' -~~- ~ 1~'~ and recommendations: ~.-~t.~t~ / ~-- y / y ~, i ~' Boring # ^ Boring ~/ r ~. pit Ground surface elev. ~ ft. Depth to limiting factor ~ l~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsel l Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 2 ~ /! Z ~ V I` ~~ ~ y ~ S . ~~.V .i r~ 1~ ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 =GODS > 30 < 220 mg/L and TSS >30 < 150 m L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST N~rDe,(Please Print) S' r _ /~ Number~,)(~~j Address Date Evaluation Conducted Telephone Number ~' P _~ SBD-8330 (R07/00) Property Owner Parcel ID # Page of ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil 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 ^ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ^ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 =GODS > 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 (R.07/00) PLO PLAN PROJECT David Beer ^ DDRESS 705 Co. Rd. E Hudson Wi 54016 SE 1 / a SE 1 /a s 12 !T 29 19 /w TowN Hudson COUNTY ST. CROIX 11/17/01 3 MPRS Shaun Bird 226900 ~ DATE BEDROOM CONVENTIONAL XXX IN-GROU PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .9 ABSORPTION AREA 514 # of chambers 30 ,BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL •H,R,p, Same as Benchmark SYSTEM ELEVATION 96.6 Plans Designed Using Vent Conventional Powts Manual Version 2.0 > 12" Sidewinder High of Cover Capacity Leaching Chamber Pro Tow 6' Long 16" Road ~ 4„ Grade at System Elevation 60' Pro 3 Bedroom House 30' ST 60' Vents 2-3' x 94' cells with >3' spacing B-1 Set System elevation @ 30' 103' 3.5' Below Grade 45 B-2 10' B-5 80' U B-4 12% Slope ~~20~ ^5 B-3 105' 55' 12' ~--~- B.M.