HomeMy WebLinkAbout020-1474-02-000Wisconsin Department of Commerce
`Safety and Building Division
PRIVATE SEWAGE SYSTEM
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township
Environmental Holdin Com an LLC Hudson, Town of
CST BM Elev:
j ~~~~ . ~ Insp. BM Elev:
i n v . ~ BM Description:
~r~-
~-~, ,~~~~~
TANK INFORMATION
TYPE MANUFACTURER CAPACITY
Septic
Z (~
Dosing
Aeration
Holding
TANK SETBACL~ INFORMATION
TANK TO P/L WEB BLDG. Vent to Air I ake ROAD
Septic ~ '~i_ ~ ~~' 1 _ /
,~q
Dosing r ~~
l•'
Aeration
Holdin
g
PUMP/SIPHON INFORMATION
Manufacturer Demand
GPM
Model Number
TDH Lift Friction System Head TDH Ft
Forcemain L ngth Dia. Dist. to well
ELEVATION DATA
County:
St. Croix
Sanitary Permit No:
499271 0
State Plan ID No:
Parcel Tax No:
6~- wxi.. sz - mo
Sectionffown/Range/Map No:
13.29.19. 29
STATION BS HI FS ELEV.
Bench ~. ~ ~ jlSl~~ ~ J /O U~ Ll
Alt. BM ~ `~ , /
~j J~ _
~5M''l / ~ ~ ~~
Bldld~Sewer g .~ /. ~
St/ t Inlet ~ S~
Ht Outlet
,~s
~~
Dt Inlet ~ ~.~
Dt Bottom
..~-
Header/Man. / ~ ~ ~~ O ~
(o
Bn~m !-~`~ ~ J~
Final Grade ~' - ~~.
. _.-- i ~c~ rf~~p ~ 9~
S er ~ ~)~¢_
Q~, i 7
Sl~ll ABSORPTION SYSTEM ~~~ f~n/L.,,,~/~IJ h,it ~~.Fln.,,.,~ t~~
BED/TRENCH Width / Length No. Of Trenches ~ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS ~j ~ z,y
SETBACK SYSTEM TO P/L BLDG WE LAKE/STREA LEACHING /
~ e L,
( ~
INFORMATION CHAMBER OR ,
~
l fY~7 U `t'
Type f System: ~- , / \
~ UNIT Model N ber~
~>La ~
~.' J /
0~
DISTRIBUTION SYSTEM
Header anifold~j
(_ i-,
Length lr~/Dia Distribution f ~
Pipe(s) ~~'
Length ~ Dia Spacing x Hole Size x Hole Spacing Vent to Air Intake
Still -COVER v Procairn Rvc4amc llnly YY Mnnnd nr At-Grade SVStemS OnIV
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center ~~S" ~~~~ Bed/Trench Edges Topsoil Yes No Yes No
COMMENT (Include code disG/repencies, persons present, etc.) Inspection #1. / / u Inspection #2: / /
Location: 873 Yellowst`o~ne,,T~rail Hudson, WI 54016 (SW 1/4 SE 1/4 13 T29N R19W) Yellowston Valley Lot 2 7 `~ Parcel No: 13.29.19. ~J
1.) Alt BM Description = /r'vi v'~`~ ~3~ ~~~~r'~ ~G ~'~~, ~, ~ ~~~ ~~D_~~-~¢~ ~-~~~sq'
2.) Bldg sewer length = ` t
- amount of cover = -..
`~~ ~ p~~e2 ~l~/n ~- r~e~~~.~ `z ~ ivy`-.
___-~ --
Plan revision Required? ,Yes i t/No ~. "~ T ~ ~ '~~ ~ ' C ' ~ ~
Use other side for additional information. _ .. ~' ___
--
Date Insepctor's Signal e . No
SBD-6710 (R.3/97)
S~L~-~u ~~~n ~e-z~~~ ~l a~~lx~ ~~~c L~
Safety and Buildings Division County
~
~ 201 W. Washington Ave., P.O. Box 7162
/~
SCOT ^SII ~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.)
Department of Commerce (608) 266- ~/y 9 Z 7~
Sanitary Permit Application State PIanI.D
N
u
mber
^
l/
~
In accord with Comm 83.21, Wis. Adm. Code, personal information yo vide rV n
may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than mailing address)
~
I. Application Information -Please Print All Info ~7~
_ J.
Pro rtyAAO ner's N e Pazcel N Lot ~ Block /!
ID 7
Property Owner's M ailing Address Property Location
l ST. CROIX COUNTY
~
'
'
City,S e ZipC ~,Section /,~
~1
.
~,i~
(circle o e)
~Q
~
"'
II
T
f B
ildi
h
k
ll
h T~-
N; R1~J
o
'
.
ype o
u
ng (c
ec
a
t
at apply) p~ 0.D ~,
1 or 2 Family Dwelling -Number of Bedrooms ~ ~~ ~e~ ~a~~ Subdivision Name der
^ Public/Commercial -Describe Use n\~~ J -
^ State Owned -Describe Use Z ,p,~,l- (~,1~ wI 2Y +-Z~ G~4.N.:foe.~'.5 -^Ciry ^V' age f~Township of
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A' ~ New S stem
y
^ Replacement System
^ TreatmenUHolding Tank Replacement Only
^ Other Modification to Existing System
B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New
List Previous Permit Number and Date Issued
Before Expiration Plumber Owner
N. Ty e of POWTS System: (Check all that a ly)
Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter
^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter
^ Recirculating Synthetic Media Filter Leaching Cham Gravel-1 s Pipe ^ Other (ex lain)
V. Dis ersal/Treatment Area Information: ~/ S
Design Flow (gpd) Design Soil Application Rate(gpds Dispersal Area Requir sf) Dispersal Area ropose~ (sf) System Elevation
~ ~ / ~ // i
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Uniu Concrete Constructed Glass
New
Tanks Existing
Tanks l ,n Ia ~ ~~~ ~~
Ur ro ~ ~
E-•~
Septic or Holding Tank
Aerobic Treatment Unit ~ '
Dosing Chamber .~
VII. Responsibility Statement- I, the undersigned, as a responsibility for installation of the POWTS shown on the attached plans.
Plumber's a m (Print) Plumbe 's Sig re MP/MPRS Number Business Phone Number
Plumber's Addre ss (Street, City, State, Zip Cod)
/
~~
VIII. Count (De artment Use Onl
Approved ^ tsapp Sanitary Permit Fee (includes Groundwater Date Issue Issu' gent Si tur No S s
iven Reason enial Surcharge Fee)
~DD ' a0
~~ Z~ OlA
IX. Conditions of Approval/Reasons for Disapproval n L
SYSTEM OWNER: 3~ ~ J: ~ ~ G ~ 2.1 e.~ o (~-t~ 4a 5 ~ pt0~ ~v~t.~,
1. Septic.tank, effluent fifterand ,~/~ ~ I
~--• ~
I /
~o
n
ec
~_
dispersal cell must all be serves /maintained 'r `O" ~
0
~~
~
~
as per management plan provided by plumber.
2. All setback requirements must be makttairted tl- 1 ~o
~- v
3a-c..,,,~., ~'c ~. : ,ti.
~j
~
~ per applicable code /ordinances. J ~
n
~ f ~. ; n, e.. L
~ eJ~.e,,,,.,.J~
SBD-6398 (R. 01/03)
...ate,, wwi„e,e pans t[O me ~:ounry omy~ for the system on paper noCless than 81/Z x 11 inches In size
p\~ `-=-
4 l
~ ~ ~`
b~
L
~O
O --T-
a ~S
\~~ ~, ~ /
\~
i~~,
~ ~ '~
~~
~~ `~
~~ ~~
~~ ~
`~ ' t ~; ,~
.~
1 s \ ~
,u
~ ~ (~
~ ~
~ ~-
er~
_/ ~
m,~
~ i ~\
~~,Y
~~
w~~ , ~o •
/ ~ ~ . /,;ate
r 'A
\~~
~(
I
,_.,
~M~
``~ ~8
~~~
'~
~c ~
~ ~
^~ ~ I •.`
\~\~
Q
'^~
~ ~~ a
~ ~
~> i ~
~,
~J
~~'
0
~.
~4
v ` l~'w,
.~~,QrT"
,~ o
~ ~, ~.
`~~ 3
~ ~:
n`
~ ~ ~
~ '~
`~
~~ ~~.
~~~
~ ~ ~ ,y
~~~~~3
~~
~~
~ `~
~~~ ~ ~
~~ ~
.~-~
-~
~ ~
~ ~~
! n
Wisconsin Department of Commerce ~i~~IL EV UATION REPORT' ~ ~ ,~
Division of Safety and Buildings JIi. °` X "~
~/ ~~Y- i
Page r of
m accoraance wnn ~,omm ao, vns. ram. ~.oae
Cou c
er noTless than 8 1 /2 x 11 inche
lan on
h
m
lete site
a
Att ~~
p
p
p
p
ac
co
indude, but not limited to: vertical and horizontal reference point ( M), di bn`~n p I.D.
percent slope, scale or dimensions, north an-ow, and location and istance to nearest road. -~
Please print a!I information. MA's ~ 0 200 Revie by Date
Personal information you provide may Ise used for secondary purposes (Priv q Law
, s. t 5.04 (1) (m)). 6
Y Lip 2~
Property Own r fro ovation
~
~ 1!4 51/4 S I3 T~ N R E (or W
~~,~„ ,
~ ~,
Props is Mailing Address
' Lot # Block # Subd. Name or CSM# /
~~ .
t~~ ~- ~ ~ v ~ ~~. !
City State Zip Code Phone Number ^ City ^ Vii ge own Nearest Ro
s D ( ~ ~/~,~. r~~ ..
Construction Use: esidential / Number of bedrooms-~~ Code derived design flow rate S~,s"t.~~ 6l_17~ GPD
^ Replacement ^ Public commeraal - Descxibe: ________ __-_ _ _.,____ __
Parent material ~~Gt/t.~~ Flood Plain elevaltion if appli ble _..~~ ft.
General oortments ~~t'~e.~ (~. ~'~ 1 n 3j"~ ~` ~ r` i .t vY/ ~ ~
and recarnmerxlations: ~ '7 ~~0 ~~ ~ ~ .
System Tyre ~O~t/1J~9`L--~/~1/t.~ ~7 System Elevation ~ r
Boring C '
Boring # `'h'
pit Ground surface a v. ~ ft. Depth to limfing factor ~ in.
Soil ication Rate
Horizon Depth Dominant Cdor Redox txiption' Texture Structure Consistence Boundary Roots GP D/ff
in
. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2
+ C ,~/
Z-3~ , ~ - s h? ~t> , o
l
,2
. 3~•y
-I It vrvuno sunace eiev.~ r~ n. vepui ro nrniuny iauvr ~ c N s~.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff?
in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. `Eff#1 'Eff#2
o-I z p ,- 3~z -1 5 ~ - w
3 ~~--f o .L ---- s~ ~ 1 ~,~ - . n
~ i ~~~
r! $+~
' Effluent #1 = BOD > 30 < 7Z0 mglL and TSS >30 < 150 'Effluent #2 = BOD < 30 mglL and TSS < 30 mglL
CST I~tartte (Please Print) - - - CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evalu tion Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54 7 ~~^~ ~~-C5 ~ 715-246-4516
Property Owner _ Parcel ID # Page ~ of
1 I Boring # ~ Boring ~'~ ~ '(~ f /T7y .-
~J -- v ~ Pit Ground surface elev. ~ " it. Depth to ummng rauor ~ ~ ~ n,. Soil ication Rate
l
t C
i
D Redox Description Texture Structure Consistence Boundary Roots GP D/ff
Horizon Depth
in. nan
o
om
Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
1 d~~ ~-- I ~~ s~ r
~ IZ~3~ 5 ct ~~ ~'
~ I
~~ ~.
.~ 2h.
a Boring # U Boring
^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate
i
t Cd tion
Redox Descri Texture Structure • Consistence Boundary Roots GP D/fti?
Horizon Depth
in. nan
Dom
Munsell p
Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 •Eff#2
(] Boring
~~ # Ground surface elev. ft. Depth to limiting factor in.
^ Pit Soil iption Rate
i
ti
D Texture Structure Consistence Boundary Roots GP D/ff
Horizon . '"lepth
in. Dominant Cd
MunseU p
on.
escr
Redox
Qu. 3z. Cont. Cdor Gr. Sz. Sh. . •Eff#1 `Eff#2
• Effluent #1 =BODE > 30 < 220 mglL artd TSS >30 < 150 mglL 'Effluent #2 = BODS < 30 mgll and TSS <_ 30 mgll.
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.
sao-saw cR.broo-
~_
Project Name
Soil Test Plot Plan
Hudson Holdings LLC Shau
Address 703 Pine St. N.
Hudson Wi 54016
Lot 2 Subdivision Yellowstone Valley p
5'~'M #226900
4/26/06
S W 1/4 SE 1/4S 13 T 29 N/R19 W Township Hudson
Boring Q Well PL .Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Survey Iron
System Elevation 94.9/94.6 *HRpSame as Benchmark
Alternate Benchmark Top of 1/2°° pipe @ 100.5
u
OWNER:
HUDSON HOLDINGS. LIC.
703 PINE STREET N.
HUDSON, M 54016
(]15) }77-2010
PREPARED BY:
AUTH CONSULRNG/ASSOCIATES
2920 ENLOE STREET
HUDSON, Wt 540Ifi
(715) 361-527]
PREPAREDB": YELLOWSTONE VALLEY
S&N LANG SURVEYING COUNTY PLAT OF:
2920 ENLOE STREET
HuG$oN, M s4o16 LOCATED IN PART OF THE SE ~/4 OF THE SW 1/4 & PART OF THE SW 1/4 OF THE SE t/4
(715) 396-200] t•Q
OF SECTION 13 AND PART OF THE NW 1/4 OF THE NE 1/4 & PART OF THE NE 1/4 OF THE M~
NW 1/4 OF SECTION 24, ALl IN T29N, R19W, BEING LOT 7 OF CERTIFIED SURVEY MAP IN ~~k
VOLUME 9, PAGE 2513, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN. $
cuavE DprA TABLE <AU Lfxcros MEIN [EEr> LOCATION SKETCH g
EASEMENT TABLE •U• TO R'N Oi' DUDSON ~'Y$
#8359x7
REGISTER'S OFFICE
sr. caotx co. wls.
~~~hmr
Vr^I,~eLY3~ 1
~5^~11
a... R9WN. c.BVw aoro ax6 w, r
xN,Nes/ L91 L.,9a .NW. e.WYa L.yu Lw.9u r
ct zaloo seva3s- NDS9o•xis•E zees) z]2w Nuxoe•E N:nW2rw
W 2tW'i)' N33'SO'30.S"E 1011) 101)5 N31R1'M'E Nt1R0'S1•E -
2 183.00 JOnJ'l9• N0395'xi5'W Ixi71 15259 N12Rde12 NIB•]2'bw
] 241.00 01'{6'39• N303a'0).S•W 11.59 2160 NIW31'bw x2T9'1TW
C3 5]3.00 {CIT11• N43'N'025•W 3)I.b J)0.12 N3359nTw MB19a•3ew
4 slxoo 11sT39• xx~a•n.5w aD1Dx win xxa19•STw NasYe'sc•w
5 533.00 16Yw{t' N5441'4TW 1)4.1) 1)i15 N45]6'S8•w N6499']ew
CS SB).00 26'49'11• 5»nt'ISS'E 38100 28543 N8994'0]'E SB{99'384
66).00 b'{Tll• SNW'021'E ]2SN ]12N 58496']e•E 53TW2TE _ -
CS 21 ].OD 18'10'35. 5059W50.5•W 108.01 114A5 5231W1]•E SJ1T1'08•W uV .,+,SnYlr s° snnM n,i < PI i.90-USr 1).,
EASEMENT TABLE •V"
Trt,~
(. SECTI ON 73
s NEwwo
W.O R
`I.
Sn:RN
RAARO
K110
V.SH. "
+"' SECTI N 24
Wz
'ARp~
S$S
~~~
- T29N, R19W
\ \ SCALE IN FEET
\ \ \ 9ro ,w ' '" ""' Too o roo zoo
~\ \
\`:.
V ~„
\
~ ~\ \ \\.
8 /~>~'03- ~ A
52:rE,m96 \~ .~ \ \ \
7 e~D]9, ~ ~ \ \ ,.. ~ \ ~ \
' ,,
O,Sm o00 oafs ]6• ~ \ \ \ \ ~ \ \ 9L- -7 - 0 6
8 ~ °~ Ms:c To eE ~+ / 3Bj. , Cy'C4CO4NO \ \ \ \ \ ~ \ \ ~„ ~.:E
\
'1'el~`l ~\ Rw"o uWRWax ~ r LOT 5 ~ NO9rq \ \ \ \ \ \
,~' ~ ~ vweralc '~~?ZZ .. ~ ~~~ ... "w ~ e).sE4 sa rt. ~STTLegN \ \ \ \ \ \ \ ,
war-aP-Wnr [oN '3"' ems, r ~~ ~. !~ 94/< \ \ \\ ,n~`,
N9o15rc iironas T.?e •-_-~ ~ _ T~~ ~Qrzy~,z~Po ~' ~ `\ r Ss~'~~O4p \ \ ~ \ ~ \ \ \ -bp ~,, ~.
1 LOT Y"~... ~°6'O~ \ ~\ e` LOOT 4 /.: ~ ~ \ C~\A\ \
eeiaa so~[r. P~ \~">, ~ \ ~ es, ui ~ n. ://~ ,. ~,: '9 ~. -:.. \ \ R~4p\ \
nE=5960 $ LOT 8, ~ \ 180-996.0 / 99 f "~ ( ~.4"~ \ \ \ \
a `, ~
L00~9940 '.005 ACAES ~.
, ~R. \ ~~ c 3sz sa n. ~ . ~ \ ~~ !fl sE ~ / 1 ~'/ ~~ \
I `
8
5 ,. ,.,, ,, se"a) Nwc..99 _.'_~ r. ~_ .I +'~ 7/ '(.zl.-./ \
Leo 9eio ~,.~~
~ .._:. W , 1 ~ ~\ \ \ ., .~_. / LOT 3 g ^~ -
\ 2)49 ACI1Ea 0e ?/
~.~.~.. ~Y>. ~/. `.~ ]S ~ . ~a ^/ 119.]5) 9°. R. 1956
1 ~'
"
~ ~,
,,, N~ ~ O .A \
~ 1
1-
\ H~ 99.9 3
';i` LBO.e9a0 5 E~9'
l6
`i ~
~
GWMO YWUYFNT S ~',
s6O1
3
•
~
-
'
.»..w. /sv..nly
~ a
L I N
. W11
w
l[D LOCAI
NN
~'
§.
~
y "
'Y
. 9 `b - Nano a4.w a ~
r
w1
~,n. '•$5'
..~.
~
X y LOT 2
~
~ I
\
N ~• ~.. ,
\,'
eM
2{.94{
..-. _
m, f ._'.._ ,
j '~..
~r..,.._avt.-,. ~ t r ~
li 19940, .J
451 AO1E5
liem9 sn rr.
V`F
~F~ r3~1 I
I
;
:+
''
!
, II
m
b I,
Ti~S sJ
~-~ L0T9 ~ .._.._.._ .
I
~ Leo-9ss.o ~ I
j +, 1.302 ACREl i j f
j ~ I
I 15).397 so. n. ~ I
~~~ I= i t R~ Y I
~/
~~~~ o~99e
o
~
~~ I
~ I
~ ~
~~ ,
.
(s'
Nausc:~
~ ~/s„[°sEVnc3 ~/ /f /
\
1 /
~~ se9'4a aeasa
~91°
i'• ~
I I
I
\!
/ ~
.
~
. ~ ~~ ~
/ / I LOT 1 lq's
m
O~S
T
.,
~
j
.~ ~y, lA1
i s
i
.
p7oA~y6
~
/ / / A
~ ~~
~
,~`d~ ~ L //
/ '~ l ~/ /~65Z
T
~
SWUM I/4 / ~ / /
ONNFR ~ /
1°~
0
~~ UNE Di
/ ~ E ~ / gCnON I] ~W
i
~
^p
/
SECnIX1 i] / / /
~
'
' ne9~4 »t 28s9.oo_ slcnoN L
' J~6
_
:'
y e,u~ -
~ zz394s
~ / a SECnw N LEGEND
' / ~ ~
` e [D1wID ALUWNW CMMIY gCnON CORNER YMUYENi
/ ~IY'1
/ ~
/ 3 FW W 1' OUTSIDE OMYETEII UroN PIVE
'
.
/
~Pa
c '.
DNYEIEn Br 18
SET 1-I/4
1
O 1Lf10 WW OM WfMHNO )]
R uIEM root
~ M4 PE
' Au onwll LoT rnams
u4xuYEelrEO Nm r oulYOE
NATCNtD AREA MOMAIES
'i C14-ce-sAC RNalr-a-wnr.
Twrcu. RoAOwnr
Ex
N
p.>~
IY
o oUYEiFR BY le• 1d10 4NW1 PWE
xBOwxc LI1 IDL PBE LNEM [oor
I xECamm eEAwNC AN°/a olsTMa
ro~
TM~ ~
N~1
~
~
~
/Oi~
5 _.._.._.._ g1ANM0E EASEMENT
•
/~j
/
+ .............. euuuxD sEreAa (so
moY RIaxT-o[-wAr7
SEYFNT
tt f
'
-- -~ _
/
~~
!
~ j
~ NOTE: WRRfxT 2IXWCNg R AC-pESOENRA4
111E INTENDED 20NNC/VSE fOR EApI LOT K A
W# Ule9
13
Ens1NO 9o1x
~
~ DRAINAGE EASEMENTS
/
/ HO OWNFR OR nE9DENT SHALL 00 MYMNO
WXICH MWID N1piEEAE wm M CNMCE mE Ac-REYOERnN. ISwCEC [AYILr NOEA5} mE
REOUWFD 919191UN LOT 9II K 20 ACIKS (2SAC
AVERAGE) PFR IEIE TOWN 0[ NU090N. _ ~ ~ 1300' RA0U9 moY APPRgp11A1E
xEMEST PgNT Of OnYFA l.V1pi1LL
OPFAAn011 K 711E APPNOVEO COMPRDIFN9VE
lER MENNACE MD 504 ERO110H PIIN FOR
Iws INCl1wE3 eur Is xor LNITED
Tws Pur NOIE: nYS PROPERtt IS LOCATED WMW A
EEF wSwD PwE oEPm aEOUnEYUIr ~ PROPOSED OIeVEWAY
l0T AVERAGE ,
I TO [IU9gXC UPON. OBI1RUCiWC. ALIENING.
lx ~
xi
~
w
~
°
~
~ 9faN o
AREA NL MELL C9NSIRUCnOV WLL REOUBE
vAL m°N ra wscanlsN DxR Hy,E . 916.00 NAi1 WARR EEEr'ARM FOR LDT 910WN
TABLE . wnirn
I P
DN
pnui9~ E
isEW
Elirs
a
1o .
AwMCE APm°
lLS WRYN mE IOFNil91ED 130D i00T 30NE
I
IE
IOAEST 9WLWNG OPENNO - 111E
lOT 1~210e AC
LOi 2-1.454 AC OPNNA¢ gTdEi WATEA RUNWAYS, WAiEA
LtLNRTi BERMS OR CRA53 SEFOINGS Y
A
Y BE SI16.ECT TO AOg110NAL AEQIBEYFNIi LBO
91600 COYEST WNOOW OP DOOn EIEVAnM.
LOi 32]10 AC
LOT M205] AC
NOTE: mE TONN K X1105°11 IS tlIM1E0 A
Nmf: G01 PMCFL SNOYM ON 1w3 YM IS
AIDJECT TO STA1E. CpNltt MD TOWN9NP
yny VAwABUE WOm Rg1i-OF-WAY
LOT 52011 AC
LOT 82002 AC NON-EACWSIVE EASEMENT TO PRONOE
On RFPNRS 10 mE
INSPECnW
4A0nFNAXCE W9, aurS M0 R[GUUMMS (LE..
ACCESS TO
BY
WO BENCH YAPof -TOP aF PIPE ELEVnII(A:
0
OT )~202i AC
OT e~1001 AC ,
,
PETFNnON PQ10i ORNNAGF WAYS. AXO YA'RNai WWYUY lDT 922
MCEL ETCJ BE[Mf PUROIA9HO ON .
L
OT 9~4.3a3 AC CuLW.RTS BTXW mE Sl18D1V90N AS PLWNFD. OEVELOPWC MY PMLEL CONTACT m[ Si.
20NINO OFTIOE AND n1E TOWN NL EIEVARW3 ARF RFELYNCED
A31IRKIN {fF1h;K
TOTAL.11]15 AC
AVEANE~2B]5 AC CRgE CWNtt
Q HUDSON fM MVICE. pARIY Oi 1~
ms NsmuYEnT oRA[]ED Br wAL9M RME SDB No. esM-m DArE oa/SD/2ooe REwslD o9ro]/2o9a SHEET 1 OF 2
ST. CROIX COUNTY
SEPTIC TANK 1VIAINTENANCE AGREEMENT
AND
(OWNERSHIP CERTIFICATION FORM
~, Co ~
Owner/Buyer ~~~.d ~o Al I.1~ C.rl_ - rn ~ S ~ LV
Mailing Address
~7
Property Address
(Verificati'on required from Planning & Zoning Department for new construction.)
City/State ~4 ~ ~~,.~ ~ 5 ~ Parcel Identification Number ~~~9-/~/~- /~-ion
LEGAL DESCRIPTION
Property Location j ~'/4 , /~/GS 1/4 ,Sec. ~t tf , T ~_N R~~W, Town of ~ai~s~~
Subdivision
Certified Survey Map.. #
Volume ,Page #
Warranty Deed # ~~3 5'~a,Q ,Volume ,Page #
Spec house yes no
Lot lines identifiable yes no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Lot # ~_
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. Owner maintenance
responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form; signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site
wastewater disposal 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. ,
I/we, the undersigned have read the above requirements 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 Planning &
Zoning Department within 30 days of the three year expiration date.
Uwe certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the
described above, by virtue of a warranty deed recorded in Register of Deeds Office.
b
OF APPLICANT(S)
~l 13 /~Iv
DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. ***
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 08/05)
State Bar of Wisconsin Form 1-2003
WARRANTY DEED
Document Number
Document Name
THIS DEED, made between Hudson Holdings, LLC
("Grantor," whether one or more),
and Environmental Holding Company, LLC
("Grantee," whether one or more).
Grantor, -for a valuable consideration, conveys to Grantee the following described real
estate, together with the rents, profits, fixtures and other appurtenant interests, in
St. Croix County, State of Wisconsin ("Property") (if more space is
needed, please attach addendum):
Lots 1-$, Inclusive, Yellowstone Valley in the Town of Hudson, St. Croix County,
Wisconsin.
AATHLEEN H. >IALSH
fs`EC;ISTEl~ OF DEEDS
~T. CRE-I~ CO. , WI
kECEIVED FOI; I~EC~,~=r~
1Q1~'tb4l~ld@6 1~?: ~~Pl`l
wAIisBANTY DEED
EREI~f~T' ~ fS8
lift; FEE: I1.0G~
TRA&S FEE:
CGPY FEE:
LC FEE.
Recording Ared AB~~` ' J
Name and Return Address
Title One Premier Group
#10718
020-1018-40-100
Parcel Identification Number (PIN)
This homestead property.
(is) (is not)
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except:
Roadways, Easements and Restrictions of Record.
Dated October 2, 2006
d"r"`~ /
.,~ ~'`,-.-- (SEAL)
*Jeffrey Warren, it Managing Member
(SF_AL)
(SEAL) (SEAL)
Signature(s)
AUTHENTICATION
authenticated on
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by Wis. Stat. § 706 06~ ,,,~4„u ;~~,~~,.,,.
k l ~/f~i. ~ i l iU;. J/a =C3~R
THIS INSTRUMENT DRAFTED BY i~lotLiry 1='€at Gc
~tutE of Wiscoe~sirr
Michael H. Forecki, Attorney °'~"'"°r'"""`"~`""""~"""~'°'
Eau Claire, WI
ACKNOWLEDGMENT
STATE OF WISCONSIN )
ss.
St. Croix COUNTY )
Personally came befo e me on October 2nd, 2006 ,
the above-named ,~_ ~ d~[!Fe t~.~v~'~~-
to me known to be the person(s) who executed the foregoing
instrL~Lent end ackno~yJedged the same.
Notary Public, State of Wisconsin
My Commission (is permanent) (expires: l0/12/08 )
(Signatures may be authenticated or acknowledged. Both are not necessary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
WARRANTY DEED p 2003 STATE BAR OF WISCONSIN FORM NO.1-L003
* Type name below signatures.
~~ ~r~'
J ~ POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ~ of
fan~~ Con~t~'
FILE INFORMgrT10N ~-~~ SYSTEM SPECIFICATIONS
Owner
Permit #
DESIGN PARAMETERS
Number of Bedrooms ^ Nq
Number of Public Facility Units ~ NA
Estimated flow (average) gal/day
Design flow (peak), (Estimated x 1.5) gat/day
Soil Application Rate gal/da /ftZ
Standard Influent/Effluent Quality Monthly average*
Fats, Oil & Grease (FOG) <_30 mg/L
Biochemical Oxygen Demand (BODS) 5220 mg/L ^ NA
Total Suspended Solids fTSS) 5150 mg/L
Pretreated Effluent Quality Monthly average
Biochemical Oxygen Demand (BODS) 530 mg/L
Total Suspended Solids (TSS) <_30 mg/L JE NA
Fecal Coliform (geometric mean) 5104 cfu/100m1
Maximum Effluent Particle Size y$ in dia. ^ NA
Other:
^ NA
*Values typical for domestic wastewater and septic tank effluent.
Septic Tank Capacity gal ^ NA
Septic Tank Manufacturer ^ NA
Effluent Fitter Manufacturer ^ NA
Effluent Filter Model ~ ^ NA
Pump Tank Capacity gal f,~-NA
Pump Tank Manufacturer L~ NA
Pump. Manufacturer ~ NA
Pump Model ~ NA
Pretreatment Unit
^ Sand/Gravel Filter
^ Mechanical Aeration
^ Disinfection
^ Peat Filter
^ Wetland
^ Other: ~ NA
Dispersal Cell(s)
~In-Ground (gravity)
^ At-Grade
^ Drip-Line ^ NA
^ In-Ground (pressurized)
^ Mound
^ Other:
Other: ^ NA
Other: ^ NA
Other: ^ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once eve
ry' ^ month(s) (Maximum 3 ears)
~ ear(s) y ^ NA
Pump out contents of tank(s) When combined sludge and scum equals one-third (%3) of tank volume ^ NA
Inspect dispersal cell(s) At least once eve
ry' ^ month(s1 (Maximum 3 ears)
~ year(s) y ^ NA
Clean effluent filter At least once every: ^ month(s)
~ year(s) ^ NA
Inspect pump, pump controls & alarm At least once every: ^ month(s)
^ year(s) ~ NA
=`.:s= 'aterals and pressure test At least once every: ^ month(s)
^ year(s) Q NA
V At least once every: ^ month(s)
^ year(s) ^ NA
Other:
^ NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank
inspections must 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 on the ground surface.
The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding
of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the
immediate notification of the local regulatory authority.
When the combined .accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
Page ~ of
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals
that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents
of the tank(s) removed by a septage 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 above normal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and 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 pump controls to
restore normal levels within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area
within 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 the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat;
foundation drain {sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; 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 chapter Comm 83.33, 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
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system:
A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by
required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area 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 available due to setback and/or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site
evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank
may be installed as a last resort to replace the failed POWTS.
^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time.
< <WARNING> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER
Name
Phone -
POWTS MAINTAINER
Name
Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name
.Phone Phone _ ~ _
This document was draf;e~ - c~p!iance with chapter Comm 83.22(2)(bi(1)(d)&(f) and 83.54(11, (2) & (31, Wisconsin Administrative Code.
START UP AND OPERATION Page of
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals
that may impede the treatment process and/or damage the dispersal cell(sl. 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 above normal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and 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 pump controls to
restore normal levels within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area
within 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 the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat;
foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; 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 chapter Comm 83.33, 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
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system:
A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by
required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area 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 available due to setback and/or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site
evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank
may be installed as a last resort to replace the tailed POWTS.
^ 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> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER
Name
Phone -
SEPTAGE SERVICING OPERATOR (PUMPER)
Name
Phone
POWTS MAINTAINER
Name
Phone
LOCAL REGULATORY AUTHORITY
Name -
Phone _ ~ _
This document was draft;=~ - ;;~-p~!ance with chapter Comm 83.22(2)(b1(1)(d)&(f- and 83.54(1), (2) & (3), Wisconsin Administrative Code.
ST. ~ ~ uNTY
PLANNING & ZONING
;,:,
Code Administrarion~
715-386-4680 '
Land Information &.
Planning
715-386-4674
Real Property
715-386-4677
Recycling
715-386-x}615
~,~,
Lt~ti
~~1:
EROSION & SEDIMENT CONTROL PLAN
Site location: #873 Yellowstone Trail, Lot 2 CSM #835927 Yellowstone Valley, Town of
Hudson
Owner(s): Environmental Holding LLC.
Parcel ID # Pending
Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may
attach reasonable erosion prevention conditions to a permit approved for issuance." In
addition, Wisconsin Uniform Dwelling Code Comm. 21.125 requires the building permit
applicant and/or landowner to follow erosion control procedures and maintain them until
the site has been stabilized (Uniform Dwelling Code Comm 21 is available on-line at:
www.commerce.state.wi.us/SB/SB-DivCodesListing.html)
The Owner of the above parcel is responsible for notification of all contractors performing
construction activities on this site that an Erosion & Sediment Control Plan is in effect and the
following activities will be required in order to maintain compliance with the plan:
1. Maintain existing vegetation wherever possible to minimize erosion and sediment
movement. The primary source for construction site runoff will be the house foundation
excavation, driveway, and any soil stockpiled until final grading and stabilization is complete.
Septic system installation adds to temporary disturbance, but establishing cover on exposed
soils will prevent erosion. Apply seed and mulch as recommended in #5 below.
2. Install construction entrance before any excavation begins!! Construction equipment and
vehicles must utilize a stabilized driveway access off public road for heavy equipment; this
includes cement trucks, well drillers, and other contractor's vehicles that require access to the
property during construction. Avoid muddy, rutted conditions that may allow contaminated
runoff to reach waterways and/or drainage ditches. Property owner must repair damage to
ditches resulting from multiple access points and sediment tracked on public roadways must
be removed at the end of each workday.
3. Do not allow diverted runoff to be directed onto neighboring property or into surface water
conveyances. Contain runoff by installing temporary diversions graded ALONG CONTOUR
between construction areas and any potential receiving waters (includes drainage ditches and
retention basins). Temporary Diversions specification sheet is available from county.
4. If sediment cannot be contained on owner's property with temporary diversions and
vegetative buffers, then installation of approved sediment control products (straw
wattles, silt fence, and/or erosion control matting) will be required. The POWTS
inspector and/or building inspector will evaluate ESC plan effectiveness and make
recommendations to owner for any action required to comply with applicable regulations.
e y
Page Two,'- ESC Plan Acknowledgement Form
ST. CRO/X COUNTY GOVERNMENT CENTER
1 l O 1 CARM/CHAFE ROAD, HUDSON, W/ 54016 71x386-4686 FAx
PZC°~CO. SA/NT-ORO/X. Wl, US W W W . CO. SAI NT-G ROI X. W I . U S
5. Stabilise.ea~posed•~soils•(septic~system~ineluded)~vith«seed~and~mulch~immediatelfteranst~alla>aon.~d~not~
wait r final stabilization and/or landscaping of entire site to establish permanent cover on the site. When late-
seas weather conditions will not permit seed germination, a heavy straw mulch cover will prevent erosion until
vegetion can be established. Erosion control matting can be applied any time of year and, if installed properly,
will provide protection even if seed germination is delayed.
'~-
The owner of,record during site construction will be responsible for compliance with state and county code
requirements asspecified in this Erosion & Sediment Control Plan. Please feel free to contact me with questions
regarding eosson & sediment control product installation.
PLAN PREPARtiD BY: RYAN YARRINGTON, ZONING TECHNICIAN #683475
Owner aclcnoyyledgement of ESC Plan requirements: ~ f~~ /~.~~-_---~ , P2/~/2006
(Pleases and return original ESC form to Planning Zoning ept. A copy is attached to the owner's permit and
maint ce agreement, which is given to the plumber at time of permit issuance.)
copies provided for excavation contractor, plumber, and town building inspector
'~
PZ@CO. SAINT-CROIK Wl. US
ST. CRO/X COUNTY GOVERNMENT CENTER
1 101 CARM/CHAFE ROAD, HUDSON, W/ 54016
715.386,4686 FAx
WWW.CO.SAINT-CROIX.WI.US
~tECE1VED
Wisconsin Department ofComme SOIL VALUATION REPORT Page~,of
Division of Safety and Buildings ~ ~ •~ n n 7
~}~Fcaooapcevnmti.omm a, vols. nom. i.oce
County
lan on
~~ 1 i
Attach com
lete site
a
r not less than $$ size
Plan must
p
p
p
~~
p .
include, but not limited to: vertical nd hfin~f~Lle bent (B ,direction and Parcel I.D.
percent slope, scale or dimensio ,north arrow, and locati nce to nearest road.
P/ease print all information. Revi '' b Da
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). a (~
Property er Property Location
~ ~ Govt. Lot 114 114 S T N R E (o
Property Owner's Mail' g ddress Lot # Blodc # Subd. Name CSM#
.~`i
Cily Sta Zip Code Phone Number
( ) ^ City village ~ Town Nearest oad
'~ New Construction Use: ^ Residential /Number of bedrooms Code derived design flow rate ~f'!~ GPD
^ Replacement ^ Public or commercial -Describe:
Parent material Flood Plain elevation if applicable ft.
General comments ~ ~~ __ \ /' ~/ G~-
and recommendations: /¢D'~"`~ ~e'~'.Nry '"'"~ 'f % ~ Kati I- ~. I--
Boring # ^ Boring
pit Ground surface elev. y~~~~ft. Depth to limiting factor~_~~ in.
Soil ication Rate
Horizon Depth Dominant Color Redox Description Texture Sttucture Consistence Boundary Roots GP D/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
/ ,~ s
~ ~
Boring # ~ Boring
^ Pit Ground surface elev. ft. Depth to limiting fac#or in.
Soil Ilcaflon Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/tP
in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
" Eftl t #1 = BOD > 30 < 720 mg/L and T55 >30 < 150 mglL * Efll t #2 = BOD < 30 mglL ano i ~ _< 30 mg/L
CST Nam ase P ) Signature CST Number
~ '' - ~ ,~
Address ate Evaluation Cond Telephor~ Number
~,d s
_ _ /- -
Property Owner Parcel ID # Page of
^ Boring # ^ Boring
^ pit Ground surface elev. ft. Depth to Limiting factor in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GP D/fF
in. MunseA Qu. Sz. Cont Color Gr. Sz. Sh. "Eff#1 'Eff#2
^ Boring # ^ Boring
^ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eft#2
^ Boring # ^ Borir>g
^ 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 DHt?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2
"Effluent #1 = BODe > 30 < 220 mglL and TSS >30 a 150 mglL ' Effluent #2 = BOD, < 30 mglL and TSS _< 30 mglL
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 (R07/00)
~~~~ -~
u ' ~ ~ ~' ~ i
~~~ ~ ~~
,~~ ~ Z ~, z
~~ ~~ ~ ~ ~
~~
~~ ~ ~
~~
~~~
~,
~0
~~
~`
0
~~
.a
1.
\ _ _. ~\
~1
~e ,~~ ~~~
~ ~ ~
~~ ~ ~
\,
Z y
~~
w
~ _ ,_ _ __
ua ~('
w
,~
~ d~~
Z
N~0 v
~~ `~
...~
~_
'~
~~~_
~ ~~~
s>
i'
.-
~. .~
,Ati~~
og~ ~~
.9
o~ ~'~
g'~ ~~ ~'
o~°
o ,,- ~
uNE c>F n~~-st c~N
d, sour~l sou
~ SE 1 4 SECTION 13
THE /
~~.oo' ~.
2239.45
O
R
i'
~.
7E DODGE
~ 8.24134
y ~`4i BAR ~KE~ ~ c
~,yJh~` ~AkD Su~\,`.
~~~hnnrrpnntnt~+~
~_2q _o~
- --~--may-- ~-~.• ~~'~` -~ ,~ _ ~. ~ ~~~--~ ~£ ~- ~ Ear.
_ y~ ~ G
996.x' ~~ ~5~05 ,~~ j>,~ •, ~ '~, ~'`'`~ '~ :,;~,,~ /.
~ 87,3.. °~~ J~ ~~ ~
"^~
~ ^ ~ `~` 1 ~~, ~ 2349
•~ J
~ 1> _ ~-
`; .-_ ~~ - ~ f~;.~~~4 d'al` LB0
~ tq ~
F ~ ~ ~~ ~~
y •' ~ ~ ~ a.
vz _ . -,, a - ~ ' 000.0.
~, ~ '. .. ~ - - ~ . • \. ~ ~/~ DR.4IhWGE' EASEMENT "J` • ~ 1, ~ ,_ ~ UZ6' • , / • a ....--
t •
`'
~~ '~
.~
..
~ 4-302 ACRES ~ ~ ~ r ~ '_
~ ~, ~ 187.387 Sa. FT. i ~ ~ ;" - ,_.
~, v..• ... - ....
' HWE=996.0 ~ ~
I.BO=998.0 , . ~ .
c~~~J ~ :r z }ter ° f
~~ `~ ~:.~. ~..~~ ~~ , LOS' 1
\O ~ ~' WEl.I. ~ ~ f ` ~ w~~~. / ~ ~ 2108 ACRES
~ ~~ %,,, ~ ~.~~' rte. 91,827 SLt. ft
tiF, Ny~ ~ y /
v CP ; `~ ~ tr Y `V'
~t , F,s F~~ / /
i9
\~ ~ cry 8's %"' ~ '~ ~ / ~~ ~ /
'~> > 4 ~, fs` . ~
1 h u //
~~'~~` ~ ~ SG.~ It j n .,'~.,. ~iS.
5031?H 1S/E4CTi~ E1R3. ~{ <f,~,- " /' ~ II -.C~~ / . .
~HN •. ~ '` ~ N89'24'39'E
--- t r ' ~ ~,~ ? / -^Y' 418.55' r' i ~
a~
j'~h¢' ' rr~_'~C ~ ~ ~~ / ~
. ~~/ ~ '
ACG~SS,' T0= 8F
R~1L]GV ~°
~ ~y~' t ~ 1
>,~, 1~ : ..., ...
3' i-
4T ~ ,~i'
as ~ 1,,~
ti.. ...
4~~~ . ..
.,_~ -.
1 ~'` r j ~_, as~'~ 1
,.. ...
~`.. /. ',