Loading...
HomeMy WebLinkAbout020-1359-07-000 (2) Sanitary Permit Applicati n y Safety & Buildings Divi; In accord with Comm 83.21, Wis. Adm. Code' ~ 201 W. Washington f `~sCO/ISin See reverse side for instructions for completing this application PO sox 7 Department or commerce Personal information you provide may be used for secondary purposes Madison, WI 53701-7 [Privacy Law, s. 15.04(I)(tn)j (Sutimit completed fotTrt to county it state oH~n Attach com lete Ians (to the count co onl )for the s stem, on a er not less than 8-I/2 x I 1 inches in size Cosun~ ! State Sanitary Pe it Number O Check if revision to previous application . State Plan I. D. Number - 3 1. A lication Information -Please Print all Information Location: ' Property Owner Namc Properly Location ' PropertyO wncr s Mailing Address ~ Lot Number Block Numb 7 /~ Ciry, State Zip Code Phone Number Subdivision Name or CSM Number ~~ s- ~ vl ( /~ ) 38 / -S ~~~ II Type of Building: (check one) ~ ,~' l or 2 Family Dwelling - No of Bedrooms: Cicy D Village . O Public/Commercial (describe use): Town of O State-owned ~C~-,'/`-~-o"-~ , III Type of Permit; (Check only one box on line A. Check box on line B if applicable) Near Read A) 1. ~lew System 2. O Replacement 3. O Replacement of 4. O Addition to Parcel Tax Nu er s) S stem Tank Onl Existin S stem c~ b -- J~,S ~ - ~'~ Q~ B) Permit Number O A Sanita Permit was reviousl issued Date Issued IV. Type of POWT System: (Check all that apply) , Non-pressurized In-ground O Mound O Sand Filter O Constructed Wetland Pressurized !n-ground D Holding Tank ^ 'ogle Pass O Drip Line O At-grade ^ ~s O Aerob' Tr tmen( ecirculating ~-. D Olher: '•- V Dis ersalll'reatment Area Information: -/pb 1. Design Flow (gpd) 2. DispersalArea 3..Dispersal Area 4. Soil Application S. Percolation Rate 6. System Elevation 7. Final Grade ~~ ~ Required - Proposed Rate (Gals./day/sq. ft.) ~ (Min.linch) Elevation ~ ®~ s~ y~ , ~ ~--- 93~ ~o VI Tank Capacity in Total # of Manufacturer Prefab Site Steei Fiber• Plastic Information Gallons Gallons Tanks Con- Con• l g ass New Existing Crete structed Tanks Tanks ^ ^ ^ ^ o 1, the undersigned, assume resp u s N c (print! ~ ~~~ ~~~~ V[II CountylDepartment Use Only O Approved I ^ Owner Given Initial Adverse Surcharge Feel Determination ~~d' _ QQ IX. Condtttons of Approval/Reasons for Disapproval: ~ I' I ifC V ~ S~ b ~ ` S ~ low, ~LT~d ~ r~ ~~p ~r C ~ ati. ~~ t`h ~ ~ U 3~ 07~ o --~y~~ ~~i Agent Signature (No stamps) tnvw,~Orv d ~ IoeG~lr~n~5_ /* Wisconsin Departmerttof Commerce PRIVATE SEWAGE SYSTEM Safety ar+f~ 6uildinas Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy taw, st15.04 (1)(m)] Pa`p'as"sepliomes, ~ city ° "i~P~s~r~°~'8~nship CST BM Elev.: Insp. BM Elev.: BM Description: C ~5 C o ~ Od ~ ~ iC r r Pd TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ Z Aeratio olding TANK SETBACK INFORMATION TANK TO P / L WELL BLDG. ~ ROAD Septic ~ ~ 3 Z -~' 2 ~~r NA NA Aeration Holding PUMP /SIPHON INFORMATION er Demand Model Numb TD ift Friction stem TDH Ft L Forcemain Length Dia_ Dist. Fl FVATION DATA count~t. Croix Sa n ita cy8rar/afittVo.: State PJlaon3ID~NJO.: Parcel ~a~cjVq~ 359-07-000 STATION BS HI FS ELEV. Benchmark ~ ~ f GU Z Bldg. Sewer ~ ~ ~ St Ht Inlet ~.. ~ 9 - ~ / Ht Outlet p; Q Header /Man. Dist. Pipe R a ~, ~ Bot. System ~ , D 3. Final Grade y.j t cover x ~. S . d~ SOIL ABSQRPTION SYSTEM ,~ _ i i _ _ ~ BED THE Width , Length J No. Of Trenches ~ PIT No. Of Pits Inside Dia. Liquid Depth DIME N 3 Z DIMEN I N SYSTEM TO P / L BLDG WELL LAKE /STREAM L Manuf urer: _ SETBACK ~ INFORMATION Type O ~ nr r y ~ 3 °"~''- CHAMB IT o e Numbe k System: ~ d . i DISTRIBUTION SYSTEM Header /Manifold ~/ r~ Distribution Pipe(s) / ~ x Hole Size x Hole Spacing Vent To Air Intake Length ~~ Dia. 7 Length'~~,,~5 Dia. ~ Spacing ~ ~ O r 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 /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (include code discrepancies, persons present, etc.lnspection #1: y / 2 ;7©~ Inspection #2: / / Location: 967 Daily Road, Hudson, WI 54016 (SW 1/4 NW 1/416 T29N R19W) -1629192103 Parkwood Meadows -Lot 7 r y.}yi/e~ ~ks>r~ll, 1.) Alt BM Description = ~iP a ~ ~t~,'ay~ `~ ,.,~1 ~% G e~ 2.) Bldg sewer length = 2,~ ~ s} ~~ S ~`h s{al/~~ z -amount of cover = ~ /A''' G) s y ~~~. was G ~'a'^9~`j~ ~ ~ Y 6`~'`"- 3.~wo w~I~ ~~- ~ha( ~v«~'~ ~'h~l,J aP/a_ 'Tti /~~o-fP/~r< ~7 -~v~4 Plan revision required? ~J Yes ^ No Use other side for additional information. SBD-6710 (R.3/97) Date InspeRor's Signature Cert No. r;30 Z' -~,~, ~ Z, ,,J, A'~ ~~ /v ? J ~~'~~ ` sago 5~~ ~ -i~v .~ U l~ ~,l 6 ~3~-0 //f-io ~G'~~-ia 1 .s5 g3.7o ' ~~iscoinsin Oeparpment of Commerce t I. Application !n Prop1eny Owner Name N ~~~ ?roperty Owner's Mail ~~ :pry, State Sanitary Permit Application In accord with Comm 83.21. Wis. Adm. Code Sce reverse side for instructions for completing this application Personal information you provide may be,used for secondary purposes [Privacy Law, s. 15.04(I)(m)J tans (to the count co onl ) fo a er not less than it~te Sa~ta~rylPertnit Number ~ k f „_ o{i tp p2tyious application - Please Print all Informati~ --, `` ST CHC)t~ Safety & Buildir 201 W. Wash • P Madison, W 1 (Submit completed form iv c si •I/2 x I I inches in size. State Plan I. D. Number Location: P~peny Location ~-l4 A>1e~14, S / T Lot Number - ---- ~ ~, """"~t7RPK,'~~ :!, Subdivision Name or CSM Number ~~ ~ ll Type of Building; (check one) /- as p~ ~ l or 2 Famil D lli ~ O city .. y we ng - No. of Bedrooms: bt,,,,.~,c.e ~ aMt~ O Village O Public/Commercial (describe use): ,'Tow of O State-owned III Type of Permit: (Che k l c on y one box on line A. Check box on line B if applicable) Ne st Roa A) ). New System 2 O Re la . p cement 3. O Replacement of. 4. O Addition to Parcel Tax Nu er(s) $ ) S stem Tank Onl Existin S stem -~ 7 --~ 7 ~ (~Q[ O A Sanita Permit was reviousl issued Permit Number , ay . ~9 a 03 Date Issued IV, Type of POWT S t . ys em: (Check all that apply) , (Non-pressurized In•ground O Mound O Pressurized In•ground O Sanc9 Filter O Constructed Wetland O Holding Tank O At•grade ~ O Single Pass O Drip Line , O Aerobic Treatm nt Unit O Recirculatin g O Other: V Dis ersallt'reatment Ar a I f e n ormation: ~ ~~ I ,Design Flow (gpd) 2 pis c lA . p rsa rea Required 3. Dispersal Area Pro osed 4. of App nation erco anon ate 6. System Elevation ). Final ~~ 7S p 7 7 Rate (Gals./day/sq. ft.) / (Min./inch) r Elevat~o ~ - X3.70 VI Tank Capacit in T Information y Gallons otal Gallons ~ of Tanks Manufacturer Prefab Site Steel Fiber- P New Existing Con- Con- g)~s Tanks Tanks Crete structed VII Responsibility Statement I, the undersi ned assume res onsibilit for installation of the POWTS shown on Plumber's Name (print) Plumb s . ion~nir~ r,,,. ~~n,.,,.~ ..,,,, ty, !~- ~8 '(o VII1 County/Department Use Only v~ t.~ ~ O Disapproved Sanitary Permit Fce (Includes Groundwater Date Issued Issuing Agent Signature (No sta, '~ Approved O Owner Given Initial Adverse Surcharge Fee) Determination zs • ~~- f/ Z(~ IX. Conditions of Approval /Reasons for Disapproval: 1D LS ,/~py]bv~.S~ ~ ~ F:..IN~Q.t~IAMq "y,Y _ ~}- ~x.~C. ~l.L '~'r~L '~ Vt~-/ l5 ~~~ It, n_ ~ X11 l ~9-~`~ i l4krX ~S recv-~. ~'t~ ~ ~ ~~t~~ ~.~s trek- I~ r~ dn,~_ .e~ts~nr~ ~.,~..~e r~.~ P ~~ ~~L~ ~ P~ ~ ~"G~ d u~~ ~- - /oa S .~3.7D ` ~ ~~ '`D r ~ ~~ ~ r~ ~ ~~ yn~aa~ ~~ ~ ~ 3, 70 - - - ~~ A ~~ ~i~u~ . a-~~~'~ ~ ~~,~ -~~a f ~ S~ . ~ 3, 70 ~ / r ~ a r ~! ~~ ~ r,~ ~~ ~~ g.~} ,~- i ~ ~ I ~3 ,~~,~ ~`- .~ ~~ ~~ ~' ~3~ 70 ~ . ~ ~ `^' ~,, : ( 4e-Sc~-[~'~- '` ~"i3 t tt~, d~•~,y~y~pL,~ ~JJ~•C) ~ (~ ~ ~_ ~.~G. tS U _ """(J j Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings m accoraance vam t;omm aa, vv~s, Ham. ~.vae n must i Pl th 11 i h i l 8 112 l County St. Cro1X n s ze. a nc es an on paper not ess an x Attach complete site p include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 020-1359-07-000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Date Reviewed by Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~Q ~ ~ Q ~,~ _~ I~ Properly Owner Property Location LaCasse Custom Homes IriC Govt. Lot SW 1l4NW 1/4 S 16 T 29 N R 19 f (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 521 McCutcheon Rd. 7 na Packwood Meadows City State Zip Code Phone Number ^ City ^ Village ®Town Nearest Road Hudson, WI 54016 (71 ) - Dail Rd• (~ New Construction Use: ~ Residential / Number of bedrooms ~_ Code derived design flow rate inn GPD ^ Replacement ^ Public or commeraal -Describe: Parent material pl1tVJ~sh Flood Plain elevation if applicable ~? ft• General comments and recommendations: trenches @ el. 93.70' 1 Boring # r3G~ Boring ^ pit Ground surtace elev. 98.80 ft. Depth to limiting factor +1^ 2~.,_ in. Soil A lication Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ffz p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-11 10yr2/2 none L 2msbk mfr 2f 5 2 11-29 10yr4/4 none si 2msbk mfr 1f 3 29-42 10 5/4 c2d 7.5 5/6 ssc,~ M 4 42-14 7.5 4 non ^ 2 Boring # ~ 8oring ^ Pit Ground surtace elev. 99.1 0 ft. Depth to limiting factor +14() in. Soil lication Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP- p in. Munse{I Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-12 10 2 2 none 2 12-22 10 4/4 none it 3 22-38 10 5 4 c2d 7.5 5 6 5~ 4 38-14 7.5 4 _., .- ". none -_ ~.. ,,., _ , __. ;, r 6 ~{. `~ t~D • ,~ 80 ' Fffli ~Pnt #1 = R(71~; ~~ . n < 22(J ma/L`~nd T ~ < 1 ~0. a/L ` Effhadfip #?f BOD, < 30,-P~/L and TSS < 30 mg/L CST Name (Please Print) '' `'Sig ature ~ ST Number Gar L. Steel `~`~"~^{ 8 Address ~ ~' a valua on Condu Telephone Number 1554 200th. Aver Nor Ri~hmoiZd W~:'54017 1-5-01 715-246-6200 Property owner LaCasse Custom Homes Pareet to # 020-1359-07-000 Page 2 of 3 3 Boring # uu Boring ^ pit Ground surface elev. 99.70 ft Depth to limiting fador~~40 in. Soil ication 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 'Etf#2 1 0-11 10yr3/3 none L 2msbk mfr gw 2f .5 2 11-37 10yr4/ none sil 2csbk mfr gw 1f .5 .8 3 37-54 10 5/ c2d 7.5 5/6 sicl 2msbk mfr na .4 6 4 54-14 7.5 4 6 none ms Os ml na na 7 1 2 ._-- 2 „~ Bonng # [~ Bonng 4 ^ pit Ground surface elev. 99.70 ft. Depth to limiting fador +140 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 'Eff#2 1 0-13 10yr3/ none L 2msb1 fr 2f .5 8 2 13-32 10 4 none i 3 32-41 10yr5/ c2d 7.5yr5/6 sicl 2msbk mfr na .4 .6 4 41-14 7.5yr4/ none cos Osg ml na na .7 1.2 ~z- (oa Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting fador in. Soil lication Rate rizon H De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP o p in. Munsell Qu. Sz Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 = BODS > 30 < 220 mglL 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. SH1~8330 (R.6vtl0) Gary L. Steel CSTM2298 MPRSW-3254 1"=40' ~~= top of sase of elec. Z,ALt. ~.. STEEL'S SOIL SERVICE 1554 200th Ave. La Casse Custom Homes, Inc. New Richmond, WI 54017 ~4~4 S16-T29N-R19W (715) 246-6200 town of Hudson lot #7-Packwood Meadows transformer @ el. 100.00' Gary L, Steel 1-5-01 ~, ' 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 3 I Number of Bedrooms ~f Design Flow -Peak (gpd) © o Estimated Flow -Average (gpd) o Septic Tank Capacity (gal) Ze 4 L` Soil Absorption Component Size (ft2) ~6 i f ~ Type of Wastewater Dom stic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Abso tion Component Design Flow -Peak (gpd) Loo O0 Z - a-S ~kS Maximum Influent Particle Size (in) 1/8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 c Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at {east 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 septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper 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 r Management Plan for a Septic Tank and Soil Absorption Component 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 sepfic 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 fank may contain lethal gases, and rescue of a person from the interior 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 companent. 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 S'1' C1i:OIX COUNTY SLl''1'1C 'TANK MAIN'1'LNANCL AGItLLML~N`l' ANn UW1J1?ItS[I11' CLIt'1'II~ICA'I'ION 1~OItM Owner/Buyer Mailing Address 5" 7.3 ~~ _,___~~~ Nt.,, ~, 5.-~~, Properly Address ~~ 7 ~`~ / L,~ l c~ ~~1~.~ -~ (Verification required lionr 1'lanuing Ucparlnrcnt for new consUtrclion) .~~!''~ CitylSlale _~ud,~ n L I',irccl lrlcnlilicaliun Nutuhcr LrGAL DCSCItII''I'ION s ~ Property Location ~_'/~, '/,, ,Sec. ~ , 'I'_ ~4 iJ-It~~,W, 'town of _ t~~y~ 5 SuUdivision _~~y`)Z t~c!c~-;~ n'I.~~~i~GrS Lot tl ~ Certified Survey Mnp # , Voluntc ~- , I'agc t~ ti'Vttrrstuty lleed # ~ ~ 3 ~' ~ 7 , Voluttic 5 ~~ Page # [~ 3 Spec house ^ yes l~'ito Lul liucs irlcnli(inhlc LAYycs ^ no SYS'1'I!:M MAIN`I'I~NANCI!; huproper use and ntainlcnaucc of your septic systcnr could resull iu its prcuralurc failure to I-andlc wastes. Proper ntaiuterrance consists of punrphrg out the septic took every three years or sooner, if uecdcd by a liccuscd pumper. What you put into lire systew eau affect Ure furrcliou of the septic teak as a treaUucat stage in the waste disposal system. 'fire properly owner agrees to submit to St. Croix Zoning Dcparturent a certification fonu, signed Uy We owner and try a mastprpluwber, jounreyrnau plumber, restricted pluurber or a licensed pumper verifying that (I) the on-site waslewaterdisposal system is iu proper operating condiliou and/or (2) aficr inspection and pumping (if necessary), the septic teak is less llrau 1/3 full of sludge. !/wc, the undcrslgucd (rave read the above rcquircn-arts and agree to urainlahr the private sewage disposal systetu with the standards set forth, herein, as set Uy the DeparUnent of Cunuuerce and the Deparlnrcut of Natural Resources, Stale of Wisconsin. Certilicaliou stating that your septic system rtes been maiulainedyrrust be completed and returned to the St. Croix County Zoning Office within 30 days of lire llrree yea expiration dale. 1/Dld~. SI NATURL~ ~ APPLICANT' I)A'TL~ O~'YN);R CI:RTII+ICA'CION I (we) certify that all slatcnrculs nn Ibis fi,rnr arc true to the hest of my (nor) knowledge. I (wc) am (are) ttre owner(s) of the petty d scrib above, by virtue of a warranty decd recorded iu Register of 1)ceds Oflce. ~ /~c~/o~ SICiNATU C APPLICANT' llATE *~**** Atry information that is uris-represented Wray resull iu the sauilary permit being revoked by the Zoning Departrneut. ****** ** Include with tlrls applicat(on: a stamped warranty deed from the Register of Dccds office a copy of the certified survey map if refercuce !s made in the warranty deed Wisconsin DepartmentAflndustry, SOIL AND SITE EVALUATION REPORT Labor and Human Relations Division ~f Safety & Buildings ,,,,..~ ..,ca ~~ uo o~ ~~ per., n.a.,, ~,.,~,. Page 1 of 3 ..~ e ,., ,.,....,.........._. ,...,.,.., ..... , ..........,..., COUNTY Plan must include but Attach com lan on a er not less than 8 1/2 x 11 inches in size lete site St. Croix , p p . p p not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to e t~°~~~~° 020-1029-00 -.. APPLICANT INFORMATION-PLEASE PRIN R'MATION`~, R VIEWEDBY DATE ~, -t~' PROPERTY OWNER: ~~ltr~' ~ PRO < ERN LOCATION SW T I,aCasse Custom Homes, Inc. 1/4 NW 1i4,S 16 T 29 ,N,R 19 ff (or) W ; LOT GOV PROPERTY OWNER':S MAILING ADDRESS ~,' ~ r Lf~~ ff j BLOCK # SUBD. NAME OR CSM # 521 McCutcheon Rd. - S 1 ~,g 7 na Parkwood Meadows CITY, STATE ZIP CODE N NU X []CI ^VILLAGE [[MOWN NEAREST ROAD Hudson, WI. 54016 (~'~ 05 !~., Hudson Meadowood Ln. . [ ]Addition to existing building [x] New Construction Use [ ~ Residential / Nu r.~f~~i ~'' (]Replacement [ ] Public or commercial Code derived daily flow 600 gpd Recommended design loading rate ' S bed, gpd/ft2 •6 trench, gpd/ft2 Absorption area required 500 bed, ft2 500 tr~h, ft2 Maximum design loading rate • 5 bed, gpolft2 •6 trench, gpd/ft2 Recommended infiltration surface elevations} 100.90 ft (as referred to si plan benchmark) Additional design /site considerations= ~ system el . based on area el . of 99.90' Parent material outwash Flood plain elevation, if applicable na ft S =Suitable for system U =Unsuitable for s stem CONVENTIONAL ^ S C~ U MOUND ~1 S ^ U IN-GROUND PRESSURE ^ S CCU AT-GRADE ^ S C~tU SYSTEM IN FILL ^ S CCU HOLDING TANK ^ S [~U SOIL DESCRIPTION REPORT Boring # .................. 1 Ground elev. 99.9 ft. Depth to limiting factor 38" -~ Boring # 2 ',,. Ground elev. 99.9 ft. Depth to limiting factor i Depth Dominant Color Mottles Texture Structure Consistence Boundar Roots GPD/ft Hor zon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. y Bed Trerlctr 1 0-12 10 r 2 2 none 1 2msbk mfr 2f .5 1 .6 2 12-27 10 r 4/4 none sil 2msbk mfr gw if .5 .6 3 27-38 10 r 4 4 none sl 2msbk mfr gw if .5 .6 4 38-60 10 r 5/4 2 7.5 r 5/8 ms/sil m na na na np ~ .2 Remarks: 1 0-12 l0yr 2/2 none 1 2msbk mfr gw 2f .5 .6 2 12-28 10 r 4/4 none sil 2msbk mfr gw if .5 .6 3 28-35 l0yr 4/4 none sl 2msbk mfr gw if .5 s.6 4 35-55 l0yr 5/4 c2p7.5yr 5/8 ms/si m na na na np ~.2 Remarks: CST Name:--Please Print Ga L. Steel Phone: 715-246-6200 Address: 1554 200th. New Richmon WI 54017 Signature: ~ ~~~ Date: 7-13-99 CST Number: m02298 i2__. PROPERTY OWNER LaCasse Custom Homes SOIL DESCRIPTION REPORT PARCEL I.D. # 020-1029-00 Boring # 3 Ground elev. 99.9 ft. Depth to limiting factor 3~.c Boring # Ground elev. Depth to limiting factor Page ? of 3 y ~~ . Hori Depth Dominant Color Mottles Texture Structure Consistence , Roots GPD/ft zon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 1 0-13 10 r 2 1 mfr 2 .5 2 13-24 10 r 4/4 none sil 2msbk mfr if .5 .6 3 24-39 10 r 4/4 none sl 2msbk mfr if .5 .6 4 39- 10 r 5/4 2 7.5 r 5 8 ms/si m na na na n `: .2 Remarks: SBD-8330(R.05/92j r STEEL'S SOIL SERVICE Gary L. Steel LaCAsse cust~n Homes, Inc. 1554 200th Ave. CSTM2298 Sw4NW4 s16-T29N-x19w New Richmond, WI 54017 MPRSW-3254 town of Hudson (715) 246-6200 lot #7-Parkwood Meadows This soli evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. ~t ~~~ b ~~=40' = top ofSE lot stake C el. 100.00' .alt. BM.= top of NE lot stake C el. 98.30 ' ,f--- t "~ r I ~o ~/~ ~r ~~ o'ff' ~~~ rt~ `V ~~ 2 3 ~- ant 2'Z+ s~~-. ~' Gary L. Steel 7-13-99 - - - - FEB-14-01 WED 175:Og PM EAGLE VALLEY BANK NA FAX N0. 715 483 3114 P.' Ol w s. a ;ate.. ~~ Fiiosa ~ ~ I ~i~~analn Dunlutts Aeeuctntian 5945 f i]Q4iiliyt~lYT~ tVrg. r ~ -~ ~~ SATlSFAC1"tGN CIF REAL ESTATE MaRTGAGE - BY LENpER Ttle itndersignod Lender cerirFes that tha f4!lowinc~ is fully paid and satisfied; MorigageoxecUtedby LaCasse s gm Flotne~. Inc. to Lender and recorded in the office of tine Fiegi$ter of Geeds St. Cr©ix County, Dac. of -,_. _ ,.__ Wis,, as No. ~ 11937 , (Re21j (FiecsSrds) (image) In (1Cai.) 1462 _ -of (Mortg's), on (page) 501 covering the teat estate dasCribecf below: ~~ My Commisslan (Expires) (is) Jut7e 2, 2Q02 trvPE ' INT) ~~~- Lots 9; 3 through 11, inclusive; 13 through 30; inclusive and 32 and 33; all in the Plat of Parkwaod Meadows in the Town of I•iud5an, St. Croix Cp~uttty, WI i~'~~~~~ KR7HLF(=H H. 4!A(~SH l~c>`laI9TEFt OF DE~f}8 .'sT.. t;FtrJIX G`0., Wz RECEfUED FQR RECORD 1l-06-2044 14:44 pf4 SDTISFRCTIOPi E>;shEPT ~ ~~ar COY FE>;: COGY FEE. ~~fiR:^ISFEk FEE• RFf,SRDIMG FEES 10,QA r~rr=s: i rwcoruinp aea N~tr ana Fietum Adaross Eagle Valley Bank, N.A. P.O. Oox 7R9 ~ ~ . St. Croix Falls, WI 5024 ', 020-10F9-00, 0201029-30; parcel Identifier No.020--1 g29-~a *Type or priht Warne signed above. if checked here, real estato descriptlan continues or appears on attached sheet. VOL. 1 _ ~ ' PAGE 184 DOC. ~ _ I~ _329_8_97 = 12 LOT 3 C.S_M_ i~ ' VOL. 1 _ IN PAGE 1841 ,';- DOC. ~ _ 13 329897__ IM LOT 2 ~+' C.S_M_ i8 VOL. 1 _ IZ PAGE 184 i DOC. ~ _ I 329897_ I -------~ LOT 2 I C.S_M_ I VOL. 4 _ I PAGE 106 DOC. ~ _ I 370960_ I POINT OF 13' 3 BEGINNINGS ~ M ~+orr~~ uu -M- LANE W 1/4 CORNER SECTION 16 T29N, R 19W (BERNTSEN I CAP) BENCHMARK: TOP OF CAP ELEV.=915.58 I I 4 100' ~ N 89°46' 00" W ~ 1261 N 89°46' 00" ~~` i 75.15'..._ ~ ~, ,. A,H ~ 2.099 ACRES i "~ ~°~„ 91,438 S.F. 5 _ ~~ ... 5. ~.:o ,~. ..~~~~~Z 8 2.101 ACRES ' f~~ ~ti 91.519 SF. ' 25' ~ „ ~ 100' I I f • 143_O(1' 9 2.450 ACRES !~ ~ o ° ~ 1 1 2.985 ACRES 2.565 Ai 130,035 S.F. 111,738 • ~° N M1LL L Z E~ ~~. G~ . .~_- ~„~ I a. . ,5~; 19.73'l 106,716 SF. ~ -~ ~, ~ 1~ ~~ 1~ O Ac6 krp`' Sp I !~J[1'I °~ ,_r- ~w s • ~ ~I ~ ~~ ~ ~ ~ ,i -~~~--y-~~- za•' E fem.; 28 2.419 ACRES ~ ~ 105,385 S.F. ~ 1 100' 0 ,..........~. ~ '40~.1~i ...................... .- I ~ •g ~ 2 7 ~,r°, Nf 2~320_ACRES J~ .. .. 29 ~ ~~ 0 i ~ ~` of 2.928 ACRES oo a 127,564 S.F. I . o S 89°53' 29" E ~ 'i .....1l14.QQ:...... I 180.00' :W ~ 1 ~ n~ ~ N 89°53' 29" W ;N 392.77' ~ DRAINAGE aM1 ' y EASEMENT °:° r ,80.00' .O ~ ....... N 89°53' 29" W 30 2.389 ACRES 104.082 S.F. t N , I t ~~ i t I 1 t W r ~ ~ / /. / / I 1 o > ZO'~~~ln6=ildMdt/02i MO'1.~d3A0 x ~ ~ ~ ~ ~- 'g0 g02~-00 00''00/ OJ / w~ ~~° ~ ~" 2~ON) Z'806-1f10 ~ - ~ ~ ', ~ - -- , -~ ~ /' 0 0~ ,pry' ~ ~' ~ ~ ~~ S~~H1f10Sg Z 1'606=NI ~ - , ` _ - - - ~ ~ r ,0 I i °z ~ ~ I ~ dOWO .u,81 ~NIISIX3 _ - _ ' _ _- = _ i f l i ! ~ - - - ~ 1 ! QdC - - - - _ - - -~ - - - -Z- - -+-- - ~-- - .-- r ~ ~ r. ~-. r . -~- .-. -,-- i r. ._ _ _ _ ~ _ °a ~t i ~ • y 806 ~...~. 3 / t ~:' f ~ ~ Ory//p ~ ~~ 1 `' ~ ~ p, ~ ~ i "Dc// O~ I~ / 1 ~. x M f a t 0 ~ 0 ~I r ~~YI`~ ~ 1 N ~: rn 1 > ~ ~,9 ,~6/Iil I I 1 ~ I t x ~, ~ x r ~ ~ /!+I I 1 , y ~I Qy i i l I I I I ~ ~ r~ l I I i lxi~ ~ I ~ ~ ~ \.LM 1 I -~ CO -- ` -~ , if ~ -~ H ri ~ ~ x i I xo Y~ ~ Qhw N ~ / ~i ~ }-- rn \ V W `..N ~ ~" W .- I I ~ ~ ~ - -._ - t Zoo j \ .`\ Q_li ~ x ~ X11 rn ~ ~ t` 1 n-a r N ~ r- ai 1 1 1 ~ ~ ~ co= `= O N ^. ~4 I 1 °9x I ~ jN~`.'~ rn 1 ~ ~ I I ~ x 1W ~~,rn f1. 1~0 O ~ ~ r / ~ ~ I ~ i':, ~ ~ -` -- 1 \ ` ~ 11 •~ ~ ', ~ ~ ~h °' ~ 1 I r t i ~ cv ~ -~ '~' ~~ N ~ ~6 ~ \ I I o \ ' ~ d O i I ~~ I alder-,~ `~ i ~ ~ ~ ~ I ~ ~i I C7!^• rn ~ ~ - r 1 ~~~~~