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HomeMy WebLinkAbout020-1374-12-000 Q o O Qo p 6 0 v 4 O c h Y 0 N a ~ N C N L LO N ~ Y N 2` N O-0 L f0 U 3L Y ~ d So O Z LO 0 04 C cli M U. O N a N c a ~ y I E N U) O rn m m C11 04 d m m I a o_ Z a C y m Z 2 N c N H c a 4 N U 3 7 ~ • D N Al O Z E Z N 'I a 'a co 2) ?1 ° ° o. s : c9 D O (L GO, 8~ co E a C-4 CL a N 0 o o •N ocean. CL = B 4i 'a LO fn J V U) 0 O O O Z V ` M n N - 0 O a Cl) 4) N m C Q Z to W 7 _ H tl1 O H C O O '6 O O N N O U) N O c L c `m w 4.r N U } T"i (h O to N N N C a 06 00 0 C) Lo O w I = E ea CA a ~ dt a ` (L % E ~1 A 0 at 0 (i 00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 578921 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: _ 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 Parcel Tax No: Ru recht, Scott & Elise Hudson, Town of 020-1374-12-000 CST BM Elev: Insp. BM Elev: BM Description: 1 1A n ( Section/Town/Range/Map No: CSC ! , 6 1v IS12.29.20.2245 TANK INFORMATION \'t~ ti 2j~ ELEVATION DAT ' 6~-St TYPE MANUFACTURER CAPACITY STATION BS HI ELEV. Septic 1,~ 1 r ~C Benchmark 21.4q 03, g 1 01 ~'O Alt. BM C\' L~6 ~ Aemti-6n- 1 Bldg. Sewer •O f\'' I . Cite. 2 o ding St" Inlet 22 Qf C ZZ ~ 5 TANK SETBACK INFORMATION St/Mt-Outlet TANK TO P L WELL BLDG. ent Air Intake ROAD Dtaalet Septic I \ 1 Sbt V~ erasffom Gesing J v Headen'idlarr- 22./ _ cis. I Aeration Dist. Pipe ng Bot. System L J/. , /I 7 I .l~ q pZ/ PUMP/SIPHON INFORMATION Final Grade / Manufacturer De d St Cover 0 Model umber TDH Li Friction Loss Syste ad TDH Ft Forcemain L ia. Dist. to Well SOIL ABSORPTION SYSTEM O Lo 2Z~ BED/TRENCH Width n l Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. A, DIMENSIONS /J~ SETBACK SYSTEM TO P/ n LDG WELL LAKE/STREAM CHLEACHING AMBER OR Manufacturer: n~• INFORMATION /.y INFORMATION Typ Of ysl@ : al I ~t n 1 UNIT Model Number:: 1 I I Li Q U lVi !.C/ IV I v (/U DISTRIBUTION SYSTEM n Header/M ifold Distribution x Hole Size x Hole Spa ing yintt to Air Intaake 1 (jtl Pipe(s) Y v J~ t Length _AL Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over n l Depth 7d/Sodded Over xx Depth of xx Mulched J /es Fg No es Fa] No Bed/Trench Center 2 Bed/Trench Edges Topsoil COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 230 Starrwood Hudson, WI 54016 (SE 1/4 SW 1/4 12 T29N R20W) Starr Wood Lot 12 Parcel No: 12.29.20.2245 1.) Alt BM Description = S 1~tlC Cow. y G~k V 'I Lk6m ~ Iu-k~ 2.) Bldg sewer length - amount of cover 11r _b C` t' On vies d r Plan revision Required? ® Yes No I Use other side for additional informs on. Cert. No. re SBD-6710 (R.3/97) Date Insepctor' f Soi/ tda/on,o;f 5y Exis find ~rade • ~a~.a~C.d~Qr'op. sda~ Sca b /.3CA eaI-, ?1 jo S0fr, 4. 6oid Blrw. Accts"?, LAX $Yvii6 3fsrr &)ad, SCN~Swy~ 5sc../Z, T.~S~1.,~~cc2, T. o,~, alsar; 64- Cf&'Zr cx)4 7e - r;Vt&ja 44t«,S f }"o~ased err wu! B a~~e ~ P~eFosr.~f ` sf bcdrtbn, o ~ oa ` , . ,Q PrOPoS~ /,,250 9 GtJ: csc, Cy»creZ v Projoostddt;spcrutcall.` 1f0ta)--cr+cl,-5 of a -183-W" • ~ • ~GYrcS,o~i"'t/~a~k Sjoa c e.d1G.'~ ~'e» Ccs,'6~' ` _ ` ` - s-. ' • ~ /Jre~b~sK~'rn,S'/~.6r'vc S~ f,~. c[~ ,~D 6e. = 9y.,?3~ T,~ of ~ -~~G.~~, sc4,~ . Ale . 3T' c I.W. = 9G (oripa ® P`ad` a~ca ,~~~3 rE: V ' D S d Buildings Division SCounty t Croix } r lgton Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) P ~ 2 0,1 i) Madison, WI 53707-7162 - 57gc? z C -:X COUN'ry as, 9 anitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Na is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1)( p q, Stats. 30 Starrwood, Hudson, WI 54016 I. Application Information - Please Print All Information Property Owner's Name Parcel # Scott & Elise Ru recht 020-1374-12-000 Property Owner's Mailing Address Property Location -7 -7 5425 Bobsled Blvd. Govt. Lot City, State Zip Code Phone Number SE t/,, _SW Section J2- ( circle one) Park City, UT 54016 85098 T 29 N; R 20 E or W H. Type of Building (check all that apply) Lot # ❑ 1 or 2 Family Dwelling - Number of Bedrooms 4 12 Subdivision Name bit ~ Starwood Block # ❑ Public/Cominercial - Describe Use Na ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of 3 • or CAAA w Zd ,l- 20 4- Na ❑ Town of Hudson III. Type of Permit: (Check only due box on line A. Complete line B if applicable) a %J A. i~New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. El Permit Renewal ❑ Permit Revision ❑ Change of Plumber 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS System/Component/Device: (Check all that apply) N K on-Pressurized In-Ground El Pressurized In-Ground ❑ At-Grade El Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil 6LX .1w-r. ❑ Holding Tank El Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis rsal/Treat ent Area Information: 601nfiltrator "Q-4 Plus" Standard !barn rs & 6 end caps, Pol Lok PL-525 effluent filter Design Flow (gpd) Design Soil Application Rate Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 600 God 0.50 God/Sq. Ft. (gpds 1,200.00 sq. ft. 1,2L7- U Sq. Ft. 94.25 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o New Tanks Existing Tanks n U m G la SZ o A~' aU rn s~n 1'.3 C4 septic or Holding Tank 1,250 1,250 1 Weis Concrete X Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Si MP/MPRS Number Business Phone Number Gary Za a MFRS 222373 715 386-2850 Plumber's Address (Street, City, State, Zip Code) 715 6'b St. N, Hudson, WI 54016 VIII. Co /De artment Use Only pprrned ❑ Disavorcumd Permit Fee Date slued Issuing t Signature en Reason for Denial $ y UL Condi easons for Disapproval 1:' Septic ank, effluent filter and dispersal cell must all be serocesmaintained' as per management plan provided by plumber. Z'* k raquiremertts,must.l% aiMairied as ps~app~bls`txtde / ortiinanceil. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398 (R- 11/11) Conventional POWTS Index & Tilte Sheet Project Name: Ruprecht 4 Bedroom Replacement Conventional POWTS Owners Name: Scott & Elise Ruprecht Owner's adress: 5425 Bobsled Tr., Park City, UT 85098 Site address: 230 Starreood, Hudson, WI 540169 Project Location: Subdivision: Lot 12, Plat of Stan-wood Legal Description: SEv4SWv4, Sec. 12, T.29N., R. 20W., Tn of Hudson, St. Croix Co., WI. Parcel ID 020-1374-12-000 Page 1 Index and Title Sheet Page 2 Site Plan Page 3 Dispersal Cell Sizing Calcualtions & Chamber Cross Section Page 4 System Cross Section Page 5 System Management Plan Page 6 Filter Specifications Page 7 Parcel map Page 8 Septic Tank Maintenance Agreement Page 9 Waranty Deed Page 10 Septic Tank Cross Section Attachments: Soil Evaluation Report Mater Plumber Restricted Service: Gary Zappa, Dept, of SPS Credential #222373 Signature: 2.." Date: 5 y/ Page 1 Of 10 Design pursuant to hi-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01) Soil s✓a~l~s~'on,0;~ ft- TO~r~ser o// ♦ ~r~s fin~q ~radc ~e%v: • ~~Ct~d/O, srx~,eJ~ Cat ~ s ~ 5VA-.5-46AV dzkw ~ ,~'e;~, kr-gsr~s ,Lot P,faf 3~s~~ lc~ctd SCI~SwY~ 5se.,G2, T.~411y~Zocc2, T. ~F,4~ualsar; 64, ear W4 ~,~ewa QCcsAS pce(y0 f~"o~std ~a f Y"Lc.~taa/ cvc..q - B uG ~ ~~'OPOisa( l( bCdldlir► ~ EX13£~ /QtS:dQnC~ ly /b/y /,,eP4 - ss s ~~``P!o Gddss alcill.`T ~~t(3)~cncA«s&+ ~ 2 3.~$ ~.yzo ~i'ts+~r-"h,-ySEseda-d /a/k.c • . • ~d....ib~tt ~n~fc sPa ccdat ~'e» os,+f~: "c ~ r + ` * ~ ~ , Pick Tn },~'/t.~6►vt .5~~~. ~ ~ bG s 9~!.Z.S: . -47 CIO RUPRECHT DISPERSAL CELL SIZING CALCULATIONS 1. (4 bedrooms)(100 gallons estimated flow)(1.5 design factor) = 600.00 Gpd design flow 2. Infiltrative capacity of native soil = 0.5 gpd/sq. ft. at 3. Absorption area required: 1,200.00 sq. ft. 4. Absorption area as proposed: 1,217.40 N. ft. (60chambers total) Infiltrator "Quick 4 Plus" = 20.00 sq.ft. EISA per chamber, "Quick 4 Plus" end cap/pair = 5.~Q sq.ft. EISA 1.200.00 sq. ft. - (3 pair end caps)(5.80) = 1,182.60 sq. ft. 2- 1, 182.60sq. ft./20.00 = 59.13 chambers required Number of trenches: 3sea 20 = 60 clianibers total Trench width: 2.83' Trench length: 83.00' Trench spacing: 8.00' on center Total system area w/ 9' center spacing: 19.00'x 83.00' ouic*4 r M STANDARD CHAMBER 52" Quick4 Standard Chamber (EFFECTIVE VE LENGTH) 8 12" 34" SIDE VIEW SECTION VIEW MultiPort End Cap Q O 16" 12" 34" SIDE VIEW TOP VIEW FRONT VIEW -11 aick4 S n. a e am na. ecif cations MultiPort E'n Ca `:Noma a ecifications~ 34'x52 x12 Si a" xLxH 3 a I61t12 Stze " (W ectlve Invert Hei he W. a1~t:2~ ert l Pg. 3 of 10 Soil Absorption Svstem Cross Section 99s'- ~_/lkJ.o• 1 ft 179- 99. 0 / ft 4" Schedule 40 Final Grade PVC Vent Pipe With Vent Cap 95, 2~ ft Leaching Chamber 914125 ft System Elevation _ ft s ft ft Soil Absorption System Plan View 83 ft 3 ft I S ft Leaching Trench 1 Chambers 4° Dia. Trench 2 Header Vent Or Observation Pipe 1111111 ilium 91111:1-1 Trench 3 Leachina Chamber Specifications Manufacturer And Model /trc•~yr' `Q-c,/ y 5,., ~✓~~!'/c~ s EISA Rating . 0.0 sq ft per chamber Soil Application Rate 0.5'Ogpd/sq ft 600.0 gpd Design Flow x O .5--Soil Application Rate = ;LO.O EISA = Cvd Chambers 3 rows of ;2-6 chambers each. Page_ of /0 Conventional Septic System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with SPS 382-384 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10705-P (N.01/01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248-7767 or the St Croix County Zoning Department at (715) 386-4680. Seutic Tank Septic tank servicing mechanics comply with SPS 383.54(1)(e). Septic tank to be located within 150' of service pad, with bottom of tank to beS 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. 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 filter is equipped with an alarti, the filter shall be serviced if the alarm is activated. Septic tank manholes 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 individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank perforniance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October-March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Continency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Pg. 5 of 10 T Techniaai:S ecifications p PL=525; FFLMJENT FILTER fCOM ER'+ AL) 0117 BILL CHECK _ r-- EXCEPTSS'S4D40 ` it FOR INLETEXTEN11CN 14.35 11.57 - OUTLET BUSHING EXCEM 4' SCH 4086'SCH 40 % 310 S23 Ull ~I ~ ~i' Al 3302 PL-525FILTER HOUSING I - 1&34 PART NO. - 30142525 MATERAL _ HOUSING -POLYPROPYLENE OUTLET BUSHING -PVC I f 6.5 BALL - HOPE SOCKET EXCEPTS FLOAT SWTLA 10.23 EXMMI' SCH 40 I I064 FOR HN40LE EXIENTION 1 Q. ~ fi24 5M OF IMr SLOTS _ ~ - - J? _ `l L fia ass SOCKETEXCEPTS fia BALL PUSH ROO OPENING _ 1 ` 4 _ m o o tog _ OPE"~01G 2(1.77 i 1902 2244 POLYLOK PL-525 FILTER CARTRIDGE PART NO. - 30141.525 MATERIAL-POLYPROPYLENE ~~.(oo~lU 40 • ~ ~ 83r, o • v o • • • 5" ' • • • ~WTs ~r `1• dAFr~ ~ ~ - w ~ • Al, NOMT+ ST. (:KOIX COUNTY SEPTIC: TANKNMINTFNANCE AGREEMENT AND OWNERSHIP C'E,~?RTIt~ICA-110N FORM 0%Nmcr/$uyt:r Mailing Address -?"DJ 33Dt1, t` f+/ +~'7t~1 , { a' Properly Address___v/ t f/a~ (Verification required front Planing fi _oni , c`t)anntent fur ntw con,trttction.) C ityiStatC -90 I/ 64~ 1 Parcel idc ntifcntiott Number 0 LEGAL DESCRWfION h,operly Location 5J5 % T ZG N !t_L.0•Vd, Town of d s e Strbdivision Plat: 1.~> - ~ . Lot* Certified Survey Map ~ Volume Pug Warranty Deed 'Of O/ -7 _--.'7_. (betbrr 2007)Volt,n)z Page 9 . Spec house Oyts5w Lot lines identafiablcoyes0no SYSUNI MAINTENANCE AND OWN R CERLIFICATi I1 Improper use and maintenance of )v)ur septic system could reNutt in its prernat ere failure to hawJ]e %rwtz . Proper maintenance consists of pumping out tlbe septic tank every thrcc years or sootier, ifnccded, by a licensed purnpr. What you pun into the system can affbet the function of the septic tank as a treatment stage in the vmae disj t l system. Owner maintenancc resprymibilitits arc xpacifted in §SPS. 383-12(1) and in Chapter 12 • St. Croix Ccxtnty Sanitary Ordinancv, 'I he property owner agnpos to subotit to St_ Croix County Planning & Toning Department a artik--ion form sipod by the owner and by a master plumber, journeyman plumber, restriclyd plumber or a ticcnsed pumper verifying that (1) the nn-site wastruater dispose! system is in prolxr wrperating condition and/or (2) after inspection and pumping (ifnece-maq), the septic t:n}: L'S less than L'I full of sludge. ItNvc, the undersigned have read the above requirements and agree to maintain the private sewage dispouQl system vv ith the standards set forth, hcreiu, as set by the 1)"anicat of Safely And Professional Services and the Dq irtrnent of Natural Relmirc,es, State of W iscttnsin. Certification statintg; drat your septic sysucin has been maintained must be completed and rctumed to tlx St. Croix County Planning & Zoning Department within 30 days of the three yv,yr expiratiurt date. 11t5v certify that all statements art Aria fcutn are true its the best of my/our knowlcdgc. Mvc am-Arr. the ovvner(.s) of the pTQfWrty described above, by virtue Of 3 U71 7 ty deed recorded in Register of Occds Orfice. Number of bedrooms' L/ a SIGNA`I'URR 0 A PLICANT(S) DATF .*'Any inl«rrnation drat is misrcjuv~4pttcd nuy rtzult in the sanitary perrnil being nveked by the Platuting Zoning Mparancnt, =r• Include with this application a recorded warranty deed lion, the Keeister of t)Ceds Office ,red a Copy nfthe CCAMod survey rnnp if reference is ,nark in the %%%Tanty decd. (REV. 04/12) D z X N 64j" AS REQUIRED D 86" X m r 53" D Z z r C m rn m v yi m ~ III i ~ 1 ~ 0 m 3" 47" I I I A N 1 .~T 5.. S i ~ ° D IL A I~ D m D V rn m c c m 50" ' m D z N Z I D I N m D r c D O mo ° ° °c m m m D ;uI~ Xr N D Gz) nCC) o ODD 0-0.> ~CCO~rmyO 0DL z ~j oX ~m z v r~j D NZV ~D 'z° c~cP°oc)z rO p~ NN o co N D-iZ o 'mo 1*T~1Dp ~~-=I= rN Xx Z O \ C Z n=7C NL C ~i-Ni~ VFZm N _a iv PSN< m N N z 2 N DO vZ n I Am 'E; o 6 ° >m oNi M mao N-lvl or~~° v~ C7 O p N Nz o ~c w NmD Dy mvw•°o~_ Zc~ -Tl T~ . . v v c> -11 c° o v o \ C G) m°m I r O CnG' n K TI -Zi n ano c D w0 > 0> y0 v om vi r- p, m o , Z ra) 0 ~ n ° O z o v O H n z m --1 m m ~ z r O ~ O AO° ojo -N1 v 31 2 r m ~N ~ o z ;u c: 0a z o -0 N En Z N N D 0 r ~ C o v Z Or m co O co rl <3 r- ;u D~ r N m p m DRAWN BY: WCP SCALE: 1 4'=1'-0" PRE-POUR: \ = 1N1250-MR MIESER CUIlGIiTE ° SEPTIC MANUAL REV' \ z W3716 US HWY 10 MAIDEN ROCK, WI 54750 DATE: 00 00 00 DATE: POS7-POUR: ° 800-325-8456 FILE: W125n UR ~a o~ /o f`- - I{ kALA J - I I ~ M T a C.~ L ~ - ~ r ~ _ Pr •I ~ I i ~l - - T r y i all ► A 4ZG£ gxp~ _ ~ ~ 13 s N i rf d 1) k DL AL i " 3 j p A a t t .aC II Bx ~ ~~0992 ~ ozo~ ~ OL x - 41 h 1AL ~ x p • • a of T ~ l`1 ~ ~ a ~ ' ~-1 J~ -'r-~ o ! 1 Ell. 6, j Gy LTG J_ errs]: - --J • : t ~ `r ,1 I ! ~ sti1 I ~ ~ . Ze., Y ~ 1 I s I z-~19 I J;-Z-as a:ohz r! v . , s~C ~1 s 06 II i f 1 9 ~ 4 qq.. Vim- ; Ao'Q~ 3 _ Ob tQ eV t~ o f it ~ _ I ogn~ - - ~`_'1t~~~ I I ~o obi f I I Gov I l s ~ i I ~ N r S- ~ r ~ r b~\ 'Zt v_S 09 ~h f d~ s~ ~►o ~ t t v r - t Q JL o W N a d - o I 9 2 jl XL a ' N ~-3 I A .~.w. UL v it J 4z J ?E i J .77 77 Q J \.WRTP ~ s • e liiii!(~ i•r~~ii•iliiiili •~~1+ 00 • i yt loop • / • • j • s s• ``nn •,VJ M~` r.~ 4 cl v3 An ~ ~ry M va r-llki' "1 MKy Pep-. ~ o X - 3 ti SOIL DESCRIPTION REPORT , PROPERTY OWNER Page ~f. 3- PARCEL I.D.# Horizon Depth Dominant Color Mottles Structure 2 Boring # Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench -Z L. rv► c r m C S Z A o -5 1 Ground -1 7. S y1Q 'i 4 Rs elev. T-1-ft. Depth to limiting ry , factor in. Remarks: Boring # 3 0~ 3 3 54 m CS .-l 6X O~ fil S M S 6,-7 Ground D3 ~a9 /by 3 54 s M ~.s 8 "►l~i ft. G ~ , I Depth to limiting f t r Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # -4 1b 1 / L. m <f C Z o '1:6 "S7 'T'o S 413 Ground Zo•..~ ft• , {1 , Depth to limiting ,,Ml in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD-8330 (R.9/98) Wiscons' apartment of Ccfnmerce SOIL AND SITE EVALUATION r Division WQb3afety and Buildings Page ! of Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and 5-r percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ✓1 Parcel I.D. # OZd (3~~F-l a-- .Z2 APPLICANT INFORMATION -Pleas nn> mfQrma7k>!n. Re at Personal information you provide may be used for se prfdaty purpo w, s: 15.04'j') (m)). 7, Property Owner Pro erty Location .~Q O , :w « C3o Lot -S 1/4-SW 1/4,S T Z N,R 20 E (or) W Property Owner's Mailing Address S7 Cfifalx tet• Block# Subd. Name or CSM# courvTv 'JTl~ t~ J CEO City State Zip Code Phon er City P Village [ Town Nearest Road a ~lt~ ~J 5TJ~1 3 New Construction Use: ® Residential / Number of bedrooms _ Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow Gcw gpd Recommended design loading rate 0,5- bed, gpd/ft2 6 trench, gpd/ft2 Absorption area required -.~~bed, ft2 trench, ft2 Maximum design loading rate _0. S bed, gpd/ft2~~trench, gpd/ft2 Recommended infiltration surface elevation(s) _9y ft (as referred to site plan benchmark) Additional design/site considerations EVALLJA / owE F09 k4 T A PP ROW Parent material 4 L10 C-f A L -rl LL Flood plain elevation, if applicable ft 7U= Suitable fors stem Conventional Mound In-Ground Pressure AT-Grade System in Fill Holdin Ta k y g Unsuitable for system S❑ U Ms El U 7 - 4 S❑ U As ❑ U S❑ U E] SU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench J D`l G 1..Gf M S 1 d 5 2c) / - /1:5 A, LS 6 p .FS Ground D ~1 ~A~1" 3 Q lev - c v S 1rl S Q Depth to limiting factor 7 77 in. Remarks: Boring # -~5 1o3h - ncc r m C Ad,S B 7. 4-14 ril 5 /In I ~s - _1 7 8 Ground ~ellev~. 9r-t ft. Depth to limiting factor ,7in. Remarks: CST Na (Please Pri t) Signature Telephone No. - 40 8-6 Ad ess 400 Date O~ CST Number _ PROPERTY OWNER SOIL DESCRIPTION REPORT Pa9e Z.Q_3 ,e ; PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Structure 2 }n. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots h1- Bed , Trench r c 5 Z 5 ~'~:7o?3is•'sF y - 54 1'►'1 S GS rh ,1 ;0 Ground _ )4-7 . ~yR 4 4 SG $2S j - 0,5 .o .6 elev. ft. Depth to limiting 7Win. ; Remarks: Boring # / 3/1 4¢ S~ ~ s m 62 If I o~ CIS Ground ~ Nl - `eft. O Depth to limiting f WArin. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/ft2 In. Munsell Qu. Sz. Corit. Color Gr. Sz. Sh. Bed , Trench Boring # „i -4 /0 3 1 c 2 0.9 0,5 IbVk 3/3 S41 ts n, r., Ground v ; 70•J {t• ' Depth to limiting f m 7 in. Remarks: Boring # Ground elev. ft. Depth to limiting factor In. Remarks: SBD-8330 (R.9/98) r III i. 1 C ~ I (3 pe z o~r-w 3 I~ a r z JE z Do 3C' S ~ ~ 31 S 9 q~, 4 A v 6?' t 76 ' K zo ~-0 i r r r DoT ► 3 i No Loy- Cn e-NjLrs IJA jt 1 Parcel 020-1374-12-000 01/12/2005 08:27 AM PAGE 1 OF 1 Alt. Parcel 12.29.20.2245 020 - TOWN OF HUDSON Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * STARRWOOD PARTNERSHIP STARRWOOD PARTNERSHIP 170 STARR WOOD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 230 STARR WOOD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.519 Plat: 2506-STARR WOOD LOTS 1/25'00 SEC 12 T29N R20W PT SE SW STARR WOOD LOT Block/Condo Bldg: LOT 12 12 1.519AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 12-29N-20W SE SW Notes: Parcel History: Date Doc # Vol/Page Type 09/13/2000 629835 1542/324 WD 08/18/2000 628460 8/5 PLAT 2004 SUMMARY Bill M Fair Market Value: Assessed with: 50144 81,400 Valuations: Last Changed: 10/30/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.519 63,000 0 63,000 NO Totals for 2004: General Property 1.519 63,000 0 63,000 Woodland 0.000 0 0 Totals for 2003: General Property 1.519 63,000 0 63,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00