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HomeMy WebLinkAbout020-1472-00-007 o p~ v ~ ~ W ~ J V o C \11y V C ~i o b 43M~ h 3 ~ a I o 144 e^~ aC ~ o r. ~M Q~ ~ ~ v O~ ~u `a Q Q K N O Q v R vU n K V ~ Q I a@ ~ W Y ^ Zpa a ~ 4~ ~ A ~ Z I ~M o N ° v ►r• \ k k ~ ~ ~ 1 C]COPY Industry Services Division County 1400 E Washington Ave SP OCT O Z 20,1b P.O. Box 7162 T. ~2oiJC S Madison. WI 53707- `itary Permit Number (to be filled in by Co.) ST. CROIX COUNTY 7 S- gZ a 2 .100MM anit ry erm ait Application a Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit 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(i)(m), Stats. 1. Application Information - Please Print All Information ~Z GElLsy~li.J L'~~E Property Owner's Name Parcel # V,4 rE,t s ~iJ`E o.,ISTituc rio.! OR0 - /y7,? - Oa - ao 7 Property Owner's Mailing Address Property Location ~ 9r i9. tx I ~qo / 201.2 t: 0 r~ Wug Govt. Lot cX t ~P City, State/ Zip Code Phone Number ..SE /-1//2 So~1 Gf ~ 54.1 1/4, Section .7,~ Syo.~ 7 7iS 760 - a 7o y T a7 9 N; R 9(circle one III. Type of Building (check all that apply) Lot # ,t31 ot 1 or 2 Family Dwelling - Number of Bedrooms J7 7 Subdivision Name ~EO~v~ Esrv rr s ❑ Public/Commercial -Describe Use Block # 41irs Q-Eityef ❑ State Owned- Describe Use CSM Number 8-Vi%ge of Town of ^ uD Sc.✓ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Tre atment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ 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) XNon-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Treatment Area Information: Al E Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (ystem Elevation 7 93 ank Info Capacity in Total # of 9 3. d Gallons Gallons Units c 2 .0 Tanks Existing Tanks U Septic r g~i ~ a. Dosing Chamber /000 1600 VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's ' at MPRaFPItS Number Business Phone Number ~aNa ~EtK~ ~~~2%~ a3/.3y6 7is 67a-,g-a~G Plumber's Address (Street, City, State, Zip Code) iY Ga98 sr; ws! o?s 06uVeX- O GJZ- sy734 VIII. Coun /De artment Use Onl Approved ❑ Disapproved Permit Fee Date Issued Issuing Agent Signature ❑ Owner Given Reason for Denial ` ` 6-d d lQ IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: Septic tank, effluent filter and dispersal cell as per Must be se 2• All Setback a9ementp an, ryi (maintained re I provid Attach to complete plans for the system and submit to the county o6WVb ebb t a l{ir1U${ s er co e/ordinances intained -t v iF/-n ow4yr-"Alf w16061ld D5D AZEUt?-?-Cb '74-157 # SBD-6398 (R. 08/14) mod. e~ ~ .ovate Onsite Wastewater Treatment S~ste~ Index and Title Page - P;OJectNante: /.✓t~cou.~.4 ' !~o wrs OWMaes Name: OWnW9 Addrnss: 210/a Go r"` !~//lson! Syo~7 7/S 7Co- ploy , LegEd Desc ription: iF, <'&j -99 a 9 N / 9 d✓ uunwP T-z Verge, efty of /I r /.W, os4.J' County:?- Eaa. x Subdivision Name: CE,OAa l✓/,✓ s ES rATE S Lot Number. __7_ Block Number. Parcel I.D. Number. o,?o - /y7a - oo - 00 7 Page 1 >f.~~E x +rt Page 2 ~1ar A.; d, G~itoss .S' f Page 3 ..SE~T'.~G S'~~c.F c.9s'io.~s Page4 ~©r~1'S a~.~Fas ~.~.Jcr~a ~ ~J .dAlE.~F.,+r L.+.J Page 5 " r+ IT ft Page 6iL Page 7 Page 8 0" kFAGflIVEA+rS - Saiy yRG csR tiod lE~o'z r- Page 9 Name of Designer. .To A6KE License Nwnber: /Yi° - a3~3y~ Date: 9-30 - .74/- 4-Designee, to the Following POT'S Camponent Manual and .5,0-5 81-85: In-Grower Sal .A.bam?g Coumo~nt Manual far PQR 'S tVer. 2 SBD-I~7fl5 P (T 4IIQ1~ ~C o Z 0 a ~ 2 0 l ~ ati _ a a ~ c+~ ~ o y w~ o N w OQ ~ o ~ o t,,, NP, % NO 1 N h ^e ~n L \ x a ~ o ti r ro a~ r ,1 ul ---~=i N O o ~ p a ~ o a 7 ty~, a a a ~ _ ~ Irk o o. n. ~ Z ti ~ 1~ h o N - o ~ a . N ~ ~ `p h ~ _ n r v t^ /LE-O~ALEyC~r 19Rt4 11 1 A fly O 1 ` ~ ~ 1 A u ~ a v, ~ Zi ~ ra a ~ n z ti o o 0 • azz e 4N D z X O D M 61 ° 86" D z c n n 42" z m rn N m nx- v O M f 7 -4 ~ aa~ m UP 41 ° A 4" CAS M D O j M -0 0 36" 4" I Ln I >m D f UP 38" r I r O M;u t~ 4" CAS N N v M M c O ~ c M 0N O 4 M o - _ ~ 9: D C ~D~ M o 39" o< o D -a m OF> (n N -1 9: Dr I I o r- co > O M D to M M r O X m C7 2 D z c M c ao Z --1 K z o o n T- ~ z~ -q 0 ~ D v v 0 --I -i r v* r m r o f~ ~ w z 0~ 3 OD Z`~ 6? OCO 0 0 Z D=Z -ArvZ mD< Zjr0 Cv vX vrN m 8rr*~D -a ov 7,DV ~v~ ~ o~ Orin Om \m rD 0 r~T - m~C ~~C mZ~ m~ 3N.. (n -u r K7z Z OM D O OD Dm N -Di CA or~0 P 0=1 z v mmm -fm CAtl z~ O 0 c m o n v ~ G) -I m e w u~o~ Dr in a ° Gov ow ?1 O = co LA c O rn zo \ o z a m ~rrn ~m o cn_ r v m m o W -u -1 jm D D DO O m D y w m 3 m z C- C < D Ov r c7ry r0 m (ATMo m D m 7D H D ~ W m z O -I z DS- ZV a; o s> Dv n O ;D o ~o-n O~ v O O r 20 r r' 0M c r 0 O 0 (A U) 0 X c X o 'S M m 2 0 n o z m ° X ° 0 z rn r C fED 0 ;D c M T m l~~l H Z O r ;u (7 US I ~ Z m ; r M --I \ rn wLPlooa-MR WIESER COOCBETE DRAWN BY: SME SCREV. 1 4'ffi1'-D° PRE-POUR: O SEPTIC MANUAL W3716 US HWY 10 MAIDEN ROCK, WI 54750DATE: JANUARY 2010 DATE. POST-POUR: ~ \ ° REVISED JAN. 2010 800-325-8456 RAE: UMOOD-lei POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 41 of 4 FILE INFORMATION SYSTEM SPECIFICATIONS Owner Tank Manufacturer: j,11ESE2 ~a„1«cErE ❑ NA Perniit # OSeptic ❑ Dose ❑ Holding Volume: /060 (gal) DESIGN PARAMETERS - Tank Manufacturer. 0 NA Number of Bedrooms- ❑ NA ❑ Septic 1? Dose ❑ Holding Volume: (gal) Number of Public Facility Units: ® NA Vertical Distance Tank Bottom(s) to Service Pad: 7 (ft) Estimated (average) Flow : (gallday) Horizontal Distance Tank(s) to Service Pad: 8D (ft) Design {peak) Flow = (estimated x 1.5): (gauday) Specific servicing mechanics must be provided if vertical is >15 feet or if horizontal is >150 feet. Specific instructions to be provided on back. - In Situ Soil Application Rate: (gal/day/fe) Effluent Filter Manufacturer. QES) " ❑ NA Standard (Domestic) influent/Effluent Monthly average Effluent Filter Model: Z, L /O Fats, Oil & Grease (FOG) <_30 mall Pump Manufacturer: Biochemical Oxygen Demand (BODS) 220 mglL ❑ NA krNA Total Suspended Solids (Tss) -s150 mg/L Pump Model: High Strength InfluentlEffluent Monthly average Pretreatment Unit (FOG) >30 mg/L Manufacturer. (BODs) >220 mg1L ❑ NA ig NA (TSs) >150 mg/L ❑ Mechanical Aeration ❑ Peat Filter ❑ Pretreated Effluent Monthly average Disinfection ❑ Weiland Y 9 ❑ Sand/Gravel Filler ❑ Other. (BODS) <_3o mg/L Soil Absorption System (TSS) <_30 mg/L ❑ NA Fecal Coliform (geometric mean) 510` 9 In-Ground (gravity) ❑ In-Ground (pressure) El NA At- Maximum Effluent Particle Size X in dia. ❑ NA ❑ D Dri ❑ riGrade ❑ Mound p-Line ❑ Other. Other ❑ NA Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Pump out contents of tank(s) 5rWhen combined sludge and scum equals one-third of tank volume p When the high water alarm is activated Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA 3 year(s) Inspect dispersal cell(s) At least once every: month(s) (Maximum 3 years) ❑ NA 3 year(s) Clean effluent fitter , At least once every: 13 Ef month(s) ❑ NA ❑ year(s) Inspect pump, pump controls & alarm I At least once 'every: 0 month(s) 1 NA Q year(s) Flush laterals and pressure test At least once every:. ❑ month(s) NA ❑ year(s) Other: At least once every: [I Y onth(s) ❑ NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or certi;Ications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper). 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 a check for any back up or ponding of effluent on the ground surface. The soil absorption system 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 treatment tank equals one-third (f;) or more of the tank volume, the entire contents ar the tank shalt be removed by a Septage Servicing Operator (pumper) 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 <_12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event Page -s of eg_ START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals or sediment that may impede the treatment process'and/or damagw the soil absorption system. If high concentrations are detected have the contents of the tank(s) removed by a Septage Servicing Operator (pumper) prior to use. Pump tanks may fill above normal highwater levels prior to startup or due to pump faltures. Start up or restoration of power under these conditions is not recommended, as the excess wastewater will bedischarged to the soil absorption system in one large dose causing an overload that may result in the backup or surface discharge of effluent and damage to the system. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator (pumper) prior to restoring power to4he pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank. System start up shall not occur when soil conditions are frozen at the infiltrative surface. Do not drive or park vehicles over tanks or the soil absorption system. 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 treatment tanks and soil absorption system: adds, antibiotics, baby wipes, -cigarette butts, condoms, cotton swabs, degreasers, dental floss, diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat scraps, medications, oils, painting products, pesticides, sanitary napkins, solvents, tampons,-and water softener brine discharge. - 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 safety abandoned in compliance with s. SPS383.33, Wisconsin Administrative Code: o All piping to tanks, pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed. e The contents of all tanks and pits shall be rerdoved and properly disposed of by a Septage Servicing Operator (pumper). a 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 cede compliant replacement system: A suitable replacement area has been evacuated 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 Ones 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 the time of their permit issuance. 0 A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort. 0 The site has not been evaluated to identify a suitable replacement area. Upon faitdre of the POINTS 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 inste ied.as a last resort to replace the failed POWTS. 0 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 i-~ TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS BASSES OR LACK SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE. ADDITIONAL INSTRUCTIONS: POWTS INSTALLER POWTS MAINTAINER. Name pay it EL K£ /~-o? 3/3 Y6 Name ,.(oN,j! ECKr ~I~£l KE L uridi~Js ~ Phone 7i JC' C7,7 - SW e4 Phone 715- G 72 - S-R44 SEPTAGE SERVICING OPERATOR PUMPER - LOCAL REGULATORY AUTHORITY Name Name 3 41,401 < el. Zon11a4 Off/ZE Phone Phone /s 384 - 111-1199 ' Cn fY L` :D "Zl P11 ~ fD l°. Gl ~ ~ ~ tr' 74 u 7 ff4 n - ~ 1 0nfD rI 0 :3 J i® n J :s'R ~wp a o, :3 rb !Y/ n n c 0 pp~p 6 v m < ID <L x _ Es o n m -MMM m m <n ism' N w _ re m ~ y 3 O o m e l ~a ro ~ p m m J m tin 3 - c n - $ .Ni ro Q n C, n 3 CO ;7+ ° e s~ co m v: o a m C~ p,,. 0 3 m CJ n n _ N _ O v 3 G rt T° O O O - Xm O O 3 ° m-. - tb m 3 . o< p< - - - m 7!2. 3 Q~ - if -fD ~o O 0 3 to a D _ ~Q ( m o m o' w m m m m y f s s. .3;. 5 Cs S O.. t f m m o u y i, f m 0 o cn g 0 i! - 3 cr - o ° o m m 0 O O o L r' n 0 0 - o n ° m c 3 m N P~ x m a 7 ^ `G D D 0 iA CL ;:r to m -0 r- V p a'O C m w° m n N 3 r . 'm ?N m e (D 3 c~- 3 m n 3 N a m 0 nrD 3 n lII T. py. i(r H o O < V1 .J rD ry. f1 n ~ m v nTi a' S fJ w m $ y<R/ Q O Q. I-D I m < i 0- 3 m R' T - i id rD z; C: rl m 'I'D 'lob 0- M< G fJ ::R m rD n .•rm, O- M4 J me r-, SF m tA O Fc A 0 ° 'a m ro ~ fl7 ~ po,a . Cr HA rD F'amA m n is Q < CD 3 T. $ ` y. J7 ezyy ~ ` t~ J c m n n w m 3 :4 rD 0 -c- n 'c ~ m m g' J -c 3m CL~ O m F ~ rt S`. CROIX COUNTY SEPTIC TANK. MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM {,1wnert811 er Mailing Address Property Address (t eritication required from Plains & 7.oning Department for new construction.) GitylStaic , L~Oarcel Identification Number _ . --0 4 ^ Q4 T I'to}aeriy Location I/$, Sec. T N R _W, Town of Subdivision Z t4j L.~ 4&`. r Lot # Ce r lfled Survey Map # , Volume , Page # Warranty Dee # .~,...w...~.. , Volume Page bpW house ves no Lot lines identifiable no SYSTEM MAI aENAINGE AND OWN R G~RTr>H'IGAT ON Improper use and maintenance of Your septic system could result in is pretnatuure failure to handle wastes. Proper maintenance consists of Pumping out the septic tank every three years or sooner, if pumper. What the s needed, by a licensed you put into ys tm can affect the f maton of the septic tank as a treatment stage in the waste disposal system, Owner maintenance E responsibilities are epecifieud in #Comm. 83,52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. T'ine property owner agroes to submit to St. Croix County Planning & Zoning Depwunew a cxrti6cation form, signed by the own" and by a masie r plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site j wastewater disposal system is in proper eating condition "or (2) after inspection and less than 113 tall of sludge. pumping (afY), the septic tank is I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, hmim as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin, C+atificabon stating that your se c system has been maintained must be compleW and repumed to the St. Croix, County Planning & Zoning Department within 30 days of the thane year exsuabon date. Vwe certify that all statements on this form are true to the but of my/our knowledge. i/we amlare the owner(s) of the property de scribmi above, by virtue of a warranty deed recorded to Register of Deeds office. Nam room OOon PLICANT((S ) DATE '•"Any asfos misrepresented may result in the sanitary permit being revoked by the Planing & Zoning Department. Include with this application a recorded warranty deed from the Register of Dft& Office and a copy of the certified survey map if refer a is nude in the warranty deed: Scanned by CamScanner • RECEIVED witcAin D roe DEC 2005SO1EVALUATION REPORT Page 1 of and Bui ' in accordance with m ST. CROIX C?~1/[VTY C complete site plan per not less than x 11 i i e. Plan must - r O 1 include, but nN Wnited to: (BMj, dire Par, LD. percent slope, scale or dimensions, north arrow, and location and distance to nearest roa . ~C U Please print all intbrmat/on. eaewed Date Pasonel irdw"bon you provide may be used for secondary purposes (Privacy Law. s. 15-v4 (1) (m)). Property Owner Property Lor-tiny. Z 1 1 j~ A Govt. Lot _55 1/4~'{, 14 SG T pZ N R.~ E ( w Property Owner's MaiWtg Address Lots Block # Subd. Name or CSIM < City isle p Code Phone Numbor ❑ Cily villago Town Nearest Road D ) ' 31' u 6erw ;r, New Construclion Use Residential / Number of bedrooms,?- Code derived design flow rate Q GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material a-- h Flood Plain e~le-vattiioon it applicabl/e° ^r^~ ft. General oartmertts .S7~i" a4lewp- and recommendations: / dot. Sic- ~dl o~jSf/S q, Se Boring FT] 8orirg # o pit Ground surface elev. R Depth to lirrtitirtg to" 2 b in. Sol Applicallm lmoe Horizon Depth Dw*ient Color Redox Description Team SWctu a Consistence Boundary Roots In. Munsel Qu. Sz Cortt. Color Gr. Sz Sh. MINI 'Eff#2 6 f 0-11- 10"31z- 5 ex- oL, Z I L-zD s e, Ye, /rJ N1 tiJ,+ ® g # ❑ eorirg 2 7 ,1 Ground surface Nev. / ft. Depth to lurtilrrg factor V it ~ l ~ L in. Sol Application Rate Horimn Depth Dominant Color Redox Description Texture Structure Coreistence Boundary Roots GPD/fF in. Munsel Qu. Sz Corti. Color Gr. Sz. Sh. 'E1101 'Eff#2 1 v-~t i 3 5( - r m A'O 2 IL-3 r 7/ . c. i • Etlluertt 1f1= BOD > 30 220 mg& and TSS >30 5150 ' Effluent #2 = BOD 130 mgt and TSS 130 mglL CS[ Ntlme (Please ft 4 CST Number. Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54 17 / S 715-246-4516 Property Owner Parcel ID # Pape of ❑ Bating a~ g Pit Ground surface elev. + I ft. Depth to limiting factor L irL Sol AppkMon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G in. Munsd Qu. Sz. Cont Color Gr. Sz. Sh. *Eft l `EtAr2 -1L r S ,b 3 h~ ~ c m , so" # ❑ Boning ❑ Pit Ground surface elev. R Depth to renting factor in. SoN Rate Horizon Depth Dominant Cdor Redo Description Too" Stucwe Consistence Boundary Roar GPO f in. Mxreal Gu. Sz. Cora. Color Gr. Sz- Sh. ` --M 'EW BorkV # a Borft ❑ Pit Ground surface abv. ft. Depth to Nrnitirtg factor inn. Sol. Rate. Horbw Depth Dominant Redox Description. Texture Structure Consistence Boundary Roots Gpw in. Munseti Qu. Sz. Cont. Color Gr. Sz. Sh. •C-1f#1 'Etf#2 I I Efttuent #1 = SODI, > 30 1220 mglL and TSS >30 1150 rnWL ` Eft sent #2 = SOEk 30 mg& and TSS 130 nglL I The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an ahernate format, please contact the department at 608-266-3151 or TIY 608-264-8777. ssoauoxa.soot Soil Test Plot Pl Project Name Dave Alwin un rd Address 413 6th St. N Hudson Wi 54016 STM #226900 Lot Subdivision Cedar Win's Estates p e 12/12/05 SE 1/4 S W 1/4S 22 T 29 N/R19 W _ Township Hudson i Fj Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1/2" pipe 5° above grade System Elevation 92.9/92.8 *HRpSameasBenchmark Alternate Benchmark Top of 1/pipe 5" above grade @ 100.0' Germain Way Scale is 1" = 40' unless otherwise noted 25' At1.B.M. B-2 B.M. B-1 90' 30' 30' 0% Slope 45' B-3 Tested area is a flat plateau on top of the hill. I 492' property line I I ~ I ~ 0 0 1 ~ V G3 y@ NNW Un 98 0 D 0 LOT 2 I \ 2.61 AC. / LOV 8 um-roam LOT 9 =poem I 2.71 AC. / WMVU LOT1 I / 3.39 AC. \ . / LOT a o' 2.W A& ~ lip w avow MOM MELT *►,ri~---~\~~~\\ ` \ ~ X71 ~ 2 ~ \ 111111111 11 ` Y LOT S J~ )JI 1 \ \ 2.18 AC. V LOT 6 2.01 AC. ~ • \ LOT 8 I \ Ij0.'aD 2.66 AC. unwosao _ ~ ~ LOA-IMaO Qt54A4C -._-_LOT 7 Z.7i10~- oo UW 2 Mo..40ILIG ISO III 1400n914= m" WK-014M oumcom !r' MLAG ILIO u,° 60a4 9 C~.~i COQ. 9~, I ,r I PG1CalC# i---•----- ~ I I 41 I , , r I I I I I Im 9 I I I REMOVE EMI511RC DRIVEWAY I- y WCT" M BAfM.MWS Raga aauueoSweo Aq pauueoS I Air a" T Ai r ( .I 0- N 44 kt 16 1. 00 i t I ~ • t ( 10 O / I~I,ew, •i Irt ~ y ~ ~ t I A I1 1 O M it B j Q 3 , 3 t ' i D i w 6 y Q m z c I e ' I R H i 4 a/ qq~ a WATERS EDGE CONSTRUCTION ►eII ~ SPW2014 EXTERIOR ELEVATIONS ~,~~aA11'inn~+~LV.uc+rrco*neattcui uE pk ~ ~~;F.a~:wtsau I a -A;wr I ~ 1 1 I -41 (s f e e.......« I I L~ ~ IS 7f~y ~6 ' R ' ~~r I ea ~ I ~ z ' i~ E 4 S J ~ P Ek w WATERS EDGE CONSTRU u CTION SPEC 1074 PM ra. AIAiN LWEL PLAN llff AL. °IL'L77.YA2 k~F :9~18exeStRy. iiuc JOl.Nm armor aen„ . u~ RECEIVED Wi`s n D `q. rim t co n erce ~ (~09 1 E LUATION REPORT Page/ of Div' ' e and Building in accordance with Co m 8 C e ST. CROIX CO~JNTY, ounty complete site plan aper not less than 8 /2 x 11 inc es iris e. Plan must include, but not limited to: v (BM), dire Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest roa 0,~ Please print all information. eviewed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.u4 (1) (m)). Z!3 Q~ Properly Owner Property Lor-fine . Ile qJ .e- J ~j Ji f^t Govt. Lot _5, 114SI fil4 S2ZT N R,,/ E (o 6w Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# Z City . State Zip Code Phone Number ❑ city Village Town ~Nearest Road AL a471-1 Ail 1.601 1 (1 1,.,, New Construction Useg Residential /Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General comments Q~YI /-A A,,tY" r and recommendations v / G L S(/2 .~G- S Sh ~c Sri' ~~E ~~~~✓~a, F/-1 Ong # ❑ Boring pit Ground surface elev. R. Depth to limiting factor l~ in. o pit Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eif#1 `Eff#2 D L 0 31 z_ 5 C s- z I L -z'D S .S~t Nl y4- N 1 A- -7 A ~ Boring # ❑ Boring Ap-it Ground surface elev. ~ ff. Depth to limiting factor ` 1^- U in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. '5#1 `Eff#2 1 0.11- lQ ,3 St r m L~ Z IL-3 57 C I I r-7 Effluent #1 = BOD > 30:E 220 mg/- and TSS >30:S 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Nam Flee Print) 1 re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54 17 CZ - 715-246-4516 z i Property Owner _ Parcel ID # Page of Boring # El Boring 0 pit Ground surface elev. ft. Depth to limiting factor Zl7 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2 y, - ~0 ~Ij Boring # ❑ Boring F-1 ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil ~Applicafion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Col Redox Description. Texture Structure Consistence Boundary Roots GPD1fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BODE > 30 < 220 mglL and TSS >30 < 150 mglL ' Effluent #2 = BOD5 < 30 mg1L and TSS < 30 mg1L 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 608-2648777. SOD4330 (8.6/00) Soil Test Plot Pl Project Name Dave Alwin un rd Address 413 6th St. N Hudson Wi 54016 STM #226900 Lot 7 Subdivision Cedar Win's Estates p e 12/12/05 SE 1/4 S W 1/4S 22 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 1/2" pipe 5" above grade System Elevation 92.9/92.8 * H R pSame as Benchmark Alternate Benchmark Top of 1i2" pipe 5" above grade @ 100.0' Germain Way Scale is 1" = 40' unless otherwise noted 25' Atl,B.M. B-1 B-2 B.M. 90' 30' 30' 0% Slope 45' B-3 Tested area is a flat plateau on top of the hill. 492' property line ~ I 0° M4aOo 4 9 I FNM@ W V RUE 6gv aO 4 5 ~3 0D°mm \ I LOT 2 / \ 2.61 AC. aO4 g ~aa-90530 LOT 3 2 ° ° 2.71 AC. / 4G15~~ ` La0.-90530 LOT1 3.39 AC. \ - - - - LOT4 %/=_______-=~icc~~ / 2.35 AC. ao4 INF R K11ON Moto 16 LILOL 2D' DRAOLME EASEMENT - - - - - - - - - - - - - - - - - - - - - ~ _ _ G3Gaarl VX\ ~X\\\\~~~~ea'>+e \ Q~\O\~ o, 24 \~111\~, '1\ ` - \2G 7AGE EASOM \ ~'~)ll) 1 \ LOT 5 2.18 AC. LOT6 2.01 AC. LOT 8 I \ tsa-905.50 2.66 AC. t~.a-905.50 ~ ~ > a L~4L^14C~ --_LOT 7 ~i ww`«cE eRrvarNE E44rAc.-----QL- [L@4 2 403 '0" 1-19.0.-91at0 too OUR t1wL.914oo 190 YR IFROZENN ML-914.00 I Lao.-9,9.90 DEPRESSION Lao YR rno-91x10 L.13.0-9 MO 9004 9 60~. OOf~ 9009 I pG16C~ 2~ I i ~ I i I 519 r--J REMOVE EMSTING DRIVEWAY I- oCCONNNNECTION To BADLANDS NGRII 0 40 a