HomeMy WebLinkAbout020-1374-03-000
`NisconsinCeparlmentofCcmmerce PRIVATE SEWAGE SYSTEM Courty: St. Croix
Safeh/and Building Cwision
INSPECTION REPORT Sanitar/ Permit No
(ATTACH TO PERP.41T; 5$2022
GENERAL INFORMATION State Plan ID No:
Personal nformaton you provide may Le usec for secondary purposes [Privacy _a v, s.15 Oa (1)(m)I
Permit Holder's Name C .y Village Tcwnsh o Parcel Tax `e
Mark & Linda Sturtevant TOWN OF HUDSON 020-1374-03-000
CST BY Elev: Insp RM Flev BP.1 Description. Cc f S tion`T." viRwigeJ.'ap No:
. 1 . ~1 yy t 12.29.20.2236
TANK INFORMATION ELEVATION DATA
TYPE VANUFACTLI~. I CAPACITY STAT'ON BS HI FS ELEV.
1160 Iola I,
Benchmark v !j
Septic
pqy~- Alt BM
~L
Aeration Bldg. Sever ZZ ~iv In,
Holding S it Inlet maq Ibo.II
/ tG
t
TANK SETBACK INFORMATION ; t Outlet Z3.51 99p 9
TANK TO P/L VAL: _ BLDG Vent to Air Intake ROAD Dt Inlet
Septic 1 1 I 1 Dt Bottom 2p pQ L~q~
Dosxr1 ` eaderi an. 27 D 1 I • 2
Aeration DiSL Pipe 22 p p r
Holding Bat. System 7 J, J o' 19. W~
L7 0 'J
PUMPISIPHON INFORMATION Final Grade
)
Manutacturer mai St (Pve[
GPM
`
5 -_7
Model NLImhP.f y_
TRH Lift Friction Loss ' yWeni Head Tf3lH__ Ft
Forcemain Length ia. Dist to Nell
SOIL ABSORPTION SYSTEM L t
BED/TRENCH NAidth r I ength No. C° Trenches PIT DIMENSIONS Nc. Of Pits;' Inside Dia _iquid Depth
DIMENSIONS 3 r r r /
SETBACK SYSTEM TO Iloi BLDG WELL LAKE1SxREArv1 LEACHING Manofactjrer
INFORMATION CHAMBER OR (i ' G fZ r'
1 ype Cd System ~I l t n , f t UNIT Morsel Numb] .
DISTRIBUTION SYSTEM w L
He3tledMandold jf Dis:rib4tien x --Cie 13 ze x Hole Spacng Vent to Air Intake
Pipes; z%
Length Dia Length L1i2 Sp.icing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Eepth Over I Depth Over 1,A Depth e 1xx Seedec!Soadrd xx ?i
BecTrerct Cerle' 2 Bed;T-encn Edges Jam= Topsoil yes "o Yr_s JO
COMMENTS: (Include code d screpencies persons present. etc-) Inspection #1 inspectiof/nI #/2I:
Location: 192 STARR WOOD ~~GSI f~~ C/ir I C I IU I~~ t~ -
1.) Alt W.1 Description 1144ble ;I`/ all /r1.Qt~
2.) B ,dg sewer length -
- amount of cover t
Plan revision Required? Yes )S-No I~ ~f rd I~ ~^1
Use other side for additional information
Cate T ! InsepctorsSigrature Cert No
SBD-6710 T 3f97;
Safety and Buildings Dj on St. Croix
201 W. Washington Ave., P. "IBlox U2 Sanitar Permit Number (it) tie filled in hs Co.)
~SMadison WI 53707-71
~cauNpME~ a73p lJ~ z 0ZZ
I Slue }ransu•tion Nunr.,cr
~It 66im Sanitary Permit :'application
r. Z dance ssith STS Is± 21(2). Wis..1dnt Code. tibrnission ufthis Lunn [u tl:e appripriah gocernntent:ti unit Na
i, required prior to obtaining a sanitar pcnnti. Note: _lpplicauon terms for state-owned p( )Ikr I'S are submitted it, Project Addies, ( if different than ntailinl-, address)
Ill. Departn-ent of SaRgy and Professional Scn-iee,c. Personal information cou provide nor. he used for sccondam-
PLIT"scsu,nr.unl:uur,still thePrisacyt~iss.s 15-n4(t)(In).Slats. 192 Starrwood Dr.. Hudson. W[ 1016
1. Application Information - Please Print All Information
?ropertyO%Incr Name Parcel
-
\,4ark Sturtevant 020-13744).13-000
'ropcrt\' Oas'ner's Mailing.kddress NroPerty I -Oallun la a q . 0. o?~ 3b
I
o254 Hickory Rd. Go.) L„t
( ON. State /ip Co& Plwgl~ \tunhcr NF SW sectien 12
_
(crrclc one)
Hudson. W1 >;4016 (F-(, - r 29 N : R ?(I I( or
11 TT} of Building (check all that apple) I •,t -
F~f I ur i•anrilc I)ssellink Number ol'Bedr00ill, 4 - Subdivision Name
C, k "t, S 4~ 411&k Plat of Stamvood
I llublic Commercial - Describe I?s, A. _ Na
Cil of
State 0%% tied - Descrittc t tsc CSNI Number l:+ge ot,
LI) 1 Na .V I of Hudson
111. Type o1' P it: (Check nnl%. one box, on line A. Complete line H if applicable)
_ \esa Scstem Rcplacemad Sssten, 1 radmenl Iloldniv! funk Replacement Only I Other Modification to Exi.,ling Ssstem ( xplaut)
13, Permit Renescal H Pemlit Revision Ch mi_'e of Plumber Permit'transfer to New list h e%ious Permit Number and Date Issued
1
Ilcfarc l,spiration Om-ner /--7 41 14
i
IV. Type-of PONVTS SNstem/Component/Deuce. (Check all that appl%) 101.1641%-V %-ff-
i -
11
\on-Pn•ssarrceJ]n-Ground Prrs-,miied[n-(=round It-Grille Mount 24 in ofsuilahle,nil Mound 24 in ofsuilabl it
11oldrn lank ()ibar Dispersal Conirxxtant (esplaht) Pretroatment L)erice s tLtin)
V. Dis tersaUTreatrnent Arcs Irtfurmatiot . [ u1 Utl:oi "Q-4 I'lus" Standard ch ntbers & U end caps.. 1'0lvl_.ok ellluent filter
Dcsipt Moss (pd) Dcstspt soil application Disporsa[.-krea Required i.') Dispercd Lea Proper. , is s t Ele% ion
o0t) Gpd 0.7 Gpd!Sq. Ft. 857.15 sq. fl. i 857.44 Sq. Ft. 98.90'
VI. Tank Info C:Ipacih in Tuts] I of Manufacturer
Gallons Gallon t'nils
~ Slew Taril;:.
i 'r ~ f r~ V
5citi. rr -::)Lhrv, lank
1.2 i0 1.250 1 W'ei er Concrete X
VII. Responsibility Statement- I, the undersigned, aswme t•esponsibility far installation ofthe PONVI'S shown on the attached plans.
Plum eve's \umc i Print) 1'lutnber s ,[_gnat( e %IP V PRS Number Business Phone Number
(Gan-Lappa - MPRS 222373 (715) X86-2850
Plurnt eC, Address i titn•el. l'rts, State- !iP l~•Je)
715 6" St. N1 Hudson. \V1 4016
YIl ounh~iDe artment Use Onlc
lpprotcd I [ Permit Pee Datt d lssuutg nt Signcnure
X /d zz 5
- r•,zn 12 ca son for Uenial 75
1\. ('onditfyygTt&Ap tcasons for Disapproval GG L e-^a r
1. Septic tank, effk*rt f Iter and 2 wt t7
disoer>ai Cott MU St aI to ser.'Ices maintained n rr f w~
as per maet r er t plan provided by plumber. GOtidd;~o r~ G ~t{(S-
2. AU se4b10fequirements must be maintained ''ll.~~~JJ t
as per gwlicabie code I ordinances, s
% I I -h fn cornplete plsins for the system nn,f cuhmit In the Cnntit~ unl% on paper not less than 8 L2 x I1 inches in size
~I? l)-l' :'ry I I: I l r' I I i
t. - ~aC
I, I
I
I
J
it El/y S L~.;ya' SCL /,L' , 1 • i-Q
i
I`
I ~ ~p
M
Cove-:-
~~rCC; J ✓ rCil54t ' ✓ G i~3.4
- CL re' -
"aa
Conventional POWTS Index Tilte Sheet
Prolec. Dame: Sturtevant 4 nedroom residential POWTS
ner, Name: Mark A. Sturtevant
( )weer', aid c ss: 625 1Iickory Rd., I ludson, W'1
Sire address 192 Starr<cood Dr., Hudson, W1 X40169
Project Location:
Subdi ision: Lot 3. Plat of'Starr-vcood
I.et;a Description: NEI 4SW 1.4, Sec. 12. I'.29N., R 20W' , 'I'n of Hudson, St. Croix Co.. WI.
Parcel ID a; 020-1374-03-000
Page I Index and Title Sheet
Page 2 Site Plan
Page ± Dispersal Cell Sizing Calcualtions & Chamber Cross Section
Page 4 System Cross Section
Page 5 System Management Plan
Page 6 Neptic.Tank Cross Section
Page 7 Filter Specifications
Page 8 Parcel map
Pane 9 Septic I ank Maintenance Agreement
Page 10 W'aranty Dccd
Attacl;ments. Soil Evaluation Report
Mater Plumber Restricted Sertiice: Gary Zappa, Dep'l. of SPS Credential 42223,7
5i; nanr-e Date:
Pa,c 1 0f I i;
fhr iF_.~ p,u~.u,r+'. t~ In ~_n.a_irnl Sall ~L. !0.!~_c ~_'cnip~^icn~ x1,i~uAl +i I P11;1; 1 ti, 2 ti~ A,'tD-IJ71` 1 ~`...~I I
i
I /925
/JEYysc..)y~ Scc, i2,T~9~;
Sf Croy
c/ CZe-1375/- 3-
J
I
I
I
I~
V ~
P~oi~G52~! UL'rCSP/ Cc,YtCf%t~
~Gfyla~t~L-SIS
~;'l~Crof Vii. E ~~.0'r ul
v f' D(!o ate,( .i rw L i~t off'. 5 r 1 c
L~ 2 ( -T,
f2ji
82
r: G~:;~ 3C r U; j CrSdi C(i:. ~Q~adc
K~ (<(3,) t1 p rc44-5 eE r
lGC[ aaY 8 anCi,~
C .Z .be = Y~q 9C ' t
..1"110 f~c'nC{;~J1GYj(s C'SL`s2~7 .SG.lci%.
-zl
C1.rcP a F Sv,% f J k !'uQ ~f 'Y yt4 i'C ~x C ~1 ~r P3~rG ye-
`
STURTEVANT DISPERSAL CELL SIZING CALCULATIONS
1 4 L%-drootas)( No gallons esttntatcd Ilml, i( I ; dcsig,rt lacluri = ()Do O(? G1x1 tlcsiv;n flos%
n f i' n~Iti~, e ~ IpaciIN of nauN e soil - O --md sq. ft -,It
l uir...lrea required: -S~7.sq. I'I
T J J•
-dlr. orpliun area as proposed' 8i?,-I1, sq. ft. 1-)"chambers total
1111Imuor "lick 4 Plus- ° 20.(,,0 sq.ft EISA Per chamber. '-CQuizk 4 Plus' end caq'pair - 5- sq.ft EISA
1
14; srl. ft - t Ixiir cntl caps)( 8;L).7 i sq. ft ~
7sq. ft J1 = 4 - 19 chamberslrrequired
Nruttbct of trencilcs t]'~ r, 14 chambers total
"10
Trench IN':
'1 2.b3' t
Trench length: i9 Oi", r \3
Trench .pacing 8.00' on center
rota! sti lent ::re,I Cent r .I;a~ir.~~ 19O(:'y 5lw; fOu'
Quick4
Quick4 Standard Chamber 4$'
(EFFECTIVE -ENGT'I!
I
- 34" - SIDE b'IE::
S TION VIFIN
MultiPort End Cap
34 SCE VIEVV TOP VIBI
F,^VT'JI~;';'
Quick4 Standard Chamber Nominal Specilicalions MultiPort End Cap Nominal Specifications
Si7e(WxLxH) 34'xETx12' Sir:(Y:xLxH) 34'x16'x12'
Fffective Length 48' Invert Height 8' or 1,25'
Invert Height 8'
P.2 f
►~h
Soil Absorption System Cross Section p
1
ql. -r5- ft
3.75 f-
4' Schecu e 40 Fi,ia Crane
'VC Vert Pipe
. ~i.r vest Cap / 64f l
Lea : iii ♦ /j \ 11 III
a
Chamber l~ U
Systern F.eva:ior
- 3 P, ft ft
r
Soil Absorption System Plan View
ft
3tt~[I ~If~ ll~[[ IQ~~
r
ft Leaching Trench 1
I r;
CF ambers
~ ff IIIIIIII
_ I_LlI I 1 II 4 D i a
F1ecU f
Tre.ic
12
rte` r ~
L
ent Or Cbservatior Pipe
r I
Trench 3
Leaching Chamber Specifications
Manufacturer And Mcdei ,.L_r1~'/~a~~~~~~~-5/ u 5i~nda~d f~/uS
EISA Rating ?1J•O sq L per chamt er Soil Application Ra-e O.7 cpcisq ft
.o 5
S~ gpd Design Flow 0•7 Soil Application Rate EISA = Chambers
rcs of chamders each. cow
Page '~f
C'om entional Septic SN slem Manahemenl Plan
I'urs.lar.t tt~ SPS 3h 3.x-1. A't'is. ;1dm Codc
(,~ncrai
I he conventional septic system shall be operated in accordance with SPS 382-354 Wis. Adm. ( oce. and shall be
m accordance with component manual SIM-107,W-P (NO' 01 All locai and or state ru es pertaining -o system
nanlt;nance and maintenarlcc reparting shall be cumplicd %Nilh. Questions on the uperation or maimenance ufth:; sy t;n.
=,I'ould be directed to he installing plumber. Zappa Brits. Excavating at (715) 386-2850 or the St Croix County Zoning
tit'{)Ill' t811k
peptic tank servicing mechanics conlpl) with SPS 3'3.54( I )(e). septic tank to he located wlhin 130' of service pad, ah
~~(Iltom of -ank to be 15' belov~ service pad elexatiun. The operating condition of th septic :ank and uutlet tiller shall be
,it least onl:e every two years by irspect;o:. Tile SeMiL Wilk corllenis shill) be renloyed 'when the sludge and xlwn 1;1
0-c tank exceed I ? the liquid %olume of the tank. The Conte-its of the septic lank shall be disposed of in accordaacc \+i::t Nk
1 13, Wis. Adm. Code, by an individual certified to service septic tank; under s. 28 1.48, Stats. li'thc contents of the tank arc
'o: removed at the time ofa biannual assessment. rnaintem<.nec personnel sha'.I advise the m\ncr of when service ill he
rreded to maintain less than 1 3 scum and sludge accumulation in the tank. The uutlet filter shall be Clea11ed as necessar, to
:r are proper operation. I he filter cartridge should not be removed unless provisions are made to ietair: solids im the tan.
'1t;l m2:y slouch oft the filter when renu)ved Trom its enclosure. It the filter is equipped '.,pith an alarm, :ae filter shall be
,r-viccd il'thc alarm is act:vated. Septic tank manholes risers, access risers, and covers should be inspected for water
i_,nul.as and sot.ndness. Access openings used for service and assessment shall be sealed \,~atertigiu upon the completion of
c-vicC. Any opening deerned unsound, defective, or subject to failure must be replace::. Exposed access openings greater
t'rm 8 inches in diameter shall be secured by an effective locking device to pre%rnt accidrnlaf 01 unuuthuriied er.U\ `.11(11 tnc CinK.
N.; individual shOUld ever cnier the septic tank as dan-ercus gases may be present that could cause death. 5entic tank
Ihandontncnt shall be in accordance w,th CommU).!3, Wis. Adm Code •flien the tank is no longer used as PO%VTS
-%miponenv I he addition of Motu :ca. of c'lem.ca! additive, to enhance septic tauf% pcl'tLli Inance '.S gellel'idl;. 11UI reCt.llltid. it
;u :h products are used they shall be approved for septic tank use by the Department of Conlnlerce, Safety and Buif ings
Division.
Soil Absorption Cell
f reel or shrubs should mot be plufr.ed cirec:l•, on the QoP 2ibsorpTior system. I'le arc 1 -.hc%c 2111:: arot-mi the ti1'~.r rl' "!Iol.ii!
; >eeded and n;ulched as r.ccessar, to pre%ert ros.om and provide some cegree of frost protection I rattic tot!ler than for
egetative maintenance) uvcr the system is to be avoided. Soi compaction may Hinder aeration oi'the inf--tin( •,ve surtacr
,ti:thin and a'cNove the system and vyill promote frost penetration during cold -weather months. Cold weather installations
c)ctober-March) dictate that the system he heavily mulched for Trost protection.
Influent quality into the system tray not exceed 220mg- L BODS, 150 MG'L TSS, and 36' ntg'L FOG. Influent trod 1113', nut
c.xcccd maximum desie,n fin'. spec!tied in the permit for the installation.
h rr.ataon pipe:, ilkin tlr dis:xr;ra it sh;rlI h:: i `lecke.d for efiluer.t podding I'ondldva ieve{ shah be reported to the
ter. I.e els ahu\e 4 '.ncl es ind ('tire :;n ninendin hydraulic failt:re requiring additional, more frequent monitoring.
C0.mtinecn0 Plan
I' :.le septic :aA v: am', of its coinporent become defective the tank w component shall be repaired or replaced to keep the
tern in proper opcratimo ctlncition. Lxcessive ponc:in the dispersal Ceti .sill be elirr.ina!ed by ins:al!:n, a re,.', soil
al >crptic;n coil t;:) brthe stcm into :roper operating condition.
i'c ~ ~,t I u
L
s
T ( ~ I
L
Tl I _ _
r'l C T r.
! "l
1' ~ D
-
77 T;
f"
p Z Z 7
nO TZ D rr rrr T D
~N i~ z Dpz ~ Yrod'-=s,^ J 7
Z
n m 1C) DV
L'Z G _ G JZC c:
r"j
z oCo p Cu Dm Q D 10 a l mU^'
z r v,m2.
C) C: o mm
Z
- o > a~ o fTl D
77 O Z >%o m p > > IC
_ Z 7 Z7 In _
C7
O
- O x --I m
I ~ .f ; TJ rl r ~ I
Q m n pmr O z' j l
O z r= c' - ,y
~ C T
y
> H
('I V
T
. s Ol /5 kip
WIESERCHURETE
- S=P'IC kA aP~.JAL oa
Technical Specifications
PL-525 EFFLUENT FILTER (COMMERCIAL)
tr-~1i
:i:ZrIiC9,C `sue,
I _
t
L~
T l,
"4TH` :14~sx
uFT=Fia -
ZZ7
JW~
T k _
Y `
tir
y
1: 30111.5::
G'
i
e..,1... .-sw] - ,.~`~'--maw-rq--• f
- LLllii .h0 3f M.ti S.w.•r,U; ; 1
, ,rte,: r = j _ 23
L,
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
,,wrerBhyer Mark & Linda Sturtevant
g Address 625 Hickory Rd, Hudson Wi. 54016
?:ore-ty Address 192 Stanwood, Hudson, Wi 54016
(Verification required from Planning Department for new construction)
v: J;SHudson, Wi Parcel Identification Number Lot #3 'r,2r-_Z. y2 0"
LEGAL, DESCRIPTION
-operty Location D~ Sec. ,[k_, T_,tZLN-R,,9,c-> W, Town of //~~Qcn~r
Subdivision ~17~'iTnwo , Lot
-ertified Survey Map # , Volume , Page #
%&rraoty Deed # fh/ 6/ Q Volume , Page #
3-3cc "mouse; El yes 1~ no Lot lines identifiable C* yes O no
SYSTEM MAINTENANCE
Improper use and maintenanceof your septic system could result in its premature failure to handle wastes. Proper maintenance
-:Onsists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
c= affect the function of the septic tank as a treatment stage in the waste disposal system.
he property owner agrees to submit to St. Croix 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
:s in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
ewe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
se: 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 Zoning Office within 30
=ys of the three year expiration date.
SI3NATURE OF APPLICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
tae property ddeescrib d above, by virtue of a warranty deed recorded in Register of Deeds Office.
~~iaf 1 , I I
S13NA" URE OF APPLICANT DATE
ilLny information that is mis-represented may result in the sanitary pcr,nit being revoked by the Zoning Department.
laciude with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified sw~ey map if reference is made in the warranty deed
o90£-t4z-L99 I< U - Z
W=~ 940b9 IM NOsa H > a °oo
w z ~F
--I
1. zoz# awns 'is AA7mne 90 Z I--
1 0
5 i all `aiin9 NSIS30 NAZN3l 3on2i x w
r
r
:
i
~I
•
~I
i
,
ITT-
I'
i
` 1 L
-
r
Y'
ME
•.f r,
I ;
C
J~
77-
i
L_ o9oc-Kz-L99 1 z x z
- - 9 LOVS IM NOscnH o 0
E w OF
K zoz# 311nS '1S 3.13)1ona 90 L e Z > Q
uiW
tl~ 'a~ln8 NJIS30 N3ZN31 3z)n88 wU
III i
i
I
t
I
t III
I I I
~ III I ~ li II
I I
D ~ I I
~I
II I ~ i
I
L,
I
'II
~ I D
~ ill
.
I
I I I
.
I
I
Z 090£1,2-699 iZ o
J 960V9 'IM 'NOSanH w ° n
ZOZ# airs 1S 3.k3i 1af18 906 i z Q
Y ~iI
H
l
all ' . I v
1f19 NJIS3a N3ZN3l 3of1a8 ~ I I -
~I
~a.s w~.wrsewn
I } yy
J d
f
I
i
l J
&j r "77
. x r ~ ° ~l 0 4~
„II,I
O
- z
L
,
. n.
r
c ~
. N L
lid.
I W - 1 \
, i` ft ,LLB
' 4 SC
LL
Ib ~
E
u
it
U
I
III
0900-17lZ-L99 z w
9LOV9 IM 'NOSOf1H w c
ll- Er
- ZOZ# 31MS '1S 3,13NOf18 906 i Q
'011 O1I(19 NJIS30 N3ZN31 3Onae
I
v
I`^ _ E
b ~[n[• I r~~ ~ 3 ~ ~ -
• I fF
{ r
b i -f--:--.- ll
0
1
rr { ~ _ y.~.wv 1
G ; r
r i' r
R' L
i
i
i
z I 090C-17lZ-L99
= 960b9 IM NOSaf1H a
w cD
ZOZ# Dims as gA iNona 90l z ° Q
o
o-l-i'minO NJIS30 N-:3ZN3] 3ond8
i
5. 1
i O
I
I
i
i
I
I
I
i
i
II i
Wisconsin Department of Commerce SOIL AND SITE EVALUATION ,
j
Mvi„orfot'SafetyandBuildings Page of
Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County
l
include, but not limited to: vertical and horizontal reference point (BM), direction and DT
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. #
APPLICANT INFORMATION - P asi"print all information. Reviewed'b _ ate
Personal information you pruv de may be use Iasi ordaryjpurposes (Ptivacy Lew, S, 15.04 ('r);.
Property Owner Property Location !
Govt. Lot N~ 1!4-Si,~ 1/4,S T-79 N,R 71 E (or) W
- ~r4+1
~JZCIX
Property Owner's Mailing Address Lot it Block# Subd. Name or CSM/#City State Zip Ptit~ um Nearest Road
\ ❑ City Village Town t
i
New Construction Use: ® Residential i Number of bedrooms y Addition to existing building
❑ Replacement ❑ Public or com rcial - Describe-
Code derived daily flow "o, gpd ecomme ed design loading rate b. i bed, gpd! C . S trench, gpd/tt2
Absorption area required bed, ft2 trench, ft2 Maximum design loading rate 0e) bed, gpdift2 af trench, gpd! t.2
Recommended infiltration surface elevation(s) c") -ft (as referred to site plan benchmark)
Additional design!site considerations [-VA 11-0/1-i IC PJ Qn '~,2 'Qf A1640,64.4(_
Parent material ~t4r l At, I f l_Q Flood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
U = Unsuitable for system S❑ U ~ S ❑ U [ S❑ U ~S ❑ U WS Ll U ❑ S U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPDlft2
in. Munsell Qu. Sz. Cont. Color Gr. St. Sh. Bed Trench
Ground !t < r;i S 1~',n
ley. ~C .34. -
CV 3 ft.
Depth to
limiting
jpctor -
7 _Zin.
Remarks:
Boring
D- v 3 i - L D ,s(,, 4: a.
e~~6 01<
sir r~ s,1 ~5 - 7 :
ion >e 4
4
Ground
Depth to
limiting
f' or
in. Remarks:
CST Narr)e (Please Print) Sign ZY Telephone No.
Ad ess / Date CST Number
PROPERTY OWNER SOIL DESCRIPTION REPORT Page 01131".
PARCEL I.D.#
Boring # Horizon Depth Dominant Ceer Mettles 'exture Structure Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Ce4ur Or Sz. Sh. Bea Trench
f c s l o,~ o,~
ms
Ground U >e`t J - 5~~ n~~ --/1'! 1 5
6-14 4
Depth to - -
irmlir.g 166
facto, -
7 i0 ` in
Remarks:
Boring #r
4 r f- ~~e4.3 sG n~5 n,~ - cs- I~, o.~o
Ground
lev -
i34ft.
Depth to - -
iimiting
facto r
Remarks:
Horizon Depth Dorninant Color Mottles Texture Structure Consistence Boundary Roots GPD.?ft2
in. N unsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Boring # 3( L r i'Yl Cr- CS M 0A o
x-36 3 - S4 n~S ~s 1,~, 3
z S9 7. to 3 s~ s m 1 5 - o
Ground ill 6
'Vitt-
Depth to
lirrit:ng
f ter
71f in- Remarks:
Boring #
Ground
elev. -
ft.
Depth to
limiting
factor
in. Remarks;
SBD-333-~~ lR.9!98'I
SOIL DESCRIPTION REPORT
PROPERTY OWNER Papa -2 of
PARCEL 1-0-ri
[i nt ; r,onzon Depn C: nii,art Color Mcitmes Structure
Taxu_,rc, Cons,stei ca Boundary Hcxns -
In- MUnsell Qu. Sz. CDrlt : olcr Gr. Sz Sh. i Bad Trench
- 3~/ 3 3 _ Sir rh j cS
4~3 In -7
az 5 1-/ /0 3 rn~ rn~
DaL;th t0 - -
I'm zing
Remarks:
3cring
0-6 d 3 L c~ /h ~5 1 o.>
-
rldv -
~30n.
rn~tiny ~
>
Remarks.
-lurizvn Depth Domirsnt Color Mottles Texture Structure Consistence Boundary Roots GPD.tr'
in. Munsell Ou Sz Cont Caor Gr. Sz. Sh. I Beo Trencr,
3oring # mCr !h CS r'1 iQ O .S
z 7. 3 SL s rn l
Ground 1 t /G~`%~ Q~ 5~' /f'T - l} ✓ 6.~ o~
tt.
Depth tc
muting
t~ctor
r-1--"' Remarks:
Bo'irg
i
G-Duna
ac;ur
RemarkS:
BD-y ;o N.s:sa,
I
(ILI I
c ~I
Q
r
W ` (YI
tins, C~ ~ 7
651
~ Ir .4
i I
L
M I
t . 1
y
cJ
'A.
Parcel 020-1374-03-000 01112!2005 08:16 Are
PAGE 1 OF 1
Alt. Parcel 12.29.20.2236 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 ` 192 STARR WOOD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 1.648 Plat: 2506-STARR WOOD LOTS 1!25'00
SEC 12 T29N R20W PT NE SW STARR WOOD LOT Block/Condo Bldg: LOT 03
3 1.648AC
Tract(s): (Sec-Twn-Rng 40 V4 1601,141)
12-29N-20W NE SNX
Notes: Parcel History:
Date Doc # VollPage Type
clc, 1 3 ?[)ri0 29835 1542324 ^!D
2004 SUMMARY Bill Fair Market Value: Assessed with:
50135 194,400
Valuations: Last Changed: 10!3012061
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.648 150,400 0 150,400 NO
Totals for 2004:
General Property 1.648 150,400 0 150,400
Woodland 0.000 0 0
Totals for 2003:
General Property 1.648 150,400 0 150,400
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