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Home My WebLink About020-1439-53-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM SafNty and Building Division INSPECTION REPORT GENERAL-INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ermit Holder's Name: City Village X Township Hsiao, Albert Hudson, Town of ST BM Elev Insp. BM Elev: BM Description: ~ ~ , ~ i oe ~ vh r GS i 'ANK INFORMATION •.,~ w 4 ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~+^ ~~ ~~ Dosing r '~^- -+ ~ ~.~,! + G 5.c~- ~ ~. S /DUO ~b(, ~o ~c.., ~Z'S Hclding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ C ~ JIS / ~ ~, ' "'",, ._.__ Dosing Z y , 7 J~ y / g 1 '74, ...~.. Aeration Holding PUMPISIPHON INFORMATION Manufacturer /~ Demand I ~e.J~ tt~ ~ GPM Modei Number ~ ~ ~!~ W ~p 7 T17H Lift Friction Loss Svstem Head TpH, Ft _ ~2• 5 ' Forcemain L~gyhq ~ Dia. P ~ Dist. to 0 ((~~ ~:, cntl ARC(1RPT1(1N CYSTFM "T G ~ sa' •.,~ ~A , County: St. Croix -- Sanitary Permit No: ~ 506229 0 State Plan ID No'. Parcel Tax No: 020-1439-53-000 Section/Town/Range/Map No: I 25.29.19.2779 { STATION BS ~. z8 HI /o~, ~ FS ELEV. im. ~ Benchmark ~~ ~ ~ 07 ~ ~ D,~ Alt. BM , z.~~ iay~ St/Ht Inlet . ~ X03 - ~ StlHt Outlet ~/+ L J~~• Dt Botto ~,_ ,y ~ 9Z. 99 HeaderlMan. CI' • O Dist. Pipe i Bot. z.ys ,ay.~3 Final Grad ~ ~ 1l ~>~5.. T ~• `~ ~h3 ~ x.25- _d. ~6 BEDITRENCH DIMENSIONS Width l O ~ Length .~~/ No. Of Tre s ~ ~ PIT DIMEN o. its "~ Inside Dia. `e. Liquid Depth -~ SETBACK SYSTEM TO P/L J!' BLD WE LAKE/STREAM LEACHI G • CH OR Manufacturer: INFORMATION e O System: T r / UNIT b l N M d I I yp Ov \ (~~ ~ ~ ~ ~ ~ . _ um er: o e DISTRIBU ION SYSTEM /'~Dwn~' ~ ~a"C~lr~2 ~ 3U ~ Q17(,t/v Head anifol Distribution x Hole Size x Hole Spacing +Verc o Ai: Imake / Pipe(s) '/ ~ ii Length~.7 Dial +' Length Dia ~ Z~ Spacing SOIL COVER x Pressure Systems Only xx Mound At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched r3ed/Trench Center Bed/Trench Edges Topsoil d' Yes fi, No ~ Yes r No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~~ / Z ~° / b7 Inspection #2: ~~ /~'~ /Z Location: 875A Hi hlander Trail Hudson, WI 54016 (SW 1/4 NE 1/4 25 T29N R19W) Indigo Ponds of 53 ~ Parcel No: 25.29.19.2779 1.1 Alt BM Description = ~(G'%J `(,t /~l~Y~~-CIL_. ~Lk.~L~~''7"` ~~i j, .~i+ !'-O U /~ !" IAvJ ~\`. 2.) Bldg sewer length = 2~. ~ .~,j~„ - amount of cover = ~ Plan revision Required? mtormatio~~2 c ~7 • +'~ -- - - -- ' `~~'~~ - Use other side for additional ~~ i .---' Date Insepct~r's S -nature C,eit No SBD-6710 (R.3/97) ~ • camtnerce.wi,gav Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ~ ~ i s eo n s i n Madison, W 153707-7162 ~ ~&°' ; Sanitary Permit Number (to be filled in by Co.) Department of totnmerce ~, ,SQ 2 Z Sanitary Permit Application rate 39 637 r submission of this form to the a e governmental Wis Adm Code Comm 83 21(2) (n accordance with s . . . , . , . unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary ~?~-A ~~~~~ Tyl,~L u oses in accordance with the Privac Law, s. 15.04 1 m , Stets. y fit I. A lication Information -Please t All Information / Property Owner's Name / Parcel # ~~~i ©Zo, /~r39-53 ^~ Property Owner's Mailing Address Property Location /~ l.~ 79 - C ST. CROIX COUNTY Govt. Lot City, State Zip ode Phone Number ~~ y, ~-~ yy Section ~i~ urcle o~-}~ ~ 9 N; R _,~~__ E otC~J T fI Type f Building (check all that apply) D~ Lot _ . ~ t or3 Fatuity Dwetting- Numberof Bedrooms /C o.~ T ~7 Subdivision Name ~f~. ~G~...t_ Block # ~ ^ Public/Commercial -Describe Use r ^ Ciry of ^ State Owned -Describe Use CSM Number ^ Village of J ~ ®Town of ~Y ~!? ror/ k /~ Ill. Type of Permit: (Check only one box on line A. Complete line B if applicable) '~~ ~ New System ~-~ ^ Re lacement S stem p y ^ TreatmenUHoldin Tank Re lacement Onl g p Y ^ Other Modification to Existing System (explain) B. ^ Permit Renewal ^ Petmit Revision ^ Change of Plumber ^ Petmit Transfer to New List Previous Permit Number and Date Issued ~ Before Expiration Owner IV. T e of POW7'S S stem/Com onent/Device: Check a6 that a I o ^ Non-Pressurized In-Ground ^ Pressurized In-Ground ^ At-Grade ^ Mound > 24 in. ofsuitable soil ®Mound < 24 in of suitable soil ^ Holding Tank ^ Other Dispersal Component (explain) ^ Pretreatment Device (explain) V. Dis ersal/I'reatment Area Information: `~ Design Flow (gpd) Design Soil Application Rate sf) Dispersal Area Require ) Dispersal Area Propose sf) System Elevation VI. Tank Info Capacity in Total # of Manufacturer Y ~ Gallons Gallons Units ~ ;? ~ ~ •= New Tanks Existin Tanks d ° ~ ~ ~ .+~ ~ R g o. Cg rn ~ rn rs V a !o Septic or Holding Tank , _ / ~. Dosing Chamber bO I. Z V1I. Responsibility Statement- [, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature PPP/MPRS Number Business Phone Number /Q „~~ d 7 it P lu mbe ' Address (Street, C y, State, Zip Code) / ~ t ~ // _ ~I OJ' Vllt. Count /De artment Use Onl it Fee Perm Date Is ne d [sluing t Signature proved c~HP / $ ~ ~ ~ e ~ /J/a rven Reason o enial 10 IX. Conditi~~€~~y~teasons for Disapproval ~\ / ~~ ~,~ ~~~ ~ ~ ~~. ~~~Q ~ _ a , ,~ trwrC~t~~ ) (moo r, 1, Septic.tank,-effluent flfter and ~~~, ~ / ~,5 ~G(~wc..~ ~-. dis ersal ceN m t ll b i l p us a e serv ces / mairttaittsd as per management plan provided by lumber " ~ A ~r^ i-(` e ~-~..~.~ ~.r-- ~ ~ p . ~ ~ ~ ~ y~a~ ~ 5 A k 1-' , 2.. U sdfbac fegtdreritents must be maintained c t c 1 e e system and submit to the County only on paper not less than 8 tr! x 11 inches in size s~ ~~,, ~.~,~. 5c~ l ~~.~. ~o~ SBD-6398 (R. 01/07) Valid thru 01/09 D ~w M ~" ~-ae-- ~~ ~~ 5. l9' ~-~~~ose~_ Y P~oposc d c,~e!( ~ocn~%a.~ -1 ! 3.73 a,~~~'~ • Soil e da /ua -~; o„ f,; ~. `Ex~:s~:n~ ~ra.de elev.` 5~-a/e: /„ gyp, A-bPos~ d~~ ~s/~o~,,-e,~~~y S be_d~oom /off 3 P/a ~ o~'Tid~o ~~+o/s, ~¢ Sr c~~n ce S ~Yp' ~ y Sec.. 2S T- 2 g/1. D ~P /9w, 7.,. ~' ~uds~, 5~ raiX C~ w/. . ~O - /439- S,3-ate S f~~~/a..~der Tiz~, ~ "suC. yo~?d, e. 6u; ' / s ems. i ~ ~~~" Pro (,~i; ~ su ~, .~_ ~ is6 - .~,P s. T ~ o ~~/y ~- ~~-S~ ~~ 0.~ ,~~. tiq ~ \~ti q~, ~ 303 ~ e~'{/ua~E ,a ~ 1ll /i iJe. s c5 ~ ° o ~ 0 0 ,^ ` F ~, \ ~~` ~ -F--- i3 f ~ ~ _ ~. ~~ ,/ ~~ l /" ~ ~J (~ ~Jro,,oosc~/~(o~ da f 3.2.9.Z;r 5~~3~y~ Slope. d.'s E.,'ba fa ~-, /Q-~~ia./s ~ ~y~'X 3l~.PS' -~- w/ %B "o>-,~'ccs .S~a cedes ~ .z, io." s~ M. CORRESPONDENCE ,'~ BG2 .si ~~, d~~y ~ '~ t~~ '~ ~, ', ~i ~ ~ ', c ~ a , ~ 1 1 1 1 ,. ~ ~ ~ ~~ ~ ~ ~ ~ ti ' ~ ;i f ' 83 ; ~ ' ~~ `~ ' , ~ .s , FIGv~ : 9B.S/' / 1S~n~h arK ~ Tod o{ /{uu.Y,c~ k lei =/co.cv _ prcPased c-v'.aSc.-• Prr~-,crc-fie ALP/ceb-M,pPu~~ cla..,,6e,-/ .~ ~ , `~' \~ o ~` ~ oN. Q ~ ~,~ ooJ ~t~ ~~. 8~' 4 325. /9' • ! 3.73 Qt~~•5 ~ Ex~s~ing ~~a,de elev.' peon • /d cov~•e..e~LO/'a~.G/-E~, ~Ec..Fe ~/~; /„ ~, D~B~oerEy \ ~-~ ~{Siao a-,~Pcstd / S bedroom ~ ' /ot Pia ~ o,~'~id; o ~°nds, . osea ~ (caP ~~'ueu,Q ReS~dince S~j'~~ y See.2S T. 29a. Y iQ, /9Gd ~ 7n . f' ff u.ds an, ~~ / D iX ~c , [.~.~~ . ~El p - /x/39' S.3-dA S /~~~{/~,,ider Tina, P~opost de.~el( y "su(. ~o~?de. b«; ' S sew, ocn~a.~ Pro w; ~ s~i ~„c . /~ any ~ ~`.-S~ ~~ /,~ry• `/'~.5. T.,y. 303 ~! ¢~F/ue~,E /:~e. ~n~h a+'k'' Tao{ ~r ~ /~~o(urtj. S ate. o 0 °~ ~ t e ~ ProPoSCC~ [.v',2Sci ~imGl'e'EL ~ ~ ~ ~~ ~~ cJLf~/L~-rl~/~t~m~Gi~+n~e~-/ ~ ~ ~ /J ~ ~ ~ ~ ~ ~ '. ,~ / ~1 ~. ~'~ a~, ~, ~ ~. , ,\ ., ~, '~ ~ ~ q.; ^ '~ ~~ l~ ~ ~ °~ ~ ~9 ~~ ~ L ~ D ~~i-o~Josc~/~/(ac~n da z~ 3~ .9.Z;r `1~LL03 ~ S~oPe ', `, ~ ~~~ ~ Wo] d i'S E.,'ba -~ ~ /a-~~ia/s off` llllll's~ ~,~!' 3~.f5'-r ~ ', ~ c ,3., ~ ' ~ b ~ o ` a ~. ~' Q ~ ~ ~, SEE CORRESPONDENCE ,' ,~ ,S, ' - v BG2 si ' ; i W ~1 ~ ~~ . Q /o~ Ste. ~~~ ~. / -:...116.13 .~ 1.79 -^ u~ 52 C)I F -, ~ ~e s No owEUmazi~ ~i ~ t c, ~ ~-~~ _ ~~ ~~.«' -r ` 92• f _ ~I ~ f $€4L u7i ~ p,~w11°ons 9E~,?.ss~ ~ ~ N Q ! s r I~;i u~ I C ~I +J' L . r i. t Lr~ 53 sleo~s s.f. t; ~ c,3.rn AC.) ~~ ~w ~~ ~x ~~ ~~ is l>< u71 C~ ~ N THIIIEST CORNEA OF T-lE r ; f 1FEAST flIJARTER SEC. ; a ~ T. 2! M., R. 1! M1 .:~ tio~ j.-N2S31 i i/ pUARTgI OORMEII SEC. ~ 51 ~S 1=o„a s.r. ~ 1s7w4 s.F. (3.eo4 AC.) ~ ttm AC.) i '~' ~ ~ ~ ~ . ~ oPl3wrc eEtfln r QEVATION 440. w ~ ~~ ~ ~ , 1 F pi v - T~ PIPE ~ , i ~ - ELEMTION-!86.36' ~ 362.E ~ `< i i yf N6~'~~~'E yp7 91~ ~ / ~ ` ~-TOP STEEL. PPI r ELEMIi]ON -43: ~ f ~ ~A r '~ ~ i ~ QN.fK s26.! ~, '-TRAIL i r fl A BY U.S. FISH AND VNID LIFE ~~~ ;. ~ ~ ~ ~ ~ i .~ ` ,1 INDIGO PONDS ' N l0.ded n Na NaNaM Qronr d M Satld AMa, n IM Matlanl Duals d W SmaeMl pgrla, n Ua SruUaed arna d ae Smtlaed Qlak, ad'n Use SaNd Wale d the SOUYd Qob, d'a Sedbl Pti Ieun 1f NaN, Aange tl rn,l adn Na NaN.nl Gana d Na Nand Oxla, h pe Nagd Qlaler d Na Naaeal Ouala, h W Sau10"nl Wsler d Na WNd parlr, ad n F :°(" Na SouUaal 6,ala d dle XvUgl Qlala, do $[Nm JS lon t9 XMh, Norge Jf Mn610en d Nneaq 51. Gah cmaN Iacmen. l~Feu Ire `~Bt IVaroen man J[me man 4 ~F„ wneminun rC~ 1 f la elm.lat laAN J~ 4E $HEIl2l'</ 3 11!100 Sf. /% ,1 N'/14j6~/ I ~ d rtumm t]I'7'as 170'COIN m[mt ~ IRa[t[Il lnl la0[1R ; }} ~F~oo^ P / 1 . ~~ UmJ--'' fd / / ~,~ 5j0"1~ {~d f 1 _a 1LL mm al em 01x100 mam I' 0.0. 1 If aNm mA N[ IaC101c La ld ![ IOOS m ~ 7ra~ai ~ - J 2 I "" / n lm J '~ uNn nta u a ~ ' ~ ~ I U~'L frm7 k~ ~ _ - ~, as " _ /'G ~Aer• ~ IaroM I.al e[unull o>m~ w -a- mm mi _ aWl a f / ~pIL G, '~ e LANDER $~' / ! ~`Vt I i 47 ~' 46 IJnrma m[mtxa m utax plro nl rron s7. rxs a e¢7 rn a rum Wlr, a7 ~ ~ e a ~ ~ a ~ ~ u7[u[wn rat ua .- aen u. u mxlm /~'/ ,•'~ x f' _ I Ills kl ~u ' 0 ~redaq 71ga1 ' / ° Izla w<I or omu a o iiip I ilw ae Iw 3 ® ` ~ . , a ;, I `~ a ~- a ~ CFq` I SYN • IOt lal p'a .1 ~+~~-* ~' 45 YE SIIEEI : U + e ucl -,s /`.~ ~ ~ I/ 1 y Y liwi Kj 42 i I 1 a nt~ . '~ how Kj -- -------- ---- ~ ,t--~-~ --- j-- '~-- ~, - e7sau. --~'~''f1/ + ww7st ~ ----- ~ y 7C ~ u~nwW ItmoKl x mar ; : ~'~~ ~ / ,~ RS[ tcl a 7 of `ar ,+ ~ I I ~ ~e leaf u, ro aeJaa I araln our ~, IIAI ,a-~ f ~ 17NN1 S7. r 6 nNlla GlOaN MD O[LLIN ' (1757 K) [! I a/ ~ Isa «:I `• ~ I[p pGO[ I ~ aDa01¢Oe I .1 ~ , ~ ( Newral rxr ~ I ( ,6~,,6~"~ A " 52 f r I un~wlwr ~~ A, V I I 129 ~d"~ /M~~ x ttPo6i°maict 't a ,a~•. ~ 'n 41 I ! ~ 4t~nik o$a+ 1 ~ Ip aeauw p p'~'TI'° fl[Vdpll•xUl ,, •~~~ •~••~•'~• ~ S [aN~iN[Im 4 1 ~ IS~Ircl YnraaolNar~,A'~/~~ °'0 a~%~S"~d /'~ ~~\ ~I '~ 9/ ~ o? l :t ' A I / i ~ ~~w JI>r ° it I I anm wr u~ir ~ galN[ 1 • n 04/s t~y~ ~ a 1 rp , ~ °j~, 1 la nmor[., [rNna•rlw o fy1 ~• ~' ald (r i atmla elt+r' r >/ \ Vx' ~ ~~ I I tlZ ~n ~ 0 ONNN [1011 ~V n' ~T~y7n' c+~" ; ~ I~.4~ ~ ~ ~ :F ~~ I# e:J~uptwxnlrad ~ d ~ ~ i /~ =r r ~ r I 0.t7a kl 1,1 A Yt eml u. I I ~+try j ^ ~' m~ i R I eC ~ r ,/, , . /. l ~ ~ / ~/~ I Ram ual ~ ~~,',+~ '~ ` <f „ 1,\1 j.-.-_-~.` ~ ~Ir\ /~ ~ / ~ " ehN~>ti It l' ' ~~,; 4i~4i ~ r c~ '` // I •~ / ~/ ~ rE~ r,~7r ' ,I I ~,'~a~~ it ~A" f~ ran u. ~~ I I '~ ~/ + ~ na o[uac J 39 s>n ~r~ ,_. ''~i-F~ I ~~fr~~,` aae x1 ~ ~ ~ ~ C ~~ I ~~~~T 3 I ~ aoaa e1Ja enn u. ~ , ~ w aau[ \ ` arnza exr I ...... 0.x0 Rm KI n°~,,~~~~th / RWtlfN \~. 'r [~_.._: ~I I I raaov. I ~~ wo'71~y~u ~'J¢'' Q~ ~ ~noaw[w r••, .a ~\ exe I 1 II (nor KJ / n~1~/`\/~.0 ~A ~ ; ~ IJnrea e7ar / n ,P p : a I ~ W [ OmGAD a M ~'xY "p' 1 ~s~ ~ ~ Sr 1 \ I I ', NalaaON O1n0.10a h x91 "•AAA""" ~,~-".`.. I n, I~ ~~: ~~ ; r~ ',~ R ~ 1 ~, mmm[w nmal \,\\1 ~I~ I I ..[~.. _,.., I ,no u. ,~ ~'Wr'~~ 1/ ~4~ `._ af,~~'R°` / aow ra ood~~" 41P Il ~ _ \ ' ~ I ~ A NtaNaelu q ~ / ' ,~ a` F3 >roH,'u. T,~a~•~,~ II I ~ r 3~ ~,~ ~Il~ •• ~yy~Y I ~ :t mn u. ~ ~ + 33 .S 1715a KI `JUG amm x ~ ~ ~ `,,, RaJ KI ~( (~'~ ~ i r ;°a t71q sr. ~r' ~ IImIKI rl llNaa ~ ~ ~,ml . anlt as \) .~I [arum! axe' I ~/~~1f f ~ ~'r ~ / arNNia~prt ~ aM~Sr. J. 11i ~ II !~~ a ~ Y 34 '~~~ 6a Raaal 'I I I nw7u /r,y ~ F~ I.~ i ;ngSri n,.a~ ,P n[rrn. ~Ol~ ~ ~ ~ ~1 ~, I~, ~ I ~ ~~, , ad4ml Mi'' 1•+ ~~ I II F n~u5u t A 4f'~ ~7 I ~ 36 & ~a aal Ki F ~ f ~xi~ 4 ~~ ~~ 1~~ ~ u~K~ N~inNalwr~d+~i~~ ~, ~ .4~'~~ ~, ~~~ ~~ ' ~ ; / N° moo: `y~'~~ ~~ ~~ ~w 1`, ~ , OIIESI CatlOA a M • ,~ eeu7 anal u 1 wM ~ a, , 71l[ [ a ./ ' IaO,Nna -'' aY[IN[NANIMN9 AIJI ATT[11 I111n^ ~•na11016s4[A,N N4\ > ~ OWNED BY U.S FlSH ANU IMtD UFE / \ l// S89'15'S8"W 2EOS,JY y11s.101L~.~._VS11~Lv. ~ ••._...,n,,w.._..-... fa+w b ua. ~ [l es, rr c wn snc ...tt011 a1JA0elaal lore eaa [a ~ JAM~S[~I~l.1 INC 1 n N O01NI1f11 NY. lar,tNa 111Cr10r1 ~i ~~ Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accorciance with Comm $~, Wis. Adm. Code 2071 Page 1 of 3 A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'/: x 11 inches in size. t li i d d [ t d d t rti l d h ~ l f k BM ust County St. CroiX n u xr no m e o: ve e, ca an or onta re erence po rt ( ), direction percent slope, scale or dimenuions, north anew, and locaation and d'~sta nearest Parcel I.D. 020-1439-53-000 Please print al! information. Rev' ed By Date Personal information You provide may be u 04 (1) (m)). Q'7 Property Owner roperty Location Albert Hsiao vt. t.ot SW 1/4 NE /4 $ 25 T 29 N R 19 W Property Owner's Mailing Address t # Block # Subd. Name or CSM# 4835 North High Prairie Place 53 Plat Of Indigo Ponds City State Z C ~ City _f Village /J Town Nearest Road Star ~ Ib Hudson Highlander Trail ~k~ /~ New Construction t1se: ~ Residential / Number of bedrooms 5 Code derived design flow rate 750 GPD _f Replacement ~ Public or commercial -Describe: Parent material Glacial Outwash Flood plain elevation, if applicable na General comments and recommendations: Site suitable for mound system with 22" of ASTM-C33 sand placed on 104.00' ontour. System elevation = 105.84'. '---~ '"-' .~" _-.-,. s ,~ zo~,, Boring # ~ Boring 1/ Pit Ground Surface elev. 99.70 fl. Depth to limiting factor 14" in. Sod Applicatlon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/IP in. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10yr3/2 none sl 2fgr mvfr cw 2fmc 0.6 1.0 2 6-14 10yr5/3 none Ifs 0 sg ml cw 2fm,1c 0.5 1.0 3 14-34 10yr5/2 f2f 7.5yrb/8 Ifs 0 sg ml gw 1fm 0.5 1.0 4 34-92 10yr5/4 c2d 7.5yr5/8 fs 0 sg ml - 1fm 0.5 1.0 Saturated flow observed at 2". a Boring # ~ Boring 1/' Pit Ground Surface elev. 104.57 ft. Depth to limiting factor 44~~ in. SoG Appligtion Rate Horizon Depth Dominant Color Redox Description Texture Stn~cture Consistence Bourxlary Roots in. Mussed Qu. Sz. Cost Color Gr. Sz. Sh. *Eff#1 *E 2 1 0-6 10yr3/2 none Ifs 0 sg ml cw 2fmc 0.5 1.0 2 6-40 10yr3/6 none Ifs 0 sg ml cw 2f,1mc 0.5 1.0 3 40-56 10yr4/3 f2f 7.5yr5/8 Is 0 sg ml gw 2f,1 me 0.7 1.8 4 56-141 10yr5/4 c2d 7.5yr5/8 s 0 sg ml - 1fm 0.7 1.6 * Effluent #1 = BODS> 30 < 220 mg/L d TSS >30 <_ 1 mglL uent #2 = BODS t 30 mg/L and 7SS < 30 mg/L CST Name (Please Print) Signatu CST Number James K. Thompson S 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane. Os . Wt 54020 4/19/2007 715-248-7767 Property Owner Albert HSiao ParcellD # 020-1439-53-000 Page 2 of 3 Boring # J Boring t/ Pit Ground Surtace elev. 101.65 ft. Depth to -imiting factor 26" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stnxture ConsistetKe Boundary Roots in. Munseii Qu. Sz. Cont. Color Gr. Sz. Sh. "E~#I 'E~#2 1 0-5 10yr3/2 none sl 2fgr mvfr cw 2fmc 0.6 1.0 2 5-26 10yr3/6 none Is 0 sg ml cw 2fm,1c 0.7 1.6 3 26-52 10yr4/3 f2f 7.5yr5/8 is 0 sg ml gw 1fm 0.7 1.6 4 52-78 10yr4l3 c2d 7.5yr5/8 cos&gr 0 sg ml - 1fm 0.7 1.6 Boring # -J Boring J Pit Ground Surtace elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Stnxxure Consisterxe Boundary Roots in. Munseli Qu. Sz. Cont. Cobr Gr. Sz. Sh. "Eff#1 `Eff#2 ^ Boring # -~ Boring ~ Pit Ground Surface elev. ft. Depth to limiting factor in. Soli Applicatior- Rate Horizon Depth Dominant Color Redox Description Texture Stnx;ture Coruistence Bounndary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#t 'Etf#2 "Effluent #1 = BOD 5> 30 < 220 mg/L 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 b08-264-8777. S$D-8330 (R.07J00) A.C.E. SOiI & SIbE Evdh78tl0r15 zs. /9' ~ Ex.:s~'n~ ~~a.de elev.' • /oca.~~-d~o~opc,,~j. ~t~e ~ Sca/e : h /_~ ~ ~4/6ei-~ /~Siao~o~ep~~Ey /os/ S3 P/a ~ o~'~id~o ~~s, O ~ /9W; 7.s . o f f/uds on, 5 t . G-D it Co. , t,J/. fJ~% f~o,2o- /y39- s3-~O 87Si4 f/~~(/~,,~deiTia,/ ti~ \~ti o ~ ~} o ~ ~ v o• `0 0 ~ , o ~ ~ ~~ ~ ( i , , ~ i , ~ , ~ i , ~ ~ 1 ~ ~. \ ` .•` `` ` 1 1'~ ~ `~ \ `, ` ~ \ \ ~~ ~~ ~~ \~ ~ `~ ,1 ~ ~ \ ~ \ ~ .'• ~~ ~~ ~ ~ 1 \ 1 1 1 i ' . ~, ~ ," ~ ~ ~ 1 ~_,, 1 ~ 1 ~ 1 ~ ~ 1 1 ~ 1 ~ 1 1 , 1 I ~ 1 1 ~ I I 1 I 1 I 1 ~ ~ 1 ~ 1 I I 1 ' I i ~ I 1 I , i ~ I 1 1 I I 1 I 11 I I ~ 1 1 1 r 1 ' ~ ~ Lj3 I ~ ~ i , \ ' ' ~~. r , ~ , BGa2.S/' ~~~~ ~~' ~. ~~ ,~ ~.' E/c~` = 9Bs/' ni,h a~~ ~ T j> c~ ~ ~o~ i tY 5 a-.Yc ~SSum~G/ ~ ~ =/GO.CU, ~/ a ~~ J _ \~, W .C 0` \\v• e ~' ~ ~ ~! ~ ~ k yl~ ,~~. 3 or3 commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary June 07, 2007 CUST ID No. 222373 GARY T ZAPPA ZAPPA BROTHERS INC 713 SIXTH ST N HUDSON WI 54016 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/07/2009 Identification Numbers Transaction ID No. 1396837 SITE: Site ID No. 725592 Robert Hsiao Please refer to both identification numbers, Highlander Trail above, in all corres andence with the a ene . Town of Hudson St Croix County SW1/4, NE1/4, S25, T29N, R19W Lot: 53, Subdivision: Plat of Indigo Ponds FOR: Description: Five Bedroom Mound System /New construction Object Type: POWTS Component Manual Regulated Object ID No.: 1132228 Maintenance required; 750 GPD Flow rate; 14 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A copv of the approved plans. specifications and this letter shall be on-site durine construction and oven to inspection by authorized representatives of the Department. which may include local ins ecp tors. P.O.W.T.S.r Note: The downslope toe nearest the property line shall maintain a min. setback of 5' from it. CCf72l~l~lOlZ~llly APPROVED GARY T ZAPPA Owner Responsibilities: Page 2 6/7/2007 • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and .maintenance manual and/or owner's manual for the POWTS described in this approval.. • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard, In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ~%j ~~ "Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon -Fri, 7:15 am - 4:00 pm j erry. swim@wisconsin. gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART`code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 ,Friday, 7:00 A.M. To 3:30 P.M. MOUND AND PRESSURE DISTRIBUTION Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: Owner's Address: Robert Hsiao 5-bedroom residential mound NT DESI~N'Y 1 4 ?007 SA~,~ ~ `~ ~ ~~rLi~~VGS Robert Hsiao -~ 4635 North Hi h Prairie Place Star ID, 86669 Site Address: 875A Highlander Trail Legal Description: SW1/4 NE1/4, Sec. 25, T.29N., R.19W Township: Hudson County: St. Croix Subdivision Name: Plat of Indigo Pond Lot Number: 53 Block Number: Parcel I.D. Number: 020-1439-53-000 Plan Transaction No na Page 1 Index and title Page 2 Data entry '~, Page 3 Mound drawings ~I~ Page 4 Lateral and dose tank Page 5 -System maintenance specif cations Page 6 Management and contingen y plan Page 7 Pump curve and specificati ns Page 8 Site Plan Page 9 Attached soil evaluaiton rep rt Designer: Gary Zappa License Number 222373 Date: 05/08/07 Phone Number: (715) 386-2850 Signature: I Designed Pursuant to the I'~ Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for T-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706- (N. 01/01) Version 5.1 (R. 06/06) pivw~u~~v~ rt7Yi1r~~Os f SEE CGR E ONDENCE Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design 500.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 750.00 Design Flow (gpd) 8.00 Site Slope (%) 103.00 Contour Line Elevation (ft) 14.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ftZ) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (C or E) c Center or End Manifold 2.50 Lateral Spacing (ft) 8 Number of Laterals 0.125 Orifice Diameter (in) 2.00 Estimated Orifice Spacing (ft) _ 2 Forcemain Diameter (in) ~p ~ 110.00 orcemain Length (ft) . 0 Pump Tank Elevation (ft) .50 System Head (ft) x 1.3 ~2 .l~ 1. Vertical Lift (ft) 7.5 Friction Loss (ft) 0.50 In-line Filter Loss (ft) ,L~~I 25.86 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 x 1.25 x x 1.50 x 2.00 x 3.00 x Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 10.00 Cell Width (ft) Are the laterals the highest point in the distribution Y network? Enter Y or N If N above, enter the elevation (ft) of the highest point. 5.21 ftZ/orifice Does the forcemain drain back? Y Enter Y or N 17.94 Forcemain Drainback (gal) 93.66 5x Void Volume (gal) 111.61 Minimum Dose Volume (gal) 59.32 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 1.50 2.00 x x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information 1001.83 Total Tank Capacity (gal) 1565.00. Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 27.83 gal/in (enter result in cell 649) Dose Tank Information 1001.88 Dose Tank Capacity (gal) 27.83 Dose Tank Volume (gal/in) Wieser Concrete Manufacturer Effluent Filter Information PolyLok Filter Manufacturer PL-525 Filter Model Number Project: Robert Hsiao 5-bedroom residential mound Page 2 of 9 Mound Plan and Cross Section Views 1 H 1.00 ft K 12.01 ft z 15.41 ft L 99.03 ft J 7.51 ft W 32.92 ft 1905.84 (ft2) Basal Area Available 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 106.60 (ft) - ,,~~..f,,... G + H ~ ,iiii~iirr 2 ~if~rrif.. •1 ~.. F .. ; :::: /J~ 105.33 (ft) Lateral Dispersal Cell 104.83 (ft)--- - Invert Dispersal Cell ::;~;::~::::~~ ~~ ~:'~~~~:~~~~~~~~~~~:•. ~ Elevation ~: E :: :~ D ::;:~:~:::;~3 :;::::::;.•. 8.0 % Site Slope Shading Key !_ Topsoil Cap Q 0 Subsoil Cap ©0 ASTM C33 Sand -~~' ~",: Tilled Layer 05 ~ Aggregate '• 1/1 0 B •'•'•'•'•••'•'•'•'•'••••••••Observation Pipe ~ •'~'~ K' 5 _ ' .Q: •• •I. ....... ..... .•.. •. ..• •.. • •.~4 .•. . ..:~• •B ......................................... ......................................... ......................................... ........................................ ...................................... ~- L Mound Component Dimensions -i -1 A 10.00 ft E 31.60 in B 75.00 ft F 9.25 in D 22.00 in G 0.50 ft 750.00 (ft2) Dispersal Cell Area 10.00 (gpd/ft) Linear Loading Rate 103.00 (ft) Contour Elevation Geotextile Fabric Cover °' ~ a ~ Dis ersal Cell p c c 1.5ft • .•, ' ~ N 0.5 ft Typical Lateral •: _ ~ O "• ~•e. ~ A ~ See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (AxB). Project: Robert Hsiao 5-bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Diagram Force mai n connection Via tee or cross to maniFold at any point. Laterals are identic al S y ~E P • = Tum•up with cleanovt plug or ball valve S y ~F X--~~Exl2~l~-xl2~l • f ~r Holes drilled on the bottom of the lateral. Laterals & foroe main of PV1C sch 40 as per Comm Table 84.30.5, Uu1s. Adm. Code Number of Laterals 8 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.10 ft Lateral Length (P) 36.75 ft Orifices per Lateral 18 Lateral Spacing (S) 2.50 ft Orifice Density 5. 1 ft2/orifice Lateral Flow Rate 7.41 gpm Manifold Length 7.50 System Flow Rate 59.32 gpm Manifold Diameter .00 in Total Dynamic Head 25.86 ft Forcemain Velocity 6.06 ft/sec Dose Tank Information Locking cover with warning /~-- label and locking device and J I sealed watertight Electrical as per NEC 300 and -- Comm 16.28 WAC Disconnect ~ 4 in. min. i_ Tank component is properly vented ..' E- Alternate outlet location Wieser Concrete Ca acit 1001.88 Volume 27.83 Dimension Inches A 17.99 B 2.00 C D Total 4.01 12.00 36.00 1001.88 Forcemain diameter Manufacturer _t 2 in. Gallons gal/inch A Weep hole or anti- Gallons ~ B _ siphon device 500.65 C 55.66 111.61 333.96 D l~ ~ ~ Dowse tank elevation (ft) 3" Bedding un er tank. 93.00 Alarm Manuafacturer Zoeller Alarm Model Number A-Pak 10-1494 Pump Manufacturer Goulds Pump Model Number 3885 WE07H Pump Must Deliver 59.32 gpm at 25.86 ft TDH Project: Robert Hsiao 5-bedroom residential mound Page 4 of 9 Pump off ele lion (ft) 94.00 ' Mound System Maintenance and Operation Specifications Service Provider's Name Gary Zappa Phone (715) 386-2850 POWTS Regulator's Name St. Croix County Zoning Dept. Phone (715) 386-4680 System Flow and Load Parameters Design Flow -Peak 750 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 500 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1565 gal Maximum TSS 150 mg/L Soil Absorption Component Size 750 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished ...~~......... ............... Grade ~~ 6-8" Diameter Lawn ~ Threaded Cleanout Sprinkler Valve Box ~ . ~ . Plug or Ball Valve Distribution • ~ ~ ~ ~ • • Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Robert Hsiao 5-bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code eneral This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD 10706-P (N. 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump 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 a tank or component. 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. 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 fitter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum 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 a triennial 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. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mglL BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cfu1100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dlspersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency 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 condtion. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Unit The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 9 GOULDS PUMPS ^ Shaft: Corrosion-resistant , stainless steel. Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation. ^ Fasteners: 300 series stainless steel. ^ Capable of running dry without damage to components. ^ Designed for continuous operation when fully submerged. 3885 PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry • Effluent systems SPECIFICATIONS Pump • Solids handling capabilities: ~" maximum. • Discharge size: 2"NPT. • Capacities. up to 140 GPM. • Total heads: up to 128 feet TDH. • Temperature: 104"F (40°C) continuous 140"F (60~C) intermittent. • See order numbers on reverse side for specific HP, voltage, phase and RPM's available. FEATURES ^ Impeller: Cast iron, semi- open, non-clog with pump-out vanes for mechanical seal protection. Balanced for smooth operation. Silicon bronze impeller available as an option. ^ Casing: Cast iron volute type ? ror maximum efficiency. T 2"NPT discharge. ^ Mechanical Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces. Stainless steel metal parts, BONA-N elastomers. 2002 Goulds Pumps ~tiecuve October, 2002 X3335 MOTORS ^ Fully submerged in high- grade turbine oil for lubrication and efficient heat transfer. ^ Class 6 insulation. METERS FEET 40~ 130;____. r ,_ w 3s~~ 1 l Oi. WE24 30C 100r--° ° 90'WE1~H- 80 ~- , - = 261 a Z0~ 0, _-~pZH. .-. ° ~ wE05 1 5 ~~ 50 ...EO$H . , o 401 ~0'~ ~ WE0 M__ .~ I 30 _ ._ _. Single phase: • Built-in overload with automatic reset, • All single phase models feature capacitor start motors for maximum starting torque. •'/1 and'/z HP -16/3 STOW with 115, 208 and 230 Volt three prong plug, •'/a-2 HP - 14/3 STOW with bare leads. Three phase: • Overload protection must be provided in starter unit. •'/z-2 HP - 14/4 STOW with bare leads. ^ Designed for Continuous Operation: Pump ratings are within the motor manufacturers recommended working limits, can be operated continuously without damage when fully submerged. ^ Bearings: Upper and lower heavy duty ball bearing construction. ^ Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. Standard cord is 20. Optional lengths are available. ^ 0-ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS S ~ ~ Tested to UL 778 and CSA 22.2 1 OS standards By Canadian Standards C US Association File rrLR38549 Goulds Pumps is ISO 9001 Registered. _ _-._ SERIES 3885 ~ ~.. ; - .-, _ .iSIZE '/-" SO! IDS t__. ; ~~ , - RPM 3500 & ,1.7.50,. _ i t _ .. - -- 5 GPM . SFTTJ ~._ . .. 1 , „_- -.. I I i ; . i \, ~~ Submersible Effluent Pump --~ -~- . ...~_ ... _; . l -~__. I. ..T. t- I , I ~ , ~-VYt U3L. ,. _ ~ ...- - .f _. -... I ..,. t___ . .. ...... ' 1 0 ' .. 0 ~ 0 .._.. .. ..__ _5 ~ - ~ - - i... ..__. .._.. _ . _. _ __. _ _ _- 0 10 20 30 40 0 0 0 80 90 100 110 120 130 140 150 1G0 GPM _ S5t'.3_z~e•~.yn. rrt.'a;inu.r+ .S / r /' o! ___ _ 0 5 10 ~~ 15 20 5 35 m3/hr CAPACITY Goulds Pumps 4~~ ITT Industries www goufds com ~. ~ 0~9 __.r-. ,_ _..~ ,..__.. EtSFIM I _._., _ H , i • ~ Wisconsin Department of Commerce Divisiori of Safety and Buildings SOIL EVALUATION REPORT in armrrlanrs~ with r:nmm R5 Wic Atlm C;nde 2071 Page I _ of __ 3 A.C.E. Soil & Site Evaluations County Attach com lete site Ian on p p paper not less than 8% x 11 inches in sae. Plan must St. Cfoi x _ include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I D _ _ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. . . 020-1439-53-000 Please print all information. Reviewed By Date Personal information you provide may be used fa secondary purposes (Privacy Law, s. 15.04 (t) (m)). Property Owner Property Location Albert Hsiao Govt. Lot SW 1M NE 1!4 S 25 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 4635 North High Prairie Place 53 I __,_ Plat Of Indigo Ponds _ __ __ _ ~ _ City State Zip Code Phone Number _ ^J Ciry _J Village /j Town Nearest Road Star ~ ID 86669 Hudson ~ Highlander Trail New Construction Use: _y~ Residential i Number of bedrooms 5 _ Code derived design flow rate 75_0__ ___GPD ;; Replacement _f Public or commercial -Describe: Parent material _Gla Cial Outwash __~ _ Flood plain elevation, if applicable _____ na __ _ General comments and recommendations : Site suitable for mound system with 22" of ASTM-C33 sand placed on 103.00' contour. System elevation = 104.84'. Boring # ~ Boring 14" /J Pit G round Surface elev. 99.70 ft. pepth to in. limiting factor Soil Applicaton Rate i Horizon I Depth i Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' _ in. ~ Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 ~~, 0-6 ~ 10yr3/2 none sl 2fgr mvfr cw 2fmc 0.6 '~ 1.0 ------ - --;- 2 6-14 10yr5/3 none ~ Ifs j 0 sg ml cw ; 2fm,1 c ~ T 0.5 1.0 ~ 3 ': 14-34 10yr5/2 ~ f2f 7.5yr5/8 Ifs ~ O sg ml gw ~ 1 fm i ! 0.5 ', 1.0 -- ~ 4 34-92 ~ ~ 10yr5/4 c2d 7.5yr5/8 fs 0 sg - - ml ~ 1fm ~ 0.5 I'~ 1.0 - -; - - ~ i ~ i ~ ~ - -= -- ' _ Saturated flow observed at 92". a Boring # ~ Boring 40~~ in Soil Application Rate /~ Pit Ground Surface elev. 104.57 ft. Depth to limiting factor Horizon i, Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft' __ _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 ! 0-6 10yr3/2 none Ifs 0 sg ml cw ~ 2fmc 0.5 1.0 ~ _ ~ 2 j 6-40 I 10 r3/6 ~ Y none Ifs 0 s 9 ml cw ' ~ 2f,1mc ~ 0.5 ! 1.0 __ __ 0 6 --~-- 10yr4/3 f2f 7.5yr5/8 ~ Is -- 0 sg - ml I --1 gw ~ - 2f,1mc ~ 0.7 f 1.6 ---~---'~------ 4 56-141 10yr5/4 I c2d 7.5yr5/8 s 0 sg ml ~ 1fm 'i 0.7 ~ 1.6 I --- - i I ~ i ~ i -i - I J ~ ~ ~ I - - "Effluent #1 = BOD 5> 30 <_ 220 mg/ and TSS >3 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig tune: CST Number James K. Thompson 5---- 3602 Address A.C.E. Soil 8 Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, ®ceola, WI 54020 4/19/2007 715-248-7767 ~. Property Owner Albert Hsiao Parcel ID # 020-1439-53-000 Page 2 of _ 3__ , Boring # -J Boring /J Pit Ground Surface elev. 101.65 ft. Depth to limiting factor 26" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. _ 'Eff#1 'Eff#2 1 0-5 10yr3/2 none sl 2fgr mvfr cvv 2fmc 0.6 ~ 1.0 2 5-26 10yr3/6 none Is 0 sg ml cw 2fm,1 c 0.7 ! 1.6 3 ~ 26-52 10yr413 f2f 7.5yr5/8 Is 0 sg ml gw 1fm 0.7 1.6 i 4 ; 52-78 10yr4/3 c2d 7.5yr5/8 cos&gr 0 sg ml - 1fm ~ 0.7 1.6 I ~~ ~ II D Boring # -~ Boring Pit Ground Surface elev. ft. Depth to limiting factor in, ~ Soil Appligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 --r i i i - ^Boring # -~ Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stnucture Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i I ----- i ~ ', i I 'Effluent #1 = BOD S> 30 < 220 mglL and TSS >30 < 150 mg/L 'Effluent #2 =GODS < 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. SBD-8330 (R.07/00) A.C.E. Soil & Slte Evaluations i r 3 w 4 _ ~ ~a \~ti o y 0 ~y D ^'~' ~ ~ %• 0 ' i1 av ~ ~ f r ~ ~ ~ i ~ i ~ ~ ~~ ~ i ~ ~ / \ \~ \ ~` ~ \ ~~ `~~ ~ ~ ~ ` ~ \` ~ `~ 1~ ~ ~ \ ~ ~~ ~~ ~ ~ ~ ~ v .' ( ' ~ ~ `~ 1 ~ ~ ~ ~ ~ ~ ~ ~ i ~~ \ 1 1 _. ~ ~ 1 1 1~ ~ I 1 1~ ' 1 ~ ~ li 1 i 1 1 1 1 ' ~ 1 ~ 1 ~ 1 1 ~ 1 f ~ i f f If i ~ r f f ~ /.t3 f ~ j ~ aJ ~ i ~ ~~~. ~ / ~ r ~','s/p~ ~~~ i ~ ~ ~ _. / / ~ ~ ~ EXi:S~~n~/ ~i-ade e/EV, sccz/e; ~„ ~,, ~'e~'~~2c ~ / ~J/der-~ ~siao w~~,/~~ Ey ,S'~yy' /J E)'y Sec, 2S T .:~ ~/r., ~P. /9cJ; 7~ . off' ~-fuds on, 5 ~ . Cr-o CX ~. , w/ ~G1. '~G-2C- /439_ 5,3-~ / ~~nc h fv1 a~ K ~ T ~ cr ~~pp.cit-r 5 ~,Y~. O J B~a2 •S/ ' i~ ~ ~~ ~~ i ~ i ~ ~ i ~. ,~l l~.. /.~. r/l ~ To,oo~ /a2~ Sz~~, ,' x, j ~/ r, ~/ ~~ i tl r ~~ I ~` h '''Jr~ N I ~ I i ~ ~ - ~ 1 ~' x ~ ~Y ' ~ r ,i ~ os' i ~~. 28?3P y52 State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number II Document Name THIS DEED, made between Landsted. LLC ("Grantor," whether one or more), and Albert Hsiao~a sinitle uerson ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Lot 53, Plat of Indigo Ponds in the Town of Hudson, St. Croix County, Wisconsin. 82143 1 9 KATHLEEN H. MALSH REGISTER OF DEEDS ST. GROIX CO. , 1iI REGEIVED FOR RECORD 08!2412005 10:00AM MARRANTY DEED EX6~4P; REC FEE: 11.@@ TRANS FEE: 1107.3@ COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Retum Address ~vA-( a~~'~~o~ 020-1439-53-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to ties: ments, restrictions and rights-of-way of record, if any. Dated ~~'r/~ *Landsted, LLC (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) authenticated on STATE OF ) n /~ / ~ n ) ss. * TITLE: MEMBER STATE BAR OF WISCONS~v~~ ~ (If not, ~G authorized by Wis. Stat. § 706. ~¢~~,~ Q~ ~~ THIS INSTRUMENT DRAFTED BY~ ~D~aO ~\SG ~e Attorney Kristina 0s=land CJ~a Hudson. WI 54016 Personally came before me on known to bee person(s) who executed the foregoing ~et1~ ~d ~~1~' I"/'lle~g~e same. rte of~~ _ (is permanent) (expires: (Signatures may be authenticated or acknowledged: Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ®2003 STATE BAR OF WISCONSIN FORM N0.2-2003 * Type name below signatures. INFO-PROTM Legal Forms 800.855-2021 www.infoproturms.com .~ OwnerBuyer , Mailing Address Property Address ST CROIJi COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND . OWNERSHIP CERTIFICATION FORM ~~bel~ ~~~IG t7 ~3 ~ ~ ~~ i ~'~~V ~cr G, ~~ ~~,~ (Verification required from tanning Department for ne construction) h p ~ 86~6~ ~a~~ ''/1 City/State ~ ~c~ ~ d /~ W ,~... parcel Identification. Number b2 ~ ~' j `13 ~ - ~.3' l~D b LEGAL DESCRIPTION Property Location ~ %,, ~ %, Sec. ~, T~_N-R~W, Town of r~ y ~l<S ~ /~/ .~ Subdivision .~ V1 1 Lot # ~~ . Certified Survey Map # ~ Volume ,Page # Warranty Deed # ~ I ~~ ~ Volume ~ ~ ,Page # Spec house O yes @~ no Lot lines identifiable ®yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to 3t. Croix Zoning Deparhnent a certification form, signed by the owner and by a masterplumber, journeyman plumber, restrietedplumber or alicensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I1we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year xpiraY n date. . ~~ 1 I ~ Zip O~ i SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge he property dese`ribed above, by virtue of a warranty deed recorded in Register of Deeds Office. ;IGNATURE OF APPLICANT I (we) am (are) the owner(s) of l1 ~2i~0~ DATE `****~ Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Wisconsin Department of Commerce Division of Safety and Buildings ~~ ~ ~-J ~~C~l ~ ~" ~ N~ 1263 SOIL EVALUATION REPORT Page 1 of 3 in accordance with Comm 85, Wis. Adm. Code Steel Soil Service County Attach complete site plan on paper not less than 8'/ x 11 irrche,~ in sae. Plan must St. Croix indude, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. ~ 2 O - / 3 l 53 -G(-~ ~ nding Please p " ation. Revi y Date Personal information you provide be used ~~~e~uacy s. 15.04 (1) (m)). G~~" Property Owner Property Location ROSAMJI, L.L.C Govt. Lot na SW 1/4 NE 1/4 S 25 T 29 N R 19 W Property Owners Mailing Address ~ Lot # Block # Subd. Name or CSM# 2141 Cty Rd. C Sr. GKOix C0~ ~TV 53 na Indigo Ponds City Sta ~~~P'~lid~dlfi~ber J City _J Village ~ Town Nearest Road New Richmond ~ WI 54017 715-248-7071 Hudson Kinney Rd New Construction Use: ~ Residential /Number of bedrooms 4 Code derived design flow rate Replacement J Public or commercial -Describe: Parent material Pitted outwash plains Plood plain elevation, if applicable General comments and recommendations: system elevation 89.85 ft, trenches spaced and depth to code 5.75 ft below grade 600 GPD na Boring # J Boring ~f Pit Ground Surface elev. 94.80 ft. Depth to limiting factor 120 in. Sod Applicaton Rate Horizon Depth Dominant Color Redox Description Texture SWcture Consistence Boundary Roots GP D/ft~ in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10yr3/2 none 1 2msbk mfr cs 2c .5 .8 2 6-27 10yr4/4 none sicl 2msbk mfr cs 1 c .4 .6 3 27-38 7.5yr4/4 none cos osg mvfr cs na .7 1.6 4 38-120 7.5yr4/6 none cos osg ml na na .7 1.6 ZOb ~ Cbc~ G~iG~ - ~ COS <35% coarse fragments - 36" >35 " & % - <60% = 60 below system Boring # ~ Boring Pit Ground Surface elev. 94.80 fl. Depth to limiting factor 120 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Textun; Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr2/1 none sil 2msbk mfr cs 2c .5 .8 2 8-28 10yr4/4 none sicl 2msbk mfr gw 2c .4 .6 3 28-34 10yr4/4 none scl 2msbk mfr gw 1 c .4 .6 4 34-52 10yr4/4 none sl 2msbk mfr cs na .5 .9 5 52-120 7.5yr4/4 none cos/sl 2msbk mvfr na na .5 .9 * Effluent #1 = BODS> 30 < 220 mg/Land TSS >30 <_ 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signa CST Number David J. Steel { ~>~. ~ 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 4/23/2003 715-246-5085 Property Owner ROSAMJI, L.L.C Parcel ID # pending Page 2 of 3 Boring # J Boring ~f Pit Ground Surface elev. 86.20 ft. Depth to limiting factor 140 in. Soil Application Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots P p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10yr2/1 none sil 2msbk mfr cs 2c .5 .8 2 7-20 10yr4/4 none scl 2msbk mfr gw 2c .4 .6 3 20-40 10yr4/4 none sicl 2msbk mfr gw 1 c .4 .6 4 40-57 7.5yr4/4 none scl 2msbk mfr cs na .4 .6 5 57-140 7.5yr4/4 none cos osg mvfr na na .7 1.6 61 ^ Boring # .~ Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # ~ Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots *Eff#1 *Eff#2 * Effluent #1 = BODS> 30 < 220 mg/Land 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. Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST-POWTSM ROSAMJI, L.L.C. New Richmond,WI 54017 Lic. #248956 sw1/4,NE1/4,S25,T29N,R19w Bus.(715) 246-6200 Town of Hudson, St. Croix Co. Fax.(715) 246-9372 Indigo Ponds Lot 53 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend 1" = 40' • =Benchmark Ele. 100.00Ft Top of 1/2" pvc pipe • =Alt Benchmark Ele. 99.75Ft Top of 1/2" pvc pipe ^ =Borings Boring Elevations B 1 = 94.80Ft B2 = 94.80Ft B3 = 86.20Ft B4 = OO.OOFt ~` ~ ,..~ .\, -Y vO .y,.. ~ I , 57.92'. ~ .5 ~`~ ',51 _~q' ~ ~ _ ~ - ` ~ , 157194 S.F. _ i _..~" w~, ~. ~• .~ '. /,~, ~' ..-. _~ r ' 3.809 AC.~/ ; ~'~'= 157.92' `~ ~ ~ -- "' ~' ~ 1.022 AC. N.B.P_A. JJ V ; 118.13.. x.79-?- ~ i ~ ~ r^ - - _- 'v . ' i ~ ~: --_-96690 S F ~ ~_ ~ ~ Z j ( ~ ~ ~ ( ' ~ (2.220 AC.) ~ f .n ` • ~ r ' ` ~ 1 i 1 t ' ~~'' (1.114 AC. N.B P.A i tt .~ ~, .i -. ~ r 9, r N _ 3 _~,/ ,' j ~' ~ .14 ~ / r--._ -• _ /~. •~ i r _..r- i ! ~ ~ r~ i 1 ..r _ i % \ _ ~ _~ r _ .~,. _ ~ f ~• i, / % + , l / i ~ / f j~~! ~ ' ~` i 0 H W. f ~~ ' , ~ <: ` 928.9 .• ~' ~ ~ ~. ti ~ ~~ ~ AAj ~ ~ L 1 ~\ ` ~\ '\ e t + r ~ `} 1 ~ ~ - --~.. ''I ~ ~ X325. I ~ ~ ~ 1 ~~~ ,-~, ST. CROIX COUNTY r,> =.,.,;,~.~==~, ~,~ WISCONSIN ~`~ ZONING OFFICE ~<;\; ~~rr.rr^~ ~~- .:... ST. CROIX COUNTY GOVERNMENT CENTER ,~.. __.._ 1101 Carmichael Road ~~ .~~ -~ ~~ Hudson, WI 54016-7710 (715) 386-4680 • Fax (715) 386-4686 November 25, 2003 James Rusch James R Hill, Inc 2500 W County Road 42, Suite 120 Burnsville, MN 55337 RE: Shoreland Zoning District /Indigo Ponds Subdivision Dear Mr. Rusch: Certain lots of Indigo Ponds may require a County Special Exception Permit for filling and grading due to their location in the Shoreland Zoning District. The lots include: 36, 37, 38, 39, 40, 41, 45, 46, 47, 49, 50, 51, 52 and 53. Lot 53 is currently under review for further subdividing. If the building site is located within 300' of the Ordinary High Water Mark (OHWM), has direct surface water drainage to the ponds and exceeds the grading limit that is allowed by ordinance in the Shoreland area, a Special Exception permit will be required prior to commencement of construction. Affected lots whose building site is beyond 300' from the OHWM of the ponds will not be required to obtain a Special Exception permit. Please note that on these lots an erosion control plan must be reviewed and approved by the Zoning Office before the issuance of a sanitary permit for the particular lot. It is preferred that the erosion control plan and the sanitary application be submitted to the Zoning Office at the same time to better coordinate our review. If you have questions or concerns, please feel free to contact this office. Si rely, t f~~/t.~~'r ~ ~ Rod Eslinger Zoning Specialist RE/jh CC: Town of Hudson, Brian Wert file BOARD OF ADJUSTMENT MEETING AND HEARING MINUTES January 25, 2007 The meeting was called to order by Chairperson Buck Malick at 8:30 a.m. A roll call was made. Chairperson Buck Malick, Charles Struemke, Linda Luckey, and Jan Zoerb were present. Sue Nelson was excused. Staff included: Jenny Shillcox, Zoning Specialist; David Fodroczi, Planning and Zoning Director; Kevin Grabau, Interim Code Administrator; Steve Olson, Land and Water Conservation Department; and Becky Eggen, Recorder. Staff confirmed to the Board that this was a properly noticed meeting and hearing. The next meeting for the Board is scheduled for February 23`d, 2007 at 8:30 a.m. in Room 1281 of the Government Center in Hudson. The hearing was opened by Chairperson Malick. Testimony was taken and recorded by Patti A. Meyer, court reporter from Q & A Court Reporters. Application #1: Albert Hsaio -Special Exception The applicant requests a special exception permit for grading and filling an area exceeding 10,000 square feet in the Shoreland District of two unnamed ponds in order to extend an existing driveway and construct asingle-family residence. Staff presented the application and the staff report. The Town of Hudson met on February 1, 2007 for this request. The Land and Water Conservation Department reviewed the plans and found the storm water management and erosion control plans to be adequate and consistent with NR-341 standards. It was recommended that the applicant record an operation and maintenance plan for the storm water basins against the property, and that the applicant maintain the double row silt fence around the construction site until self-sustaining vegetation is established on all disturbed areas. The Wisconsin Department of Natural Resources verified that the project must meet the standards applicable to priority navigable waters in NR 341, and that the applicant will need a Chapter 30 permit and NR 216 permit from the Department of Natural Resources for the filling and grading done for the existing driveway and for the proposed future filling and grading for the remainder of the driveway and for the residence. The applicant had already applied for these permits. Based on the findings of fact and conclusions of law, staff recommended approval of this request with conditions. Mark Erickson, President of Landsted Homes, signed anoath -and spoke in favor of the request. The developers of Indigo Ponds were originally going to divide Lot 53 into three lots, but the topography would not allow creation of new roads to meet the Town or County road standards; therefore Mr. Hsaio was able to purchase the entire piece of property. When Hsaio purchased the land in 2005 there were no restrictions on the deed for future use on the land. Steve West, Landsted Homes, signed an oath and spoke in favor of the request. The permit for the driveway was issued by the Town of Hudson in September of 2005. No vegetation will be disturbed within 85 feet of the ponds. Zappa Brothers Excavating is the excavator for the infiltration ponds. No soil evaluation tests have been done at this point. It is believed that a conventional sanitary system will be put in place. The Wisconsin Department of Natural Resources inquired about swinging the driveway to the south more; however, the south has slopes greater than 25% and would not meet County standards. Albert Hsiao, signed an oath and spoke in favor of the request. He was available for any questions. No one testified in opposition. Application # 2: Christopher Kath/Willow River Saloon Postponed. Application #3: James Hartwick/Kuryakyn Holdings -Special Exception Request The applicant requested a special exception permit to operate a storage facility in the Commercial District in the Town of Somerset. Staff presented the application and the staff report. Staff informed the Board that Marian Sinclair's attorney called to clarify the fact that Sinclair Real Estate, LLP dissolved upon the death of George Sinclair. This change has not been recorded with the Register of Deeds yet, but the attorney wanted the record to accurately reflect that Marian Sinclair is the current owner of the parcel. She signed the special exception permit application. James Hartwick plans to purchase the parcel from Marian Sinclair and rent the facilities to Kuryakyn Holdings for cold storage. The Town of Somerset recommended approval of the request. The St. Croix Land and Water Conservation Department reviewed the storm water management plan and found that the majority of the storm water from the site drains to the north to a natural closed depression on site, which provides for adequate storm water control. St. Croix Highway Department had no concerns with the request. Based on the findings of fact and conclusions of law, staff recommended approval of this request with conditions. James Hartwick, General Manager of Kuryakyn Holdings, signed an oath and spoke in favor of the request. The storage facility would be used for dry storage for overstock items for up to three months. There would be no expansion on the site. The lot will be paved to bring the site up to the County standards. The sanitary system had been inspected and the holding tank on the site is not part of the sanitary system. There are no contaminants in the ground from the holding tank. The accessory structure on the site has the water and septic. The property will be gated off when no one is on site. No employees will be on site everyday. 2 No one testified in opposition. Riverside Ministries -Request for Reconsideration Pastor William Hieb submitted a packet requesting reconsideration on Condition #6 of the Board's decision dated December 28, 2006 in order to construct a sign within a private road easement. No one was present to testify in favor or in opposition. The Board recessed for a short break at 9:18 a.m. while staff contacted Pastor Hieb to find out if he was planning on appearing before the Board. The Board reconvened at 9:30 a.m. Staff informed the Board that Pastor Hieb would be unable to attend, but that he encouraged the Board to approve the request so that he would have an opportunity to address them directly at the public hearing. The Board recessed for site visits and lunch at 9:35 a.m. The Board reconvened at 12:20 p.m. DECISIONS After hearing the testimony and reviewing the material in the record, the Board rendered the following decisions: Riverside Ministries -Request for Reconsideration Motion by Struemke, second by Malick to approve the request for reconsideration of Condition #6 regarding the sign location that was stated in the Board of Adjustment's decision on December 28, 2006; the Board denied the request based on the following findings: 1. A request for reconsideration is not the appropriate procedure for what the applicant is proposing. The Board of Adjustment has determined that this request requires a variance and cannot be decided as a reconsideration to a special exception decision. 2. The Certified Survey Map submitted by the applicant identifies the frontage road as a "private road" constructed to the County's road standards in effect in 1989. 3. According to the Roadway Easement Agreement submitted by the applicant, Volume 850, Page 511, the private roadway easement grants access to four lots. 4. The private roadway provides public rights-of--way to the lots it serves. 5. Section 17.60 of the St. Croix County Zoning Ordinance establishes setbacks for structures along public roads and rights-of--way. Section 17.60(5) refers to a 10- foot setback for signs as stipulated in Section 17.65 of the Ordinance. The following vote was taken to approve: Zoerb, no; Struemke, yes; Luckey, no; Chairperson Malick, no. Nelson not present. Motion denied on a 3-1 vote. Application #1: Albert Hsaio -Special Exception Motion by Zoerb, second by Struemke to approve the application as recommended by staff based on the following findings: 1. The applicant is Albert Hsaio, property owner, 875A Highlander Trail, Hudson, WI, with Steve West, Landsted Homes, acting as the agent. 2. The site is located on Lot 53 of the Indigo Ponds Subdivision at the SW '/ of the NE '/ of Section 25, T29N, R 19W, Town of Hudson, St. Croix County, Wisconsin. 3. The applicant filed an application with the Planning and Zoning Department for a special exception permit for filling and grading an area exceeding 10,000 square feet in the Shoreland District of two unnamed ponds pursuant to Section 17.29(2)(d) of the St. Croix County Zoning Ordinance. 4. The existing driveway was constructed with a driveway permit issued from the Town of Hudson in 2005 prior to amendments to the St. Croix County Ordinance that restricted filling and grading on slopes over 25 percent in the Shoreland District, which took effect on September 1, 2006. All remaining filling and grading activities proposed as part of this project are within 300 feet of the OHWM of two unnamed ponds on slopes less than 20 percent. The proposed residence meets all required setbacks and height requirements, and no filling and grading or tree removal will occur within the OHWM setback area of the ponds. 6. With conditions for implementing erosion control measures, submitting and implementing a revised storm water management plan, and protecting the existing level of native tree and shrub cover on steep slopes and within the OHWM setback area, the spirit and intent of the Ordinance would be met, as well as all requirements of Sections 17.70(7)(a) and 17.70(b) of the St. Croix County Zoning Ordinance. Potential negative impacts to the ponds and adjacent public land will be minimized. 7. The Town of Hudson Town Board has not yet submitted a recommendation on this request. 8. The St. Croix County Land and Water Conservation Department finds the storm water management and erosion control plans to be adequate for the building site and all portions of the driveway that drain to the building site and adjacent ponds, and consistent with NR 341 standards. The Department recommends that the applicant record an operation and maintenance plan for the storm water basins and maintain the double row of silt fence around the construction site until self- sustaining vegetation is established on all disturbed areas. 4 9. The Wisconsin Department of Natural Resources has verified that the project must meet the standards applicable to priority navigable waters in NR 151, and that the applicant will need Chapter 30 and NR 216 permits for the filling and grading done for the existing driveway and for the proposed future filling and grading for the remainder of the driveway and residence. With the following conditions: This special exception permit allows the applicant to disturb an area exceeding 10,000 square feet on slopes less than 20 percent in the Shoreland District of two unnamed ponds to extend an existing driveway and establish a building site for a single-family residence in accordance with the plans submitted on December 1, 2006, and as provided in the conditions below. Approval for this special exception permit does not include any additional grading and filling, tree removal, structures, or other development activities. 2. The Town of Hudson may request a reconsideration based on new information from the Town Board meeting no later than fifteen days prior to the next Board of Adjustment meeting. Prior to commencing any work, the applicant shall secure a building permit from the Town of Hudson and obtain any other required local, state, or federal permits and approvals, including but not limited to a County sanitary permit and the Chapter 30 and NR 216 permits from the Wisconsin Department of Natural Resources. 4. Prior to commencing any work, the applicant must submit to the Zoning Administrator a surety in the form of a compliance deposit in good funds in the amount of $5,000 to be held by the Planning and Zoning Department until the project has been completed and approved to be in compliance with the conditions of this permit and all applicable provisions of the Ordinance, at which time the deposit will be refunded in full. 5. Prior to commencing any work, the applicant shall install erosion control measures in accordance with the approved plans. During construction, the smallest amount of bare ground shall be exposed for as short a time as possible. The applicant shall establish permanent groundcover on all disturbed areas immediately upon completing construction. Phosphorous fertilizers shall not be used to establish and maintain a lawn on the disturbed area of the site, unless a soil test confirms that phosphorous is needed. 6. Prior to commencing any work, the applicant shall install construction fencing or another suitable barrier around the grading limits that are not already surrounded by a double row of silt fence to protect existing trees from damage during construction. The applicant shall also be responsible for the long-term maintenance of the existing 5 level of native trees, shrubs and groundcover located on slopes more than 20 percent and/or within 75 feet of the OHWM of the ponds and adjacent to the US and Fish and Wildlife property to the south in order to: • substantially screen the residence from the ponds and public lands, • preserve sensitive wildlife habitat within the shoreline setback area and along public lands, and • stabilize and protect the steep slopes to avoid long-term erosion and sedimentation problems. 7. Prior to commencing any work, the applicant must schedule an on-site pre- construction meeting that includes the landowner, contractor, registered landscape architect and St. Croix County Planning and Zoning and Land and Water Conservation Department staff members. Items to be discussed include but are not limited to coordinating installation of erosion control and tree protection measures, construction timelines, compliance with all other pre-construction conditions, and roles and responsibilities of the owner, engineer/architect, and contractor. ;,~ Within 30 days of substantially completing construction, the applicant shall "r record an affidavit referencing this decision, the storm water management plan, and an operation and maintenance agreement for the storm water basins against the property, and provide a recorded copy of the affidavit and all referenced documents to the Zoning Administrator at this time. The intent is to make present and future owners aware of the responsibilities and limitations associated with this decision. Within 30 days of substantially completing construction, the applicant shall submit to the Zoning Administrator photos of the site and certification from the project. engineer or registered landscape architect that the project has been completed as approved. 10. Any minor change or addition to the project, including but not limited to design of the project, shall require review and approval by the Zoning Administrator and the Land and Water Conservation Department prior to making the change or addition. Any major change or addition to the originally approved plan will have to go through the special exception approval process. 11. The applicant shall have one (1) year from the date of this approval to commence construction and two (2) years from the date of this approval to complete it. Failure to do so shall result in expiration of the special exception permit. If the special exception permit expires before construction commences, the applicant will be required to secure a new special exception permit before starting or completing the project. 12. These conditions nay be amended or additional conditions maybe added if unanticipated circumstances arise that would affect the health and/or safety of 6 citizens or degrade the natural resources of St. Croix County. Conditions will not be amended or added without notice to the applicant and an opportunity for a hearing. 13. Accepting this decision means that the applicants have read, understand, and agree to all conditions of this decision. Motion carried unanimously. Application #3: James Hartwick/Kuryakyn Holdings -Special Exception Request Motion by Zoerb, second by Struemke to approve the application as recommended by staff based on the following findings: 1. The applicants are Marian Sinclear, current property owner, and James Hartwick, future property owner. 2. The site is located at 500 County Highway VV in the NE % of the NE '/ of Section 5, T30N, Rl9W, Town of Somerset, St. Croix County, Wisconsin. 3. The applicant filed with the Planning and Zoning Department an application for a special exception permit to operate a storage facility for bulk dry goods in the Commercial District pursuant to Section 17.18(1) of the St. Croix County Zoning Ordinance. 4. The proposed bulk storage facility does not violate the spirit and intent of the St. Croix County Zoning Ordinance or the Commercial District, which the property is currently zoned. The proposed use will be compatible with existing adjoining residential since it will feature minimal traffic and activity occurring on the site during normal week-day hours, less than during the site's previous use as a bus garage. The site is substantially screened from residential properties and Highway VV with existing vegetation. The proposed use will also be compatible with existing commercial businesses and will provide needed storage space for another business, Kuryakyn Holdings, LLC, located in the same commercially zoned corridor along Highway VV. 5. With conditions for monitoring storm water runoff, providing paved parking and driving surfaces, and maintaining and enhancing the current level of vegetative screening on the site, this request would not negatively impact the health, safety, or welfare of the public, nor would it be substantially adverse to property values for nearby residences or businesses since negative impacts will be mitigated. Traffic to the site will be minimal and is not expected to have a detrimental impact on the surrounding area. 6. With conditions for shielding light sources so as not to produce glare onto adjacent properties and limiting noise on the site, this request would not constitute a nuisance by reason of noise, dust, smoke, odor, or other similar factors. The proposed use will be storage of bulk dry goods. No manufacturing, sales, or other 7 activities will occur on site, with no loud noises, dust, smoke, or odor being produced. 7. The standards have been met to grant the special exception permit for the proposed storage facility pursuant to Section 17.18(1)(a-f) of the St. Croix County Zoning Ordinance. 8. The applicant currently has sufficient parking to accommodate the storage facilities pursuant to Section 17.57 of the St. Croix County Zoning Ordinance. 9. No signage or additional lighting is proposed for the site. 10: The Town of Somerset has recommended approval of this request. 11. The St. Croix County Land and Water Conservation Department finds that storm water runoff will be adequately controlled on site. 12. The St. Croix County Highway Department does not have any concerns with this request. With the following conditions: 1. This special exception permit is for the applicant to operate a storage facility for bulk dry goods in the Commercial District as indicated in the plans submitted on December 4, 2006 and as provided in the conditions below. Approval for this special exception permit does not include any additional tenants, uses, structures, or other activities. 2. Prior to commencing use of the site for storage as proposed, the applicant shall be responsible for securing all necessary local, state, and federal permits and approvals, including but not limited to any required permits or licenses from the Wisconsin Department of Commerce. Since the forms submitted with the application suggest that a new sanitary treatment tank is needed, documentation that the existing sanitary system is adequate for the proposed use shall be submitted to the County sanitary staff. Prior to commencing use of the site for storage as proposed, the applicant shall submit to and have approved by the Zoning Administrator the following items: • A landscaping plan showing additional vegetative screening in the small area along the northwest corner of the principal storage garage and parking lot. The plan should include the species, size, and location of all trees and shrubs to be planted, as well as a timeline for the plantings and a maintenance agreement to ensure that all vegetation establishes successfully and that all existing vegetation is maintained at its current level long-term. • A surety in the form of a compliance deposit in good funds in the amount of $5,000 to be held by the Zoning Administrator until the paving and landscaping have been completed and approved to be in compliance with the conditions of this permit (see the timeline listed in Condirion #l l below) and all applicable provisions of the Ordinance, at which time the deposit will be refunded in full. • A maintenance and monitoring agreement to ensure that the closed depression on the site is maintained for storm water infiltration purposes. At this same time, the applicant shall record an affidavit against the property referencing this agreement along with a site plan showing the location of the closed depression, and submit a recorded copy of these documents to the Zoning Administrator. The intent is to make present and future owners aware of the responsibilities and limitations associated with the infiltration area, and to ensure that the closed depression is regularly monitored so that it functions properly. 4. Within 30 days of substantially completing the landscaping and paving, the applicant shall submit to the Zoning Administrator photos of the site and certification from the project designer that the completed paving and landscaping have been installed as approved. 5. All lights on the site and on buildings must be downward directed and shielded away from neighboring properties to prevent glare. Only lights on the building or building overhangs at a level not to exceed the height of the lowest eaves maybe left on overnight for security purposes. 6. Regular hours of operation shall not extend beyond 8:00 AM - 5.00 PM. 7. Upon complaints of regularly occurring, excessively loud noise at any time, the applicant shall work with the Zoning Administrator to abate the noise problem. In the event that the matter cannot be resolved administratively, the applicant shall take the matter before the Board of Adjustment at a public hearing. 8. All buildings and property shall be maintained in a neat and orderly manner, with no outside storage or storage of hazardous materials. 9. The applicant shall contact the Zoning Administrator to review this special exception permit in two years from the approval date (January 2009) for compliance with the conditions of this approval. These conditions maybe amended or additional conditions maybe added to address complaints or unanticipated circumstances that would affect the health, safety, or general welfare of citizens or degrade the natural resources of St. Croix County. Conditions will not be amended or added without notice to the applicant and opportunity for a hearing. 10. Any change in ownership, management, or tenants shall require prior notif cation to the Zoning Administrator. Any change in the use of the property; change in the building or facilities; or changes to the approved project details -including but not limited to additional tenants, structures, signs, lights, tree removal, or lot/access changes -shall require prior review and approval by the Zoning Administrator to 9 ensure that all Ordinance requirements are met. The Zoning Administrator may determine that a special exception approval is necessary. 11. The applicant shall have one (1) year from the approval of this special exception permit to commence use of the site for storage as proposed and to substantially complete the landscaping and paving. Failure to do so shall result in expiration of the special exception permit. If the special exception permit expires within this timeframe, the applicant will be required to secure a new special exception permit. 12. Accepting this decision means that the applicant, all property owners, and all tenants have read, understand, and agree to all conditions of this decision. Motion carried unanimously. Minutes Motion by Struemke, second by Luckey to approve the December 28, 2006 minutes as edited. Motion carried unanimously. Revision to Board of Adjustment By-Laws Staff revised Article VI, Section 3 -Order of Hearing in the BOA By-Laws. The Board also discussed Article III, Section 3 -Order of Business. Motion by Struemke, second by Zoerb to adopt the changes. Motion carried unanimously. Announcements and Correspondence The Board members discussed the February meeting because no applications were received for public hearing. The Board will meet on Friday February 23, 2007 for a work session to revise By-Laws. Motion by Struemke, second by Malick to adjourn the meeting at 4:47 p.m. Respectfully submitted, Sue Nelson, Secretary Beck ,Recording Secretary 10