HomeMy WebLinkAbout020-1419-90-000
PRIVATE SEWAGE SYSTEM County: St. Croix
Wisconsin Department of Commerce
Safety and Building Division Sanitary Permit No:
INSPECTION REPORT 582099
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City village Township Parcel Tax No:
Michael & Terilynn Hutton TOWN OF HUDSON 020-1419-90-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
I 1- 20.29.19.2667
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing Alt. BM
Aeration Bldg. Sewer
Holding St/Ht Inlet
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic Dt Bottom
Dosing Header/Man.
Aeration Dist. Pipe
Holding Bot. System
Final Grade
PUMP/SIPHON INFORMATION
Manufacturer Demand St Cover
GPM
Model Number
TDH Lift Friction Loss System Head TDH Ft
Forcemain Length Dia. Dist. to well
SOIL ABSORPTION SYSTEM
BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM CHLEACHING AMBER OR Manufacturer:
INFORMATION Type Of System: UNIT Model Number:
DISTRIBUTION SYSTEM
Header/Manifold Distribution ix Hole Size Ix Hole Spacing Vent to Air Intake
Pipe(s)
Length Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded lched
Bed/Trench Center Bed/Trench Edges Topsoil Yes Fm] No r 0 Yes 0 No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 856 CHEBEK LN
1.) Alt BM Description =
2.) Bldg sewer length =
- amount of cover =
Plan revision Required? Yes [ENO
Use other side for additional information. Date Insepctor's Signature Cert. No.
SBD-6710 (R.3/97)
County
Safety and Buildings Division
" - ,201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
S P S MAR Madison, WI 53707-7162
ST. CROIX C UNTY
5~'~ og
arirtary Permit Application State Transaction Number
rdance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit _
fired prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address)
e p in accordance artment Safety and Professional 1s. Personal information you provide may be used for secondary
purposes in with the Privacy Law, , s s. . 15.04(1 (m , Stats.
1. Application Information - Please Print All Information LOILZ,
Property Owner's Name Parcel #
Property Owner's Mailing Address/ Property Location d l? , 6
Govt. Lot
City, State Zip Code Phone Number , , aw)
/4, Section 41
ircle one
H. Type of Building (check all that apply) % Lot #
,Ki or 2 Family Dwelling - Number of Bedrooms Subdivision Name
~L Block #
❑ Public/Commercial - Describe Use K-
~.1City of
ko_22 0144,V/11-
❑ State Owned - Describe Use / CSM Number ❑ Village of
❑ Town of
I. A 1
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A. > 1 New System ❑ Replacement System El Treatment/Holding Tank Replacement Only El Other Modification to Existing System (explain)
List Previous Permit Number and Date Issued
B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New
Before Expiration Owner
1
IV. Type of POWTS System/Component/Device: Check all that apply)
e
on-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil 5
H.
olding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dispersal/Treat ent Area Information:
Design Flow (gpd) Design Soil Application Rate(gp f) Dispersal Area Required (sfj Dispersal Ayea Proposed (sf) System Elevation
VI. Tank Info Capacityin Total # of Manufacturer
Gallons Gallons Units ° o o
New Tanks Existing Tanks _ w Z
a. U vi rn ice. C7 f].
Septic or Holding Tank jC
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
n
Plumber's Name rmt Plumber's Sig /MPRS Number J Business Phone Number
ZZ CO J14
Plumber's Address (Street, City, State, Zip Code)
VIII. un /De artment Use Only
Approved approve Permit Fee Date sued Issuin ent Signatur
n Reason for Denial $ os, r 0(/
ZZ /(o
IX. Condi easons for Disapproval
1. Septin ark, erfltsent filter and
disperes,i cell must all be y is ! mintnec
as per am"gement plan provided by plumber.
~y."Il~~,.19!iAt~irel~nertt~`mttat..~,e i:tainta,iried
as per ~ppNo+tbN► bode / ®tdinano~a.
Attach to complete plans for the system and submit to the County only on paper not less than 8 M x 11 inches in size
SBD-6398 (R. 11/11)
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CONVENTIONAL COMPONENT DESIGN
Residential Application
J~ INDEX AND TITLE PAGE
Project Name:
-s-
Owner's Name: /f
Owner's Address; P ~t~ S f
Legal Description: 1i moo --2 f Y 1 l
Township:
11
County:f
Subdivision Name:
Lot Number: j~
Parcel ID Number. 6:2cl
1
Page 1 Index and title
Page 2 Plot Plan
Page 3 System Sizing & Cross-Section
Page 4 Filter Specs
Page 5 Maintenance Information
F Page 6 Management Plan
Page 7 St. Croix Cty Septic Tank Maintenance Form
Page 8 Warranty Deed
Page 9 CSM or Plat
Attachments: Soil Test & House Plans
Designer/Plumber. C r`- License Number: Z r/
Date: -~2 Phone Number
Signature
Designed pursuant to the In-Ground Soil Absorption Component Manual for PQWTS Version 2.0 SBD-10705-P (N.01101).
Page 1
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. WON s,
low
4110
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1
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ANWF-
610 o
4
$0 Absoorgdon Svsta Cross Ssctlon
fa-, ft
4' Scfmduie 40 Find Grade
PVC Verit Pipe
With Vent Cap it
Leaching _..M,
Chamber S ft
S
ysttem em Elevation
J ft ft
Soil &Wo[Mn Sn~n F%n ew
ft
Se. o . ft
IIIIIIIIIIIIIIIIIIIHIII
ft Leaching Trench 1
Vent Or Observation Pipe Chambers
4" Dia.
Trench 2 Header
Leaching Chamber Soeafftcatlons
Manufacturer And Model
EISA Rating C> sq It per chamber Soil Application Rate gpd/q4 ft
(f~ gpd Design Flow f v 7 Soil Application Rate + EISA = Chambers
2 rows of .2:~ chambers each.
t Page 3 of
Van Isle Water
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Bear Onsite - ML3 Filters
Submitted by aaron on Wed, 2012-06-0610:05
"The first true filter in the industry"
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Progressive Protection for the Drainfield Starts with
the case...
The function of an effluent filter is to protect the drain field, by preventing solids from
leaving the pre-treatment tank. Our progressive lines of defense start with the specially
designed case, because it's a key component of our system of true filtration, and not just
housing a set of interior screens.
The ability to build a better effluent filter comes from the
knowledge that a function of the case should be to first limit
the volume of solids that even come in contact with the
filter. (Figure 1) The ML3 filter case has a set of built-in
baffles designed to divert solids and gases before they even
enter into the case. Solids and gases that rise up out of the
sludge at the bottom of the tank and do find their way into
the case are then directed back into the tank via specially
designed vents in the case's side.
If solids do make it past these first two lines of defense, they
will meet another: an open area, or quiet zone, (Figure 2)
within the case. This is radically different from other
brands of filters currently being offered-all of them have
restricted flow channels, but the ML3 includes in its design
an area that actually works to slow down the movement of
effluent, effectively promoting the settling of solids.
To understand this principle, consider what naturally happens in a creek, stream or
river: when flow is restricted, such as when the channel narrows, the velocity of water
increases to the point where even large boulders can be picked up by the force of the
flow and carried downstream.
Conversely, when the channel widens, increasing the flow area, the velocity of the water
slows down and sediment drops out and settles back to the bottom. ML3 designs take
advantage of this natural principle that settling will occur when velocity is slowed.
The importance of the case to our system of true filtration
has been shown. The ML3 design continues inside the case
with the first true gravity filter designed for effluent
applications. Solids are exposed to the entire surface of an
effluent filter at the back of the settling zone, (Figure 3) not
to small flow channels that can become easily blocked by a
single square of toilet paper or other solids commonly
found in septic tanks.
In the ML3 filter, solids are exposed to all 123.94 square
inches of filter cartridge interface, with 96.37 square inches below the outlet invert.
With this much area of exposure, flow into the filter is passive and thus moves slowly
into the filter. Again, slowing the passage of effluent allows solids to continue the settling
process, again reducing the number of solids even entering the filter itself, which
extends the life of the filter beyond other brands.
Ends with progressive filtration....
There's a big difference between the function of screens and the functions of a filter. The
ML3 filters are the first true effluent filters in the onsite market, designed with a series
of baffle walls that create three separate sets of weirs, both over and under, the baffle
walls. Other brands offer a screen with one-size apertures, usually 1/8-inch or 1/16-inch.
These single apertures are presented with all sizes of solids in the effluent-large, small
J96 1 (
To
and in-between. This shortens the service life of the product, by overwhelming the
screen with all these different sizes of particles.
Bear Onsite's MU filters are designed to include three
progressive stages of filtration. In the ML3-916 model
(Figure 4), the first baffle wall blocks particles greater than
3/16-inch, allowing only particles smaller than this size to
pass through to the second baffle wall. The second baffle
wall blocks particles greater than 1/8-inch, allowing only
particles smaller than that size to pass through to the third
baffle wall. This third and final baffle wall blocks any
remaining particles that are greater than 1/16-inch. It's like getting three filters for the
price of one, and because fewer and fewer particles pass through from the first baffle
wall to the second, and then to the third, the life of the filter is extended way beyond any
other product in the marketplace.
ML3 filtration better for the installer and homeowner...
The average homeowner doesn't want to take the time to understand how onsite septic
systems are designed to work. Yet, they have an expectation that it WILL work, with a
minimal amount of maintenance, service and expense. With this in mind, Bear Onsite's
ML3 filter includes an alarm feature unlike any other in the marketplace. The housing
for a Vertical Reed Switch is molded internally within the filter, protected from
unfiltered effluent that could trigger false alarms. Therefore, when the alarm is
triggered within a Bear Onsite ML3 filter, the homeowner can be assured there is truly a
need for a service call.
Filter Sizi Chart
ewe &
S:+ ti fame c>tlae. cl she ~+t y ■ sin ?wry Sco+duy TM+~v
sitar ~ap~c~DoGib .,5qp !03 ► latr"WASm favadaes56se M SM
c.4titf° cow cow
MU-$16 2754 2754 Z= 3500! Wie i" in Vie in
ML3425 2754 2?50 low ISO -V its -11 in -1/2S. in
ML3.M 2730 2750 1875 1500 lmr an 1124"' 1fIv in
ML3-lilt 'JOQa' 2Gdk1' 15" '1123i1t "7d#d '1Jp
ifdlL i' -9!416 Afn 3750 • 3573' i5YJ0' "i f29° A ifit3" its ifd in
• ALed a V L- a I `lwm is recommmowkd ask w the extMmm lei 4W 1fAaalae, wj~A "U su1lee *Rm $ken
urw"!tort comma-%& 15t+tM
Check out our online catalogue
for more info and rn icing.
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of '2-
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner
Septic Tank Capacity al ❑ NA
Permit # Septic Tank Manufacturer ❑ NA
DESIGN PARAMETERS Effluent Fitter Manufacturer ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA
Number of Public Facility Units .ice NA Pump Tank Capacity gal ;^A
Estimated flow (average) gal/day Pump Tank Manufacturer A!rNA
Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer eA
Soil Application Rats al/day/f2 Pump Model
Standard Influent/Effluent Quality Monthly average* Pretreatment Unit }ANA
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BODE) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BOD6) 530 mg/L .Qln-Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L ❑ NA ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other:
Maximum Effluent Particle Size Yg in dia. ❑ NA Other: ; NA
Other: Other:
❑ NA T NA
*Values typical for domestic wastewater and septic tank effluent. Other: RrNA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA
ear(s)
Pump out contents of tank(s) When combined sludge and scum equals one-third of tank volume ❑ NA
Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 ears) ❑ NA
ear(s) y
Clean effluent filter At least once every: ❑ month(s) ❑ NA
A ,$year(s)
Inspect pump, pump controls & alarm At least once every: ❑ month(s) A
❑ year(s)
Flush laterals and pressure test At least once every: '0 month(s)
p OVA
13 year(s)
Other: At least once every: ❑ month(s)
Other: ❑ year(s) GoNA
ZNA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber, Master Plumber Restricted Sewer; POWTS Inspector, POWTS Maintainer; Septage Servicing Operator. Tank
inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks,
measure the volume of combined sludge and scum and to check for any back up or'ponding of effluent on the ground surface.
The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding
of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the
immediate notification of the local regulatory authority.
When the combined accumulation o s udge and scum in any tan equa s one-t it 3 or more o t e tan vo ume he entire
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
Page Z of
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals
that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents
of the tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring
power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to
restore normal levels within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area
within 15 feet down slope of any mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the
POWTS. antibiotics; baby wipes; cigarette butts condoms; cotton swabs; degreasers; dental floss- diapers disinfectants; fat,
foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil;
painting products; pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is
properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
soil, gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or. must be taken, to provide a code compliant
replacement system:
❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by
required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will
result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
• 01 aiua ' a o ding ank
be i
lost e ai 91Z D415 T)'~ ~ !./$1~✓ (ofVS?7Z tlC-Tt 011J
❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time.
< < WARNING > >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name Name
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name 5~_. C Kin
t U ZO/l~l~
Phone Phone -71S--
This
document was drafted in compliance with chapter Comm 83.22(2)(b)(1)1d)&(fi and 83.540), (2) & (3), Wisconsin Administrative Code.
/196
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
A 20 ~ev
Owner/Buyer q e
Mailing Address ` -jo
Property Address ~ C
(Verification required from Planning & Zoning Department for new cons c 'on.)
City/State _ c/`/ f ~A- 4/_t- Parcel Identification Number l
LEGAL DESCRIPTION
Property Location '/a Sec. 0, TN RW, Town of L`~`y✓tCc~
Subdivision Plat: TA--,P- Lot # 23 .
Certified Survey Map # , Volume , Page #
Warranty Deed # r 1 5-0-7(before 2007)Volume , Page #
Spec house Oyes Ono Lot lines identifiable ❑yes❑no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
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. Owner maintenance
responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & 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 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.
Uwe, 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 Safety And Professional Services 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 Planning & Zoning Department within 30 days of the three year expiration date.
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 the
property described above, by virtue of a warran"ed recorded in Register of Deeds Office.
Number of bedrooms
SIGNATURE OF APPLICANT(S) DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 04/12) 7
LOT 74
S 89°36".OI`~ w '367.98' CURVE' DATA
d=14010'19"
- 111.50` t17,aO+ 1
139AV R = 4 55,92' = 112.77'
co 1 Chord = S 15014! 38.5"E ii2
to M
- 470.12_,
04 22443'
vy 394.55"
S 83°54` 07", W
N
~QT 72 LEGEND
W 0` 1" I.D. STEEL PIPE `FOUND
Z O a 3/4" STEEL REBAR FOUND
Ix _ o IS X I" O.D. STEEL PIPE WEIGHING
tW 1.13 Lbs. /Ft SET ON LINE
LOT LINE
UTILITY EASEMENT-WIDTH SHOWN
t~
Q SCALE 'in FEET
~1^
0 50 100 150 250
(I "=Iow)
1)"C)" 77014
A parcel Of fend located in the SW '/A of the NE % of Section 20, T29N, RI9W, Town of Hudson, St.
Croix County, Wisconsin, being more particularly described as follows:
Lot 73 of the Flat of "GLEN ofHUDS4N"
SURVEYOR'S CERTMCATE
I, James E. Rusch Wisconsin Professional Surveyor, hereby certify:
That I have surveyed and mapped the above described real estate!
That the attached snap is an accurately drawn repramdati0n, to scales of the boundaries of the described
property, and of the easements of record and any apparent, above-ground, easements
That I have made such survey, map, and dam ' n by direction ofMr man '
l~ Jiintoq owner of Hutton
Homes LLC, and argent for W Mike Hutton, owner of the attached de=-w property, and
That `I have complied with the provisions of Wisconsin Administrative Code A-E 7 in surveying,
mapping and describing the saim.
~tl.
-
J E. Rusch, P.S. S-1376
P
WS SURVEYING Proj. Na m T THE ~L~~ aF
952 155,1" AVE. s OrMM ay H D
New Richmond Wl 54017 Md•ty JET HUTTON HOMES
(715) 246-99A office iRvsd. ~ 947 SHERMAN RD.
(651) 491-3685 mobile HUDSON Wl 540316
Wiscons rid Professional Services
D1~ ~rj
ivis{oi s
MAR SOIL EVALUATION REPORT Page I of 3
in accordance with SPS 383, Wis. Adm. Code
~County ST. CROIX
Attach ~Q0#3c less than 8 1/2 x 11 inches in size. Plan must
include. I Woe: vertical and horizontal reference point (BM), direction and Parce l 1 20 - 1419 - 90 - 000
p ope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. Rev' ed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 7/2 Z/t~
Property Owner Property Location i~
MICHAEL J. & TERRILYNN J. HUTTON Govt. Lot SW 1/4 E 1/4 S 20 T 29 N R 19 E (or)
Property Owner's Mailing Address Lot # Block # Subd. Nall or CSM#
923 Ridge Pass 73 7 The Glen
City State Zip Code Phone Number ity Village Town Nearest Road
Hudson, WI 54016 ( ) Nk Chebek Lane
New Construction Use;n Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement EIPublic or commercial - Describe:
Parent material sandy Flood Plain elevation if applicable NA ft.
General comments Conventional in-around trenches 0.7 loading rate
and recommendations:
Site has had some soil cut and replaced.
2 a..
❑I Boring # 11 Boring
Q Pit Ground surface elev. 98.30 ft. Depth to limiting factor 90 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. `Eff#1 *Eff#2
1 0-9 fill
2 9-23 7.5YR44 cos Osa dl es 2vf to 0.7 1.6
3 23-90 7.5YR5 4 s Osg dl 0.7 1.6
Boring # ❑ Boring 99,20 88
❑ 0 Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2
1 0-5 10YR2`l sl Ifsbk myfr es 2vf-in 0.4 0.7
2 5-26 7.5YR4/4 cos Osg dl cs lVf-m 0-7 L6
3 26-88 7.5YR54 s Osg d1 0.7 1.6
A
2
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signatur CST Number
MARY JO HUPPERT Hollister's Soil Testing&Desi n 224832
Address Date Evaluatio Conducted Telephone Number
28497 King Arthurs Court, Danbury, WI 54830 03 - 09 - 2016 715-426-1775
SBD-8330 (ROT13)
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Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service
Attach complete site plan on paper not less than 8%2 z 11 inches in size. Plan must County St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel LD. VC'
percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. / t
P f
Please print all information. gy Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner
Siena Corporation Govt. of Location SW 114 NE 114 S 20 T 29 N R 19 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
4940 Viking Dr, Suite 608 S E P 2 6 2002 7 - / The Glen 6 Z
City 41, Nit State Zip C e Phone Number City Village Town Nearest Road
MN 554 5 rjo-ew'Oe 'NT'. Hudson Carmichael Rd.
M' New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement Public or commercial - Describe:
Parent material Pitted outwash Flood plain elevation, if applicable na
General comments
and recommendations: System elevation 94.70ft, trenches spaced and depth to code 3.00ft be, low grade
Boring # Boring
✓ Pit Ground Surface elev. 98.70 ft. Depth to limiting factor 96 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
*Eff#1 *Eff#2
1 0-11 10y►3/2 none sil 2msbk mfr gw 1f .5 .8
2 11-24 10yr4/4 none sicl 2msbk mfr gw 1f .4 .6
3 24-35 7.5yr4/4 none Is osg mvfr cs na .7 1.2
4 35-96 7.5yr4/6 none ms osg ml na .7 1.2
l Z
❑ Boring # Boring
M! Pit Ground Surface elev. 98.70 ft. Depth to limiting factor 96 in. Soil Applcation Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
*Eff#1 `Eff#2
1 0-10 10yr3/3 none scl 2msbk mfr gw 1c .4 .6
2 10-16 7.5yr4/4 none sl 2msbk mfr gw 1f .5 .9
3 16-96 7.5yr4/6 none ms osg ml cs na .7 1.2
G '1S
* Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOD5< 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature: CST Number
David J. Steel 248956
Address Steel Soil Service Date Evaluation Conducted Telephone Number
1564 CR GG, New Richmond, WI 54017 9/11/2002 715-246-5085
Property Owner Sienna Corporation Parcel ID # pending Page 2 of 3
3] Boring # Boring
✓ Pit Ground Surface elev. 95.30 ft. Depth to limiting factor 102 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
*Eff#1 *Eff#2
1 0-12 10yr3/3 none sl 2msbk mfr gw, 1 c .5 .9
2 12-22 7.5yr4/4 none scl 2msbk mfr gw 2f .4 .6
3 22-102 7.5yr4/4 none cos osg mvfr cs na .7 1.6
01+ '7 2.30
72--
❑ Boring # Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
*Eff#1 *Eff#2
I
❑ Boring # Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/112
*Eff#1 *Eff#2
* Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 <-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
Page 3 of 3
STEEL'S SOIL SERVICE
David J. Steel 1564 Cty Rd GG
CST-POWTSM Sienna Corporation New Richmond, Wl 54017
Lic. # 248956 SWl/4,NE1/4,S 20,T29,R19W (715) 246-6200
Town of Hudson, St. Croix Co. (715) 246-5085
The Glen lot 73
This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for
your use. The location of the test may or may not be as shown as permanent lot lines were not
established at the time the soil test was conducted. Legend
1" = 40'
Benchmark El. 100.OOFt
of %2"pvc pipe
Alt Benchmark E1.99.2017t
op of V2" pvc pipe
❑ = Borings
Boring Elevations
B 1=99,70Ft
B2 =9,9.70Ft
B3 =95.3OFt
B4 =00.00Ft
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