HomeMy WebLinkAbout020-1419-90-000 (2)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: c+ r+
Safety and Building Division St. Croix
INSPECTION REPORT Sanitary Permit No:
GENERAL INFORMATION (ATTACH TO PERMIT) 582099
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. '/IlJ
Permit Holder's Name: City Village Township Parcel Tax No:
Michael & Terilynn Hutton OF HUDSON 020-1419-90-000
CST BM Elev: Insp. BM Elev: BM Descriptio TOWN
n: I
Section/Town/Range/Map No:
' ~ I Of P W 20.29.19.2667
TANK INFORMATION ELEVATION DATA
TYPE MANU R~2 r r \v CAPACITY STATION BS HI FS ELEV.
Septic
c D r Benchmark
Jl. cJ~05 G w 101'co1-1er-
L-7E Alt. BM
/L ~J
i Bldg. Sewer
mg
Ht Inlet
.77 IN. 0q-
TANK SETBACK INFORMATION ~IlHt Outlet
TANK
t{_
WELL
TO BLDG. Vent to Air Intake ROAD Dt Inlet
Septic L' C t i 10 Dt Bottom
D ing Head r/Man.
eration
Dist. Pipe 12.0 g7.75
Hol I y Bot. System W _ t
PUMP/SIPHON INFORMATION Final Grade
Manufacturer Demand
St Cover ~7
GP 2.5 ld/ 3
Model Number
r-
i/ TDH Lift Friction Loss System Head ' TDH Ft
,r~
Forcemain Length Dia. Dist. to Well
Sa1C~~PfilON SYSTEM do Q 4-- LL
BEDITRENCH jWidth I Lengt No. Of Trenches
DIMENSIONS r\ t PIT DIMEN~ ONS No. Of Pits Inside Di Liquid Dept
U
SETBACK TEM TO P/L BLDG WELL LAKE/STREAM EACHING Manufacturer: /a
INFORMATION Of System: il~ CHAMBER OR
INc In-~
Mn /.Zj./ 125 -I-lfib1 UN
UIT Model Number:
T IBUTION SYSTEM 'vll V v/Gn f_
wes
Head Manifold Dipisetribution x Hole Spacing t Air a
/ / x Hole Size
P
h
Length Dia Leng (ts
- -
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over 11\ Depth Over xx Depth of xx Seeded/Sodded T
Mulched
Bed/Trench Center 4(ln,de Bed/Trench Edges Topsoil E] F]
Yes No Yes E No
COMMENTS: code discrepencies, persons present, etc.) Inspection #1: Irection #2: /
Location: 856 CHEBEK LN W { (i [ n5 ~ I n A , o S ~ L
1.) Alt BM Description CO~~~. It~hbol rw) NNW St+bo CLs OY. ~~~SQ
2.) Bldg sewer length = Ivv~t Uvl Z" ovu m
amount of cover =
Plan revision Required? ❑ Yes No
Use other side for additional informatidn.
VrV
SBD-6710 (R.3/97) Da e WPO
- Cert. No.
~v,FSxxT+rE,T kuw 4 County . I ~S
~~~r Safety and Buildings Division
p 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
PS MAR Madison, WI 53707-7162
~ S7 CROIX C UNTY Z ~g
anitary Permit Application State Transaction Number
ordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
ired prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address)
e partment of Safety and Professional Servies. Personal information you provide may be used for secondary
u oses in accordance with the Privacy Law, s. 15.04(1)(m), Stats. 1
I. A lication Information - Please Print All Information f/.~Q
Property Owner's Name Parcel #
Property Owner's Mailing Address Property Location j1 G , „ I
z^ Govt. Lot I ~
City, State Zip Code Phone Number
Section
l S ucle one
T N; R E o>t
R. Type of Building (check all that apply) Lot #
Subdivision Name
101 or 2 Family Dwelling -Number of Bedrooms !r
Block#
❑ Public/Commercial - Describe Use
~'.~City of CT~' r' "'L
~0.,`L.. F~Gcv`\
CSM Number ❑ Village of
❑ State Owned -Describe Use
❑ Town of
1
IR. Type of Permit: (Check only one bog on line A. Complete line B if applicable)
A- New System
❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
1~
IV. T e of POWTS System/Com onent/Device: Check all that a ly
,6Non-Pressurized In-Ground+ ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil G .tea
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis ersal/Treat ent Area Information:
Design Flow (gpd) Design Soil Application Rate(gp f) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units 9
New Tanks Existing Tanks U y
1 +6 a U v v C:
Septic or Holding Tank
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print', Plumber's Signature_-7 -,7 _ /NII'RS Number Business Phone Number
Plumber's Address (Street. City, State, Zip Code)
VIII. untv/De artment Use Onl
Approved sapprove Permit Fee Date Issued Issuin gent Signatur
)b 3 ZL /(o
Cy~ n Reason for Denial
IX. CondiAMA ~ tt easons for Disapproval
1. Septic ark, etfl~Lnt filte* and
disper-s~i cell roust all be iseiyic s ! mc,inta?rec
aaa s per management plan pro tidedbyby plumber.
2. ` '~pQ (,rlI,gWre_t"_leJl-'.tts must,t a riaintair;ed
ai pK a 111 cad* / ordin711 caj.
Attach to complete plans for the system and submit to the County only on paper not less than 8 1n a 11 inches in size
_)-6398 (R. II/11)
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CONVENTIONAL COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: / ;'3' / l c•"~ //4.; 1~
Owner's Name: J1
Owner's Address: V S mac' f
Legal Description: 21
Township:
County:
Subdivision Name:
Z~
Lot Number:
Parcel ID Number: (3r:~ l~ "e✓t:/cl
Page 1 Index and title
Page 2 Plot Plan
Page 3 System Sizing & Cross-Section
Page 4 Filter Specs
Page 5 Maintenance Information
Page 6 Management Plan
Page 7 St. Croix Cty Septic Tank Maintenance F-rrr
Page 8 Warranty Deed
Page 9 CSM or Plat
Attachments: Soil Test & House Plans
Designer/Plumber: License Number:
Date: `3 Phone Number
n
Signature
Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01).
Page 1
Ae._
woo
040 4OF
9
100
ANPO \ T
0-10
aDD S
r
°s (O V)
co
y c CJ
cL _ k~- -
1
Soil Absorption System Cross Section
-f ft
Final Grade
4' Schedule 40
PVC Vent Pipe
With Vent Cap •F---~ ' ft
Leaching
Chamber ♦ Z eft
System Elevation
J ft ft
Soil Absorption System Plan View
ft
~ft {
ft Leaching Trench 9
Vent Or Observation Pipe Chambers
INHIIIIIIIIIIIIIIIIIN 4' Dia.
Trench 2 Header
Leaching Chamber Specifications
Manufacturer And Model at,7
EISA Rating sq ft per chamber Soil Application Rate gpd/sq ft
gpd Design Flow T 7 Soil Application Rate + EISA = Chambers
2 rows of chambers each.
Page 3 of
Van Isle Water
Home About Us Web Store Knowledge Center Resources
Careers Contact
Bear Onsite - ML3 Filters
Submitted by aaron on Wed, 2012-06-06 10:05
"The first true filter in the industry"
fO1,r 4~
k ~ w
r
2Q0'6 t~ s APO
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 z
the volume of solids that even come in contact with the n
filter. (Figure 1) The ML3 filter case has a set of built-in 'g
baffles designed to divert solids and gases before they even - - T
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
` FIG. 1
designed vents in the case's side.
If solids do make it past these first two lines of defense, they
1 t 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
r' F an area that actually works to slow down the movement of
1G. 2
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. , .
_ FIG_ 3
In the MU 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
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 ML3 filters are designed to include three
4
progressive stages of filtration. In the ML3-916 model
(Figure 4), the first baffle wall blocks particles greater than
y: 3/16-inch, allowing only particles smaller than this size to
pass through to the second baffle wall. The second baffle
Ilk
64614..., wall blocks particles greater than 1/8-inch, allowing only
y 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.
MU 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 MU filter, the homeowner can be assured there is truly a
need for a service call.
t:se$ S'qit Othe•trsn : rgief mify app4eanar,z,• ;-v Srcc ,6: y 7e rir.
Cr.!'°Fe;1wr d Gav* t4 A. ;a G:~tior ;r 000 4 X54.000 002 + f "troaon Sim f 1, tr"W Sac f 'V160 5 S+:t
C5M L 50V COOD'
3350 3000 2500 2000 7/32"m 5132, in 3132" in
ML3 4it 2750 2750 2040 1500 VIC to ift, 0 1116" m
Mt3.4. 2750 2750 2000 1500 -2/6" in -1/10" '1 25" in
Mt3.93: 2750 2750 1875 1500 1120" in inein V32" in
Mt"U WA _ ....3000 2090 - 1500, '1125" it '1136"rin -1,14r in
h113•9C3 IV* 2750 - 18?S - 1500 - _b129' in `VaS" in IJGA- ih
...r.. ...r_c•rRer,cetlen,etetnee-crerneevetaffcrat+es~ec~essseq.:ertsmarseer.+rc
^'e-s'o-;-e:rrco-rvra;; -.C...t-.s +te-z
Check out our online catalogue
for more info and pricing.
l
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity gal ❑ NA
Permit # Septic Tank Manufacturer L,,e ~ _ ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA
Number of Public Facility Units .i- NA Pump Tank Capacity gal )2rNA
Estimated flow (average) gal/day Pump Tank Manufacturer ZINA
Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer -EYNA
Soil Application Rate- - - gal/day/ftz Pump Model - er NA
Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ANA
Fats, Oil & Grease (FOG) <30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BODS) 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 (BODS) 530 mg/L n-Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) :530 mg/L ❑ NA ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) <104 cfu/100m1 ❑ Drip-Line ❑ Other:
Maximum Effluent Particle Size Yg in dia. ❑ NA Other: j2 NA
Other: ❑ NA Other: ETNA
*Values typical for domestic wastewater and septic tank effluent. Other: .irNA
MAINTENANCE SCHEDULE
Service Event Service Frequency
~7 ❑ month(s) (Maximum 3 years) ❑ NA
inspect condition of tank(s) At least once every:
~dyear(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 years) ❑ NA
5LVear(s)
Clean effluent filter At least once every: e ❑ month(s) ❑ NA
Xyear(s)
inspect pump, pump controls & alarm At least once every: ❑ month(s)
A
❑ year(s)
Flush laterals and pressure test At least once every: ❑ month(s) ,RT'N'A
❑ year(s)
Other: At least once every: ❑ month(s) G-NA
❑ year(s)
Other:
21'NA
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 of sludge and scum in any tank-equals one-third or more of he tam vok me, the 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 <12 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 7-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 63.33, 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 properly 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.
aiuat a o ding ank
be i e ai e FRD4115TSB 's CaN57'Ktl~t t7
❑ 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
- - hone-
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name
Phone Phone
This document was drafted in compliance with chapter Comm 83.22(2)(bW)(d)&(fl and 83.5401, (2) & (3), Wisconsin Administrative Code.
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
f a
Owner/Buyer Yf •e% ~kc;;'117
Mailing Address ~-3
Property Address 6 C r l
(Verification required from Planning & Zoning Department for new cons c 'on.)
City/State cs „~f r 1~1, Parcel Identification Number
LEGAL DESCRIPTION
Property Location '/4 , "'/4 ,Sec. , T g2 N Rj_jW, Town of
Subdivision Plat: TA--e. 6k, , Lot # 2-3.
Certified Survey Map # , Volume , Page #
Warranty Deed # / 01 7 (before 2007)Volume , Page #
Spec house ❑yes❑no 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.
I/we, 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~deed 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 CURVE DATA
S $9° 36'.01" W 367.98' I 6 6' p = 4010,191,
IIi.50' 117,001 1 , R = 455.92'
j 1
-139.48' - i i L = 112.77'
. ti Chord = S 15° 14` 38.5" E 112.48'
W
a .
a LOT_ 73 t2
0 - 0 170.12; -
` a _ 224.43_
S 83054' 07" W 394.55'
ti
is
N LOT 72 LEGEND
0 0 I" I.D. STEEL PIPE FOUND
WW A 3/4" STEEL REBAR FOUND
W W O i$"X l3" pbs./FtTIPO WEIGEING
W)- LOT LINE
try _ UTILITY EASEMENT-WIDTH SHOWN
t~ Q
c ? a SCALE IN FEET
a 0
j w
ca f' 0 50 100 150 250
jj (111=1001)
DESCRiPUON
A parcel of land located in the SW '/4 of the NE 1/4 of Section 20, T29N, R19W, Town of Hudson, St.
Croix County, Wisconsin, being more particularly described as follows:
Lot 73 of the Plat of "GLEN of HUDSON"
SURVEYOR'S CERTIFICATE
I, James E. Rusch, Wisconsin Professional Surveyor, hereby certify:
That I have surveyed and mapped the above described real estate;
That the attached map is an accurately drawn representation, to scale, 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 description by direction of Mr. Matt Hutton, owner of Hutton
Homes LLC, and agent for Mr. Mike Hutton, owner of the attached described property, and
That I have complied with the provisions of Wisconsin Administrative Code A-E 7 in surveying,
mapping and describing the same,
James E. Rusch, P. S. S-I37b ~
RUSCH SURVEYING Pro;. Nm 400-1004 LoT 73 THE GLEN of HUDSON
952.1554" AVE ~ Drown by HND
fb Chkd. by JER HUTTON HOMES
New Richmond WI 54017 Rvsd 947 SHERMAN RD.
(715) 246-9571 office HUDSON Wl 54016
(651) 491-3685 mobile
MMI
WlsconstndProfessional Services Divislo
SOIL EVALUATION REPORT Page 1 of
in accordance with SPS 383. Wis. Adm. Code ,
Attach ~fQ i `u~ County ST. CROIk
`"~4Tdt less than 8 1 /2 x 11 inches in size. Plan must
nc II o: vertical and horizontal reference point (BM). direction and
p ope. scale or dimensions, north arrow, and location and distance to nearest road. Parcel I 20 1419 90 - 000
Please print all information. Rev' ed by Date
Personal iniorma'ion you provide may be used for secondary purposes (Privacy Laic, s 15.04 {1) (m)). l1? 2Z
Property Owner Property Location
MICHAEL J. & TERRILYiv'-\* J. H(J R)\ Govt. Lot S«' 1/4 4T: 1l4 S T '9 N R 19
E (or) W
Property Owners Mailing Address ;Lot # Block # Subd. Narri or CSM#
923 Ride Pass ; 7
lle Glen
City State Zip Code Phone Number ity nViiiage • Town Nearest Road
Hudson. Wl 54016 1\k
( ) "I Ickfin Chebek Lane
❑ New Construction UseE] Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
FIReplacement Public or commercial - Describe:
Parent material sand' Flood Plain elevation if applicable ft
General comments
Conventional recommendations: in-ground trenches 0.7 loading rate
Site has had some soil cut and replaced.
FTI Boring # ❑ Boring
Pit Ground surface elev. 98.50 ft. Depth to limiting factor 90 in.
Soil Application Rate
Horizon Depth 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 0-9 till
9-23 7.5YR4 4 Cos
Os, dl Cs 21-f-m U.7 1.6
3 211-90 7.5YR5 4 s Os, dl - -
0.7 1.6
i~
Z'
2 Boring # ❑ Boring 99.20 88
0 Pit Ground surface elev. ft. Depth to limiting factor in.
Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure sistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Con *Eff#1 'Eff#2
1 0-S 10YR2 I st Ifsbk m%li Cs 2%-f-m 0.4 0.7
2 S-26 7.SYR4 4
Co, Os« dl c 1XT=m 0-7 1.6
3 26-88 7.5YR54 s Os, dl 0.7 1.6
A
Effluent #1 = BODS > 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
VARY JO W'I'PER] (Hollister's Soil Testin &Desi,n) ",7 '321
Address Date Evaluation Conducted Telephone Number
28497 kin, Arthur, Court. Danburv. XVI 5-1830 o - 09 - 2016 715-4_16-177j
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Wisconsin Department of Commerce SOIL EVALUATION REPORT 1121
Page I 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% x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix
percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D.
Please print all information. V
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15 04 (1) (m)), ~ed By Date
c-3.16 260
Property Owner Property Location
Sienna Corporation Govt tot SW 1/4 NE 1/4 S 20 T 29 N R 19 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
4940 Viking Dr, Suite 608 $ 7tl tea 7 The Glen ~1
City ~~-ha t F~ ~ ~r I.u(,E.
State Zip C e Phone Number City Village be Town Nearest Road
MN 554 5rj-f,35":z' Hudson Carmichael Rd.
t✓ New Construction Use. dV' 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 3.90ft below grade
Boring # Boring
of 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/ftz
*Eff#1 *Eff#2
1 0-11 10yr3/2 none sit 2msbk mfr gw 1 f .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 1(q na .7 1.2
2-
V
Fil Boring # Boring
w+'y 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/ftz
*Eff#1 *Eff#2
1 0-10 10yr3/3 none scl 2msbk mfr gw 1 c .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
s
i
,;-4
3ro ~~'Z
* 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
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~ F Boring # Boring
V' 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 SCI 2msbk mfr gw 2f .4 .6
3 22-102 7.5yr4/4 none cos osg mvfr Cs na .7 1.6
`~?•30
❑ 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
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
* 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
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 2o,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
\ l"= 40'
Benchmark El. 100.00Ft
of ''h"pvc pipe
L* Alt Benchmark E1.99.20Ft
Wp Of '/2" pvc pipe
o = Borings
Boring Elevations
B1 =98.70Ft
132 =99.70Ft
B3 =95.30Ft
B4 =00.OOFt
~l
5t'
C~k
FA 7v~r-
83
~~t4. SFr
3 ~aS
G3 ~Q
L. -
8~ , ; p. I 183 \
q war . 86.
^f 88'
8Q,-- 6011"
i ° 208 r t Y7 J. y 29
y 22 r i
7 '
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77 ,
65
r;
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66', .
- _ 344'
I
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41 \ 4 f 67
'
. ff~ ~ ' - I ~ ti _ 296
5
N 6
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E a' 69'
293 r' -738..
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N -:33
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31 N \ \ )
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