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HomeMy WebLinkAbout161-1093-20-000 L`ascarsu Deoa9rt'.ew r• Cr- erne PRIVATE SEWAGE SYSTEM Cu-ny. St. Crop( Ske4y ar'd Bolero!; D ~ew'r INSPECTION REPORT sarrWry Permit No ~A1 IACH TO PERMIT) 600379 GENERAL INFORMATION slate P1.3n ID No Persaral nlor-Aar you p'%Ae may be used `r- sernrda-, ourprses [P-ivacy Law :.',S 04 :11:- ] Pe•mrt HVl er; Na^-e GN Village Trwnsrip Pa' el Tax Nu. Deron & Anne Finch VILLAGE OF NORTH HUDSON 161-1093-20-000 CST BPd Etc, n;p .=,).r Fe, CUSUII l an. section7own2Rang No M nj M 1 15-11;_ 12.29.20.736 TANK INFORMATION ELEVATION DATA TYPE MANtirACTURER,42, ` CAPACITY STATION BS HI FS ELEV. Septic e 9 Qenchmark s' y~ /OS,~ I I,Jt Z50 l Alt 1310 ti ok- Aeration SZ J Bldg. Sever A- Holding J Sta It Inlet - (,r3 ~i9-nZ SuHt O,,tlct TANK SETBACK INFORMATION L. 98 •7~ TANK TO P:4_ *ELL HI DG 1em 4A T Ir-take ROAD Of Inlet Septic 21I 44 (a 3' I ct Qot!orc / So Dosing I leaccr4.1an. 7,41 7 O Aeration Dist. Pipe 17.11 c1$ Holding Bet. System q I G 7 Final Grade 7 160 7 1 PUMPISIPHON INFORMATION N, Manufacturer IDemand St Covers 53 CPM 101, $g Model Number IDH Lift Vricren Loss Sys and TDH Ft FOrCerila'~Il Dla. III I r Nell ix SOIL ABSORPTION SYSTEM 6.53 BED!TRENCH VVidtl, ''ai No. Of -ww'- 1. PIT DIMENSIONS No ~f Pi's trside C a. ligditl Death DIMENSIONS 16 3 z 111 C'" 3 SETBACK SYSIFM TO I':L BLDG ."JELL LAKE:STRFAPA LEACHING h9aru'aca''r INFORMATION - + rr CHAMBER OR rI rf T,~e~ Sll~ pterr r.0 r~ IIV 5 71 1601 UNIT Mcde C~itil t DISTRIBUTION SYSTEM q Vey Z~}2S 1 Z~= 7S 1~'bi 19 Irp Heaee- `.fan folC DiSPiC _bor '.c Halc Site n H016 spacing Ver?A.r ke Psel:', OV 11, 6"1 Did I.crygl" Did tioaarg~~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Deot-. Ovc, Deptn oner Coptr' of xz ScrdvJ+Sodeec xx friulcred HedrTarcp Center 73-71 nr,rr lrenrh Fdges ` rnrscl 'Yes No COMMENTS: Include code discrepancies, persons present. etc) I Inspection #1 !I Inspection #2r Location: 206 STATION CIg1N- . All Description 2 2.; Bldg g sewer r length length - - amount of cover 40 /L Plan revision Reawredo Yes No 1Z `C!1 I.QI G A~7I'~ Use other side for additional mformafion. ~L- - ~I .I bale Insepctrr Slgraturo Cen. No. s:BO e-la in 3 rv; - Q 5 A lV - aU $ - 7 Comity 1~ G'~ Safety and Buildings Division 7 1 I x t>, r 201 W. Washington Ave , F.O. Box 7162. Sanitary Perms Number (m he tillui in by wa Madson, WI 53707-7162 _ 7~ 1I Sani - - rut Appl1Ccat10 1 S 'frussaction Number. 1 In ar.:mdmrtx with SPS r a'ZT(y.,F we; Adnt Gode, syhm;ssiou of this form to the appmpi line Vvmnm,mal unit is requited prior to ohtgioiip!a smoury pffma, Nom: Application forms foi stmcownal POOlfS we submiHCd to pmjca Address (if ditfcrrnt than matting addrr55 i tlm DN•mment om'iiety and Prof=lonal Serv m Personal information you provide may he used tin secondary jmrposes;n aceotdatxe with the Privacyiaw- s. 15A4(1)(m), IYm ~J~G CI r is. I~_L~APplfcation Ltformation-please Pont All Information-- i' LO p ✓~4,~ a I Propery Ovmd's Name Parcel ~rv~ lol'IU~3'~t0- C)(u Property Owuer's Maltby Addn - Propury Lowtimr - Govi. Lot City, $wtc Zip Cnde -__-j Phone Nambel r U (a% Section j ~b _Z ti ~ti l I I Q -_l rclc nnc) T a f N. R_~t ~)_F. orW 11. Type of Building (check all that apply) _ L.ot © I or 2 Family Dwelling- Numher of Bcdmnrns - - Subdivision Name _ - - St. C ❑ Pubfic9;nrm ercial- Descn-be Use I 4~- atom cayOf 11 Save Own e-Dttaihe Use ~ O CSlvl Number ! QVillayc of N , Nysb )~N 3 tQ, O ( t ❑ Town of (l1. Type of Permit (Check only one box on tine A. Complete line B if applicable) - - - - - L~NCW System It x lacmnen Sys M I I licatmenVIiold;ng Tank Re.plao mans Ordy ❑ Other Modification to Existing System (exphur) n- ❑ Permit Rcncu21 - D Permit Reim itm (]range of Pipmber ❑ Perutit Truafer io New Lrsi Previous Prrm2it Numbv and ate cd Before Expiration Owner iV. ape of POWTS SvstemfcomponenUDevec,. geck all thatapply) Nun--PnssurtrIn-Ground Q Pressurized hr-Grormd CI At-Gmdc ❑ Mound > 24 in of Writable soil ❑ Marmd <2a in- of mitaWc uti j 11 Holdinc Tank I_i On= Di~+cruel cmV n port _ (explain)-~~ (P~) Q Prerreatrnnn fkvtce Lrt V. Drs .r'581/L'reatme¢L Area fnfn_r111at10n: LXVS' 7[ DozignnFlol (gpd) Design Soil Ap Itndion f gpri_sl_)bislxrszl Area Requ;ral (sf) Dtsptaxal Area PmPnsnl (sQ~TS}stcm F.levnriun ~j V3'_ T uk Lnfo-I Pauly ur ._--T tulCt Yof , Jam/ / 7 Manuteawrcr <iallons Gallons Untts 2 Nnr Tanks 6imag Tzois 8 I' ,f//~ C u iz m I r 0.J9, rn -m u: iz U P. I Scpiic prpr Rnld;af. radr _ d iaxwg Clwmlrr VII. Responsibility Statement- I, the enders-4aaetl, axcuruc res -biiiTy for installation of the POWTS shown ou the attached plasm plmts P(mu sNamc JiU (P tin,~ rn PI - a Si e ^U MP/MPRS NumF B rsq Phone Number Sir ~f tumbcr's Address (Strew, City. State Zip Code_ ) III. Loua~/Drpartm_ enNL'SC Only Ap Daie lsso Pmvcd Tz7pr~.! S P Fu Wain gent Signature ~ ++tr~f ~ ~n R-asps for Ucniv ~g5 • co s z~i~ _-1C Conti' Mira its DLsapproval - ~+~+all rt.au el~~};~y,{~i'K 3 6[ • par 7yraWmen! plan zo rides ti, -du rwe . G~p •I U 2. Af tr1AI(k IIKXYm.'9rSs evr31 uc'- a_I. r r - • pM Ipp7lt fA*% cu& i : rd'l. r:a 1~-, 4 / Canrs~ (moo r~styf`) nrtarbm enn,plUe pyma for the zysrem and ma rt b the Conoy: m.l~ nn Npermr man 8 tn_ z l l t-- ZO& '00 (00 Wo a FCn c3~7D~a ollll-G398 (n-llilit I / f MAP C J~~ ~uh1 ~s~i~(M ~7 L. J ~i ~1 1CSfD tLU?-~~ sus P~lyt~k Wes- is ~ 111 3x1 eo .T i, y & ~'~1\ C~bMCy ~ ~ R,3 Gr.; us ~ S\ ~ ~l,'j►u r c',, s x_~ \ j r?!O^+,-11_ : -0,APONEN I DFSIGi~; Resi~en;e21 Aanlicalira:, 1~ p lN9FX AND T'1'-Lc Pp:~aE 1 AA 111 b ~ - - yarv:sia^ 141mr C R U\1 ~lj x`;=14: ` _ IRt!CX 81t7J ;iCe _ Pint pj~jr..-- Par,.r, 3 ~Y` ^em Skin~C Gross-:,eCton _ RI?TV ~ er5 _ S _ tt4aintonance !nfnnr•~aYlay Pace 7 Si. Croix Ct~ 5a' ti Tank Min enable F(~rrn Page a WarrLnt• Dead . CSiv, cr P!at Atv;rhrnwY Sail TarA & I Icusa I lans L.icense Number eJgn-1 1 -110- P: Sbnlla7cs ~ Ala. n:;ni 13c, I oM S jsti M Q br T o W V) )A I ~ QPOcoo~ 0 J T ,S u p ~ ~ g' h 1 Y ` !"l ~tp icTbWk Nib • V Rip ~x . GDh~ Ski ou 1 ~r ~x ryJ ' lot ~ W Vit ~t'a3Cl ~VYaR~YJtl{ ~l.Ry..~~_-(]~`T ' TL- 4D F%k Vent Pipe Final Gr-e-r "th Va1i rap . fit f.r;aCf~i,;n J A Iv- YOI /OZ --cs{kil ~_?3St:i EQIt .~}`y~3cr~'1'1 bwf f ,I ~1~ d ]I1 1 .iit!! flllllll ON 1.1 G Laachi„g 1 Tr~nrl, G~~w 4" 019. It l j nch 2 1 Hefader ~ y' Vent i re Or Obsenl9tion Pipe 'FILL _ rTrsnch 3 M,'lMd8 lUMr And Morlel r- f LISA Ratinq Lr -3q ft per r hamper o y SnitAppiaZation Rate -I- llsq f, _ 9Pd Desion Flaw ; Snil Application Rate x 5 C C DISH = l rows of Chambers - 3 a S _---_-chambers each. of F RiTS J4~ I\GP.'r fkdANLiA= E: iYk~1t&F£:d9 f: 3 j ck6~ is2k Cz~a~q k} 11-Q K ~'i;u i I °er.7t Y j $a_>^c 4 ~:k lakar+4t5C.~dt2C - ! w?i a Riar -04i MiN W l l - Ci Jf 1 MORW M NA I PumP lank GePe4W tlesther a: P3=!'.c r?tS2y iitic - d t:F. 'rump Tgnk tra•nxiao'auCer _ E NA t .21 r~:i.T=~6~ :u11!; tdV 4'fl1 I "-,T,'~' S PtmO tJ_£rc-staa"+..''1'rx - ! } Ju ::9t^/ j'd??k!r IS'Qm4VU r ~ CJ:A . slyr 1 Fya;p si -c.l snpliah .°,flt5 ra,2y+,: " M,,t,;iv mmrfflLr rrTaLjnert Limit t--d tntt~sg»t15riv~:°. Q:r=•sc4 ) u Svoliaiwal F::-r u e riP.zr ;•I c. 3;onc~ b S~Q cn3l}, a^ts, Gii ^ GrB~- mru-t3! ~izG mgli. ❑ N 1 ~ ~ hc..., . 1,4=-,.~Eicrt II (v 8iaehomiaal 1X:,1?n u r~'~ ! I e D ata}r °~ti D Osar. i7 NA aClt.S lt~~% I S9G rof ~j I n c I Tasa1 Su'?ara- a ,s_erS_! CE!i(s} tmd CFrsaa'urizrall ! crzy~ea' "a=,z! ~'!atiy I 'Perrhi~: avarg= ! = ]'dJn•Geouad (~`avin+i p Ira^Gra - s , - cri. ❑ /Jar nd 22 ) D .4r«« E F.,'toahemiczt 4zy~ onz"'d C3DL>3! adz 1 i ~C6:= D .aA S i omae- i II j ~'!C` ~aaf~t~! 4 t G Qn'o-ida5 ~A t it?a! Cai; c~tt t~zmfric ror" j YB tr dia. :-:n4^ri-'7'n G-tF3WSfS Per Ide sl" p cTt j u tdA' t - El NA tsar ' Gd>Es A l vl.:a : i Ei',,. J (A4ttkY ~?Ei~l N f a' INM MgAL'!R LI t h4A 4t le=st anaa v auaE _ _ rp . of _ 8 an9lrti a 4NA ;,-psat son' t+ stid9a -~xl scorn sg hlhencart'tyc~I~$} C5 I Out rpr£e .1'1-`, OT 4a'fl'wlSi ~(1. H°.Sk! e'~{ NA -r-^- At f°as c;:sa eve, : ~ . :s etd=e"Sat natlts) s a?s&t R1A i ' A. lass, once avarv: IAA I 'n`•poc~ p::ruJ p n~ols & a'taa'tI D- .iii - At icwase nnc5 evwY=., I ?ilf: ri F~uaY ls.?TF.!'sd k%tP9t I - T cry ale a? ik.a itlllsftlOiRQ i~?n ar aatt1fleatctr3: Smk Mregi (379M, 2tiiinTt.5.U,Ajt S3TMbrZIG rk3 I --,-a._ V ~w insrgC3atts of ^antcr and d't~a o tar PZ}YRrFS , auks yr teaks: ot, clad cavrerl r73GdSS .n-Paa• ar btakan hErd't, sr 9cauts2t 91~fac-- TAe=r =ttlr"I' 92r: iw`~ 3:• .i!ti?SEi R' n c! ` L :~fl';5}'t+ id°tlY:f~ elf ;:,s5s. $ r 9 'W 6n 'he ishaa ass cz rs siud= ;tom ' as e z E 3 aG and to nhrk iar sny baelc 6A a r ahV,k s ~nattSt>? =_aau re t7ra -4C' tfi'•° of MOM "1"19 lavoe i~ •-ermr~7itlfira?! af^as £rt:i itaS the ` g s s~Tn ezr65n and ts4+ a3u 't"11'-'.liS um"-i"=d T CFIEC. the w,l1E~(. Inel~'.-dt. i'c es may T:1e _:_pn _tsej caps; 5° ttsrc".r+S at'h:~at c. x,a ground ri r^ »a eA gMwO slr,"ace: The _ e yrri c vo},aa, to Mah snufriin a ohs r^_ but xan `s ad'V' Cr MM 193, 27C $1airn 'ui t;'PY ;ank gIIC.a!a ~t r'a"° -{yy}E° a 3tdanae vft Chepw M1{t os s}udye dispa the aJt11$In'-d sOG.iGkAfat°An ntre3 ty a Ce(/tHt}' fl ?E'rJl~ln{S GP '"-t`", and of -27a sari shefi u~aCi yIIt'.'.,'iAt18~t~: }1raflCftlYfatlt sr~~~.~^e:e+.actmtnlntraeroa Cade, "lue1:`,if,El rraGlmn}M1 a F:33~ raic n9 a ei l W C~%t 'P1aar. etlc q3t tsriYe4 to "he So :':I. c~r,Et gatvli, IilGl6tQrvaia nr 542 mcntks, steal! L•e },1erarcnad by end isTt~eras. rrd::y zrri cnq szt aranml~raR ° n_taw ra~av r rite -2: r~E:1?'v^! flutSt~~'N vi:hir, YOV+ ••-r e'~ ~n,cr,e~tC7l. Pri0rxC isw ai'v':e?3NtT5 ei~eck-crer,~ent :nnkisl far :ns 'a3•„_e mry lr,;a5de a?a7~;rafit Praaaa3 andlCr ;a a prasanCC of r,r :.n_ t2t;clsi removed e _ Gspersai Call{E). If high et ag prodc~ c by ~E•o+aR_ servtoing apE ratar 7 iC7 to ccraErnTa cis cth,, t = are detained have _ie ap shy nrT accr_: whar zcii ='.:'Iditnors a2 hraen a. ;he inipt?tNa sz:rfCaa. ell to the s y=•':~P .~nis may 9!II aPJO•..z ^Crns! r hiehwetar Isveil, a Yor rea cE,t,r.J In are :c,e2 dose, svariesding ;lie 21 and p3c'rer ie reatdred ayr'.- u_. Surleu.an nave s a tts/ and mssr rCN? a, A?E - ks.YDat, gp8sraw;,;cr tvil! b:i n_ ~c✓rar to : e P s Cont5lri's of la p~;Yp Mrc rn-L)".0 ty a cy. co : s. x ar :Cn2et - ?il m,• or , • ' aP or str;3ee-.disc4ert•E o' errp; s i'!l ,(n prim, ie'r; rns. rura!n-inar t0 as6:.'e< • 0PEr2E^r are, to - . C` 17:a7uz'y 'e5to7 -.a not drn'5 Cr Pant ve;;'c'ES rn °*57~i"g 1r Pump ao,Tira!- ,vi':hin i 5 f a..a ..tun /j eenks 0, d!aes s!dpa of any mound a;-grada rri sac fie' ca(Ia. Do P 0 r.0t ad~a- rva or pstk Ober, or ` atllarWi32 d!st7t 't or aarnaa y i t2L edu .(an a e!J^ ? of the da- ~ zaE;a,vim_• fro-; zhe u_atav,'at?r s*;~e :^-IOt;CS; bi Wipes, ziazrettn , - m maY i. robe iL!a `F Ls:+ndrt?an d!•E'~n feump Pump) e,butts' 4 ' cana.,ama; ca;-t,. Fwsi:s ' a of ~;;e fruit a=reesets; Pt's r fl'ass; di~cars;Qn9- ~s 1R~?i ' n- art,c ; 'r :es, ` 14ct;+ rarins; zprnrs- ' ns; an* an= asa!., a; p eatE; it c der: m;, d CPs l3: ir `i(isn : p6Yh'S 1_iis an610r L ac,-;n=nanil' . ~c ca=ri r prd safaly nb&55on t ta_k;n of r of service faiipvfing steps sMSii lie to L- rPG~ce > .v`th C, E kn, . P;ar C.T.m uSa3, 'AA'saanbi> .",a2ttirao'ir2tivE , plp7ng ''C mks and P(,-, -;:u uE GiSCartlieCtaC' and the aE?nd0nad P;Pa aPF"inl p _ r-'^• ra`e.7~ C` a~ Seated. mmm Efld al`5 aa„E:', jo rem3'rzd tiJ:.'SN pe.'t-/ lo'P-•9a7 - pia s c! be axcsr;t arale; rr -~C:Ytc Jeer s°:d mt`tarlef. ; = =!novg:j or Z:c:r YWaS I Ww L .1L rai?-,zyVe6 and i'a Ja d 43 i 'J . Tha s;rst.3n; '-'eJfan'L- nSaeo: 'rage beer., ar ma='. be to sosabie rap =Camic 7r araz cas been eva!JCtad end map be utifuxd far the laea"Jen of e_ . s yStCrn. Thy reple-- gent aria eh-eld 3a prvtaated Pram distrsb_nee an•. cam ra -21sce .~r. ~ a~,tm , ar dY:si--rc and ar4e pm,. cm cEat rIS Ines and ,nE'ls. Fa 1i;r is pro a ? Pay by atir vi-,n the rli=a ir. I an azs ;,a!_'.•zY'ar. to „*bib: a suitec!e replacrmmnt crap .1e replacement area %0, ` erect at € REaEmen# 3ysr2ms t r-Q SUIt6bIS not aVaL- --Erol sy a ho.'a7 a3-~i3y be instelied esJa i= Tv art :o4 rek atdly scit Iin:EZSiCns. 9anln5 d4mrcae m ~ixe has rct ' Pace the feI!4 FON,ig, 2WE!'1~* mast 68e9~-FE'va::lR~'d to 'dalLf,, E SuItEG!E veplsc&Tnr E(Fia i„ ps tec= s suitable 'Wjacantert Crap. h.' nv ry G1 r'n'u. of ;he c m_ry be ir--taisd as a last resarr ao reP(ECE the , e i PoIN i S, 0~ s Ittl anti ,!fie Ptananranr sraa i3 sret!p6Je a hcidirc Mound and s.-grade soy eb:arpgen avs;er.s may 62 rsca Jn$ttratiye 3li PC5. 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M -Lim C:ivy A MAY zE-`aU~'. i -,-~TJE '3= :..,i2 FROM iv-`.`Y _'+1=crr~n •r CCMJI~j P VATS KAINTxlr~x f T-FfA:n ~ ~ 1 I Technical Specifications PL-525 EFFLUENT FILTER (COMMERCIAL) r P~..~m ~ fl ~ ra tt~ wnw „'a ~ I I IGS r~ yrrtt~JISMM('f4FPt5-. 1~ L ~ l~ ~ 1 1 I I r f k I III y r ~ i I 7 III nag a II': nv - PL515R1I!RIIpVaNu PART NO .301/151i l UATMAL KWSINC POI YRROMBIF 0ALETNU$NING P\C 1 6560 WOK ' I LI 1 _ L__I_ _ - i 4 j Mn _J 44L'1'1'aR14 I~dt 74 eb _ . 1 TIlRtF4SV6 6M dAl4Jjt4J~ ry~M~G It! I. V 1 r9J1 2L: ~ I• ~ II i I ~ .'i I ICI II O POLY CXM 0415. tff<cu<1Ftlo(£ _ ~ 1 P:Nr{o x1aT u: ~ I NAT-Mk P0LYMY'titNE - - / ST. CROIX COIINhlSF.PTIC T.1NK M;UN7iFNANCP. \61"A IrG'' i AND (-)WNFRSF-IIP CERTIFICATION FORM OumcrBu.•er - - - - - - nilir.e,address ( < (VeriGcafin-. ,-squired from Yianttins & Zoning Department for new cortsntstion.) _ C'r.' re II 1 Parcel Identification Number ke U 'b Q. 4J• vh N 4 L------ l EGAJ-. DESCRIPTION F .:,pet i<Locating W, 'Tmm of uhdivision Plat: L ~Cc (h S t > ! _ . Lnl 1 f ea-tified Slurvey neap r Volume Pacc i \4>nr::nty ])cell rbefore2007)~'olutne , Pair .Spec honse, I; yes L ,It tines ide.ntifia'te\ yes :x. ti"7'F_-0_ N1A1N7F\ANCE.4-ND OWNER CERTIFICATION Onp ,por use and main:°•,aner of+;w.tr septic svster., cnIdd result in its premature `rul,:re t:, n:inalr. 1,,at. -,-nainienancz consisu of puriping out the septic tank every three veers or sooner. if needed, !!y .cnvr:i p•,r:m r tl t:,t',`- , aim: It^ wstem can affect the. Furetion of the srp is tauk as a trcatnsettt stape in the waste disposal system. Owner ma inset. anc • .~p~msibilities are spe;.ified ir. §Cnmm. Ri.i?(i I an ~ in !]hap:rr I? - St. Croix Co❑nty Sanitary ordinance, The propary owner agr~s in wbtlii to Si. Cnrz Cmmt}• Piznriag Rc Znnirg Department a certification nrnt, signs? in: the ,.-,r and by a master piumi,er, jnumcy r,an p!mnhcr, restricted plu nber or a licensed pumper verif}•ine fiat (1) the on-site swv;ater : ispostil system is it.. propr:, operating c07,16601 anNor after inspection and pumping (ifnrressaty;, the septizl taiik is i~' ~ iSrn lit hill of sludite Uwe, the tmde-sic fed have read the ahnve cegnircments and agree to maintain the private sewage disposal system wit it the ds ser forth, herein, as; se: by the Dcpamnent of Colnrr. ce and the Department of Nance! Resources. Statc rf Wisconsin. e i.iticarinr, caving that yon: semi,, sVsie bas been mainained must be „nnplc cd and rehr•-ttrd to the St Cmix Count P:anni. n• -~in_; Dcpattment withitt 30 days of the three yearex,:l anon date. Uwe ceri:y tile: all s:a- ;lrents or, this :,rrr• are ;roc w :he best of myvmir knowledge. ilwe amp are :be owner(s) of the ;•.rr.n:--y dsscrii an above, In• virtue of a u my deed mnorded it, R.,*aister of Deeds Office. `a nt~e~- ofbedro s - I Y, SIGN. 'I~_ IiF' CIT- APPLICAN76) i)A7•E " `A nv information that is misrept asc stied may resui: in rile sanitary permit icing •-evoked by the Planning & Zoning Department... e I~ r c ,vifh ap~)IieFLLAYi ~ rr ,rdci tt di-an:}' dC^.^ ti-O^t pl(• !-2C(^St B'r nl -tr^ds C)fti.^P and A ipP`~ OI ilt8 Cer'h5e(1 gp-t'-'} m_p 1{ r fer..nr^. maw.. in rile •.ve ~t,a .:e_., fFrv f`9.YJ`, ~iLPL. V, I%j IV Vl Y.1 U.S.G.S. 1929 DATUM Low VILLAGE TION - M THIRD AVENUE AS PLATTED 1893t .PLAT OF NORTH END. TIONON _6 977 UNPLATTE NDS-- 116t . IIO .aT,' 171 .22' 199.74 Is 6 . A ego\3 "o4e4s 281.69' 352.27 J1 V3 o' fV 7g°fl' I? p1.06 ACRES-" `W /08.00w 1.93 ACRES °Z 6o~9E Od 21p°Q~?2. Q 4~ 40 co cis /3, 14 10 / I 41 9 to 13 J ~`r 1.60 ACRES Z Lo- 95 a9 325 00 W 2io'vs' Is 42 15104935' \ P 100.00. 'n p 1 Vev o reg. r/' Ljj z~ o ;oa:0 30 N 4 3. M Cn M 0 1.56 ACRES 1.49 ACRES i~l f •C5-r- QA OUs Wisrcrs n Glupor.nvnCuf Safety anc Pr olessnna Se v wx Page 1 of 3 D~ varon of. faddy;try Sisnnce,'h_ ' SOIL WATIREPCORT In accordance with SPS 385 Ws Adm Code r1,61-10 ounty t Croix Attach complete site oian on paper of less than it 1:2 x 11 inches in size. Plan mist include hw not limited to. veryiggfafril horvno fai reference point fBMi, direction and percent slope, arcel I. scale or tlinieAS'µSjirD ra}LIbtSViBAt location erd of stance to nearest road. c < -20-000 Ref #2501 Cummani,l Please print all information. Revie d by Date =crsonal information you provide may tx used `or secondary purposes fPnvacy I aw, s. 15.04 1 mil Property Owner Property Location ❑ ❑ Deron & Anne Finch Govt. Lot 04 S 10 T 29 N R 20 E (or) W Pioperty Owners Mailing Address Lot # I Block # li Subd ame or CSM# Cfi Station Cir. N 12 -Li - St Croix Station Ctr Slate Zip Code Phone Number ❑ City ® village Town Nearest Road -AL dsor I WI 154016 _ l 1 i No. Hudson J Ncw Ccrstnicucr Use: ❑ Residential I Number of bedrooms 4 Code derived design Row rate 600 GPD ] Replacement ❑ Public or commercial - Describe. _ Parert material Glacial Outwash Fined Plan elevation if applicable na ft General comments and recommendatiorss. Site suitable for In-Gunnid POWTS with 0 4 GPD!Sq R loading rate. Loading rate of Honzors w I Icos & gr reflect high percentage of clay skins as grain coatings and high percentageiapprox b0%?of Ica rse fragement~' mmended Infiltrative surface a alion to be 9L0O (pp - 5 ~ - - - n" ❑ J Boring # Boling 3q~ Y~7. 0 - 3 m pit Ground surface elev. 99_88 ft. Depth to limiting factor >100" in Soil Application Rate Honzan Depth !f Donr l Color Redox Description Texture j Structure Consistence. Doundary Roots _ - GPD:Ft' In. PAUnsell Qu. Ac. Coot Color Gr. Sz. Sh - Eff#I 1 I Eff#2 yI 0-12 IOyr3.,2 none sl 2fgi mvfr cw 2fmc 06 t.0 2 12-:S:S 10yr3i8 none i's 0sg- - nil cw 2fmlc 05 cl 3 33-80 7.5yr34 none Icos8gr highC;~ 0sg ml ^gw ivrl 04 0.6 - c 80-100 10yr414 none IsBg' _ highC'S< Uxg ml 04 0.6 Boring 2 Boring # ❑ I'll Ground surface elev. 103.80 ft Depth to limiting factor >105" in. Soil Application Rate Hnnzon Depth Dominant Color Redox Description texlr.m Structure Consistence Boundary Roots GPD:r_t' In Munsell Ou. Az Cont. Color Gr Sr Sh. •Eff#t 'Eff12 1 012 10yr3:2 nano sit 2fsbk rnvfr cw 26ntc 0.6 0.8 2 'I 12-30 10yr3:6 none IrosXyi Osg ml gw lfmc 0.4 0.6 I 3 1:1-(i9 1byr4:6 none - Icos8gr Osg ml gw 0.4 0.6 4 69-105 10yr4:4 none - Icos&gr Osg ml - - 0.4 O.6 Effluent #1-- HOD. 30 < 220 mg_L mg: - an Effluent 92 - BODE? 30 s30 - 220 mg1L and TSS > 30 s 150 in IL - l CSI Narne (Please Prinfi 'Signature CST Number JarnesK Thompson 30021 _ Address Date Evaluation Conducted Telephone Number .'40 Paulsoi Lake tare Osceola. W1 54020-54'3 April 2S 2018 i. 151 248 7767 - - SDD-8330!R04+i 5,~ _J Bur hly 3 Honng # Q Pit Ground surface elev. 100 50 it. Depth to limiting factor >102 in. Soil Appleanon_Rate Honzon I Depth Dominant Color Redox lyescnp!'on Texture Structure Consistence Bound ary Roots _ CPD: rt` In Munsell Du A<. Cont. C( Gr. Sz. Sh •Fff#1 'ErfiF9 1 1 0-20 #,,,.r- 3 noreI 7fgr ----mvfr gw 2fmc 0.6 08 _ 2 2g-45 :4 crone Ifs Osg mI f 0.5 10 3 4563 :4 none Ifs Osg ml gw - 0.6 1 0 4_ 63 102 10 r !6 none s Osg ml - - - 07 1 6 ~v l [j Boring Boring # ❑ ['it Ground surface elev. _ it Depth to limiting facto _ .n _SoiApplication Rafe Hoozon Depth Dominant Color Redox Descr,phco Texture Structure Consistence Boundary Roots GMFt In. Mansell Ou. Az. Cool Color Gr Sz. Sh. 'Eff#1 'Eff#7 -r ~.I J Boring # ❑ Boring ❑ 1 rt Ground surface elev. _ H Depth to limnury factor _ in. Soil Application Rate Horizon Depth Dominant Color I Retloz Descripho texture Structure Consistence Boundary Roots GPD?f t' In Mansell Ou. Az. Gonl Color Gr St Sh. 'HBft 'Eff#2 ENluenl - GOD. > 30,-' 270 rig L and TSS > 30 150 rngri. ' Effluent #2 = BOD, 30 220 mg:L and TSS > 30 5 150 mg:l ' LEea-E~d/arop.5Cz1.C'c r edc/ua (iGn~O.t 5ta/e:/": j I ' Der an1,¢neE'"c.-A c ~ 7DP S(a~on Gr, 7f•r1{ .ZAe 1.2, /-1/4 Z 01 }6, GY st<E:A,, Gov{. /ot+!s.C,. T ;Z9A, ~QZO c)., r/, //a y ( 0 2orCLh4. it.C"C4 zc>{ 97" Y~ :a W m L Cx,'s~~ ? ;'b -r,sn'cbrte"fLb..-sweu I a ? o H c ~ w Q 1 1 tr t I Qe s.Ctn[C. I r a` `1 1 ` gr t To bta~dencd45 t \ BIZI v<o~ 9s /E.b. : ~ o qq ~ 1~ r ter- t ~ ~ tsVb/,y <S M. = 791.7/ it 1 ~ ~1 1 \ 3 ' circle / P7.:3