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HomeMy WebLinkAbout018-1090-68-000 (2) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 600356 GENERAL INFORMATION 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: Sue Smith TOWN OF HAMMOND 018-1090-68-000 1 (00 Insp. BM Elev: BM Description: ^ Section/Town/Range/Map No: CST BM Elev: 9$ , 18 16.29.17.733 ELEVATION DATA TANK INFORMATION TYPE MANUFACTURER L CAPACITY STATION BS HI FS ELEV. Septic fe r3, 7 j Z~Q Benchmark 3•75 /6Z- IT. t ILA, d Io(c SZS Alt. at(G Oal- Z. s' 99 s Aeration Bldg. Sewer 1r 9 7. Holding SUHt inlet 9 TANK SE CK INFORMATION St/Ht Outlet 7 9 5~- g TANK TO jLd9P/L WELL BLDG. Vent Air Intake ROAD Dt Inlet T Septic -76' /\)A- )A- Z_ 1~F / Dt Bottom Dosing Header/Man. ,p- Z y ``t Aeration Dist. Pipe ~O Holding Bot. System Z . PUMP/SIPHON INFORMATION Final Grade Z 9 Manufacturer Demand St Cover _ZA GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Len Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenche§( PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS :5, 1 d-' Z- 1_ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING ManufacWw: CHAMBER OR INFORMATION TypeQf System: 56 UNIT Model I~y~ber: (yrlJ a ~vs a lft4 tO _ AA_ - DISTRIBUTION SYSTEM p ZL Ir- Z Header/Manifol Distribution Ix Hole Size x Hole Spacing Vent A Intake 'w Pipe(s) l/ e,/l Length W 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 xx Mulched Bed/Trench Center Bed/Trench Edges a~ Topsoil No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1747 96TH AVE OR / _ J GS ~d O 1.) Alt BM Description = (J~ 2.) Bldg sewer length = ZL' - amount of cover = /g' J#/ 7 o~ 7v Plan revision Required? ❑ Yes c L47 Use other side for additional information. Date Insepctor' ignature Cert. No. SBD-6710 (R.3/97) ,~@CAN7J(~`, 'LiMmity T li ~ Industry Services Division j I 1 p✓,~~ 1400 E Washington Ave P.O. BOX 7162 Sanitary Permit Number (to be filled in by Co.) Madison, WI 53707-7162 Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmeptal unit AA is required prior to obtaining a sanitary permit. Note: Application forms for state-owned P e, ub itted to the Department of Safety and Professional Services. Personal information you p e ma e sed f se ndary Project Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15.04(t)(m), Stars. t 1. Application Information - Plea r t All Information j17 G _ rf _ Property Owner' Name Parcel # r7~'/ 7 3 3 ALP- Property Owner's Mailing Address Property Location Govt. Lot City, State Zip Code Phone Number _16✓ '/4, W/ 1/4, Section (circle one II. Type of Building (check all that apply) Lot# JA 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name ❑ Public/Commercial - Describe Use Block ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of 2 Z 2Z Town of III. Type of Permit: (Check only ne box on line A. Complete line B if applicable) O A. ® New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner Aka ~✓l t 0J IV. Type of POWTS System/Component/Device: (Check all that apply) v Q Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ~Ot ❑ Holding Tank Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Treatmen rea Information: i Design Flow (gpd) Design Soil Application Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation Rate(gpdsf) y~ VI. Tank Info Capacity in Gallons Total # of n ° Man facturer New Tanks Existing Tanks Gallons Units U v v U G Septic or Holding Tank tj l ' '~S ❑ ❑ ❑ ❑ Dosing Chamber ❑ ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, the undersigned, assume r sponsibiliiy for installatin, of the POWTS shown on the attached plans. Plumber' ame ri Z Plumber' rta~ure MP/MPRS Number Business Phone Number r iL ^l _S 71-5' Plumber's Address (Street, City, State, Zip Code) ~l_ n 1 VIII. County/ eartment Use Onl / Approved (sapprov Permit yFee Date Issu d Issui gent Signatur yen Reason for Denial $ 70a ' ~~6 IX. Cond4io4'*#ftpkps Metsltfot Disapproval 3J q~ F~ 7 7e, 40"W. :;n cell must dell ~_!101 (n LEtL " per ir ent plan p! v tided by plwl • ,I 1a L a~ ~J per INAValk *MU':. + mu~rra .,~atrstr irc<: J` CCc. 2. 'll/ Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x t l inches in size SBD-6398 (R03/14) T~ I 00 w zCZ 77 -YA CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: r Owners Address: /u 5 Y 7u Legal Description: / Al- 26 Township: > >f a County: _LL-T,~/" Subdivision Name: Lot Number. Parcel ID Number ` l Page 9 Index and title Page 2 Plot Plan Page 3 System Sizing & Gross-Section Page 4 Filter Specs Page Jr Maintenance Information Page 6 Management Plan Page 7 St_ Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed page g CSM or Plat Attachments: Sail Test $ House Plans " License Number: _ , Designer/Plumber. r l Phone Number Dare: Signature Designed pursuant to the in-Ground Soil Absorption Component Manual for POWTS Version 2-0 SBD-10705-P (N-oi/ui Page 1 r I 77 5,/1) s 'i f-zs i V I t,~ - a a•-u I i 2~ ~fdta~ i4m Wit Cap ~.r------G Chamber aleualion --y-_ j~ Ott SIM, Vent Or O_.servafwn pr Gf nEsers all HBO -11MIUM - DII& Trer~~ 2 Header Manufacuwer And Model L i EfSA ; a ng _ ~ pel- chamber SoN App i~iQF} F?Sfe _g 4q~ ~g4 7 souricak _ ~~el-S dmnixffss ftii PL-525 EFFLUENT RLTER L'J Polylok, Inc is pleased to add its new commercial filter to its existing line of quality effluent filters. The PL-525 is rated for over 10,000 GPD P~' Alarm F Accepts PVC !gallons per day; making it one of accessibility e the largest commercial filters in its. xt~sion hands class. It has 525 linear feet of 1 1a° filtration: slots. Like the Polylok 4 w s PL-122, the new Polytok PL-525 has r r f~,z automatic shut off ball installed 525 rmear feet an every filter. When the filter is of 1116` fdtratian slots Rated for over removed for cleaning, the ball will y 10.000,© float up and temporarily shut off E_ the system so the ef#tuent won't leave the tank: No other f&er on the matket can make that claim! i $ Sccepts _ ¢ Pipe` mance: i he PL-525 Effluent Fitter should 71 operate efficiently for several years 3 under normal conditions before I requiring cleaning- it is recom- mended that the filter be cleaned every time the tank is pumped or at least every three years. if the installed filter contains an optional i 1 Yom. alarm, the owner will be notified by an alarm when the filter needs t f servicing. Servicing should be bas deflector done by a certified septic tank 1 Automatic shut-off pumper or installer. 4 ti: baH when fitter # is removed t 1. Locate the outlet of the u.& Patent Nwe 6A15,438 septic tank. S.a71,W 2."Remove tank cover and pump tank if necessary. PL-525- i n stall t-l c n : 1. Locate the outlet of the 3. Do not use plumbing when septic tank. filter is removed. Ideal for residential and com- 2. Remove the tank cover and 4. Pull PL-525 out of the housing. mercla€ waste flows up to pump tank if necessary- 6- [-lose off fitter over the septic 10=006 Gallons Per Day (GPD). 3. Glue the filter housing to the tank. Make sure ail solids fall 4 or 6 outlet pipe. If the filter is not centered under the back into septic tank. access opening use a Polylok 6. Insert the fitter cartridge back Extend & Lok or piece of pipe into the housing-making sure to center filter. the filter is properly aligned and Insert the PL-525 filter into completely inserted, its housing. 7_ Replace septic lank cover. S. Replace the septic tank cover. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner - - Tank Manufacturer: J1 ~i t ❑ NA Permit # It Septic ❑ Dose ❑ Holding Volume: (gal) DESIGN PARAMETERS Tank Manufacturer: NA Number of Bedrooms: ❑ NA ❑ Septic ❑ Dose ❑ Holding Volume: (gal) Number of Public Facility Units: J NA Vertical Distance Tank Bottom(s) to Service Pad: (ft) Estimated (average) Flow : 1 (gal/day) Horizontal Distance Tank(s) to Service Pad: (ft) Design (peak) Flow = (estimated x 1.5): {gal/day) Specific servicing mechanics must be provided if vertical is >15 feet or if horizontal is >150 feet. Specific instructions to be provided on back. In Situ Soil Application Rate: (gal/day/ff) Effluent Filter Manufacturer. c^,.S Standard (Domestic) Influent/Effluent Monthly average e - ❑ NA Y 9 Effluent Filter Model 2? - Fats, Oil & Grease (FOG) s30 mg/L Biochemical Oxygen Demand (BOD5) x220 mg/L ❑ NA Pump Manufacturer: ONA Total Suspended Solids (rSS) <150 mg/L Pump Model: High Strength Influent/Effluent Monthly average Pretreatment Unit (FOG) >30 mg/L Manufacturer: (BOD5) >220 mg/L In NA NA (TSS) >150 mg/L ❑ Mechanical Aeration ❑ Peat Filter Pretreated Effluent Monthly average El Disinfection El Wetland ❑ Sand/Gravel Filter ❑ Other: (BOD5) s30 mg/L Soil Absorption System (TSS) <30 mg/L U NA Fecal Coliform (geometric mean) <io4 In-Ground (gravity) ❑ In-Ground (pressure) ❑ NA Maximum Effluent Particle Size 36 in dia. El NA ❑ At-Grade ❑ Mound Other. ❑ Drip-Line ❑ Other. ❑ NA Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Pump out contents of tank(s) 0 When combined sludge and scum equals one-third (X) of tank volume ❑ When the high water alarm is activated Inspect condition of tank(s) At least once every: ❑ month(s) Maximum 3 14 year(s) ( years) ❑ NA Inspect dispersal cell(s) At least once every" ❑ month(s) 13 year(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: ❑ month(s) ❑ NA 91 year(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) f2' NA ❑ year(s) Flush laterals and pressure test At least once every: ❑ month(s) --E:l NA El year(s) Other: At least once every: 0 ,month(s) El NA Other: ( ) ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper). 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 a check for any back up or ponding of effluent on the ground surface. The soil absorption system 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 treatment tank equals one-third (X) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator (pumper) 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 30 days of completion of any service event- GMW-005 (02/05) Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals or sediment that may impede the treatment process and/or damage the soil absorption system. If high concentrations are detected have the contents of the tank(s) removed by a Septage Servicing Operator (pumper) prior to use. Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these conditions is not recommended, as the excess wastewater will be discharged to the soil absorption system in one large dose causing an overload that may result in the backup or surface discharge of effluent and damage to the system. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator (pumper) prior to restoring power to the pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank. System start up shall not occur when soil conditions are frozen at the infiltrative surface. Do not drive or park vehicles over tanks or the soil absorption system. 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 treatment tanks and soil absorption system: acids, antibiotics, baby wipes, cigarette butts, condoms, cotton swabs, degreasers, dental floss, diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat scraps, medications, oils, painting products, pesticides, sanitary napkins, solvents, tampons, and water softener brine discharge. 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 s. Comm 83.33, Wisconsin Administrative Code: • All piping to tanks, pits and other soil absorption systems 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 (pumper). • 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 the time of their permit issuance. ❑ A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ 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 TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE. ADDITIONAL INSTRUCTIONS: POWTS INSTA ER POWTS MAINTAINER Name Name Phone one SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone This document was drafted by the staffs of the Green Lake, Marquette and Waushara County POWTS regulatory agencies in compliance with sections Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. START UP AND OPERATION Page 4 of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals or sediment that may impede the treatment process and/or damage the soil absorption system. If high concentrations are detected have the contents of the tank(s) removed by a Septage Servicing Operator (pumper) prior to use. Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these conditions is not recommended, as the excess wastewater will be discharged to the soil absorption system in one large dose causing an overload that may result in the backup or surface discharge of effluent and damage to the system. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator (pumper) prior to restoring power to the pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank. System start up shall not occur when soil conditions are frozen at the infiltrative surface. Do not drive or park vehicles over tanks or the soil absorption system. 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 treatment tanks and soil absorption system: acids, antibiotics, baby wipes, cigarette butts, condoms, cotton swabs, degreasers, dental floss, diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat scraps, medications, oils, painting products, pesticides, sanitary napkins, solvents, tampons, and water softener brine discharge. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insur€ that the 0yste,11 is properly and safely abandoned in compliance with s. Comm 83.33, Wisconsin Administrative Code: • All piping to tanks, pits and other soil absorption systems 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 (pumper). • 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 the time of their permit issuance. ❑ A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ 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 TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE. ADDITIONAL INSTRUCTIONS: POWTS INSTA ER POWTS MAINTAINER [Name Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name ~ r v .,.w • 17~a ~ ~ ~ Phone Phone This document was drafted by the staffs of the Green Lake, Marquette and Waushara County POWTS regulatory agencies in compliance with sections Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST. CROIX COUNTY SEPT[C TANM -MALNrC ,7,"CE ACI 4ENT AND OR/NERSYAP CERTIFI'CAT'ION FORM Our€erSuver V-VX i ~t ,A,aaress 8 6 y r w )~~ZZ- e (V'erifica ion m*ed fraEm Pb mimg & for new ocroshzu.~t m) Cii~' to Parcel Idez6fication N=ber V., see. 22 N R-2-7-W, T0vM of - ~ a Subdivision Plaf: Lot # Certified Survey Map Tr , Volume . Pale Warranty Dead # ore 2DO7)Volume . P h o ye~ao Lot i iderit6" C SYSHIM RU' KAl~ CE A MD OWNER L"`ERMCATION Improper use and fiance of your septic system could remit in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic twk every three years or sooner, if needed, by a Iiceased pumper. What you put into the sysmm can affect the fm=on of the septic tank as a treatzacectt sage m the eta to daposal syst r. 0%vea mamienance r esponul es am speed is §SPS. M3 .52(1) and is Chapter 12 - SL Croix Coaunty Sanitary Ordirtaacc. be progerh, owcter ads to submit to Sr- Cron County Fiat & Zo=g Deparomat a c (m form, signed by the owner and by a master plumber, journeyman pltmmbea, restricted plumber or a iioemsed pumper verifying that (1) the on-site wastewater disposal system is is proper opeivaog condition and/or (2) after inspecton and pumping (if-necessary), fire septic tmnk is less than 1/3 full of sludge. Ilwe, the vndasigned have read the above requirements and agm to maintain the private sewage disposal system with the wants ser fm-J4 berms as set by the Depatm= of Safily And Prokmmmal does and ftDq=tmew of Nanwd Rawurot,-, State of sumg tit y or s uc syystm boen mabtmied must be completed and retom.ed to the St Croix C;oumv, Planuitcgi& Zmmg Dqwrtu~ wit t,5-0 dh3-s of the date. INm certify that all scats on fbrm are true to the nest of my/our Imowleae. 14m am/are the owner(s) of the property descr:[ d above, by vi rue of a deed recorded in Register of Deeds Of ce. Number of bedrooms ..~~lJ~ !mil J 1~j~ Sl~x''.zAM, OF APP Ll'CAIN7(S). D 7'E a..ny mf mataon that is misrepresented may result to the sanitary p== being revoked by the Plm=g 8c Zmung Departrmem include vita this application a recorded wanu y dead ;rum the Register of Deeds Office and a copy of the cei tfied survey map if reference is made in fire warranty deed. ~OG ~ ~'~'f 95a, SECG10.Y I6 -FWND 1~NQRTHWA"UNIENT R PHEASANT HILLS FIRST ADDITION LUMINUM MOt o A'OAENi NOTE: XI BUILDINGS TO Of CWStRUCiEO o IN PROXIMITY WI1HDR0AGE AREAS $HALL FINIS NAYS A ON NOTL ED FLDDH WI IARENDOW E EE !31 WEL FEFLi LOCATED IN THE NW 114 OF THE NE 114 AND IN THE SW 114 OF THE NE 114, ABOVE NE NOG V HIGH WATER E LEYATIW. f m ABD HE AND I N THE SE 114 OF THE NE 114, AL L I N SEC T I ON 16, T. 29N, , R. 17W. , uyp~grrEOL... .aNDS TOWN OF HAMMOND, ST. CROIX COUNTY, WISCONSIN N DRAINAGE AREA N89° 15' 45'E 650.00' 110.00 440.07' 90.00' NOTE: NO OWNER CF RESIDENT SHALL CO ANYTHING fALS fNJ DRAINAGE AREA - WAICN WOULD INTERFERE 11 TN CA CHANGE THE X(giWSwiX / OPERATION OF THE APPROVED CC4fREPEh'SIVE WATER FENCE LINE NI[•I6IA / - DRAINAGE AND SGIL EROSION PLAN FCA THIS PLAT. _ W PLANTING NOT LIYlTfo IN TO BUILDING TH~ / T UPONCBSiF ING, AL TER I xG, ar Im-na 2etl LNA EXCAVATING 5 BUT IS FACtING WAYSOR 100-M c EasEWEAr s, _ DRAINAGE DITCHES WATER IOJTN ANEN4E I L ANY LOT 19 WATER 4.t E SS ~q? , WAT a• 2LO A R9S _-p. 69,3''.~~9HO _._--SW-NE 1- Nf=NE CULVERTS, SEEMS OR GRASS SEED NCS EA 108,160 SO. FT. eb F .S 5-~E 1, 11, sO3 i i YME I N2~ i I e W tS i TIP ~ 9• m ° W LOT 50 z" 36,692 S0. FT. DRAINAGE EA s' \ \ \ : 2L4O3 48S 3.14 ACRES as UNPLATTED. 105,871 $0, FT, o I3 6Dy S89 28' 02'E 892.09' TO NE CDR, LOT 57) THI I. i2 ,E " 160, ar m WO n 260.W ~ ' e LOT 18 IN DRAINAGE AREAI 520.00 (THIS SHEET) PLAT 'No `p A S38'2524f 243,ff LOT 51 " - G 2,81 ACRES WATIWSKETCH 122531 50, FT. / a IN SEfNCDt1CW 16, T.ZVI R. IN, _ s T 70 GLEN SEE 2 2 0• y' m o LOT 53 /8 a g d~ o A2' iv 4,49 ACRES ~u 391' ° LOT 54 LOT 55 UTIL I TY EASEWNTS 1~E m 195,fi15 50. FT Ni2'C6 3, 71 ACRES 3,54 ACRES NO POLE W BURIED CABLES ARE TO BE PLACED SUCH THAT THE u g - m, ,A, 161, 700 $0. IT, 153,984 50, fi, y LOT 56 INSTALLATION WOULD 015TURB ANY SURVEY START, OR OBSTRUCT VISION LOT 47 DRA INAGf AREA o a ALONG ANY LOT LINE CA STREET LINE. T DISTURBANCE OF A SURVEY STAKE BY ANYONE IS A VIOLATION OF m 3, 62 ACRES SECTION 157 840 $0 FT, m 76.71 OF OJSCWiN O STATUTES. UTILITY fPRIVATE$ AS hEAE IN u FOR 36. T a / IN E FOP THE THE USE USE OF RIC BWIFS AND PRIVATE UTILITIES a HAVING THE RIGH7 TO SERVE TO AREA. LOT 52 s A, n'3P 2.34 ACRES m A SOi DRAINAGE AREA 101,983 S0. F m o o . @E. tmAA H w a ©sfrBALK LINE p N m w v ~ -SETBACK 8: ~ m P /7 IIi ID >E TBACK PUBI 9 0 - - - - C a g 888'25 24'E 418.37 CI SHEET E" lJ B[XCwNRK fLFY • IIt1,» W FOUND 2' TRW PIPE llI BL I C S83' ° 10631 O.. O®IOp67818528 O-S)972, o ,S1'IAW PIPE Ap. - 8 tn'cl N W PIPE WEIGHING - u - - H11' n N88'25' 244 ' - 834,94' 66.07 8 8- 4 \ FAA fCOi -588-2340'00, 352.78: 58.79,_ _ NB3'310'S2B 332.86' 124 \t3790' 7.6718X TPER LINEAR /23 .W M 185 88 N)y,55 \ ' 12 _ b M01E SET I' X 81' TAW PIPf N GN NG sz'o © u --I 2B W 332, 24 W k 10 W\.\ 1,13 LBS PER L WEAR FONT AT ALL / 296 Of o © 6, 19 881 EA oAD SIB 41 ® hb 27 71 112 69 31 _ OTHER LOT CORNERS 1t667B. 9, ,1 . a PH t4 DRAINAGE AREA ° SEGBALN'"' 226. 2 _ • ML 11Y EASEMENT (iYPI 1 r LIN. j ® ® 93 A 8 i m s SETBACKS 1. : © • DRIVEWAY LOCATION'S '(JI z , Di z DRAINAGE AREA LOT 64 ! 1 RECA90 DATA z 2.30 ACRES hV HIGH WATER ELEVATION A CI A g R C LOT 65 z 100,021 SO. FT. 0 100-YR • 100-YEAR FLOOD ELEVATION a z \ BFNCNWARK [L[Y.• IW]SS > z 8 Uocl~' 64`♦95ob LOT II m~ui~p e ? 2,43 ACRES S. m a cI i° LOT 68 e LOT 67 F LOT 66 s LOT 63 LOT 62 r R}pAlARHSFAtf q u 105,002 S0. Fi a u 102,707 50, Fi.. 113,732 S0. FT. u Z m A 3. 17 MT- 2, 97 ACRES 2.57 ACRES i 2.36 ACRES 2.61 ACRES ~ 2 Si~AaX(~W~ y • C 138,112 50. FT. m 111,927 $0, FT. 111,895 SO. FT, A LOT 61 Re+NwIANR~.+ 9 F a N 1.46 AT. EXC. EASE. V u p Z 107,293 50, FT. ~ Q'1~y app ~R~Dp •~C Wf51 WAATIR 111111 Q i1tl I~j . w o YLD_A4> R.fgP,vnWlf iA 1 SECTION I6 - FWM1'D A / _2 ~G~ 1' IRON PIPE b 66' • tm]S DRAINAGE AREA t913b'Wpj.~88 $e6'zru'E.. 2B6'830.~ 00' 697.36' (i IS SHEET. ._.._N..- 66.01' Im-rc/' 2670. 29' 1 240.00'39.99' 229.21 / 225.0.1' -Lil\„ 228.01' 0 z NNE O SESTIW 16. hfA5UAE0 NrfA SECTION UNPLATTED LANDS East-Wtsr Waa R LINE N88'27' 11'W 2277.01~J9 (PTO SE CDR, PLAT) - - - - - p9 aAD TER NE OFNfsr.TCRO x LWT-WEST TPE AR ~ NTY 00 200 UNPLATIED E 5302.04' (TO EAST QUARTER CORNER) Oo c0 tE Snrfu1 00 300 LANDS m NOTE: THIS PLAT IS LOCATED 11 AN NOTE: BENCH I DAGOM Is iA AGRICUL NAAL AREA. HG,FCNtifRS $HWYD CRTMO NFIGHIS GEOID 96 GRAPHIC SCALE - FEET EXPECT TYPICAL FARM REL ATEO ACTIVITIES v SOUTH Wd71ER COPPER THAT INCLUDE ST, NOISE, EXIENC{0 HO,~PS O OPERATION ETC. ROTE: GRADING THAT WOULD AliFfl SECTION 16 - FOUND 1HE CAPACITY OITHE STORM WATER CCALM SURVEY NAIL SHEET I OF 3 DRAINAGE AREA IS PROHIRITED, " 2X01 THIS INSTADAENT DRAFTED BY JIM WEBER con oepa?trnent of Commerce SOIL EVALUATION REPORT Page of ;ion of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code • County Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must ' include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. l percent slope, scale or dimensions, north arrow, and location and distance to nearest road. - - - Q ~D J Please pant all information. Rev' Date _ Personal information you provide may used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). -10 Ti Property Owner j Y~ yyt.d Property Location Govt. Lot 1/4/0 ~C 1/4 S T N R E (orQ) Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 6S I •1 ~ Oh l'll~ Tor` City State Zip Code. Phone Number ❑ City ❑ Village ® Town Nearest Road S p 031 DId - 1 I '7 (P New Construction Use: 19 Residential / Number of bedrooms _4 Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material o, Flood Plain elevation if applicable ft. General comments S}! S rvl 9 Y. Z 4 and recommendations: W4,/- M ~e~ • 9 (7/• y(' ❑ Boring Boring # pit Ground surface elev. `7 8.(ey 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 I o- z o '5d 2 ~r C-! • 5 s IZ LS gmM i! 5 Z 3 4y-1 I m S Ds m t r . /-Z i .Z r 3 5 a Boring # Boring Pit Ground surface elev. ~ ft. Depth to limiting factor 10in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 'Eff#2 Ivy • $ I -i s' I e- 5, 2 1y 10 LS M44%, rte; LS 45- 10 y - h~ O m 1 2 cj~. Z 1 I 11 * Effluent #1 = BOD5 > 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) Signatu CST Number ra c J5 3~)U Address Date Evaluation Conducted Telephone Number 211 S J- I C~.~ ~/J-I 1l5 -a47 `BOOS' Parcel ID # Page 2- of Property Owner Boring # ❑ Boring a Pit Ground surface elev. 98 • (,.6 ft. Depth to limiting factor t in. Soil Application .Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl? in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. "Eff#1 *Eff#2 0_Z 5i 1 Zrioobk r GS lv~ • $ Sat r LS c 3 ~p ms 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/fg in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 "Eff#2 Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color ~ Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 " Eff#2 * Effluent #1 = BOD, > 30:5 220 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 608-2648777. SBD-8330 (W07100) Parcel ID # • pates of Property Owner D Boring # ❑ Boring Pit Ground surface 98-("6 ft. Depth Limiting facer 12 L' in Sail licatwn Rate Horizon Depth Dominant Color Redox Description Texture St ucWre Consistence Boundary Roots GPD/fP ` in. Munsell Qu. Sz Cont Color Gr. Sz Sh. 'Eff#1 "Eff//2 I o_Z Si ! n4r GS 1 - • $ L~ Boring # Boring ❑ Pit Ground surface elev. ft Depth to limiting factor in. Soil Application Rabe 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 F i I i I ❑ Boring # ❑ ~9 Ground surface elev. R Depth to limiting tailor in. ❑ pit Soil Application Rabe Horizon Depth Dominant Color Redox Desaipton Texture Structure CornsiskOnce Boundary Roots GPD1(f in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I I • Effluent #1 = BOD, > 30 5 220 mg/L and TSS >30 5 150 mg/L ' Effuent #2 = BOD, 5 30 nxA and TSS 30 rng/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 (K07/OD) . u PAGE 3 OF NAME eo + &A« -C LOT# (9~S LEGAL DESCRIPTIO11'(V U04 S!(rlT 2-`{ N,R 17-E (or)L SCALE: I"= /cx~ BM I ELEVATION /00 • d 1 BM 1 DESCRIPTION ~p 6-~ z I o0VtcW - BM 2 ELEVATION-'7S. 7 T w BM 2 DESCRIPTION O o 2, C' 0 rLd 0+ E SYSTEM ELEVATION I ALTERNATE ELEVATION yy 9~ CONTOUR ELEVATION I i I Slop I ~ ~ o Q t. Ava • B3 ` gm~ SIGNATURE DATE 1/2 70