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HomeMy WebLinkAbout020-1353-41-000 0 cn o O cn o! g o t_ 0 0 F 0 e, *' c d o d v1 n v n n DI c co 0 L) -, CP / ( �i O N K C;3 (O co d O N CO 1 co c o o .t (J 3 7 C 3 N C r 'w j o 3 a IV O 0... o a - o co co - 0 m w o w • C C = 3 N C D. -= C ci' N . C . N to n 7 ? N S O � O j ^'C a 1 0 7 0 ••- CD (D S CD O A C (*Y N C O d C'7 N 7 A O 9) t0 p _ _ 4 _ O e�t1 7 y y O j y y o r. y y W y C 0o = o , v y m :-..- u',. v> m Q o C X C. o o x v ° o Co ` r o CD 01 w PD f i 0 w D M r I\) m !yak O. m o m (D Z n o o= '< c n r to I"..) o c o d o o a N o o a N o a a o ° a v a ? a o z 0 0 0 O O O ry� 0 y ) No _ a c o `��1 v o O CD CD y d CD m y * p a y N = d in a d 1 a co " N - so * - — a 3 v o �` Z 3 m `� Z 3 Z Z D Z O o D o 1 D .. o 0 oa ro) o o 1 m ° N � m 1 (n 77 g, o ? CD m a- ( s cD c w -o ° O O ' m C) ° a a c o 3 t -•1 to z °- o o A Z CD to c c n In 7 = a Z 3 0 C a D N 0) O) .. O O 73 I O � (/) -I W 0 o a o 3 `° z >? '0 3 c -11,-; 73 -a 3 3 '•. z o c m - o U! 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AL I m N.1 \'1i;. •:u %vas C'5) .jIC ts 6:) :be inspeclion informed Glot that the septk system ....vas !".LILV:.1 OK' S'y'S•lk.".'ll 'A711 - ICI pii.ipcily We 1IkIk 1:11 manifold or header unav not be line.: the mai:Told or header r.ot IE% CA [win :Iie lesi:Lerict is ir lo septic sysR:rn wi not du*is.. tinr1 insTallc.6 ff.: Li ,. ...at - de ., '. : ater tc i :c die lov,ei ee:I tecii s desiiied LD hays2 e:ii:;111:, 1:1111. 1.:7?:h. I itritioi island .R 1 it. .0.;:s fink. 7. H. of 1....tos ri 1.111: lower wht:-;:". Bovonan d',.d his ins3cction repot hie.cai5e H pumped rIt ii i ank :lid Qui there no ..sali.:te..s.a:er ioi rtO Iiie he secilic.: Loin drc. kr' h,coki ihiN s•olern zinr.1 fail Kioner than n. stmaci I - aatl rnorninv....yith Lrijv Jan51 !Ns' Deriartment oCCornmerce and 1 have enclosed fl..)7'.'0UF review a lette: r.7or5) '1u1 response lc (hi t". septic system. I hale altit a :.:ory and 7..1.r. Bowmans report If you Lave any further gaestions or concerns re..:4ardinu thz :2:%. irle a 2all .••-• ' 3dace.reis. L ILACI Sin/ P NIP 12-'7;402 r : -,c, _ _ : _ _ __ _ r r_- . 4C�C_ ,._,' � •. .. rr ,(:,: rr. rt .�.;• I '. - Il ri I•..: c!r L�.l "r - _.... - , 1 ,ticlite t1f Wisconsitl L) partmt:ni of Cu milt e, 13 East Sprticc tit.. Chipprwir Fulb+, W'I S4729 FAX Dust Bunt it 20O7 • i.rnUer z pagas cu4•:rsdcer 1 1 hrunl: Lc'ruy C..iar!skr' T;c It;dd L.. Sinz I_ G, ru.. SLree! _ t7rr;•yc: °1 S,n'fi Nlurnh Ch.i:9c1kn rnl:;, 44 I 541'19 Pdone: 13.'7D-2.5 . — I'hnce. Fox INatT2.r "I .' i-2$4u r..a r•1Ji:thc- ?I tit" 1 E-'r V ttk 41.113795; I_i l ?i ) As f" r Y ^ar Rcaucsl _ Respor;:. kclurt ,h Al' 0 P: :aiC Corunrn: I {k': Eii►IIui ►t,iivrn perfurmunrtdr I+I2.11e): Lune, Hudson. WI 11.sed on tine iIi I;I5S1110 this I:Inrninu I urn :n warrcnrini whir your enterprsrnrinn of the nperutlun of the ubul'e referenr.ed ptivulc nn rlH: waxtrwliler I..PLHtInunt 9}.Slern (l'OW1 ti), YC';t uilz0rvu4lunB 0. dry hipper cell and a pr,ntied tower cell arc, consistent with talc:qua tl ist rib lute n of wp9IcwItrrr, The one:: level hentfCi pipe (hut rs FIUW (dint( inward tnc law :r coil. Accordin3 m thr records fir, (Cic for th;e s }slCnl Lhl: two clli;rlliriiuil L;(1111'1;044 ti; ii 1cr b4 a ct cri inor1 ,,rav heads Fij r end the -uiI uiffrre ❑I c !era sti ii _ 'I'trls tyro of design is neccptailir. In t4hetiotIn t.t!L h prune w t It( IiF rise wustewater Tines 11 novLl'ls I Ent: 'le0 pp! tines nut stuy perfcctly Ivrel. o nu:t 0 simply hncknlitr,e Cht rope cr `uler frost ucttan will tilt the one cclt ur IIIC ostler, if 1hr pine disrhar'es mast cr all of the w'as;rlluter to the upper Irenclt it will eveutuully I u /oetled ends peal; flews wa u, Et flow to trIe JI,wei cell, 111li Ia La11ud Crop not ilesl n find Is used exlensivcIy in iirffon into. I•Etiwerer, If the he :1Cr plpcs allows 011 or the wiirer to tIleehsrIle to the lower cell 1t Lou will 4,veriood but, depending an the elcvatlnn dlffert:t+et:1 beim. errr Lira cells 0:114 f!niahed urn de, :Irity not back up end tikitiYOrge to the upper cell, Instead, It may seep to the sttrfn;,e over the lower cell anti cultic a hurnnn hvulth Kan rd said system rall nre. Tliil rypc of 7firl'atinn Is cn.tity fistd by repfiiclit the hfiu;ler pipe with a lord tint ur iht'lnllJnp a I hitribullon how drnp boa, or sputter to sent] wastewater Ifl [n. cent eitht:r .nunlly fir to the upper cell first, tr you II;IL'r any 611t0r itu - Ttlun,t_ please reel tree to coo tog tile. Loot' l.. Jiiil<i:y . a5 tC9 Ter t / v • � '} k (.24143.7 ."/ I County: Wisconsin E�epartment of Commerce PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 116 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 X Township Parcel Tax No: Barnard, Charles Hudson, Town of 020 - 1353 41 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 36.29.19.2041 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. I Septic Benchmark 1 ' i Dosing ' "' > ?- Alt. BM 1 Aeration Bldg. Sewer f ' Holding St/Ht Inlet St/Ht Outlet 1 TANK SETBACK INFORMATION J TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 1 kk Septic r Dt Bottom V 7 ,.t_ (- 4;',, i fi' , . ' P V Dosing 1 i i Header /Man. ,� ....,_ ;. ,L:. . ' Sic . Zt Aeration Dist. Pipe Holding • Bot. System Final Grade PUMP /SIPHON INFORMATION ' ' r - e'.y r -g, , 4.;, ' f # ( 1 Manufacturer . ,t aL. ' t • ", Demand St Cover %,: • v GPM r , . 1 , � 1 Model Number 0 + , ...,` a ....o Fw `-.`';+ Jl TDH (Lift Friction Loss System Hts41 r _ TDH Ft Forcemain Length, t Dia. ra Dist. to Well / SOIL ABSORPTION SYSTEM BED /TRENCH Width Length J No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS - 'r.., i.-.' fi ti _ _ �. SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION 1' CHAMBER OR Type Of System: y i i s C., • 4 UNIT Model Number a ; ' J DISTRIBUTION SYSTEM it, .,q...( :.,,, Header /Manifold -j '/ Distribution . 1.� :. .- x Hole Size x Hole Spacing Vent to Air Intake f. , ',, Pipe(s) 1 Length -- 1 ).. Dia ' 4-',, Dia a Length z Dia Spacing - 7 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 Topsoil Yes D No Yes D No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / - Inspection #2: / / Location: 862 Alex Lane Hudson, WI 54016 (SW 1/4 NE 1/4 36 T29N R19W) Cottonwood Ridge Lot 41 Parcel No: 36.29.19.2041 1.) Alt BM Description = y Le' " �^ C 2.) Bldg sewer length a i -.. ~e.. ,r^�' 4, � /. Q J amount of cover = 4 , ' , i t" ^' we m t I Plan revision Required? [] Yes No _ / 1 r Use other side for additional information. d i,, r " � SBD -6710 (R.3/97) Date AN 1 Insepctor's 1ignature f Cert. No. 1 i n i Z V A € t } • i i■■ 1. #, N , I lk• J R \ i l‘ q A, I li , ....s. d b o a 1. a k 14... Is it C I • #, A aA h S \ Td Wd80 : Z0 LOW 6Z 'Unl TZZ2982STL : '0N XL J 9N I HWIl1d d3AdWf1HJS : WOdd it 00/28/07 TILU 14:05 FAX 715 386 4686 ST CRX CO PLANNING 001 f 1 O W County Sa + ern ►f7 . t ST. CROIX COUNTY WISCONSIN in accord with Chapert '' - - QED PLANNING & ZONING DEPARTMENT f Personal information you provide may be sed for secondary purposes S . GRC)IX COUNTY GOVERNMENT CENTER {Privacy Law. S. 15.. • 1)(m)j 1101 Carmichael Road JUN 2 t 2007 Hudson. WI 54016 -7710 715)385 -4680 Fax (715 386 -4686 Attach corn. ate .fans for the s ate on • a•or not less than 8.112 x 11 inci es in size. County Sanitary Permit it 0 Check if revi t- r a • 41011in 1. Application Information - Please Print all Information Location: Property Owner Name l D _ ./( . /f/.../ 1/4 .t'/� the Sec �6 S/(f es ee GL / eh ' ea - M. ,Of � N, R/ e E (orJIt, Property Owner's Mailing Address / Lot Number Block Number c �i 2 /1/e, x 1- ,/e 4 !/ City, State Zip Code Phone Numer Subdivision Name or CSM Number i eL , - /r2i Sya Z i 7 Ai vie od /0 1_9"-e II T of Building: (check one3 =14 ❑ Village own of �C ' or 2 Family UwelHng • No. of Bedrooms: L7 Public/Commerciat (describe use): 7 Xs' a ri Q State - owned Nearest Road IL Typo of P rm : , roc only one box on line A. Check box on line Bit applicable) 1, � �/ Parcel Tax Mumber(s) 1.W�epair 0 Reconnection J 3.0Nn-piumbng 4: ❑ Rejuvenation ozo - / 3 5 3 / _" ..... Sar�l!ation ,J B) Permit Numb -r Date Issued State Sanitary Permit was previously issued °P �/ 2 a 0 IV. Type of POWT System: (Check all that apply) p 4 e Von-pressurIzed In- around ❑ Mound e 24 in. suitable sa.I C Mounds 24 in. suitable soil ❑ Mound Ae0 0 Sand Flier ❑ Constructed Wetland ❑ Peat Filter 0 Drip Line la Pressurized m- ground ❑ Hololne Tank ( Single Pass ❑ Other 0 At D Aerobic Treatment Unit ❑ Recirculating V. Die r - rsallTreatrnent Area information. 1. Deign Flow l9pd) 2. Dispersal Area 3. Dispersal Area 4, Soil Application Rate 5. Percolation Rata 6. System E tevaticr+ 7. Finat Grade //�- y Required �f Proposed - l •Gats./dayisq.ft.) (Min.rinch) Elevation Vi. Tank Information Capacty in Ga o,as , eta # ei Manufacturer Prefab Site Con- Steel Fiber- Plastic New Existing Gallons , Tanks Concrete str acted glass Tanks Tanks t W�� a PUN* / f _ 0 0 0 0 VII. Responsibility Statement 1, the undersigned, sseumo responsibility for repairireconnenctioneejuvenatiur 'installation of non - plumbing for the POW crown on the attached plans. A license is not required for terratiift repair or the inselllation et non- Blumbirrs sarura system. Pkumbeee Narne (print) Plur bar's Signature (no ps): fr jPF5 No. Business Phone Number Gi / / 5'�1u �6f� - /) >/� i•> 0/2 7�'?d 7e'S - 38G,..7/.21 Plumber's Address (Street, City, S te, Zip C e ,, • r Q VIII. County usnly _ tJ e o Disapproved Sanitary Fermi Fer Date Issued Is rag Agent • ignature nips) A pproved 0 purer Given Initial Adverse Z25 „ — 2 9 0 7 4 I_ ___.,,i ___.,,i . Detei urination iX. Conditions of pproval'Reasons for Disapproval: lb 2t 60- C e led.. av -- i ac1J •t -- K ra u �-t / T t"j1?.L • =6 - . at, , ...,... .....,...00.11•10•00. ..,,, .. . .. . , . ' 1r ,... s, % ... 1 , -- - • ,. ••--..,=-• •— • :- . . . • .. ...., . • . • ‘ .' •°, t , '• i..., i d ,.. . . 1 •1 '''' . . Z- • -• . s , , ,.. _ .. . . I ■,'%- \ S44 ‘ a. .. •S•tkNy - ; s . \ 1 • • .... , \ , t • Alba A .14Noi , 4 . .. . , ' 4/•. ' ' .e. i 1 • • , . • 4 .... . , ■ ‘ ka ' ›. 1 ' • ^. t • •... ^1, ''''. •• r , . :LA 4 • • I ,, 1.4 . . ''• :•.• l'. . o • ta ' 6 4 y '7 „ . ' ' ' V ' ‘.‘ 1 • • . ?. '' t A. , • ' a * ' . • v . * \,. , ,,•`,.. ' ^ ., a * La ' 4 • " a '.• a O • 4 • 4 ,,, IN " L.. , .. , 1,. ' ... , • ‘, . .', • , • . . . '.:.,,'; ''• 1 t •••,.. 4 , : i s , .. '., ' t , ' ',.1 t 'a % • ) • • I. • . V " 4 • , O L C .0 - ❑ U C i !!! C = ! !! C 2] E E m E v Q QU y o i • co m ° O to D 3 O E W O W C ;I O • m Cf Ill _ \ i3 w e co 0 c in 3 a) -° Q , ii a' 0 c 0 •E u' m m ? Y Q rn ~ c n Q E c t E a 3 ai a • Q — �--+ ° ° v — E ° ' �w E� c m -o o c° c 8 c N ' @ N C d L co 7 Q O ( c c oc a > a - ° U CO U °, V L = w .O co N t6 0 @ N x O r 45 . c O E U a U � O N w O LL N O L) O t/) C c6 Q ° m N il QC ° }6 rn ' E 3 W LL - _ o a o m o m o c ° o c {— m J I @ L L L O O '' O N N L L__ ~ ~ n L U E E c N ° T ' O N _ �U CO (6 1 1 1 ® CO m a� � E °� (1) -c �o a W W — -*sal z w z z O z 1.O aim. CO ul CC F < CC D U) 11::: u_ • m 0 w ° U) Z A ' V z c� D OO Eimmi w 0 U 6 W O a W0 1111111 111141111111 I:t v Q N - �z J U Q o 2� . W _ H. CI U Q "- 1 i. fti Plille Zs, di Z (::::::) /1:11:4 leii: 4411C. 141C t .........: M m w 4444„„..... C ' 0 H . ? EIN "s) 111/41• ,- Cm:::) --.." /111111111111114 111 4e • ‘ I 1 ■ Q a. 1 X aitiZ u) W U o , 0 cc W O 0 N 1 w . Crill) cci 3 MI , J ' 2 1 _ f. n GOULDS PUMPS . Submersible Effluent Pump 4 3871 EPO4 EP05 APPLICATIONS _ • Fully submerged in high • EPOS impeller. Thermoplas- III Bearings: Upper and lower Spedficaliy designed for the grade turbine oil for tic enclosed design for heavy duty ball bearing following uses: lubrication and efficient improved performance. construction. heat transfer. • Casing and Base: Ru • Effluent systems n9 Rugged • Homes Available for automatic and thermoplastic design provides AGENCY LISTING • Farms manual operation. Auto- superior strength and corrosion AO • Heavy duty sump matic models include resistance Canadian Sta�xtanlsAssodation • Water transfer Mechanical Float Switch as Motor Housing: Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for of kient heat transfer, in 7 or °C ".) factory. strength, and durability. SPECIFICATIONS ■ Motor Cover. Thermoplastic Goulds %Ds is 50 goof Registered. • Salida handling p FEATURES cover with integral handle and paw' float switch attachment points. ' /." maximum. • EPO4 Impeller, Thermoplas 8 Power : Severe du • Capacities: up to 60 GPM. tic Semi -open design with duty • Total heads: up to 31 feet. rated oil and water resistant • Discharge size: 1'/ :" NPT. pump out vanes for mechanical • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. METERS 1 FEET • Fasteners: 300 series i 0 i - --- stainless steel. 30 • .. ,.... --i► f-5 GPM � - Capable of running dry without damage to s . zs� components. 25' . .. Motor: • EPO4 Single phase: 0.4 HP, 6 20 _.. 115 or 230V,60 it, 1550 RPM, built in Overload with 5 D 15` 7. automatic reset. 4 a . • 1:P05 Single phase: 4.5 MP, c E POS 115 V, 60 Hz, 1550 RPM, built in overload with EPa4 automatic reset. 2 - • Power cord: 10 foot 5 . . standard length, 16/3 1 I e SJTOW with three prong L grounding plug. Optional 20 0 0 t zo 3 0 40 50 GPM foot length, 16 3 SJTW with three prong grounding plug (standard on EPOS). a 2 4 6 8 10 12 mllh CAPACITY Goulds Pumps O 2000 Goulds Pumps ITT Industries Effective February, 2000 83871 I l r - Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix SafetF and 61Uildrig Division INSPECTION REPORT Sanitary Permit No: 395132 0 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 X Township Parcel Tax No: Barnard, Charles Hudson Township 020 - 435341 -000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION / ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 1 Septic i / \ Benchmark r YO U M (eSer l l i) / Z-40 /00 MO • I( led Dosing C.b -A,�lJ P 0 Alt. BM 1 31 A 3- 01 <f" f Aeration Bldg. Sewer /am 1 Holding e/Ht Inlet / 7-(a? Std Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD St inlet — [ Septic WV 1111611110 Dt Bottom 4 n- 4 Dosing ItiniVAIMIll Header /Man. J ' Aeration Dist. Pipe L. S. lam' 9 f. 3 2 Holding / Bot. System L [, / , Q r L a PUMP /SIPHON INFORMATION Final Grade ,3,kh 4L-e t le. ------- G , dh /B6. t/0 Manufacturer Demand St Cover A U GPM Model Number F PO , TDH ILi Frictio lass i r . - niead TDH Ft Forcemain Le , i Dia. u Dist. to Well I SOIL ABSORPTION SYSTEM / h, s re ,l, BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. (Liquid Depth DIMENSIONS '. r p L7 C 1 2 . SETBACK SYSTEM TO / b P/L BLDG WELL LAKE/STREAM L G Ma fa r INFORMATION y� ■ , :� OR ` "IPA' Type Of System: IT Model Num er: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to 'r take ( �i p Pipes) d / -/�� AA,/ Length ± Q Dia y Length / .3 . 7S Dia kit Spacing /r/ V I'� 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 Topsoil * Yes ri No 0 Yes [] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ,c 7 /O( Cnspection #2: / / Location: 862 Alex Lane Hudson, WI 54016 (SW 1/4 NE 1/4 36 T29N R19W) (( Cottonwood Ridge Lot // Parcel No: 36.29.19.2041 1.) Alt BM Description = CV - - y.),„) / Ltrii . sr tutu Q3" •f,r,t/� 2.) Bldg sewer length = g .5,)�,ScCt Q nC S 5. / .45(ed ca f e eL / /t e eel; !� amount of cover = // L 8 06?‘ f ( g s � CSr 0 `� S _ b 3 ebScritcri-rw.- vac ii-44t ��D` i+, er 1-i- .. e.4 6i"(. 0 w , ' , Plan revision Required? 1<dYes 1J No � 1 ill Use other side for additional information. I Date Insepctor's Signature ,�yyo Cert. - N o. SBD-6710 (R.3/97) 6 -S sLtDL I /t. r .4-�O 7 p(, P / _"_-/ x- se47,►"•- J r k 7 , � C ke 1.Pe x dbH to 62 rt ,5.4 'D. C a'3 Safety and Buildings Division County \VI ex 201 W. Washington Ave., P.O. Box 7162 Sr( ISCOfSIn Madison, WI 53707 - 7162 Site Address Q Department of Commerce .-- , 2(a A x sa Aa Sanitary Permit Applica • i l , All - - i- " �' Permit Number ` 39s132 In accord with Comm 83.21, Wis. Adm. Code, personal info 0 :do• ou prco de , Check if Revision may be used for second 1. • ses Privac Law, ,1. , , ' ', I. Application Information - Please Print All Information c-, 1 V -t -'`'' : Ste Plan I.D. Number h 1' � Property ner's N e ' ._? ,���� -- Parcel Number 1 (o , a q , /Q , . O4V/ � '\ L'" ao -/353 - v1 -000 r 8 , . Property Owner's Mailing Address ,- ��GQ , Property n l r / / % 1 5../ / < ) ,., 514,( %,00,4:s 36,1'? N, R M E City, State Zip Code Phone Alttimbe : '' Lot Nuphl)ey Block Number Subdivision Name CSM Number la / 4 55/0)e ors -a �� ...57c0 II. Type of Building (check all that apply) / ❑City 14 1 or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public /Commercial - Describe Use / ownship ❑ State Owned / earest R It -lac) �� J t. o ' • . 14- , A fl .. III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. For County we yJ, e .9s 1 k New 2 ❑ Replacement System 3 ❑ R eplacement of 6 ❑ Ad dition to System Tank Only Existing System . B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44,4 Non - Pressurized In- Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland q4 i 0 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 481 ] Single Pass 51 ❑ Drip Line .p 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dispersal/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate Sys Final Grade Required Proposed Rate(Gals./ Days /Sq.Ft.) (Min./Inch) Elevation b od - G // 4 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank J ?€ 0 t___:.— / 1 go / ( -e.: Dosing Chamber VII. Responsibility Statement I, the undersigned, assume responsi, ility for tion of the POWTS shown on the attached plans. Plumber's Name (Print) Plum. 's Signa / ' MP RS Number Business Phone Number L 9Dy zi % a ao 5 7 7/ - ..7g- ‘Pys"' Plumber's Address (Street ity, State, Zip i•• • / eA-.- 5 c 4 VIII. County/Department Use Only _ // d Sanitary Permit Fee (includes Groundwater Date Issued Issuing gent Signature (No Stamps) Approved ❑ Disapprove Surcharge Fee) .- gb.ks....._____ ❑ Owner Given Initial Adverse 22 S �- 30/ Determination a ^n I � l � IX. Conditions of Approval/Reasons for Disapproval f - IS urn X14._ 4. S Avo. er, w `�l Le- t ' R3.6 ; a, cys . o ,i- t,Q,,1 s a s Par ?CA ?&LA""10- `/ . 11'' '' ' e 4� Attach n complete pla +. ounty . . y or the ' _ on paper not less than :1/2 x 11 inches in size 6.6 plc ' s ertit5 , SBD -6398 (R. 05/01) te-e 600 1 No" o 1� z 1 (;_ de-J-7\ rAi--e,6•L t c;; ot te : - / / ,‘ jcs / /oo / va..� -- /a"U ern aJ /0dN 1 111 sago c� 5 Po i h vr` o -5 / 1 ' )71,./0 / Jo ■ 3s y Dd tfi 1 V NIT � 2 ,0-t) , -- 0," ioo ,a?".4 (5?' go 4 o X x8® 0 - 1 L3 �a •.g 1010k gallm■ 1. t 9q.0 M s/ /9_ /a --?LC y , r w._ 1 PAGE 3 OF 3 NAME Sic -L.3 LOT# ell LEGAL D F SCRIPTION,Sc.3 1 /4 NW /4,S36T Zq,N,R IQ E (or�V) r SCALE: 1 "= /60 BM 1 ELEVATION /00. C) — N , BM 1 DESCRIPTION t j,' 2.,“ Oc.�.l� : x i- Ka; BM 2 ELEVATION /00 .C..) J? b BM 2 DESCRIPTION nai l t'r■ l y a /w. SYSTEM ELEVATION q 67 fl a ALTERNATE ELEVATION v 9 z• 7 C Zowee 9/. Pi CONTOUR ELEVATION l .-- 1.0 {- (La f - O a� Sea-1 15. :I y0 3 , , p�� . ,� Z fz_�� 1 i .. 2 000 ._ r j L�LiNTY c'7 SIGNATURE ' l ----- DATE J Z - C) U . J 1 Wisconsin Department of Commerce SOIL AND-SITE-EVALUATION `'Division of Safety and Buildings Page ( of 3 Bureau of Integrated Services in accordan, with''s ILFIR 83 0 „Wis. Adm. Code • r, .�t 7 ',, .: Attach complete site plan on paper not less than 8 1/2 x 11 in hes in size. 8 a» 13 uS- include, but not limited to: vertical and horizontal reference riot (BM), direction and-? r County St - e_ ,f-6 percent slope, scale or dimensions, north arrow, and location -and dist to jearest road. 'arcel I.D. # ' 3 c,.. '''j APPLICANT INFORMATION - Please print all informa ion < . , V ` -, R eviewed by Date aw 'j , - Personal information you provide may be used for secondary purposes (�'nvacy La s:'.6�� -yam) , � E� � M7 1 M 6 Property Owner . Prope Go on W 1c arr_i - 6(...(' GbVt. • s(,J 1/4 /txf 1/4,534 T Z 7 ,N,R ) 7 E (or e Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# 4 v35 u A.V -ee__ kr. L I O- O en Lo od Q i(kCBe..) City State Zip Code Phone Number ❑ City ❑ Village �� Town Nearest Road la e 4A - Link r) I L M 1 640 1 t0 I ( 1(5)54q- �i-?31 - l. t &r) I Co- +tanwvvc._+ I'4 New Construction Use: MAesidential / Number of bedrooms 3" 4 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow Y gpd f lyzcdipmended design loading rate • -1 bed, gpd /ft • � trench, gpd/ft Absorption area required sf 1 bed, ft 1 trench, ft 2 aximum design loading rate - 7 bed, gpd /ft • p trench, gpd /ft Recommended infiltration surface elevation(s) f ft (as referred to site plan benchmark) Additional design /site considerations U Per YO. ? L e c4J a r 7C.) &, -r ) Parent material c""( t�� tG.1 L , °h Flood plain elevation, if applicable N/ ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system E'S ve ❑ U Li J ❑ U [L]'S( ❑ U S ❑ U ❑ g [j'J ❑ s [L-t SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 1 6 161 r - 1z-• �) L I mr r. hn -('r L5 1 C - y... 5 -1 2- (o -zo EU i dLI LS 'r It`nl 5 — - ' • g- .- Ground 3 'l15 t1s (( y +rn b<.5 'f'fl1 C. `. I ; ' ,F( ' elev. J 94.34. Depth to limiting eel- 17'o factor 115 in. te3 • y 7-k. 2- Remarks: Boring # - ( I 3-1 tal c Si- mCkkok ire - r 5 1 ' l 4 � 2 i IN( 414 t.S ►m5� mI L ( � — -1 �- 3 ..: -� Z i► LOyr �tir� PC) o�� < s K .i 5 Ground - elev. 1 o3 -L Depth to limiting �� �� f� 11 lfD ��pp in. Remarks: CST Name (Please Print) Signature Telephone No. Adam S chu ct,ker ` f— (7P s) 2 I - yoo g Address Date CST Number 1 /4) g (eder 54- #/ _Sonnerd , c v-1 5-i02 y- /s 2s 5 3o 9 Sv SOIL DESCRIPTION REPORT -� ? PROPERTY OWNER t Page ot PARCEL I.D.# Boring # H orizon Depth Dominant Color Mottles Structure G D /ft 9 Texture Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 13-9 14-fr3i 2- ---- SC I rYr mfr C S ( C , 4 .5 •y ' j- 1 1)"i r 9 H H _ I 2 rrQtk rriCr C 5 — • 5 , • . S - Ground 3 3b - IOy r (-1 16P M 5 ©3 ri-t ( C S — . • - elev. 9G, v° ft. L Depth to C`'� limiting 34 /'-Z factor 115in. Remarks: Boring # 1 443 (ayr rricihl( mcr c5 I C • L .5 2 - t ©y r `t 14 t-S S) rn 1 e S — • ^ l - - 1- 3 -►► ►l7 y r 4I tQ X1 0S5 rn l c — • Ground elev. 9S.2o ft Depth to limiting f ctor i in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots G Dift2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # D-tc Joy, -312_ ---- SC .. rY'\C7 c rr fi C S I g 1 5 . `( 5 2- H l (�yr 4 ' LS m rn 1 c5 — • 1 •�` 3 51-12 1 0-1 r y I c TY m t c S Ground u 44,0 9 8 n. 3 3• c fR S- Depth to limiting factor 121nin. Remarks: Boring # Ground elev. ft. Depth to limiting factor in ' Remarks: SBD -8330 (R. 07/96) 6V0..%etia.+.r. x ' on (P .Ir.v, 1OU,O 1 f31^‘Z 2It0, lfrG,O NI , . Sys , 45".3C �� 4? 4 2.7° Cod a r. QS �� c pa ,rwr L • Ell "e • ,a.t-t. col • Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number V°5- t3 ?- Number of Bedrooms Design Flow - Peak (gpd) ( c`] Estimated Flow - Average (gpd) yelp Septic Tank Capacity (gal) / Soil Absorption Component Size (ft') Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) 12119 S1 tt z Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se•f -nk and outlet filter shall be assessed at least once every 3 years by inspection. T - ou let fil : r shall be cleaned as necessary to ensure proper pperation. The filter cartridge s • . • of be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the 1 Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain Tess than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 ‘11 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep - rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. pp Pte_ I E s o� i�� k9-IA 6(t tiAA._.6Ja_ cut_.(2.4.),_ • cuL-ez)-- / 44-e-s-j_ fi SA4 ( lc - cri g 67/5) (? /5, 3g . ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer c�S(i;l LeLS' 3 4O / MV A//9760 Mailing Address 7/1 / X" m' .PAC j �4/ 5 3 /2r Property Address 76 2- / tJ , ak,/ .1/ `VC /6p (Verification required from Planning Department for new construction) .S-P4. C7 City /State L-1!/OS 1 Parcel Identification Number 0 ;,70 -) 3 S 3 -- y/- 00c LEGAL DESCRIPTION /,, Property Location S f � r / 4 , IU "- - r / 4 , Sec. 3(S/ , T a - ! U N -R/ q W, Town of ! • Subdivision 6 ,e/O6e- , Lot # if/ Certified Survey Map # , Volume ,_ , Page # . Warranty Deed # t) L, 4 P, ( , Volume / ioS ? , Page # 33 7. Spec house ❑ yes Lot lines identifiable %yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix 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 Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days o theT year exp' 'on date. 7/C l0/ SI ATURE OF APPL ANT DATE OWNER CERTIFICATION 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 pro erty d cribed a ve, by virtue of a warranty deed recorded in Register of Deeds Office. 7/ /b/ SIGNA O F APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 401. � UJ9PAGE 357 /0 • 45210 Document Number WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS This Deed, made between JOHN D LONGTIN and CATHERINE L ST. CkOIX CO., WI LONGTIN RECEIVED FOR RECORD husband and wife, 06 - 14 -2001 9:15 AN ,Grantor, AND CHARLES M BARNARD and LORI A BARNARD WARRANTY DEED EXEMPT N CERT COPY FEE: COPY FEE: husband and wife, , Grantee, TRANSFER FEE 201.00 Witnesseth, That the said Grantor, for a valuable consideration of one P FEE: 10.00 dollar and other valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: This Recordi • Area IS homestead property. Name and Return Address Together with all and singular the hereditaments and appurtenances thereunto belonging; And Grantor warrants that the title is good, Edina Realty Title indefeasible in fee simple and free and clear of all encumbrances except 400 S. 2nd St., #115 easements, covenants, and restrictions of record, and will warrant and defend the same. Hudson, WI 54018 3asa i LOT 41, PLAT OF COTTONWOOD RIDGE, TOWN OF HUDSON, ST . (Parcel 1fi N0 ' e COUNTY, 020 0 0 Dated this t3 day of ttir , 2001 01-1-6/7.10,4- D LON ∎^ "CATHERINE L LONGTIN AUTHENTICATION ACKNOWLEDGMENT Signature(s) M. BARRON STATE OF WISCONSIN Notary - us I COUNTY OF ST. CROIX _ • • sin Personally came before me this day of 20 authenticated this day of the above named JOHN D LONGTIN and CATHERINE L LONGTIN to me known to be the person(s) who executed the foregoing signature instrument a acknowledge the same type or print name I , signature TITLE: MEMBER STATE BAR OF WISCONSIN type or print name �� f� b L • �L� ^� ` (If not, authorized by §706.06, Wis. Stets.) Notary Public ST. CROIX County, My commission is permanent. (If not, state expiration date. THIS INSTRUMENT WAS DRAFTED BY Robert F. Wall 'Names of ersone signing in any capacity should be t P 9 9 Y P Y typed or printed below their signatures. I ,S8'S2S 3 ,,L2,91 .00N - -• -- -• -- ; - -• -/ / + ! i . 11 • j i .� • - - 3, 1 Ni. I. a • -.• .:'. / i i • b M • I i a - - _ i �� L _ -. _- -_'- _- I 1 ' 9 6 S6 _ i b Q' b _- • 195,00 M I j 3 3 „8 - - �._ _ / a v • •�' / • MF I 1 In •` � J s * `a 1 0 / Qj • i � � iui i / v o i I r) / 2 j N ' i ,.1.... .,,,•�,: I % 1 1 ` � : 1 1 § j NOD � ,� � 'i d / * / 1 f � _ __ _ �/ / O V N. U) I '657' _ i i / N l� 1 ... i i e 7 u) La- • 1 I-- W - h / I I 1 V1 h • J 1 i N O / • �T ■ i i I aZZ / , • • �12 < 2 I I Ala O� °^ .0.M..•../... , / 1 / °'? .t•'I i a > NO • 1 %t mm i j 1I Z ' Ti 1 • /! N \I /J L • j i .•• O oI ' i • I 1 �Y • : v c 1 ' 1 Zo ' • j j ��i• 3 •�; 1' 1 I In sl - i .•� - -- -- -�► -- • •1 •.. • _ W 3045 .1 • ' . -- H � - � ,35„ - ____ -- N 1 4 '33 0 �I r 0 SO4.18'46 "E 581.95' _ _ _ — . 1I . 18 46 \ N04 W 657.93' _ _ _159 9 _ . -- •:�' r _. • I I - -- -- - - ��sl_.__.- � i \ -' f • ... • i i . i . . ..•. •..."...•..•.•...•.. :•:•,•.... i\ •:'...........• ! � i I 1 i i •..•ii i I'I i ii ii II 1 :11 II ii i ii ,. :II ii II ii i 11 ��1 N 11 II oIl I I I I oI I III O w • vl l III � � DI I • 0 Cy W 4- v 1 1 /2 L wl I .�I I c .I I v � 1 w l l 5 � 1 I w I I •, j U O WIi 0' < W II N 1 Pl 1 3 w o.l 1 . - v ii - O N r. vl I I I r 1 I a` a+. � � � ',Z � zA 1 1 • of an col I II I z i z � Z I 1 1 1 i i 1 11 ii II 11 11 •• H 11 11 ...... 1.... I 1 ii ii b 11 11 - 6 2 cQ "7--O -01 • T Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _L_ of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimension 0 - a or, - • ocation and distance to nearest road. 020 - 1353 -41 -000 PI \ a • • n. Reviewed by Date Personal information you pr iil be upt fofccondary' r• •s (Privacy Law, s. 15.04 (1) (m)). 1 Property Owner�� ���� y Property Location r 1. � - Govt. Lot NW 1/4 NW 1/4 S 36 T 29 N R 19 R(or) W McC'ahP Homes Property Owner's Mailing 4ddress " t' i ! -i.. Lot # Block # Subd. Name or CSM# 837 Autume � -- ...5 :: A.P. � �� 4 ' 4 0. 41 na Cottonwood Ridge City Std($i Zip Code C�Numbeh' El City ❑ Village 10 Town Nearest Road Stillwater I MN K1 2'( 5082651).j46343107 Hudson I Alex T,n_ a New Construction Use: Di Restdeptitial /1J mb bedrooms 4 Code derived design flow rate . 600 GPD ❑ Replacement , ❑ Public or commercial - Describe: Parent material glacial drift Flood Plain elevation if applicable na ft. General comments and recommendations: trenches @ el. 94.70, spaced to code 4.50' below grade , @B -3 -4 system el. =88.70 1 Boring # 0 Boring 9820 Boring ,--, . Pit Ground surface elev. ft. Depth to limiting factor 100 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 -18 10yr3/3 none L 2msbk mfr cs 2c .5 .8 2 18 -38 10yr5/4 none sil lcsbk mfr gw 1m .5 .8 3 38 -10C 7.5yr4/6 none ms Osq ml na na .7 1.2 Boring # ID Boring 2 ® Pit Ground surface elev. 98.70 ft. Depth to limiting factor 100 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 -15 10yr1/3 none L 2msbk mfr cs , 2c .5 , _8 2 15 -30 10 5 4 none .art ., rr 111. 1m 5 • • 3 30 -100 7.5yr4/6 none ms Osa ml na na _7 1.2 • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * ftluent #2 = B• D < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature + ,110 1 A 4 '32,- A • CST Number Gary L. Steel ,_ �� 02298 Address sate Evaluation • nducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 7 -13 -2001 715 - 246 -6200 r Property Owner McCabe Homes Parcel ID # 020 - 1353 -41 -000 Page 2 00 Borin # ❑ Boring g pit Ground surface elev. 93.70 100 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 -25 10yr3/3 none L 2msbk mfr cs 2c .5 .8 2 25 -50 10yr5/4 none sil lcsbk mfr gw 1m .2 .3 3 50 -55 10yr5/4 c2d 7.5yr5/6 sil M na gw na .0 .2 4 55 -10( 7.5ry4/6 none ms Osg m1 na na _7 1 . 2 4 Boring # ID ® pit Ground surface elev. 93.70 ft. Depth to limiting factor 1 00 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 -18 10yr3 / 3 none L 2mshk mfr c 2r• 5 _8 2 18 -44 10yr5/4 none sil 2msbk mfr gw im S - 3 44 -100 7.5yr4/6 none ms Osg ml na na _7 1 7 Boring # D Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. I 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 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD4330 (8.6/00) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. McCabe Homes CSTM2298 Nw' - S36 T29N - R19w New Richmond, WI 54017 MPRSW -3254 town of Hudson (715) 246 -6200 lot #41- Cottonwood Ridge N a/ 1 " =40' BM.= top of 1" pvc pipe @ el. 100.00'V fir Alt. BM.= top of 1" pvc pipe @ el. 93.10' 300 0 ,. \ -A aye 1 )o` i iik V 30 x 38( e 3 ) _v 4 ‘09 - Gar L. Steel 7 -13 -2001 ,/2_,/ce. 41110.+ i 6 -07 -1995 0:07AM FROM P.1 . Wisconsin Department of commerce SOIL EVALUATION REPORT Page 1_ of _... Division of Safety and Buildings in at e:lance with Comm 85. Wis, Adm. Code -- -- -- - -- -- - - County Attach complete sire plan on paper not less than 8 1/2 x 11 inches in size. Plan must St. Croix Include. but not limited to: vertical and horizontal reference point (BM), direction end parcel I.D. percent slope, scale ordimenaione, north arrow, and location end distance to nearest road. 020 - 1353 -41 -000 Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy taw, s. 15.04 (1) (m)). I Property Owner Property Location jgcraha itr rnrsc Govt. let x1'411 114 NW 1/4 S 36 T 29 N R 19 X(«) W Property Owner's Melling Address Lot * Block # Sub . Narne cr CSM# 837 Autimte 41 na Cbttc>nwco0 Ridge City State Zip Code Phone Number ❑ City 0 vltage Q Town Neared Road Stillwater f M N 1 55082 I (651 ) 303 -3107 Hudson 1.____Altx Ln ■ al New Construction Use: ®I Residential / Number of bedrooms 4 Code derived design flow rata , _60.0 GPO ❑ Replacement , ❑ Public or commercial • Describe: -------- Parent material x31 •i a l dri f P Flood Plain elevation If applicable _ 111 ft, General comments and recommendations: . • trenches 0 el. 94.20, spaced to code 4.50' below grade r @B -3 -4 system e1.:488.70 goring 1 ^ On g # 0 9$ .2 0 Pit Ground surfacee f1- Oppth to limiting factor 100 In. testa Soft APolication Horizon Depth Dominant Color Redox Description Texture Structure Consistence ! Boundary Roots GeD1Rr in. Muneal Ou. Sz. Cont. Color Gr. Sz. Sh. i 'Eff#1 •Eff#2 1 0 -18 10yr3/3 none L 2ltlsbk mfr cs 2c .5 .8 2 18 - 38 10yr5/4 none sil lcsbk mfr gw 1m .5 .8 3 38 --10C 7.5yr4/6 none ms' Oscr ml na na . 7 1 .2 j Y � _ 7 Boring # ❑ Boring 1 ! ® Pit Ground surface elev, _ 98.70 ft. Depth to limiting factor 100 in. Soil APpIaation Rate' Horizon Depth ' Dominant Color Redox Description ' Texture Structure Consistence Boundary Roots GP(JIfe in. Munson Ou. Sz. Cont Color Gr, Sz. Sh. 'Ete#i "Ltf#2 8 _ a .. ... L 2mgbk mfr � 2 15-30 1 $ . 4 _ • err ti !'�� 3 30 -100 7.5Y - 4/6 none ms 0s9 ml nun 7 . • Effluent #1 • BOO } 30 < 7 1 0 rny/L arid TSS >30 slat mg/L ant *2 e B e a 530 mg/L. and TSS 530 matt CST Namo (Please Print) SIgnature { rte ,Q A - /� . CST Member Gary L. Steel �f 1 ► , l1.iS 02298 . Addrgsa + e uati • • tied Telephone Number 1554 200th. Ave., New Richmond, WI. 59017 7 -13 -2001 715 -246 -6200 I r —� 6 - 07 -1995 0:09AM FROM P. 3 Property Ovmer McCabe Home, Parcel 10 0 020 - 1 353 - - 000 Page 2 of3 Boring x L Bc4in° 93.70 t1r3 Pit Ground surface elev. ft. Depth to limiting factor 1 00 in. Sod Application wte Horizon Depth 1 Dominant Color Redox Description Texttre Structure Coraistenov Boundary Roots GPO,ff in. Munaed Qu, Sz, Cont Color Or. Sx. Sh. ' - •Eff#1 •Eff#2 1 0 -25 10yr3 /3 stone L 2msbk mfr cs 2c .5 .8 2 25 -50 10yr5/4 none sil lcsbk mfr qw 1m .2 .3 3 50 -56 10yr5/4 c2d 7.5yr5/6 sil M na gw na .0 .2 4 55 -10C 7.5ry4/6, none tnfi t?rtiq m1 not no _ 7 1 j - ______ X 41 &MN # ❑ 10 Pit Ground surface elev, 93.70 _ ft. Depth to limiting factor 100 in. Apprcataort Rata 1 Soil Horizon Depth Dominant Color Redox De r:00on Texture Structure Consistence Boundary Roots GPDtff at. Munsell Qu. Sz Cont Color Gr, Sz, Sh, 'Ef #1 •Ett*2 1 0 -1.8 10vr3/3 n rnahtr mfr e_s_ 2c s_ 2 18 -44 10yr5/4 none mfr ass lm ' S z� 3 44 -100 7.5yr4/6 none ms Qg ml na na 7 1 2 I 0 0 Borin9 ❑ Pit Ground surface elev. ft. Depth to UmMtng factor In. Sol l _ Horizon Depth Dominant Color Redox Description Texture Structure Cor eiatence Boundary Roots SPD/ff Raq — In. Munser Qu. Sz. Cont. Color Gr. Sz. Sh. •Efftft •t!ffg2 1— • Effluent #1 = BOO, a 30 < 220 mg/1_ and TSS X30 S 150 mgt_ • Effluent *2 = B00 c 30 < mD/L and TSS _ 30 mSYI. 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 606.266.3151 or TTY 608.264 -8777. 6BDi330 (RAW) 8 -07 -1995 0:08AM FROM P.2 STEEL'S SOIL SERVICE Gary L Steel 1554 200th Ave. CSTM2298 McCabe Hanes New Richmond, WI 54017 MPRSW3254 to of -R1 (715) 246.6200 lot #41- Cottonwood Ridge N 1 '4./ 1"_40' a BM.= top of 1" pvc pipe 0 el. 100.00' lr� Alt. BM.= top of 1" pvc pipe @ el. 93.10' 300 4 \( 0 6_ U u 0 1 56 i 6 10 4 '1 \l/ !tom 1.)4 1)q 1 )q I I , � 0;,g \ \ tp" Gary L. Steel 7 - 13 - 2001 l A A L d . , 1. .41111t0