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HomeMy WebLinkAbout020-1441-68-000 / a* =gig J col $ % k - k 0 co ' ° , CA § i § ƒ g 2 - a ° X § • � k $ \k c /\ {� a 1■1 p k k § \ 2 0 whi \ 2 ; \ 3 § 3 5 E W c. rs = § © Z / § / ¢ - { \ . _. G k 2 k 9 / 0 0 1 § o c toad 1 w « g a ••- z 0 0 0 ? a o 2 § § § 2 # § u) co ca 03 03 2 o ® E - D C e § a R m ( = s § § [ to 2 E , rt \ I { E 5 o J � k ° o ° \ % \ Cn [ a. � } ® 0 • 7 3 f CO I c XI a: - 0 $ / ■ - q co m I 0 z 2 © z -. 7 2 % c. / I ,E@a' �2 - 1 ( ( 0 CD 5 � +• co 2§§) % � ® ® K�� � ° 0) \ {-, - § c am 7 � 0 s $ § f k ,. M. I $JE k0a I ?ƒ%\ k �£ § ƒ ] � � =a — m ; e C ° < ■ E 0. • Q) r , � � ,o ; 1 �R n = _ & I h il . . x • o / co I 0 k \ I 7? �4. � SE �\ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430368 0 GENERAL INFORMATION (ATTACH TO PERgT) , 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 Villa X Township t‘ Parcel Tax No: — Lul/ l I ' 0 "lN y - Bast, Kernon Hudson Township], �� _ CST BM lev: Insp. BM Elev: BM Description: a ' � �ti 1, s r t. r Section/Town/Rage/Map No BYVI Z 10i. /-1 1 D 1. - 77 7/ 54-C " �t� to-I— f - 26.29.19. TANK INFORMATION M r°1" %ELEVATION DATA W &.'b 11.6YJ – I3r7 . 'off /.1 v. TYPE MANUFACTURER 5 I CI TY STATION BS HI FS ELEV. 6Y-1 a• . l 2- 0 s . Z Septic :enc ark „ WU- C�� 6� 6 J mark - G ve c d1 4 , 352 I DI'1 Y . Dosing I ", / AI BM '1 b (off VI. wit.t ( -r. P. 3 s 10 u 5:0 loo. Z • Aeration / Bldg. Sewer 30 3 fa) 8 • 5 ' 3 Holding SUHt Inlet i (o 5.-cN4f0 cl, TANK SETBACK INFORMATION St/Ht Outlet f 7 q.6 9y. 3Cg TANK TO t P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet j „..../. Septic , /�I 1 Z� , C „ 0 � Dt Bottom NO 4 Dosing ) O Header /Man. / ' 1 10. 1 13. >c� / Aeration _ Dist. Pipe �p o C' b I' 1 G • Y q y' j 'Q/ Holding Bot. System / 7 [ I qg 3.1 1 0. " 1 Final Grade b e�1h� _ _ n 71 _g. ! / f6 S � PUMP /SIPHON INFORMATION (�(/�E:� / 7S Manufacturer EJ na St Cover / GPM S le eVS HiZ 3. k /O° Model Number - TDH Lift Friction Los ys - 1.- • TDH Ft Forcemain Le Dia. Dist. to Wet SOIL ABSORPTION SYSTEM 1 c,(14?r}q ; ( BED/TRENCH Width / . Length / No. Of Trench T D S IONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS .. 113 SETBACK SYSTEM TO P /LJ BLDG WELL LAKE /STREAM LEACHING Ma cturer: T1 1 INFORMATION , (/ \ � `� 1 AMBE '6h 1� .r e �S ✓ _, , T e Of S 4 *� l L D 1 � / h' N E IT Model Number: DISTRIBUTION SYSTEM / } ui Header /Manifold Distribution / , L x Hole Size x Hole Spacing Vent to Air Intake -- �s f pe ��_ f Length 1 (0 Dia 1-1 Le 1. 1 ngth 1 Dia ' / / Spacing 1 I ` a<2/4{1.10/-et) cQ o -..tr SOIL COVER 1 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 ( §-/ a,O ,_yyryy1 Bed/Trench Edges Topsoil r, 01 Yes N No ;,• Yes , No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1 1 / /n3 Inspection #2: / / Location: 834 Willcoxson Drive Hudson, WI 54016 SE 1/4 NW 1/4 36 T29N R19W Cottonwg idge 1st Add Lot Parcel No: 26.29.19. / // // / (SE ) " L - 1.) Alt BM Description = - �!�!'lrl�tlQ�l - l�l.�d1� ��'�V` SI -vi-. _ � 7 ii- La 2.) Bldg sewer length = Z S i / ��W - 8s. - amount of cover = / 3r9 y X3 ---�;- - � /?.. A Plan revision Required? Yes N �G , , , Use other side for additional information. I' r: v y / o l - Date _ Insepctor's Signatur Cert. No SBD -6710 (R.3197) _ s J Syl,�Pih /- °- Safety and Buildings Division Comity r , , . 2 01 W. Washington Ave., P.O. Box 71(2 �{ • t r,.0 1 . NI � ��� ,� Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in I: y Co.) (608) 266.3151 c{. 3 0 3 , SL. Dejtment of Commerce State Plan T.D. Number Sanitary Permit Application - 1 In accord with Comma 53.21, Wis. Adm. Coda personal information you pmvii e u may be used for secondary pups Privacy Law, s1S.04(1Xm) m ess (if Bifferemt than mailing, address) i C1 I. Application Information - Please Print All fuf SEP 5 2003 ' ,-- ormation )( e3 (J I L L O p t■J tsR . Property Owner's Name Parcel 8 Lot N i :lock e / r_ I - < v ^ -- ST. CROt LULn i 7 . `� �— • Pro y �� Owner's Maili Address /� s•_ewtiecra-n*r+tl!�7 A r - f ` .5E. AA � / .. Section - I City ticC.,e tt CC�� Phone Number ,`�. 1 , ' • Ifs �r f ( l E II Type of Building (check all that apply) Vitt �i • _ e Subdivision Name CSM' . , 'Aar 2 Fantity Dwelling - Number of Bedrooms __ -__ ' -' S . � / IF lic/Commencial - Describe Use — tea" "`" .... a r � 0 state Owned - Describe Use 2 3 K I Z• CT) i , �1e s . 1 1Grt fownslup of III. Type of Permit: (Check only one box on line A- Complete line B if applicable) ` /141( # i S c• .' ,., A. System 0 Replacement System ❑ Treatment /Holding Tank Replacement C ) edification to • . ' 1/ 0_ Sync 1 B. ❑ Permit Renewal 0 Permit Revision ❑ Change of 0 Permit Transfer to New List Previous Prank Number and Date 1. sued Before Expiration Plumber Owner IV. T pe of POWTS System: (Check all that apply) Constructed v o n - Pressurized in -Ground 0 Mound 224 in. of notable soil ❑ Mound < 24 in, of suitable ; oil ❑ At -Glade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Ptessurize d lo-Gmtind ❑ Holding Tank ❑ Peat biker ❑ Aerobic 1 restmeeu Unit 0 Recirculating Sand Fitter 0 Recirculating Synthetic Media Filter - A teaching Chamber ❑ Drip Line 0 Gravel-1- s '' • ❑ Other ex lain) V. Dis . rsal/Treatment Area I ■ 0 anon: AM..__. Mil - CD 'MOM `- Design Flow (gpd) Design Soil A lication Rate(gpdsl) Dispersal Area Requited (st) s isp xmal Area Proposed (sf) System Elev lion J 7- 0 ___ 7 /0 7/-L{ /l1 Q -co 9(.0 9's ,3 VL Tank Info Capacity in Total Number Manufacturer Prefab Site keel Fib: - Plastic Gallons Gallons of Units Concrete Constructed Gist s New Eiisting Tanks Tanks Septic arHoWind � / Aerobic lieumenLUnit / Dosing Chamber ..-C.-i VIT. Responsibility Statement 1, the and assume responsibility r iestallatiou of the 1POWTS shown on the attached pleas. PI % a Name (Print) Plumber warms) MP/MPRS Numb, r Business Phone Number ) C — -n --- 7 ::.� — ` Z— b "1 (/ ) ') i 5-- 2i 6 - -�/ L Plumber's Address (Street, City, era , Zip • •* / v fib$ rnt g� ✓ -ems N J ; 9 v) l�I. Conn /Depakmde Use Chi 121, 0 Disapproved Sanitary Permit Fee (includes Groundwater Date Issued 1 1 Agent Sigma No Stamps) Surcharge Fee) L- v z 7 zit 3 1.�1M, ❑ Owner Given Klaxon for Denial / IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Altai cetspkae plan (la the County only) ror the system on paper not b as than 81R z 11 inches in sine SBD -6398 (R. 01/03) -eiLd - Capcivp.5 fri P/ 7/(\ pailef h . PLOT PLAN d 7-611 77a�GU ~ PROJECT Kernon Bast / ADDRESS 948 La B Rd. Hudson Wi 54016 SE 1/4 NW 114S 36 /T r' N/R 19 w ToW' Hudson COUNTY ST. CROIX 11/4/03 5 MPRS Shaun Bird 226900 ^ DATE BEDROOM CONVENTIONAL )OO( IN -GRO /D PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1650 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1119 # of chambers 36 BENCHMARK V.R.P. Top of 1/2" Steel Pipe ASSUME ELEVATION 100' Filter Zabel A-100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Top of 1 /2 "B.M. # SYSTEM ELEVATION 96.0/95.8 4.5' below grade Steel Pipe _ 90' 101.72 10' B 2 Propert y Line ■ • Plans Designed Using • Conventional Powts 40' Manual Version 2.0 /4_2:_ B -3 1% Slope :1 2 -3' X 113' Cells with >3' Spacing Pro 5 Bedroom 0 o', V ents 7 �� House ct ° -61.00....._ Vents B -1 ■ 110' ---...! 10' T 10' r1 90 , B.M. * fr p Vent >6" Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area 6' Long III 34" Grade at System Elevation A aUgd- dr/ 1 -5 7 :.. - Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of 2 -"'''' / Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code nty j Attach complete site plan on paper not Tess than 81/2 x 11 inches in size. Plan must indude, but not limited to: vertical and horizontal reference point (BM). direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ■01. _ Please print all information. I reviewed -y Date a 2 - Personal information you provide may be used for secondary purposes (Privacy Law. s. 15 04 (1) (m)). , w I (� 1(/9/61 � Property Owner - --I Property Location / . / I i '�✓ A ,� Govt. Lot$ 1 {4 /1,04 0 bT 47 N R / f E ( ) P Owner's Mails Address Lo # Bloc* # 1 S . Name or CSM# ll ��`� I fs bai0)� 6 6 1 — I ,JAA -F _ City State Code Phone Number ❑City [] Yiilag- Town Nearest - oad L ew Construction Use: esidential / Number of bedrooms � Code derived design flow rate 7S GPO ❑ Replacement Public or commercial - Describe: -- - - - - -- -- Parent material C)A`�Ct_i Flood Plain elevation if applicable / 1 - - -- ft. General comments and recommendations: P [^ 4 0 t "' ` V may ,_ - ;tc ,A.cm Boring # ng l pit Ground surface elev. ! Depth to limiting factor 1 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 Z 1,0 -.31 I °V-5—(4 - ---- -- P J r,-..abK. irr; p> l P a0)— ;_3 y G # ❑ 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 R oots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 *Eff#2 1l = • Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 c- " 'Effluent #2 - BOD = 30 mgJL and TSS < 30 mg/L CST Number CST Name (Please Print) '41. ` Bird Plumbing, Inc. Shaun Bird 226900 / Date Eval ation Conducted Telephone Nu Address 1008 192nd Ave, New Richmond, WI 54017 // ✓ f0 715 -246- PL e PLAN PROJECT Kernon Bast I DRES . 948 La Barae Rd. Hudson Wi 54016 SE 1/4 NW 1/4S 36 /T 29 Ni ' W TOWN Hudson' COUNTY ST. CROIX 1 MPRS Shaun Bird 226900 11 9/10/03 BEDROOM 5 CONVENTIONAL )O0( IN- GROUND R DATE P SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 650 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1 119 # of chambers 36 / ■ BENCHMARK V.R.P. Top of 1/2" Steel Pipe ASSUME ELEVATION 100' Filter Zabel A -100 V ❑ BOREHOLE 0 • *B R,P, Same as Benchmark Top o�/2 "B(. # SYSTEM ELEVATION 96.0/95.8 4.5' below grade Steel Pipe @ , • 1 ' 101.72 10 % i i - a Property Line {v lAb x "71 Plans Designed Using • 5 ,� 4 -V C Conventional Powts 40' °° S e d ' Manual Version 2.0 \ p 98' a f ' ._ ,� � _ , i Vents 11 t 1 ropoe.00000". C 1\ 1 ST Pro 5 = � Bedroom a 2 -3' X 113' Cells with � House >3' Spacing 1 ,, /J� ct Ven •1 Vs B -1 • 90' B.M. imp Vent > 6» Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area 6' Long ill& 34" Grade at System Elevation 7 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM 1 Owner/Buyer 1C�(A- Mailing Addressf5' ■ ..6 / �� J'v f '27/ Property Address 6 3 ' ouc-aes., , �5��1..� A n w ApQ_ / V (Verification required from Planning Department for new construction) 19.4- to- 1 " �la�QO City/State Parcel Identification Number ' -tt, o - 10 h , � °D Zo- I l idfo rS - oc,o LEGAL DESCRIPTION Property Location3- 'h4A 1 /4, Sec (' , 1 N- W, Town o Subdivision 1. (A) _/ 1 'I Lot # e i Certified Survey Map # , Volume , Page # Warranty Deed it 7 O&88 0 , Volume 2-13 , Page # 3 S Spec housyes ❑ no Lot lines identifiable ❑ yesno 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating tha your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of ' e threygar expiration date. S GNA ". '• OF APPLICANT ATE 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 a described above, by virtue of a warranty deed recorded in Register of Deeds Office. - / / p / IGNAT1. 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 J 2135 P 3 55 - 7 1 27)48a12!) WARRANTY DEED KATHLEEN H. MIALSH REGISTER OF DEEDS ST. CROIX CO., MI Neil L. Wilcoxson and ,A = J. Wilcoxson, a /k/a RECEIVED FOR RECORD Mary Jo. Wilco • n, h sban • = • ife, conveys 02/07/2003 02:00PH and warrants o Kernon J. B- st t e following EXEMPT # described real es . •- • ' aunty, State of REC FEE: 11. Wisconsin: TRANS FEE: 2880.00 COPY FEE: CERT COPY FEE: PAGES: 1 Exception to warranties: all easements and restrictions of record. This is not homestead property. Parcel Identification Number(s): 20- 1109 -40 -000; 20- 11 -9 -20 -000; 20- 1109 -10 -000; and 20- 11 -90 -55 -000 Name and Ag y to: A parcel of land located in part of the Southeast' / of the Edina Realty Title Northwest 1/4 , part of the Southwest % of the Northwest 400 South 2nd Street 1/4 , part of the Northeast % of the Southwest 1 /4, and part Suite #115 of the Northwest % of the Southwest', all in Section 36, �, �� 1 ,kt son, W f 54016 Township 29 North, Range 19 West, Town of Hudson, St. ,' "!(� Croix County, Wisconsin described as follows: Commencing at the South 'h corner of said Section 36; thence North 00 degrees 10 minutes, 01 seconds West along the north -south % line, 1634.77 feet to the Northeast corner of a parcel of land described in Volume 526, page 259 at the St. Croix County Register of Deeds Office, being the point of beginning; thence continuing North 00 degrees, 10 minutes, 01 seconds West along said North - South '/. line, 1977.22 feet to the South line of the North 350 feet of said Southeast %4 of the Northwest %4; thence South 88 degrees, 49 minutes, 51 seconds West, along said South line and the Westerly extension of said line, 1324.14 feet; thence South 00 degrees, 09 minutes, 43 seconds East 2,096.73 feet to the centerline of County Trunk Highway "N" being a point on 1,999.00 foot radius curve, concave southerly, whose central angle measures 03 degrees, 00 minutes, 19 seconds, whose chord bears South 80 degrees, 02 minutes, 21.5 seconds East and measures 104.84 feet; thence Easterly, along the arc of said curve and centerline, 104.85 feet to the point of tangency; thence South 78 degrees, 32 minutes, 12 seconds East along said centerline, 712.54 feet to the West line of said parcel described in Volume 526, Page 259, thence North 00 degrees, 10 minutes, 01 seconds West along said West line 304.75 feet to the North line of said parcel; thence North 89 degrees, 49 minutes, 59 seconds East along said North line 523.00 feet to the point of beginning, all in Section 36, Township 29 North, Range 19 West, St. Croix County, Wisconsin. t/C Dated this �� day of JGI-Xtta-z7 2003. 7 L'Wilcox on Mary J n ACKNOWLEDGMENT ; :c 111p q STATE OF WISCONSIN ) ,�`p�Y COUNTY OF ST. CROIX ) �-th- /0 C j r Personally came before me this day of o/72 2003, the above -med Neil L. Wilco OF d Mary . % ,, Wilcoxson to me known to be the persons who executed th fo oing instrume - acknowledge the Ijme / r * DEtRA11 R. * . i' PRESTON A Nota Public � y _ /� -�j • 41 �2 My commission expires: b 11 1 This instrument drafted by Robert F. Wall. WilcoxsontoBastWD03 -1 h OF W1SC - Maintenance and Contingency Plan for aSeptic System Maintenance Plan every 3 years. 1. Septic Tank is to be pump ed once y 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. inspections pipes at the ends of 3. Once every 3 years, cells are to be inspected via the ins p the cells. 4. Owner agrees to limit greases, garbage, e and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8 Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1.I y If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715-246 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 • , c yea ; D p : KERvoN /3/4s r 3 Po.v/V4 SpE /3/1-.57 y v4 14- /3AR&-E RP /HvPso 41/. ' S'7 ` . . Wisconsin Department of Commerce SOIL EVALUATION REPORT / of 3 Division of Safety and Buildings in accordance with Comm 85, Ws. Adm. Code /� Attach complete site plan on paper not Tess than 8 1/2 x 11 inches in size. Plan must County s r G / ` 0 / 1�-- n include but not limited to: vertical and horizontal reference int (BM), direction and po ( ). Parcel I.D. S.G2, 4e/6 /.tom 4– percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R ewed by II Date Personal Information you provide may be used for secondary purposes (Privacy law. s. 15.04 (1) (m)). .)-S • 2.L / 20b 3 Property Owner RECEIVED : Property Location of Ski /VE /L (,t1 /LG S o v Govt. Lot SE 1/4 Niu 1/4 S3t!v T 2. 7 N R / 7. If (or) W Property Owner's Mailing ddress of • B Name /• # Subd. Nae or CSM# f.(9 /N6- �0(„ t-- ' //e cry. � cvy / . / V . aN 0 9 2003 - (..e Ct Pti ccco 6 0 -, t /�6% State Zip .. S e U Y 1 Cd ❑ Village I Town Neares I - clad I/Oj25oA' /v /. SO 1c, '.4 r ' >-? /f vpsa.v mo . g el-New Construction Use: it Residential / Number of bedrooms 3- y Code derived design flow rate '9 — CP ere GPO ❑ Replacement ❑ Public or commercial - Describe: Parent material /n E S S 9L2z/ ' Sff v.P)/ 00i f Flood Plain elevation 11 _ applicable ' // --Y ft. General comments • 4. 7 /5 S di r4-,6' /E' and recommendations: �/P /t'.f> /.ci frPovvf> coNvju r /e9A,4 z. p0. lv, T5. 2fs.:06.-- /3iaprf-----aseA-_._ 5. .sue P .5. 3 0 Boring ef 9' 50 / � ® Pit Ground surface elev. R . Depth to limiting factor 70 in. Sop Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsel Qu. Sz. Cont. Color Gr. Sz. Sh. ¶11#1 'Eff#2 / 0. 1/ /o yip (3 — L /f-h' , , t.►4 . 1)e ,k) 2 f- . y • 6 z //• /7 /D 09 3 / qf 51_ 1-Aw/sh mi6e co / f . 5 • ? 3 /7•yi 75ygf4 — 1-5 41 eel .s — . 7 A Z �� • ,0 /D l 5 ',! . 5 .. d, , "2 `f / g -- 2 l Boting# Boring /0/ 0 . > M ❑ Pit Ground surface elev. ft. Depth to limiting factor � � in. soff 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 / 0" 1 /0y 3/ /f5/ /►'►ifg 'W 2 • i -.6 Z 1 -1' /y /o yR 3/4 — .5L- a,015h/C _.w► R ce} /I . 5 • T 3 /110 1•sYRy // --- GS lAvif 4Z a$ — -1 LZ. , II yo.yy /0 yR /y 5 0 5, aQi.. --- .7 2 • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg&L • Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/l. CST Name_ (Please Pitt) CST Number " 1 RO BER r f /b /& Gt1 /'�G`1 2 i S Address Date Evaluation Conducted Telephone Number Ulbricht & Associates - 219.€ tes ' C - 9 1�0 Z 7 /,S• 32G • /ss i"ikvaw 3avrato VV /.atAltalitti 055 O'Neil Rd. !Judson, Wis. 54010 .. AV 5 OF ski ry• N� . Se or No .01f9- //09. • Cur, • 13 Ga y • Neil /'f (e , 020. //0 y «' ' Property Owner /V to K 50A) D ).0 - // Parcel ID 11 0 " • D • D Page 2 of 1 3 I Boring # ❑ Boring / 00 • yS > y z _Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Col. Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsed Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •EB#2 / 0— 9 /o y e 3/ — L /fs%r mi7cie c� z- . y , Z 9.17 it, 0 f e 5/L afshe ,,vi-FR _� w / . 5 3 /7.3 .5 YR 4.. SL 2fge n�Vfie 4,5. , . 5 .. , 9 3g a /o yR 5/ -- --- , , ,� 5 . d . 5 i;_ - ---- -- . 7 z I l � # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stnxfixe Consistence Boundary Roots GPDflf In Munsed Qu. Sz Cont. Color Gr. Sz Sh. , •Eff #1 'Eff#2 • , Z : _ I I Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/tf in. Munsed Qu. Sz. Cont. Color Gr. Sz Sh. ••Eff#1 'Elf#2 • I 1 Boring# ° � ❑ Pit Ground ce elev. ft. Depth to limiting factor in. Sod 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 c:13013, > 30 < .0 ,4 mg/L and TSS >30 < 150 mgll. • Effluent #2 = BOD, < 30 mg/L and TSS < 30 mglt. The Department of Commer e 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. Sao-1»o (RAMO) • ID r W /°i) . 1, A l) p i P 16 I y 1 1 6 ;'' .. i.or i) • 0 1 /6 z NO Go r z-•ti -e-- • / /,e r , .Fe 1 1 / , —,--------------- .„ , \ q0 1" _ . A I CX ...c.--------- C k t 116 in Q �/ S • i ll t Ado ° a pf ' 1 V ia - -c ilr se r 0/1 If I 1 - 6 if 4 - / s o res- f /00 O i Z / For issuance of permits and designing Sc�� -e : a _ Contact: Ulbricht & Associates Registered private wastewater consultant and plumbers 655 O'Neil Road • = /3AC /�r'T S Hudson, WI 54016 715- 386 -8185 or 715- 772 -3442 4 60ry iv oR L PL • , PLAN PROJECT Kernon Bast 1 DRES . 948 La Barae Rd. Hudson Wi 54016 SE 1/4 NW 1/4S 36 /T 29 N r 1 • W TOWN Hudson COUNTY ST.CROIX f ' MPRS Shaun Bird 226900 // DATE 0/03 BEDROOM 5 CONVENTIONAL )00( IN- GROUND 12: SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 650 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1 119 # of chambers 36 ■ BENCHMARK V.R.P. Top of 1/2" Steel Pipe ASSUME ELEVATION 100' Filter Zabel A -100 V ❑ BOREHOLE O ` s _R,p Same as Benchmark Top of 1 /2 "B.M. # SYSTEM ELEVATION 96.0/95.8 4.5' below grade • Steel Pipe @ 10" . -2 1' 101.72 ' Property Line — ■, : Po- A ji Plans Designed Using • Conventional Powts 40' Manual Version 2.0 98' Boo Vents 0' in 1 ST 1' 1% Pro 5 lope Bedroom a 2 -3' X 113' Cells with House >3' Spacing Ho_ z s wa.1 0 1 ct Ven •1 B -1 • B.M. ao Vent >6" Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area 6' Long 34" Grade at System Elevation � • • � i , � o lid] tI Mid 0 146 0°2517 %S451•Y N • Co) 137.96' 201.90' N8= •47'01 "E 339.86' `. = � ;, , J y � 3 LOT 69 2.08 ACRES co ^ Sa( k i 90,587 SQ. FT Tp b �'' OT 68 O 2.19 ACRES sk N s, s _ . .0r /, --/ �- LOT 67 / 2.10 ACRES / / / � ,�. 91,521 SQ. FT. ,/ / , 3303 / i / . HALL DO ANYTHING WHICH ' �^ I / / • IGE THE OPERATION OF THE , • ER DRAINAGE AND SOIL EROSION • w • r )ES BUT IS NOT LIMITED TO • • LTERING, FILLING, OR • o . • POND EASEMENTS, WATER I I I LOl SAYS, WATER CULVERTS, BERMS • N89 °55'21 "E 358.25' I 2.70 / • 117,79: ▪ I _1 • *O BE PLACED SUCH THAT THE ( aI Y SURVEY STAKE, OR OBSTRUCT , - BEET LINE. THE DISTURBANCE . LOT 66 : I I ` A VIOLATION OF SECTION 236 2.57 ACRES o N N EASEMENTS AS HEREIN SET ° ri C BODIES AND PRIVATE PUBLIC 112,131 SQ. FT. co w • RVE THE AREA. • I I I vi P (PLAT) IS SUBJECT TO STATE, L.B.O. = 1032.40 r' o m 326.8 LES AND REGULATIONS (I.E., • • o o� CESS TO PARCEL, ETC.). BEFORE • I z o • PARCEL OF LAND CONTACT 1 TICE AND APPROPRIATE TOWN S89 °55'21 "W 179.15' I I �_ • 3 ty) LOl • • • o g l c-9 I o c ° v l 'Q 2.461 BENCHMARK ^ °Io ° — ° • 1 z �I 107,23C 1" IRON PIPE SET • H.W.L. = 1030.40 z S89 55'21"W 179. j8' a ELEV. = 1034.72 0 NR9 °55' ?1 USGS DATUM 1929 it" 358.24' 179.21' DRAINAGE EASEMENT r N89 °55'21 "E 179. g I rn ° 8I - o g g10 • • I Or N89 °55'21 "E 178.94' z • • -zr Z ' • • w • 1- L OT 65 ' S ' S °4 2 2.64 ACRES _`:` ► • o z 114823 SQ FT ' n / ,. . • / M • co 1- L.B.O. = 1032.40 : / ' • ' 6'6 3 I �` � P, LOT • ' ,�w / 2.74 t / z 1 : 119,21E i ' co $ i /I • / . . 1 . • ,‘‘ i..)"'- - , 33.37' 1 • _ � • 1 ,_ 0 • 'IL ) 156y ) \�` S7g �- \i 3212 "E 705 7 _O SKETCH p `' � iij 396.E KETC __ G�jp —� S7 0 - __ _ d 8 I x _ 3 _ AY » %@ r 4• ( nn�n , _ �— 2 5