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S 1 0 0 IX CS , ,N, 1 , o , , MA PLANNING INS ZONING 5 .:,• z , , -,,... ,;,cs _.... .:.u. e , , ,er7 , Y °s,.4zF;y4/ r o--s %:',: - r, i aynwr > „ „ .,, .. .. pa x, Fins , t November 19, 2009 1 Kernon Bast ; c/o Edina Realty, Inc. x 400 South 2nd Street ,0% Hudson, WI 54016 y Code Administrat RE: Compliance deposit refunds for Cottonwood South '07 Tots 715 - 386 -4680 Section 36, Town of Hudson Land Information &'i Planning Dear Mr. Bast: 715- 386 -4674 I recently reviewed the Board of Adjustment Decision for the above subdivision while Real Prop processing a sanitary permit application and noted that you have compliance deposits that 715 -3.`'° 677 may be eligible for refund. According to Condition #5: Red cling "The plan shall be accompanied by a $100 nonrefundable staff review fee and a cash 44- 386 -4675 compliance deposit for the lot. The compliance deposit for the six lots under construction shall be $1,100 each, and the compliance deposit for the remaining lots in the subdivision shall be $300 each. The cash compliance deposit will be held by the Zoning Administrator until construction is complete, permanent vegetation has been established, and the project is found to be in compliance with the conditions of this approval, at which time the deposit will be refunded in full. Upon completing construction on each lot, the applicant shall submit to the Zoning Administrator photos of the completed construction and certification from the project engineer that the construction has been completed as approved to serve as proof of compliance." .. Our sanitary database records show eight (8) permits were issued whose POWTS have been installed and inspected. However, there are some non - compliance issues that must be resolved before lots 2 and lot 24 will be considered "complete ". We need to obtain elevations and documentation of the building sewer and tanks that were installed on lot 24 without county inspection and the mound on lot 2 does not meet the required setback from the north lot line. When we have received photos that document completion of construction on each lot, your : deposit refunds will be processed. 4 Sjacacely, 4 0141 4a44----)----- Pam Quinn RI Zoning Specialist 1 I, Cc: Brian & Molly Hayes, lot 24 property owners Andre Buechner, lot 2 property owner ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, W/ 54016 715 - 386 - 4686 FAX PZ @CO.SA /NTCRO /X.W /.US WWW. CO.SAINT- CROIX.WI.US Wisconsin Department of Cornmerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 515165 0 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 X Township Parcel Tax No: Bast, Kernon J. & Donalda Hudson, Town of 020 - 1479 -15 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 47. (p3 0/ 651--- 36.29.19.3036 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER Q A-7.5 CAPACITY STATION BS HI FS ELEV. 1 Septic ( '`�(" y� 3 Benchmark 00d F: _ y / i Z56 Alta 5. X0/•6 9 7 , 46 Qe51 -- C /O L'tc.. Co Je.‘, O . S /Oy. 3 5 Aeration Bldg. Sewer Holding SUHt Inlet • 5 / I 9,A, 1 /5 St/Ht Outlet TANK SETBACK INFORMATION 5.7 ? , TANK TO ` PIL� WELL BLDG Vent Air Intake ROAD Dt Inlet UJC1' ts/s—/ Septic �� / Dt Bottom `, Z3 44-- Z7 > Dosing Header /Man. 5 � Z 96 ` 4 5 V J Aeration C " -- ----.-- - Dist. Pipe % ,Z c� f , ! �O 5 Holding Bot. System J.Z. ta 4,3 Zi Final Grade PUMP /SIPHON INFORMATION /4;�(, 2 .0 /62 .51S Manufacturer GPMand S t C er /�� / 35 Model Nu • - TDH Li Friction Loss System Head H Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width / Length x No. Of Trenches PIT DIME IONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 4i3% G 2 - � ✓- -, LL _ ` _ SETBACK SYSTEM TO V v P/L L BLDG )1 WELL � LAKE /STREAM LEACHING Manufacturer: T + n (� �` INFORMATION / / CHAMBER OR 1-r t"� w Type Of Systerrl: I S A � ni UNIT Model Numbe ^ J , !t 6 o (� T I � DISTRIBUTION SYSTEM Z i- LZ -- 471.4 J-b4,..QL, Header /Manifold if Distribution x Hole Size x Hole Spacing Vent to Air Int Pipe(s) O✓v1 Length 7 Dia 7 Length ` Dia Spacing \ ` Z t—r nn SOIL COVER Only ` x Pressure Systems Only xx Mound Or At -Grade Systems O y y v y Depth Over 1 Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil \ T Z n es es 11 No Les ❑ No COM MENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 831 Settlement Drive Hudson, WI 54016 (SE 1/4 SW 1/4 36 T29N R19W) Cottonwood South '07 Lot Parcel No: 36.29.19.3036 1 Fi` 1 L_ G°� ."-. C i wb �- L oc 1e - • . Al e..3 fa: bo r •'�� / d 1.) Alt BM Description = / 1•• �„ , 1 J :� n "�� 2.) Bldg sewer length = �/b S; 4._ C OJt�Q.Q t 4 I \ Fc o G.Ier., Ors, 0 i - amount of cover = / 0-0-CL 5 • J: Plan Required? El Yes No J I 1 D O ,, Use other side for additional information. I _ ___ �__ � `!' Date Insepctor'�Signatu . Cert. No. SBD -6710 (R.3/97) 1PAI» of ,_5 t f commerce,w,gov Safety and Buildings Division County 1 + C ) 201 W. Washington Ave., P.O. Box 7162 tilt COfSI' Madison, WI 53707 -7162 Sanitary / filled in Sanitary Permit Application ShM Tr artasetien NumMr , In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental i'i/ unit is required prior to obtaining a sanitary permit. Note: Application forts for state-owned POWTS are Project Aft Esss (if di oicut than mailing address) submitted to the Department of Comnterce. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1 Xm), Stats. S � n I. Application Information - Plea$e Print All Information � C �` I E D p u l # ' t /� , W y , b c. Property Owner's Name ! RECEIVED 00r, e. r Art Nvi t ' / 3 - • I K l�O 4 1? Property Owner's Mailing Address uCT 0 9 2009 Property Location �/ ,�%3 Py 3 �� ct1T i ivl : i,vu, .. Govt. Lo J City, State Zip a PLP1JRlIb�R 4 t' OF �1CF su J IA _ Ya Section 6 11 L) 1 l t,� © L J to T 2? N; R /rieEmcirj II. Type of Building (check all that apply Lot # jc 0 � - Subdivision Name or 2 Family Dwelling - Number of , / J _ ! Block # G O�'�[62 ❑ Public/Commercial - Describe Use ' mi - r % ❑ City of pm, CSM Number ❑ V'llage of ❑ State Owned - Describe Use /��C4J`' -►- own of III. Type f Permit: (Check only one box on line A. Complete line B if applicable) A. ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision El Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner -- 1 I / IV. Type of POWTS System/Comlponent/Device: (Check all that apply) // 7 r w IF I if' i VIP r'F/ .4 ' � 'd - Pressurized In -Ground ❑ P� lord In -Ground At -Grade ❑ and > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil (3 /x 91/ �) i AAI ❑ Holding Tank ❑ Other Dispersal Component (explain) ( 4?.4 hx j G Y k Pretreatment Device (explain) _ ,� � V. Dispersal/Treatment Area Information: (" "'v Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) Sj yt Elei �^ .g.-- VI. Tank Info Capacity in Total # of Manufac Gallons Gallons Units i _ a 0 New Tanks Existing Tanks § a i Ft V rn Vl h. t7 P. Septic or Holding Tank / "M . / , ,, / -, Dosing Chamber W fl , C i' b R a , VII. Responsibility Statement - I, the undersigned, . • nsibility for installation of the POW IS S shown o , the attached plans. Plumber's me (Print) Plum. �� :lure MP/MPRS Number B usiness Phone Number 2�6�pa 7,1r p'I X/4 Plumber's Address Street, City, State, Code) • / 8 /7a r2 .Q 4,. / � --CYO') Xmrov ounty/Department Use Oflly Permit Fee a Date issue �'�asuing . nt . inns ' II_ 6, ' _�/ ❑Disapproved L-� ' 1 b/)�- � �'(.Y�� I ❑ Owner Given Reason for Denial S ( 7 5' l v1 p / /�.� e ,f IX. Conditi of Approval/Reasons for Disapproval ( 6 � ci - � a p,CQ �rwA h. "` SYSTEM OWNER: l/ airfiPtYJI .5 VC" l LED /5 • Gtr A/ 1 Septic tank, effluent filter and dispersal cell must all be serviced !maintained �� �i�✓��� i� .S / C 4 / 44 ' 11 — j as per management plan provided by plumber. / / 0,1.4 1-r �,, ' 2. All setback req u i rye lartisoH ii nisi Maria ooty en pap bmu to the c �n ot ` r' an s rn : II inches in size as per applicable code /ordinances. bkg a Q p -J t �ry,�iti t ' j ticieJ � ' SBD - 6398 (R. 01/07) Valid thru 01/09 /yL Q, -/ a J5 / I/" -- ,e- (� 2 , ' �IF -6/`t .� -�� 01rr- OF Tl�lS , PLOT PLAN PROJECT Kernon Bast . RESS 948 Labarae Rd. Hudson Wi 54016 SE 1/4 SW 1 /4S 36 /T 29 N/ �1 W N Hudsonw COUNTY ST.CROIX MPRS Shaun Bird 226900 ` DATE 10 /7/09 BEDROOM 4 CONVENTIONAL XXX IN- GROUND /URE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 44 , BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 95.4/95.2' 4' below grade setbacks required by WDNR Settlement Drive A Plans Designed Using Conventional Powts Manual Version 2.0 14 oa Vent >6" Quick4 Standard -W of Cover Leaching Chamber o with 20.0 ft2 of Area 5.8ft ^2 /pair of end caps 4' Long Grade at System Elevation 34" 0,°\ Pro 4 NO' Bedroom House B.M.* 8' �A1t.B.M. 15 ]� 1% Slope ST 3 2' 10' •4 9B-1 100' B -2 • ,, 30' ents 2 -3' X 88' cells with >3' spacing 60' ■OB -3 453'o rty Line • � Y ,NCO P ST CR-C LINTY PLANNING ZONING EROSION & SEDIMENT CONTROL PLAN Site location: 831 Settlement Drive, Lot 15, Cottonwood South Subd., Town of Hudson Owner(s): Kernon Bast Parcel ID #36.29.19.3036 Code Administ d 715 386 - 4680 " Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may ," attach reasonable erosion prevention conditions to a permit approved for issuance ". Land Informatio Wisconsin Uniform Dwelling Code Comm. 21.125 requires the building permit applicant Planning and/or landowner to follow erosion control procedures and maintain them until the site has 715 - 386 - 4674 been stabilized. (UDC Comm 21: www. commerce. state. wi.us /SB /SB DivCodesListing.html) Real Property x The Owner of the above parcel is responsible for notification of all contractors performing 715 - 386 - 4677 construction activities on this site that an Erosion & Sediment Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: Recycling 715 386 -� 1. Maintain existing vegetation wherever possible to minimize erosion and sediment movement. The primary source for construction site runoff will be the house foundation and driveway excavation, well drilling, and soil stockpiled until final grading and stabilization is complete. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #5 below. Surface drainage is toward a drainage easement to the south of the POWTS and toward the road drainage ditch on the north. 2. Install construction entrance before any excavation begins!! Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that require access to the property during construction. Avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 3. Do not allow contaminated runoff to be directed onto neighboring property or into surface water conveyances. Create temporary diversions graded ALONG CONTOUR between excavated areas and any potential receiving waters (this includes driveway & road ditches) by routing contaminated runoff into vegetated buffer areas on owner's property. (A specification sheet for temporary diversions is available from county). 4. If contaminated runoff cannot be contained with temporary diversions, installation of approved sediment control products (straw wattles, silt fence, etc.) as shown on engineer's site plan may be required. The POWTS inspector and/or building inspector will evaluate ESC plan effectiveness and recommend additional action required to comply with applicable regulations. Control measures should be installed prior to POWTS excavation activities. Sr. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, WI 54016 715- 386 -4686 FAX PZ' CO.SA /NT-CRO/X.W /.US WWW.CO.SAINT-CROIX.WI.US Page Two — ESC Plan Acknowledgement Form �z�i _ :.:Y:„ Sul.. �'. k5��: v ,.. a' ...::.. �_" ,¢.' ..€3t.�:• ,, ..Ne ..u ..v.,. .:.m.n�xf�b� - -. 5. S bilize exposed soils (septic system included) with seed and mulch immediately after installation - DO T wait for final stabilization and/or landscaping of entire site to establish permanent cover on the site. en late- season weather conditions will not permit seed germination, a heavy straw mulch cover will p nt erosion until vegetation can be established. Erosion control matting can be applied any time of year and,':„:, stalled properly, will provide protection even if seed germination is delayed. The owner Wrd during site construction will be responsible for compliance with state and county code requiremenr g ±•ecified in this Erosion & Sediment Control Plan. Please feel free to contact me with questions regarding er• ..`° & sediment control product installation. PLAN PREP BY: PAMELA QUINN, SOIL EROSION INSPECTOR #665054 Owner ackno • gement of ESC Plan requirements: //2009 (Please si d return original ESC form to Planning & Zoning Dept. A copy is attached to the owner's permit and mainte : '' e agreement, which is given to the plumber at time of permit issuance.) Provide copies for excavation cont .. or, plumber, and town building inspector as needed. s property is subject to conditions contained the Board of Adjustment decision to approve Special Exception ermit SE0159, specifically: Prior to commencing construction on each lot, the applicant shall submit to and have approved by the Zoning A • '; strator a construction plan and checklist including but not limited to a project narrative, construction schedule, contr. < .= list and contact information, and site plan with erosion control measures as outlined in the application. The plan sha so include additional information on the grading limits, location of temporary stockpiles, winter cessation plans, and, ) porary seeding to control erosion. The plan shall be accompanied by a $100 nonrefundable staff review fee and a h compliance deposit for the lot. The compliance deposit for the six lots under construction shall be $1,100 e , and the com • liance deposit for the remaining lots in the subdivisi s i 11 be $300 each The cash compli e deposit will be held by t e omng • mstrator until construction is complete, permanent vegetation has been es x lished, and the project is found to be in compliance with the conditions of this approval, at which time the deposit 1 be refunded in full. Upon completing construction on each lot, the applicant shall submit to the Zoning Admini g} ru: or photos of the completed construction and certification from the project engineer that the construction has bee pleted as approved to serve as proof of compliance. Within 30 days of this decision, the applicant\shall submit a the-fact construction plans, review fees, and compliance deposits for the six lots already under constructio The compliance deposit was submitted per receipt #886949 #6. Prior to • encing construction on each lot, the applicant shall install the erosion control measures in accordance w e approved plans. During construction, the smallest amount of bare ground shall be exposed for as short a time 41 ssible. Upon completing construction, temporary ground cover such as mulch shall be used, until permanent c• has successfully established. Phosphorous fertilizers shall not be used to establish and maintain vegetation • e disturbed area of the site, unless a soil test confirms that phosphorous is needed. ST. CRO /X COUNTY GOVERNMENT CENTER 1 101 CARM /CHAEL ROAD, HUDSON, Wi 54016 715-386-4686 FAX PZ @CO.SA /NT- CRO/X.W /.US WWW.CO.SAINTCROIX.WI.US PLOT /PLAN PROJECT Kernon Bast 7 I RESS 948 Labarae Rd. Hudson Wi 54016 SE 1/4 SW 1/4S 36 /T 29 N/ ■ j�19 W c N Hudsonw COUNTY ST.CROIX ' MPRS Shaun Bird 226900 � DATE 10/7/09 BEDROOM 4 CONVENTIONAL )00( IN- GROUND /�,>> SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 44 BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 95.4/95.2' 4' below grade setbacks required by WDNR Settlement Drive A Plans Designed Using Conventional Powts Manual Version 2.0 alp Vent >6" Quick4 Standard -W of Cover Leaching Chamber with 20.0 ft2 of Area 5.8ft ^2 /pair of end caps 4' Long Grade at System Elevation 34" Pro 4 170' Bedroom House B.M.* 8 1% Slope ST 32' 5,B -1 10' 100' B -2 30' • Vents 2-3' X 88' cells with >3' spacing V 60' �B -3 453' Property Line V V ISCOI,SIn SOIL EVALUATION REPORT '' #2001 Department of Commerce in accordance with Comm 85, Wis. Adm. Code e 1 of 3 Division of Safety and Buildings Steel's Soil Service County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.ID 07/0 / -1 c _ Please print all information. Review By rir „, Date Personal information you provide may be used for :- . -,. . .- J ! 1 kaw, s. 15.04 (1) (m)). \ I // / 7 O / _ Property Owner Re • roperty Location / � / }° Bast, Kernon 6 2006 e.vt. Lot na SE1 /4, .W1/4, S36, T29N, R19W Property Owner's Mailing Address \AO L. # Block # Subd. Nam or CSM# 948 Labarge Rd. gON X GO°1 15 na Cottonwood Ridge South City State Zip Codes - C t Numb 1 City J Village E Town Nearest Road Hudson i WI 1 54( 16 - 386 - 7775 Hudson 1 Cty Rd N E New Construction Use: 0 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Li Replacement ❑ Public or commercial - Describe: na Parent material outwash plains and stream terraces Flood plain elevation, if applicable na ft. General comments Conventional system, system elevation 96.32ft. Trenches spaced and depth to code 3.33ft below grade. and recommendations: --- 01 fit_ -a- 6- 2 .- 1 Boring # Berin • Pit Ground surface elev. 99.65 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -12 10yr3/1 none sil 2msbk mfr cs if .6 .8 2 12 -28 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 28-53 7.5yr4/4 none grcos osg mvfr gw na .7 1.6 4 53- 10 7.5yr4/6 none ms osg ml na na .7 1.6 f , g c -0 ) � ) � / �g gip 3 2 Boring # Boring , Pit Ground surface elev. 99.35 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -12 10yr3/1 none sil 2msbk mfr cs if .6 .8 2 12 -31 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 31 -110 7.5yr4/6 none ms osg mvfr na na .7 1.6 ) - it " 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 Print) Signature: i / CST Number David J. Steel _ _ ., 7 / 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 10/13/2006 715 760 - 0347 SBD -8330 (R.07 /00) • Property Owner Bast, Kernon Parcel ID # Pending Page 2 of 3 3 Boring # Boring El Pit Ground surface elev. 99.85 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -14 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 14 -24 10yr4/4 none sid 2msbk mfr aw na .4 .6 3 24 -52 7.5yr4/4 none grcos osg mvfr aw na .7 1.6 4 52 -110 7.5yr4/6 none ms osg ml na na .7 1.6 / 1 7 1 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor 7132 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color r Gr. Sz. Sh. *Eff#1 *Eff#2 1 a- e ��.- 3/ 1- ,r! /� -/ z- /0 gt, /),- 3/ Y -- Si / /7)7.5 hi e — --- 6 • Ic.. • -.'o /) s ' C.! .� : ' _ c, - • a - 3 o /.se 1 -,/,‘ s �,s r» / fries - - - 7 /- to Boring # ❑ Boring n 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/ft 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 5 < 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. SBD -8330 (R.07 /00) Steers Soil Service STEEL'S SOIL SERVICE 3 of 3 David J. Steel Kennon Bast 994 200 St. CST - POWTSM SE1 /4,SW1/4,S36,T29N,R19W Baldwin, WI 54002 Lic. #248956 Town of Hudson, St Croix Co. Direct 715- 760 -0347 Cottonwood Ridge South, Lot 15 Fax 715- 684 -3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N 1 " = 40' • = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe ❑ =Borings Boring Elevations B1 = 99.65 ft B2 = 98.35 ft / B3= 99.85ft O r d� Lc B4 = 0.00 ft . f 17 17o Ga /D- /3 -a" /6 a We 3 A_ . " \ l< 156247 - • . ft "N � ■ C . B . A . = 1. C. IM C NTY SECTION 3 LBO = 1040. 0 M UMENT FOUND WE OUND ' X 'IPE UND 1036.2 1039.4 441 ti \R F ND IR N REBAR SET, WEIGHING CD ' 1 7 P LINEAR FOOT 20 2.60 Acres �' CO MARKER FOUND ID 8 113304 sq, ft X 1034.5 s � ' )WAY SETBACK LINE > 'n C.B.A. = 1.6 AC. N. . i 2.39 Acres '� LBO- 1041 .00 l 103959 sq. ft OTHERWISE SHOWN) 0 s � S) ' S ° 132 C.B.A. = 1.7 AC. N r �2r, `� - , ``` h' _ -- _ LBO =1042.00 • ' � n r x rY EA ENT N �' - - -, M - `' o 1039.0 L WJ 1036 * � ED DRI C DEPTh � \ I ` 8 O ® Dg 15� �■ 1 \ � \ 4° 3 ED ONTOUR 8 AW =1036.00 I > �J •N PO c' T S a�. I i I ONTOUR CI g al � �� �\� � � Hwy = �� S ��� ' BORING PIT DEPTH 15' \ � �.,_`� I WET PO iOUS BUILDABL ` .1.: PIT DEPT i� \ / / i ik x , c• r BUILDING OPENING ELEVATION X 1036.8 - - -- _ . I ,R H WATER MARK t - - -- - -- _ co - I f ' 71' ), 1 . ` - ' 205.9 4' 205.95' 2I. ' A x x X 1037.1 $3 X f l X 1039.2 16 1039.3 _ .--._.' 2 1.2 2.19 Acres 0 - I X 7.-- 92827 .13 Acres 7 � sq. ft � q 95390 sq. ft w 1 �'"� © ' C.B.A. = 1.8 AC 00 C.B.A. - 1.3 AC. % 2.14 Acres . LBO= 1042.00 co LB0 =1042.00 ' 00096 X3096 sq. ft C.B.A. = 1.8 AC. _NT SHALL DO << 1 HING 1040.6 X LBO =1042.00 X •' CHANGETH 1038.6 X ED CO ■ • EHENSIVE WATE' N PLAN FO ` HIS PLAT. THIS 1039 5 14 ■ b c UILDIN . 'ON, , LUNG, •' CAVA • ■,= • - AREAS OR 3 EMENTS, VW RUNWA WATER - --- SEEDI . S. X 1040.4 I" :� ,!°-- - ..; . •...L.---4.. 2 - 72' 205.92' sy. 3; NOUN • li • ' ARE TO BE PLACED SUCH ii, DULD DISTURB SURVEY N ALONG AN OT L OR x ' - StaviclartAErosiovi Control Plgikup for 1- & 2- Family Dwelling Construction Sites According to Chapters ILHR 20 & 21 of the Wisconsin Uniform Dwelling Code, soil erosion control information needs to be included on the plot plan which is submitted and approved prior to the issuance of building permits for 1- & 2- family dwelling units in those jurisdictions where the soil erosion control provisions of the Uniform. Dwelling Code are enforced. This SaEQEIVED Erosion Control Plan is provided to assist in meeting this requirement. Instructions: OCT 0 9 2009 1. Complete this plan by filling in requested information, completing the site diagram and mare �, utvllvd�bF�w appropriate boxes on the inside of this form. 2. In completing the site diagram, give consideration, to potential erosion that may occur before, during, and after grading. Water runoff patterns can change significantly as a site is reshaped. 3. Submit this plan at the time of building permit application. PROJECT LOCATION LOT iS C.Trul,W000 - T+NAy4 or blittS u.) Please indicate north BUILDER SPEC- &A's;:' Cotasneuctuvz OWNER KfR14or•J S• gA3T by completing the arrow. WORKSHEET COMPLETED BY 6ArSi DATE /O /S ,/ ZOO, SITE DIAGRAM Scale: 1 inch = 3? feet V ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■i41FI■FINIFA RE.JAIMIMEIII ■ ■ ■ �.J' ■LA■■■ ■• ■ ■ ■ ■ ■ ■ ■ ■■1 ■ ■kallI I ■IIV111FP.31.F1 EROSION ■. ■ ■ ■ ■■■■■ ■■■■■ ■ ■ ■RAI■■M■ ■r ■■ ■r ■■ ■ail ■ -, ,� ® CONTROL PLAN ■■■■ L1 ■111■ ■ ■■ ■ ■ ■ ■VIII1 ■■C =1:1CLITIL VIII LEGEND 1 LINE EXISTING n• ■■1■■■■■ ■1■I�■■■■11m� __""� INAGE DRA 1M� 1111111 ■ ■11111MENIR,®O■ ■ ■II■ ■1l ® ■f� TEMPORARY TD DIVERSION FINISHED 111111111111111111111111111 DRAINAGE ■ 1A1■■1 CPR1P / ■ ■1P'■ ■ ■ ■ ■■ ■ ■ ■ ■ ■ ■i111 ■ ■1EFE M■■ !1■ ■� ■ ®Mrliilt ■1114■ ■ ■,' ■151119■•111V111■111111■10` ■111 l ■ _ _ LIMITS OF ■ ■ ■ ■ ■ ■F/ ■ ■ ■IIIIII■ ■11■ ■111i60 ■51■ ■ ■■011■11■1111 ■U GRADING •i ■ ■ ■ ■!'! ■ ■ ■U•s.• milim ■o®n I■■ •111 •■ •11 SILT M U1 ■ ■ ■MU ■MOIM 1 ■1■®®®■®®®1U® ■1Ii'®I ■U 1f ` —♦ FENCE uMuuIuhIIiIIuIL;iIIIuuI 11111111■1 ■Y ES ■ ■111■ ■■ ■ ■1r! ■ ■ ■ ■ ® ® ®�11 ■ ■ ■� I!r ■ ■ ■ ■f■■ ■■ - 4 . Io i „ ■■■■ •■`i■•ui EMI I •m•••m ■u ■' .-• GRAVEL J ■1 ■ ■■ ■ ■I■1iEN1e:■ MEI ■ ■■11 MINIMA/MI ■I IIIIIIUINIIIIHhIU!!!LIIIUh1 I� O SPEC FICATION 1311111111:1 1� E.41 PRESERVATION 4- ■ ■ ■ ■ ■ ■11�,'.'�±/ ® ® fir ■r ■I���il1■1��� ■ ® ® ■ / ■ ■ ■� ■' ■1 ■ ■ ■1'Z1EO1 l7� A iilllI ■1 ■111111Mii ■ /I ■ ■ ■V ■ ■ ■i ■# $ : :* STOCKPILED 111■ ■■DMIIIII ii1■ EI ® ■ ■ ■t�■ ■�% ®® ■� ■� ■ ■� ■■ .t SOIL C4.1114inforr QRwfC. W it EROSION CONTROL PLAN CHECKLIST Check (1) appropriate boxes below, and complete the site diagram a . with necessary information. 0 Z Site Characteristics North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. p Location of existing drainageways, streams, rivers, lakes, wetlands or wells. Location of storm sewer inlets. Location of existing and proposed buildings and paved areas. The disturbed area on the lot. r. Approximate gradient and direction of slopes before grading operations. Approximate gradient and direction of slopes after grading operations. k ,r Q Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices '" ❑ Location of temporary soil storage piles. Note: Soil storage piles should be placed behind a sediment fence, a 10 foot wide vegetative strip, or should be covered with a tarp or more than 25 feet from any downslope road or drainageway. xr , ° Location of access drive(s). Note: Access drive should have 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick. Drives should extend from the roadway 50 feet or to the house foundation (whichever is less). 0 Location of sediment controls (filter fabric fence, straw bale fence or 10- foot -wide vegetative strip) that will prevent eroded soil from leaving the site. " Location of sediment barriers around on -site storm sewer inlets., -` �xt i,i Location of diversions. ,/ .: i � „ Note: Although not specifically required by code, it is recommended that concen- trated flow (drainageways) be diverted (re- directed) around disturbed areas. Overland runoff (sheet flow)from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas. Locatuo of practices that will be applied to control erosion on steep sloes Q9 ..� p pp p p (greater than 12% grade). Note: Such practices inc . +de m i i w . in. v- . etatiop, placement of additional sediment fences, diversions, an. re -vege • ion •y sodding or seeding with use of erosion control mats. , 15 11 Location of practices that will control erosion on areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod, and rock rip -rap. When used, a given in- channel barrier should not receive drainage from more than two acres of unpaved area, or one acre of paved area. In- channel practices should not be installed in perennial streams (streams with year round flow). a 1111 Location of other planned practices not already noted. r W v ti a Indicate management strategy by checking (/) the appropriate box. a o Management Strategies z 9 9 l Q Temporary stabilization of disturbed areas. Note: It is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding (between April 1 and September 15), or by other cover, such as tarping or mulching. „ , h Permanent stabilization of site by re- vegetation or other .means as soon as possible (lawn establishment). • Indicate re- vegetation method: Seed Q Sod p Other • Expected date of permanent re- vegetation: gh ., w . q io • Re- vegetation responsibility of: : Builder 0 Owner /Buyer • Is temporary seeding or mulching planned if site is not seeded by Sept.` 15 or sodded by Nov. 15? 71 Yes Q No _ nl Use of downspout and /or sump pump outlet extensions. Note: It is recommended that flow from downspouts and sump pump outlets be routed through plastic drainage pipe to stable areas such as established sod or pavement. Trapping sediment during de - watering operations. Note: Sediment -laden discharge water from pumping operations should be ponded behind a sediment barrier until most of the sediment settles out. Proper disposal of building material waste so that pollutants and debris are not carried off -site by wind or water. Maintenance of erosion control practices. • Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the height o f the barrier. • Breaks and gaps in sediment fences and barriers will be repaired imme- diately. Decomposing straw bales will be replaced (typical bale life is three months). • All sed that moves off -s due to construction activity will be cleaned up before the end of the same workday. • All sediment that moves off-site due to storm events will be cleaned up before the end of the next workday. • Access drives will be maintained throughout construction. • All installed erosion control practices will be maintained until the ' disturbed areas they protect are stabilized. For more assistance on plan preparation, refer to the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Construction Site Best Management Handbook, and UW— Extension publication Erosion Control for Home Builders. The Wisconsin Uniform Dwelling Code and the Wisconsin Construction Site Best Management Handbook are available through the State of Wisconsin Document Sales, (608) 266 -3558. Erosion Control for Home Builders (GWQ001) can be ordered through Extension Publications, (608) 262-3346 of the Department of Commerce, (608) 267 -4405. Maintenance and Contingency Plan for a Septic System Plan 6757b S 1. Septic Tank is to be pumped once every 3 years. 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. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, 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 C ge y Plan Option #1. I ystem fails, determine cause of failure, use alternate area and install new In tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715 - 246 -5148 U Shaun Bird #226900 \ 1� S'. . SEPTIC TANK M . AE NT • QWNI SfP Cam.. .A OwnerfBuyer . Mailer Acts 48 L9 84 L- p /1v fl I - LvlS[b fiN �G Proprty Address $3l SFnEvr..ORwF -- tIVAsoa - ;w�sco,,,�,a cif • ,. ) Clty'S ,4�f r ) f M `ar' Pe1 pia. N OZL - /Y79- /�- C 3ZEG 1Property L Su/¼, . �E ;� Sec.. ., T 29 NR/9 W, To€n of Subvs�n ('rql s�xnN _ , Lot !S Cert SuZ"'ey Ma # _ Vole Pa warty �b L o� sr 3r #f t -- k per use ash rieace of }or sere sin i _ wass. ta v ee s or se by a Wbat you put into t}iCCSII .ono 86a rponsabes are §CL 83.52(1) aiad iu Cter 12- St. €fit Co> ' 'i' agz+ees to sit fiv S+ C ro c Co Ptwg & ZgDt a certifieadon fob siga�cd by the owner and by a im C a hcee that (1) abe OD41�e . v�astewater disposai syem is in proper operating c (2) je spection an pp (may)+ the septc tank is less t 1J3 f of 1/we, the uned 1e read the above to iarn tbe pzivaie sew d syseem with the • standards set asset by c f D3t of NalResu�s , State ofW iscAaSflL sta s 1 be at red to the St Crux Coady ?1 g & Zoning Dot 30 oft year expiration Wit. Uwe C €o "a tae to the b of ��,r . , w�I ewe as xe t#tr O) of c • prf�perty c .-e :. ®g.;;,- , by of a .y de� od m of . � -A, • � w`� —`-- -� ( DAT • * :*y ° %:!� 9 -::..y in the. by €be Planniflg & ZoningDepartifleU =. • ius ltcde with this app&aien a recot*d wanaey deed from th� Regis of Deed Oficc and a cry of the certified surrey orals :` • refeaence is made iu tlae watrauy.deed. U 2 7 3 9 P 3 1 6 BEE. 1 09 k � KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO. WI STATE BAR OF WISCONSIN FORM 2- 2000 RECEIVED FOR RECORD Document Number WARRANTY DEED 01/28/2005 03:15Pf THIS DEED made between Neil L. Wilcoxson and Ma Jo WARRANTY DEED n' EXEMPT # Wilcoxson, husband and wife, Grantor, and Kernon J. Bast and Donalda J. Speer -Bast, husband and wife, Grantee. REC FEE: 13.00 Grantor, for a valuable consideration, conveys and warrants to Grantee COPYSFEE: 4212.90 the following described real estate in St. Croix County, State of Wisconsin: CC FEE: PAGES: 2 • SEE ATTACHED EXHIBIT A Recording Area Name and Return Address: Edina Realty Title, Inc. 400 S. 2' St. - Suite 115 Exceptions to warranties: Hudson, WI 54016 Easements, restrictions and rights -of -way of record, if any. 456780 1 1— 1•— 1 -1 1 020 - 1110 -30- 000... 020 - 1109 -55 -050 Parcel Identification Number (PIN) This is not homestead property. Dated this 28 , :t: y of January, 2005. " f�1 J L. Wi cox!. * Mary Jo i( oxson coin AUTHENTICAYI� a p00 ACKNOWLEDGMENT Signature(s) NG i��j ; G' — STATE OF WISCONSIN ) f C ST. CROIX COUNTY. ) ss. authenticated this 28th day of January, 2005 Personally came before me this January 28, 2005 the above named Neil L. Wilcoxson and Mary Jo Wilcoxson, * husband and wife to me known to be the person(s) who TITLE: MEMBER STATE BAR OF WISCONSIN execut a fore oing instrument and acknowledged the same. (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY *Cheri Town Notary Public, State of Wisconsin Peterson, Fram & Bergman - Steven H. Bruns My connnission is permanent. (If not, state expiration date: 50 East Fifth Street, St. Paul, MN 55101 3/11/2007 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity must be typed or printed below their signature WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2 -2000 U 2739 P 317 EXHIBIT A Parcel 1: A parcel of land located in part of the SW 1 /4 of the NW ''/ and part of the NW '/4 of the SW '/4 of Section 36, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin; more particularly described as follows: Beginning at the W ''/ corner of said section 36; thence N00° 16' 10 "E, along the west line of the NW '/ of said section, 1248.49 feet to the north line of Lot 1 of Certified Survey Map recorded in Volume 3, page 669 at the St. Croix County Register of Deeds Office; thence N63 °02'59 "E 148.42 feet to the north line of said SW '/4 of the NW '/4; thence N89 °26'58 "E, along said north line, 1182.70 feet to the east line of said SW '/4 of the NW '/; thence S00 °21'37 "W, along said east line, 350.04 feet to the north line of Lot 73 of the Plat of Cottonwood Ridge First Addition recorded at said office; thence S89 °26'58 "W, along said north line, 10.00 feet to the west line of said plat; thence S00 °27'24 "W, along said west line, 2096.76 feet to the centerline of County Trunk Highway "N" and a point on a 1999.00 foot radius curve, concave southerly, whose central angle measures 7 °10'30 ", whose chord bears N84 °30'41 "W and measures 250.16 feet; thence westerly, along the arc of said curve and said centerline, 250.33 feet to the point of tangency; thence N88 °05'5 "W along said centerline, 83.64 feet to point a of a 2700.00 foot radius curve, concave northerly; whose 6 , a ong n o the p mt of curvature y central angel measures 3 °17'53 ", whose chord bears N86 °26'59.5 "W and measures 155.40 feet; thence westerly, along the arc of said curve and said centerline, 155.42 feet; thence N04 °29'56 "E 244.01 feet to the point of curvature of a 167.00 foot radius, concave westerly, whose central angle measures 34°24'12", whose chord bears N12 °42' 10 "W and measures 98.78 feet; thence northerly, along the arc of said curve, 100.28 feet to the point of tangency; thence N29 °54' 16 "W 274.22 feet to the easterly extension of the north line of Lot 1 of Certified Survey Map recorded in Volume 12, page 3456 at said office; thence N89 °' 12'45 "W, along said easterly extension, along said north line, and along the westerly extension of said north line, 670.44 feet to the west line of the SW % of said section; thence N00 °37'50 "E, along said west line, 496.89 feet to the point of beginning. AND Parcel 2: A parcel of land located in part of the SW '/4 of the SE '/ of Section 36, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin; described as follows: Beginning at the South '4 Corner of said Section 36; thence N00 °27'05 "E, along the north -south '/4 line of said section, 1216.78 feet to the centerline of County Trunk Highway "N"; thence S76 °47'47 "E, along said centerline, 1354.82 feet to the east line of said SW % of the SE %; thence S00 °07'02 "W, along said east line, 897.02 feet to the south line of the SE %; thence S89 °33'25 "W, along said south line, 1326.80 feet to the point of beginning. 14 . T ... ■ r ■ n 1414 • I II , 1 1 1 1 11 I 111 [ID011111111111 ti i z 1'111111 yllj { 4 It�o ,, 1„ . �n 1101 ,I1 • w 111 i1I+1 11 ,I,�+l S II I li 1 I 111 _§ I II ��� ,I, t i n x I I' . .11M IIIIIIIIIIIIIIII, , I I ' : I ' ■ ®■ �' II � f [] ® ii 1 I I ns= I ❑ ❑ Mil. F , 6. 14" raw ❑❑ ■! i , i .......4 , 15 a D I 0 ,,, l'iLan . 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F , 5 391 � ip N 1 4 NMI. =1039.00 LEM.PEtuave 3 - F� 3/P12j.ili lS i a y^ ( .0 10 I I %• / DELYIPATMN SW COMM C _ - _ _ WJ3E 15, ... 1 Loom SECSECTION, A0. 124.12 MA .. -. N5T / ]�" - - _NanU2SE 1314.1401 213,72 (1 2A6. ]ER1Y J N.P MOM FJS E l f i ......039 y B iMm I / WW WANT -��� I p - t tu re Q • T rflPl DRAINAGE FA6ENEM RECORDED IN DOG. M).NM21,. ...1_ t om S 'SAMANE9MIIJ R L�.� SINCORIWA - ._ ._*.• NB9 ° 50'23 °E 7318 MSC 3989'33' 0 y - - - -. - 1 sFEnoKW N19'307PFU16S6 ... .... 1326.ao' � � �n T -SNNAO IVRNASOUT 19 ORMMSENENT9 1 UCUFP�IL�II''DD L S'-:' r LOCATED STINEENOOF I � r NOTE: CED NO PC. E UR BURIED CABLES ARE TO BE PACED SVCS SCHWALM ORIVE CONTAINED OVnOT 2 PUTTED FORM LOCATION ' TM' THE INSTALLATION WOULD DMIUNSRVE`, WDIIN THE WGNIMF-WAY AND OFTNE COYYOK SEPTIC M M OF LINOS IMINWDBY IE MAAE, OR OBSTRUCT MSION ALONG AM ILL LOT UNE OR W SERENOVEO ATT1NE OF LOWS 7,1,1,10 III. OMENS OF SAID 1 NATURALLY OCCURRING YA NNE LOTS MALL HAVE COWAN AND DUAL ' BNY ME OISNANN7IC E OF ASMIV SIAM U ROM 6IIEN6WK OMAN, IN SAID OUROT E 1�� PUNUCTAWATFRME WISCONSIN ISAMOUTMMBFSECEONN SOF _ SUBJECT tOTNEWNCOMNN WMCONSIM FOR S.IR IOFPUB IUEFASFE , B ODI HEREIN PUBLIC IRUMOOCIRN! Al ATE SOUL EFORTMIKNC TO ND THE COWAN CACHLO SUM O 18 I \ UNITING SERVE TPUBUHE AREA IITIUTIE$HAVIMO1N ERpNTTO UESMNEDPoR L OT/IR OII I 1'I SERVE T TOMB E BEDROOM LOT MOSS 139 I �� rDA18pRp MOSS Al EACH STATE, NO COMMAND THIS MAP I IS TO TOWNSHIP LAM MOM ULA II NS NE, APUWU ANO 1 ACCESS I MNB RE, WEnA AFORE PURCHASING Y OR E j DEVELOPING N A PARCE EETC•I. OF CONTACT T F ST. CROIX COUNTY PARCEL OFFICE LINOTHEOMCOUMTV20MNOOFWCEANO APPROPRIATE NOTED TOWN SOARD FOR NOM PER ST. owl muN1Y, LOWS 10.11MAINE SUBJECT O TONHOREIA NNO CONTACT MG AI OFFICE PRIOR TO SLALOM ON MO LOTS TO M OEIERNONE MOM RE MANENT& A SCALE IN FEET 1" = 100' iffligielieel 100 0 100 200 SHEET 2 OF 3 SHEETS TM9INMRUNEM OARED BYNEMMPEED JOB CbM DATE N•ISO7 .. .• _ TRANSMISSION 01 +^, �),� TX/RX NO CONNECTION 'PDT 1� \O CONNECTION ST. TIME , ^ / USAGE T x PGS . SENT ' z i /� RESULT ,; =`` 1 // __y:..)__)1- _ i CSC f c• Safoty end Buildings Divsion County 1 ± C t 201 W, Waon Ave.OBox 7 162 1. IU 11 N Madison, WI 53707 -7162 /��(� �by Co.) • 1 Doptatmiant _ I Sand' Permit Applicalaon it In accordance with s. Comm. 83.21(23'�is. Adm. Coda, submission of this form t9 the apptopriat goverOmental ! % - mit is required prior to obtaining a sinus* pormit Note: Application farms for staic-owned. POWIS WZ Ptojoct AAd et��ss Offdiffeseat than mailing ■ddtres) submitted m the Departmcd of Camino. Personal information you Provide may be used for secondary purposes in accordance with the y Law, 3.15.04(1)(m), Sian. z L ppcatlplliou Knformation - Pleaie Print All Information _ _ . `� f / L ) • • Property °waves Florae � " Panel # oar2 Property Owner's N Q� a l er' Mailing AdAdder= . i i ; ' 1 1 " Property Loon f .) j3 (o �F 1 I/ �'F�, �EFIEE.E.��� ■ v f li� � . t, !►n. L _ Y GaK. T O `j1/ 2/ e • City slate i / ■ > p P5-..•` "" P �F • �� • . K o , (�J 116124,(N......) . 1 An - © T ,_ - orcil • IL Type' Of Bai[ding (cheek aU sisq aPP1 Z k( Subdivision Name ' %� —a t or 2 Family Dwelling Nu ling - mber of iiedmo 11: �; . V ' 73 # - Z Zzitiera w;s57twf-X2L ❑ Publie/Coarmareial - Desedbo Use _ ) ❑ City of • � 1 CSM Number ❑ V'llagoof ❑ State Owned •' bascule Use own of Te • - III. Type f Permit: (Cheep only bun box on line A. Complete line B if applicable) A sw System ❑ Rep tut* S D Ire entillolding Wilt Replaeerocmt Only ❑ Other Modification to a8 System(explain) L I - 11 List Previous Permit Mandan and Dec lamed mir S. ❑ Pa Renewal ❑ Perri t Revision ❑ Cleave of Plumber ❑ Permit Transfer to New Before Expiration 1 • • Owner IV. T °I)W7<'S 8 ateudCoul ' oamt/Device: Check a0l that a 1 • ■ / p•r7/7 !- • r , /7J % M 7 r--s�� Site/L.- i 1p.(3rOUad 0 Plessurized In- Ground S. AtwOrade ❑ wDd? in. �� Of suitable soil 0 Mound < 24 in of suitable soil (3 1,)( 9U 1 Other DiapasaliComponcnt (explain) 1 ^ bCl� Pretreatment Devine (exp>ain� '' t Area xnfbrmation : �� v Soil Application Rate(s1Pd� Dispersal Area Requited (af) Dispersal Area Proposed (3f) $41012 ' ,,e,...5.... g Q� j. /� rS =x • Capacity in 'Total *of $ Editing Mali 1 _ Gall®s WO g j 1 E ' , . >C Mil . 0911 - allm9045PooMbilltY far Imtdlatlou Of the POWTS ah"12 the attaehed plat■■. - R_- s 62-0 -11-nq -bto-g30 30. 29.1 q. 362:7 CONTRACTORS/CONTACTS LIST (Lot co - Cottonwood South) Re.C°1° OCR 2 2009 Lot Owner /Applicant � ,,,;� oN c∎foO G 8,z Q i e s /)1a."--1c ' be: ,1 Nolke e General Contractor ,4 e' eft C .-� 7 A-, ex L'" Excavating Contractor 0/0 "" CXCmv/a-t;, gied5e 60 7 Erosion Control Contractor Niia&es- 4)7 Septic System Contractor / 4.14 e p &ill f /t/;.?4, Well Contractor ,J +':1 61 e l/ �el/ 1),1' rSz jr ei� / 4 1 Ecopy _Al SAMPLE PROJECT NARRATIVE (Lot !p - Cottonwood South) Written Description and Request: The project site is located on Lot _ within the Cottonwood South Subdivision located in Section 36, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin. The project will include the construction of a single residential driveway and activities associated with the construction of a private single family residence. A private well and private septic (system or service line) will also be installed for this residence. The project will include the disturbance of more than 10,000 s.f. within the 1000 fl of the Ordinary High Water Mark (OHWM) of a navigable waterway /pond. This submittal is a requirement of a consolidated special exception permit that was granted in March of 2008 for all lots within the Cottonwood South Subdivision. A site lan has been developed p for this lot and ' p d is included for review (see attached plan). The stormwater management plan for this lot was previously submitted, approved and implemented with the overall development of the Cottonwood South Subdivision. A copy of the Stormwater Management Plan and associated calculations should be on file with the St. Croix County Zoning Department and the Land & Water Conservation Department. No additional stormwater management is required for this lot to meet the county stormwater requirements or the performance standards described in NR 151. Stormwater ponds were constructed as part of the original development to treat runoff from individual homesites rior to discharging m g g to existing waterways /ponds. Drainage easements have been established for all drainage ways and ponding areas necessary for stormwater management and their locations can be found on the plat of Cottonwood South. Approximate Construction Schedule: From: To: Month/Yr Month/Yr 09 // — 0? - Initial Erosion Control Installation •Silt Fence & Tracking Pad - Initial Site Rough Grading/Building Excavation -Rough Grade Driveway /L (:)1/_ 3 — OZ9/0 - Construct House - Gravel Driveway - Continuous Maintenance of Erosion Control Devices // " d d�� i • t Grading - nal rosion Control Installation •Erosion Mat (or Sod) & Seed/Mulch, as required 5 7 0 `b - Remove temporary erosion control devices once a minimum of 70% vegetation has been established on the entire site CHECKLIST (Lot - Cottonwood South) Submittal Documents Er Copy of Warranty Deed. Pf Copy of Sanitary and Building Permit (if issued). C�t Narrative. Lr Contractor's List. Er Site Plan. ErPreconstruction Notice. ❑ $100 application fee. ❑ $300 cash compliance deposit. e Photographs of the site following the completion of construction. Site Plan — General Requirements El dimensions, easements, and setbacks. 12' Location of all existing and proposed structures. 13' Location of all existing and proposed POWTS, wells, driveways, trees and other features. Er Location of navigable waters, OHWM, and highwatcr elevations associated with storm ponds. Site Plan — Erosion Control "Silt fence installed on the downslope side to intercept runoff from disturbed areas of the site including the septic system and stockpiles of materials. Existing vegetative buffers may be sed in lieu of silt fence depending upon site conditions. larpevices installed to protect existing trees. 2 Ditch checks/silt fence installed to protect road ditch and culvert as needed. Pf Vehicle tracking pad - driveway entrance. 12( Proposed direction of surface flow upon final site grading. Er Winter Cessation plan/temporary seeding (if applicable). Site Parameters/Limitations *A separate permits) may be required by St. Croix County Planning and Zoning Department and/or the WI DNR if construction on an individual lot includes any of the following: ❑ >1 Acre of total disturbed area on the site. ❑ >10,000 sq. ft. of disturbed area within 75' of the OHWM. ❑ >12% of the lot area consists of impervious surface (Additional stormwater analysis may be required to demonstrate that existing stonnwater facilities are sufficient). ❑ Any activities that would require a deviation from the original stormwater management plan recorded for the overall development of Cottonwood South. w .�, _ f ib q g"" _• . __ _. ;�,q0 ,,. Illy ...,,, CO t'� 1 ■ ter. . anr. •ew ..� 2_ ;J:i CO i r.y a 4 11.3 Y .......,. - _ 65.70, ........... z ' Lti A 3 p..i i ............ s •..�. i 41=1 Z .sua..aal.as �Aa. �� f..�r 0 ... ........... .cv E .S. f7 WEL / . „... r , ,.....,,, ..... „z. .. ___ _ 7 a b 1 1 goose r,if 0 i zee Acres Q mac. 'S 8 SO. �' NOR r p z i II1 vii. • • ears s • SM. • s ~I i 1. ••••• • • ••••• i 4 •Ml• • • wow s 4 saw. s • ..... ..-- i ii k ....., . mod* .._........_.1.,_ •• ,� -fay 200. U tom 6 c7,00 acre$ .......m..- 200.75' Z12.i,8 f T"H UNE OF THE SEII4 1 i - — > \ \ '\ ow ( III!' I LL I _ g ( 'x I o --- --_---, — / / / / 1 f I t 1 \ \ \ \ is i 'Tr y \ r �' .o,.5►ONO �' t �, �,_, V - . A z e�'� mot _ �� � . 1 4 ( , —_ – �_ LBO =1041.0 —19 / � «� .'�. V / Leo,= TOato' I x \ • • N- C ) 2i i R1 754 &KWJI 1 \ '+re i `� \ e f \ � -- SETBACK i \ \ 1,' '\ \ \ \ -./ \ A ) / `\ - ) j • \ 1 ' `S 4.- ir x \ K '.x 24 A I LBO io 3B.o / \ ' -' / \ ` 20 • � \ • _/ \ \ \ I Y. '� 1 10 . 1042 .0 \ \ � _ ~ \ X' 11 r1___ j / . .:. -;Iob , v ��\ \\ 21 4 22v A 23 \\ 1 I Leo =1042A • — 1 i \ \ \ UIFILTMT \ / 1 1 \ \ \ \ N V "- I .° ` \ j \\ a �► i • .) ��� � � � \\ � � \I c \ \ � �' � L / � i iii / I POND S �1 _ * y \ \` I a 1 / „ \ r.�� Palms -`- / . NWI =103SS I b NIIIL=1W9A ! 1 \ 5 , ,, , I I (/ HONE /, u° „ „ I •t I � - , ' i 7 \ u, A i c irE✓ I \. \ \ 0- 1 I I I �toc�» 1 ��I ioc 1 1 1 �I 1 � 1 1 �� \ v / o ,l \ I I ,, 1 1i1 I \j I \ i : 11 of II iii m I N 1 ' 12 \\.\ 1 LB0 =1046A I I I Z 9 LBO -- y I 1 % / = 1043 5 1 I I 1 6 I I I = ' � I ` e „ ' / v � . _ , _ _ _ r • COMMON • y ' I I I LB0= 1043.0 I • I I 15 I %'3 /. 1 3 1 L � • 'SEPTIC _ \ I I I I I $ L Le0= 1043.0 I I I 11 I =1= _ = ' QUTLOT2 I III g \ I II --I /% I e a II 1� / 14 NN — �-- — uo= TOa3 - - - - �_ I11 I 13 L LEi : � A I\ \ \ 11 1\ � _ __ _ — 1---•1 + _ ? LBO 113046.0 a I1 r i \ \ \ \ - j /Jf .7.---- N POND 7 -- - - _-- ~ ■ \ \ � , \\ l ! _ 1 75FT B _ W L 1889.0 _ 11) \ SETBACK 1 co . e ____ ,:mnt.‘..... i s :-...., _ \ .............4-- ------._.. _____-_--.-• , . � — — - -- _ t — y 0 ; LEGEND / — NOTES: EXISTING LOFT CON - 1. INSTALL EROSION MAT ON 4:1 SIDE SLOPES OR GREATER AS PER 0 — — TOURS EROSION MAT TO BE WISDOT CLASS 1 TYPE B OR APPROVED EQUAL. ce / EXISTING 2FT CONTOURS 2. TO BE INSTAU.ED ON THE DOWNSLOPE SIDE TO INTERCE W THE SITE. ADDITIONAL SILT FENCE MAY BE REQUIRED ARC `� APPRO90MATE AREAS SEE DETAIL SHEET 3 FOR SILT FENCE INSTALLATION. cn Ln N. � {ACTUAL HOUSE LOCATION LOCATION VARY) 3 INSTALL SEDIMENT LOGS AT CULVERT INLETS AND ANY OTHER LOCA1 N SEE DETAIL SHEET 3 FOR SEDIMENT LOG INSTALLATION. CONSTRUCTION VEHICULAR 4. SEEDING AND MULCHING ARE REQUIRED ON ALL DISTURBED AREAS Al o TRACKING PAD TO SECTION 627 MULCHING AND SECTION 630 SEEDING OF THE STAT Q STANDARD SPECIFICATIONS SEED MIXTURE NUMBER 20 SHALL BE U: 75FT ORDINARY HIGH APPROVAL BY THE ENGINEER. TEMPORARY SEED SHOULD BE APPUEI o �� a WATER MARK BUFFER EXTENDS PAST SEPTEMBER 1ST OF ANNUAL RYEGRASS AND OATS AT _ POUNDS PER 1000 SF. OF AREA AND LEFT OVER WINTER. PERMANE i ■ COMPLETED THE FOLLOWING SPRING. IF TEMPORARY SEEDING CANNO'� oN 100 YR HIGH WATER UNE BEFORE WINTER FREEZE UP THEN ALL DISTURBED AREAS WLL BE MUI 120 POUNDS PER 1000 S.F. F. AND PERMANENT SEEDING SHA BE CON d DRAINAGE EASEMENT - FOLLOWING SPRING. LBO =X100LX LOWEST BUILDING OPENING ELEVATION 5 INSTALL 3 FOR � V Q Iq L RAQ (INO PAD INSTALLATION. AS SNi ff 1 ce / I I 1 \ \` ■ o \ \ \ \ I Q ao4 _ m r �f I \ \k\ ( l _ LOT 023 I W --- 1 I X. 1 \� ..�. ,ata.�.. �. ao T 1 G@ j ■ ! ` Nrv, NIYyr \ ce 1 L _ X _ J / / / I f_ �„ _ m b' m m / x I \ C' __i t om _ ,/ 1 1 1 I 1 \ \ , _ I _3 i 1 , ( ) ' ( WV. L------,...A. 130_705 l. \ \ A I/ �'` ,7„,,,, \ \ ., � L` I r / r X, a € o o ego D 1 1 I / \ \ � \���\ POND a J \ _� / S+ \ / / /�. ./ \ \ „....„,............,z__,,./2 \ I _ /_, �� 4„..„-A � • I r1 V 1 �, /, � . ' . _1 i m—___ A Rte= 1050 ' �� A 3 1 . 1 w ,....\\ ; v y \ , —� -� — 1 f__ J1 • / 1, / 3 / / _. 1� I \ \ ` 7` --� — mi > , --- .. i — C--:_ - _ - — , I/ ..1 tri 1\ , / — 5 Wit .. _ — � . _ �.�.> c° \ I \ L00 =1046.9 __ • -- • -�_ _~ _ ,. _ /� \ 7SFTO.H 'SETBACK M — V' ' Q pil \ \ I \ \ \ \ ` / � � 7 z Z z J \ \ \ \ \ \ \ , 1 -- � ' / / z / O o 11 .\ / \ \ \ \ \ 11 � '' i � � /' i--Q N W XISTING WATER \ E NWL =1044.0 .. _/ --- / / W Cii %\ \ \ \ \. \ \ \ \ I I r / J X = J 1 W I- 0 Q TAILS ON SHEET 3. _...1 x Ct UNLESS OTHERWISE U O O. ; 'T RUNOFF FROM DISTURBED Seed ° AND sEPnc AND STOCKPILE Mi Areas of Use Mixture W f.: O ores AS NEEDED. Number Species Proportions Seeding Rate a O Kentucky Blu O o D SHALL CONFORM � , dry, well–drained, Hard Fescue 5 3 Ibs/ 1000 sq.ft OF WISCONSIN DOT 20 sandy, or gravelly sods 24 OR 1— 0 R and high cut do fill slopes Tail Fescue 40 130 Ibs /acre = -D. UNLESS PRIOR IF NSTRUCn R g open W Z g THE RA OF 5 Perennial Ryegrass 30 T�INP ALL BE Z y LETTEDATHE RATE OF • J O YN. SEE DETAIL SCALE: CO U pH 43 s te 200 SHEET P41