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020-1479-20-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 579015 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: Moore, Steven D. & Fa Peterson Hudson, Town of 020-1479-20-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 9 3. ~!7 Z'60-1 T"L 36.29.19.3041 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ` Benchmark i • Q 163, c03 • g I Dosing Alt. BM f; a,*, / #67 ~61, q~ Aeration Bldg. Sewer [p 7 (o, 3 Ex. ~ r ~ L Holding St/Ht Inlet St/Ht Outlet `m -I G TANK SETBACK INFORMATION TANK TO P/L WELL IBLDG. Vent to Air Intake ROAD Dt Inlet Septic ; Dt Bottom Z Dosing Header/Man. f b • Z `l3 IL5 Aeration S. Pipe Z- °f 3 , Z Holding Bot. System / Z. 9Z Z q, 95 PUMP/SIPHON INFORMATION Final Grade cl .7 Manufacturer Demand St Cover ~6!• $J GPM (rr Model Numb ol~ I G /i ~a3 ? , 3• g~ os- TDH Lift Friction Loss System H TDH Ft ~w~2. 8J 1-3 /'ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM 13EDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside D' Liquid Depth DIMENSIONS 3 ~LiL Z eK SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: F r ~6. INFORMATION CHAMBER OR r Type Of System: ; 61 71 UNIT Model Nu ber: a f av oe,- e v4 S DISTRIBUTION SYSTEM l I e; Z3 k Z YEo 0L Header/Manifo d t I Distribution x Hol Size x Hole Spacing Vent to Ai Intake Pipe(s) Dia T Length Dia Spacing Length 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 Bedfrrench Center 7-7 1 Bedfrrench Edges Topsoil \ Y, O No es No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:1/ 15/ Inspection #2: Location: 613 Schwalen Court Hudson, WI 54016 (SE 1/4 SW 1/4 36 T29N R19W) Cottonwood South '07 Lot 20 Parcel No 36.29.19.3041 1.) Alt BM Description = Ale,,-,j Ioz L It-6 Le, i ~5A ~C 2.) Bldg sewer length - amount of cover = Plan revision Required? 91 Yes No Use other side for additional information. V w 1~ 1---/ Date Insepctor' Signatu Cert. No. SBD-6710 (R.3197) County Safety and Buildings Division x K 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co ) C)UtA TY Madison, Wl 53707-7 2 1 C rt~ Sanitary Permit Application State Transaction Numb In accordance with SPS 38321(2), Wis. Adm Code, submission of this form to the appropriate governmental twit is required prior to obtaining a sanitary permit Note: Application forms for stale-owned POWTS are submitted to Project Address (if different than mailing address) the Purposes in of Safety and Professions] 1s. Personal information you provide may be used for secondary n acc3-d-- with the Pri Law, , s s. . 15. 1 m , Stats. L+✓~y L Application Information - Please Print All Information -5 Property Owner's Name Parcel d~ - -I D . Property Owner's Mailing Address Property Location City, State Zip Code Phone Number t'ZWyr. Sccuon II ype of Building (check all that apply Lot # T Z7 N; R~ or W 2 Family Dwelling-Number of 77-0 Subdivision Name ~4Cf~ Block# v ❑ Public/Cototnerciai -Describe Use city of ❑ State Owned - Describe Use CSM Number ❑ Village of cell =1 2 ,5 t~ 7 t 25 Town of III. Type of Permit: (Check o ly ne box on line A. Complete line B if applicable) A. ew System lacement System El Treatment/Holding Tank Replacement Only 7❑ 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 3T Bcforc Expiration Ownaer ~f -Type of POW"TS S stom/Com onent/Device: Check all that apply) ' L P-41 - 1, Non-Pressuized In-Ground ❑ Pressurized 111-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil of ' gg Tiai9tc Dispersal Component (explain) Ell Pretreatment Device (explain) u's V. Dis rsanrea ent Area Information: Design Flow (gpd) Design Soil Application Ratc(gp f} Dispersal Area Required (sf) Dis ersal Area Proposed System Elev on VL Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units New Tanks Existing Tanis m 2 U = Zr o.. U M ~ :z. Septic or Holding Tank Dosing Chamber VII. Responsibility Statemen I the undersigned, assn r usibility for installation of the POW'TS shown on the attached plans Plumber's amc (Print) Plum ature MP/MI'RS Number Business Phone Num r Plumber's Address (Street, City, State, Zip Code / ry Vff 1 Countv/De artment Use Only A roved Permit Fee Date sued Issuing I Signature PP Reason for Denial $ l7✓ • I IX Conditi sons for Disapproval \ /k/ . 1 I ~ 6 r Se , ellhnnt /1 dismal c4f MUst all bJ s®f~tlees I Maintained J A as p!tManadement plant provided by plumber. entsmtirst be;tnaintalned 2. AN as PK41100~ cis i ordinanm. Attach to cnmptae puss for the system and submit to the County only oa paper not less than a it z 11 inches in six, SBD-6398 (R 11/11) , Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 7/6/15 Owner: Steven Moore Location: SE /4 SW1/4 S36 T29 N,R19 613 Schwalen Court Hudson Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintkanntinge ncy Plan 7. UtilizatiTank Form Signature License n PLOT PLAN PROJECT Steven Moore ADDRESS 613 Schwalen Court Hudson Wi 54016 SE 1/4 SW 1/4S 36 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX SYSTEM ELEVATION 93.0/92.8 6.5' below grade 7/6/15 BEDROOM 4 DATE CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK 1250 LIFT TANK SIZE DOSE TANK SIZE MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 933 # of chambers 46 BENCHMARK V.R.P. Top of ST cover ASSUME ELEVATION Filter PolyLok 101.85' ❑ BOREHOLE O WELL * H. R. P. SE corner of property All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 3 Bedroom House! Scale = 1/4" = 10' 30' S B.M.* Schwalen Court B-1 92' alve 60' 24' 5' 40B-2 2-3' X 94' cells with >3' spacing 2% Slope Vents 35' B-3 63' 221' Vent >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 12" 5.6f02/pair of end caps 4' Long T t 3 Grade at System Elevation 4„ Road PLOT PLAN PROJECT Steven Moore ADDRESS 613 Schwalen Court Hudson Wi 54016 SE '1/4 SW 1/4S 36 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX SYSTEM ELEVATION 93.0/92.8 6.5' below grade DATE 7/6/15 BEDROOM 4 CONVENTIONAL XXXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK I MOUND SEPTIC TANK SIZE 1250 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 933 # of chambers 46 BENCHMARK V.R.P. Top of ST cover ASSUME ELEVATION Filter PolyLok 101.85' ❑ BOREHOLE O WELL *H.R.P. SE corner of property All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 3 Bedroom House! Scale = 1/4'1 = 10' 30' S B.M.* Schwalen Court B-1 92' alve 60' 24' 5' 40B-2 2-3' X 94' cells with >3' spacing 2% Slope Vents 35' B-3 63' 221' Vent >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps 4' Long 12" Grade at System Elevation 34" Road Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5.6ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 100.0' Vent A91 Grade Vent 3' 4" 3' A~30/34 Septic Tank 5' Long 111 5 5' Lon g 197 Grade at System Elevation 36" Grade at System Elevation Spacing 5' 2-3' X 94' Cells Same on other end Observation tubeNent At end of cell A B 23 chambers per cell System elevations: A 93.0' B 92.8' r POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Tank Manufacturer: ❑ NA Permit # Septic ❑ Dose ❑ Holding Volume: (gal) DESIGN PARAMETERS Tank Manufacturer: ;KNA Number of Bedrooms: ❑ NA ❑ Septic ❑ Dose ❑ Holding Volume: (gal) Number of Public Facility Units: Vertical Distance Tank Bottom(s) to Service Pad: (ft) Estimated (average) Flow : (gal/day) Horizontal Distance Tank(s) to Service Pad: (ft) Specific servicing mechanics must be provided if vertical is >15 feet or Design (peak) Row = (estimated x 1.5): (J (gallday) if horizontal is >150 feet. Specific instructions to be provided on back. In Situ Soil Application Rate: o (gaVdaytW) Effluent Filter Manufacturer: OO A Standard (Domestic) influent/Effluent Monthly average Effluent Filter Model;, Fats, Oil & Grease (FOG) 5_30 mg/L Pump Manufacturer: Biochemical Oxygen Demand (BODs) s220 mg/L ❑ NA (NA Total Suspended Solids (TSS) s150 me Pump Model: High Strength Influent/Effluent Monthly average Pretreatment Unit (FOG) >30 mg/L Manufacturer. (BODs) >220 mg/L NA ❑ Mechanical Aeration ❑ Peat Filter (TSS) >150 mg/L ❑ Disinfection ❑ Wetland ❑ Other: Pretreated Effluent Monthly average ❑ Sand/Gravel Filter (BODs) 5,30 mg/L Soil Absorption System (TSS) 5530 m Fecal Coliform (geometric mean) 510` 9/L In-Ground (gravity) ❑ In-Ground (pressure) [I NA Grade ❑ mound Maximum Effluent Particle Size '/s in dia. ❑ NA ❑ Drip-Line ❑ Other: Other. ❑ NA Other. ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Pump out contents of tank(s) When combined sludge and scum equals one-third ()k) of tank volume ❑ hen the high water alarm is activated Inspect condition of tank(s) At least once every: ❑ year(s month()s) (Maximum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: month(ear(s)s) (Maximum 3 years) 0 NA 13 ,M- Clean effluent filter At least once eve Q month(s) El NA rY~ ~ `yz=ar(s) Inspect pump, pump controls alarm At least once every: [I month(s) [I NA ❑ year(s) . ry: p month(s) F1 NA Flush laterals and pressure test At least once eve Other: At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The soil absorption system shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator (pumper) and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code: All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 5_12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. GMW-005 (02/05) Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals or sediment that may impede the treatment process and/or damage the soil absorption system. If high concentrations are detected have the contents of the tank(s) removed by a Septage Servicing Operator (pumper) prior to use. Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these conditions is not recommended, as the excess wastewater will be=discharged to the soil absorption system in one large dose Causing an overload that may result in the backup or surface discharge of effluent and damage to the system. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator (pumper) prior to restoring power to the pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank. System start up shall not occur when soil conditions are frozen at the infiltrative surface. Do not drive or park vehicles over tanks or the soil absorption system. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the treatment tanks and soil absorption system: acids, antibiotics, baby wipes, -cigarette''butts, condoms, cotton swabs, degreasers, dental floss, diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat scraps, medications, oils, painting products, pesticides, sani4ry napkins, solvents, tampons, and water softener brine discharge. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with s. Comm 83.33, Wisconsin Administrative Code: • All piping to tanks, pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator (pumper). • After pumping, all tanks and pits shall be excavated and removed or their Covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at the time of their permit issuance. ❑ A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort. ite has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE. ADDITIONAL INSTRUCTIONS: POWTS INSTALLER POWTS MAINTAINER Name Name fr/ Phone Phone SEPTAGE SERVICING OPERATO PUMPER LOCAL REGULATORY AUTHORITY Name Name Phone Phone This document was drafted by the staffs of the Green Lake, Marquette and Waushara County POWTS regulatory agencies in compliance with sections Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) 8 (3), Wisconsin Administrative Code. • I s~• CRolx CERTIPr COUNTY ZONING OPPICE FOR UTILrZATiON OF T2ON STATEMENT AN EXISTING SEPTIC TANK to certify that I ~~'z-ving the ~ have inspected the septic t:a S - ~Section residence UC dtecl in - ~42:1-N, R t. ; Upon the dnk speCtion `L'over, and baffles to I certif r. f'unctionin be n good y that I have g Properly. r condition, and it a r`c}trrZCl r.aUt PPears to time "2-viced: ^ j 1) flow back occur ~ - Yes tom abso - No rption system ~pi~roximate - . (If no, ski volume or length of N nett Line). lt~ac:ity; f2So time: 0-1 gallon, construction: Prefab Concrete I"]diltlfacture.r: Steel (If known - other r'1~j e of nk (I!: known) : -(N-z-1vn le/ Please print - - (I'it1.e) (License Num^ber to be Cam Statutes) O Plated by lice Code) Licensed Disposer s(NI2 1 13 be' (s.145.06, Wiscc~r~s i n W _ - - _ 'w - Wisconsin Administrat:_ivP. L,aumber (applying for sanitar [ ri y Permit) Certi fication ; accepting the c:andition above statement conform 1 Certify that the t regarding existin the requirements o ank to the g Septic Lcn)( i. rt,;poct.ion opening f x be t c f my knawledcle wz LHR 83, W, l:t ver m. Code (except-. baffle) , Ad iv nr _ Signature -40~1z,j~ S'T'- CROVX t'OC1N'I' SEP'T'IC '1`t5r l~ ?VCAI h.('t :l?~tAl~`CI? ~ iCrlt_lE?Vll_?N.t, AND OWNFIZSljliy CER-TH 7(`A' 1('!N I'()RM C)wn~r/13ttyer Mailing -/Wciress Properly Address - - (Vertfication required ( "our Planning & `homing th"patt:nent lbr Ile w conshm"tioti) { ity/State _ _ - - l't3rrt;t Identi~t:~tcation ~lt.tr zl,ter ~ LEGAL, DESCRIPTIir)10i Property Lacatioz l~~__ r ~ o'/ , cc , '1' W, 'I'ml 0f Subdi,6sicrlt z Certified Suri,ey Map # Warranty Deed V"e:luttrc Pagt; " Spec house yes no Lo! lino; identr6ablc ve; nr,r SYSTEM NIAIIVTENANCE A.NI.) OWN Liz (FICAy I Improper use and rrraintenance of your septic system could result in its pr.~rrmtu.te f 11 e to handle wastes. Proper maintenance consists ofpurrrpirrg out the septic tails every three years or sooner, it needed, by a licensed pumper, What you put into the systern can affect the function of the septic tank as a treatment stage in the wasre disposal syst:errr. Owner inalntenance> responsibilities are specified ill §Connn. 83.52(1) and m Chapter 12 - St. Croix County Sanitzuy Ordinauce. Tbc property owner agrei,~s to submit to St. Croix County Plamring &z "/.on ing Departancrn it certification form, signed by iltc owner and by a master phmrber, journeyman plumber, restricted plumber or it licer;sed pumper verif}ping that. (1) thr: ou-site wastewater disposal system is in proper" operating condition and/or (2) after inspec<ion and pumping ('if necessary), the septic fame is less than 113 full of'sludge. l/we, the undersigned lravc read the above reyuirent cnis and at,tee to n-mirtam ilia private scwuge. disposal system with the standards set forth, herein, as set by the Departnient oi-Conrmercc and rho Depa*tmerrt of Natural Resources, State, oMisconsm. Certification stating that yoru septic system has been rnaintairred must be, complete land returned to the St. Croix County Planrriny -Zoning Department within 30 dav, of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our k uowledge. l/we am/are the owner(s) of ilre property described above, by virftrt, o a "I my deed recorded iu Register of Deets Office. NI xube drooins IGN OF AP D ATE, ***Any information that is misrepresented may result in the sanitary permit being o:voked by the .Planning & Zoning Depal7rnczrt. Y** Include with this application a recorded warranty deed from tare Register of Do ds ~--,fhce and it copy of the certified survey' mall, if reference is made in the warranty deed. (REV. 08105) 0 -kg 0 81 dN CP t r r IN f t ti~ ' f A A`A € f a 0 CM •a n m .r l 00 i AQ`SL 1 M.9Z.Zr_W A 111 _ ,91»389 33MS►JOS ; fiQ° L~ .9Z ',04~I r s°~ t t` .mm. SOIL EVALUATION REPORT P A #2006 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings ""eel's Soil Service Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distan nearest road. Parcel I.D. Please print all infonnatlon. G Pending Personal information you provide may be used for second O Rev' d By Dat ~ig1(+rtiJ~cy Law, s. 1 .04 (1) (m)). Property Owner 28 0(0 rope Location Bast, Kennon T ! 6 Govt. Lot na SE1/ , S /4, S36, T29N, R19W Property Owner's Mailing Address Block # Subd. N e or CSM# 948 Labarge Rd. O1XG0 2 na Cottonwood Ridge South City State Zip Code Phorfe umber Hudson ❑ City ❑ Village ❑ Town Nearest Road WI 54016 71 7775 Hudson C Rd N New Construction Use: © Residential J Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement Li Public or commercial - Describe; na Parent material outwash plains and stream terraces Flood plain elevation, if applicable na ft. General comments Conventional system, sytstem elevation 96.65ft. Trenches spaced and depth to code 3.50ft below grade. and recommendations: a Boring # ❑ Boring Pit Ground surface elev. 100.15 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Etr#1 'Eff#2 1 0-10 10yr3/1 none sil 2msbk mfr t5 if .6 .8 2 10-32 10yr4/4 none Sid 2msbk mfr gw na .4 .6 3 32-48 7.5yr4/4 none gr Is osg mvfr gw na .7 1.6 4 48-110 7.5yr4/6 none ms osg ml na na 7 1.6 ~lZ $ Boring # El Boring Pit Ground surface elev. 100.15 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~ 'Eff#1 'Eff/t2 1 0-8 10yr3/1 none sii 2msbk mfr cs 1vf .6 •8 2 8-30 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 30-47 7.5yr4/4 none sl 2msbk mfr gw na .6 1.0 4 47-78 7.5yr4/4 none gr Is/sl 059 mvfr gw na .6 1.0 5 78/110 7.5yr4/6 none ms osg ml na na .7 1.6 y Z' ` 7 • Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD - s s30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel k• 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 10/20/2006 715-760-0347 SBD-8330 (807100) Property Owner Bast, Keeton Parcel ID # pending Page 2 of 3 J h Boring # Boring ® Pit Ground surface elev. 98.45 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#f •Eff#2 1 0-10 10yr3/1 none sil 2msbk mfr Cs lvf .6 .8 2 10-31 10yr4/4 none Sid 2msbk mfr gw na .4 .6 3 31-42 7.5yr4/4 none gr Is osg mvfr gw na .7 1.6 4 42-78 7.5yr4/4 none Is osg mvfr gw na .7 1.6 5 78-110 7.5yr4/6 none ms osg ml na na .7 1.6 I ~ i Boring # Boring Pit Ground surface elev. ,17- S-- ft, Depth to limit' g factor 3 C7 in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fV in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#f •Eff#2 0-20 jw- ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#f •Efr#2 Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mgA- Effluent #2 = BODS < 30 mg/L and TSS - 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SED•8330 (P-07/00) Steel's Soil SeMce STEEL'S SOIL SERVICE 3 of 3 David J. Steel Kemon Bast 994200 th St. CST-POWTSM SE1/4,SW1/4,S36,T29N,R19W Baldwin, Wl 54002 Lic. #248956 Town of Hudson, St Croix Co. Direct 715-760-0347 Cottonwood Ridge South, Lot 20 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 I Top of 3/4" pvc pipe ` i • = Alt Benchmark Ele. 99.80 ft Top of 3/4" pvc pipe Borings Boring Elevations B1= 100.15 ft B2 = 100.15 ft B3 = 98.45 ft B4 = 0.00 ft f"'~ l y11Z ST CROIX COUNTY AA PLANNING & ZONING November 19, 2009 Kernon Bast c/o Edina Realty, Inc. 400 South 2nd Street Hudson, Wl 54016 Code Administration RE: Compliance deposit refunds for Cottonwood South '07 lots 715-386-4680 Section 36, Town of Hudson Land Information C Dear Mr. Bast: Planning 715-386-4674 I recently reviewed the Board of Adjustment Decision for the above subdivision while Real Properly, processing a sanitary permit application and noted that you have compliance deposits that 715-386.4677 may be eligible for refund. According to Condition #5: Recycling "The plan shall be accompanied by a $100 nonrefundable staff review fee and a cash 715-386-4675 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. S' ely, Pam Quinn Zoning Specialist Cc: Brian & Molly Hayes, lot 24 property owners Andre Buechner, lot 2 property owner ST. CRO/X COUNTY GOVERNMENT CENTER 1 101 CARM/CHAEL ROAD, HUDSON, W/ 54016 715386-4686 FAX PZ9CO. SAINT-CRO/X. W/. US W W W . C O. SAI NT-C ROIX. W I. U S r .Wiseonsi;i Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No ` INSPECTION REPORT 506345 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: Bast, Kernon Hudson, Town of CST BM Elev: Insp. BM Elev: BM Description: _ Section/Town/Range/Map No: / to. /5 9 - Z GS t 36.29.19. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic -Z~.. 1Z 5 D Benchmark /aQ ewIR9 SZS Alt. B ' Al, 5 /a/ ~ SSS Aeration Bldg. Sewer ,a.o qG- 35 Holding St/Ht Inlet I/. ~ qy. 9s St/Ht Outlet fps TANK SETBACK INFORMATION 7 TANK TO P/I. WELL BLDG. Vent to Air Intake ROAD Dt Inlet Dt Bottom y+ Septic W Dosing Header/Man. 3, TS Aeration Dist. Pipe 12 S .7 '73, $5 Holding Bot. System 13, 35 93 Final Grade Z. 160 .15 PUMP/SIPHON INFORMATION Manufacturer Demand St Cover lb1 , V5 GPM F. L LL J~ 7 Model Nl Ft TDH Lift Friction Loss Syste ad T Forcemain Leng ia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width 1 Length f No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid epth DIMENSIONS 3 qg Z SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: ~ F,~ [ INFORMATION ___;0t2r CHAMBER OR Typ Of System: , `ASK n /D / UNIT Model Num C.~•v11r/` ~ f ~'l/ ~T J CJL ~.J DISTRIBUTION SYSTEM ZZ X01 Z '`~0~~-, Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air tak / T Pipe(s) Z e~rd Length Dia Length Dia Spacing Q 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 Edges ` Topsoil p , 7N. Bed/Trench Center '7 , 15 l 1 COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 613 Schwalen Court Hudson, WI 54016 (SE 1/4 SW 1/4 36 T29N R19W)fCottonwood South '07 Lot 20 Parcel N 6.19x. 1.) Alt BM Description - / - j Q 2.) Bldg sewer length - amount of cover Plan revision Required? Yes No p~ ~i Use other side for additional information. l~ - Date Insepctor's gnature Cert. No. SBD-6710 (R.3/97) commerceml.gov Safety and Buildings Division County ~ I tiepartment r 201 W. Washington Ave., P.O. Box 7162 sc V n s n Madison, WI 53707-7162 S 'tary Permit Number (to be filled in by Coo of Commerce 3 ' Sanitary Permit Application State Transaction Number In accordance with s. Comm. 83.2 1O2, Wis. Adm. Code submission of this form to the appropriate e governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are Project Address (if different than mailing addr ) submitted to the Department of Commerce. Personal information you provide may be used for secondary u oses in accordance with the Privacy Law, s. 15.04 I m , Stats. 13 CJ? 1. Application Information - Please Print All Info Property Owner's Name RECEIVED Parcel # Property Owner's Mailing Address DEC 0 / 2007 Property Location 1 ~v ~0.bA r '401 Govt. Lot City, State Zip ode ST. CROI Mryber ~J y, y,, Section 3-( J L ON IN N C (circle on - AW T z~ N; R~_Eo(W J II. Type of Building (check all that apply) Lot # L'1 o~r 2 Family Dwelling- Number of Bedrooms U Subdivision Name CBlock # S ' ❑ Public/Commercial Descri Use ❑ City of ❑ State Owned-Describe Use CSM Number ❑ Village of Of h Ill. Type of 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 ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Own IV. T e ofPOWTS System/Component/Device: Check all that apply) on-Pressurized In-Ground ❑ Pressurized In-Ground At-Grade El MoLIrld 24 n, of suitable s y~ ~u < m. of ss~uit 1 tl ❑ Holding Tank ❑ Other Dispersal Component (explai QGZ~ 12L~.~' - v~rea nt D'evt" vice ex la V. Dispersal/Treatment Area Information: Desi n Flow (gpd) Design Soil Application Rate(gpdsf) s rsal Area Required (sf) Dispersal Area Pro osed (sf) stem Elevation VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units c 2 New Tanks Existing Tanks w c L o V ~ ~ m v % C7 ` y ai y y a U in A 0. Septic or Holding Tank Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number 71 OD 7/:s - 31' Plumber's Address (Street, City, State, Zip Code) /D 70 " * RcO 1-I-60 /L LJ Z. VI11. Count epartment Use Only Approved ❑ tsap Permit Fee Date Issued Issuing nt Signature ❑ wn rven Rea or Denial $ 12-171b 1 IX. Conditions of Approval/Reasons for Disapproval x 0 -2 I_r dl~j a.J Attach to complete I)Inns for the gystem d sub rt to County only o paper not es S 1/2 x 1 I inches in size ..fie SBD-6398 (R. 01/07) Valid thru 01/09 co en - !~'tmce.Wi.gOV Safety stud Buildings Division County I 201 W. Washington Ave., P, x 7162 S~G Ind , sco n s i n Madison, WI 53707 Sanitary Permit Number (to be filled in by Co.) Oo! Commerce _ 576 ca 3 445 Sanitary Perinit Application teTransacNonN r In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this Ibrin to the appropriate gove ental unit is required prior to obtaining a sanitary permit. Note: Application corms i'nr state-owned POW1 Project Address (if different thanmailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary u )oses in accordance with the Privacy Law, s. 15.041 m Stats. 1. Application Information Please Print All f ion lr0'3 J _ O_Avt Property Owner's Name arcel p fee-IL Property Owner's Mailing Address roperty Location City, State Zip Code hunt utnber A, Section SG irclc one} stl~J~C9.~ _ ~ydlC3~ T .a Typ Building (check all that apply) l a(~ op Lot or GIB Z Famr welting Numl,+pr of Bedrooms a~q Subdivision Name G 4 i s.r~. k Blcuk cCr7i- ~sv/ j ❑ Yublic/Comrnercia yescnbe Use , --t •i ❑ City of ❑ State Owned - Dcscritx Us Z5 1 CSM Number' ❑ Village of _T. Z sS~- Z5 ZS G+44 a Town of Ifl. Typr of Permit: (Check only o ox online A. Complete lice B if applicable) A. New S stem y ❑ Replacement Sy i ❑ Treatment/liol6og Tank Replacement Only C1 Other Muditication to Existing System (explain) R. ❑ Permit Renewal ❑ Permit Revision nye of Plumber ❑ Aetmit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. T) e of POWTS System/Component/Device.- Check all tt tl ANon-Pressurized In-Ground ❑ Pressurized In-Ground C At-Grade ound > 24 in. ofsuitable soil ❑ Mound < 24 in of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (cxplai>Y} alment Device (explain), N1. i rs a sal/Treatnrent Area Information: Design Flow (gpd) Design Soil Application Rate( s Dispersal Area Required (st) speisal Area Proposed (st) System Elevation VI. Tank Info Capacity Total N of anufacturer Gallo Gallons Units D u o New Tanks xistutg Tanks d c k[ gyp g I ~~R.. 1 0. U V7 Fn V; W Septic of Holding Tank (1 ( Ji JC t, Dosing Chamber VII. Responsibility Statement- 1, (blue ders Igned, assume responsibility for Installation ofthe POWTS shown on the ched plates. Plumber's Name (Print) Plumber's Signature M )MPRS Number Business Phone Number 00, t`« a( ~Gd ~sh~v-r G~~~ jr~ 7 .sue - 31.z~ Plumber's Address (Street, City, -State. Zip Code) \'1~ Cot fDe arum ent Use (3n1y~J KApproved O xappraved Permit Fee Date Islue Issuu:g ent Signature ❑ en Reason for it al S 1l5b' rO a~ -r- _ IX. Conditi$1,41%W_***easons for Disapl.roval 3~ 8,414- J/1t ~ 1. Septia fmtlt,. tarfkterlt flksr sod' / IEJ TD dkpersal cell must all be servloes / maintained w Mme; j yk a, 3 av~ a, c¢.., p n per management plan provided by plumber. r 2. AN aAbuck require ents must be maintained ~1 / t ordinsttc~. 7 e ----~-T- Attach to complele plans for tilt system and submit Sl the Co my iy oa paper Slot less than a 1 I I inches in tze ~ra: SBD-6398 (R. 01/07) Valid thru 01/09 ea- --,5 -Z= ~~7 r~GLf~ r 445P t f C% la r ~ ~ a~ s PREPARED FOR: COUNTY PLAT ~ERNON BASTANO DONALD COTTONWOOD SOUTH DONALD GEE MST 946 L.BARGE IjOPD HUDSON, WI54D19 ■ LOCATED IN PART OF THE OF SW7/4 OF THE SE1/4, IN PART OF THE SE1/4 OF THE SW1/4 AND PART URVEEYOR ry OF THE NE1/4 OF THE SW1/4 OF SECTION 36, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, S S RC. OM WISCONSIN; INCLUDING LOT 1 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME S. PAGE 1642. EDM NORTHIANO SURVEYING, INC. LOCATION SKETCH 6S6AHWV'66'1FO.BOX1a €'n LEGEND WI 54D23 Q~ ROBERTS, PHONE71S74s1718 A cax «v F-S-7<9-1]19 w$ pax n[a"x faxxvx m, wo • Ln' T$, `u.c`.•aox aE..a s.,, wE Cxxc ENGINEER -JOHNSON g? a..v, Lex. vex urvuxfoor NICAINC cx «c 92D ENLOE ST REET a HUDSOwlmol6 PHONE 153815277 71 5 3 81 -111 ¢ ` - - ~3 - x~. rv~oeEN«x ..ox I Hr 1 0 y, ~9 ox oa-- Iq' L - x«E E~.v,no« _7L° ' '~D SVd~~A`C~ _ x SECTION 36, T29N, R19W ~ ~ovuorumm~caooc~ I~ ' O<~IP ~DDu00ln7 j c~CJ4 0n16~i7C~©n[-d0D51t It 0:; f 1F 411 3S'C^1UU0Mn I - j 1 - --_L c ~ I I a \ aopD N77 UCX`I w owa a6' IOU-.ry xO~jUa:~T ]130C1OL; TgUNK HIGHW Y 4N° .uros,xuxo.rsoe. ruruxauv o.CVNNIMD 1M I wwx"E' / - ruvo,elewarfnaxe E a suu-norxemeeoxs,x = j PuoueTn; usr oocrxwe ~•'.,sr rnws N7 26 „~xfo s..~ 'wa a°ar4i W L - a am. o - ~t63o.66._ 19 _ ,wa warenxl,xX 9 Lxx.,,.,.ee I .;,eo a ! 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ERM9vR ` sn .sa ene -i .'sJ~ r - «w ,0..00 1 - waiERxuNwnYSWarExe m` "~r fs1 2, e„aes ;1m,ut .I OM.b s¢evM85. !xD ,oa. r C v$Y NWL.,NVm I.xwr.UeF !NL mi / - 1 /qM ' 4p N ~ I wnl~ sw eoxxex - sass i I - sass H !ors wa,.x sE r~ox se nessozre u,e_sn ri r se av w a xuru Exr xeeonoeo xooe.xa nms,. w,N.rf!"ASlwx, a sus coxxu V w.ov' I^wN 9 N60°60'23"E 1316.60 s scc, onx N69°3326°E 132. r-sx,vEV,vxxAeouf is ' "i «ore: e I5 loe,T¢oaT rxe OOOryia oR auwneules •xEro es vueeo 5ucx ~U ~I~`~j scxwalax oxrvE ECxOvxaf •,o vurtorxrurrEO fox lnE eaunox 1.. of,xs CONleo«sEVnc svsreu TOn uxos lxuxo..U sv sTaxEDR O 9Tau~max awvxa nxrwr ur"i[an poav ExrExsloN. r,wsov vu -ATIx¢,xea n awryvsrw` H-6 s1e i e.onoax WOOS.. X.. 1 ,I~1 X111 ,,..uvngssu~xpr ax.El,¢m.1.xaxox¢ xuxce- ox SCALE IN FEET 1" = 100 loo o too 200 SHEET 2 OF 3 SHEETS ' 'Wisconsin SOIL EVALUATION REPORT #2006 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings eel's Soil Service Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County 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 distanc nearest road. Parcel I.D. Pend'ng Please print all information. J~D Rev' ed By Dyat Personal information you provide may be used for second r ~s i cy Law, s. 1 .04 (1) (m)). /8 b( o Property Owner rope Location Bast, Kennon 61~ Govt. Lot na SE1! , SW /4, S36, T29N, R19W Property Owner's Mailing Address f~k Block # Subd. N e or CSM# 948 Labarge Rd. na Cottonwood Ridge South City State Zip Code Phor4s umber - City - Village E Town Nearest Road Hudson WI 54016 71 -7775 Hudson Cty Rd N i New Construction Use: - Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: na Parent material outwash plains and stream terraces Flood plain elevation, if applicable na ft. General comments Conventional system, sytstem elevation 96.65ft. Trenches spaced and depth to code 3.50ft below grade. and recommendations: - Boring # Boring Z Pit Ground surface elev. 100.15 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 0-10 10yr3/1 none sil 2msbk mfr Cs if .6 .8 2 10-32 10yr4/4 none sid 2msbk mfr gw na .4 .6 3 32-48 7.5yr4/4 none gr Is osg mvfr gw na .7 1.6 4 48-110 7.5yr4/6 none ms osg ml na na .7 1.6 j/Z S Boring # - Boring pit Ground surface elev. 100.15 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-8 10yr3/1 none sil 2msbk mfr Cs ivf .6 .8 2 8-30 10yr4/4 none Sid 2msbk mfr gw na .4 .6 3 30-47 7.5yr4/4 none sl 2msbk mfr gw na .6 1.0 4 47-78 7.5yr4/4 none gr Is/sl osg mvfr gw na .6 1.0 5 78/110 7.5yr4/6 none ms osg ml na na .7 1.6 G•49 Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 <.30 mg/L and TSS S.30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel C-0~ 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 10/20/2006 715-760-0347 SBD-8330 (R.07/00) Property Owner Bast, Kernon Parcel ID # Pending Page 2 of 3 Y ❑ Boring M Boring # 98.45 ft. Depth to limiting factor ❑ Pit Ground surface elev. 9 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 10-31 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 31-42 7.5yr4/4 none gr Is osg mvfr gw na .7 1.6 4 42-78 7.5yr4/4 none Is osg mvfr gw na .7 1.6 5 78-110 7.5yr4/6 none ms osg ml na na .7 1.6 'I ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 *Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 <150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07100) Steel's Soil Service STEEL'S SOIL SERVICE 3 of 3 David J. Steel Kemon 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 20 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 ~.c 1" = 40' ♦ = Benchmark Ele. 100.00 ft ~e Top of 3/4" pvc pipe • = Alt Benchmark Ele. 99.80 ft a So Top of 3/4" pvc pipe ❑ = Borings Boring Elevations B1 = 100.15 ft B2 = 100.15 ft B3 = 98.45 ft B4 = 0.00 ft ~ar !~f 5~ 0 ra y5 r" 6't. ~ ~ ESL ~ 1X39.7 ~ 10 337.9 X 1 i RA 0 • IN4L N ,I• i X j z 046.3 00 1U ' ~I f a I z z C) r- O i ~ I 10 8. ~ 1 I o I ' 3.46 Acres 150786 sq. A. 3.4 X 1038.5 LBO 1040. _ X 3.59 res 156247 .ft C.B.A. = 1. C. LBO=1040. 0 3 X 1036.2 1039.4 JG . 17 _ 20 ~ y 2.60 Acres y 2.84 113304 sq.ft i 123840 sq.ft C.B.A = 1.6 AC. 'x-2.39 Acres C. . = 2.8 AC. ~j LBO=1041.00 103959 sq. ft LBO=1 0 S7e-,32"E.C .B.A. = 1.7 AGE. v0-3 LBO=1042.00 M 1039 .0 C - 1036.4 - - ~p,~~ a ~p ®DEP BOPo DEP 15'i Q I t1VYL=1036.00 R OR' PON I ~I i \ 9S_ Ss` ~a 1 H%=1 1 -10 BORING PIT DEPTH 15' WET POND RING PIT DEP 8 1 X ~ZX t 1.39 FION Eay.. 'Lunn 1n_vo rl~t~r~u~o _ • - ST CROIX COUNTY Si:PTIC 'TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address aNA1` (Verification required from Planning Department for new construction) city/State /-44sa✓lParcel Identification Number LEGAL DESCRIPTION Property Location 1560 Sec. Sk • T Z-1 N-R-IF-w, Town of d Lot # Subdivision ebbbwop 3aV~N Certified Survey Map N i Volume , Page # Warranty Deed # , Volume , Page # Spec house A yes Q no Lot lines identifiable)z yes El no SYSTEM MAINTENANCE improper use and maintenanccof your septic system could result in cu premature fatlurc to handle wastes. Proper rnattttenancc consists of pumping our the septic tank crM three years or sooner, if needed by a bcensed pumper Whit 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 subrtut in St. Croix Zoning Department a. certification form, signed by the owner and by s mast.t plumber, journeyman plumber. restricted plumber or a licensed pamper verifying that (1) the on-site wasiewaterdisposal systern is in proper operating condition andiar (2) after inspccime and pumping (if necessary). the septic tank is less than 113 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. he at: set c Department of Cottmerce slid the Department of Natural Resources. State of wiseonsin Catificatton to the St. C rout County 'Lnnirtg Office within 30 stattrtF t r to system has been mains-wri .1 must be completed sand returned Clay -oft a cdocc. /Zo /eW7 DATE 5I A APPLICANT OWNER CERTIFICATION C ' y that all statements an this form ■re true to the best of my (our) knowledge I (we) am (arc) the owner(s) of t prope s 'b ov , by vtmuc of a %x arranry decd recorded in Register of Deeds Office. /fib / Zas7 Si ATU O APPLICANT DATE Any infornration that is mss-rcprescntcd may result to the sanitary perttire being revoked by the Zoning Deparnncnt. Include with this application: a stamped •varranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty decd 2 'd Z66G98ESTL uosugar. . uoseC dTT s T(] 6Q .'8Z '4ta0 8334 1 r=' KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX Co., WI STATE BAR OF WISCONSIN FORM 2- 2000 RECEIVED FOR RECORD WARRANTY DEED 08/30/2006 01:00PH Document Number WARRANTY DEED THIS DEED, made between Michael E. Larson and Joann L. Larson, EXEMPT if husband and wife, Grantor, and Kennon J. Bast and Donalda J. Speer-Bast, REC FEE: 13.00 husband and wife, Grantee. TRANS FEE: 2580.00 Grantor, for a valuable consideration, conveys and warrants to Grantee COPY FEE: CC FEE: the following described real estate in St. Croix County, State of Wisconsin: PAGES : 2 SEE ATTACHED EXHIBIT A Recording Area Name and Return Address: Edina Realty Title, Inc. 400 S. 2"d St. - Suite I IS Exceptions to warranties: Hudson, WI 54016 Easements, restrictions and rights-of-way of record, if any. 511203 040-1000-90-000 020-1109-60-000.. 020-1109-90-100 Parcel Identification Number (PIN) This is homestead property. Dated this 18th day of August, 2006. * Michael E. Larson T * J L. Larson AUTHENTICATION ACKNOWLEDGMENT Signature(s) r-.hgrl Br~~Vn STATE OF WISCONSIN ) . _ a.,.n ► P ubiiCsT. CROIX COUNTY. ) ss. authenticated this 18th day of August, 2006 . onSln State of VII ISM Personally came before me this August 18, 2006 the above named Michael E. Larson and Joann L. Larson, husband and * wife to me known to be the person(s) who executed the rument and acknowledged the same. t TITLE: MEMBER STATE BAR OF WISCONSIN foregoinAlWbIL, (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY *Cheri B wn Notary Public, State of Wisconsin Peterson, Fram & Bergman -Steven H. Bruns My commission 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 I of 2 EXHIBIT A A PARCEL OF LAND LOCATED IN PART OF THE NE %4 OF THE SW %4 AND PART OF THE SE OF THE SW '/4 OF SECTION 36, T29N, R19W, TOWN OF HUDSON, AND IN PART OF THE NE 14 OF THE NW '/4 OF SECTION 1, T28N, R19W, TOWN OF TROY, ALL IN ST. CROIX COUNTY, WISCONSIN; INCLUDING LOT 1 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 6, PAGE 1642 AT THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE; MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE S i/4 CORNER OF SAID SECTION 36 BEING THE N '/4 CORNER OF SAID SECTION 1; THENCE S00°26'27"E, ALONG THE NORTH-SOUTH'/4 LINE OF SAID SECTION 1, 24.00 FEET; THENCE N45°I8'02"W 34.02 FEET TO THE SOUTH LINE OF THE SW '/4 OF SAID SECTION 36; THENCE S89°50'23"W, ALONG SAID SOUTH LINE, 1268.60 FEET; THENCE N44°48'35"W 33.73 FEET TO THE WEST LINE OF THE E % OF THE SW '/4 OF SAID SECTION 36; THENCE N00°32'26"E, ALONG SAID WEST LINE, 1480.62 FEET TO THE CENTERLINE OF COUNTY TRUNK HIGHWAY "N" AND A PONIT ON A 1999.00 FOOT RADIUS CURVE, CONCAVE SOUTHERLY, WHOSE CENTRAL ANGLE MEASURES 2°43'02", WHOSE CHORD BEARS S79°16'37"E AND MEASURES 94.79 FEET; THENCE EASTERLY, ALONG THE ARC OF SAID CENTERLINE AND SAID CURVE, 94.80 FEET TO THE POINT OF TANGENCY; THENCE S77°55'06"E, ALONG SAID CENTERLINE, 967.65 FEET; THENCE S76°47'47"E, ALONG SAID CENTERLINE, 280.04 FEET TO THE NORTH-SOUTH '/4 LINE OF SAID SECTION 36; THENCE S00°27'05"W, ALONG LAST SAID '/4 LINE, 1216.78 FEET TO THE POINT OF BEGINNING. NOTE: Lot 1 of Certified Survey Map filed April 8, 1986 in Volume "6", page 1642, as Document No. 410755 is included in the above described lands. 2 of 2 t POWTS OWNER'S MANUAL ~ MANAGEMENT PLAN Page of ' FILE INFORMATION ~ Owner IM SPECIFICATIONS Septic Tank Capacity Perm it # $ C7 D NA gal II , Sepitic Tank Manufacturer es~t~ ❑ NA DESIGN umb PARAMETERS Effluent Filter Manufacturer [7 NA Number of Bedrooms Q Effluent Filter Made! to El NA Number of Public Facility Units fp p Tank Capacity - O w al 0 NA Estimated flow (avera ge) b 0 0 PUmp Tank Manufacturer \e- S e- fit, C NA Design flow (peak), (Estimated x 1,5) dO Pump Manufacturer jai/ a! Cs• 0'XJ d ❑ NA Soil Application Efate t Pump Model ❑ NA allda Jft Standard Influent/Effluent Quality Monthly aversoo Pretreatment unit _ ❑ NA Fats, Oil & Grease (FOG) i S30 mg/L .0 Sand/Gravel Filter 0 Peat Filter Biochemical Oxygen Demand ($OD6) j 6220 mgjL q NAB 17 Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :5150 mg/L 0 Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD,3) 530 mg/L 0 in-Ground (gravity) O In-Ground (pressurized) Total Suspended Solids (TSS) s30 mg/L 4 NA 0 At-©rede 0 Mound _ Fecal Coliform (geometric mean! x104 cful100ml 0 Drip-Una ❑ Other: Maximum Effluent Particle Size Y8 in dia. CI NA other: ❑ NA C3thsr; - _ Q NA G?thpr; ❑ NA 1"Jalues typical fcr dornestie wastewater and septic tank eft1wont. Other: 0 NA MAINTENANCE SCHEDULE Service Event Servllce Frequency pill, Inspect condition of tank(s) At least once ev month(s) ery' ~ QI[ veer(s) (Maximum 3 years! ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one-third 1'J) of tank volume 0 NA Inspect dispersal cell(s) At least once overy: ❑ month(s) X year(s) (Maximum 3 years) ❑ NA Clean effluent titter 0 month(s) At least once every; yearts) _ n NA Inspect pump, pump controls & alarm At least once every: O month(s) p NA 0 year(s) Flush laterals and pressure test 1 At least once every: 0 month(s) 0 NA ©year(s) Other. ❑ month(s) At least once every: © NA p year(s) Other. ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber: Master Plumber Restricted Sewer, PQWTS Inspector; PQWTS Maintainer; Septage Servicing Operator.. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. 1The dispersal ceilis) shall be visually inspected to chock the affluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority, Wheri the combined accumulation of sludge and scum in any tank equals one-third IY3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of S12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority -within 10 days of completion of any service event. page "r START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the d1q:oWs it cell(s) If high concentrations are detected have the contents of the tanklsl removed by a septa a servicing o etator t' td p Rt1or to 17114. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwatpr levels, When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overtaadlpo the 641116) and may result in the backup or surface discharge of effluent. To avoid this situation hove the contents of then pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or confect a Plumber or Pl WTS Meintaflner to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells, Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil ebsorPtion area. Reduction or elimination of the following from the wastewater striern may improve the performance and prolong the life of Via POWTS: antibiotics; baby wipes; cigarette butts; onnOorrts. oatton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and veoeteble peeling(/; 8osoline; grease; herbicides; meet scraps; medications 04; , painting products pesticides; sanitary napkins; tampons, and %vp.t' or softener Wine, ABANDONMENT When the POWTS fails and/or is permanently taken out of seryl.ot the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter CoMM, $3.33, Wisognsin Administrative Code: • Ali piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • the contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN if the POWTS falls and cannot be repaired the following messursa have been, or must be taken, to provide a code compliant replacement system: 0 A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systern. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed stiroctuf6, lot lines and wells. Failure to protect the replacement area will result in the treed for a new soil and site evaluation to ee0011ah a suitable replacement area, Replacement systems must comply with the rules in effect at that time. 0 A suitable replacement area is not available due to setback ahd/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a Isst radio t Fp rePlaco the failed POWTS. N~QQ The site as not en evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site iV evaluation be performed to locate a sultablp r4010ctltitent area. If no replacement area is available a holding tank may b tails s a last resort to replace the failed POW T$!, Mound and at-grade soil absorption systems may be fsconfructdd in place following removal of the biomat at the infiltrative surface Reconstructions of such flysterns must CornplK with the rules in effect at that time. < < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY C6110Alfr I THAf~ GASSES ANDJOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UN6, i A~IY O1-hiDUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE )~1OR04it OR IAIIPQ> SiJLE- ADDITIONAL COMMENTS (TAiNER 0 64A POWTS INSTALLER OWtA Name t Name Phone phono SEPTAGE SERVICING OPERATOR (PUMPER) LOCAIL k ULATORY AUTHORITY zah~` Name I ems 54, Gi'e ' phone 7 / 5 - 3S6 - -YGo le O Phone This document was drafted in compliance with chapter Comm ",g2(211b11f)(d)*(f) and 63.540i, (2) & (3), Wisconsin Administrative Code. SEPTIC TANK ~ PUM? ChAM5ER Cgo$$ SECTION A14D OPECIFICATICN 4" CI VENT PIPE 121' MIN. ABOVE GFAD? F. WEATHERPROOF > 26' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W / PADLOCK ~ FINISHED GRADE low .-----WARNING LABEL 4" CI RI5ER 4" MTN. 38" IN. 6" MAX. "r.... 1 NLET \ 4' E WATER TIGHT SEALS GAS- ` ~ TIGHT i VAPPROVED SEAL JOINTS WITH PPROVED ALM APPROVED PIPE 'IPE 3' ° ;ON 3' ONTO )NTO SOLID SOLID SOIL ;OIL . ' O** RISER EXIT PUMP OFF ELEV. FT. - D PERMITTED ONLY I F TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE 4/ TANK MANUFACTURER :t~~~ NUMBER DOSES PER DAY : TANK SIZES: SEPTIC GAL. JOSE VQWME INCLUDING DOSE ~~b b GAL. F LOWBAC K : I ~ 9 GAL. A .FARM MANUFACTURER: gh m CAPACITIES: A = INCHES = (4b 2L GA' MODEL NUMBER: pt,y SWITCH TYPE: B = 2 INCHES = GAL. PUMP MANUFACTURER:, C S 4 INCHES GAL. MODEL NUMBER : p ~9 SWITCH TYPE: MA LC D = INCHES = GAL. REQUIRED DISCHARGE RATE L40 GPM PUMP & ALARM WRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BE'T'WEEN PUMP OrF AND DISTRIBUTION PIPE FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . . . . X2..5 FEET + FEET r ORCEMAIN X ~,NFT/ 100 FT. FR;CTION FACTOR FEET TPTAL DYNAMIC HEAD = =11 FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH D &AMETER • eQ peR c IGNED. LICENSE NUMBER: DATE' 1!88 S [IGOULDS PUMPS Submersible Effluent Pump EP04 3871 EP05 APPLICATIONS • fully submerged in high a EPOS Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine of for tlc enclosed design for heavy duty all bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. i Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Av&14" for automatic and superior strength and corrosion • Farms manual operation. Auto- msWrree. 4' cmadimStandardsAuodatroa • Heavy duty sump madc models include ■ Motor Housing: Cast iron (CSA listed model numbers end • Water transfer Mocha" Float Switch for efficient heat transfer, in "F" or "C".) Dewatering assembled and preset at the stre►tgth, and durability. SPECIFICATIONS M Motor Cove: Themwplastic Goulds Pumps k ao 9001 Re0kred. FEATURES cover with integral handle and • Solids handling capability: - boat switch attachment points. Ile madmum. a EP04 Impeller: Therinoplas- M Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi-open design with rated oil and water resistant. • Total heads: up to 31 feet pump out vanes for mecnanlcal • Discharge size: I Ih• NPT. seal protection. • Mechanical seal: carbon- rotary(ceramic-stationary, BUNA•N elastomers. • Temperature: 1040E (40c O continuous METERS FEET 14011F (6000 intermittent. 5 • Fasteners: 300 series 10 stainless steel. 9 30; s GPM • Capable of running _ , _ zsrr dry without damage to a components. 25 7 Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, bulk in overload with 5 automatic reset. 1s. d` FPU5 • EPOS Single phase: 0.5 HP, 115 V, b Hz, 1550 RPM, 3 r built in overload with M4 automatic reset. , • Power cord: 10 foot ~ s standard length, 16/3 r S1TOW with three prong .11 grounding plug. Optional 20 0- 00 10 zo 3L,' 40 50 GPM foot length, 16/3 SAW with three prong grounding plug 0- 1 4 s a ±0 12 mill (standard on EPOS). urauTv Goulds Pumps ITT industries +p 2000 Goulds Pumps Effective February. 2000 83671 VisoonsinSOIL EVALUATION REPORT ' #2006 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Steel's Soil Service Attach complete site plan on paper not less than 8%x 11 inches in size. Plan must County 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 distanc nearest road. Parcel I.D. Pend'ng Please print all information. ~O Rev' ed By D Personal information you provide may be used for second r s1(Aki~acy Law, s. 1 .04 (1) (m)). 17 $ O(p Property Owner rope Location Bast, Kernon Govt. Lot na SE1/ , S /4, S36, T29N, R19W Property Owner's Mailing Address`{y Block # Subd. N e or CSM# 948 Labarge Rd. O\XGO 2 na Cottonwood Ridge South City State Zip Code Phone umber F] City ❑ Village Town Nearest Road Hudson WI 54016 71 -7775 Hudson Cty Rd N ❑ New Construction Use: ❑J Residential / Number of bedrooms _ 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: na Parent material outwash plains and stream terraces Flood plain elevation, if applicable na ft. General comments Conventional system, sytstem elevation 96.65ft. Trenches spaced and depth to code 3.50ft below grade. and recommendat„_ig~s - ---ZT2 a F-11 Boring # L~ Boring ' Pit Ground surface elev. 100.15 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistent Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/1 none sil 2msbk mfr cs if .6 .8 2 10-32 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 32-48 7.5yr4/4 none gr Is osg mvfr gw na .7 1.6 4 48-110 7.5yr4/6 none ms osg ml na na .7 1.6 65 ~Z $ Boring # ❑ Boring Pit Ground surface elev. 100.15 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/1 none sil 2msbk mfr cs lvf .6 .8 2 8-30 10yr4/4 none sic[ 2msbk mfr gw na .4 .6 3 30-47 7.5yr4/4 none sl 2msbk mfr gw na .6 1.0 4 47-78 7.5yr4/4 none gr Is/sl osg mvfr gw na .6 1.0 78/110 7.5yr4/6 none ms osg ml na na .7 1.6 L ' r s 1`i * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/Land TSS < 30 mg/L 5 - 5 - - 3 r' CST Name (Please Print) Signature: CST Number David J. Steel 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 10/20/2006 715-760-0347 SBD-8330 (R.07/00) PREPARED FOR: COUNTY PLAT ' DDN SPEER COTTONWOOD SOUTH _ 00NAlPA SPEER-0nST 908 L9BMGE ROnD HUDSON, W-16 LOCATED IN PART OF THE OF SW1/4 OF THE SE7/4, IN PART OF THE SE114 OF THE SWt/4 AND PART SURVEYOR OF THE NE1/4 OF THE SW1/4 OF SECTION 36, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, EDWIN C. FIANUM WISCONSIN; INCLUDING LOT 1 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 6, PAGE 1642. NONTH DSURV ENG. INC. ~a assn Hwras lP O.9ox LOCATION SKETCH ROBERTS, Wf 5.023 Q~ LEGEND FA%71S7431719 W- coaxm woxuw[,rt vouuo - _ _ « a ~g w >N ixox xeew vowvo ENGINEER ❑ .,.,,,s.,ex ~xe.xeo<, w«x,< ~ NCAINNSON NCAINC $ >ue,exou P<ew sn wc,c«xc M ""II 2920 ENLOE STREET i w ~xs v[x uxux>ao, Q I e HUOSON W 'O= PHONE ]I5M361-52 52n mu , s,.el suxvxy w.sauuo : ~ =W l_ TA%]153at_5338 1- a l - :o'xanownr se,x.ex,wt 119GONSN / c _ • u - v 0 rex uxe e~v.ucx I. ~ ~ OsURNE / ~ ow.xrxwx w.,ex w.ax SECTION 36, T29N, R19W 6 G to ' dOo i~~@,~l hPJi7 [?s fir' <y`05~OlnIUWICJ')D L~IILK I / 2 i ' C..^siJC+JD ~UDD 4~C Uh I ~ Ca.U u'1rJ,J~'1CxXJ ~ OCX9G' ~ k ~ f In C~GD Ir1C.)fJ I d I - -n _ - - - - - - - - - - - - - - ' - N77. I- 1o t •.7 °JC7 ilCXJD IaI1C;C3L. 6-vv 867.eg. e ~.,s ex y x>n o,w..,... a C w,u'w."uxv «eiex«a,xo g oo_ I mxxxn ,uw ~;t.g' I .,.H, _N• sxNleer ]o me w«coxsx a _ - _ v,reue ]ausi ooemme. G !-'1``" n °w> ~ ~ ~ °`~$lT a I ~ C :x ~ 26 N78a79iTy ~ /i 19 8 e>..w,w>-t s,ya. Te39.Sg. s o".cx w ' v w.reewwx a ,so ne san 5 ~ s ~ 8 J •eo-,at.w I y Tov or REe.s >oo n 18 .nox.««nw v ew ( I - >,enx.. ee.e I ~,.e. C aV. III a ,ecr seexoieA S U(, it t p= 25 24 i ~o ym~0 S p x_ 7 1 N xx.,e e x pa „ ' 20 t 21 a s h s 22 ` xa.w,w s" .o.,a>w T N 23 W - J >Y 1 m° ~ " a y x p yy. 9 ' - >•'P to o".uIF '•'Z m,. ae«e,.orEO., , no.Pea,e«ax,« T °n 4PS" r - s 1 1 x 'A 10 X a1.a ` 12 eLn x ° 16 s_n > ou a 6' , a - 15 ; 14 a D r-- Y a<-,o>.oe a w i FI aOUTLOT/ X30 I ~I~~~ rv I F ]AENi »o,a n« °"in`w"t°iA":~~~<w~`,.°.°b°e~xE"` " ~ x-: .«x ,w,.oo ~ I s 3 a ~ •~.I I I ~a Z wn~„w«a a.e«.nn«a. w•.a<xeA<owPae«e«swx _ w.,aa aa.Ix.<e .x<:<« eaxa,n« P,.x .aa N " axe,no„.nxn.e,«xRIn9...,m~«aPU,« 13 y a«a<.xn<x<aa.tAemtxal«.xraA.,w<a ouwsw.,Ea<,«rm,a.aaxweoA T, ~.vT,, ,,.,,e: xw - xw~ ,e>e.,, f wm-r l-w.w q -_«ne sexE,n xccoaoeom ooc xa.exar- N89°50'23"E 1316.60 xc '"s swt" s, n N6326.85'E N:,wef+vwxl secs o«a - 1326.80' .«.,ea..,nee«Pae x x eAaewe« a e~Mn s r:.;o l!eac~r a<xw. ~x aaNe<a« .R«a a ;.i»: E o~ « : x, I T- aRe~TNxe~ewannaw<.o..sua-6iNe "oaE.<«eb«. nw`<. aa<«xaao<,«x~ ~IANme:«.w„9,«.alaHero I « it II aw naxaE ,I ~~~nsxowx ox mueuavunnwNecr ..ee~w I\~ P.acg e,w. esoxe wxclwslw e« eouxrv'"'zoww «ncee'."oilo<u~Pa~aure SCALE IN FEET 1" = 100 ,oo o too 200 SHEET 2 OF 3 SHEETS Property Owner Bast, Kernon Parcel ID # Pending Page 2 of 3 , J 3 1 Boring # i Boring pit Ground surface elev. 98.45 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture I Structure Consistence ) Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 10-31 10yr4/4 none sic) 2msbk mfr gw na .4 .6 3 31-42 7.5yr4/4 none gr Is osg mvfr gw na .7 1.6 4 42-78 7.5yr4/4 none Is osg mvfr gw na .7 1.6 5 78-110 7.5yr4/6 none ms osg ml na na .7 1.6 r ► !D Boring # U Boring F-1 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#t *Eff#2 Boring # J Boring F-1 ❑ 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/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I *Eff#l *Eff#2 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) Steel's Soil Service STEEL'S SOIL SERVICE 3 of 3 r " David J. Steel Kernon Bast 994200 th St. CST-POWTSM SEl/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 20 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. A' 1-r'~ Legend N 1" = 40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe gJ • = Alt Benchmark Ele. 99.80 ft Top of 3/4" pvc pipe ❑ = Borings Boring Elevations B1 = 100.15 ft B2 = 100.15 ft B3 = 98.45 ft B4 = 0.00 ft 17/ 64 u5~