HomeMy WebLinkAbout020-1113-50-000 (2)
.%...:~~si- Dcoal°~prc r.' Cc-•-c.<c PRIVATE SEWAGE SYSTEM (',tinny: St. CFOIX
--'Wn-y and B_ilmnr, U ,;l, SariWr~ Permit No
INSPECTION REPORT 606928
GENERAL INFORMATION ATTACH 10 PERMIT) State Plan ID No
PerSOra nfc'rna:ic-l'Du rlf ,ICe ma, to Jscl Ix S5O'no.. nrj p~fpa5c3 IP'v3Cy I av, 5.•5 04 !1! 1i1I
Permit t-n dc, 's Name Grl 'Village fc,,,-Ship PameTax No.
Troy Wahus TOWN OF HUDSON 020-1113-50-000
CST Bill E ev. 1 Insp. B%I Llea BM Descr oCOr S,lnenJnwr: Rango'l No
/dD d o~- 5 k 12.29.20.459D
TANK INFORMATION ELEVATION D A
TYPE PAANUFACTURER CAPACITY STAI ION BS III FS ELEV
Septc IGw,`M--I W.2 750 Bencn•narR 33
Ce 93
Will 3zo A 320
A ill SzS Bldg. Seaver
,told rg _ SUHI In of I _ O
v Ir'
TANK SETBACK INFORMATION St:Ht Cutlet 75o TANK TO ^ RL WELL BLI VC•ri iur rra<e ROAD 9"I'll 4,76 c)1,37
L .5s60-
S2S b ~y 63 2-7 D 9Dt oPP R6 o G . s 9l, -Z-1
Dosing HeaoerfMan '7
. , 24 90 - -t3
J 4~ y5 7g~
Aeration SOJ clw Pipe I r
aSn G~
Holding Bet. Syslerl
PUMP/SIPHON INFORMATION Tina Grade S•D3 53, 6q
Manufacturer Uernand Sf C~ojj~~r + 9a--~ 95 7
CPM Odd(.
Model Number V Z j aq
p , ,'&3
TDH L:I I on Lcss System TDH R 12q 44 , `0
Porcemaln Length Dia. Dist. I>'%``c' Z iI4
Sri • $ 3
SOIL ABSORPTION SYSTEM
BEDITRENCII Olid:n Lengl- No.OfT'evc-es PITDIMLNbIiJNS Na O`P, ns oe U~a~ l~pudD
DIMENSIONS
SETBACK SYSTLI P:L BI. DG WELL L.AKEfSTREAret CHLEAMBER HINOR Maruur I
INFORMATION Type Of Sysbm A )I UNIT N
GOA7E Dfs«Gi 3tD ~I A AAt.e-iCer `d /US
DISTRIBUTION SYSTEM !9 F14 i t Q -
-leace' L 'n A` Gislnb.~tio- x sole S cc x Hole SFac- in8 VC9l l0 Air In:akeLj
IPvos •1116
LC'9 _ Uia Lfuyt•I_ C a SFO.IPi
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade systems only G+~
Oecl•r 011.1 Ce In, O.e' x•. bppl- of +x Scedeo Socdcd ax lA dlCncd
r,ri j,enc- Ccrler '7 ( Bed.'Tlcncn i Dries Topsoil 1 es Na Yes nn
COMMENTS: {Inclade ccode dtscrepenc es• persons present, eta? Inspect or W Inspection 02
cl~ ohs o~
Location: -.0;t^ FI'aVY 35
1.1 Alt EPA Description
2.i 6og sewer lengtn = /M311^,q
- amount of cover = G t' , J gi[~yy,
Plan revision Hequ.red? I Yes No 5 ~3 ~rj~J I ~I 5J
Use other side fo• addi: onal Informaron
Dar- Irsel S Sign -fe Cen. No.
SBD o?'0 (R 1 5,i
_ d Vyy
L,uA - cl~
Safety and Buildings Division St Clol\
ibl 1 201 IN Washigplon Ave. P.O. Box 7162 5,.,,n:ux tx.nw Nunlhufn,hs Idle::III M CoJ
FS ~~Z 16 20 .,,c , Madison. rvl 53707-716
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1'Ill It n l1(, tit uc lranraction \umhcr
l lu a.:orJmsa wnh 4PA-'IS).21 Y`.. 141c.:1Jm. ('talc :uhnli„i:,n of Ihu Ibml lu ,F.c :IDPropnalc rnvcrnnrcn6J uuii Na
1, Iayuiivd priorJn himnim, a,ntilmo pclmi:. S;cc .\pphc:roon linm,li,r sale-:oxrmA 1104\ IS
arr.uhmnlrJ io I'ml.ar\ddres.,it dil7ircnl than nluiling adJles.1
.hc )zirarbuaa ul \alclc and i4oii,ti,mal VI,olyd I1I iun ,ou pi... tdc max I)c l,ed tor,ceon&ln
anq...nr, In :r,arnhnu: ,,,th the I'm t,, l ae , I i n l u:nl1, \ba, _
Same
1. Application Inforr- il" Plc•asc PrinL\II lnf_ormaliun _ I -
P: open. I)„nc', Kmuq i Nurccl p
I I'ox \\';IIIt's 020-111 i->0-00117
I'c ~'v r!xcucr, 7:nlun_4dJrc" 1l lkny li•:aliun lQ p
101p Htaa. 3.` (."\I Lot
e'r.v Srnr /ip Code Phone \untba SW SI tic:: mm 12
Iludson. WI 54016 101dr cool
(6511'14-4199 f 'e N. IL "'0 w
IL 1 tpc ul Building (check all th t apply) I nl ,r - -
;nmh I Iho: \,mr a ,.I 3cdronm, Na SUwm,lon Same
IilnuF Na
I I I'uhllc:('nmmacial - Ikscr& lx Na -
❑ Oh of
❑stalc 0,tied -Dc,.: rlhc l.,c 1U1 \umh:r I )'ills^c nC _ -
Ill. l'y pe of PiermiRt: IIAt`YFaeck only one bos in
line A. ( omplete line 13 if applicable)
\ ,e... '
I \nl S, ~K l ucmenl \e±,cn, cn' Onla
S I I sI I r-
I w .I vl Indur_ 7:nA i (>Ihu filo dJ nal~on to l`ci>Unr Sx,lem leap;
l lint
B, I w I r.vn n, P. mnl Kumb.:r utJ Iklic I„ucd
. i uu:a t .c,v:J I anal Itccnw I I fnn ri ,.a I hnnhcr ~ I.nnil Transfer kl \cx
lt:'..,rc I y0,raln
7-L J U„ncl
Co. lpenal '10021 issued '?;01
I'', 'I\pe of I'OW"I'S System4 ontponenti Ucv ice: ((Check all that apply)
0 ._Larl9e~autjrcJ In-(sns_nJ _ Pws, uvcd le-t :round I :\I ,:.i& I I Mound - 74 in. ofwimblc ail I \h%aid t4 ht ul cethic .,it
IIII:I:turrIik ]rnh,lU.~annl('nmpon:nticxpLdni _ I11rclre.imeml)tvlcI,ylami._
N. Dlspetsal Trx cell Area Information I rdhi oh Ill
+ : cftl I r t Oxr. Intihrator O 1" Plus ch mhc . tat Idea t; -
I a e.xh )c,i n \t d \ gdhuliur IL'flt(•pA,l', q p :+al \r I H ed , I) DI lat,al ;4ea I ui t cJ hll ""wrn flea amts
I. O,nn Ord 0A0 GpJ Sq_ 1 l 1.1 ,.Oil ,q. 11 I 4 1 89.75
.
ll.lank Info ('spa: ibm l 1I ad \1:nudaaurcr
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11'11 Responsibilitv-Statement- I, the ml Ir mnrd, as,ohrc re,ponsihllds fo mtaJino of the PON I S %hown on the attached plans. -
Plun,i.;r . Aanhr I riu:r r -,,,h,r d ti,; n, A11 "P RS \ulnha I3usinc,e Pnum Number
James l:.Iltomp,on \11IRS33011'I (.15)_'48-"6'.
'140 Paulson Lakc Law. Osceola, \k 1 1020
VI11. (b int\'?Ilepartmenl l sc Onla
P: mw I cc '):nc 1„ttcJ I"Ume Aecnl lenahuc
\t PerocJ ) v9 1 cvuf _ 1I / p
I~x,n r(inuhl I,rrn ~l>t'!uil \H()~~(~p`
1X. If ondithons of \piumal. Reasons for Disapproval tv-r At >t 0,,, , -l 1 -
I I ~ i. 7y C F ,"XU(y.YU./\ '10 bt
1 h,tr. tar,. ttl....... ..11'-r;lri.
'(':ersel r,l li let !;c , e 1 r 171., lees nsrl
as pal pla'tdq,r i. rit ~I n li, Finn Lcr.
All setb;9ck leyc r nniil_ r 11 :I.: "lid)
pr9 li('1 t r ,I` r~.] ttlP11 bl'PompWnta nkm, fur Ihr „,Irm anti whmil lu the Count) ooh irn pa,wr nnl Ire, Ihan % i^. x I I inPoc, m.irc
SRI t-hJvS I It. I l:' I l l
C'onvcntional POW I'S Indcx & Title Sheet
Project \dwc: 11'ahu.> bedroom RCpl t-'omCilliorlal Oi,pil"d ( ;11
Owiers Name: Fro% Wahu,
h%ner'saddress: 1030IIN% 5.I1 udson.1V1 5161(i
Site addre,.: Same
I'rujacl I ocalioa:
Subdivision- Na
I egal Description S11' I!= SI'. 1. Sec I1 ."N.. R. Milk I n of I hulsun. V Croix Co,. 141.
p.vcclID ILO-III;->0-000
face I Indel;utd TOc Sh..t
Page:' Siw Plan '
Pa_e? Dispelsal Cell Si/ill" Calculation'
Page ~1 Dkpercal Cell Cross Section
Page : In(illrator "0-4 ' Chamber Specifications
Pa_,e 6 Septic I ank Cross Section
Pape 7 Pohl A PI -LOluent Filter Cros, Section
Pa_e 8 System Mana"ement Plan
Pa, e 9 Septic Tank \laintenance Agreement
page 10 C'ortificalion for l:fili/ation oFlai tiny Septic Tank
paps I I Pnrccl A1,111
pa_c 12 1%arranll Decd
Allached: Soil Hvaluation lieport 1, Thompson
Soil I.%alualion Report by l:lbrichl
Mater I' mber Rewi0ted Scr%icc: James '--ftunq,,on. DSI'S Credemial ~m:0 1? I
i
Signature: r Date:
Page I 01,12
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2 of /2
'vVahus 3 Bedroom Dispersal Cell sirin Calculations
13 hcdroorn,y 100 `_alluns cclimalcj llo,.ll 1.5 design Ilrdur) 450O() Gpd design Ilom
Inliltramc capacih of name soil = 0A,)d:sq. li.
- kbxorption area required: I.I'i UO sq. it,
,t_ ;\b.orprion azca as proposed: 1,155,00 sq. ti. I~chambcrs pair end caps)
Inlihranv"Quick 4" 20mo cl.WI ISAPer chaml.cr.Intiltraru°Quick4"end caps :'0 LISA pair
1.125 00 sq. It. (5 pair cndcaps)(5?0) 1,109,40 sq. (I.
1.109.40 .q ft, 20.00 55.4; chambers required
\mllbel- of n'enches: S~tr 19 chambers per trench 157 ehambers anal )
I ,-nch %%idth: 2.8;.
1 rcnch Icn_th: ?9,00'
Ihneh spacing: 9.00' on eaucr
I !dal se>(em aura %c! 6' trench spacing: ' LOD's 79.011'
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Quick4 Plus All-In-One Periscope INFILTRATOR WATER TECHNOLOGIES STANDARD LIMITED WARRAWY
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INFILTRATOR DD,3n3 sl-,,twat.l h <I,nl,;a•plp"jrca,la ,Gh :Fe
11 7: it I-800-211-4436 IIL''> fllr
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Contact Infiltrator Water Technologies' Departinentfor assistance at 11-800-2211-4436
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SEPTIC MANUAL WIESER COICAETE
\ W3116 LS HWY -0 MAIDEN ROCK. W b4150 DATE: 00 OO 00 DATE: 3120/12 POST-POUR;
800- 325-8456 InLE: 1010 IN
paL~~gxll
~ Larw1 PL-725 Fffluent Filter
P1 -525 Filter
khe PI -5221 Filter IS rated for 10,11,111 G PP (:;allom. per dap 'I making it one of the Largest filters in its class. If has
523 linear tvvt of I i ]o- tillration slots. Like the Polk lok I'L-12^_, the Poll, lok PI -S?:> has an automatic ShLlt-off ball
installed with every filter. When the filter is removed Inc ,Ironing, the ball will Heat up and temporarily shut off
the system stn Iho vitlucnt wand leave the took.
ICaturev, 1110" Filtrahnn Slots
• Rated tot 10,0110 GPL) (gallons per dayj 7 ~hrnt'>1.•n.h
(nplionall
r25 10,000 GPL
• ~_.1lincar Ieetot l j'-16" fillralion
i' -J I'll Pvr'
• ActvptS I" and I'— SG1H) a0 pipe. I ;.le,mon 1landlr
• bit fit in gas det:eclol'. '
• •\utomotit shut-olf hall n'hcn tiller is renrcaved.
•Alarm airesslbilily =f,dror
- ..untKicrn
• A,.-cepts PVC extension handle
PL-:525 Installation:
Ideal for residential and ,ommercial least" tlotrs up to - I. in, ar I'I
"
140001;alloro per dal' jGPlii In
dtrauun sfota
1 Locale the outlet of Iho s"pl;i tank.
2. Reut tv the tank cowl and Lt mp lank if necessary-
Ar
Glut the filter hollSing to lh[ 4" or r,outlet pipe. If SCI It, JU rq,
the niter is not centered finder the arc es, opening use a
Pnlvlule F\wnd K Lok or pwt'v of Ripe to center liltel
1. Ins"rl the PI -123 filter into its housing-
0 Certified to
Repla," and SCUUe the septic tank cover. NSF ANSI Standard 46
PI Maintervance:
[he IT- 515 Fffluent fillers tvi;l operate ufht ientty for
Several Nears under normal condition, before requiring
,leaning It is re, onimended that lit" filler be clodned
"vier, Gmc the tank is pump. d, oral least cv"rq thick
vears. If the installed tilt"rconlam, an optional alai m,
the ,truer will he nollfied bN an alarm when the filt,':-
Gas l>rfk,'tor
nook s servicing. Ivrvicinl; should be doer, by a i crl:fi:- d
septic tank pump[ r or Inskdler- lomahr r
„d rW nau
1. I oc ate th,• outlet of the septic tank.
2 Remove tank rover and pump tank it nel, %,ary.
:i. Ito not use plumhing tt hen filter IS unloved.
1. full Ill 523cartrid};cout:11 Ih" holailll,.
u
i- Hna• elf filter over Ill,' erpfic fink t`9akr cure all
solids fall back into septic tank
n_ Inert the filter cartridge back into the 1lrusin,~ makmi-
~
su relht litter is prokx•rIN•alil•n"dand .nn ff,t 9'; ,,:.cord 4tfdcr Smar r ilf , Alarm I 't l
:..:I1k/.tbr:k1Ilal: a. ;,rcpt t,.dv:coral:,
i h,'I11:lcC and tierllrC %'p11i tank rPVCr. -I,. ti:narthllrr,.., nrl,. and alarm. into r,i+tint;lank.
Polylok. [tic. ? lairficld Hh'd. ltroain :h,rr.. t l II(r:v_ hdl 1:1*",: S7.70,9`61 1 ;n:: 1 +u H.p,rid,ilc.iont
7 oil
Conventional Septic S% stem Management Plan
Pursu;:n: lu SPS :87.54. \1 is. Adm. Code
General
I he amvem zonal :optic system .hall be opcra(etl in accordance v+ilh SPS ift'_- 84 9Jis_ Adm_ Code. and hall tic nmintanwd
in accordance with component manual SBD-10705_11 (N.01 0 1 r All local art(] or state rules pertaining to system
maintenance and maintenance reponign-. shall be complied vvhth_ (ucslions on [tic operation or maintenance of the system
should he directed to the installin^ plumber, .lint 1 hontpson at i? 15) 248-7767 or the St. Croix County Lorin, Deparnlan at
iT151386-1680.
Semic Tank
Septic tank serviein, mechanics cougily %kilh SPS 8".54( 1 )(Cl. Septic tank to he located vkithin 150' ol'scivicc pad. Miff
hotlono ol't:ink to he 1`' belov% <;,mcc pad civAalion. ['lie operating condition ofthe septic lank and outlet filter shall tic
Juscsscd a( Iraq once every two tears by inspection. The septic lank contents shall be removed when the sludge and scum in
the tank exceed I ~ I the liquid volume 01`111C tank. The contents of the septic lank shall be disposed ofin accordance with AR
I I W is. Ada Code. b\ an individual ccrtilied to service septic tanks under s. 19 1.49, Stats. h'the contents of the lank are
not rci uiced it the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be
needed to maintain less than lit scum and sludge accunndatiun in the tank. 'flie outlet lifer shall be cleaned is necessary to
atsurc proper operation. The filter cartridge should not he removed unless provisions are made to retain solids in the tank
that stay slow h oll'the tiller when removed Flom its enclosure. ll the filter is equipped tkith an alarm, the filter shall be
serviced if the alarm is activaicd. Septic tank manhules risers. access risers, and covers should be impeded lux' water
li^h(uess and sciundncs>. Accts, opcninys used tit service and assessment shall be sealed waierutdu upon the completion of
,c; vice. Any opcnin, doomed unsound. defective. Or xtbiect to t'ailure nwst be replaced. Lxposed access openings t rcalcr
[hall 8 inches in diameter shall be secured by air elli•cli ve loc'kin, device to prc\ ni accidenta! or unauthorized cnun it w the :an'•..
\o individual should ever enter the septic tank as dam,crous Lase, may be present that could came death. Septic lank
Abandonment shall be in accordance with Cunung Z. A%ris. Adm. Codc when the tank is no loner used as a PON I S
, omponent. The addition of biological or cocmicl additives to enhance -septic tank perkirmance is ,encrally not required. If*
ahch producl<arc used they shall be approved for septic lank use by the Department of Commerce, Salet) and Buildin,s
Ili\ision
tioil Ab%ornlion Cell
I rccs or shrubs should not be planted directly on the soil absorption system. Ilse area above and around the sustent should
be seeded and mulched as necessary It, prevent erosion and provide sonic degree of irmt protection. I rallic (other than liar
\cgctatke maintenance) over lite system is to be avoided. Soil compaction ulav hiudeh acrauon of the intilnati\e surfiice.
within and above the system and ,kill pr mute Rost penetration durin') cold weather months ('old c,cahhcr installations
mciolwAlarchl dictate that the system he heavily mulched for frost protection.
Influent qualip into the sustent may not exceed 220uru 'I B00S, I SO NIG I TSS, and 330 nr.; 1. 1:06. Influent tlovv may not
"Weed maximum design Flow spvcilied in the pcrmil lit the installation.
uhscrvation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported ro the
owner. Lcwl, above 4 inches indicate an impending hydraulic failure requiring additional, Toole frequent monitoring..
Continl3ency Plan
11 the septic lank or aav of its components become defective the tank or component shall he repaired or replaced to keep the
,v<t,•m. ill prolm- opcr:mincondition. I-.xcessive ponding within the di,persal lea \k:11 be eliminated by insla!linpl a ne\t :Tit
absorption ecll to brigs (hc s) stem into proper ope'atin, condition
P^ 8 of I,'
S'1. CROIX C011 An-
`k1TI1C IANK \IAINTf?N:\VC'Li aGRf':I:MCN'f
\ND
O1VNERSI HP ('FR'FII WA FION FOR %I
Owne•I''Ruvel Troy Wahus
Mailine address 1030 Hwy. 35, Hudson, WI 54016
Property Address Same - -
I Vcri fie a lion rcyuiwd Irons Plannim_ h Zoning Ucpartment iba new Cml'tl'lleholl.)
Cily:Stale _ Parcel IdcnWkationNumhcr 020-1113-50-000
LEGAL DESCRIPTION
Propelty l.ocation SW,, . SE Sec. 12 129 N IZ 20 W. I o\rn ill' Hudson
Subdivision Plat: Na -
Lot Na
Certified Survey Map r! Volume . Pace :r
W:u•raim Deed # _ (belorc 2001jV01unx
Spec house Eli, ' r'„ 131o l of lines idcnliliablc l]vt50 no
SY:1'fp:Nl NPUNTENAVCb: AND M\ NER CLICHF-IC1 f1ON
Improper o,c and mami;:n m°e mt.'on cptie sy,tenl could ac,ull in iG plcnrnure ISilurc to handle a Irks. I'rolur
m linlcitance con "'t, of puny'mc out the septic tank evaay three years or sooner. itla cded, by a lieCll>e'd pumper. hal uu put into
t1 . s\:<knl :an allcct the function of the septic tank a, a treatment magi in the waste disposal s,stem. Owim maintcoan.e
respnnsihilities are specified in §SPS.:8i.~?1I I and in Chapter 12 - SI. Croix Count' Sanitary Ordinance
l lac propem owner 1¢rees to submit to St. Croix Counts Planning & Zonim Department it certification Ibrm, .signed b. the .
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that ( I I the on-,ite
waitewaler disposal yNslcm is in proper upcrain!_ enndninn andr or 12I ahc'r inspection ant] pumping (If necessal)), the septic tank is
.vii Than I!: full it,ludge.
Iwe. the undcni ned have road the abovv rcyuiremenh and agree to maintain the private sewage deposal system with Ihe
,landards ict birth. hcrun Al set he the Departncio ol'Salct \u(I Professional Scrvnes and the Department of Namual Resources,
1'lak of NN),consm. ( crtiticalion stating that your septic system has been maintained must be ounplekd and resumed to the tit. ( om\
L auu. I'la mim_ l Loning Deparimcm within 10 dais of dlc three vcar ecpiruiun dale.
I'we cerlily drt; all statements on this frin arc true w the b;sl of nt our know'lcd.-e. I: we am are the owned s 1 of the
propcm described above. by virtue of a wam-nn, &cd rervrded in Ruti,ter ofDeed, Oil ce.
Number of bedrooms 3
y ~10 10 18
y 11GN-:1I (IRE OF AI'PLICAV'I(Sj DA 11,
Any information that Is misrepre,cnted may' result in the sanitary permit being revoked by the Planning %oning Depannlenl.
hldude with (his application a recorded warraniv (Iced from the Register of Dccds oil-ice and a cop, of the certified survcv map if
rcl;renee is made ill the warranty deed,
1RE:V. 04 12)
e 12
ST. CROIX COIATN' ZONING OFFICE;
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
This is to certifv that I have inspected the existing septic andlor dose lank
presently serving the tbllowing residence:
('Street address) 10301lvy. 35 - Hudson, Wl sack located
at: s`,v SF , Section 12 TOwn 20 N. Range 20 4V,
Town of Hudson , St. Croix Count Wisconsin.
I!pon inspection. I certifv that I have found the tank(s), to the best of my
knowledoe, will conform to the requirements of SPS. 384.25. and it (they)
appear(s) to be functioning properly.
Most recent date of inspection or service July 16.2018
Did flow back occur from absorption system? Yes No x
(if no, skip next line.)
Approximate volume or lenoth of tune: _ Na gallons Na minutes
Tank Capacity: 750gallon
Construction: Prefab Concrete x Steel Other
Manufacturer(ifknown): leveser Concrete
e of'fank (if known): 17years• lnstalicdAugnsta 2001
Pc`l'Ill It ❑ljinber ( I I kr10 - County Sanitary I'ormit #0021
~ James K. I hompson
lcense(I Plumber Sianat u•c) (Print Name)
MPRS MPRS #30021
(Title) (License Number) MPIMPRS
July 16. 2018
(Date)
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and s. 145.06. Wisconsin Statutes) or licensed disposer
(NR 113 ~k•ISCOI1S111 Administrative Code)
Rev. 212012
~oct)z-
0
0
Np
~t
252.8
66.18 280.
o
c~ 'V cn
t ~ ~ CO
W
N
7jo O ~
A _
6 w
CIO
700
S0~
AV
_ O
1 o iL
1, r ~,i F. d a wy a.d Professional Services
nro! h dUSt y Se^~.,,e~ ~
SOIL EVALUATION REPORT
In accordance with SPS 385 `Ms. Atlm. Cafe County ,
-m .,-.:I complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, St Croix
r mired to. vertical and horizontal reference point {BM). direction and percent stripe, Parcel I.D.
doneiisions. north auow. and location and distance '.o nearest road 02L` 111;-50-000 Ref #751
Please print all information. Reviewed by Date
T onal nY.nrm----- you .rovxle mqy he used for secontlary p:upeses Nnva Laws 15.G4jt /mil
..•ty Owner Property Location
Wain, is
- - : Govt. Lot SW : SE Y. S .2 T' 29 N R 19 E to(! S'd
-crty Owner's Marling Address i Lot It Block k Subd Name or CSW
f~35- Na __-I_Na- Na
State Zip Code I Phone Number n city U Village ® Town Nearest Ron
"eqn _ Via 5401.6__..f.. 18511 Hudsomn I Starr ltibo:I C.
-I Plow Constn;ctio . Use: Residential; Numberof bed:noms 3 Code derived design (low rate 450 GPD
. Rtlpiscement Public or commercal - Describe
i motel. al (?i ark I f,I1 Flood Plao elevation it applicable rig ft
host comrnertts and recommendations: Site suitable for m-ground POWTS with 0 4 gpdsq ft. loading rata. Recommended infiltrative surface eiev = ao r
Boring # ❑ Boring ,
® Pa Ground surface oiev 5o,81 ft. Depth to limi aia tartar :96': in
~~xaon 't, aIn lh _ Domin tilunSOColor nopa Redox Doscipt cn ,Texture -Grt SL Sh Consrstence Boandaryry~ Routh ACPID.~fE
I
cy, i Qu. Az. Coot C rior - - E
IF} - 1 7lgr Ln-,,fr IS
-
2fmc OS YAI _1
IIIs 2vf.tm 06 08
3-15 t0v_ 13r4 I none. Its Ogg rill
1539 1Oyr416 none Its f lI -ml ew 1fmc 5
f ?5-44 7.5yr414 gone III trnsbk I m(r -~aw`.~ tiro 04
_ d9-96 J10vr476 none i stmt. Ogg ' ml 05
Boring
30 - ~ Pd Ground surface elev 92 34 ff Depth to limiter, factor !c
SO Appm.aln
_!epih Dominant Color Rodox Description Texture Structure Consistence Boundary Roots GPU'I"1
In. Munsel+ Qu. Az_ Cont. Color Gr. Sz. Sh
I Eftki I
- - - ~ - -
0-8 ~i0yr3r3 none 2
I fgr mvfr _
gs 2f -m1^ 06
8-77 10yr3/4 Vn Ifs Osg ml gs 2hnc~05 -
17'52 10yr416 Ifs Ogg r cw I 1 fmc 0 >
-?Y._ ..I 52.81 7.Syr6 at tmsbk mvfr cwT-lfmc C4
y _ rM
5 d1-92 '0 r4l6 none stet
Ogg ml
i EfBuant kt -BUD - z 5220
_ _ - 0 mgi - L d TSS > 15 G fa nt
- - 9 >30S 220 Lend TSS
r`5T Na^Ie !Please PrirP Si, riot a M4 90 TCST Number
9
wr-ie K Thort~scn - _ 30021
Addl~ss ate Evaluation Conducted Talepnonn Number
"I.aq - r,V :n I a<e t ane_Osa:ola_ YVI 54020.5413.1 .iulyC-6. 2018- (715s 248-7767
~~q 'I3mm,l
pit Grouco surface elev. g3 Q5 It Depth to lim Tn9'm-,!.:
f
Wr izon Depth 1 Dominant Color Redox Description Texture EGtmS,tSh
ure Consistence I Boundary Roots GP_ D;F1 .
In. Munseli Qu. Az. Cont. Color r
__0.14 10Yr3fd none ft - - Osg m! cs 2vf,tpl G ^
1436 10 (i!6 'none I
Y ~ its Osg ~ ml gs 2tmd
36-57 10yr414 none ' Ifs Osg ml gs 2fmle G 5 '.0
57-63 7.5 r4l4 none - - - -
his Os9 ml gs 2fn1c 0.5 :.0
- - --r- ---t
63.80 7 .5yr416 none Ills Osg ml aw - C 1 t, - -
60.95 7.5yr4,4 f2d 7.5yr5/8 cement Osg mfi i 0,0 _ 00 i
boring 0 ❑ Boring
P4 Ground surface elev- 21 ft Depth to 11MIling factor :86'. r
Soo a izon Depth Dominant Color Redox Description Texture Structure Consistence BoundaryRoots PU:'
In Munse:l Qu. Az. Cont. Cclor Gr. Sz Sh -
Ifs Osg
j 0-5 IGy013 - Fnn
mlcs 1vU
5-30 iGyr4r4 _ ._Ih Os9 dl cw thr
1 - - - -
t ;0.47 10yr4/4 none fs Osg m1 gw - 0 .r
47.68 1Oyr4/4 none I's W1 Its
bands Osg ml ew p5 ,.f
138-66 7.5y:4/6 {none grits Os9 ml- n 5
v
ucrnp # ❑ Boring
❑ pit Ground wCaw elev. If Depth to I ~dnn I r.c;..
I a,
I ____r__.
le: zoo Depth In D*minan(Co!or Redox Descr(ption
jo Texture i Structure i Consistence Boundary Roots i f Dn
In i Munse11 li Qa Az Coot ont Coorm Gr. Sz. Sh. -
,
- -
-
-
- RU , ] s 220 mgil. and TSS > 30 s 15C mc'1 ' E ftli!ent #2 BDD 10 c 22C m5ll- and TSS 1 30 ~ 1 K, v
I ■ Sni% a1✓a/ua6-,n
~e< A,2O t
eoy K/ak KS
ro3~Nwy
s~YO~f!.StC r2, rx 9X., aou
-Z74 C'-n
0
j
a'. o 1 / ^q q /Zy wa da- stp6rc dvC zys. 7
h a t d y 1, n bte4y.>~. d - 7
, ~ 1 at~o.rcodc. fw
~ 1 a~rcL ~ 1 t ulo•d~,G~ttt~'G /
~ ` 1 , - mark
~ ~ 1 ` ~ 1F t 1 ~y,,~ Sd•^^~~.Itssamcd r
r I ~ ~ Rn ~ \ ~ ~ t e 3 G c~ atJf • ~ca.m f /
0
\ \ ~ fYL'n' Stpbc s~'r
ant ~ ` ~ • `
\Qsen tdas,4wCoat.
i I y YY
h
t
V
b • ~
vn"`°nl"Del. "^"g"""cc<r'^v:r ^ SOIL GVAI UATION REPORT
Willy "d Mili0Yngs ORT
m amreance cairn Corm 85, WIS. Anrn Coln ✓
Atlatl' WmrYrM See Ct my ST LRo/
fl10 rx' pap" rv Iles Vmr IS 11 x I "'Ilex In 92! nl;n rr -p
Inn n01 rte
mtlnM. nngM 10 vedirll aj I"eznnlar irlnar'! "'M IRhR. eiiedim a.d nd 020 ' /l/~ p O
PlrrRnl .^.Inpe, 9rala nr elmnaons, nnth avow, Ilnd IoLallnn ane tllslale:r to nldmsl roan. Pa<al I D
O>.0 - eV3=- jvS ozsn
Please prlnl all lnfonnMlon. ¢c .wea trr WIS
rv. m hr4vv~m I" o¢e,A nmv Set 11-1 e'l• <crn•Ne•v!a¢mex Ip'el : I Bw, < Is Va f II Irnp I r -
Fropeeq Owvlr
'
hnalCrl'y E[C}wnZ"/r ~s iM`~ elllnp A6eAI1 rnL BE )e - gorpre. rttnyl I rr5 .,lW im Ira 5~ vd s /z- 29
T - N ~ N 2-0 - C-
i(ml W
w✓. 35- L-I UIV
Ge/ %M0., -3o ff1s4u~ll/a - -zp,COeg Footle r,amnr- I nl a
y/JOSoa~ iSfoGJ(715138(2 Rluw:k os e~rrfa°pus r he ~a®b,mT~r ac rm v C3.15eduk ~NJeaS
reBl RO.'aI 57 /fuD.Sa lfj/y 35
rl New Cpgtmdly, ll ;!7 Nngldneal r Nonibnr It hleluane Z--- Coo^ tlNmM tlnopn spv ram
U G,•D
('!e01a'vlmnnl ILhO^rx Wrnr"rGal. UesrAh!- _
r;vrml ma!rial _ - floM l'I -
•
Gnroral a~mmenL -S~ O-/~ - oir yewum, II nnPOLabn _~Y~
O R.
arcs rn2 mmntlalWnsSLY(_ EU~9 /U'// ir2tz `fir. CO/4M . ~~.3U F~/~° /I ~'p/~j~ Pdif•Ji r '
TO /PG~J/fJCF /f Cjf/1C:/J /N SJ`~E! SENT/C_' T~[ll~ 5 ✓S7E/^
/STiyG QXY4,)"X IS Al CODE ~O y~~'rl3j SOiG s - do
► Dmin, 9 3 80
,v pil G'oiaU "i-w:.r. elev. it //0
_ DePlh to BmllnJ larlm n.
I Imxm 1 - Sol aeon Rab
leab Dr,•rwunl Cdor Nltlm Onarzlpllvi re<lurn 5S.' Jrr, Cmlwinm Now q RII<:t5 Gpflap
N Munx11 Gu. Sz. Cant Cal" Gr 5z. Sh. 'EMI 'ERf2
0/0 o R3 - ~s /M Z
1 Ar 75YR LS cIc) .7 / l zxx
= L
2-5 4W
❑ 1U, Ralrp
Bphgp
PII (kci-M SudmR e9r - 0 Orpm to p liu,lg factor _ rrl.
I Inman I;! V F;;i ainl Col, R - - Sail Aplnrnum lisle
Mox lC&.L Cnr, fexlum. SbNCbim C"ismn. Boumlary NppIB G19aN
N MNRBBII W. Sz. Cant Ma Cr SL. 5A.
'E'MI •EIM2
'EMUenI N1=ROD, > 30<220 frgi and T55 >30< 150 1.
C31 Name (Please p,lni - 0' ' FML*AI P2 = ROD, 3<'1 mpg Intl TSS <.Ip rnp4
$ignafine C51 Nunibiw
r2o ART Zf/6.R,cAT z2G375-
An NYN
Dam lvaliueanCmtlutletl TNepl,mpe/NUngyer p
- UWecnt3Aasocklee ...lO/ 7/s.~0 `'6~0 S
pe epe COneultantB
855 O*N,il 'NOII Rd.
UWBaI, Wle. 50010
J
S"1157-IM•- ,LWy4V,0-L
C!bA.) B,+1,VE77 OA-71-1 2-3 l'7--
~G~LUE,u % ND S/,/VS' Of
~QIGlii1~L Ov r14 w,;,,6--
440r,txo5 7a ISe Fv uc T/dw//A) c,
ple6A LY.
iZ437s
- (~.S4tP,;4 #IoeS qV
r /fwy. 35
O I/
(SoHOM
01,
tlAl, I ~vS~ oO
iH :I l 16
fI ; r
51
5~
30 I 'o T5E ~)0
Tic
I° 1
i
QPyluFQF'2 to
J y7o/a•~ t ` /
f3f ~yr5%I/J~
~V
~ sysr.
a ~ -
• 95.0'
saclflff nU
Utbdonl6 wiOe ponfullf
pnvfl?NfN R~" WS
lwef°n
MARS ~ z2
213
Divisi i Duce S Screrw2ji~txofly~pd Professional Services O
Division n of f Indusntry s n
r OEi SOILE
II .
.ch nrt I nni:etl losv ru~af'- -p G I In a0corden with SPS 385. 1 Adm Code County ,
p plan or a1 Y Of tape 1: x 11 in,h Ohes in size Plan mu must include S; Croix
Parcel ID
Uu-h
( ur~e~laf-retferenc-point IBMI, direction an. percent slope,
scale or dimensions. rodh avow, and location and distance,o nearest road. 020-11 0-000 Rot.:'
wed I1
Please print all information. Rewe- Y-
i .una, o ro,mabpn Ieu provide may t)(! ,seal for seconds purposes Pnvac -aw S. 15.04(1)fmll. ( p
-,ruf,-rty Owner Property Location
"v '~Nahus Govt Lot SW Y. SE Y. S 12 7 29 N R 19 E ton
f,. rt! Owners Mailirg Address Lot # Block # 1Subd Name or CSM#
H.vy 35___ Na Na _ Na
State Zip Code Phone Number ❑ City _ Vilage town Nearest Road
jsor I WI 54016 1650 214 4199 Hudsomn Star N,:::::: ur
now Coistruction Use. ® Resrdential I Numberof bedrooms 3 Code derived design flow rate 450 GPD
Replacement ❑ Public or commercial - Describe _
ve it material Glacial till - Flood Plar elevation it applicable na ft
rrral comments and recommendations. Site suitable for in-ground POWTS with 0.4 gpd:sq. R. loading rate. Recommended infihratwe surface e.ev <,I'
l;: ran, n ❑ Boring
® Pa Ground surface elev. 90.81 ft. Depth to limting cantor : 96" in
Su 1 Applicatu•1 Rate
r
won Dept; Dominant Color Redox Descriplion le.lure Structure Consistence Boundary Roots GPD_ Ft'
In Munsell Ou A7 Cont. Color Gr. Sz. Sh. Eff#1 'Eff#2
0-3 10yr313 none I 2fgr mvfr gs 2vf im 06 08
i
3-15 1 r3J4 none its Os ml
O1' _ 9 9s 2fmc o b t 0 ~
t5-39 10yr4t6 none its Osg ml CW lime 05 0
3949 11 7.5yr4J4 none sl lmsbk I mfr aw 1(m l C4 _ O7
- - - -
49-96 ! 10yr416 none lfstra slst Osg m1 - - 05 10
Boring it ❑ Boring
Q Pit Ground surface elev. 92_34 ft. Depth to limiting factor > 92" r.
S_t, Apioicahrn F;,m
1-::r Depth Dominant Color Redox Descript or I Toxture I Structure Consistence Boundary Roots GPD~ri
In. Munsell Qu. Ae_ Cent Color Gr Sz. Sh. I
'Eff#1 i '01#2
0-6 ~1 UyY3!3 none 2'9i mvfr gs 2fmic OS O8
6-17 10yr314 none .Ifs Osg ml gs 2fmc C.5 1 A
17-52 1Oyr476 none its Osg ml cvr tfmc { C 5 1 0
52-81 7.byr4/6 none sl Imsbk mvfr M lfmc ! 0.4 0.7
81-92 1Oyr416 none strat. Osg ml -
- - 0.5 10
Ifs/s
7
Effluent #1 = HOD, % 30s 220 m2a and TSS 30 5C mgJL_ _ e_nt #2 - 130D_ > 30 s 220 mg!L and TSS r 30 < 150 mg+l
Nome iPlease Print) _Signature _ CST Number
K Thompson 3002'
1.'..!o. 4ate Evaluation Conducted Telepnene Number
- i I kz Lore :JS ~cu•a. WI 54020-5413 .hrr: CG. 20 th i'15'i 245-77,57
~cr ny rc Boring
® fit Ground surface, elev. 93.05 ft. Depth to lim tiig fa-:of 80" r
So I Appbcaiw-i R r
Honzcr Delp- Donn rant Color Redox Description Texture Structure Consistence Boundary Roots I GPD:FI_
In. Munseli Ou. Az. Cont. Color Gr. Sz. Sh. Efyf1 'EfrK:'
I - - ---1--
1 0-14 1Oyt 31;3 none Ifs Csg ml cs 2vtttm I C.5 1 C
14 36 10Yr3!6 - none its Cs9 rill 9s-- 2fmcf r 5 1-2
I
_ _ 1
36-57 t0yr4!4 none Its Cs9 ml 9s 2fmtc CC, ! L0
5763 7.5yr4i4 none its Gsg rill gs 2fmc C.5 1.0
63-80 7 5yr416 none HIS Gsci ml aw 0.5 1.0
- - 80-95 7.5yr4i4 f2d 7.5yr5f8 cemen' Gsg mM1 - - - 0.0 -
ed IN
El Boring
1 Boring # ® Pt Grounc surface elev. 9291 t Depth to 6mtt,ng fac11n -.v..
I Soi: App,icati-i I'._to
I I rzun Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ GPDrFt';
In Munsell Qu Az Cont Color Gr Sz Sh. - --_r_.-
'Fttrit _ _'FffrL
0-5 toyr313 none Ifs Osg ml cs 1vf.f 105 10
5-30 1Oyr414 none its Osg dl cw tfrn 05 1.0
3047 10yr,14 none fs Osg ml gw 0.5 1.0
1 47-68 10yr414 none ft; wr Its Osg ml cw - o5 1.0
bands
68-86 7 5yr416 none gr Ifs Osg all 05 1 0
r-.y # ❑ Boring
❑ Pt Ground solace elev h. Depth tc I Tr.
jell lyllp hcaf.,;r Fi,...
r lo izor Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots - -GPD+ l: _
In Munsell Qu Az Cont. Color Gr Sz Sh 'Ftt#1 'Ettr:-
_D
F MI. rt s- = BOD, > 30 _ 220 mg1L and TSS > 30 150 mgA ' F"r.ent #2 = BOD, > 30 s 220 mgiL and TSS > 30 < 15C 7
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