HomeMy WebLinkAbout026-1121-26-000
°iscarsr-U:Car }rent al Cammcfco PRIVATE SEWAGE SYSTEM Ccarly t. Croix
SareN 3rn' HI. Itl ng Oia : nr
INSPECTION REPORT San laryPermit No
(ATTACH TO PERv11T1 606962
GENERAL INFORMATION stale clan IC Ns
Personal wormat on y r. are, ie may to used far seconcary p..rTases lPrvacy _awv s 15.& jpn`,I
Pore I Holdr_r's Nine. City Vi age 'ovnship na2el Tax NO'
Oevering Homes TOWN OF RICHMOND 026-1121-26-000
CS- JM Ulu 1 I^sp UM E le: 100 :lesaipSOq Sectic•JTO:vNftangeDAaF Nc.
6-7 - I 05.30.18.741
TANK INFORMATION ELEVATION DATA
TYPE P.AANUFAC'TURFR ;Ms CAPACITY STATION 6S HI IS ELEV
Septic c1 J T~ Henchmark Jig
j .3.4
Dosing AI: BPA n'
Ce w.ba s ob . 11 L- c 7-1 4`1
Bldg. Sewer
Bolding StlHt Isle' 7, 01
St:H: Ou'. et
TANK SETBACI INFORMATION
TANK TO a WELL BLDG. ent to Ir In:a<e ROAD fl: Isle;
Septic /Ir}• _ 01 Bcttorl
X13.37
Dosing ~(A 31' Yom/ HeadeuMar.
5 r I 93.87
Aeration Dist Pice G
6«
Hold ra Bot. System
e.l
PUMP/SIPHON INFORMATION Final Graac 3 ` • 17
Manufac:drer IL Demantl St Cover
r t-I Z-9 GPNI 7' l 9 f-C-71
Model Nurrter V
(,.6 9Z.9-7
TDH L16 FrcionLo s J~ 3 System fUH rt Z ~ • !
A)#+- 1 ~ Z5 7 ~ 1
Fmcemain Long tly Dia. III L)w IV vvell Y L
~ I .7 42.ZZ
SOIL ABSORPTION SYSTEM 9z • 1 -7
BEOrTRENCH snidt•: engt No OI ?•ercles PIT DIMENSIONS No .'Pis inside Dia 1-cuic Depth
DIMENSIONS 3 4 O/ 6 t rem 1
SETBACK SYSTEM TO ~L BLDG SMELL LAKE,'STREAPd LEACHING LAanufaawer150 /r/ /
INFORMATION CHAMBER OR F~ Oa/
77, pp --I S/Stemr/ ~/{1 qQ t UNIT tatpye N„mher
65 Olin-
DISTRIBUTION SYSTEM
01
x ole Sze . Hole SFaang VCV: to A r lrlake
Hea7er'L".a-do d / Gisaiauaon H
?irels,
Lc lg,r r)" .en_rln Da ~~Spacmg M-
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only S
il"l- O'er Jcp;h Over xx Germ . xx sec7eosooded u~ M~Iched
Hed~Irencl, Come- 3euTrerc-. Edges ` Tecsaa ` ~Ygs No Yes No
r
COMMENTS: I lncluce code disc•epercles. pe•scrs preseol, etc) Inspection #1: InspecPor. 712.
Location: 1733107TH ST / lt dui,
1.j Alt BM Descnp:lon = ( (.~0 T,iOa„„
2.1 Bldg sever length
- amount of cover = 1 I
36 54-
Plan L 11
revision Requ redo _ Yes ,p4"No / q I . I / p /_Sl'2 7
Use other side for additional iafcrmalicn.
Cate hseF:-t 's Sign C C" No
S30-e' l a iR 81-r
T-
~cL1 S. fe^r' any 3;:ilui'1gs UiviSiv"1 I Of
201 rh t^Jivnricrton AvG P. J. Box 102 :an:fa^; PCmrt . usx! !tc he ttlci n by .a j
Pvladtsu W 53'„x7-7152
0SPs ~
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ma Y :..w t s 1l 1 ! "-J-(~
1 \ppGcvoon Information Fle Please Print X11 Inform _ -
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},h.~r':a.c+s M:ulnrr 4l t I rnpc ty _,xaron 05.30_1g•lyt._
r.l socnm l
❑ ype of Ralldln„ icheck all that apply
' ' ;'am.ly L1 c :iu; t wu _r ;ef ltccir:.,..
y/y J r
Kl ad I i {rQL/Y~~LGSrI~
La,bhe'(aT'naa:J - L>^..rbe S V _ U11 >f -
Y 94 t:u:nb-r
I vpe of Permit: (Check only one bcz on line \ ComplCtc line H if applicable) .__2010 x -
h - _ -Ihv ~faliUcz:: n r S ,x '.p'am
R pM1mwn: unlV
' <}alCtn 1 K•>In:'cc,c S -v r rrroc IL ~ auk
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Jim-ef YF)!h"T crw Compjuncnf Dev:cv((heck ali that lyl - 7✓ SC a;M1S ~
` Ft : m.. Ir 6r : r t Ir nt. r><r k ou, I ...-t--edc - C '`!ouuJ-i u'. nl surabl s t r u-1 w.twnc :of. -
rr t~ r''Ihr'ivpm-Ir m-ott'1 rxpl:nl i~l'enrrancr:rl'^r4. 1 i -
prey col Arca In lormation _ _ ~i.3
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1 uati.m - :x -
1TL. Rc%ponsiblftty SlAemout- 1, fhr odeni~nal. a rnponsilnlrty for instal!atinn of the PUV\ 1~showu no nc, attached plans--- -
k r u((f/1/'rc:' a..o ht r Pi nIP01PKS !umb,= as:ocss Phoc V xr
raL• : 'odr
\`~}`:r otmly Dep~rrmcu` Ls<Unh _ FCC sssu. tt;eit
L7i-Cnndt- tT7riY °`Wpprn 31 14
1. .tarl. e.nca, c 1n 3 C2
~apu.r3ragemen pl I , ::.t ,t rue.. of t(tl~-
2. AN me". k recurer -r'os m'tot ,-e :.l% rr e : Ip
as per rppvccrb;e c r✓;: i sd'anro;c e -
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bbertY Pumps
Pump Specifications
280 Series 1/2 hp
Submersible Effluent Pump
LITERS PER MINUTE
69 'DG '5G 2GC ?SO
Ic
i
_ I
8
F w
w i
Z Z
W W
x =
J
O O
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ip
C Ir. 30 4C !io GC ?G
GALLONS PER MINUTE
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System PLOT PLAN
I'ItO.II:C'1' Oevencc Homes ADDRESS 1433 Cernohods Ave Suite A New Richmond Wi 54017
SW 1 ; 4 SE 114S 5 rr 30 V R 18 ~I '[ONYN Richmond COUNTY ST. CROIX
SYSTEM ELEVATION 93.1/92.6192.V91.6 2.5' below DATE 11;18.'18 BEDROOM 3
CONVENTIONAL AT-GRAVE CONVENTIONAL LIFT XXX HOLDING 'TANK
1000 gallons LIFT TANK SIZE630 DOSE TANK SIZL
MOUND SF:1''1'IC 'lAN'K SIZI?
IIOLDING 'TANK SIZE. LOAD RATE •2 ABSOItI'TION AREA 2300 0 of chambers 46 total
BENCHNIARF Top of marked smel fence cost ASSUME I:1 EV AT1ON IIIO' Filter Lifetime Filter
❑ IMMAIOLI: O WELL "II.R.P. sane as benchmark
107th st.
2~2' Property Line
y,.
95 6
Bedroom
Il 93'
ousc
B-4 5.
~U 90' 22
l,1
B-;
lluffeutt Com a ank
O 31
60'
4-3' X 115' cc] . vith > ' spacing 13
Irr Slope
1
170th Ave 2t1
is
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 10/31/18
Owner: Covering Homes
Location: SW 1/4 SE 1/4 S5 T30 N,R18W 1703 107th St. Richmond
System type: In-ground absorbtion system (conventional)
Manuals Used: In-ground absorbtion system (version 2.0)
Pressure Distribution Manual (version 2.0)
Paged
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4-6. Maintanance and Contingency Plan
7. Filter Specificati s Sheet
8. Do/Tank s Section
9. PuSiyn Licen 4226900
System PLOT PLAN
PRO.IEC I' Ooverina Homes ADDRESS 1433 Cornohous Ave Suite A New Richmond Wi 54017
SW 1/4 SE leas 5 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX
SYSTEINI ELEVATION 93.1192.6.•'92.1:91.6 2.5' below DA'I'S 11,18!18 BEDROOM 3
CONVENTIONAL A"RGICWE CONVENTIONAL LIFT XXX HOLDING 'DANK
1000 gallons LIFT TANK SIZE630 DOSE T:1NK SIZE
MOUND SEPTIC TANK SIZE
HOLDING TANK SIZE LOAD R:VI-E: .2 ABSORPTION AREA 2300 tf of chambers 46 total
BENCHMARK Top of marked steel fence post ASSLNIK E:LE:VA HON 100' Filler Lifetime Fillcr
❑IIOREHOLE; O WELL <D.R.P. same as benchmark
107th ,t.
252' Property Line
97'
Pro 3 95' 76'
Bcch-o0m 91,
Iloutie
B_112
90' lS B-3
Ha11"cau Combo Tank
60'
4-3' X 115' cells with >3' spackle
33'
7!''c Slope
S'
B-2 5
-1
20'
170th Ave Vents
C
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L
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGRERMRNT
AND
OWNERSHIP CER11BICATION FORM
i
(honer'/Bu er t?
7ar
Mailing Acidre v'~EG J ~ .2i' C
Property Addre?:s 1 uL
fVcrifiuahnn requirud from Planrung & "Liming, llel;ar ni fin new cnnstractionJ -
City/State Parcel ldentificationNumber
-
LEGALDESCRIrfION J ~a ~~r()
Property LocatiolfSl.o Sec.
ON R/ ~ W, Town of
Subdivision c;
- Lot #
Certified Survey flap #
- - - - - Volume- Page # _
Warranty Deed
Page#-~
Spec houst: yes no I.ot lines idet)tifiabl ye; no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
'"Proper use will maitrtenance of your septic system cunld result i u ins premature ritilure to hatuilr. wasnrs. Propel
omintenaice consists of puinpmg out n)re sepQc rank every three years or sooner, it needed, by a licensed pumper. Whal you put items
the system can alYW the lute..hun of the Septic tank as a !reafrnwu stage in the waste disposal system. Owner ttramlenanec
n'esportsibilities are specified in §C:umm. A3.5")(1) and in t'hapter 17, tit Croix (JOwuy Saniaiy Ordinance.
'fhe. property owner agrees to subrnit io St t'roix County I'lannirtg & Znuing Dcpamneitt a rcu tilicaliurn tom), signed by the
owner and by a master phnrnbet joumeytnan plurnbel, restricted pli whet or it pressed pumper verifying that (1) the on site
wastewater disposal System is Ill proper operating condition andiot i2) Act* inspection and pumping (if nece.mry), the septic tank is
less than 1 /3 full of sludge.
)iwe, the undersigned have. road the above teyum=nrrms and agree to rnaintuin the privato sewage disposal system with the
suutdw'tis set forth, herein, as set by the DOP11mncit of Content, and rlut Depatyment of Natmral Resources, State of Wisronsin-
(:ertlficanon staring that your septic system has been maintained must be, completed and rctumcd to the St. Croix County Plauning &
Zoning Department within 30 days of the three yea) expiration date.
I/wc certily that all statements of t s for)n arc true, to the hest o! Illy/our knowledge.. liwe amine the owner(s) of the.
property desmbed above, by virtue of a rianty, deed recorded in Rogwer of Deeds Office.
Number of bedrooms 7
-
,AIGNATtI UI~ APPLICANT(S) f)ATF
' -
ATF,
'"'Any infumkation that is misrepresented may resalt in the sanitary permit being revoked by die Flaming & Zoning Departmeut •
Include with this application a recorded warranty, decd from the Register of Deeds Ofticc and a copy of the ccrrifiral survey map it
reference i.a made it, the warranty deed.
(RFV. anus)
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page - of-.
'ILE INFORMATION SYSTEM SPECIFICATIONS
Owner Sz ic'ark Ca
_ Q•P, P: pac~ly - ~Tr _ gal ❑ NA
Permit If V~1 Septic Tank Manufacturer NA
13ESIGN PARAMETERS Effluent Filter Manufacturui NA
Number of Bedrooms U NA Effluent = ilter Model 0 NA
Number of Public Facility Units 9QNA Pump Tank Capacity al G NA
Estimated flow (average) - Manufacturer NA
-~-a -
Pump Tank
Design flow (peak), (Estimated 1.5) F'ump Manufacturer - ❑ NA
_--yaUda <7
Soil Application Rate adds ff' Pump Model XX'N""A
Standard InfluenUEffluent Quality I Monthly average' Pretreatment Unit
Fats, Oil & Grease (FOG; s3C mgiL 0 SanofGravel Filler C Peat Filter
Biochemical Oxygen Demand (60135) <220 mgA 0 NA O Mechanical Aeration G Wadand
t
Total Suspended Solids (TSS) I <_150 mgl~ a Disinfection 0 Others
Pretreated Effluent Quality Monthly average Dispersal Cell(s) 0 NA
Biochemical Oxygen Demand (BODS) <30 mglL X14-Ground (gravity) 0 In-Ground (pressurized)
I oral Suspended Solids (TSS) ,30 mg/L -74.NA 0 At-G(ade 0 Mound
Fecal Colifonn (geometr c mean) <.10° r.2il1:)Oml .7 Drip-Line C Other
Maximum Effluent Particle Size k in dia. Cl NA ~riet' f. i :VA
IOtner- - -
-T- NA Other. ❑ NA
'VMes typical for domestic wastewater and septic tank ufrluen! Other. 0 NA
IAINTENANCE SCHEDULE
Service Event Service Frequency
th(s)
inspect condition of tark(s) - - At luasunce every: q mon
3 Ka) (Maximum 3 years) 11 NA
[Pump out contents of tank(s) When combined sludge and scrum equals one-third (YS) of tank volume 0 NA
- - -r-- - - - -
inspect dispersal cell(s) ' At Least once every: -9year(sjsr ((Maximum 3 years) 0 NA
;lean effluent finer _ 12- At least once every m ar(sjs) 0 NA
t'i.--.----- - -
rspect pump, pump controls & alarm At least once every: ❑ month(s) C NA
~-year(s)
_ _ - - - -
:=lush laterals and pressure test At least once every: C month(s) NA
- C year(s)
-
~Mer At least once every . month(s) NP
- I - G year(s)
- u NA
MAINTENANCE INSTRUCTIONS
.nspections of tanks and dispersal cells shall be iraee by an muividual carrying one of the following licenses or ceitific ,lion. Ivlaslsr
Plumber; Masser Plumber Restricted Sewer: POW"S inspector, POVVTS Maintainer. Septage Servicing Operator. Tank inspections must
riclude a visual inspection of the tank(s) to identify any missing or broker t•.ardware, Identity any cracks or leaks, measure the volume of
xombinod sludge and scum and to check for any pack up or poncing of effluent on the ground surface. The dispersal rill(s) shall he
visually inspected to chock the effluent levels in the obsorvatiun pipes anG to :honk for any ponding of effluent on the ground sur'ac:e.
Rhe ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notificatiun of the (x:31
I-egulatory authority.
✓dhen the combined accumulation of sludge and scurn in any lank equals one third (5) or more of the lank volume, the entire contents of
the tank shall be removed by a Septage Serwang Operator and disposed of in accordance with chapter NR 113, Wiscons,r.
Administrative Code.
rM other services. including but not limited to the servicing of effluent Potws, mechanical or pressurized components, pretreatment units,
and any servicing at intervals of <12 months, shall be performed by a cer5fied POVtrrS Maintainer.
a service repot shall be provided to the local reguatory authority within 10 Gays of completion of any service event.
Page _ of
START UP AND OPERATION other chemicals theft
For new construction, Prior to use of the POWTS check treatment tank(s) for the presence of Painting h a ave the contents of the
may impede the treatment process andfor damage the dispersal cell(s). If high concentrations are tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when sod conditions are from at the infiltrative surface. is restored the excess wastewater will by
the backup or surface discharge of effluent
During power outages pump tanks may fit above normal highwater levels. When power
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in Servicing Operator print t to restoring power to ft
To avoid this situation have the contents of the pump tank removed by a Sepiage Serv the pump caNi o to restore normal levels
effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating
within the pump tank. the area within
Do not drive or park Vehicles mound o~ at-and grade absorption area not drive or park over, or otherwise disturb or compact
15 feet down slope of any di the life of the POWT$'
Reduction or elimination of the following from time wastewater stream may improve the perfortnance diapers; and cis prolong disinfectants-, ter foundation dram
antibiotics: baby wipes, cigarette Beta condoms; cotton line; swabs; degreasers; dental fms~
herbicides; meat scraps: medications; od; painting Products;
(stump pump) water, fruit it and nd vegetable peelings: gasoline; grease
pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT shall be taken to insure that the system is propeib
When the POWTS fails and/or is permanently taken out of service the following steps
and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
• All 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 property 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 code compliant
If the POWTS fads and cannot be repaired the following measures have been, or must be taken, to provide a
replacement system: lacemert sod absorption system.
-#--A-suitable replacement area has been evaluated and may be util¢ed for the location of a rep requiW
The replacement area should be protected from disturbance and compaction and should riot ~t iriffinged area upon by the
setbacks from existing and proposed structure, tot lines and wells. Failure to protect the replace must ca will l r r suit in t tine in
for a new soil and site evaluation to establish a suitable replacement area. Replacement systems
effect at that time. in POWTS technologM a
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances
holding tank may be installed as a last resort to replace the failed POW T S.Wre of the POWTS a soil and site evaluation
❑ The site has not been evaluated to identify a suitable replacement area. Upon be installed as
must be performed to locate a suitable replacement area. if no replacement area is available a holding tank may
a last reson 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. RecorstMCUama Of such systems must Comply with the rules in effect at that time.
<<WARNING>>
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT
PRCUMS •ANCES. DEATH MAY RESULT. RESCUE OF A
ENTER
SEPTIC, PUMP OR FROM THE INTERIOR OTHER A TANK MAY BE TDIFFICULT ANK UNDER OR Y CI
PERSON R
ADDITIONAL COMMENTS -
POWfS INSTALLER P0IA/TS MAINTAINER
Name ~7L - - - Name -
Phone - f Ptwna f~ j
SEPTAGE SERVICING OPERATOR PU ER LOCAL REGULATORY AUTHORITY
Name L Name X
Phone Phone
f and 383.54(71, (2) & (3), Wkmnsmn Administrative Code.
This document was drafted in compliance with chapter SPS 383.22(2xb)(')(d)&( ,
_ I I
n.
X91
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♦ V ~
Septic-Dose "yank Cross Section And Pump Performance Specifications
I'mtk Manufacturer Pump Manufacturer
1 tnk Model Number Pump Model Number d
Totaf TankCapacitN Alarm Manufacturer
Mai. Bur} Depth Alarm %Iodcl Number
Switch T)pe
1 filter Jdanuftcturer
Total Dynamic (lead TDH Feet
tit"
Filter 1,lodel Number
Elevation I lead ~
Distal Pressure
_ Network-Loss
- A4inimurn Pump Performance_
_ Required Force Main Loss
CiPh4 (a; , FtTDFl
Total -
- Asa
Outlet Manhole Min. 4" Above Grade With
Locking Device. Inlet Nfanhole Manhole Min. 4" Above Grade
With Locking Device
\
-.6" Below Grade Scaled NValertight ~J Securely Mounted
Weather-proof._,.[]
♦ \J1
Junction Box- -
Finished Grade - - -
r - Depth of
Vent N4ht. 12"
Cover _ Disconnect
lit ~160ac Grade Means
With Vent Cap
I<'` Outlet
Outlet Filter
Inlet - - - - - - In let Baffle I
' A
Switch Settings and Rcserve Capacity
Tint: V01UmC'= ~S Gill Weep
Dimension rlnches Volume Gal. 13 IIolc
(reserve) A -y <
(alarm) B 2 ~ Off Elevation C
(dose)-- C < < I-t
Bottom
(dead) D q
D Elevation
Total
GENEPAI, INSTALLA'T'ION: File scpticldose tank is bedded and back filled in accordance with the
11111nufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not
he exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock)
installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and
laid unstable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge lho tank
excavation and the sleeve is scaled watertight. Electrical service complies with NEC 300 and Court 16.28 WAC.
02:05 I.J Page of
250=SERIES
113 hp Sump/Effluent Pumps for Professionals!
ALL MODELS FEATURE: MOTOR SPECIFICATIONS:
• Rugged 1/3 hp motor, oil filled with 1/3 hp 115V 5.2 amps 6OHz
thermal overload protection. Thenrlally Protected & Permanently Lubricated
1/2" solids handling. (PSG) Permanent Split Capacitor
• g. Maximum Fluid Temperature: 140"F
• 1-1/2" discharge.
• Hermetically sealed motor and switch cavities, DIMENSIONAL DATA:
and permanently lubricated bearings. Weight: Model 257: 20 lbs.
• Liberty's LINI-BODY casting - a solid, one- Height: 10.5"
piece housing that eliminates the lower motor
seal ring found on other pumps. Major Width: 9.6" (manual model 250)
• Epoxy powder coat finish PERFORMANCE CURVE
• Vortex style impeller for superior PERFORMANCE CURVE
solids-handling. Made of high temperature 25
engineering polymer.
• Fasteners - all non-corrosive stainless steel. 20
• 416 stainless steel rotor shaft. LL y
C _
250-series Cord Lengths fia G
x 17 s
Model 10' 251(-2) 35'(-3) 50'(-5)
H
250 Standard Optional Optional Optional
251 Standard Optional Optional Optional
253 Standard Optional Optional N/A U °
257 Standard Optional N/A N/A 0 10 20 30 40 So
- - - U.S. Gallons Per Minute
10' cord length standard on all models. Foroptional lengths. I
add"-2,-3or-5" sulfis to model number. 36 TD frq ise 192
Example: for model 250 with 35' cord, or:ler 250-3 i hers Per Minute
EFFLUENT MODELS
Model 250 Model 251 Model 253 Model 257 VMF
Manual, no switch. Quick-disconnect Wide-angle float with VMF switch, magnetically
wide-angle float, series (piggy-back) operated vertical float -
mcrcury-tree. plug, allows manual operates in a 10"
n operation of pump. diamMCr sump.
P (/SP Dual:::doly::cial.r"non for
.V LC(tltlCd the Unrtetl Stars and c:r ~aa,.
Liberty Pumps • 7000 Apple Tree Avenue • Bergen, New York 14416 • Phone 800-543-2550 Fax (585) 494-1839
www.libertypumps.com con"'nd C~ LDerty 1:,,:-2c1 7
N.nghts«.xr:ad. LLIT25CORS.t7
-1. 1 11
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i 1.025 ACRES 212 Walnut Street
44,666 S0. it. Hudson, WI 54016
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There are no objections to this plat with res]
1 24 Sees. 236.15, 236.16, 236.20 and 236.21 (1
r Wis. Stats., and ch. Comm 85 of the Wis. A
ACRES Code as provided by Sec. 236.12 (6), Wis.
3 SO. FT.: I : 1.008 ACHES f A . • A,
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Certified
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ment of Administration
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170TH AVENUE SEC
1306.77'
;89'55'3'"W 2613.54' -
.ENGT-I ARC LENGTH TANGENTS
171.32' N 00'04'29" W N 42'12'08" W
122.79' N 42'12'08" W N 00'04'29" W
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A-isconsin Department of ConSOIL EVALUATION REPORT Page of 3
Division of Safety and Buildinn "rd6 vdh Comm 85, VVisAdm. Code I connty Attach complete site plan opsthan $ 1r2 x 11 iniches in size. Plan roust C.C01 include, bill
not imited lo: v Wgnl4-jr f, reennce pt6int (BM). direction and Parcel I.U.
percent slope, SCAQ Or dlrl!en510rIS'lRf/Wpe and distance to nearest road. Q -1~ - , I a ab
Please print all information. Rev:ev `Date
. J
Pcrssnal mhmnLOn yuu pn;'<CU nr,ry Cc sod Nn sucurte-jru pu pus" (Fr vary Laa, s. IS.en (1);m:)
Property Owner Properly Localio
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al ie 3V1I0(f S Ot ~IJ 5 r 1i4 S 5 T; D N R b E(or'o'v
Property Owner's Moiling Address Lot Block ? Subd. Name or CS` #
1113 y a~ OF PA
r+r d~c ~vfU
City Slate Zit Code Phone Number ❑ City Village Z1 7o'.vn Nearest Road
NeW k~c~,me~b WI 5 1011 0115 ) o -7-IT"
- IZ? 1-3 R~C.6.• ,A i 1 O `~4 -
New Construction Use: Residential,' Number of bedrooms 3 Cede derived design flow rate y5o GPD
❑ Replacement ❑ Public or commercial - Describe.
Parent material r'~ Au +f, 5 Flood Plain elevalinn if applicable ft
General comments S 5 u5 se , t 1- 5 1 x 5 R r. k - 75, o'
and recommendations: T 1 (go-39') 16c+ 1, 5 4 11
~T4ef 7.-z .S,4toZ. Try (9!,`/a'~ Plccr( I.F4
T3 (R9.35') T.b C9D.?r'~
a Boring 0 ❑ Boring 9M Pi( Ground surfacr. rlev. S.67 ft. Depth to limiting factor 1120 in.
Soil Appllcalien Rate
Horizon Depth Dominant Cola Redox Descri; lwn Texture Structure Ccns;stence Boundary Roots GPJBF
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh, 'Effirt 'Eff#2
6-11 to l 31~ - L 3*k ds~, as aF s
a II as ~syR 4 b - sc aI ofs8k ctA F y b
3 as 6 ~'svR 4Iv+Sl~ - s c- a d s~ a LJ )v F
5 9
/FSBK'~
b
3~d cch+c,,,; c --'T,S `1R5fq - FS
Raring B El Horing f
w
Pit Grccnd sdrlace elev.] d. q(~) fl. lb Ih Cis !imitng factor gyn.
~ Soil App iraton Race
Horizon Declb Dominact Colo, Redox Dcscriction Trxt.uo Starchue Consistence Boundary Roofs CPMV
in. P.1uose11 Oo Sz. Cont. Color Gr. Si. Sh. 'Ffffii -Ff ft2
6--1 OyIZ 3(a L Rr&R 3s~ as aF .5
d 7-II ~,SVR'll~ - ~eS`~ amsl~ S ~'lJ F 5 9
y
3 11-31 1.S 4R yl - SL rSe Sl\ Au1 1v F
an- c SVR y) SL IFS6K d l~ -
' Effluent 1:1 - BOD,> 30 _<'1'10 rngiL and TSS >30 i.i' rngiL ' Effluent 02 = BOU, <:M m(4!L ann. I SS <;i;! mg!-
CST Name (Please Pnn Signalcre 1 CST Number
111\ V S Grk p~ ~.1 1 1--) aaD 4b
Address Dale Ealuabon Ccnduded Telephone Number
a~(o Zoo{ ) H )0-0-0 71s-3'(K-3GV9
SBU-S.i 10 (R07100)
a 3
Property Uv:ner _4ad. f' Parcel ID r! 'aqc of
❑ Boring
Boring #
1'if Ground sarface elev. - /.5q f:. Depth to limiting fatter 10 5 in.
Soil Appliraton Bate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPWf:'
in. Munsell Ou. Sz- Cent- Color Cr. Sz. Sh. 'Eff#i 'EtW2
G-ip Io,IR '~a F(r~ cis (A S a r S 5
a Io-i ~,sl qtr s%' a~MSLi Cpl I1- s `I
17-1 L1 "IQ 'I Ft s ar-s~~< ~s~ - - ~ tl
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3r I~ye: ra S SL I FSGk
Boiling Boring
R-1 ❑
pit Ground surface elev. ✓o Z fl. Depth to limi!n•.q laclor a L) in.
SOII Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAt-
in. Munsell Ou. Sz. Cont, Color 8r. Sz- Sh. •f_ff#1 'Eff#2
I 0-10 Ic ll. -/a L 3Pl as a if
B
a to-a9 7.syl rl - S~ Ir ~s Ct,J 11 y '10
>rsrK )s -
❑
Boring # Boring
❑ Pi! Ground surface elev. _ f:. uepn to ;imeing fa:aer in.
Soil Application Rite
Horizon Depth Donruianl Color Redox Descripton 7ex:uro Structure Consistence Boundary Roots GPD11ft-,
in. Munsell W. Sz. Cont. Color Gr. S. Sh •Ffl#1 -Llf#2
• Effluent #1 _ DOD, > 30 < 220 nr !L aid TSS >30 < 150 mgiL ' Effluent ?2 = BOD,, < 30 rear." and TSS < 30 n:np 1.
The Department of Commerce is an equal opportunity Service provider and employer. If Vol) need assistance to access services or
need material ut an alternate fumml, please contact the department at 608-266-3151 or TTY 608-264-8777.
Soo-Moto 0. Y),
Property Owner _'i•"- r``I' i Parcel ID # ?ape ~ of 1
Boma q ❑ Bonna r t _
in.
Fir Ground su.riacr cler. f I. = f: :)e:;lr r: I'miiny factor <
Sot Application Rate
Horizon Deptn Uommant Cotor Reaox Descri::bori Terllac Stttlo:urc Consistence tiounclary Roots GPDIfP
in. P.kmscll Qa. Sz, Cant, Color Gr. Sz. Sf.- 'Eff#•I 'Eff#2
SS Sr -
I ~ 1 n
..-h -fir. ~I. rr~f: i
❑ 9ortng
Bono;; # -J --r r
Pit G'ound scrlerc ::Ice. u ! ft. Depth to limiting tac!or in.
Soil Aadicatron Rate
Horivro~ 'lr•nth. Ilnmimot i:nl nr R'1'rl^cenn'mn Texnrre 5!r,w1-,,- Cnr^.iGrnfl• R~onrian: nn~lq gO1)'fI2
R. Munsell t)u. Sz. Conc. Cc Of G S:. Sr. "Eff#l 'Eff#2
39 _1
i
It_ JI ❑ il C:ound surtax tlov. ft I)ep!n to ;cn t6r9 fau:cr m.
Soil Ap:aleahon Rare
aodzor D=.pth Ihmunanl Co,or Red2x Descnpi.on i::xt.nc Sxuctur Consictenr.. 3ocnJa -scot' GPDIIY
m- f:hl~sell Qu Sr, Con:. Color ter. S 5t 'cttN 'Elf#2
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_f9ueat ?1 - Ron, > 1<" < 220 mg?L and TSS 3C .a 15" mc6:. ' Cifucnl #2 = RJD, 3P. r-rn!I ar.:: "SS 30 mg?L
'bile I)eparcrnent of Commerce is at: equal oppommity service provider and employer. I: you need assixlance to axess services- or
need material in an alternate format, please contract the department at 608-266-3151 or TTY 608-264-8777"
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