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HomeMy WebLinkAbout020-1031-50-000 :•ar:~=n,:.rnuevertrreleofComrrary PRIVATE SEWAGE SYSTEM .St. Croix Sa`a:v a":: P.uBdinp 0. m~dcn INSPECTION REPORT `'e:n,:Nc 607005 GENERAL INFORMATION ,ATTA';'H o Pr-R I I 3:a!r. Plan ID N:. Personal mtorna:='!oo provide mw. Ter, .1,T:1 `c: >.cmuI... Fu :.:r-•: IPrrc:r.:y I :rw S. 1, o< i 1:',-,:1 purr..:: I lo:mf> ne Cr4 sue I owns.. p Pace Tax Ne James and Candice Miller TOWN OF HUDSON 020-1031-50-000 RN. I Imp _ Section Taw, 7/"5,5 61w'a) 17.29.19.143E TANK INFORMATION ELEVATION DATA T"PF MrN rAC IIJR-P C."&`ACIT°' STAUUN EIS HI FP: LSV. :k:Phc ` 3enrnn:a" q7, 01 q r .rt CII:! SZ 0\ ei, 97 Z Aeration B.og. Sewer r ~ r Holding SL'Ht Inle: _ 191 9 TANK SETBACK INFORMATION >v t G.nlet all _ 'l r 1O TANK TO P!L 'vv:1L BLL e-r. !•,r lm... r. (DAF, GN-luwt 9 .1-7 '87 SII 1, O 8 ^ r - 7I Bolhyir r 3 6 $ 7.77 7Z `J3 g, / - adcraaan /6,1 $7. 3 Aeratinn DIM Pipe /s.! 8703 Holding Bo: System ,03 ofL PUMPISIPHON INFORMATION Final Graoe S• IO 9/.15 3 Man'utsctmel Demand S: cover ..Phi e 97' z4 Mude N, - 7DH Ld f nulo:l Lusa Sys:cr-r I Iep - lH Fi Fnr:en:an LnII _ast IC 'Noll SOIL ABSORPTION YSTEM BED.'TRFNCH V.'Orr, I. en Gfn Nc Jl Trenrpes PIT DIMENSIONS ~qwd Uep:n DIMENSIONS Q Z- SFTBACK ;YS'LI•V H-1 o PiL BLDG VC LL .AK,F!SI 4FAV LLACHING 6~_uu'scLrer INFORMATION _ CHAMNI:K OR No0- Sumner •ce y„ „<teT I 57 56 1 A14 w 'Z 41 _Lj DISTRIBUTION SYSTEM I JS n / ;r~::nih~nlra -1 c._ Siz: rl~ tl_sc -u 'on: 1a !.vr P':a Heade: M,,i- I ncP-~ Grs~ lenp:rl ~ Ca -.-a ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only D"Pt r Ucpr Cue' C:?•pn' ev x eodded xx Mulcnec Ern 7r h r= ices S, -5 bee Trench Edo.- Tol'stll ~ Nc ee~ No COMMENTS: ilnrdrae code dlscrelxnaes, poisons pmsent. Qi_ , inspection #1 Inspection r1i Location: qf: 17411 Y' HU 1 1 ` • OC ~Jdti ~J t/ /I lea 1.Al! BM Dvscnollon = PJ 2 t Bldg se vrel ininylh = E~.x G~a•1. - arnounl of cover = 1f Plan W:Vlsron Nc'quved? Yes Use olne: side for aodn,onal information. ' _ ff!!JJ' Darr nsopetn d9nutw ine N. SHUT -6! t U :x.3:97: ~ ~aol9-sal R ~ } ~ SafebandBtsildinysDivision SI C~~ k < L201". Watgtirtgbon Ave., P.O. Box 7162 SaMBaty P ama NtttNty (m be filled in by Co.) Madison, Wl 53707-71622 ' X07005 SauiiaTy Peamit AppIi - stae Ttattsatnm Ntmbc - to aeoUrrlwtrt with SPS 383210-), Wis. Adot Code. submittimt of this fmn to the gWo)nide unit is 'nP~ p~ to obtttmmg a sanitary pv®t Ntac Appfsca~m loins for stneowned POWT'S arc snbrmttrd m the Dgtvutaat of Sonny and Pmkmmd Sevier p~ injon"an no yon P~'ide may be teed for secoMmy Projcn Addtets (dd~a than tnaTntg ) wilb8c-ft Pl Iaw. s. u.04nNm). Star " / 7~ I111----L-- Appl_vtation Wor®stioo-Please Pont AD 7nformatioa D ce; F-my Owner s Name PmW : PtoPan Owp~r s i ali .g Add(r~ra n C I ' 11 l I~/ X C t' 31 U ()p l~ IJr~I~~~Ll~ r~Pa+yta~®I • a14. 9. I Ciry, Stalc (ion Lot f Pltme Nuoiber N I ~~pS6ti ~r~, 7~ Y. %Smion I Type of Building (check an that apply) lot ° T. ) I N: R,1f E M W I or 2 Family Dwelling -Ntmher of Su6dvismnT•iane ts,~ (I ❑ PublidCmmttacisl- Dtawrbe Use BkkY r C ❑ city of ❑ State Owned -Dtsuibe Use CSM N - ❑ Village of . z 17ti7 CA S III Type of Permit (Check o a line A_ Complete line B if appftcabl i A, ❑New System . wrxmad Syatan Bl rrcmmenuHold i eTaok Rdacemmt Only ❑ Othe Modwo-tion to a-me system (e>aiaot) I B ❑ Perms Renewal ❑ ?=it Revision D amore of mother ❑ Permit Transfer io Ncw !,s[ Patviots Permit Ntmb aM Lsoed //Z 72~ l3elam Ezpvatimt I Ottster ~ fV. of POW'IS Check all tka[ f CkNoo-PmWmzed bKhpmd ❑ Pm=rbrd kW=md ❑ A6Cmdc U Mond> 24 in. of=sable sod ❑ Mond <24 is ofsvimbksoil CLSa U+Si iI Holdmn Tm - ❑ Odrer D4a M Componmi (nxph ht) ❑ P drestmem f)ea4rt _ V. Dis eraul' St Area Iuferatation_ Desigo Ilow (8PM Desigtt Soil Appfirmwt dst) T- "ter DO ICI i z R9~~) ' pasal Area Proposed ( Syvm`t p1evatiw 1 y. G (et j VL Tank Into 7 n I TTpd'_~ S of J Manuditclum Galksu Units s c i N. Taala F'ceonBTaats / r D /O~ ✓~s ° o E Y 2 y/ Y O I Stoic or Aoldittc Ta.k I'v~ d ~ 7b m 'a O M r Ei;;; Q,,bQ 0,-v, v Y SQ H 7r I _ VII Resp07nsib7ln StAteffient- Ithe yodmogaed wont 'baity for illation of Me POTS shower on theathiched phis Pfortrhr,s me Plmhe _ MP/F,6rRS Nmnhn Busmew Phone N Plumbers Aadr (Street, erty. stain, Zip C,o& kat L?L L. bS1~ ~ij ^ ~YIIL Conn rD rlm u onl Approved I Permit Fee its S. C1 Croat Rcuon fOf i s S°O . Il. ( easons for Disapproval e w; nk, eTltan:)ipc-o-nd i v)soar:: , cell nwr all x per mar 3yemen` p;:.,, „p,nbe . 2 Ad aeftwk w.k7v •»n,~ my ,l t,r.: rt. ;i t mper `ppi.°anb)tuY.^.: ad'.nv;r --Rm- Wm)ir me sync and s>t+rh m ®e Gumlr n.y wt~.ertm em a ux s i t mtaes m va SBIJ-6398(R . I V) 1) ~kJ on p-.a9,1 43 / ~ 1007005 CONVENTIONAL COMPONENT DESIGN Residental Application INDEX AND TITLE PAGE Project Nar-re Owners Name Jotvn e5 ~nlc y"✓1, 1 - Owner's Address: 1 70 Lega: Description: Township. u k5~. Cocn^.r- 54-- GCo.X Subdivision Narre /J } Lot Number: Parcel ID Number Page 1 index and title Page 2 Plot Piar Page 3 System Sizing 8 Cross-Section Page 4 Filter Specs _ Pare5 tdamtenance'.riormator Page o" lVianagement Plan Page 7 St. Croix Cty Septic Tank Ma_irtenance Form Page 8 Warrari Deed Page 9 CSM or Plat Attachments: Soil Test 8 House Plans Dcsignelr"Plumner License Number: :?Z Z'!6 Date 1 / Phone Number 7/3 -3h'~,. - 6 ZC' S graiurc Destgned pursuant to the I Ground Soil Aosorpuon Component Marual for PO's'. S Version Z.0 SUD-10'05-P iN.01101 j pace 1 map Ir IfN°.j / rr.,.r rJ 1~ / Y T .~^IC~,cf_, h w S' ~ 1=_ (eJ = ~ i_ 5 5 ms's A i i ierv,4~ ~tp'Hp J 1 r QpY i j / I ~~inp~ s CA~~ic_~ flirt rQ41 +71M I SU• ~ PR~p IiNes7 ~ I Z4 ti c ~~e S L~cpu~ I ~t~n CnNi SI tYZ 3 k to ~j r<c(~hoVtlt 1C1lfbNUhfi r'Nf Ibl l ds~ A,TfKOI+ Uri 1-f~J--~~.55 \ 3 I~aDRUo~ ~ o /kY r ~k rc>G65r1 ~ ~"V X00. O I f -jO f Abso ~rsi~m 4" ScilocII 40 PVL' veet Pipe firal Gta~te L Wdh Uorit Cap tY I _ 'f~t~~~111~i ! °'1~81~1]1.7~{lI~ (I ll~ 11L1~ ~ 1 t re;,ch i i lit f - - 4" Die VeniOrObse,vationpipe 1 iFenr(t ~ Ira_ic all, - - - - - - r Trench 3-I anti aeti~.~F And Nfodel _ ~hAb~ fN `r lr i EtsA Rat,ng C' - _ sq tt Per chamber n ~niS Applrcafion Ra€e .4Pd sign FloWr gpolsq fl ; / V 1 Soil Application s ate ~ V l - EiIs-A 3 3-. chambom _ e rows of~ L ~chamhers_ eacF`_- Pssrte - of Technical Specifications FL-525 EFFLUENT FILTER FCOMMERCIALI i lamn[aFean Il~u ~an ~•.JJI ~ 3.T31491.6 F.>.'}f1$-. I ~ 7 ,~'/I' yl~\ :Sb Uli f91U ; , I - ~ SV 1 -VT J!~ rl~ 3 I I a PL375fl TER HQ1SiNG ~~I ~ n~n I I ; _.-__l I j i PMTAQ 37117525 NAI(711N.' J ROOCNG-POI.IPROP1L61E C~ &SW -HOPE ! q v' i 1 r-SWGlFIIMSROUSa1G y~ _ j ~ ~~~'r-T I ~sJiL_~ +I 10.D i~~--_ l9 apl;yy,nT _ I IFM v r- I t - ]VJRI lnFVn 6a In-. i~~' 343RA14~ ~ pY1Tp a ~ o i I `1 flI I ~ iI ~ I I If I, 1 ~ I ii t ~ ii I I I ~ - \n ~ t II ~ li i° i 19'@i nu 11 j ~j I I - I t ! J 41 IOi POLWCNPL 525FV TER CARTRIDGE _..I., i . PPRTNQ-3WO-t5 MATEPoN.-POIYPROPADE E1. . ..`.(4f-'C -.{>yCP•.icFY'.. 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'P ERs r„ay ,yil a;ava rct.TaJ a to the Caw hfehuzter i_,.e1s. ~Ncan a~tr;g is nsetrlYa' IIT L'.9..CCSE3 w ci- Tae Va sF"=='t is one ire doss, eVerfo;dlnP jte flls} mom, r~ a EV+o' rw(iJ be --:M-.ton have t, cro_tsrs ri tie Pam, ?nt rurav ~F b' *a ~kup or s z- ? seSy2t : .c7 b fiF efi~gr eLt 3 or aan T 2 P! ?hs cr Po;sd b. a Sakr6?E ftv!*Ig dome'-, _~a: arr_2t kvz~ Wfthfn thapw:tp FRY !~IaLrmi'7ar to zssiz: b r...n,-> p7wr to fnsro?t' g ~nct dtivs a- `r`' ~ or pv. vo..;Ws 8v2: tonic find discarrd oaks. ~o not 9 PUMP e.^mrafs r :0;n ) S fact darn 31aps Of "nV mo d driva cr perk oVer. or afhetcvis2 d' or unor ~rada 5-11 apsorption area compa : "n rS9iot: , zka area ef.,nine~ V the ;apnvn7rc fro. , t're wBseu,atT's;;zsre ray i, raVa _%;2 .o~r`3 nan~ apd arJfva ry Mpo,4; Clear. 'ion dtacp (2=0 Sapp) vra-%~ $vit .r s; ccndam5; rattan 8`1b ; da^=-uj- d=ent=e'rs 3' ?s 9,`s ai the r r. artdsa~•; . -Pr reS=-t"-b.s peal _nnE; 92301%na: cra2,a; d: rs d 9fi ?nis; isw Pa"v^.ti '.-'niafi ?~7y41?i +'~l'!rL'^v' 31d -vv= Ttar.ar CCjj;e ICm_. G?r aS'.' "7?aZC`r=[I^ - 1- . cnd(ar . is p6-m: rarR)y ~-kon CM D: 2nd 3;FkIV abandcnad p aE >,rF' = a :vibvr;n Cods: ba y .-tom mn: !i3'1 c`?e„-:e corn ;--:s IS, '>F. -s3 st ACe-ndrstl a •tekrrr so een.- .~Ldstr insert oat t s=sm -,P. piFinP 3c ~nk9 r»'~ t aavE ;6 P ft 2k a cmconned ,Ic' abardan p?e Iha a ~,::n s'cafEd. . a c_.,rrs5 of e'rtn~ 2r _ - '.'t <1s s^. p'r~, +c ?f:.9:c and r n'.T Cf By a `r Ve .._$::ln; G,r.9i= `''fi, 1IZ=1 2'c.'C:'7: y'.i- r. bew97;=. Liar: S_0 71fY-Yiel_ - c_ rJ:Y-6'~c= are tF. VCia a 3C2 ;i!!Cd wlll^. _ ~~4~t$ r3 ~ JB, La rC-r°t.`dd Efi2 1 1^sv.r r.,s=surs< <,~rr Barr" c- n sJ:..-.btE rr,_ aE.-1e;rr area ;s bran a+ra;uarrf e„d map be u5fz;sd ror'dte to 'ter.?li,:,. -SYs:am. i a taplesSnent axe should - pvo_z-ed T3,T• a- 2a M d LOS p~ttEBtJm! e a Ea. t-qu had velba ld no .5~3 s3~'a~flnn at ram 8Y t ;End pr_pa;ad 27e9 u a, 31s~T sn and Should ttrt be nn:? ad urn by daJl? L iqa nerd fnr a R9ty. "JL 2nd Ec ?VE'J3 3n ; i3 _"d YVad Pa7L'r S FY2 ~Gw hs m cc.-pt„ a, o ~.abkn a suitecie p ~cexant area will' h rtlas ir; ai:ac::<r - =p;ra rtpf; r.?ac araz ?~;:1<usrae; sysn-rrs:m i%. 3LL'tFiB(E mplate•.nert; area -.3 1?ai a4i2p~--,rJf5 a:E M tt~ k 11: FnclaPy ,3 ,;,,k rueetinns. 9 r,- a basfr 'a-Y bs irstlaro 2a a Est re__- : Y r,~ac =Pd/6- =c.:o Po,k"S. 5f.t:g z+o-<noE2 in PO;rs,~ =veiva'Son mur, ba W 'OvraY )ocata c suF ltle rapieaa F: ^emarr 2rea t~oa fa5u:a Of -de PO Tay be i w s test resorz io ment nree- ria~cd no rei= WF' E °n' °nd slice i::ound 2rd rap``=, the MW vMW?S, l mmant arse is avol!ably a hniding fan's . 2Fgrade soF 6b7rpfo;j svs &Ts ;r~; iitrativc• surrrca• !i-xarxraatrms 3i suon t •Ey Ba rsaan=`-~ 7t to 3d i .rat in f pi- 'aucvJr rc'i:3t~ ' must comply W~ tnr: nt)es lr. dfnst et dE Noma at the ~v ~14. F .p or r, rH=c"? 7 krME{y3 -IAINB Up UP.C_F iid icT..y.fiL i.:;SS iiD1D 'FnBT.~T _&Y CJ, - pcPS~`±'I ~Ce~ : u_ Tt G a r xn+. ?iA'E utSO?Jlvia`^ v~ R .Nfb.,_ t DG Nn,.._ 1'f't~dD.-:a..,..=_i~iS'IrAY~~~-crtpr-~c?f4rJ6SL°jF,ERiY-..~.-q'.~v{.'siric-SlTti_ nEiJ=d=~ s1:7'31 i ccoiti,7f. CnIuFl3mTS d rt,na' 1)cy,y,,.I-~, P44UTSlVi,YtIA7k(~~ !tie i f~{' G iris ^.co4-,5'-,.ea=- =cr ..a.L="f Fft'w.E . r,. lJL f.,~)6v -f }3r1 u~v- ~a I °q v; _ ._.Ir .i l ~°.-t'C21.]d ~:•.N 1 3r.P 4` i17-$5[lSia. 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TA20L ll N o~ •SccBtl~ ~.ia^s ".&t a,~ty-3bI ua AC s~J=:- 2a ;.34= tsazern:r- ~r. en.~c-, vFrY 3law~c~{Spteo ao ab¢t 8utr~atia6 am ~ ~ SNQL~s B~ r ' 'rz41C ` I f-..- :rasa =suss = aet rd ~ an>,:p ~C L 1 ~ I LEa' elita3_,j 7;'3R+ s131.+1 Q6114 :/uera aztla asooi ZH I _ HtQ G i Late rg slo== do nd scd =udsUl t j3c71 :;d j Ogael~ I7 Sylly' 3l'9Rt,~9 UCBIp Vill M (£Irrti ES ts)t!~ lesa:2s a::adc_I .0 0 cd tk f VN a '§ag, a _ - E izCa$c tl (9EyA E MUM 1 a 26Rni3 :sc'; {,v' vv eat{P?M I~ gJ jai`.=SwChsR3s ~N- Cn lzSdvui 1Hf2! 3h' t 1 h'PI G (SIA'h e8tWWW n 4 s ."a`s1As e r t YN ratrp . YT7 i :1ee„p f ti`N ,p I..-,,;....•~'"~ aa!t;a I - rrteay 2tOwZ25) ua_LMJ F= I Vu'' 54•"`'II`~~ Iti,t}L(RY• ~Er'ii r Sz_', !vt69 a=c-~r~s:5 zu:S R-tee n d' G i Hg ❑ r ~pom Pr tmc LMIL' nc rs~ uaLica!g i 11r^" i'• t r dl A~'~pJ;~•U1 © liutr`J•~t Cd , i rytem W -n1- ? to 8 a very ra{FUOW milap {s1~ds p i vN C _f~".' R?!S 'cr. t sFCac =ep:.¢i` ~..eL i Y-~• _J'3t^p ® r1"!".:4; U!E'IR 1 c m { 5eJ t"Qa"il rU"~rr~ U56/an I2a!>L un4 f B»i; Cl+"V VU ❑ ~I Oar ~ ~ r, ;~a {?n=~lAU3~ Q ~ 7 'lln~ p,S3 S7-^_,,.{-: ~9 zt t?C 's-•'°_ t7 ra{E,. ~.-d ~ h.--,r, ~ weldS+{ ?~P~ '+W1 •,:feLUI:~'13~ : 1 a35-cxz,ffi nwLxpyl ~ ;s-,~i=. r ~fir! tor4iN dUird f Ole L , ua'e gdtl I!o~ i ' -°MK + . 1t9{,^f^ n ,1 C J ` GB.ec:eA~-I t110i}>c~^tlti^,ur '-dj1 L+ :ser~>;sa;4 anal dwn_ 13N K++e., ~ , rI i ~t:.r fi;yca_i aU:;aJ ;>o JaGtaa~t Vrd , d~a 1 Hn S o rnH'- yrgG j y, re ~'B11+1N vw t1 7 W d - VIN 0 i rr ,t { C11 aa><rL`~o3rna't1i h'-'z_ 0=9-. GOA~ a~F>u~ir~a. ~ ~r I X47 f 4 .TI rApt _v GFp?it"IFiE}la? :'[1~ ST. CROLX COTJWTY SEPTIC TANK MAAQTENANC F. ACIRFEN ENT AND OWNERSHIP CERTIFICATION FORM Qwna,/Buyet' %lai hin.a Address r0pn-t5y Address (Verification required from Planning & Zoning Department for new construction.) Ci tv'S ate t S Gf - A Parcel Identification Number LEGAL DESCRIPTION Property , fv y< , l . I- NR Q W, Town of Location Sec. af f I 1 + D~ r Subdivision Plat: C S 1N) -At PC I C' 1 Lot # Certified Survey Map , Volume Pane # Warranty Deed 4 (before 2007)Volume Paget , Spec house C yes D DO Lot lines identifiable o yes 0 no SYgTY'M 3yIAIlV I'EN.ANCE AM) OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper ,maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into flh^ system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance -rsponsibil"tties are specified in ¢Comm. 93.52(1) and in Chapter 12 - St Croix County Sanitary Ordinance. The propaty owner agrees m suhrut to St Croix County Planning & Zoning Department a certification form, signal by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater dis xusal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. ihve, the undersigned have read the above requirements and agrer. to maintain the private sewage disposal system with the ,.tan3ards set forth. herein, as set by the Department of Comme and the Dena4nem of Natural Resources. State of Wisconsin. Ccrt:firation staring that your septic system has been maintained must he completed and ; etu ned to the St, Croix; County Planning & 7_oning Department within 30 days of the three year expiation date. i/we certify that all statements on is form are true to the text of my/our lcrowledge Uwe srn/are the owner(s) of the propr.•rty de-=ihed above, by vine of z Yarrimql deed recorded in Register of Deeds Off re.. Number of bedrooms SI 9T R F APPLiCArirl (S) nA7'E~ """.toy imbrmatiou that is misrepresented may result in the sanitary permit b6ng revoked by the Planning & Zoning Department. lncfudc wnh this a,.n1mation a re..>rdnl rwn:raa;r dreg f,,,, ere itr.~s:c: of Deeds Of;icc and a copy r f the ceGi6ed .;Inv: mep i ` -eference is made m thr_ ear-a~t;1 1e. d. (R LN't. 010 7 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION FOR UTILT.AT ON OF AN EXISTING SEPTIC TANK f r This is to certify that Ihave inspected the septic tank presently se ving the 1 SDrE1 ) C,ntidl~ I~ryU LU- residence located at: SF 11, Sec- R W, Town of NE-%, i St. County, Wisconsin. Upon inspection, I certify that I have found the tan and baffles to be in good condiJL and it appears to be functionin and Last time serviced _ f \~IL 9 props ly. Did flow back occur from absorption system? Yes _ Not/ (if no,' skip ext line. Approximate volume or length of time: Capacity: gallons minutes construction: Prefaii Concrete. Manufacturer (if known):inr~ Steel Other Age of Tank ( known): (Signatu ) - - -~1 } n? ~a M f t,1 'Y Maine), please Print (Ti.tle (Y- ._icense Number) (Date it - - F03:m i.o be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: Tri accepting the above statement regarding existing septic tank condition I certify that the tank, to the best of my knowledge, will conform to he requirements of ILHR 83, Wis. Adm. Code ( x t foe inspection opening over outlet baffle). Name } f L I'~ t~ µ Signature MI MPP-- - NE CORNER SECTION 17, SCALE T29N, R19 W 50 1 200 O 200 400 S 89e52'40•'E 701.00 289e46/01 I 469.25'-- 231. 75' 1 LEGcND 4 1 o SECTION CORNPR m N 3.37 ACRES N a MONUN-LM': 392.75 308.25' t z o 1" X 24" i ror, pipe 701.00' 1 ~ o 1. 1 weighing 1.631/lineal 0 3 w ° _.Im1 z foct m N 3.36 ACRES = N ~,N nI w m G ~~I w 135.54' 171.04' 394.42' 3 m'NI OWNER - ti~--._- O- - j z 3rent 1;.£Debbra J. Jersen o 701.00' o it 311 Sixth Street 111 °0 2 °o M'1'to M Hudson, Wisconsin 54016 o m yiz e0 N 3.36 ACRES > Cr. 0 0 e 1 V J N o 01 1 0 701.00'_ F hN171 SURVLYLD BY Ogren Engineering Cc. 1 123 E..Lln St. SE 14 River malls, Wisconsin TRUE 1 BEARING I 1 54022 b 5.00 ACRES o I 0 j w POINT OF BEGINNING 14 16 I Dote: A:igust 12 ,19? 5 NORTHERLY RIGHT-Or-WAY LINE 33 33 X904s'- CENTERLINE TOWN ROAD 9 j 1 N 89e52'40"W 701.00' 4sya lp F.XIISTI NG TO~WNp ROAD I WEST i/4 CORNER N 0e06'3d'W 33.00 % ij SECTION 17, N 89052'40"W 33.00' J T 2 9 N, R 19 W EAST I/4CORNER DLSCRI PT; ON SECTION 17, r 29N,R19W A parcel of land located ir, the SLl/4 o_ the XEl/4 of Section l;, T29X, RISVu, Town of Hudson, Croix County, Wisconsin, described as follows: Commencing at the i?1/4 corner Of said Section 17; tt'.ence N39°52'40"W (Prue Hearing) 33.00' along the centerli.nc 0f ar existing town road; thence NC' 06'30"W 33.00' to the -joint of beginning; thence N33°5'2'10"W 701. along the Nor',herIy right of way line of said existing town road; thence NC'06'30"V, 938.58'; t'lence S89o52'40"- 701.00"; thence. SC'06'3C"h 9313.58' :along the iticsCCrl.v right of w:i• line of another existing tow:1 rcac_ to tie point of beginning. I certify that. the above description and crap are correct and that. i nave fully Complied 'Kith the ->ro':isions oC c -36.34 of the Wisconsin Statutes and Section 5.4.2 of th; St. Croix (-'91int.v ionin Or,iir.vn"A ?'+i,~ gT o ~d T 2tue+Zs~t' ~cM' ?>9 nag Ott FlN, co "P~ %Ol r ^ SLf,~ col i -Sim YA. 3 O • -TWA b3Mtl , ZBBS N30J0 ~ 'H SIDNV83 8'[S S °V _q°1' ~y88 N (:J0 I S1JVb21 i tr --lJ wpm'" Y'// Ica ADDRESS ST. CROIX COUNTY, WISCONSIN ~/,~So.✓ Gd / S r so ► SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of 11HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM wo+ P • SEPT%G ~~/v,~ SE~Pvic~O ~~~-yjoE/~ ~ ~ 4 / / Y~~ 44 CAI, ~tl C~s% iuLtf o~r~L~ r ,Cj~Ff~~ s ~f~i4Pf/ors' C~IVEV //v L g7 If C 40D-L INDICATE NORTH ARROW %nie~ S9 ~ C~d~- S I. (o ~0/1o.~r Fv~ ~ t~ooo BENCHMARK: Describe the vertical reference point used Sw~uG_ E'ffr (~Gt OF /11-~i/ j!2_ Elevation of vertical reference point: ~00'L,) / Proposed slope at site: 2 Iz+ S 'O ,9t11f 'i A1(- /N fOO/J O/POE.C u/ 1307Y.' SEPTIC TANK: Manufacturer: AJOT CA/OG/✓ Liquid Capacity: zcwy ,Fic..P. Ah"AFT Number of rings used: Tank manhole cover elevation: 17 2 r Elevation of inlet: Bot of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet fr nearest property line: Front, O Side. O Rear, O Ft. 1 Number of feet from well: Number of feet from building: (Include distances on plot plan). / SOIL ABSORPTION SYSTEM L Gam` ~ , <50 Bed: Trench :-X !3i• (;j- R)/ Width: l Length: J Q Number of Lines: Z Area Built: Fill depth to top of pipe: yZ ~ I Number of feet from nearest property line: Front, O Side, ® Rear, It Number of feet from well: e0~ Number of feet from building: _ /p O / (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit vatlon: Area Built: Has either a drop box 0 or distributio x O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of ring used: Elevation of bottom of tank: Elevation inlet: Numbe of feet from nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Plumber on Job: NHS Tor aF Pi~ p'Dg , All FE ,s PAAckf °fN °~cas{~ X19 '?sr. 5T~EL FS r0 - - - - - - 5 ' 50- - - - 54kaC-fir pie4D ° - - - - , - - - - - - - - 5, ys7eH E Oko4~ iT~oX iz - /n p PS. LS" o u s N t~ tic A - - - - - - - S, / 1 ~ ~s 2 s l9~ QrP~i -r~RuiiJlr P~1N t' ucRr. REF. Pr. Fop, 's rRosr / (-&OS1Rl)c-}iow. ✓,1z, PeooF rc4 9o Ni'p.c 1g s& T- N@x r To 30 ~lfv. ` ~a. 2- 2-. / lov I a S~~li~ r ~ ;sT!"'I _ ~s° Rey E war' fF,g! Ny sk,✓E~ r--l W 3v' V"T cPSc nF t t, e£~~ I I Sioa y 1 rA I ~s ~ ioo.d I I 9v/' I ~ 1160 As - Byit r- A"EPo/P T ,(or A 17 LST- ~b19-001 'PJis::c~sr Cepallnent of Safety and Professional Services Page 1 of 3 Uwierc- of I•I'llJ •Sdrvrc:es SOIL EVALUATION REPORT In accordance with SPS 385. Ws Adm. Code County Aflacn code ele site plan :w paper not less than 8 1i2 x 'I inches in size. Plan St Croix must ~ncnide . our not li":ed to. vertical and ronrontal reference point iRll direction and Percent slope. Parcel scale Or dimensions, north arrow and location and distance to nearest road. 020 1 1-50-000 Ref #2525 Please print all information. Rev d by Dot r'er:enal information you P: ov~de may be usetl `0l xcontlary purposes IPnvac Law, s. 15 04(1 (m /Z Property (tamer Property Location ❑z// ❑ Jamus 8 Candice Miller Trust Govt. Lot SE G'/. NE S 1 1 29 N 19 F. (or) W Wcoerty Owner's Mailing Address Lot # Rlock # Subd. N e or CSM# ?G Daily Rd Na I CSM Vol. I, Pg 184 _ C ty State Zip Code Phone Number ❑ City Village Town Nearest Road Hodson WI 54016 i 1 -1 _Hudson I McCa_t<:hecn New Constriction Use: ❑ Res,dentiali Numberoft:edrooms 3 Code derived design flow rare 450 GPD 77 Replacement [J Public or commeroal - Describe _ GO.1tQ. Parent material Glacial outwash Flood Plan elevation if applicable n_a ft. General comments and recommendations Site suitable for m-ground POWTS mth 0.7 gfxfrsq. ft. loading rate Recommend installing dispersal cell as shallow as existing effluent line elevation allows, esfrmated at 86 00'. Existing sys:em infiltrative surface elev - 85.25' t Boring # ❑ Boring ❑ Pit Ground surface elev 91_51 ft Depth to hmrting factor > 121" in Soil Applicalion Rate Horizon I Depth Dominant Color Redox Description Texture Structure Consistence i Boundary I Reels GPl In. livlursell Ou Az Cont. Color Gr. Sz Sh. - - - Eff#1ff82 1 0-5 10yr3;2 none sl 2fgr mvh I cw 2vf,f 0.6 1.0 6-16 IOyr4i4 none Is Osq FI- 31-52 Cw lvf1 0 7 1 6 3 163r:4 none s Osg uw 1 6 10yr5:4 none s[rat s Osg ml :91 0.1 1.6 LLL. _ 52-127 1Oyr6ia none _strats 0sq dl - 0.7 16 - / It.--_ - 111 2 Boring Of ❑ Boring L_ 0 Pit Ground su ce elev. 89 ft Depth to hrndrng factor 122" r. L - 1 Soil ApplieaLOr. Rate I ruction Dealt+ Dominant Color Redox Description rextare Structure Consistence Boundary Roots GPD+t- It I M "Sell 0.r. Az Cont. Color Cr. Sz. Sri r Eff#t _ff#2 1 - - 0 7 70yr3+3 none sl 2fgr mvfr av 1vf.f 05 1 0 2-- - 7-11 IOyr414 I none Is Osg ml rw tuff 0.7 1.6 3 17 48 1 Oyr4i4 _II none gr s Osg ml cw lvf (01 7 1 g 4 48.92 10yr5:4 none --I}sflat5 Osg ml gs - 07 16 92-122 _ t0yr6!4 onc 15[rat s Osg dl - 0 7 1.6 - I ' Effluent #1 = BOD_> 30 -1-220 me Land TSS >~0_-150 mg?L ' EffluepY#"l = BOD.?~ P.0 - 71U giL and TSS > 30 s 150 rng,'L CST Name Tease Prinq I Signature I CST umber James K Ihompson _ - _-s--- 30021 Address ate Evaluation Conducteof Telephone Number _ 340 Paulson Lake Lane. Osceola, WI 54020-5413 ecember 21, 2018_ j715i 248-7.767 SBD 8330 (RO4r 15) • 3 Bo•mg # ❑ Boring L , Pc Ground surface elev. 91.90 tt. Depth to limning factor 1128" in. Sol! App;ication Rate I Iowan Jep!h Dolman Co. or Redox Description Texture Slnicture~Consist_ence Boundary I Roots GPDrFt' In fvtunsell Ou. Az. Cont. Color - Or Sz. Sh _ _ 'Fff#! 0-12 70yr3:4 none sl fit ltsbk mvfr cw tuff 00 EtflF 00 2 12-4G 10yr4:4 none _ ssg ml gw ivf 0.7 1.6 3 - 46-88 1oyr5:4 none _9 ~ not gw 0.7 1 6 88.128 'Oyr6;4 - none_-- grs Os Osg dl _ 7 1.G Boring # L !Bwr i n W7 Ground surface elev. it Depth to limiting factor in. _ Soil Application Rate 1 Ln.zon I Depth Dominant Cobr Redox Description t 7ekture Structure Consistence Boundary I Roots _ GPDiFP In +I Munseu 0 Az. Cont. Color Gr. Si Sh. - 'Eff#t 'Eff#2 _ Boring # ❑ Boring l ❑ Pit Gr^urd surface riev. Du p!h to I.ri iii ry ractor_ in. Soil Apohcauon Rate Horizon Depth Dominant Color Redox Description Texture r~:r ructure Consistence Boundary Roots GPD:1'r In Munsel! Ou Az Cont. Color - Sz . Sh. 'Eff#1 ~ 'EfhY2 'Eff i.ent#1=BOD -30-220 mg:1 and TSS>307C 150 mg:L 'Effluent #2=HUD. 30 -220 mg.4 and TSS>30-150 mg;L ♦ Ex,16 . Ae-f _1~ames ! Ce,.d,'u. pj;//ei• T~sE 9~0 ~„y Pd. F/..dson,~7/• SYa/6 0 SfYy//Ery, see. 17 ,t 9A. Q/9w., A, 4 ,✓OAO - /43/-SO-Ocr) 6c:~ 3.31ncies, 3E ~ d.~j f y\o. Ex 'sd+y as~l.Ct d„~a,. ay 83 u1[/l I ✓ 9n..~f k Ilk 0, ~Ql-, ` q E"3b4 146 ?25,7 / . G„r~•~,6e Slab, , .2.20 t'oo' i ■ B/ . ~ , ` Hof \ . ~ d: 5 s..1YA.~.C.o n'P^' ct • ~ E' Shit' e ~ .S,ar fefa a~:~bS.sS ~ /.Sffn Ex iG~ 6:{ f f Aft,e d,a6,•:b Quay CffgAems, boX. 70/' P~ ~af.3