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HomeMy WebLinkAbout020-1489-00-120 ~eea2mc-r or :;cam ~eree PRIVATE SEWAGE SYSTEM o'er` St. Croix tialnN anc bw ump Bivs.v INSPECTION REPORT sammrv Permr. NC 607056 GENERAL INFORMATION ;ATTACH -O >ERMI'j le:.;an ID Nc Fear-::. drn:r::hn•. a Frzwidc mey cc (;snd fir vrX-aary aurpcses 1Dnvacy -Tx r. to [^t 11' m)] .~.rmRlnrnr: Nam, Oav ape Towns^Jr Purcel ?av No Kernon Bast TOWN OF HUDSON 020-1489-00-120 - z 31d D, Ins: BN E,ev B I UescnF'rcn SecUOV toww'Hanyea lao Ne ' 3 Z GST- 10.29.19.3115 TANK INFORMATION ELEVATION DATA T, MANU- ACTURLR fi~r 6 CAPA(a'Y iAW)N BS III F S LLL'v F> ,pLr benchnwrk 1i~-- F~r1~. /acts o 03. 24, /M .3 -)osmg All RM 4A , ..A Z• 166.9 Amahon -Aml Sewer 7.1 94•t IHnlni9q SU.ft Inlet gr1 9S. L SUHI 7ullut - TANK SETBACK INFORMATION f4/. 75 IHN.:.- P/L_ :47-I RIO :enl r•.n Imake k'✓AD C): Inle: _.osmp N Headeradan 9.1 Z Aurahorr Dist. Pipe q. f y -.a- 4? e ~H:aavly _ _ _ Bo! System 3 93. L -rnal3raoe PUMPISIPHON INFORMATION 3• /A'O.3 Idanuwrlrnel Dernanc ur I40de No r 7DH Ftlflhorl I ms Sysle _ Tr]H Lc')917 Usti. 7rst Ic'.tizu SOIL ABSORPTION SYSTEM BEDfTRENCH AOln Ier1clh ~ NC OI I..... :c. PIT DIMENSIONS W. 7"' Fe. m+bt caa Lrque 7epT DIMENSIONS Z -1 rt-~ 1 A -1 SETBACK SY~TLIJ 'C Dr' B_DG :4411 1_AKF rS I RFAt: LEACIIING Mae..fac-urc//~~ e INFORMATION CI/AM3ER OR n.J'l ' (~O.AJ A^>t =0 33 11,61 5' Nili~- UNIT .,1odc Nnmhr:r DISTRIBUTION SYSTEM /(t = 3 Z _nc ei!I.I.." ai) Jiainuh:m s Hoe SGf n HOK Snaemp +rn' Ic A' ue: SOd .S -°Ftt D can ~ xptr Jia `susuny SOIL COVER X Pressure Systems Only xx Mound Or Al-Grade Systems Only IicF r er DePm Leer •x DeOlh o' •x -eedeYrsandee o. 1.1 _.^cG bey r,,: n Ccn:er BC:'Tfe':n EfG°_s IOpYO \ COMMENTS: ilndude code discrepencles, persons present. e1C1 hnpectian ai Inspection x2 ~q,.`wS d ws O)'~ Locallow tp71 HOnKINS jft;1 Descrlplion - f :Sick sewer length = Sy ,1 amo.ln; of cover - 7 `/Z 0.0-- O-lKLx71- ":iv ,v soon Reoulred, Yes Sf'No 5 I ~Q !o'~3~fJ S Use other sine for addihona. Iniormallan Date Insv c wx Jcc N. ii 6,10 tk ` I' SAN-zorq - 0 5~- r~ -7- Safety anC Buildings Divisicgl 201 'u11. Washingtor. Ave. P. J FS^% :102 'SannaiN- Tlema Numb= (to be Nie' to by Co- 1 LX" U0705 to Sanitan Permit Aglica i ~~am'.naaq`m.ymber 1 acco: dam wtY, s es . S "V, . , C',& , s.b'n-s o[t e1 t 1>.-m te tbc -{,rapLse }~warrraanl u¢ti[ ur worul jrt tt a u.. sou- s:,irn N we :)pph.tl n -n .n. In, +tatc-owneiP INTSb shmo. to Fear Add:m iil LiS: rent tia.. sviE is addtts5j ,tK xj a n,= S bt} t t ffe~si-ea Scmcs P=s nal io}trst0o •:'+u prevuL. ma) be ucd fo: s:.ondan / vT^~rs t'ta [tm'e •at. inc ;'nva•l tan 15 nmi Svrts_ j ~ l ~._T > Ui rFCJ rv❑ n lnfr nn tw n0o Pl f \pph eace Pnnt All l at 'YY } ..=1t Want - ) pnrelh y Q"c-INj~~ co-r0 21 Prop :.-t1 J•n-t-s ~.:ulrnp. vcresv Prvx[t•r1 :atkv 1_- L C I C Stmc Zip CLde Prnn: N:unhr • / gc Lion II ~ 0 ~ i~[cku nh all that app) 11 'fppe of Building (check SntU'IVI9ilr. SiLT< fTVCIIiu Nw'obr. of 7 ~L.)t: F ri - 13cd. _ akca nluc.n !✓"~f ~1 -~Ce~/r fYr/V~~ Rtblio . t ~mcial -licsabe Ctt - e - J nr of w V Y! CSM V[rMbc Sil / S'Mr fT•~od U mM ,rte _ _ _ TOw~: of lIL'fy rc su2icxv it (C'beck nnl one finx on line 7.\ Complete line B if applicable) _2O NQ..~ X s7-tem f •-,lari tc V: ~a I I ` Tav: t •7 a-etvrot Onl, Other Mcdrti:at,on to Esi•-ungg Systtn («p:mn; - R pc'= E.-nwa1 I : Pas u: Rcv Ni:m + !wive M,humher ❑ Fcru- 7:asac to tiew Lm I'mr,uS Pazm,t Nuatm and Dale 1.x=d Re rtFxpuau0n Owac V- (~jf'.~,,}}rpe~IfpOR^t'S-bX7tenr.'Com~ioneny'Dev ere Whnk all that apply)- h.-:n teal - I PrrsvnJ bndiround in 01 a. ani, ,od 1. NI I l4 in I .:Wreck sod iir,.tiin^..ac3-rikhc[ i~pas:d (I;napunra iezplaml_ ~~NC: e:nnvat.krvis texplautj _ \ DnprrsalTrrattn Area. luformauon: C>-•tm II w ~A;' U 1 Sad Apph au m atc;gpds r.tu nal Arca Rcquvai D•sp= w Area Puled fs1) I STnea Yl. Tank Info Caf)an• in Lal a o: Mtm um liil'J4S ;.adt:lttlnl_\ > V N<v: T.L. -x ,Tack:. / ' ~ _ a m m 'ix.T-nF ~T-mNr n I i N7I_. ReSponstbthly State nl- L Me underdgned, s me resfat sibility fin, instillariun of the POgTS Shown on The attarbril plans - k- s } n. tm; )dumbx Ru oe,Ru : Mum Ntgrber Plumber )k rss ISue-[ I a}' S.a{ Lqr t. \'lfl. Couoty Depanmcnt CSe Unly XQ rt:n Fee :>aC i. unl m t m ~ ~q CondiU eQ1 A r ccn: n 3' d . v L, cell nust all Q4 ea per •nlarnernen! plzn , ,...o _ t,,.. 2 Ail~ ntqJPx'Mlt Im:'l w rt. n I . ` as prrppabhuxn! M;:nree. 4 ►Cp~)~ucq v~a~JC Arced to anmpl.tr pi.. for ria ry rent and sulb it u. r Cnnnry c+ k nn lupc nn• I han a t ^ a 111 ioaa~ inn yr Sv,o.-m PLOT PLAN PRO,IE(•'I, Kernor Bust .ADDRESS 948 LaBarne Road Hudson Wi 54016 SW l14 NE 1 ; 4S 10 !'r 29 V R '9 Hudsor couvrT ST. CROIX S1'STENI ELEVATION 95.3195.2 5' Below grade 4%4"4 3 DATE BEDROOM CONVENTIONAL XX)I CONVENTIONAL LIFT HOLDING TANK MOUND SLI,I W 'TANK SIZI, 1000 gallors LIFT TANK SIZE DOSE TANK SIZI. H OLDIM; TA\K SIZI-. LOAD RATE ABSORPTION AREA 65 of chambers 32 BENCHMARK V.R.P. Top of 3+'4'pipe ASS( ME ELENA 110N 100' Filter Lifetime Pill--7 ❑ BOREHOLE 0 AM1I'LL -H. It. P. same as benchrna•k Scale = 1/4" = 10' I i All pipin,- shall be ASTM SI)R 30,134. witiun 2-3' X 66' Cells With >V spacing 10• of tank. piping shall he .4STM FS91 B -I 13_; 14_' 91' 30' 404' Properi line 14 Slope Vents R 2 • Pro : .0 Bedroom I Iouse Vent >6• Quick4 Standard of Cover Leaching Chamber with 20.(1 ft2 of area Hopktr. Drive --24, 5.6f 2pair of end cans 4' Lone 12 Grade at System F.levabon 34 CO F Ili I Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 I 715-246-4516 Date: 4/4/19 Owner:Kernon Bast Location: SW1/4 NE1/4 S10 T29N,R19W 1073 Hopkins Dr. Hudson Manuals Used: In-ground absorbtion system (version 2.0) Page# ! 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintance and Contigency Plan 7. Filter Cross Secti Signature License numbe # 6900 System PLOT PLAN PRO.II•a'r Kernon Bast ADDRESS 948 LaBaroe Road Hudson Wi 54016 SW ua NE 114S 10 rr 29 N/R 19 w TOWN Hudson COUNTY ST. CROIX SYSTEM ELEVATION 95.3/95.2 5' Below grade 4/4/19 3 DATE BEDROOM CONVENTIONAL XXX CONVEN'T'IONAL LIFT HOLDING 'T'ANK MOUND SEPT](' TANK SIZE 1000 Gallons LIFT 'T'ANK SIZE. DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE. .7 ABSORPTION AREA 651 # of chambers 32 111, RENC'ILMARK V.R.P. Top of 3/4" pipe AsStrhtE Fa.lev.ATUn Itnl' Filter Lifetime Filter ❑BORIi11f1L1% Ow'1•:1.1• *11.R.11. same as benchmark Scale = 1/4" = 10' All piping shall be ASTIM SDR 30/34, within 2-3' X 66' Cells with >3' spacing 10' of tank, piping shall be ASTA4 P891 B-1 13 3 - 142' 91' 30' 404' ST Property Line 1(-< Slope Vents B-2 33' 25' Pro 3 33 Bedroom House )9. Vent >6- QUick4 Standard of Cover Leaching Chamber Ilopkins Drive 22.1' with 20.0 ft2 of Area 4' long 12" 5.61`02/pair of end caps 34>, Grade at System Elevation Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber willi 20.0 ft) of Area per Chamber 5.6ft^2 pair of end plates To be >1' above grade / Finish grade elevation Typical Installation i 100.3' Vent Grade ~er't 3' 3 X30/3=Tank S Lon- i' Lon t 36" Grade at System Elevation Grade at System Elevation I Spacing- 2-3' X 66' Cells Same on other end Observation tubeNent At end of cell I A 16 chambers per cell B System elevations: A-95.3' B-95.2' POWTS OWNER'S MANUAL & MANAGEMENT PLAN page-or_ TILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tark Capadly r_ NA Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer 0 NA Number of Bedrooms I I NA Effluent Filter Model 11!/!r U NA Number of Public Facility Units_ I -~L NA Purnp Tank Capaci ty NA gal Estimated flow (average) _ C7 J gal/day Pump Tank Manufacturer NA Design flow (peak), (Estimated . 1.5) V J U gal/da Pump 'Manufacturer NA Soil Application Rate _ _gaJda f Pump Model _ NA Standard InfluenUEffluerl Quality f Monthly average" Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 mglL 0 Sand/Gravel Filer 0 Peat Filter Biochemical Oxygen Demand (BOB,) 5220 mgiL LI NA -1 MechaNCal Aeration 0 Wetland _ fetal Suspended Solids (T SS) <150 mgiL Disinfection 0 Other. i Pretreated Effluent Quality ' Monthly average Dispersal Cell(s) LJ NA Biochemical Oxygen Demand (BODs) 530 mgiL -Ground (gravity) 0 In-Ground (pressurized) Total Suspended Solids (TSS) i 530 mgiL 0 NA L : At-Grade CI Mound Fecal Coliforn (geometric mean) 10" cfu/100rn1 ❑ Drip-Line 0 Other Maximum Effluent Particle Size A in dia. 0 NA Ollier, 13 NA Other. - C NA Oilier. _ ❑ NA 'Values typical for domestic wastewater and septic lank e6luen•. Other. L NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tark(s) At leas[ once eve O month(s) ry, (Maximum 3 years) NA - - ~B-)iear s Pump out contains of tank(s) I When combined sludge and scum equals one-thiid (K) of tank volume 0 NA Inspect dispersa! cell(s) At least once every. _ 0 month(s) (Maximum 3 years) 0 NA ;7tyear(s ) Clean effluent filter Al least once eve -f5~~ month(s) ❑ NA _ every f4year(s) rspect pump, pump controls & alarm At least once every: ❑ mocih(s) El NA 'lush laterals and pressure test At least onyx eve I-. month(s) ?thee es ry fl year(s) 0 NA At least once every: 0 month(s) - ❑ year(s) ❑ NA-I ~7lher. - - - - - - - NA.S MAINTENANCE INSTRUCTIONS !Inspections of tanks and dispersal cells shall be mace by an individual carrying one of the following licenses or certifications. Maat^r iPlurnber; Master Plumber Restricted Sewer. POW'i S inspector; POW-S Maintainer, Septage Servicing Operator. Tank inspections mast I'I include a visual inspection of the tank(s) to identify any missing or broker hardware,dentity any cracks or leaks, measure the volume of T: r ombined sludge and scum and to chec for any pack uo or pording of effluent on the ground surface. The dispe sal cell(s) sha!I :)e wis,lally inspected to check the effluent evels in the observauun pipes and to cnerk for any pending of effluent on tre ground surface. ''.he pending 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 tank equals one-third (Ys) or more of the lank volume, the entire contents of I' he lank shaft be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code All other services, mauding but not limited to the servrcmg of effluent tillers, mecnamcal or pressurized components, pretreatment units, rind any servicing at intervals of 512 months shall be ; eerforrned by a certified POWiS Maintainer. A service report shall be provided to the local regulatory authority •Mrhin 10 days of completion of any service event. gage_of- 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 dispersal Cell(S). If high ooncentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During pourer outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluer t. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to tfte effluent pump or contact a Plumber or POWTS Maintainer 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 absorption area. Reduction or elimination of the following from the wastewater stream may improve the perforhance and prolong the life of the POWf a: antibiotics: baby wipes: cigarette butts: condoms; cotton swabs: degreasers; dental floss; dlapers: disinfectants; fat: foundation drain (sump pump) water; fruit and vegetable peelings; gasoline: grease; herbicides; meat scraps; medications; ot; painting products; pesticides; sanitary napkins; tampons; and water softener brine. 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 propetty and safety abandoned in compliance with chapter Comm 113.33. Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings seated. • 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 measures have been, or must be taken, to provide a code compliant replacement system: ---Qr-~Asuitable replacement area has been evaluated and may be utlized 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 ruler: in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technolog,r a holding tank may be Installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation rust 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. <cWARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS - POWTS INSTALLER POWTS MAINTAINER Name , Name t Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY / 'rL A Name Name Phone j 't Phone ?Y C- (C This docmanerd was draped in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1). (2) 8 (3). Wisconsin Administrative Cade. \ a I ~ \ I ICI rlt?'II~~': _ I I I~Illjii I iL Lam= V - P U J V \ 4t Y.. v I V , \t` \1 t V f`- ~ W ~.l (ON I I ! ST. CROIX COUN'1"e SEPTIC TANK MAINTENANCE iWkEEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer (~,1r~✓ ~i~~•._ Mailing Address i~ n 1 Pro Address ) (Verification requned from Plarming & Zoning Depart f new consinrotion.) I City/State Parcel Identification Number OZ0 - / ` 11- 60 - /Ze LEGAL DESCRIPTION Property Location%,-.J Y< , f J Y-, Sec. TN R-_ W, Town of Subdivision 5' , c 1 _ L~S2. t Lot # Certified Survey Map Volume Page # Warranty Deed # Volume Page # Spec house yes no Lot litre,. identifiable no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature f taim: to handle wastes. Proper uraintetmnce consists of pumping out the septic tank every three years or sooner, J needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibilities are specified in §Comin. 83.52(1) and in Chapter 12 - St Croix County Sanitary Ordinance. The property owner agrees to submit to St Croix County Plannutg & Zoning Department a certification form, signed by the owner and by a roaster plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than I/3 full of sludge. Uwe, the undersigned have read the above requirenuats and agive to maintain the private sewage disposal system with the standards set forth, heremr, as set by the DeparIInent of Commerce and the Departs ent of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the throe year expiration date. Uwe certify that all statements on thi form are we to the best of mylour knowledge. I/wc am/arc the; owner(s) of the property described above, by virtue of a wtrrmy deed recorded in Register of Deeds Office. Number of bedrooms----) L SIGNATURE OF APPLICAT\ I'(S) DATF, ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. ('REV. 08ros) COUNTY MAT HOPKINS PRAIRIE 1 ST A P LOCATED IN PART OF THE NW1/4 OF THE SE1P4, IN PART OF THE SW1/4 OF THE NEi/4 AND IN PART OF THE SE114 OF THE NE1/4 OF SECTIOI Q I LOT 2 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 19, PAGE 4975, DOCUMENT NUMBER 793551 AND LOT 3 OF CERTIFIED SURVEI LOi 2::5ld iN VOL. 22. PG 5431 noC. #956_//! S89'5906'W 886.05' '.,J, n.. r«n - ecfE u•:wm um'-'::«IrE :ar rscr-nr ntva - C4 T. c I 1 I` LOT 1 S. 12 ' :4 z ' 13 2 72 CSP! VOf. 8: PG 2342, DOC s S 14 LOT2 . f. FF \ ILD 32; `Y \ \ I :aii . `2^:gy!lC TybJ ` 2014- 1 I I L 1.. : Y -4 ..IiG 4.II ~l'13'•\.1'vttV X11 58932'09'W 457.' 4;4 6 ~I 15 y r1r,tC~~r2[•rt < h ai v 1 O 2 y.~ Hwl- N" Will It 'tl 16 I EDNA DRIVE - - - - - - - - - - q ~ I q ~I N_11 I - - - - - - - - - - - - - - - - - - - I _ _ J Jlr 1 I, ~ I Ilr I I I I, i I I 'I _ d1 I II i, ~ I ~ I yl , i e i , II ryg I 1-jl i lll~ .>o •a~ II i f 1 ~ I i I I b I i I I ®®o9 I ~ I I' r h I I - 1 S . w 9 I~i I .a-C I I I 1 ~ I 4 I t z I 1 II I e.j r A-1 I , I I I , it e ~ I I\_ i I n~ I I e I I ~ ~ I ~j, woci- lat aa~+.a~ II ~ I II - t* f avwv to ~ im•ca„ I I e I I I~ 4 I I t I I ~I I I I W r__-- t PII I I1' t I ns I n I ~\\f ~ I Qi I I I ~Ay 7 3y~ , I I _ s } I~ I I v I I ~ ~ I II z \I VIII I v v I I:I ' 1 r IV~ ICI I ♦ ~ J II, ~I 4 I I I LL 4~__. 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I 1 ~ ~1 l1 .PI D.G .PS .PLI e O ~ :rt V a. a CL (v; S3WOH 39VOVW ':1N1'V.LOS'INNI14 73aOW MaIA>Ntrc4 OONV']d 1~1 Q! mP{ 1 j•• ww li 5p L 1 > Q ' ~i f 2 Q ib > on ILI du / aav Fi IV II B J N • .J ~ X V I ILI O LL H H W U ~ m ~ a mt, cs I' LL Qi 30.1 o °l', I1.. 9 g i 8 ul ' ul aep,_ z K ~ npf `.;fin l$ a eS4Z.s O /Nvisconsin SOIL EVALUATION REPORT 42i:r fi C9peI trllC'It of l,Or11R'e'nU 3 Dicis'on of and Gu IdrLrs _ ;;toel'c So I Service a n:;h tort'plee, slip, tan %k. County P In on paper not less'nan , r x 11 rches r rza '-Ian r~;rst St Croix . .tl not fronted I p .l ine ,.pie b arc ho'i<orlal referen0o poirt lwv: n1WIion and - pc'renl slope spa e or Atnensrors. i-c-r acov; and -ca: on aid distarce to nearest -oad Far cc !.C Please print all information. Pendil I "na'A"Inak--. l.r• I,rOavb, I, S, 41' -'r{,er'y! a:rer 'r per.;• _o::at fir - JUN 2 1 p. L 0,;1,'4, NF ':4 510. T20N. R0,. I°: rpeK C•.vners t:^a Prg Address r- O ~ c~"' Eilnr'.: N SubC P;al11e Of C;;i'o1K /CC S. Second St. Hopkins Prairie 1St Addition Slab 7i CoUC'I ~hH(e x()iVoriY Clty lvdage Town Nearest Road Hudson 5 r Hudson Scott Rd 'Je•.v Coislrucocr Use Residerlial ~ Nurnbe• o' bodroems 4 Code delved desigr A^mtate CGC GPG Hep'ar_emert ?uhl'o o'cn•nmwgal-Describe. na Pe•ent malenal oetwash Flood plain e eval on If app icable na ft r.,;.ra' cornmel is Convor~ktnal system, sys „ rn elev llitm rl7 12ftTlencnes spiced and depth to code 3.58ft belo : grade. at' rc^o:nnerna..cr5, .L l } <F i(, r_-u -T. l lri ~/r~✓ ~~i k_1'•. -_Y;- f ,._r ~te 11 '_1 ~ J ~ r~ r r ~ II 1~I ~°nng d boring j L~ pit Groard s.rt•ace ele•:. 1C0. 30 fl. Depth to Iimil fatter 120 ^ on So 'I Application c i! io,won Denll• Dominant Crlo• Redox Despnpton Texlurn S:•ucture Cot'sisterce. Rourdar/ Roos G?DI'ft' _ r tlunse'I Qu Sz. Cool. Cslo S z . cP .ct•p. t•a 0-11 LCYr3;'2 none sil 2r,sbk mfr Cs 1vf .6 .8 J II-32 10yrgr4 none. >:ICI 211sok mfr c5 na .4 .6 3J-46 ~yr44 none grcos osg •nl cs fill .7 L5 4 41 7.5yr,116 none cos osg rill na na .7 1.6 r1g .3 9g. z ~ 4unrr ❑ Ro'inr It ,It G'o'_wd surrarv elev 100. A[:' ft DepIP to hriilrny factor 120 in So,l -c ca: or :alr~ Honzor Depth Dom II Co fir Redox Gescrpt'. cr Texture StruCare Cors's!ence Rounaan/ Roots GPD+" in. Mulsoll W Sz Col. Color Gr. Sit. Sh. •LPG; •e-;;;: 1 0-10 10yl none vl 2rnshk mfr' cs 1vf .6 .8 2 10 34 b0yr4;'4 none trIII 2nlsbk raft' cs na .4. .6 3 34-45 5yl none grcos osq nil c<_ na / 1.6 4 45-120 7.5yl none cos osq m' na na .7 1.6 E'flu 1 3C 22C m_ -L and -SS >30 ISO rut! ' Cfll.uwnt A - i?UD 3- rrrtL and TSS 3C mg+L CS I Name Moose ~r I'll Sigratur _ Cc- Number David .1. Steel i- 248960 kdaress o"te Is Snil Ser•vcte Gatc E olualiort -oncucteo Trleprre Nurioer 17.. 14 st St P'v-FSc wi i, x111, L[.C' - 1 - f;(j r ;?47 Prcpcny O.vner East, Kerncn Pa•a~l ~.p# Penainy rraclr: 2 W 3 Fi-I BoringC Boring P I G•ound sldacc clc~. 10:1.70 Declh to I'n-iting facto' 120 to So1.4pphcat:on Ran=. Ho-izor Depth Do trap: Color Redox Des-rip: or _cx?ure Structl.re Dons s:ence Boanaary Rnots GPD:ft° r 6funsel 411 Sz. Cort. Color Gr Sz. Sh 'F•wl '=h~ 1 C-9 ' 10yr3O nonce sil )rnsl:k mfr cs Ivf .6 .8 I 2 9 32 1Cyr4, 4 none Sid 21nsLk nnfl cs na .4 .6 3 32 45 5yr4,:4 none grcos osy rol cs na .7 1.6 4 45 120 7.5yr4 6 none ins osy nl 1a na .i 1.6 Boring 4 Pit t;mi.rd st.rtace elec. De^Ih In I rrthny fa::tu• .n. So I.4pplicat:on Rate Forizor Depth Dominant Co or Redox Description Tex:are S:'ueiufe Cons s:ence Eoan".any Rocls GPD+@° ITT. tdursell (:c Sz. Cont. Color G' Sz. Sh 'F•rnl -EM I F1 4cr r # Poring 9 Pd Srourd surtace elee ae:ah In Ironing facto, ,application Rate Horizon Dep:n Dominant Color Redox Drsrnpl~cr 1 ex:au: Sruclurc Crns s:ence Eo:maery K::::Is _Al m. latunsell Uu Sz. Cont. Coll G• Sz. Sh -E'fnl •I nu: Efrlucnt #1 = BOC: > 30 220 mI and I SS X30 <-_150 myt_ ' Effluent 42 - BOP, ' 30 mg:I and `SS < 30 n4L the Department nl't ".tn.nPrce is an equal it ltmii, vin icf pr,,\ d&r i i e:ii la, e:. I I cum neui srenze In lose. services ur need material in all aI •raat: Iurmal. plresc conlacl the dcparrmcnl al 608 64-3,151 0- 1 1) 608-2d-1-8?' _ STEEL"S SOIL, SERVICE Il;n:c1 f. Stc:a Krrnnu 13:_>t I"'` ~~'11`I CC1'_ftflV~:IS,~I ~Ll'l-L~}:I'1-~',!s;l_'!\.21'I'til ~r::RrFnond.%,VI51017 : Lie. : 248921: 0% u of I luistnt. St. C rc~i I )irccl 715-160-0147 I Tonkin, Pmr ric 1st Whinn Ito i Fax 712-246- 518 Tti> sni. evaluati•.~n nas u n h:cte to saliso a 7Ol-.i9_ rNwtc-nm is rt.:e r.nna~.: ~ L;cita=•I~ htr ymtr tx;. TI -c at:au sa i- Ilik tea -w,: :it tnax net be as sht. 41', as ccnnasrtt Icr Iln., cecrc' ao =lah*i,I,vd at the r.ete llic sei' test as conar.c2:d. 1 Lccuul ♦ 11 nrlrr::ni< I I::. Inn l -.11'. 13<al l:n,ark V1 11 Top of A . pk; Qc I ~ -littrlnt•. Rtn:ng 17WOO, I3_' - !(10.1f) ft y F. 13 ` IM S) fl 13.1 0.00 ft , i ~IP t ')LT 36.69' S89050'05' W 886.07' 349.38' 2.38 Acres es _ 103,493 sq. ft. in q. ft. LBO = 926.0 l2.0 C.B.A. = 2.1 AC. ao 8 AC. N O N C7 n 10 CD q W O O ~ j 1 g3 N - g ~ ~ ' g9 t0 6 O o o 0 W N Co Ip N 2.44 Acres >a 106,306 sq. ft l 1r LBO = 926.0 C.B.A. = 2.0 AC. a Q r. 1 I 2.77 Acres 0 Co, n~Z 120,813 sq. ft LBO = 926.0 565.25' C.B.A. = 1.7 AC. O I 380.7Y0' - - ft. L _ EDNA DRIVE - - - 290.6-V - - - - - 29 i 564.11' I W ~ M D Z es 1. ft. ~ d rll :2.0 O 3 AC. _ 17 M 2.53 Acres W -110,234 sq. ft M 557.42' DRAINAGE EASEMENT. LBO 923.5 ,t seasoosw wnW.or, a, ♦ s' 11I11 sT~,•a~ 1 ~ ♦ n • ,I ~ n' - I II l , s.m n. L ♦ ~ W 1. I ~ I wo. no r e. cwA- nw vnn w.n $ j "lit a tu< -1,1 tt~ ~ wo mo ® c i. f e en.w. M f0n $ t T 3, eul :I r 5 I,{~ I!( tl ~ i1 1 et' sorn>.: aeadro4w mr. r--T & 6 0 1 o ss.o I ~ V'IIA YM. ~ 4. HAS 1 l ~NYn !MO ~I~ 1 _~i ln0.S! ~y lg ntl nxPO • • _ 11 1 ~ 7 \ ~ l G.OA ,fM. I a Ia] GnA ,M - ♦ ~ >60 M,M wo 1xu M:, Q ,oo. o».! 3.00 2(.!,3J ViiBM I " f!,L. ~.1 II • 16 r 11. • •u I i , t) / ~ I~ 10 A O ~ Y aN n. i.> yn Y e / i O1° 1. I~ c.`o°w isn .nc me 15 y < 4.u / ua.¢ n • C nN ~ I1~ s{ Y • ly 14, • f ••xonp~IlMl F 12 ,wn aaen o i I .i CA.A ~nM.. n. 11 j f, • •P 13 ee awe k ` n e , eA. ~id()- I 189-GO-IBC ~o.a9. 19.3115 ttzo5s X IV- SOIL EVALUATION REPORT 3 FI anmrdannc •.eith CDmn' ES 'v; s :giro. Care 07 3 ~v~k; ny 'ace 1 0, C?anarrmen' -f :crnmen~e Di,;isicr c' Safety and Dui pings of% S:eel•s Soil Service Dotty A1:ach ccmplele s le plan or paper lief less than 956 x 11 rches in s ze. Plan n,rst St. Croix indoor b.l: n-i i fr :ed is:.C'Gcal arc horizcrial :efcience point +6m:. ercciion anJ pe•cerl cope. %::a a or ;amens ors, north arovr and ocation and rrslarue la nearest :Dad farce' IC Mending Please print all information. R v;eaF ~ --i Cate P=rsoral n'or ~l art yn,~ prc,i.._ -ay :.=.i. d fx =ernnc ary r upe;es (nri •acy -ax s 1S C4 :1.:M i Propeny Owner P•openy Locatior Bast. Kernon c_;nv .01 na ` SW114, NF';4, S10, 329N. R19'o:+ PropeKy C',vner s Nla I rc Address Lo: # Dlock # Sohd Varne cr f:Std# 400 S Second St. na Hopkins Prairie 1St Addition ::r,• Stale 21n Prone. Number CIry V Cage To%vn Newest RCao Hudson V•,+1 54016 715-386-0217 1 Wilson Scott Rd l conslructicn Jse Residenlia Nwrbe, of betlrocros 4 Corse derived design flaw rase 5CC Gl Repacemerl PupLDO• nnrcrcial-Gescnbc. na Parent malena outwash Gl::rn: plain rtoualion, i`axlicab e , ^In?1. fi. General comments Convrntional system. System cle-ml 07 12`t Tenches spared and depth to core 3.58ft :le ow and recomrnendal Holing # Boing - Pit Gra.rd surface eye;, 1CC.33 ft Depth tc I mii rn'arlor 120 in. 'Sat Applicator Rate I torizon Cep:n Corrinart Color l Dew plion 7exure Slrucnre Consistence Boundary Reols GPC!ft' in. rV.unsefl O.r. Sz Con: Co 0r Gr. Sz Sh. 't t-et •i ac 1 C, 11 10yf3i2 none sil 2msbk mfr lvf .6 .8 2 11-32 10yr414 none sic! 2msbk rnfr na A .6 3 32-46 5yMl4 none call osg nY cs na .7 1.6 4 46-120 7.5yl none Cos osg nY na rid .7 1.6 IT] Boring # Rorrt:c Pit Ground surface clew 100.30 fl Dept, to limiting factor 120 rt, Sol Acpl ca: on ?ate I •orixor Depth Corn ran: Color Redox Cescrip:icr Texture Structure Cnrs islerCO 9ourcar; Rooi .^,PUifc in. 141.1T r set Ou. S<. Cool. ; aao, Gr. Sz. Sh 'E"f •Elfu2 1 0-10 10yr3 2 none sit 2msbk 'nfr cs lvf .6 .8 2 10-34 10yr44 none >ICl 2msbk mfr cs na .4 .6 3 34-45 5yr414 none grcos osg rill cs na / 1.6 4 4S-120 7. Syr4 6 none cos osg nil rid na .7 1.6 ffhenl#1=POE) . 30<:220mrtl andISS>aa S0-n4L 'E luerl#2-DOI) •:30 rig!. ant.TSS<30ri CS' Carte :P case. Prints >ign~ re CST Number David .I Steel i~ 248956 Address Sie.-Is So I Service Cale E'aaP,rato,•r ..r;nnr.ctei Telepnnne Number '3S8 I4'sl 9t t.n,: RiePn- o id.' r,I E'11?2CC? 71 ?fjr]-f:',47 i l~r:;l,r~-r; n'a,c~, [3a~t, tCe•n:;n Px1,21 D# Pending Page 2 of 3 I Boring k Bo my LJ P I G'ound surf;:re elev. 10':1.7U ft. DePiF to limning fa-to. 120 in gol Application Rate Yo•izor Declh Do,^rran: Color Redl x Des::np' on 'exture Struclr.re : ccs sletme Roun::ary Foos GPD+ r. tdr.nsel Cu Sz. Cort. Color Gf Sz. Sh. 'e'rnt '_W 1 0-9 10yr3•+2 none SO 2mshk mfr Cs 1vf .6 .S 2 9-32 1C•yr4 4 none yd 2rnshk mfr Cs °a .4 .5 z 37-45 5yr414 rove quo': osg rill a: rd .7 1.6 4 45-120 7.Syr4:6 none cos osg ml ra na .7 1.6 Honng 3m rn # Pi. Grourc surface elev. ft Deptn I; ImIr rc factor I•coil And ca: on Rase HOri]on Cep:h Con-inart Cobr Redox Cescrp6o11 7 ex`I", Slrlsiwe Consistence Gou•tdery Roos GPC4I' in. Morsel Qu. Sz. Cont. Cclo• Sz. Sh. 'EnPt •Frr„z I l i Boring c?er rr: # Death 1o I n•i: rg'actnr PF GrC Urc curia ot•i•IT Sort ei::pPcal on Rate I-IOrizon Up,I lionmgt'I Cold Hedox Cesrnl?h an lextre S''64ture ns A'c'ICr~ GuJ9dary Roots ('111MV in. 'Auusc• I Cu. 9z C;<:11r G' Sz. 6F VI C 'PPS: i ' Effluent #1 = BCD._> 30 g 220Ing?I iv:: 1 S ->20 <'Ihti lr_y~_ - CPcent #2 - GCC < 30 mgl erfi r-1,4 1hC IhT tr!mrnt of (unnrcic is ua cquul omorluniP s.n icc pro I, idcr 91 d ':nplo.,::- If t,nl I'r.d .m..Imancc to aci e.. serciecs I1r need Ir:dcrial in ae :II ,r) !?C Innttal rIeasc ,nnlull ric &1'; a1aICn1 :a 6115-?Gh-? I I of 1 11' M1p$-?h.l-S?'? 1II"1.9 rl 1 ilk •ryy., tirrv`'s <n C^rnrf ~n(3 S'I'E.H."S SOIL SER`'ICF, David J. Slcel Qwlyl 111,, 13' , 141 S'.. ('SI'-p()\\:SR'I S\\". 4.\F14.SI1IQ\.RloW 1Zichrwnd.\VI 4017 4.ic- 4249956 n of Hudym. St. (VAX (b Dheel 715.76041347 11Opkirn Ptai is I ~I \dditior I u' 3 Fa '15-24h-0311 I h., ,nil t vahl- inn ~ond,:c-.cd to I I,.l,r a to"in, requh:n•i~n-, B III nr ri..:. WI <..IiI ih'c li+r y,.n nW, Tu: h,calicn of lr; test ma. o- n;ry not I-c m sho•.m an permarm A IAcs „crc not r sta'nli>'acd m the time the sal Icst "is eordli ced. I ~ Lt•!,cntl I c / ♦ -I;u-hntr}.'~~ir. ~i,;iii It ~4 jl - C J l op of 3 4- prc hihe • V't1'cnchlrark GI IN1.20 It Rip of ;'4" pec pipe - HOW, Voting lWa6ens - _ - - - 131 100.30 ft B- 100.10 ~t ~l 1 i3 IUO.?tl 't 134 0.00 ft q?. \ qX i P 7 `}I ' her - 4 y, 7 ~ I 36.69' S89°50'05' W 886.07' 349.38' . 31 2.38 Acres es 103,493 sq. ft. ut q ft li: LBO = 926.0 8 AC. C.B.A. = 2.1 AC. p~j O N ~ n \ L q W 0 - O 391 y3 ~ O 0 o Z w OD '01 k 2.44 Acres 'fie >a 106,306 sq. ft l p - LBO = 926.0 ~89~5$ C.B.A. = 2.0 AC. an 2.77 Acres tP ZR~ G 3 120,813 eq. ft LBO = 926.0 565.25' d C.B.A. = 1.7 AC. ft. EDNA DRIVE 1C. HOhC LEd3 r - = E>ao i - - - 290.65' - - - 29 564.11' - j - - - D N es F7 Z 1. ft. Q W _ 2.0 of 3 AC. J N 17 I M 2.53 Acres K- 110,234 sq. ft M i s 557.42' DRAINAGE EASEMENT. LBO = 923.5