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HomeMy WebLinkAbout020-1489-00-2402l (J) Aconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT ATT ACH TO PERMIT GENERAL INFORMATION ) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. TANK INFORMATION ELEVATION DATA TYPE MANUFACTUR�i} , �S I CAPACITY Septic Dosing Aeration —07 TANK SETBACK INFORMATION M®Mm® .e a M�Mm�= ®MAMM�A, M ®,I,.. -.-._,I I,t ® , • luvluw�= PUMP/SIPHON INFORMATION Manufacturer Demap4 GP Mol bar TDH Lift Frictio Loss Sy tem He d 11TIP Ft Forcilinnain IV ngth D' . jliisyto Well SOIL ABSORPTION SYSTEM G L -I- G L sewmencn vvwn 3 . DIMENSIONS SETBACK ISYSTEM TC Zo 13 STATION BS HI FS ELEV. Benchmark -7 .Q ` job.1 18.16 Aft.B -7 G•�i eo.�a Bldg. Sewer 98• / SUHt Inlet �• p` p/ SVHt Outlet • q Dt Inlet Dt Bottom Header/Man. 'F t Dist. Pipe Bot. System rl r 7. 3. Final Grade -7 , C�1. '7O • Z;) St C r •O Q fj0' V 'DIMENSIONS No. Of Pos KE/STREAM LEACHING CHAMBER OR UNIT Header/MaIliFold rr L Distribution Pipe(s) xH 'e xH ing lVent to Air Intake j/SJ1 Length Die Length Die Spacing SOIL COVER x Pressure Systems Only tar Mound Or At -Grade Systems Only Depth Over Depth Over xz Depth of Iroc Mulched Bed/Trench Center 1 • � . Bedrrrench Edges 1 2 ,k I Topsoil Ye No �Yes M No COMMENTS: (Include code discrepencles, Persons present, etc.) Inspection #1: r ,L ,�I•nspection #2: j Location: 1049 HOPKINS{D�R/ � — U.e r '� o vt Nn r lA GG S� 1.) AK BM Description =�7T7 f Kf OV'"« — ��uM Sl Ol�i✓� y % 'f 2.) Bldg sewer length = 4-4I Q1 // 1 c� -amount of cover=7lglt _ Lot, A;S Plan revision Required? ❑w Yes No Use other side for additional informafl / 1 SBD-6710 (R.3/97) Dab InselpMPs Signature Can. No. 'ao1q— Safety and Bla'Idings Division Comity 201 W. Washington Ave., P.O. Box 7162 5®rtuy (m be fiDedm Pami[Number byCO-) . Madison, WI 53707-7162 g 1d1911 6,67077 ermit Application Transaction In aocordaoce win SPS)),lD Code, submission of this form to the Rlnpti governmenml unit /v is requimd prior to e - permit. Note: Application forms for stato-owrued POWTS are submitted to Pmjea Add= (kf dEft m man ..,I add,,,) the Department .Safr£y and Professioml Servia. Personal infertonion you provide may be used for secondary m atXbr*= with mC Pn Isw, S. 15.04(1)(mSMIL y. /$ 1 r'!i aI«rTp id r kp' L hcatiminfermation- Please PrintAllinformation Property Oaaa's N Plod « r oho- 8 - Property Owners Ma tin Address n .2,,.clL Property Location S. 5/� Govl La y,, V., Section city. Stan,// Zip Code P11me Number ' 7�N. �c¢cE;g 'K- fr`//_ II. Type of Building (check all that apply) 4 _ Nsom (r-� /ak or 2 Family Dwelling -Number of Beim d/ 4A ❑ PuMicComokseid- / ❑ CirY � Descnbe Use �^ 1) State Owned -Desrnbe Use CSM ❑ Vibage of Number ZL 4-Z Z- .— Town of IIf. T (Chap only onelbox on line A_ Complete line B if applicable) System Replacemmr System ❑ Tmalmeot/ffoldi rSTadc Replacement Only ❑ Omer Modification to Fr stang Systcss (explain) B. ❑ Permit Renewal O PermitRevisioa ❑ Change ofPlumba ❑ Permit Transfer m New Lin Previous PekmdNumber and Dais Issued Befoxeligimaw Owner .( IV. cum nmt(Device: Chalk all that apply) Nw-Presauized In -Ground) ❑ Pressurimd In -Ground ❑ Ai -Grade ❑ Mound > 24 a of mable sail ❑ Mo®d <24 m. of sniuble soil Component ( ') ❑ heueamem Devine (ekplam) V. Diu rea t Area laformation: J, / Flow(gpd) Design Application f) D��� Required Dispgand Am proposed SystemM _RV_ . M. t�11 - , 3 VL Tank Info Capacity in Taal x of Mmofarntter Gallons Galloon lhtrcs � u E u NMTmIa Ewmog Tad¢ S U err : 8 I`I A4 vsi 0 Septic a Holdw Talc s S 1ltaiag Cb®ha VIL Res naibitidy S ent- S the and me responsibility for imullatim of thePOWFS shows on the attached plus. 's Name (Print) 's Sigtlmue MPR./PItS Numbs Business Phone Nkmbcg a-t ZZ� �.r— , Plumber's , Stare, Zip VEGL FcuetvADevartineut Use Only fl Approved ed Permit Fee I�sswu su' IscMSigoatme s 565• / Q �D/ , 7 ® Beason Denial T w DL Coa ' for DisaMIUM law tollpproval I n tn In s titYpalt w Cvl M Mt d1 a a hIV2E !jm tom.'.-, fft 1� 1 J/� '� �.t, _ GIs par rittBmsparrM. plan p!4 :dCt 17I IrIWThli.. 1I1Ltn/.Q.. Otwid�ik. (owl M 4A` r 2 Mdlg�M)M�i�tYrxl�+�aktue�kert:L.f3 s /� ,.atiw=IL •l per op0kchis cads Anara to Maplme plum for the srsVm and suburb to the County ody as paW not k thin x in s I t webs is sae �-- SBIX398 (R 11/11) L4 1-5 System PLOT PLAN PROJECT Kernon Bast ADDRESS 400 S. 2nd St. Hudson Wi 54016 NW 114 SE 1/4S 10 /T 29 N/R 19 W TOWN Hudson COUNTY ST.CROIX SYSTEM ELEVATION 93.9/93.6 5' below grade DATE 4/25/19 BEDROOM 4 CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL -H.R.P. same as benchmark 240' B.M.* Scale = 1 /4" = 10' 15' 50' 25' 117' - B-1 ❑ 2-3 X 90' Cells with >3' spacing 3% Slope 6� Vents 2 .A t ST ✓ Vent >6.. Quick4 Standard of Cover Leaching Chamber with 20.0 112 of Area 5.6ft^2/pair of end caps 4 4' Long 12" room Grade at System Elevation All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 4/25/19 Owner:Kernon Bast Location: NW1/4 SE1/4 S10 T29N,R19W Lot 24 Hopkins Prairie 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 Section %l License System PLOT PLAN PROJECT Kernon Bast ADDRESS 400 S. 2nd St. Hudson Wi 54016 NW 114 SE 1/4S 10 /T 29 N/R 19 W TOWN Hudson COUNTY ST.CROIX SYSTEM ELEVATION 93.9/93.6 F below grade DATE 4/25/19 BEDROOM 4 CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL •H.R.P. same as benchmark 240' B.M. Scale = 1 /4" = 10' 15' 50' 25' 117' B-1 ❑ 2-3 X 90' Cells with >3' spacings 310% Slope 60 Vert 0; 0 All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 ST Vent ALong Quick4 Standard ��g Chamber with 20.0 ft2 of Area 5.6ftA2/pair of end caps 2" 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 with 20.0 ft2 of Area per Chamber 5.6ft^2 pair of end plates Typical Installation Vent Grade 4" A�30/34 Septic Tank 5' Spacing 5' System elevations: A 93.9' B 93.6' 5' at System Elevation 61 To be >1' above grade Finish grade elevation 98.9' ,Vent t" at System Elevation 2-3' X 90' Cells Same on other end Observation tubeNent At end of cell A B 22 chambers per cell POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ,_of_ ;t FILE INFORMATION Owner Permit S DESIGN PARAMETERS Number of Bedrooms 0 NA Number of Public Facility Units JfNA I Estimated flow (average) aUda i Design flow (peak), (Estimated x 1.5) int allday Sal Application Rate aUda /fiz Standard Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BODe) 420 mglL ❑ NA Total Suspended Solids (TSS) 515o mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) 530 mglL Total Suspended Solids (TSS) 530 mg(L ❑ NA Fecal Colifomr (geometric mean) 5104 c(uN 00ml iMaximum Effluent Particle Size 16 in dia. ❑ NA Other NA Values typical for domestic wastewater and septic tank effluent MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank Capacity I ❑ NA Septic Tank Manufacturer ❑ NA Effluent Fitter Manufacturer r �� ❑ NA Effluent Filter Model �� ❑ NA Pump Tank Capacity al ❑ NA Pump Tank Manufacturer NA Pump Manufacturer Pump Model 4NA Pretreatment Unit 0 Sand/Gravel Filter ❑ Peat Filler ❑ Mechanical Aeration ❑ Weliand ❑ Disinfection ❑ Other. Dispersal Cell(s) ❑ NA Ground (gravity) ❑ In -Ground (pressurized) ❑ At -Grade ❑ Mound El Drip -Line ❑ Other. Other. ❑ NA Other. ❑ NA Other. ❑ NA Service Event Service Frequency linspect condition of tank(s) At least once every: 3 month(s) (Maximum 3 years) ❑ NA s Pump out contents of tank(s) When combined sludge and scum equals one-third ()6) of tank volume ❑ NA llnspect dispersal oell(s) At least once every: 0 month(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: �r 0 °nth(s) ❑ NA nspect pump, pump controls & alarm At least once every: th(' ❑ NA ear s)s) I -lush laterals and pressure teat At least once every: ❑ month(s) 0 NA 0 year(s) ether. At least once every: 0 month(s) year(s) ❑ NA �fher. ❑ NP MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master (Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must unciude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of ,combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shag be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of affluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory auttoodty. When the combined accumulation of sludge and scum in any tank equals one-third (%) or more of the tank volume, the entire contents of ,he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. IAJI other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, lend any servicing at intervals of <12 months, shalt be performed by a certified POWTS Maintainer. Is, service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page _ of _; START UP AND OPERATION For new constriction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals th--It may impede the treatment process and/or damage the dispersal cell(s). If high concentrations 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 sod conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal hlghwater levels. When power is restored the excess wastewater will tile discharged to the dispersal cells) in one large dose, overloading the cell(s) and may result In titre backup or surface discharge of effluentt. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to thte 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 fofiv d g from the wastewater stream may improve the Performance and prolong the life of the POWM antibiotics; baby wipes; cigarette butts; condoms; cotton swabs: degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoltre; grease: herbicides; meat soaps; medications, oil; panting produClls; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or a permanently taken out of service the following steps shall be taken to insure that the system is prope�iY and safety abandoned m 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 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 filed 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 resystem: p: 7Asudable replacement area nos been evaluated and may be utilized for thrt e location of a replacernesod absorption systelm. replacement area should be protected from disturbance and compaction and should not be infringed upon by requited setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the rued for a new soli and site evaluation to establish a suitable replacement area. Replacement systems must comply with the nine in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology 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 sal and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed) as a last resort to replace the failed POWTS. ❑ Mound and at -grade sal absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING>> 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 MAINTAINER Name Phone 7 J = SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name Phone a .- <" `13 Name Phone 5,76— / This document was drafted In compliance with chapter SPS 383.22(2xb)(1)(d)&(q and 3113.54(t), (2) & (3), Wlacorrsn Administrative Code. Owner/Buyer •/Y City/State ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM S. W- I b t}'I (Verification requited from LEGAL DESCRIPTION & Zoning Department for new Parcel Identification Number O w' NIP" on — z4 b Property Location/IA�Y. ,5 �/. , Sec. / O , )T Z 7 N Subdivision A0 s' _ ✓ ral .(�/ �>< Certified Survey Map # Town of , Lot # ;2/ . Volume Page # Warranty Deed # 1DL Y Volume Page # _ Spec house yes no Lot lim identifiable (5 no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maraten-^^• of your septic system could result in its preaature Whir to handle wastes. proper maintenance consists of pumpmg out the septic tank every three years or sooner, if needed, by a licensed per. What you put into the system can affect the function of the septic tank as a tteamrent 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. Crow County Planning & Zoning Department a certification form signed by the owner and by a master plumber, jot>neyman 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 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by Lire Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system bag been maintuned must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all stateaeats on form are true to the best of my/our knowledge. Uwe sm/ato the owmr(s) of the property described above, by virhre of a v my deed recorded in Register of Deeds Office. Number of bedrooms X J OF APPLICANT(S) DATE *.*Any information that is misrepresented may result in the sanitary permit being revoked by the Plannin & Zoning Departatwt' 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. 08/05) 20140048A J� .., V v. B, L; 7"I14GS SECTION A -A 1921 �a� / 1319. 2.09 ACM 23 90.861 sq. ft. LBO = 924.5 LW —WJ.4 I SW7/4OFTHENEI/4 i NW1/40F THE SE114 �' 24 87,433 sq. ft LBO = 924.5 R �. rOr�, S87°03'OgE 149.48- �g ---- M�. 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VY 6rP.lC. y' i I4 ROOR Rs eRRar roan Ral emivaT roan �y 'Wisconsin Department of Commerce Division of Safety and Buildings 090 - 011. 00, IR40 SOIL EVALUATION REPORT /0.a4, 19, 3/27 92071 in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 1. 49 uw �l A,Sleel'sSoil Service Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Pending Please print all information. Ravi wed y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). O Property Owner Property Location Bast, Kennon Govt. Lot na NW1/4, SE1/4, S10, T29N, R19W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 400 S. Second St. na Hopkins Prairie 1 St Addition City State Zip Code Phone Number _ City _ Village ` Town Nearest Road Hudson Wli 540161 715-386-0217 Hudson Scott Road New Construction Use: Residential! Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement _ Public or commercial - Describe: na Parent material ,AutWasp " Flood plain elevation, if applicable fl. General comments &nverlonal system, system elevation 94.90ft. Trenches spaced and depth to code 4.00ft below grade. and re�Igleelitlati0ps:� - Boring Pit Ground surface elev 98.90 ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth in. Dominant Color Redox Description Mansell Qu. Sz. Cont. Color Texture Structure Consistence Gr. Sz. Sh. Boundary Roots GPD/W 'Eff#t I 'Eff#2 1 0-10 10yr3/1 none sit 2msbk mfr cs if .6 .8 2 10-20 10yr4/4 none sicl 2msbk mfr gw lvf .4 .6 3 20 30 10yr6/4 none sicl 2msbk mfr cs na .4 .6 4 30-100 7.5yr4/6 none cos osg ml na na .7 1.6 S — 2 ra Is Alf, t,6 Boring # _' Boring - Pit Ground surface elev. 98.90 ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth Dominant Color in. Mansell Redox Description Texture Qu. Sz. Cont. Color I Structure Gr. Sz. Sh. Consisten 1. Boundary Roots GPD/fl° 'EH#1 -Eff#2 1 013 10yr3J1 none sit 2msbk mfr cs if 6 B 2 13-23 10yr4/4 none rwit 2msbk mfr gw lvf .4 .6 3 23-37 10yr6/4 none sicl 2msbk mfr cs na .4 .6 4 37-1001 7.5yr4/6 none cos osg mil na na .7 1.6 ' Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS <30 mg/L CST Name (Please Print) Si nature: CST Number David J. Steel 248956 Address Steel's Soil Service ' Date Evaluation Conducted Telephone Number 1396141st St. New Richmond, WI 54017 1W20/2004 715-760-0347 SBU8330 (R 07/00) Prolierty owner Bast, Kernon Parcel ID# Pending Page 2 of 3 ❑ Boring # Boring Pit Ground surface elev. 97.90 ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. Consistence Boundary Roots GPD/ft' 'Eff#1 *Eff#z 1 0-112 10yr3/1 none Sil 2msbk mfr Cs if .6 .8 2 12-24 10yr4/4 none Sid 2msbk mfr gw 1vf .4 .6 3 24-32 10yr6/4 none Sid 2msbk mfr CS na .4 .6 4 32-100 7.5yr4/6 none Cos osg ml na na .7 1.6 t ❑ Boring # Boring 'PitBo Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell i Redox Description '. Qu. Sz. Cont. QOIOf Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fl' `Efl#1 -Eff#2 ❑ Boring # -_ Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure .Consistence Gr. Sz. Sh. Boundary Roots GPDf t2 •Eff#t •Eff#2 . Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS c 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-5330 (107/00) Steers Sol Service I I h tlJ 3.52A res Z I = 153,369 sq. ft a i = bi d C.B.A. = 3.4 AC. = I8 / 1 7 v ` W 0 2.53 Acrss I a 110,234 sQ. ft / I I I ¢ LBO = 923.5 D ENT. I C.B.A. = 2.0 AC.® C L I , I a / � I16 ,589.44' g9A. 2.1 ft C.B.A = 2.1 AC®dV 9 i�q / 00 I / / 447.a&2. A7Ac'rOO / 7 98,952 sq- ft C.B.A. = 1.4 AC. / / z / /Ago/ n / • Cr 14 a / 0 2.31 ACr68 xx jO0.456 sq• M / LBO = 924.0 / C.B.A. = 1.5 AC: 0�. Ow 9 ' 7• STEEL'S SOIL SERVICE David J. Steel Kemon Bast 1396 141st St. CST-POWTSM NWl/4,SE1/4,S10,T29N,R19W New Richmond, W154017 Lic. #248956 Town of Hudson, St. Croix Co. Direct 715-760-0347 Hopkins Prairie 1 st Addition Lot 15 Fax 715-246-0318 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. mod' M Legend 1" = 40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark El 100.10 ft Top of 3/4" pvc pipe = Borings Boring Elevations B1 = 98.90 ft B2 = 98.90 ft B3 = 97.90 ft B4 = 0.00 ft Z 3of3 y ��s SGOnsin RJLIAVALUATION REPORT Department of Commerce in accordance with Comm 85, Wis. Adm. Code Division of Safety and Buildings—� #2071 Page 1 of 3 Steel's Soil Service Attach complete site Ian on paper not less than 8%x 11 inches in size. Plan must P P P Pe County St. Croix include, but not limited to vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Pending Please print all trrfor viewed Date Personal information u mv' Yo P c—Ew urpo (PrivaCY law, 5. 15.04 (1) (m)). l�r— n / 77 Property Owner Property Location I Bast, Kernon 9. 02QQ7 Govt. Lot na NW1/4, SE1/4, S10, T29N, R19W Property Owner's Mailing Ad ress Lot # Block # Subd. Name or CSM# 400 S. Second St, .Aixouwy na Hopkins Prairie 1St Addition IF City I Sta Zip Code Phon er '— City Village ` Town Nearest Road Hudson L—Y016 7 715-386-0217 Hudson I Scott Road New Construction Use: Residential / Number of bedrooms 4 Code derived design sow rate 600 GPD _I Replacement Public or commercial - Describe: na , 9 Parent material OUtwash S:u GZ-e44 s'-(i n p.,ne,�- 2u: � ) Flood plain elevation, if applicable na fl. _ "J General comments Conviintional system, system elevation 94.90ft. Trenches s aced and rjepth to code4.4.00ft bb'elow grade. and recommendations: WCC< �t L'IM r� 2�1y u�.�� ,� _SI/ Z c // � 1 Boring Boring # '— Pit Ground surface elev. 98.90 ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Texture Cu. Sz. Cont Color Structure Gr. Sz. Sh. Consislen Boundary Roots GPD/ft' •Ef#H •Eff#2 1 0-10 10yr3/1 none sil 2msbk mfr cs if .6 .8 2 10-20 10yr4/4 none Sid 2msbk mfr gw lvf .4 .6 3 20-30 10yr6/4 none sid 2msbk mfr cs na .4 .6 4 30-100 7.5yr4/6 none cos osg ml na na .7 1.6 Ljo 7 J 2] Boring # Boring Pit Ground surface elev. 98.90 ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth Dominant Color in. Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. ConsistenceBoundary Roots GPD/ t' 'Eff#1 •EM#2 1 0-13 10yr3/1 none sil 2msbk mfr cs if .6 .8 2 13-23 SOyr4/4 none sicl 2msbk mfr gw lvf 4 6 3 23-37 10yr6/4 none Sid 2msbk mfr a na .4 .6 4 37-100 7.5yr4/6 none cos osg ml na na .7 1.6 Effluent #1 = BOD s> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mgfL and TSS <30 mg/L CST Name (Please Print) gnatu CST Number David J. Steel 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 1396141st St. New Richmond, WI 54017 10/20/2004 715-760-0347 Property Owner Bast, Kemon Parcel ID # Pending _ Page 2 of 3 Fi-IBoring # Boring Pit Ground surface elev. 97.90 ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/W 'Eff#1 'Eft#2 1 0-112 10yr3/1 none sil 2msbk mfr cw if .6 .8 2 12-24 10yr4/4 none sicl 2msbk mfr gw 1vf .4 .6 3 24-32 10yr6/4 none Sid 2msbk mfr cs na .4 .6 4 32-1DO 7.5yr4/6 none 005 osg ml na na .7 1.6 i ❑ Boring #,_ Boring _ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence, Boundary Roots GPDRP -Eff#1 'Eff#2 ❑ Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Consistence Gr. Sz. Sh. Boundary Roots GPD/ft' 'Efl#t 'E##2 Effluent #1 = BOD5> 30 <220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS c 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SRD-8330 (R 07100) Steel's Soil Serv" STEEL'S SOIL SERVICE 3of3 David J. Steel Kemon Bast 1396 141st St. CST-POWTSM NWl/4,SE1/4,S10,T29N,R19W New Richmond, WI 54017 Lic. #248956 Town of Hudson, St. Croix Co. Direct 715-760-0347 Hopkins Prairie 1st Addition Lot 15 Fax 715-246-0318 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend 1" = 40' = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe = Alt Benchmark El 100.10 ft Top of 3/4" pvc pipe = Borings Boring Elevations B 1 = 98.90 ft B2 = 98.90 ft B3 = 97.90 ft B4 = 0.00 ft L 9 Sj� W i 3.52A res Ir 153,389 sq. ft C.B.A. = 3.4 AC. I I glz 17 2.53 Acres I i I 110,234 sq. ft I 1 I ¢ LBO = 2.0 A C.B.A. = 2.0 C.� I I � I /6 30-9pg- 9' / / A I Z9B.3/ I .44' 16 _ 99,071 sq• ft = 2.1 AC®�©4 • C.B.A. 447. h R , 61 2.27 Acres / 99,952 sq- ft / C.B.A. = 1.4 AC. d/ sue' 10 / 14 a� / \ 0 2.31 Acres Q / xx 100,456 sq- ft- , LBO = 924.0 C.B.A. = 1-SAC-/ Q/ / 04 1578 Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT i= ,. h r....,,., uF W. en.., r-1. Page 1 of 3 Steel's Soil Service, Inc. Attach complete site plan on paper not less than BS x 11 inches in size. P include, but tical not limited to: war" and horizontal reference point (W), di Percent slope, scale or dimensions, north arrow, and location and distana Please print all information. Personal information you prowle may be used for pu (Nvacy St. Croix in musty EC EIVlou n and to nearest mad. Parcel O L T 2 2 2 ev , S. 15.04(1)(m)). D. .WjaU— ,rr By Delp,v a /0 U Property Owner Bast, Kemon P l� BE lit S 10 T 29 NR 19 W Property Owner's Mailing Address 948 Labarge Rd. Lot # 2 Block # no Subd. Name or CSM# I i i�7 may/ CSM (Y r7 /, City State Zip Code Phone Number Hudson WI 1 54016 1 715-386-7775 J City J Village 0 Town Nearest Road r(eA &0T Hudson Scoff Road ✓J New Construction Use: fit Residential / Number of bedrooms 4 Code derived design flow rate 600 GIRD J Replacement _I Public or commercial - Describe: Parent material outwash plains and stream terraces Flood plain elevation, if applicable no General comments and recommendations: Conventional system, system elevation 94.90ft. Trenches spaced and depth to code 4.00111 below grade. ❑ Boringceo_ Boring # ei ✓i Pit Ground Surface elev. _ 98.90 ft. Depth to limiting factor 100 in. Sol Application Rate Hoizon Depth in. Dominant Color Mursell Redo,, Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIM -Etf#1 -Eff#2 1 0-10 10yr3/1 none sit 2msbk mfr cs if .6 .8 2 10-20 1Oyr4/4 none Sid 2msbk mfr gw 1vf .4 .6 3 2030 10yr6/4 none Sid 2msbk milk cs no A .6 4 100 7.5yr4/6 none cos osg ml no no .7 1.6 7'lczd 0 y s ❑ Boring # J Boring 16 Ph Ground Surface elev. 98.90 R Depth to limiting factor 100 in. Sol Application Role Horizon Depth in. Dominant Color Redox Descrptim Munsoll Qu. Sz. Cad Color Texture Struchae Gr. Sz. Sh. Consistence Boundary Roots GPD& 'ER#1 'Efhr2 1 0-13 1Oyr3/1 none sit 2msbk mfr cs I .6 .8 2 13-23 10yr4/4 none Sid 2msbk mfr gw 1vf .4 .6 3 23-37 10yr6/4 none Sid 2msbk mill, cs no .4 .6 4 37-100 7.5yr4/6 nonj oSg ml no no .7 1.6 Qf� Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 rtg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS <30 mg/L CST Name (Please Print) ignature: CST Number David J. Steel (� 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number t194 200th St., Baldwin, WI 54002 10/202004 715-684-5680 Property Owner Bast, Kenton Parcel ID # pending Page 2 of 3 3] Boring # Boring ✓e Pit Ground Surface elev. 97.90 ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth kL Dominant Color Munsel Redox Description Qu. Sz Cont Color Texture Structure Gr. Sz. Sh. Consisterm BourMary Rook GPDr -Efnf1 -Eft#2 1 G-112 10yr3/1 none sit 2msbk mfr cs 11 .6 .8 2 12-24 10yr4/4 none aid 2msbk mfr gw 1vf .4 .6 3 24-32 10yr6/4 none sid 2msbk mfr cs na .4 .6 4 32-100 7.5yr4/6 none cos osg ml na no .7 1.6 ❑ Boring # _! Boring _j Pit Ground Surface elev. ft. Depth to limiting factor in. Sol Appicabon Rare Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Rook GPDM 'Ef1#1 'Eff#2 ❑ Boring # Boring -Appicabon Rate J Pit Ground Surface elev. ft. Depth to jim8ing factor jn, Horizon Depth in. Dominant Color Munselj Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Rook 'Eff#1 'Eff#2 Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 ni ' Effluent #2 = BOD5 < 30 mgA. and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format. please contact the department at 608-266-315I or M 608-264-8777. STEEL'S SOIL SERVICE INC. 3 of 3 David J. Steel Kernon Bast 994 200, St. CST-POWTSM NWl/4,SE1/4,S10,T29N,R19W Baldwin, WI 54002 Lie. #248956 Town of Hudson, St. Croix Co. Bus.(715) 684-5680 CSM 20.23 Acres, Lot 2 Fax.(715) 684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it mayor may not be suitable for your use. /IO r4,111- 4`iY11-61 Cor�7¢r a-Fl-of l IV a3' /a• W Legend 1" = 40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 100.10 ft Top of 314" pvc pipe ❑ = Borings Boring Elevations Bl = 98.90 ft B2 = 98.90 ft B3 = 97.90 ft B4 = 0.00 ft cl 6'A0�r PIV V5�06 7' j 03 CERTIFIED SURVEY MAP LOCATED IN PART OF THE SW 1/4 OF THE NE 1/4, PART OF THE SE 1/4 OF THE NE 1/4 AND PART OF THE NW 1/4 OF THE SE 1/4 OF SECTION 10, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN. OWNER SURVEYOR KERNON BAST & EDWIN C FLANUM DONALDA SPEER-BAST NORTHLAND SURVEYING, INC. 948 LaBARGE ROAD P.O. BOX 14 HUDSON, WI 54016 ROBERTS, WI 54023 NOTE: EXISTING SHED ON NORTH LINE OF LOT 1 TO BE REMOVED 41/4 CORNER SCALE INIFEET 1" = 200' SECTION 10 1 200 0 200 0 z z w Eo S N1_G71_AAvv9D _Lmrg)o OwmISD Yv 04GaMa (S89'48'40'W 846.62) S89051'49"W 846.89' (NOp 3EXISTING �O3u t8E) CENTERLIN ? IIY00 I4Z YY N88'11'19"V�N 1'11tiV204.639 ' N is 02 273.92' 2*18* r �(Va 171.10' SHED L4 n0 L2 001N OUSE �I to Mu OW" BARN LOT 1 �Ng N n v1 W 2.00 ACRES® _ El87.124 Q. FT. WELL O Z I irctli DEDICATED TO / THEPUBLIC I ON to / 33di N89'18'021N 365.93' SOUTH LINE OF THE SW1/4 OF THE NE1/4 NORTH LINE OF THE NW1%4 OF THE SE1/4 PARCEL IN VOL. 1254, PG. 413 KUKLA TO NELSON VOL. 732, PG. 07 HOPKINS TO KUKLA LOT 2 20.23 ACRES 881,170 SO. FT. / 1/ Ivjl e EAST UNE OF THE W1/2 OF THE NEI/4 /-Jj / LEGEND / 0 0 / / ALUMINUM COUNTY SECTION CORNER MONUMENT FOUND �'�^ / • 23/8' O.D. IRON PIPE FOUND / 0 3/4' X 18' IRON REBAR SET WEIGHING / 1.50 LBS. PER LINEAR FOOT FT 1. O.D. IRON PIPE FOUND 3/4' IRON REBAR FOUND (XXXXX) PREVIOUSLY RECORDED DATA ........ • 10V ROADWAY SEBACK LINE NUMBER BEARING I DISTANCE L1 NO2'56'52'E 1138.3T L2 S89.18WE 181.60 Parcel#: 020-1010-80-050 04/10/2007 08:20 AM PAGE 1 OF 1 Alt. Parcel #: 10.29.19.45A-20 020 - TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 04/29/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - BAST, KERNON J & DONALDA SPEER KERNON J & DONALDA SPEER BAST 948 LABARGE RD HUDSON Wl54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 1060 SCOTT RD SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 18.710 Plat: 4975-CSM 19-4975 020-05 SEC 10 T29N R19W PT SW NE PT SE NE & PT Block/Condo Bldg: LOT 02 NW SE CSM 19-4975 LOT 2 (18.71 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 10-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 04/29/2005 793551 19/4975 CSM 03/08/2004 756101 2523/43 WD 03/08/2004 756100 2523/41 WD 07/30/1997 1254/413 WD ten... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 05/30/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 15.570 2,700 0 2,700 NO UNDEVELOPED G5 3.140 9,400 0 9,400 NO Totals for 2007: General Property 18.710 12,100 0 12,100 Woodland 0.000 0 0 Totals for 2006: General Property 18.710 12,100 0 12.100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i - 920 ry 92U . BOOB'B/BBB.OTp , f 1- 1 x' xmcm ' j 1 i I II Rn wP.. ` ♦ 9210— \\ e • 1%•9pT PqR ` • I II a 91so P 1 I C. xsaa xwa 'T awo ♦ `\ Y.m oq LBO: . _ i .VRI 1 9YL0 8 ♦ /--' $ I$ Z,00 mens 1,n9, .aM1 ° ' oOA.e i3 x�l. teozc �I 1 uo.99a9 ___-__-__ ___—_ 'xaoP � � o BBB', E3BB.8B• I 9ezaz I f I I x � i l I ea ♦ i I it • 1 '�#OB 9¢M1 f le . _ i xnar ♦ car+: � �- / I tl �99 xem 9zfi � / LB0.94R0 � or aiowaroue:. ®ry O.tw.-YpNc.; �• x O.-t♦rP.k �/ / a ♦ ' / AT / aea.Ye i \V1` I •Y 42 4 I` ♦ Vf` ,r� // / gl I _ _ L9ti wz9 920 / o / �� GI 9� \ ♦ / rL / 9a�L wscwrndu • � � Llmm.xwlwd / / nrtltl,d wen®eencan male swlw me. new 9xdensElw NPeneus.n / ma sswolsmo.ro*zax. Nlav m.amtw,maanaP.aPM wlml.n aueuosma. 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MaLawBLaacr«Fn acaww-. W NG an¢ ND aFA¢Pnh 1¢n� BY,q KN Aeu uoeraa ,Bmt,Wraq BUrrRtW.B B.. aB.BlaA. LwE �BxP,raEr«1I. E4B1,fPma9nawA -. mvresprna �916 w•FP.awhcw,aM -920- +4xxcwrwn x,,,a �01BY...gry C.BA - c¢mg9usewcracR¢A cI -I V� 48.0.. LcaEB�aww.ca4rk it Eay. gl � 1 • vn ncwr '_ :•? r wtl5, Euwrpr ( --------�rRp. O � • PaARPar PPS �_II I ` .ail 91 PRELIMINARY PLAT HOPKINS PRAIRIE 1 ST ADDITION LOCATED IN PART OF THE OF NWIA OF THE 6E1/4, IN PART OF THE SW1/4 OF THE NEIA AND IN PART OF THE SE1/4 OF THE NEt/4 OF SECTION 10, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN; INCLUDING LOT 2 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 19, PAGE 4975 AND LOT 3 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 22, PAGE 6431. OWNER SURVEYOR TOTAL PLAT AREA• 46.49 ACRES , YEPN¢r MtrB NCAvw ClVealn, 9owat srEEP.«m a,Nuro O,Rrnw. we T AREA NG SCOTT leo.lwE Pao rJ m.,r RMDRA`/•g522 ACRES nuJVLxmxee PwEma.w sam ROAD R(N ACRES 88 4� „„ace ENGINEER 1)LOTS •42.59 AC=25Cfi AC AVG Eg If bEC,Y«,a nV gYO[N .rr.ENexfelrn PROPOSED ROAD AREA. 305 ACRES, i HIOFNLa 3rgET 1� MNSOrv,meq,e LENGTH • 2211' E �i ❑ I BEi. 8 JI I ppl / 929 � gl 1I (90 R r •13 2.72 Acne /A ".a)a .R. n. \\ L80. 9IIz.0 2.1 AC. /• xm9r \ e / ♦ 14 \ i 2.34 Aqn. lol.9a)sq. M eT\\\�\ ♦ • 9!].0 Y,1I la I LBO ` \ \ , I- C.BA. 11AC. 'm I I 15 4 m In :." . n Iw 80p W2.0 55 I • c. .A. • +.e AO. ' � xmre zm.1R • �I 16 zf IB z40 Al n. g 14 107 Ba.a LBO _ 922.0 C.B.A. - 3.1 AC. d 17 A/ ,n,)et .q. tL Lw - 922.0 r___ _ mlm 19 • 19 • s.aa� L80 88.O - i A C.8}.. 1.7 R. 1A AC. / r - - - - wtmr:FF�B 20 I .n AOn. xvmm sea .q.m 1. D.i . ,.)AO. • xvn / I • I 21 x.4q 1 11 IIa •9, rt. 9C x Boo Q. .7 )Ac. 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HU*W CERTE TW TFE MJVE •• el xfc OESCg,D Mo MAPPED FPOPEHrY W0.5 31MJEVED BY W OR MCER W DIRECT 5LPEfNAKM MO TFAT TW$ MAP IS A CORRECT REPFESEWATM TO SCNE OF TBE BO .DBIES TO ME MST OF W •,,t� --' // KNOWLEDGE AND BELIEF D CYRVII DATA TABLE i rvuMaP Petra mnwuaLE cwm R.tr«0 amp Mxarx ex LFrrcM Twr rFa lwrrnrour ^ rerm ergm x,rBexB[ met wBmsa sv,emE sr.mnE41 y19N,4 xwq II I .I 8 a.aa2 �� L_[,'�3Qp__Q_y. 9i 6@4GC0. I w.,L lOD •.a1Aq � � C - -� � vM« • I m��i x9«m A i� x9Mn J 11 2.0 n. « a) to w. n L .1106.0 C A.-I.q AC.♦ • ♦ �g oR.wew 7 7A __ _ , /S�" 1 019.q.n � I 1a ss, BB x C. • lae.0 • sl �" BA t.0 A0:...... •%... .. ............ NA ORNE A.: eX. l;I ns. II.q.n = I L zltaA Ir x B Eam 89W1 2'E YO&99'. I,$ew.e�' I x el� 1; IS xm, g • I 2S e9.azC .q.nJ w / x *6 T :.ot Atxem 9N/ / B').4a9.q.11 • ' LBO - aa0.0 C.BA • 1.0 AC. xa� / / r th w19E 2 t«m,L51 � r ro, q.0 / •.ap IO1�// Q. 2ePHYR IANe 1 t6Qv-k SCALE IN FEIFT 1' = 100 O 10 f00 fM EwilEOp WUEt EPCFYN