HomeMy WebLinkAbout020-1450-11-000 (2)
o°°'n'r°.nct c""' PRIVATE SEWAGE SYSTEM St, Croix
..e _ _.,flan: L,ision
INSPECTION REPORT San°'ri `ermn
to-TACI1 To PFRIA;7, 607081
GENERAL INFORMATION r;L r tsar rL NC
Pr - , , a'. r I rnun:.1 roe I .u :n.1 Lo crd I: i _ n .fury uo¢........ I-nv;~sg L e.. '4 '.l lin..I
111rienr-Name ny 'v'rlluPe ic•a n>•-m °w,ml-a1 No
Eric and Belinda Anderson TOWN OF HUDSON 020-1450-11-000
~T EN E a:' IBY Fig": PM CIn41".ptOC. e.bc^ ICwntkanPc:Nap Pm
DO a w~ DC~ 22.29.19.2881
TANK INFORMATION ELEVATION DATA
'YPF t.MANUF AC i URLR i~5s :A~.ACI'Y STi%TI:UN P.E.il IS CLCv.
l
W I v6e4 jir Z /6 / /OD
[ioziny D r v. 800 Alt Btvl G(Zer vawl Y- 1 98.3
:..NW..rn Bide Scwet
i , x; ,q A- Ob
Huldrlq SUI I: inr l
Slit li CJulivi
TANK SETBACK INFORMATION
TANK TCI V!ELL ~LC em As, -lair ROAD _)t Inlet.
Scuts. 1 I / Dt Bottom / S
43 C /z - - ~~r
nustrut / 1 naucUl.4an.
3 r O /4 - 4' 9~1 I
Aerabor Ursl. PIP(-
Hm:Lnq - Bu: Svslull
7 93's
r
PUMP/SIPHON INFORMATION final Grade 3 . 9-7'
Ivtanulaclulcl / A'A hnarrl~ v: Cover -2 A / O 3
cN'11r~t~
Ivt<xle N.Imner 1~7 64 u
TDH i11 Fw1 on l oss System 11 7DR Ft
1. (A 3 r ~i$ /v L.
3 _
Fwucii.am Lengtr / Dla. 1 / Grst 1, .W11
S'86 2 /
SOIL ABSORPTION SYSTEM
BEDITRENCH '0,1:1 enu?. / Nc OI Ilencnes PIT DIMENSIUNS rle ~ Prr- Invade -ra Lewd Li Pt-
DIMFNSIONS 3 9a L
SETBACK LYL.-LI'A li_i N[. ''elo" LAK_:,•] RLAW LEACHING LlanuY•w•y~1l.I
INFORMATION ~ CHAMBER OR yM'r
jC ~istcm. UNIT tdc~el n:.:r
I~~ ~-O rn•J a ~L 3 4 ~p 5 .
DISTRIBUTION SYSTEM of I Webb
Hcatlc :Na:-r.:: 7cq. :,an:m Fnle zHGr Spacing •...Im Ar ut'Lr.
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
t,evl r,ectr er ~_n~ e ,drsn I.r:: M. G-otl
Ertl 1 cncn '.~cnr~,i ~ ?.rA'-rtn r =ipr: \ :p>I ~ \
wn es wv
COMMENTS: pnrllyde code dmvepenrlv.. t>ersnnr. errsen'. etc lnspernmv #1 L Ins/p`ec_imp
Location'. y; R0RFR7*S N/ n' ~ G~4 ^_5 f-" K14GS re .IS
(,./6JL1.. T
I • Alt Fri f?rxrnphun = U` lctcy~ Volt.
2.i Blog sewer lengtn - G Y~l ~y\(1W~~•~. e'/l
amnnnt n' cavel °
Plat! evislor Required? Yc> `X No
G .7, (q /021d ~
Use other Sider. for addlUonal ndovmUan ✓ I
Uate m:nr~'t. Spnu;l r Lnc An
ST. CROIX COUNTY ZONING OFFICE:
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
This is to certifv that I have inspected the existing septic andror dose tank
presently serving the ibllowing residence:
(Street address) ~9 Co ~ber5 G, - located
at: A) 6 Str..J Section ZL , Town 29 N, RanLe / 17 N',
Town ofcGSo(~ St. Croix County Wisconsin.
Upon inspection, I certify that I have found the tank(s), to the best of my
knowledge. will conform to the requirements of'SPS. 184._>, and it (they)
appear(s) to be functioning= properly.
Most recent date of inspection or service
Did flow back occur from absoij-)tion system? Yes No ✓
(if'no, skip next line.)
Approximate volume or length of time: Oallons minutes
Tank Capacity: 1 1~00_
Construction: Prefab Concrete Steel Other
Manufacturer (i f, known
Age of Tani: (i f known): -
Permit number (i I 'known)
I / p
1 n~ K i Lf G' h J
(Licensed Plumber Sign• re) (Print Name)
0 L %/r, ✓ 2 v 61 J)')
-
(Title) (License Number) MRAVRS
(f )ate) _ _
Forth to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter i05 and s. 145.06, Wisconsin Statutes) or licensed disposer
(NR 1 I I Wisconsin Administrative Code)
Rcr. 2 2012
0 (i L, 1
'r 1 •\9vJ.. 1nArmry SI.T'ICea Dtytstat County
(,1 1400 E Waaidngton Ave C'
) P.O. Ro, 7162 iX-
ti :W ?"qal W J707-7162 Sl''Y Permit Nuobar (to be &W in by co.)
z e ~o7a$
Sanitary Permit Application Sum TeruactmNumba
In acumdairc with SRS 383 2)(2). W, Adm C(Xic snbrnissionn ofMin to the apProMiule g,,
ns Icquied prior to obtaining a samt;uy pmnil this Nate
the ~.ttrnrnt ciSoftly m t Pttrfewmal Smicet Petvaui infamatlon m Wut'Nc~ PO Wf$ are submilim b pa Addmsa (ifdi$aaat than
in aoaadara a wnh le PttivL,.v law a I S Lon 1 in Slap may be uteri Its semadary
1°°'In^8 address)
I..Wliatios Iski-scaia. - Pease Prisl All Isforlw.tios
I'"q"awkl•s Nam---e VttA1E/ 7I 63W R.C bGcs7
~-fa C - retied t
1'mpaty lkrKr's M-1-9 AtNreis P A'5 C l) - o n c)
(G' 3 (c hG Ik !LT 5 L ,ti'-t_ hWcrty Location U a ~1. I Q, o?s~ /
City. State
_ zip code Pla.e Numb= Govt. Lot
NU i~ o,%, L :.t- _ `~`1G/(! tiC V,~ Sal zL
LL ,
or 2 Pe offIB-Mlisg (e6ede .0 that apply) Id t T _ « r f ( ,
IY Dwdlvg -Nunba of Radrouou
- Suhlivisin Nmae
❑ PuNicCComnacial - Uescnbe t1a, [&,At ^
Af~wt6 C~ i q 7~_7
❑ Stak awed - Ikaotbe Uft bm 11 c,ty a
_ C5M Numbs ❑ Vdlageof
In Q' r --t 5 f ZZ Ck,,,.1~ Townaf_ Nu
Type of Peraait; (Clecp oa ose be: as Hime l✓~ -
A. ❑ New System A' Complete Hall it if•pP~'sb4)
Replscmunt System G X
_ ❑ TaalunoarVliolding Tank
Permit lt tan .d ❑ Permit Hevtsim Rcplaopneat only 11 (MIT .Sadif
. a ❑ "Lion IN, FinaiaN Syem
s (oRlaia)
lkfim E xpiml 0 C7,wtae ofPlumba ❑ Pamlt Tlarufi to N. List pvcs'iow Permit Nunlen aM Due humid
Iv U f
(Cbeek.B that ooh) / ~ (!L_~ ~L?C
L - R°ti"riad h'-('agmd Q. anaiaod L.<; -
❑Wilia6 Tank ()da Duyaml Cal ,o,uW DAtAkadc QMoud.m2q ofari
pan aa (a kbk 310 ❑Moud <24 in. ofadteblc Sol
_ main
-
V.DiaP~rsaVl'rea
IMi(p, Row (ETd) Deign Sodtanon )
Drepostd Am RCquired (0)
Disposal
VL T.ah Ide Anew RuPal ( System F]es
vtimt
Capacity in Total 9 o f
Neer Toots CuJlua (ialkm Units /t1ra
P.sistisrr Tai, E+f.3~~n~ L°• !e
y9oc ocltelL~;®a, ~.9 ~~OyCtt u >y u Y
t10fMa _ 1G L•(I Zac►~,Q 6(J N~
VII. lC'L b,i[)
RumbsYs Name (Pruu)~~~ 4 the udera~O.4 aue~e re.pam{pr7iry fee hutWtina of tie
~t A N ba'a, i ~s PUwrs shwa as qe atl.cbM peas,
r , 1'VCI ~1JF _S I{Tj,./L,1/-77e~ htP/MPKS Nunba Bwness Phone Numaba
Plain 's Address (Street, Ctly, Stale, zy-code)
CS E. Nr E I-2ssb
vin. •>+~at u.e S7. C, 4L-Tv7 T WT SLI72
sued ❑ D - I Pami Fee - We
Rector, or Iknid ' 500. (j> 5 1 Ip S'tpuaw
~ ven S
IX. C
' pus /
FCW
Pero l
U4.si coo ttitut al
r
l~l4Fittf.
2. V Pkkl 3 5 ~ I a' % C t~ e ~ G
P« "alIl Pk, 7 u to w ltkaltb..: 1 0
AI tt.lb.r# tvrStiRtt:f.ryy "I to rsrJtriad 0- (
as pn *I Wl I
Am.are ypeewdtgesru.rt twill cw, ( aaa e-0rM o
ryw,y pye, ,,,t. nmsvistr t..aer t. as d~
SRD-6398 (K 08114)
9Z-Yo
~J~t St~^~ uJC4vn~ ~A,.,_ = na" L
1
j Ilk
Q i l t !ri
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In-Ground Dosed-Gravity Plan PAGE 1 OF 5
Index & Cover Sheet
Component Manual Design References:
Version 2.0, SBD-10705-P (N.01/01, R. 10/12)
Pg 1 of 5 Index & Cover Sheet
Pg 2 of 5 Plot Plan
Pg 3 of 5 Dispersal Area Cross-Section & Plan View
Pg 4 of 5 Pump Tank Specifications
Pg 5 of 5 Management Plan
-Attachments: Enclosures:
Pump Curve POWTS Application for Review
Pump specs Soil Evaluation Report & Site Map
Filter Specs - En, sr,.v,-
TankSpecs of -
Project Name / Description
Owner Name(s): f1,
1~,' ZX K~tiPhone:
Owner Address: - ~cPy r 5 c 4-1 ,
Zip: wC / 4-
Project Address:
Govt. Lot: A' E 1 /4 of -,vO 1/4, Section :7z , T 2'/ N-R E Qor W
Township: {-i o D 6,N County: s,- CtZe'l
Project Parcel ID -C ,-C - 19 SO - i r- COL?
Designer Information
Designer Name: Mary Jo Huppert Phone:715 -426 -1775
Designer Address: 28497 King Arthur's Court, Danbury, WI
- Zip: 54830
E-mail: hollisterdesign@outlook.com
License Number: 1859-007
Remarks:
AAARYJO yqr
HUPi~t RT
D 1859
':RIb`t:R FtAIJ.Sj•:
\J/ d 0
Signature:
Date:
Original - w6nalufe roquued on eac bm&ed cepy.
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I-PAGE /°Tr
In-ground Dosed-Gravity Manaqwroen'~ Ran
in"~C~dTA4br":
The onnrrler of ti116 mrm grOUnd dosed-gravity "Ob" shag be resporsbfe for its PWPewei Operation and Maintenance
Pursuant to FOWkements of SPS 382.384. Wises Admin. Coda. Pursuant to SPS 383.52 (2). Wisc. Admin. Code, Oft
s; stem shall be considered a human health hazard if not maktained in accordance with tills approved
plan. Furltmmslrlofe, ail inspection and rnmawenanca activities shall be performed by a registered
accordance with SPS 383.52 (3), %go. Admin. Code.
14 -Arrrtan Disoersat Yrea ®oerdina Ltm(ts-
fD;;slgin Flow & gf►rt; tiODs 5 220 mgt-'; TSS S 950 mgt''; FOG 30 nigiC
rng men Checklist INSPECT EVERY 3 YEARS
o type of use
o age OSyBtam
o ntaeanoe factors (La ad=s• user complaifis, etc.) rioais, s[G)
c macharrral mait nctlion (La, pumps. valves. switches
s) lie., distrlbu8on /drop boxes)
o rnateiW fatigue (i.e., leak% bre" cot wlw, am)
o solids volume in anaerobic trestmerd tank(s) and any d(strtbtbW s) )
o neglect or Improper use (i.e., exceeding design • prohibited o extent of pond-mg in distribution cell prior to doeft etc.)
o dosing kregulaii'~ise - H apPlitubiB (Le., fP re-LMY• . timers, alarm,. etc.)
o eiectdt:al components - it applicable (i. e., wininx3, M-U. I to design specification)
o distribullon lateral or lateral orifice plugging (mom lateral distal pressure - comps
o surface discharge of effluerlt or eawage back-up into structure served
aAA1NTAiN EVERY 3 YEARS (or when rMOOSserY)
a[ranarita Cttaokltat
g) "I be p;;. by a meted septage sentcing operator licensed under s. 281.48 Wis.
o of ft Stets when the volume of solids In tho tank(s) exceeds one4tird NR 11 km Code- W*45) or
as roWited by local ordinance. Disposal of contents shall be pursuant 11
o E not MIME el shall be inspected every 3 yons and shall be deaned when newssM to remove any
aocw elated solids aecordilg to mantl(aChU s toatiom. A servicing Period will always be greater than 12
i vlOilttli
reports shall be submitted to the proper local governmerd txdt in accordance With
svz,ern
S 383M V~~Admi Cn ode. Report arty wmPormt faihue or matkinetion to.
nnc L17#]ld. / Phone: /s-703-
Name cf individual or company: f(DVAhirQ~ t n 38'6 - ~b
-
Local government unit C_f~l X Prtorhe:
Local garemment unit address: _4uaa~,
or removed pursuant to WS 383.51 (1 Wisc. Admin.
Part d this system shay be repaired, ning replaced,
components snail comply with SPS 383, asst: Admin- COde-TOOLw
Any Code. delective
pair f
failed
ament o(
malfu No product for chemical or pttysiwl restoration of th 5 may be used yntess approved by the department in
accordance with SPS 384, Wisc. Adman. Cede.
920oaoncv Piart
onent of this POWTS cannot be repaired, it shag be replaced Puismayuant to
the event that any failed traatr ent comp roval. A failed in-ground dispet<.•al ComPonent
a plan `to
e submitted to the app or ~l~ amine Sore~Raw and app
abandoned and replaced by 3 code-cornphring dispersal cC pu:.c,,t ,n = pre detemm red area of suitable sails.
~tshn dbantl0ntitertt
po jfTS is discontinued, it snail co of 3rd^ned in accordance w tlt SPS aa3-33. vvrisc. Admin. Cad^.
li use or ihw
SEPTIC TANK E PUMP CHA.BER CR:SS SECTION AND SPECIFICATIONS
4" Cl VENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF
25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED
FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER
W/ PADLOCK S
FINISIIED GRADE CI RISER WARNING LABEL
4-,4" MIN.
18" . IN. 6" MAX. ~4 I as
INLET
t
WATER TIGHT SEALS GAS'
TIGHTi
: vAPPROVED
A SEAL JOINTS WITH
iPPROVED -L- ALM APPROVED PIPE
'IPE 3' B ON 3' ONTO
)NTO SOL..OI SOLID SOIL
TOIL I P'JMP OFF ELEV, FT. -t- OFF as RISER EXIT
LI D PERMITTED ONLY
IF TANK
MANUFACTURER
HAS APPROVAL
3" APPROVED BEDDING UNDER TANK
CONCRETE. PAD
SPECIFICATIONS
SEPTIC / DOSE r
TANK MANUFACTURER: l~Ie se NUMBER DOSES PER DAY: T
TANK SIZES: SEPTIC ~aS n GAL. DOSE VOLUME INCLUDING
DOSE ROO GAL. FLOWBACK: !S9 GAL.
ALARM MAN'Jf'ACTL'RER: LQuG\P2~ CAPACITIES: A = a-,~, INCHES = '4 b a GAL.
MODEL NUMBER: ~LV
SWITCH TYPE: Tr,2c B = 2 INCHES = 4 ZI, GAL.
PUMP MANUFACTURER: QT A.S C = $ INCHES = GAL.
MODEL NUMBER: F ppi _
SWITCH TYPE: rr~cRC D = (o INCHES = aJp GAL.
REQUIRED DISCHARGE RATE LA o GPM PUMP E ALARM WIRING AS PER ILHR 16.23 WA,
VERTICAL DIFFERENCE BE 4EEN PUMP OFF AND DISTRIBUTION PIPE I.~. FEET -73
MINIMUM NE74ORK SUPPLY PRESSURE FEET
r 61) FEET FORCEMAIN X a.t,oFT/.OD FT. FRICTION FACTOR 1.57 FEET
TOTAL DYNAMIC HEAD - 13 .S 7 FEET
INTERNAL DIMENSIONS OF PUMP TANK: LENGTH - ; WIDTH DIAMETER
LIQUID L)LPTH 38" GAI. ~yQ
SIGNED: LICENSE NUMBER: a 7 9 9 o DATE:
1/86
HGODU)S PUMPS Submersible
Effluent Pump
EP04
3871 EP05
i'
APPUCATIONS • Fully wbmenged In high ■ EP05 Impeller. Them**$- ■ Bearings: Upper and bwer
Spedfically designed for the grade tu`bne al for tic enclosed design for heavy duty bat bearing
following uses: lubrication aid efficient improvedpedotmwnce. construction.
• EfRuent systems heat transfer. 4 Casing and Base: Rugged
• Homes Available for automatic and thermop✓astIc design provides AGENCY LISTING
• Farms manual operation. Ruto superior Fhength and corroslon
Heavy duty sump matic models InOlide. resistance. can"a stwdkr& Anadtacn
• Water transfer Medwnkal FIM Switch ■ Motor Housing: Cast Iron (C.SA listed model numbers end
• Dewateting assembled and preset at the for e"M beat transfer. In 'F' or 'C.)
fadory, zength, and durability.
SPECIRCATIONS 0 Mq* Cover: Thermoplastic Go" Lumps is LSO 9011 aeorered.
•Solids handling a FEATURES wver%ithltpegralhandle and
s/.' maximum. Pab Y float SWltch attachment points.
■ EP00 ImpeBeR Thnmoplas to Power Sable: Severe duty
• Capacities! s: up up to 60 GPM. tk Semi-open des{g n with rated oil and water resistant.
• Total heads: up to 31 feet pump out vanes for medwnlml
-Discharge size: t'/i NPT. seal protection.
• Merhanial seal: carbon.
rotaryi c eramic•stationa ry.
SUNA-N etastomerS.
• Temperature:
1041F Rn continuous
1401 l600Q intermittent. campus tern
• I avmnem 300 series 10 Stainless steel.
y
•Capable of running dry without damage to
components.
25
4 7
Motor = i
. --------F---
• EP04 Single phase: 0.4 HP. E 70 - - -
115 or230V.60 Ht. 1550
s ~ F. i._... 1
RPM, built in overload with
automatic reset
- I------
' EPOS
• EPOS Single phase: 0.5 HP, s I to•--
115 V, 60 H:., 1550 RPM, °
built inoverload
dUlomdUC IPSPL 1~
• Power cord: 10 loot s` - - -
standara length, 16/3 t
STOW with three prong l
grounding plug. Optional 20 ° °ti m io s ao 50 GPM
W length 16/3 SJTW with
three prong grounding phg 0 i 4 6 8 10 tz mh>
(standard on EPOS).
CAPACITY
Goulds Pumps
o zooo co•u. n„•,. ITT Industries
Stall r•bvn.ZOOa ww
uen
t01.Mry MT fM l/10 aM"~MIG )11 AYMO T.
717A M!Z I1Q1 MgKi. • f.c:
HUDSON ESTATES'
MlOtflll ~ !1011
LO"M IN THE "114 or TNX svf/a, PARr or rRf Sfr/a or rot SWI/I, PART or
Tyr NWI/1 or rHf sfl/a, AND PART or TBf SWr/I or rHf sIr//a, ALL IN SECTION
22, fd9N. RIJW, TOWN Or BUDSON, ST. CROIX COUNTY, WISCONSIN.
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SEE SHEET I
.I.w...o.. owlwa.n
.mom F,V1[I wy,a.pF Yu~^atl Y M~4
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer_ C' /"k, A..
Mailing Address j : /mot [ t f 7 L; :,vr
Property Address
(Verification required from Planning & Zomn
g Department for new con on,)
City/State -LIt~IJ~;r,ti~ Parcel Identification Number G2-C''- 0 6
LEGAL, DESCRIPTION
Property Location iL'r Y. , LV % , Sec-z
T?`/ NR W, Town of r/al~ t1N
Subdivision Plat:_ !0 t-)5 N C S i r •s
Lot
Certified Survey Map #
Volume - page #
Warranty Deed #
(before 2007)Volume Page # -
Spec house dyes ro ~---'Lot lines identifrabl etymon
SYSTEM MAINTENANCE, AND OWNER CERTIFICATION
improper use and maintenance of your septic
maintenance consists of pumping out the system could result in its premature failure to handle
septic tank every three years or sooner, needed. by the system can affect the function of the ss tic wastes Proper
p tank as a treatment stae in the a licensed pumper. Wbat you put into
responsibilities are specified in §SPS. 383.52 1 8 Este disposal system Owner maintenance
( ) and in Chapter 12 - SL Croix County Sanitary Ordinance.
The property owner agrees to submit to St Croix County Planning & 7oning Department a certification form, signed by the
owner and
wastewater di a master plumber.loumtyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site
less than 113 full of sludge is lit proper operating corutipon and/or (2) after inspection and pumping (if necessary), the
septic took is
thee, the, herein, undersigned have read the above
standards set forth, herr~ requirements and agree to maintain the private sewage disposal system
State of W with the
n, as set by the Department of Safety And Professional Services and the Department of Natural Resources,
county isconsin Certification stating that your septic system has been maintained matt be completed and returned to the St Croix
Planning & Zoning Department within 30 days of the three Year .
Y expiration date.
I/we certify that all statements on thiform are true to the
property described above, by virtue of a wa tY
rxdn decd best
of f Deeds mY1eedds s Offi Our lge Vun; am/arc the owner(s) of die
recorded in Registce.
Number of bedrooms
SIGNATURE OF APPLICANT(S) -42_2019
DATE
My information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zorun
Department
Include with this application a erg wartanty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warn
(REV. 04/12)
r Wxonsn Dopanment of Commeron PRIVATE SEWAC. SYSTEM County
. SL Croix
sataN and Buns Diviaxvt INSPECTION REPORT Samoa, Permit No
l ` 488079 0
GENERAL INFORMATION (ATTACH TO PERMITI sot. Plan to No
Pertxalat Inromtatxxl you prordc may bo used for secon0Wy PVPOSes IPmacY L'aw. s.15 04 (1)(m)I_
Pefmd f ickl" Name. Gn Vaage row sNp Pwr Tax No
Grand Properties L.P. Hudson, Town of 020-1450-11-000
CST BM Elev. Insp. BM f le,* BM ilosntp SecliorvTown'RangolAap NO
0 pp. Z) 6M / 22 2919 2881
TANK INFORMATION ELEVATION DATA
TYPE t y f MANUFACTURER CAPACITY STATION BS HI S ELEV.
Sepik Benc mac l
Iv If, Z-L,
sing l \ All. But
~~lu
a D
II•z.Z a C
Aeraan g 30 -4 Vgait L46-y'
log - - net
TANK SETS CIZIINFORMATION t
WELL 31LUU, en
twNrIna,
a e Inlet
:ep!w -I
sing a er
er or1 - Is µ1e Y"S 9
o IN - Boll. ys em
mrsoe
u
PUMPISIPHON INFORMATION nNK4,6 end o L{. 9 , 0
anu u r - over i
GPM
I Ulf 11-91 "IcIlon L111
Ilystem 113
3 5.9Y
fk
"r.
22
DIMENSIONS 3d ^ 1 ~1
INFORMATION CHAMBER R
Ptpeca)
h- Y' ! 07r ~nv2v
' tensihOa LI:IrgO_ J_ •_Spaana > 3
S~Q1L 0017 x Pressure Systems Only xx Mound Or At-Grade systems only
RaWTlench Center y/ BBATengl EOgcs Ton~n~l 'Vex No y" No
V. S-
i COMMENTS: (Inciuee code discrepencies. Persons p•esent etc.) Inspection Inspectron s2.-1=+=
Location: 636 Roberts Lane Hudson. WI 55400116 (NIL 114 SW 114 22 T29N R19W) Hudson E tates Lot 11 Parcel No: 2229.179,22881
1.) Ali BM Dosavion
2.) Bldg sewer length = I d•
- amount of cover = ' y, r
i'
Plan revisions for a Yes ',.l.1VO !Z^/ trCY ~D~' rt1~!%~
Use other side for addif ditional l(dormatan. y Y
Date In sgnanl CeR No
S8Ob710 (H.&91)
1210
Wisconsin Deparnnerd ofCarmsece SOIL EVALUATION REPORT page 1 at 3
Division d SAety and Buildings - -it
in aocodance with Comm ea. Wis. Adm. Cade Tan Scfrnld
AMach canpioi sae pin on paper not iaa Berm 8%0- 11 ndroe n sirs. Pen and
,coda. but not roiled to vericsi and hmrdtal ratene pM (BN), dimdkn and Coutty St Crok
. _
pear/ Nom scale or dinereiere• north arms. and bcaeon end detaree so Kaasl med. Pascal 10
Phase print 0-6 br/onolos n.
ljxagwlvbriairn F>'pWee ^oY b0- s.d baemNOr PrDaea lRwaq la,a ua(11f~ro1, ay Dam
Property oaaer - RA-23.
2
RC/ f llrf=r. Property L«aean
Grand Propet6es, LIP Properly Owrnde hfaHeng Address Caul. Lot NE 1b SW 1A1 S 22 T 29 N R 19 - W
Lan if- &odl -/'TSt- cob- Neni or CSud
712RIVardees StretwK 300 APR 3 20i;4 11 I _ S-
Cdy Z1p Code Phan: Number-- - - ' Hudson EaAatea
city et J ~Y J Usage IM Town Neweet Road
il 54p.'~'. 47-590 Hudson Roberts Lane
10 New Coruhuctim Use: in Rte; Nmrnbo of bedroom, 3 Code derim ed
design flow nle 450___GPD
J Replacement _ I Pubeo or cornmorow - Describe*
Parent manes l Outwash Plain -
FbodPrameteveBm,Happerahi n0-
(ionerel carmarn,b
and reoamarnerdasorq: Area a suihble for a Corwentional system Possible
5%. 0- c~~iCf j/~><i t
F1 46 3asng. eoln9 Qk
Pa Gr)aad surface eiv. 97.67 _ it Depth to in- - , 01+ n. Sol Rage
Horn, Umwiera Color Redxr [ksanpeai Teaaae atruckue Cxeolence1 Baamdary Roos
Ea91
1 _ _0-8 _ 1OW32 none 81 2fsl* mfr ' as if 8 1.0
2 8-13 10yfJ/4 N
none 2mabk _ mvfr gw tt 6 1.0
3 13-29 10yr414 none sl 2msbk mvtr t-,6 ` 1.0
4 29-39 7.5yr4r6 none is Dog - - ml f
- 9v+ .7 1.6
5 - 3965 10yr3l4 none grg peg - ml j cs .7 1.8
65-101 I 10y/5i6 none - s _ m1
- - _ ~
B
S. lo' La~ia oY.exno
Fil Boring e J ecring -
d Pt Grand Surface elev. _ 97.6-7-- tL Doh to kntvg faaa 103+ _ in. Sol Appkason Rek
kya )spin Dcrnemenl Cola Reoca Desaoem Text re Shane Corazie ce ' Y Rook CiF'[1TP
Effit •E
--1 0-7 _ 101'r3/3 none _ --1- - - 2fsl* i . mvfr _ ae-- 1f - .6 8
- 2 7-21 1Oyr4/4 I none l
2kbk rrlvft
_ 9w If .8 B
21-30 1Oyrl, Ir none
---~-~2msbk mfr 0-w Itf
3 .8 1.0
4 30-52 ` 7 5yr4r8 Je 7 s - _
_ 7, 5.x IS
Imsbk mvfr i gw -7 1.6
5 . 52.72 10yr5/4 none 1 - T-
OS9 ml cs .7 1.6 ml .7 i 1,6
- -
8 72-103 10yr516 none s '
Etftwt #i BOp 30 <220 mall. and TSS >30 < 150 mWL ' EH4aent 02
OOD < 30 rtgA. end TSS <-X rtmyL
CST Name ( hm Pmintl SCST Number
Thomas J. S Chmitl CST N
AdOrase Tan Scirnf0 _ _ Orte Evaluation Conducted 227420
7595 >Trv SI.. Now RayvnoW WI 54017 Tom,
4113/04 715447-2941
941
• PrcPerfy Owen Greed Properties, LP-- - Forcer lDt Pape 2 of 3
3 8,.V # J Bang
In Pi Ground Surface eiev _95.95 R. Depth, limiting hoes 97+ in.
real AtoYmlm
?rXeny Owner Grand Properties, LP Parcel 10 ft Page 2 of 3
3 Boring S Bonng... -
~1 ✓ Pi Ground Surface e;ev 95.95 fl Depth to mNng factor 97+ - ~n c c wL.,., ;.aie
ra. ccr ~cY~x Cescc:m<n Ter:ure 5'~Cre en_e ne r• y nY,•; .r., 1.
--'Etna •EtMF2
0-9 1Cyr3_13 none I 2mgr mvfr as tf 6 8
2 922 _ --_1Oyr4/4 none sll 2fsbK _ mvfr gw 6 8
3 22-35 i 5yr46 none sl 2msbk mvfr 9w - 6 1
4-_35-64 tOyr5/4- none grs Csg - ml cs - .7 1.6
5 64-91 1Oyr5/6 none s Osg ml 1.6
❑ Boring # - Boring
Pit Glound Surface elev. it Depth to hmdino facto - Ax!,canen Rase
~o-mn On;!n C[r'•. ray'! O: c r?cdox C=scner.:- -ex
'E!fa1 •Effp2
❑ Boringp - Borirg - -
Pot Ground Suface elev. " Dept to li^tting factor n
Soil?cc ca,cn Ra:u
~,c~¢co peG:r •Dcrrmarl CCo' Ruccx Ce;<'pl on Tev:~%^ Stn:c-'e Co•s~sterre 6cunm-: Rx:s
•Effat •E(i#2
• Effluent N1 = BOD S> 30 <220 mgt and TSS >10 < 150 mg+L • Effluent 412 = 800, < 30 m9)1- and TSS <}0 mgrL
1 to Department of Commerce is an equal oPFxxtunitr sm ice prosider and emploNer If Svu need aui xance to access v n ice, rv
need material in an alternate format, p ast comact the dcpaVnent at 608-266-3151 er'1-1 Y 608-261-87??.
tee 1P W& IWO
Page 3 of 3
Conducted by: Conducted for:
Schmitt Soil & Site Evaluations Name: Grand Properties, LP
"lx>mas J. Schmitt, CST 227429 Address: 712 Rivard St. Suite IW
1595 72nd St. City, State, Zip: Sornerset, W154025
New Richmond, WI 54017
Phorje: 715.247.2 1 Subd. Name I ludson Estates
Lot No.
Nt 114,51✓ 1/4, S: 22, T 29 N, R 19W
13M EL l00.00'r Township of. Hudson
Alternate BM F•,l.
t Slept = S % Contour
Line EL
R
NI
Scale: F - 40'
jvl
S6 j i'Iq
98 raj
141 f ~
~r
I
I
s ~ ~I
sly ~ ~ 63 / ~ ,
F ( I 34r
1
l
I' az i
93 t `
96
Qr+~~ oac( l~r nQ
This soil report was done to fulfill a 7aning requirement. It may er may not be in a location that is
suitable for your use. No permanMt lot markers were in place %i,, the test was mnducycd.
NarC-s Ft cs ToM. S~ lu.,-Ef r,,~ ,
OWNBL- _ c><tud SOIL AND SITE EVALUATION F--
_fraparg~p 12l)5
Putca tos _ i Pap ~ of
Tom Schmm
REPORT MEMO
Discontinuous sit inclusions were observed in 81 with redox features. The redox featu
because the smaller particle res in the silt are present stronger hold than size of sit holds onto the water stronger than the surrounding sand, it even
incl has a
seep out until the the force'of gravity trying to pull the water down. The water that flows into the sit inclusion wit not
silt usion Is complet'* saturated and cannot hold any more, then the force of g can start to
make the excess water start to flow. This is why redox features (mottles) rav ty
are present in the inclusion. The autwash
sand that the sit inclusion is deposited into showed no signs of seasonal saturation or high groundwater.
"INSTALLERS"
When a urclusro sit halt) is encountered, the chambers that are installed in the sit should rat be counted. More
chambers shout a added to the end of the trench in sand to make up for the lower gpd/saft rate of the silt This way
~tne ~.78P~d/ag~ft rate-of the sandLcan be used and the system Is only enlarged as needed.
~~t~.r- 16^~ l ~ `~-t S $ u-~ IX r V i ,51~'Lt S•~ p,~y_ 1 S ~..',C.O~-x~QuIX ~
6~--
-~DS~*% ~S?fl1~S ~ j
i
i
Wisconsin Deparbnerd of Safety and Professional Services
Division of Industry Services
SOIL EVALUATION REPORT Page 1_..of`2
in accordance with SPS 383, Wis. Adm Cafe
County ST.CROIK
Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must
include, but not limited to: vertical and honzontal reference point IBM), direction and Parcel 1_0 020 - 1450 - 11 -000
percent slope, scats or dimensions. north arrow, and location and distance to nearest road.
Please print all information. R d by Date
Persomit informatim you provide may nn imW tot secoaWaty purposm(PnvK.y :aw, s. 15. 04t 1)(m)) 2- /j
property Owner Property LOCation
ERIC R. & BELINDA A. ANDERSON Govt. Lot NC 114 SW 114 S/ 2 T 2`) N R 19 F❑ ❑W
Property Owners Mailing Address _ Lot If
I Block C Subd Name or CSMft
636 ROHERIS I,ANff I I HUDSON ESTATES
City State Zip Code Phone Number L)City ❑v4lage L!JTown Nearest Road
11UDSON• I" 54016
( ) R013ER'I'S LANG
New Construction Usen Residential I Number of bedrooms 4 Code derived design flow rate - 600 GPD
Replacement Public or commercial - Desuibe. _
Parent matenal _ SANDY Flood Plain elevation if applicable A1,4 _"ft.
General comments ADDITIONA1. HORING CONDUCTED TO VFRIhY TILE SOILS AT THE END OF THE TRENCHES.
and recommendations'.
I Ronng If 0 Bonng
F1 ❑ Pit Groats surface elev 97.16 It Depth to limiting factor '84 n.
Soil orator Rate
Hotron Depth DominaIn Color Redox Descriplton Texture Stricture CBoundary Roots GPDrR
in Mansell Ou. Sz Cord Color Gr Sz- Sh. 'EffC1 'Eff#2
1 0-16 10YR24r2 - sil 2fshk 0.6 0.8
2 16-21 10YR33 - sil 2fubk ud} - 0.6 0.8
3 21-33 10YRV4 Dd I0YR4~6s,t0YR6? ci ifabk mti 2 0.3
4 33-H4 7.5YR3!4 Os, dl 0.7 1.6
some gr.
2 Boring Jf ❑ Boring
0 Pit Ground surface elev. R Uepth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary
Roots GPDOW
to Munsell Ou. Sz Cont. Color Gr Sz. Sh. 'EIV91 •Fffk2
' Effluent O7 r - i,
BOD 30 220 marl. and TSS >30< 160 mgrl _ Effluent n2 = DOU 3'pT r-nryl and 75S < 30 p rrglL
CSI Name (Please Print) Si u T Nurrlber
MARY JO HUPPER'I (Hollislef s Soil Tccting&Dcsi m v~~!' „4832
Address - - • r
_ _ Date Evaluafidn Conducted Telephone Number
29497 King Attlwr's Court, Danbury, W] i4'10 05 - 01-1019 715.426_1775
SIID 83101 K07;' 111
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