Loading...
HomeMy WebLinkAbout030-2141-00-007 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 479407 0 GENERAL INFORMATION State Plan ID No: s Personal infonnatiorryou provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Parcel Tax No: Grand Properties L.P. I St. Joseph, Town of a — IL41 - CST BM Elev: Insp. BM Elev: 7 Description: _ Section/Town /Range /Map No: /Oz> ( C 36.30.19. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic t ) -7 Benchmark Dosing /, + Alt. BM ` � 4 `1 n 9111 Arre4ien- /1 / Bldg. Sewer ' Holding St/Ht Inlet ,Z.IS y /.mss � TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic -72- If -7 i /5 i l5 i _ Dt Bottom Dosing r i Header /Man. 7L 1 '770 � � l :5 --� 7, 9 ( e [o Aeration Dist. Pipe 7•45 9' 5' Holding Bot. System r 915 .5 + l f PUMP /SIPHON INFORMATION Final Grade 5 Manufacturer errand St Cover 1 j �• y GPM ► F�ITZr. J 1 4 J Model Number y{Q TDH Lift Friction Loss System H ad TDH Ft �.1 p ,c't I I °l, 0L4P Forcemain Length j Dia. r / Dist. to well 5 1 Z 1 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length ; , No. Of Trenc PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 1 -z— t + ev , C `� �- \ SETBACK SYSTE TO Vv P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer- , t ` �� INFORMATION CHAMBER OR 9 T`( Type Of System: 42 : - 7 i A ,tA UNIT Model Number. DISTRIBUTION SYSTEM 2Z*- Z3 ° 'Y S f - _ Header /Manifold j'/ IDistribution x Hole Size x Hole Spacing Vent to Airanta� 6 Pipe(s) \ '%-, G/� d Length ._ 1 Dia Length Di a Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade I Systems Only Depth Over / i Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center : 46 Bed/Trench Edges ` Topsoil \ Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 826 126th Avenue Hudson, WI 54016 (SE 1/4 NW 1/4 36 T30N R1 9W) Natalie's Ridge Lot 7 Parcel No: 36.30.19. 1.) Alt BM Description + 2.) Bldg sewer length = ,�' �v ; �tiC� <c 5 C� •� - amount of cover = d ► 0 _ Plan revision Required? ] Yes No Use other side for additional information. ' Date Insepcto Signatu Cart. No. SBD -6710 (8.3/97) Aj L IV's Division County 1 01 W P.O. Box 7152 epartmentof Commerce 0 62 mil Number (to be fillexi in by Co.) : L— —, 608)- . rpiV I) X 79 0 - 7- Sanitary Permit Applic ation s tag Pla I.D. Number In accord with Comm 83.11, Wis. Adm. CO&. PcrsonW information yo pr may be Used for secondary purposes Privacy Law, S15.04(1)(m) Pr a 7diff A ress (if , - Ehri — atn , i)tr1g ajdress) 1. se Print Ail — Wo - rn — ation ZTie �ProWrt Owner's — Na me — Parce # Lot # Block # ling Address Property Location -,Iry, grate 1p Code @Sr G r d c rr c te 11- Type of Building (check all that apply) ou hd T N; R F Subdivision Nam 1A, or 2 Family Dwelling - Number of Bed m e TSM Number ?ubfic)Cominercial - Describe Use State Owned - Describe Use -- , I ( CitY Village ❑Township Ill. - ZYP of — Hermit: (Chec on one box on line A applicable) A. New System ❑ Replacement System TreatinentlHolding Tank Replacement Only Oifiet Modification to Existing Sys(eiij - Permit Renewal ❑ Permit Revisio Chang 1 List Previous Permit Number aml Date issued [I e& 0 PIrm it'r, ansfer to Nt�w T� Expiration Plumber i Owner Type of POWTS System: (Chock all that apply)" ' - Pressurized In-Qrouwj Mound > 24 in, of suitable sail Mound < 24 in. of - sk)il At-Grade, i 7 Singic Pais Sand Fdccr 1; Constructed Weiland Pressurized In-Ground Ll Holding Tarii, J Peat Filter LD Aerobic Treatment Unit L Recirculating Sand Filter i-i Recirculating Synthetic Media Filter RLeachin — ��g C hamber C Drip Live they (5*air V Dispersal/Treatment Area Information: %'1 Ai Desi gn Flow (Spd) Design Soil Application RaWgpdsiT Di — Rquir - � (61) D;spersa! Area Propo&ea194--' Elevation 5 A Y �V l . Tunk Info Capacity in Total Number Prerah Site st, I �Fit-r Gal Gallons of Units concrete Constructed Glass Ne -- - J � istint Tanks Tanks A � or Holding Tank ---- — ---- — --11-' � mv Aerobic Treatment Unit — i..,– - I A I Dosing Chamber 2 1 K 1. Res risibility S 1, the undersigned. agsuiue respoiulbility 0 H loci of the POWTS shown on the attached plans, — Plu Na trie =(Prino Plumber's Si griature (fV-2)N4PkS Number Business Phone Number L Plumber's Addre ss (Street, Ciry, State, Zip C 7 Al� eAe�e ,L-'A"pproved Li Surchar 011clucics C er Dar Issu 16' Ing e S,611,ij Disapproved ge fee) I IJ Owner Given Rea-son for Dtnial 3 ' IX - . — Conditions of APPO*/Reasous for Disapproval f Uu� /�2�y„ -rte ��� ys� YS 1 Se ta n k I F n, effluent filter and dispersal c ell must all be serviced maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. Attach complete plans ( the County oolo for the syiiietu on paper not less than 9112 a I I inches i size Y o� j x I � I. ti lov R / �J a V o � 1 V x� .� ly � v U J •-- Quick4� STANDARD CHAMBER 52"-- Will Standard Chamber (EFFECTIVE LENGTH) , A—a 1 2" W SIDE VIEW SECTION VIEW MultiPort End Cap 16' 1 A � — � A-- SIDE VIEW TOP VIEW FRONT VIEW A X 4 s � 4 III a ardthem a j ominaisni WT 'IM ultill.'rCEndTan, Call M— aminarspecipil I -�tn 4 St I! $9 J­ - Size (W x L 34"x52 2 " x .,' Si W x Lx H) 34 2" Effective Length 48' Invert Height 8" or 1.25" Invert Height 81: FLINI R ARQJdMJMQ-WAa "ATY III sruciwaoniegmyot eiich chernuat, and pla!e, wedge bridower a cassory marimacono i ii lit rain ( when i nslalled aid ripelaleo illie bIrni.eldc!" with in[Lqralorlsit) tf-lin's is wall- -taJ system 1; 1 10 m P11ar ("HoWe'l I dof ;!iA ;e:as and .,��anshi for one year from Ina date that the SGPIC Partbil 6 4SSI10d .or Vitt SOI� " Ong the Un0a; onm , (I&J, however. lsepta sep permit not leQu.'ed by applicable Law, the wirariv ParIod will begin upor, the dalo 1 11 # of the selvir, s le 0h bl— Pool must notify;nrlI1raiorn wntirhii at 115 WrWrate Hei,44iitrs rie in Say0rook, (,onnw-iocui infillfalorwil su ppl y leVaQurnorif Units lit Units doemin I ne cove'st-4 1xv th',; L'ril Warrant by 1 to Excludes Inp. cr'�- of ramoval ahJ/0r dlSlalallon lit fh4 u n IOE Ul WARRAWY AND REMi IN SUBPARAGRAPH iaj ARF EXCLULWE. 1) Vl AHE NO Oni W WITH IH R C r nU PIEUNIr, ; NCLUUJN , NO IMPLIED WARRANM:S OF MFRCHoiNTAGiLIry OR 1 013 A PANI)COLAR PURPOSE. sl SYSTEMS INC ' iO f"N."d to I—d.ltal -n--oxg, p-ol d_,, rjjjt �,I.r (,4, :—, �.Iimator I ne L-ed WaDramy 0— bar :and raierias. err "3ad cos4, or other fosse I><. scs rc . r c, ;I + Noida cr eny ihdtl praily. )p ?�caNy Envimnifrwfal onsite Wmfewatwsauttil a buse or n.41&-1 of the i 6 Business Park Road • P.O, Box 768 n1nim ,im grourd covers set forth in mlifli4t*n h3tMiCirns, the plweot f lel of maleras the system co la 11 , ft Uniza Iffid o ; IP U Of file septic system due to improp siti or imp, excessive walai u sal ID)pripat grease ditposal, o f impird "r oblation, ct a otine, eq",fat caused by M111-alo'. 1h,$ 'Imiled Warrant "hail tia ,ofd it the Hartle W s jo colr w it h a l o f M term W Wh thsl Wa Old Saybrook, CT 06475 'aarity 860-577-7000 - FAX 860-577-7001 I-orlter, In r10 event shall lAtrajor be responsdi for arl luss or �j to ine, Holl Iti Units or any third party resumirg from trisiallation or ship 'Der 1 , T from 81Y PrQducl Kili claims of Helder or any I rat Fa Ines UnWed. Warf to - il the Units must be installed Ili aticurdi 800-2214436 with all site conditions f"tcluiri by state and iCcal codes; all other appfr�bjeaws; and In0lfra((A t, iiistafial.on instir n d) No ietwesei1talw o Infillralor i the authonty, to rhaNr, cd ,911 ih , L-1tod Warranty. N halralty applies to any parlyoor l Inan jDa orl a! Holv., T in ib-, Qvq ..... is fire Limited by l lrnlor A hniii-i ,—b. i,f ­f , ­1 ­ V ­ . 1,.,, dit _.oty mcime fIfentS Any outti)s vw of Units shdjd contact Infillialor's Cu , W,eitt, Hoodl In CAJ Gor %m(,cut, prior to such puFchasa, to oixifi a u-j)y of the applicatile, warrarity alid shxoct c veij v read rfldl wandniry j)nOr to the ioor-a.e of;. nits. US. Patents. 4,759,661: 5,017,041; 5.156,488; 5,336,0n 7; 5,401,116: 5,401,459, 5,511,903, 5,716,163; 5,588,773; 5.839,844 Canadian Patents: 1,329.959; 2.004,564 Other patents pending rilitrator, Eqcla!lZer and SideWinder are registered trademarks of Infill Systems Irx;. infiltrol is a iegstered tradernaek in France, Infiltrator Systems Inc. IS a req6jij�ed Jaclonialk lr Mexico, Col CDrllouit 5wiVej Connection, MvoLt;aCf1li PollyTuft, Snal Viarnber8pact3r, P051j_Ock, Quirl Ouickplay RECYCLEOPAPER SEPTIC TANK t; pump CHAMBE CR S ECTIO N A'JD SPECIF. Cf.TIC1 - S 4" CI PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF 2!25 FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W/ PADLOCK E FINISHED GRADE -- WARNING LABEL 4" Cl RISER `._r .__� 4 41 MIN . 19" IN. 6" MAX. . WATER TIGHT SEALS GAS- ti i'IGHT """.IAPPROVED A SEAL JOINTS WITH APPROVED -j- ; ALM APPROVED PIPE B t t 3' ONTO 'IPE SOLID 7- ' ' ON SOLID SOIL ;OIL ---- l OFF RISER EXIT PUMP OFF ELEV . FT. D PERMITTED ONLY IF TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: NUMBE DOSES PER DAY: TANK SIZES SEPTIC GAL. DOSE VOLUME ? NC LUDING DOSE so ft GAL. FLOWBACK: GAL• ALA RM MANUFACTURER: ���, CAPACITIES: A = INCHES = LI ` GAL. MODEL NUMBER. 1..V lf e1,. GAL. � - SWITCH TYPE: 'i'�tlL9 _ B z dd INCHES = `'F PUMP MANUFACTURER: G -_._. C = o INCHES = Io� GAL . MODEL NUMBER: �' 6 d SWITCH TYPE: ' - _..._..� D = INCHES = REQUIRED DISCHARGE RATE '40 GPM PUMP E ALARM WIRING AS PER ILHR 16.23 WA VERTICAL DIFFERENCE BETWEEN PUMP Oi F AND DISTRIBUTION PIPE IQ- FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . . . . — 7.5 FEET FEET + Q� FEET F ORCEMAIN X :Z.66 /100 FT. FRICTION FACTOR T FEET TOTAL DYNAMIC HEAD = INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ✓ ; WIDTH "--- DIAMETER ---' LIQUID DEPTH Q 1 & pee 1 � :SIGNED: t / ��r—�_ LICENSE NUMBER: ,�T �q l7 DATE: - 1/88 [I GOULDS PUMPS Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • FuNy submerged in high ■ EPOS Impeller Thermoplas- ■ Bearings: Upper and lower Specificalk designed for the grade turbine t>MI for tic enclosed design for heavy duty ball bearing following uses: lubrication and efficient improved performance. construction. • heat transfer. • Casing and Base: Rugged Effluent systems thermoplastic design provides AGENCY LISTING • Homes AvaHable for automatic and superior strength and corrosion • Farms manual operation, Auto resm"ce. �' canadirn SrandaMd AssowdW • Heavy duty sump matic models Include • Water transfer Medumirdi Float SWfteh ■ Motor Housing: Cast iron (CSA listed model numbers end • Dewatering auwd kd and presot at the for e0 cot heat transfer, in •F• or "C".) {d stratt�tt, and durabAl;ty. SP ECIFICATIONS ■ M*W Cover: Thermoplastic Goulds Pumps Is ISO 9001 11egisterwl. FEATURES over with Integral handle and • Solids handling capability: float switch attachment points. 'h" maximum. • EPO4 Impeller: Nrmoplas- ■ Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: u to 31 feet. p pump out vanes for mechanical • Discharge size: 1 `W NPT, seal protection. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA -N elastomers. • Temperature: 104•F (40°C) continuous METERS FEET 140•F (60 intermittent. •Fasteners: 300 series stainless steel. . . .. asc,Pn, • Capable of running�'`'"'`� dry without damage to 8 j.5 fT components. -- { 25 7 i Motor: _ 6 • EPO4 Single phase: 0.4 HP, 20 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. EP05 • EP05 Sin gle phase: 0.5 HP, o 115 V, 60 Hz, 1550 RPM, �- ?�j built in overload with l E automatic reset. 2 • Power cord: 10 foot standard length, 16/3 1 r SJTOW with three prong L grounding plug. Optional 20 ° 06 10 20 30 40 50 GPM foot length, 16/3 SJTW with I three prong grounding plug 0 2 4 6 8 10 i 2 m) /h (standard on EP05). CAM MY Gould Pumps 02000 Goulds Pumps ITT Industries Effeaive February, 2000 83871 ,.., .s ECEIVEP 1320 • Wisconsin De mI `.', � 1.00`i Th IL EVALUATION REPORT Page 1 of 3 Division of Sa afl ce Comm 85, W is. Adm. Code Tom Schmitt ;T. GRUI� County Attach complete site pl n on papdow 166 � in size. Plan must St. Croix include, but not limited a re erence point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. Revi Dat Personal information you provide may be used for secondary purposes (Primacy Law, s. 15.04 (1) (m)). a r Property Owner Property Location 7 Grand Properties, LP Govt. Lot SE 1/4 NW 1/4 S 36 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 7 Natalie's Ridge City State Zip Code Phone Number _I City _J Village b Town Nearest Road Somerset I WI 1 54025 715 - 247 - 5900 St.Joseph 1 80Th St. 01 New Construction Use: t/ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD I Replacement I Public or commercial - Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.7gpd/sgft rating. Possible system elevation for Area 1 is 95.30'. Slope is 0% iflatl Boring # I Boring t/ Pit Ground Surface elev. 98.85 ft. Depth to limiting factor 97+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' "Ef1#1 'Eff#2 1 0 -8 1Oyr3/3 none I 2fsbk mfr as 2vf .6 .8 2 8 -17 1Oyr4/4 none sil 2fsbk mfr gW 1vf .6 .8 3 17 -26 7.5yr4/4 none grsl 2csbk mfr gW 1vf .6 .8 4 26 -59 1Oyr5 /4 none grcos Osg ml cs .7 1.6 5 9 -97 L 10yr5/6 none ms Osg ml — .7 1.6 1- / 2 Boring # J Boring _fN Pit Ground Surface elev. 99.18 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF "Eff#1 *Eff#2 1 0 -11 1Oyr3/2 none I 2fsbk mfr as 2vf .6 .8 2 11 -24 1Oyr4/3 none scl 2fsbk mfr gW 1vf .4 .6 3 24 -33 1 Oyr4 /4 none gds 1 csbk mvfr gW -- .7 1.6 4 33 -56 1Oyr5/4 none grcos Osg ml cs - - -- .7 1.6 5 - 6 1Oyr5/6 none grms Osg ml — -- .7 1.6 " Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD s mg/L and TSS <,0 mg1L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt '- 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 12/18/04 715- 247 -2941 Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 a Boring # ' Boring Pit Ground Surface elev. 99.11 ft. Depth to limiting factor 96+ in. ✓.J Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP *Eff#1 'Eff#2 1 0 -13 10yrM none 1 1mpl mfr as 1vf .4 .6 2 13 -26 10yr4/4 none sl 2fsbk mfr gw 1vf .6 1.0 3 26 -37 10yr4/6 none grls 1 msbk mfr gw .7 1.6 4 37 -53 10yr5/4 none grcos Osg ml es — .7 1.6 5 53 -96 10yr5/6 none ms Osg ml — — .7 1.6 F—I Boring # I Boring � Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP 'Eff#1 'Eff#2 F—I Boring # I Boring _J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 'Eff#2 Effluent #1 = SOD 30 < 220 mg/- and TSS >30 < 150 mglL Effluent #2 = BOD < 30 mglL and TSS <30 rrrg/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- 2644'777. Page 3 of 3 Conducted by: Conducted For: Schmitt Soil Testing, Inc. Name: Grand. Properties, LP Thomas J. Schmitt, CST 227429 Address: 712 Rivard Street 1595 72nd St. City, State, Zip: Somerset, WI.54025 New Richmond, Wl. 54017 Phone: 715 -247 -2941 Subd.Name: Natalies Ridge Lot No.: 7 Legal Description: X1/4 /IV IA S36 T30N RI 9W Township of St. Joseph, St Coix County Bench Mark El. 100.00' Top of 1/2" rebar Alternate Bench Mark El. 160' S'O / Top of 1/2" rebar Slope= OX Wo-�'� Contour Line El. A�V_ Scale I"= 40' LA 1�� V q No �o� 6 This soil report was done to fulfill a zoning requirement. A preliminary plot map was used, no drainage easements or driveway locations were established at the time this soil and site evaluation was conducted. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ^'�(� � Le Mailing Address Property Address (Verification required from lanning De ent for new construction) City /State_ i D V­�D Parcel Identification Number NiLtyi LE GAL DESCRIPTION Property Location S( '/4, N} Q / Sec. �, T_3C�_N -R_j3_W, Town of . Subdivision R� , Lot # Certified Survey Map p # , Volume p , Page # / Warranty Deed ! (O qo U , Volume Z a Z ,Page # (o Spec house es no L lie identifiable H -- yes O no Y � of lin es SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master 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 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 the Department of Commerce and the Department 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 Zoning Office within 30 days of the three year expiration date. " / g /o< SI ATURE F APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Ql /w SI ATURE F APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this app lication: . a stam ped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed POWTS OWNED'$ MANUAL & MANAGEMENT PLAN Page I of C/ PILE INFORMATION ��� S YSTAM SPECIFICATIONS owner Septic Tank Capacity ,� C� a l D NA er Pmit # O 7 Septic Tank Manufacturer 0 NA DESIGN PARAMETERS VJ 0);:� � �,'—] Effluent Filter Manufacturer � � O NA Number of Bedrooms / d NA Effluent Filter Mode( �� 0 NA gs Number of Public Facility Units, 0 MA Pump Tank Capacity a l O NA Estimated flow (average) a Pump Tank Manufacturer ,( p NA Design flow (peak), (Estimated x 1.5) �� ® g al/day pump Manufacturer ILI 0 NA Soil Application Rate aifda Ills PWp Model 0 NA Standard Influent/Effluent Quality Monthly averop * Pretreatment Unit NA Fats, Oil A Orono (FOG) $30 mg/L a Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 6220 mg/L O NA Q Mechanical Aeration O wetland Total Suspended Solids (TS&) 5150 mg /L Q Disinfection Q Other: Pretreeted Effkmt Quality Monthly average Dinpe►sM coins) 0 NA Biochemical Oxygen Demand (BOD 530 mg /I. - Ground (gravity) 0 In- Ground (pressurized) Total Suspended Solis (TSS) 530 mg/L NA t-Grade o Mound Fecal Coliform (geometdo mean) S • u /1OQml q Drip -Line 0 Other: Maximum Effluent Particle Size K in die. 1D NA O NA Other: Ca NA ►' 0 NA * Values typist for domestic wastewater and septic tank effkisnt. Other: C] NA MAI N TENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every; 3 V ear a e pYlaxM>lun► S years? ❑ NQ Pump out contents of tank(s) When combined sludge and scum equals ono -third (Y) of tank volume 0 NA Inspect dispersal cell(si At least once every: 3 �t is) (Maxhmm 3 years) 13 NA �rwxthllalO NA Clean effluent fiker At least once every: f, ear(o) inspect pump, pump controls &alarm At least once wary month(a) O NA ; 13 earls) Flush laterals and pressure test At le once every: r— 0 marts(s) ❑ NA Other: At lean# once every: y a monthis) ❑ NA Other. C7NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal calla *hall be made by all individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer: Septage Servicing Operator. Tank inspection# must include a visual inspection of the tannk($) to identify any missing or broken hardware, identify any cracks or looks, measure the volume of combined sludge and scum Oro to chock for any back up or ponding of effluent on the ground surface. The dispersal call(s) shall be visually inspected to cheek the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a falling 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 (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator end disposed of in accordance with chapter NR 113, Wisconsin Administrative Code, All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 912 months, shall be Performed by a certified POWTS Maintainer. A service report shell be provided to the local regulatory authority within 10 days of completion of any service event. i apoo enllejlslulwpy urwu00s1/N 'trl V SZl '41149'6(1 Pug E11$(p)(►iMWrz -cl WWOO jeide4a 4VM 90010WOO u! pet►e)p s9M WWAQQP M41 eu04d euo4a OWON t ;weN JIIRIOPIR AIIO if103» 1V0Q� fll3dWfidl V01Vt13d0 ONIOIAV319 SVV1d39 euoyd t�5' ° / G euo4d eWeN eweN a3NIVINIVW 81Mad a31'IVISNI S.1MOd SIN3WWO01VNOLLIGGV '31819$d k li0 L-inoldd10 Jig AVW 3NVJ. V d0 V01031Ni 3HI WOW NO9V3d V d0 3fi0S3» *iin9av AVW HIM '830NVISW11allla JINN WGNn )INIVJ 1N3WIV3al OHIO d0 dWnd '01148 V V3IN3 ION 00 'N30AX0 1N3131:14nSN1 a0 /ONV S3SSV01VHJ.M NIVIN00 AVW W INVI 1N3W1V3 I H3H10 ON < W ' LLd39 ewll 1941 19 toe ; ;e ui selru e41 41!m Aldwoo i9nuJ swo18A9 vans ;o suoljon •008 ;jns aAllsjilUu! 0 41 12 leu)olq 941 ;o Ignowgj Bulmo1lo; weld u! pelonjisuooej 4g Mew sw019Ae uolld)osge 1100 epajB•1t Pug PunoW ❑ e �luei ils BRI ❑ �r 0110 P SIMOd p91r14 9419ouldej 61 ;l Os6J it'll a 99 P911938u1 eq Aauj lluai Sulp104 9 A801ou4081 SIMOd u! seouenpe BUIJAB 9uO!1ellwl1 ilog jo/pue A0rt4l0s ox anp elgsljeAe tau sl 'lair jueweoeldej olqwpns d •Ow11 1041 le 1*614e ul 9 81 ni eyi 4 A 1dwo0 ls sw 81sA9 jue weot ld8a •aaja juaweoelde) elgsilne a 49ligeisa 01 U014fr peAO 9118 put 1100 meu a ao; paeu 044 u1 llnsej 111m e6je juewe0sidoi e4i 1000A of oinlled '911em pus 99u11 l01 'einjonjo pesodoid pug Bull$[" woj; 8110eg3e9 pealnbej Aq uodn peBuu ;ui eq tou p1n049 put uogoedwoo pug SOU44lnlslp WOW pbl0e10J.0 94 pin041 eeae ivaweoeldea 041 'uueisAs uolldjowge {los luewsosldej a ;o uOUS001 041 j0; pez!ilin aI Avw p u e pel nptne useq sg4 gejs iuewaasidej elgellns y p :welsAs luftwoeldej lue!ldwo0 epoo a eplAojd of welei 9q isnw • jo 'ueaq OAe4 se j nese w 6u1M0110; 641 paiiedej act louueo OUR 111 bNIJ.NOa •10AIDw p ilos ljeul aeyioug jo lOAaj6 '1109 4 palll► Bolds p!OA atA pue pOAOUWJ 9j9A0a J1941 AO paAOWeJ pue peleASaxe act Ile4s wild pug sivai lie 'Buldwnd jaa ;V e •jolvedp Bu!ol"OS 98etdeS a Aq ;o pseodelp A11edoid pue OOAOWaa eq f1843 911d pue 94 ue i lie ;0 slueluoo 0 41 e •peleo9 e6wuedo odld peuopuegs'3yi pue poloauuoasip eq 11949 sild pue wiutl o1 8uldld IIV e 0 en r itaj pd u �1M 6 GIU w VE$ wwo� oidQ46 4 1!m aouelldwoo ul psuopuege Ate ;as pue Alaedoid e s1 ujelsns 041 i ey l ejnsul o us ),el aq Ile4s s de ls eulmollo; 041 6plmos ;o 1no uellej Aliueuew.ied s1 jojpua site; s.Lmod 944 ue4M LNBWNO(INVSV •euljq jouejjot jtalem put :suodu*j :sul4deu Me llues :sep1011sed :910npoid Bu13u1ed :llo :suollealpew :sde)as leew :99plalgJ04 :9999A :eu009e8 15ulleod e{aejoBoA pue 11nj; :jetem (dwnd dwnd ui ejp uoltepuno► :1e; :sluelae ;ul9lp :sjedglp :0001; leluep :wjgseajoep :sgems uolioo mwopuoo !sung suejeBlo :wedlm Ageq :sol1o1g11ue :S mod 944 ;o a ;11 041 S�uoload pue souewjo4ad 041 enoidw! ,few WOsais JOWM6129M 641 wO4 Bulmoll0; etp ;0 uolieulwlle jo uol20nPeti 'ebje uclidlusge 1104 opeae -ie jo punow Aue ;o adols umop 18e; q 1 u141!M e9je R41 'soedwoo j o gjnislp eslmia4lo j o 'JOAO And JO eAljp IOU aO •slleo lesjedsip pue sJue1 JOAO 9910140A lied jo aAljp lou 00 •)lue1 dwnd 941 ul414m 91eAel le wjou OJOlSel of sloiluo0 dwnd e4i 8ullejedo Allenuew u1 1slsse 0i jeul#juleW SIMnd to j9gwnld 9 jmuoo jo dwnd iuenl ; ;e 841 01 jemod Buljoleei of j0I)d aojejedO 8u a8atdeg a Aq poAOwej lual dWrid itii ;d giueluoa 641 SA94 uopemis 914i pIOAV OI 'iusnll4e ;o abjegos!P soe;jns jo dnll0eq 041 u1 jinsei Aew pue {s }1Eoo e41 0.ulpt011Ono 'oaop 96)01 eu0 u1 is ?Ilea ItsjOdslp 941 04 peBA4081P eq ll!m jeiemaisem sseaxa e44 pejolsej s1 jemod u94M 919AOI lvivmAll leuljOU enage 11r; Aew ejusl dwnd 991192no i6mod Buljnq •eat ;jne OA130j1 ;u1041 19 utlzo;j rye sUO131pu03 1109 1 1e4m inoao lou 11949 do voit waisAg •oen o! Aid idlejedo Buloltues e8sides a Aq penoWea M lugs 941 ;0 slueluoo 043 ane4 P0108181) oje guolltnus0uoo 4B!4 ;M 'lelilOO I 041 eetwtp jo/pue sse00jd juewleajt eyi epedujl flew 1041 9 1eolwe40 -0410 )0 9lonpojd Bulluled ;o aouesejd e4i jo; fs►11691 W OUJ*004 A S1MOd e4i ;o ban of joud 'uoliowleuO0 Mau jod NO11Va3dO 43NV do jl.IIVIS _"_' 10 abed 08/09/2005 08:10 17152473622 PAGE 01 U 2$ 1 2 P 6 1 8 - 7 5)t Ckl, - <r ICATHLF.El1 K- wALS11 uocuMeNT NO. II $'TATS BAR OF WISCONSIN trORM1 �1 998 ST Co., WI ` WARRANTY DEED RECEIVED FOR RECORD 1 06/01/2009 L12400W ................... MARRA9TY DEED . �X. 4. araaFF;..► T..... F9zc�sas>'+. husbs,, nd,- �►> �d-- 1�1�- eYGrar►t,w7GS�.- -• --• - -- EXDIa'i I and Grand..P.ro� ®,•tics•,• . - -.... . ... ..................... ..........................'.. ..- - - ^ - - -- TRANS FEE: 5445.00 Gr ro at. ...... ............................. CAPY E - . or- Cory .................................. .......--•----•...._.......•......,.....----.-. .....- ......_................_. . PAGES: 2 . • ..................................•--.--•...................._ ...._.......I.................. the fol)orinq described real estate in B- t--.. CzAi .X .......... . ------- County, - State of Wisconsin- Ncr• m re t See Attached Exhibit A I .. — =I f Tax Pkrcel I v OP2 � �0 _C9264- kb- CL30 - I Togebher with all appurtenant rights,title an. interest. Grantor warrants that the Title to the Proper y is good, indefeasible in fee simple and free and clear of encumbrances This ......... [15��...,- .._._.- honwetead ProPerty. 1a) (!r not) Dated tMa - ................ 3 1.s .t_..................... day ot -- .............. May. ............... ......, •...- •................. 18200 S 1 ......... .. ................... .................. ..................... (BEAT✓) 'S /._�1! �GKCSY .S.r......... ....... (SE AL) ... . .... . . . . . ........ ............................... . RaY. .z.. $x.4.i+t)7 .. .... ------------- ..... .. .. : ..................... .....•... ......................... ($VAL) ef..r,` r , (SEAL) ....•.•................... " F+�01lilAX.E'..,7. I:A'W10.- ......_................ 41UTBENTLQAT1OXJ AOENO 7Di2VQMZHT STATE OP' WISCONSI 1 ------------------------------- ..��a�� -i?- --� ..St._..�rAi]K -- ...._.County. u. euOie LIoated this ........ dsY of.. Q .. � 1�1 '.,, 29 ------ PernonwTly c�no t dote me this .....st.....day o! Q May_ .. ., z92OA.5the above named ........................... . � --------------- ..TsS41w1t hnsbanc — aod..: Z& ................. ...:. TITLE: MEMBEIR STATM BAR OF WISCONSIN ... ...........................•... •. ..................................... ..__.. (I f AOt .... ...... ... ... ...... _.-- ..._......._..............._.. wvthorlsod bq 5 908.08, W!a• Btwt+,.) t me A&vwwn to be 00 t Ira who ax■anted tha fox T rume wn a es�o. YMIS 1"STgVMI(NT WAe 09AFT NY SIGJ9. i>�._A.,•..F.�irka -------------- .............__..__. -. i Erickson and 5chul lei r LLC . .. No P rte.• .. Ooun la. . ...... ...... . fUKnaWrew m ■y be autF�entlawted or wcknowfledltad. Both My on Is pert anent. (I! rob, stet+ explrwtlen me not nocx*anry•) data: I Gw .... °_, SD_........) ' r PRELIMINARY PLAN' OFF .I oC/► m Pm" 00 Twit S wim 01 " Ns1 OI THU GWI Mo IN PART of T • oI sT.. 0"Jotl, sT. amax ooumrl, art. w ZONED AG Hog i e LOT 7 3.000 AAL LOT ' iaoo #" "L'' palm* of-mp A s w .� •• �r1 . w ... w +ww�. r.. w w w•w .w � w w .^ y P t } "MR.\SE r , • r s y J sell , , ,1` ��7 fi RAN PROPERTIES LP X-c'� 712 Rivard St. Somerset, W 540 TOvvN OF ST, JOSEPH. ST. CROIX COUNTY, VASCONSIN PRELIMINARY PLAT_ C ©ice PRELIMINARY PLAT OF. NATALIES RIDGE SURVKYora pfumpium poft 00105LM 2NO" G&W P"I Lp Locit"M W PM" cw 7"ll Swim at Tm PewiA PART or Tw wim o►no imm, PAwrorTm SM LAND 96Vr4'7M 712 RIVARD STRIXT H11114OFTHE Swill ANDI PART OF THE KWIM OFTH9 SM14OF 8SCTwN SS. T3QN. TOM 2M ofu= 91"Irr SQUIRIET ■ 34M • or wr. io�, ST. CROIX HUDIKOL VA 5411 DS ZONED AG LOT • Lcrr 10 IL A44 A A LOT a LOT 7 3MIIIAM f ♦ 8L" A04 ♦ "": wr 3AW ULU A04 ♦ :J-144- -- - --- .6 ----------- — �7 r" LOT 21 12 3AIS A& LOT LOT 22 ♦ te Lm 13 finis LOT 23 LOT I ♦ LOT A LCII 24 1— All LOT 6 nai A, ... ........ LOT 25 LEGEND TOTAL LOT ALFULA $4.125 AC. LOTS 3A04 AC. AVMtMR , A GRAND PROPERTIES LP 0 712 Rivard St. Somerset, WI 54025 T r „Farr 10T-01 OM OF ST. JOSEPH, ST. CROIX COUNTY, NIS PRELIMINARY PLAT i*&wcwtes SU Lod Surveying J.W *k— R^ UIII—t IRR "/07/05