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HomeMy WebLinkAbout032-1036-70-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 552372 0 Personal information you 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: Germain, Thomas M. & Suzanne Somerset, Town of 032-1036-70-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: I60 C.5-Ir 13.31.19.181 B TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE CAPACITY STATION BS HI FS ELEV. Septic Z Benchmark I1Z h~'e ~ / 10.x• / Dosing / Alt. BM ~o L I 5.55 97.9 Bldg. Sewer Fl Ao 1 S s s.~$ q7. Holding M.L St/Ht Inlet c a 7 I5 27 TANK SETBACK INFORMATION' ~l St/Ht Outlet . b• TANK TO P/L WELL LD` Vint to it Intake O D Dt Inlet Septic > dad ~ ~Q ~ j ~ - Dt Bottom Dosing > ~QQ Z6 / Header/Man. C/ - 675 C7 1 ji C7* Aeration Dist. Pipe a • OZ y Holding Bot. System /A 7 C dt I Z Ilk Final r de ' O PUMP/SIPHON INFORMATION Manufacturer GPM nd St Cover 5-551 W-v7 Model mber O TDH A Friction Loss System He TDH Ft Forcemain Length ia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Lengtp No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /00D 1re~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer INFORMATION Type O ystem: CHAMBER OR /'7 • ~w ~ file,. &L 7 UNIT Model Number: DISTRIBUTION SY EM L / Header/Manifo~ Distribution x Hole Size x Hole Spacing 3 ntlb Air Intake Pipe(s) \ \ Length Dia Length \ Dia ` Spacing 3 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only {r,^ Soa Depth Over Depth Over xx Depth of xx Seeded/S Vy T - Mulched Bed/Trench Center 1 1 ed/Trench Edges Topsoil es Rd No es ❑ No 4.4 B COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 703 220TH AVE SOMERSET, WI 54025 (NW 114 NW 1/4 13 T31N R1 9W) metes & bounds Lot Parcel No: 13.31.19.181B 1.) Alt BM Description = -TZ(e4- C~ - <L , i ,n 'S IOC iB 2.) Bldg sewer length = - amount of cover = 11Z Q S ~ • _ ~ ~ ~•~a~.~ 91 ~ to A Plan revision Required? ❑ Yes No 'n Use other side for additional information. Y I Date Insepctor's Si ature Cert. No. 1 SBD-6710 (R.3/97) County Safety and Buildings Division j , CeOE x lip's $ 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) Madison-(VI 07-7162 AN WZ 23 7Z- Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit 4 is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04 1 m Stats. 7~O 1. Application Information - Please Print All Information AK 7' ;N Property Owner's Name Parcel # ~ ©rn i+L A-Nd 5UZAAW6 D Z - V3 -70 -®e)4 Property Owner's Mailing Address w t, J~ Property Location 6 / 703 Z Z© v6 N u e Govt. Lot J City, state Zip Cod A pfign ber -N VJ y<, M UJ 13 5 T Section At T? ircle one)_ 0 ~V7 ~N; R 1 !7 Eo>W II. Type of Building (check all that apply) N y'NG n~ Subdivision Name ER 1 or 2 Family Dwelling - Number of Bedroomsc~ n Block # El Public/Commercial -Describe Use ftl ❑ City of ❑ State Owned - Describe Use G G CSM Numbe r ❑ Village of 2 ~ ~5 c.■.J ~ , J , J ~ u1~J Y Town of .S O /f'L " 56 T III. Type of Permit: (Check onl one box on line A. Complete line B if applicable) ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) A. ❑ New System F Replacement System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber El PermitTransfer to New List Previous Permit Number and Date Issued n Before Expiration Owner G Ot1"' IV. Type of POWTS S stem/Com onent/Device: Check all that a 1 Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Treat ent Area Information: Design Flow (gpd) Design Soil Application Rate(g sf) Dispersal Area Required (s Dispersal Area Proposed System Elevation ly © if 1 01-) to ,q3 & 50 9lr 70 175- ;ro VI. Tank Info Capacity in Total # of Manufacturer U Gallons Gallons Units c 'O New Tanks Existing Tanks c U 0. U in C7 L1, ld k- 52 Septic or Holding Tank 0 Q 00 f S t✓ Q Dosing Chamber / VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's ign ture MP/MPRS Number Business Phone Number ©tF N $cq to I ~ ZZ3 7A n 71J'- 7a 0 YBA Plumber's Address (Street, City, State, Zip Code) ~eleZ-S VII Coun epartment Use Only Approved ❑ pproved Permit Flee Date ssu Issuin ent Signet )<l7 $ f D0 , ~ en Reason for Denial IX. Condii~asons for Disapproval t . >peptic tank, efllcthlit filter end 3~ 6LdL a ~C..wJlp~ d0 [tel. dispersal cell must all be servlees / maintained as per management plan provided by plumber. (~G1C~2i ■ 2. AN totback req ementss,must be maintained Attach to complete plans for the system and submit to the County only on paper not less than 81/2 x 11 inches in size SBD-6398 (R. I1/11) - - PLOT PLAN N Project Name: Thomas & Suzanne Germain Replacement Septic System Legal Description: NW114, NW114, S13, T31N, R19W P.I.D: 032-1036-70-000 Subdivision Name: NA Lot NA SCALE: 1" = 40' Township: SOMERSET Parcel Size: 10 Acres County: ST. CROIX 4 inch Sch 40 -ASTM D2665 System Elevation: T1=93.70' 4 inch 3034 - ASTM D3034 Slope: 7% T2=91.70' A BM1 Elevation. 100.00' To of 2" PVC i e T3=NA 0 BM2 Elevation: 98.43' To of bottom trim on ole shed ■ Backhoe Pits: NOTE: Existing septic system to be abandoned as per code R% u! zo r" 14 yr pRiVE J B f A2QOv~1 'l~ A - TA0ty ERR Gc a W ELI- DrCk SrN 1/0 - - - - - _ - 'el Q14 t Jt 1 r - J c~ 1600 ® ;i w a sz ~ Q l w/~Pat~ *83 Z -3x~~ ~2 TZ E 1=LC1,+1 -TRGx~Gr~E~ ~ i \ ~ ®3i Pou l CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Germain Replacement Septic System Owners Name: Thomas & Suzanne Germain Owner's Address 703 220th Avenue Somerset, WI 54025 Legal Description: NW1/4, Nw1/4, S13, T31N, R19W Township Somerset County: St. Croix Subdivision Name: 10 Acre Parcel Lot Number: NA Block Number Parcel I.D. Number 032-1036-70-000 Plan Transaction No. Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross Section Page 4 Septic Tank Specifications Page 5 Effluent Filter Information Page 6 & 7 Management and contingency plan Page 8 Septic Tank Maintenance Agreement Page 9 &10 EZ Flow Information Page 11 Map Page 12 Warranty Deed Page 13-16 Soil Evaluation Report Designer: John Schmitt Licnese Number: MPRS 223760 Date: 6/6/2012 Phone Number: 715-760-0486 Signature: In-Ground Soil Absorption Component Manual Version 2.0 SBD-10705-P (N. 01/01) Page 1 of 16 PLOT PLAN N Project Name: Thomas & Suzanne Germain Replacement Septic System Legal Description: NW114, NW114, S13, T31N, R19W P.I.D: 032-1036-70-000 Subdivision Name: NA Lot NA ~~E' 1~ - Township: SOMERSET Parcel Size: 10 Acres County: ST. CROIX 4 inch Sch 40 -ASTM D2665 System Elevation: T1=93.70' 4 inch 3034 - ASTM D3034 Slope: 7% T2=91.70' A BM1 Elevation: 100.00' Top of 2" PVC pipe T3=NA BM2 Elevation: 98.43' To of bottom trim on pole shed ■ Backhoe Pits: NOTE: Existing septic system to be abandoned as per code R~ u) ZZO "r4 Avr DRIVE J p,gp2oorvl T t-1 ON 5 c' u ~XfSTi~L ,Z SEPf1L GARAGE - -rAN ►C a 4. WELL DECK SCN'lO 1 - - - u o Exisrl -c, o 100© 60o s.~'. _ Q 1 W P01,J LO k SZa ¢ - ct #83 Z-3x~s ~2 rz 1=LCw TRE~L kS / Po La ®~Z 5141E 9$ SOIL ABSORPTION SYSTEM DETAIL / GRAVELLESS LEACHING UNIT Page Of Project Name: Thomas & Suzanne Germain Replacement Septic System 2 No. of Cells 6.5 Per Cell 3 ft Cell Width 13 Total No of EZ1203h 65 ft Cell Length 325 sq ft EISA Per Cell 3 ft Cell Spacing 650 sq ft Total EISA Manufacturer Model Laying Length EISA Rating Infiltrator EZ1203H-5ft 5.0' 25.0 EZ1203H-10ft 10.0' 50.0 Gravelless Leaching Unit Manufacturer: Infiltrator Gravelless Leaching Unit Model: EZ1203H Typical Cross Section Finished Grade 96.5 ft Observation Pipe with approved cap or vent • ` Soil Backfill y-" 36 in ' • Geotextile Fabric ■ 91.7 ft Infiltrative Surface 12 in O 83.5 ft Limiting Factor >36 in Slotted and Anchored Vent/ 83.6 Observation Pipe with Cap Plumber/Designer Signature: License 223760 Date: 6-Jun-12 M-W9/OO kM:31U 95-v8-5Z2-008 0LOZ 'N`df 03SVA3N ° \ 09L49 Wl 1>130M N301VW Ot AMH Sn 9LL£M z anOd-1SOd ':31V0 OtOZ kHvnNvr 31V0 -idnNdW OIld3S F - 'A38 n3a 31300000 anOd-38d ,0-,La,4L 3lVOS 3WS A8 NMVaO w \ 21W-009/000 LdIM ~ D O O z H O J ^ U U Q0: U~ N 0 m w ix N O Ir F: a. Wp M W U W F-_ W j F- =O Z d O Z F- fn M Q LL. O H ti m r O ~ w U Z w U ~mJ z_s a ° O Q O mfn JWW O O O yZ O W Z(n O O Z O> r J 1 LL p N OD t0 x ? Y L..' V r9 ~ W CO LL op°°p*M2O N~ mWN ~tD O Z~ aUa ~k z Q Q \U = N• Q~ F-QQ W- }}r GO O Z W W U OZ Y~ M N Qo O w ; M10 LgU)-C~OZ~m ~U FNN F- QJ OAF W n- ~ J ONW =OZm U (N s W U W pw ~N in 0- ..uo= ..3p= vY Uw a w m F xp pc=i Cf) Y °ao0<La z -j o'2 aa< a ° ° z a auwio M~ N~ J Z Z3mU~s~~m~' p o U ~Y pw Q ~-p Z Z z J 2 Q UO~ U J Q W (n I a U) w p cai z ,62 a LAJ 01 It > a ' a z W IF 2 \ a w 1 w Sb'o w ,8£ do N N_ I U N x W M'LLJ a W J I „9~ x is w w c cn m m ° w _ I Seo ,b N 1 „t4 do 0 w < M 1. H D J Q Z ~ „Z4 w 0038 a „t8 Sd „9S N Y Z H ~INSTALLATION INSTRUCTIONS p~L Inc. 8, Wastewater Precast Drainage AD~ PL-525/PL-625 FILTER & Wastewater Products A tAeio n of Po" Inc. INSTALLATION INSTRUCTIONS Center filter with opening I~ ' tx Z x W e. J MCI e e j~ Additional pipe or Polylok Extend & Lok' Glue for centering. Step 1: Step 2: Step 3: (A) Locate the outlet of the septic tank. (A) Before installation, place the (A) Glue the filter housing on the (B) Remove tank cover and pump tank filter housing on to the outlet pipe. outlet pipe. if necessary. (B) Make sure that the housing (B) Insert the filter cartridge in the is positioned so the filter can be housing, making sure the filter removed from the tank for cartridge is properly aligned and maintenance and service. completely inserted in the housing. MAINTENANCE INSTRUCTIONS i I Step 1: Step 2: Step 3: Locate the outlet of the septic tank. (A) Remove tank cover and pump (A) Insert the filter cartridge back if necessary. into the the housing making sure • NOT USE PLUMBING (B) Pull the filter out of the housing. the filter is properly alighed WHEN FILTER IS • (C) Hose off the filter over the septic tank. and completely inserted. USE RUBBER GLOVES Make sure all solids fall back into the (B) Replace septic tank cover WHEN CLEANING FLTER septic tank. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page_of FILE INFORMATION SYSTEM SPECIFICATIONS Owner: Thomas & Suzanne Germain Tank Manufacturer: Wieser Concrete r NA Permit # g Septic E Dose Holding Volume: 1000 gal DESIGN PARAMETERS Tank Manufacturer: Wieser Concrete r NA Number of Bedrooms: 3 r NA R Septic E Dose ! Holding Volume: 600 al Number of Public Facility Units: 5 NA Vertical Distance Tank Bottom (s) to Service Pad: ft Estimated (average) Flow: 300 gal/day Horizontal Distance Tank(s) to Serivice Pad: ft Design (peak) Flow = estimated x 1.5: 450 gal/day Specific servicing mechanics must be provide if vertical is>15 feet or if In Situ Soil Application Rate: 0.7 gal/day/ft2 horizontal is > 150 feet. Specific instructions to be provided on back. Standard Domestic InfluentlEffluent Monthly average Effluent Filter Manufacturer: Polylok r NA Fats, Oils & Grease (FOG) 530 mg/L Effluent Filter Model: 525 Biochemical Oxygen Demand (BOD5) 5220mg/L F NA Pump Manufacturer: r NA Total Suspended Solids (TSS) 5150mg/L Pump Model: High Strength InfluenVEffluent Monthly average Petreatment Unit Fats, Oils & Grease (FOG) 530 mg/L Manufacturer: Biochemical Oxygen Demand (BOD5) :5220mg/L NA r Mechanical Aeration r Peat Filter NA Total Suspended Solids (TSS) 5150mg/L r Disinfection r- Wetland Petreated Effluent Monthly average r Sand/Gravel Filter I- Other: Biochemical Oxygen Demand (BOD5) 530mg/L Soil Absorption System Total Suspended Solids (TSS) 530mg/L NA d In-Ground (gravity) r In-Ground (pressure) r NA Fecal Coliform (geometric mean) :5104cfu/100m1 17- At-Grade r mound Maximum Effluent Particle Size: Ya in dia. r N r Drip-Line r other. Other: F Other: F NA MAINTENANCE SCHEDULE Service Event Service Frequency When combined with sludge and scum equals one-third of tank volume Pump out contents of tank(s) When the high water alarm is activated month(s) Inspect condition of tank(s) At least once eve : 3 q year(s) Maximum 3 ears) r NA r- month(s) Inspect dispersal cell(s) At least once eve : 3 It year(s) Maximum 3 ears) r NA r- month(s) Clean effluent filter At least once eve : 1.5 year(s) r NA month(s) Inspect pump, pump controls & alarm At least once eve : r- year(s) r NA Flush laterals and pressure test At least once every: r year(s) r NA month(s) Other: At least once eve : f` year(s) r fj Other: 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 Insepector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspeciton 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 a check for any back up or ponding of effluent on ground surface. The dispersal cell(s) shall 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 effluent on the ground surface may indicated a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumualtion of sludge and scum in any treatment tank equals one-third or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Admininistrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, petreatment units, and any servicing at intervals of <_12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. (Rev.2/05) Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals or sediment that may impede the treatment process and/or damage the soil 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 soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks, pits and other soil absorption systems 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 filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide the opportunity to obtain a sanitary permit for a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at the time of their permit issuance. ❑ A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil 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 soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING: TREATMENT TANKS AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES AND LACK SUFFICIENT OXYGEN TO SUPPORT LIFE. NEVER ENTER A TREATMENT TANK OR HOLDING TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK IS VERY DIFFICULT. ADDITIONAL INFORMATION: POWTS INSTALLER POWTS MAINTAINER Name: John Schmitt Name: John Schmitt Phone: 715-760-0486 Phone: 715-760-0486 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name: Name: St Croix County Zoning Phone: Phone: 715-386-4680 This document is intended to meet minimum requirements of Ch. Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Use of this document does not guarantee the performance of the POWTS. (Rev. 2/05) ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address r Ate, Property Address 7y 3 o?o2y t /4✓_ Sol,7 vra-,' (Verification required from Planning & Zoning Department for new construction.) City/State Parcel Identification Number 0-TR-l03 6 - 2,0 ' Ozz LEGAL DESCRIPTION Property Location Ni✓ %4 , NO '/4 , Sec. 13 , T 3 / N R f ? W, Town of S ,40,,r, Subdivision Plat: AA , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # (before 2007)Volume , Page # Spec house ❑ yesjyno Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & 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 Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a rranty deed recorded in Register of Deeds Office. I Number of bedrooms SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. I 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. I (REV. 09/07) EZflow by INFILTRATOR 10- ~1+. ~1Y~ i • Compared with stone and ~iien~eht • Always clean and free of fines • Bundles are quick to install, saving costs on heavy machinery and labor • Modular construction allows configurations to match trench dimensions for most system shapes and sizes • Engineered for optimal storage and absorption efficiencies • Ability to contour along sloped sites and around trees or landscaping • Lightweight system is perfect for repairs and tight job sites • Easily hand-carried into position reducing time and labor • 5' or 10' lengths with simple snap, internal couplers • Easier cleanup at the job site with the elimination of stone • Manufactured from recycled materials rather than a mined natural resource • A wide variety of diameters and configurations to meet any installation professional's needs • Approved in many jurisdictions with an increased efficiency rating, reducing drain field size • Also useful for foundation and other drainage applications • Backed by the leader in the onsite wastewater industry I EZflolul %/by INFILTRATOR For technical assistance, installation instructions or customer service, call Infiltrator Systems at 800.689.7759. EZflow by INFILTRATOR 0 jr tic ris° Available in 7", 8", 9", 10", 12", 13" and 14" diameter bundles, I Single Pipe Systems Horizontal Systems 0701 P-GEO 1201 P-GEO 0705H-GEO 1003H-GEO 1203H-GEO 1209H-GEO 0801 P-GEO 1201 LPP-GEO 0904H-GEO 1006H-GEO 1203HP-GEO 1303H-GEO 1001 P-GEO 1401 P-GEO 1002H-GEO 1202H-GEO 1206H-GEO 1402H-GEO 10011PP-GEO 1 I l Vertical Systems Triangular Systems 1002V-GEO 1006V-GEO 1204V-GEO 1003T-GEO 1403T-GEO 1003V GEO 1202V-GEO 1206V-GEO 1203T GEO 1004V--GEO 1203V-GEO 1402V-GEO 1303T GEO Notes: 1. Other systems include 12" square and 10" and 12" bed systems. Bed systems will dictate the number of bundles. 2. System dimensions are dependent upon bundle diameter and configuration. 3. LLP is for "Low Pressure Pipe" in which a pressurized distribution pipe is field installed within the corrugated pipe. 4. Internal pipe and couplings meet the requirements of ASTM F405. 5. Bundles are also available without geotextile between the netting and synthetic aggregrate, F, - INFILTRATOR" 6 Business Park Road • P.O. Box 768 Old Saybrook, CT 06475 860.577.7000 • FAX 860.577.7001 800.689.7759 www.ezflowip.com www.infiltratorsystems.com For technical assistance, installation instructions or customer service, call Infiltrator Systems at 800.689.7759. Infiltraior is a registered trademarks of Infiltrator Systems Inc_ Inf I rat ~r is a egistered trademark in France_ lr I rator Systems Inc. is a repstered trademark in Vexico. O 20091nfiltrat3r Systcros Inc, F Hinted r U,S.A. -/0;0609AVd-0 Cur F i. a 1ti"~. ~~yyy{. r t ,.Y~..~ T~sliv'.:.R Y fir &s, 'Pow ~yy4 R. } :r 4 ; Illlllllllllllllllllllliillll(I 8004538 State Bar of Wisconsin Form 2-2003 Tx:4003590 WARRANTY DEED 920722 Document Number Document Name BETH PABST REGISTER OF DEEDS ST. CROIX CO. WI THIS DEED made between Thomas J. Germain, Jr. aka Thomas J. Germain, & RECEIVED FOR RECORD Suzanne M. Germain, husband and wife, 08/13/2010 3.24 PM ("Grantor," whether one or more), EXEMPT 16 anKelly J. Germain, Jennifer A. Germain, Todd M. Germain, Trustees or their REC FEE: 30.00 suc essors in trust, under the THOMAS M. AND SUZANNE M. GERMAIN I VOCABLE TRUST, dated August 5, 2010 PAGES: 1 ("Grantee," whether one or more). G tor, for a valuable consideration, conveys and warrants to Grantee the following [recording Area des ribed real estate, together with the rents, profits, fixtures and other appurtenant interests, in ST. CROIX County, State of Wisconsin ("Property") (if more Name and Return Address space is needed, please attach addendum): Joseph P. Earley Earley Law Offices The West Ten Acres of the Northwest Quarter of the Northwest Quarter 539 South Knowles Avenue ~PT (10) New Richmond, WI 54017 (NW 1/4 NW 1/4) of Section Thirteen (13), Township Thirty-one (31) North, Range Nineteen (19) West. 032-1036-70-000 Gr n Parce Identification Number (PIN) ~ tors retain a life estate interest for the lives of both of them and the life of the survivor of them. This is homestead property. (is) (is not) Exceptions to warranties: Easements and other encumbrances of record. Dated August 5, 2010 j (SEAL) (SEAL) * omas M. G MOM (SEAL) (SEAL) * S1 ia ne M. Germain AUTHENTICATION ACKNOWLEDGMENT Signature(s) Thomas J. Germain, Jr. aka Thomas J. STATE OF WISCONSIN ) Get1main, & Suzanne M. Germain, husband and wife, ss. authenticated on Au ust 5 2010 COUNTY ) 'Y~ - ~4A Lo * 1 P. Earle Personally came before me on TI : MEMBER STATE B R OF WISCONSIN the above-named (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Joseph P. Earley, Attorney at Law Notary Public, State of Wisconsin My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 2-2,003 oyDe1 name below signatures. 0' NVisconsin SOIL EVALUATION REPORT #1686 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 4 Division of Safety and Buildings Schmitt Soil Testing, Inc. Attach complete site plan on paper not less than 8%x 11 inches in size. Plan must County 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. 0321036-70-000 Please print all information. Re ' By Date -7 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). rp / I L Property Owner Property Location Germain, Thomas & Suzanne Govt. Lot NW1J , NW114, S13, T31N, R19W Property Owner's Mailing Address Lot # Block # Subd. Na or CSM# 703 220th Ave. 10 Acre Parcel City State Zip Code Phone Number ❑ City ❑ Village E~ Town Nearest Road Somerset WI 54025 715-247-3803 Somerset 220th Ave. ❑ New Construction Use: ~ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD E Replacement ❑ Public or commercial - Describe: Parent material Outwash Sand (Burkhardt Flood plain elevation, if applicable na ft. General comments and recommendations: Area is suitable for a conventional system with a 0.7 gpd/sgft rate. Possible system elevation for replacement area is 93.T (High trench) 91.T (low trench). Slope is 7%. Boring # ❑ Boring ® Pit Ground surface elev. 97.70 ft. Depth to limiting factor 105+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efr#1 -Eff#2 1 0-14 10yr4/6 FILL SI 2msbk mvfr CS 2vF .6 1.0 2 14-25 10yr3/2 none si 2fsbk mfr 9W 1Vf .6 1.0 3 25-35 7.4yr4/4 none gricos lmsbk mfr Cs 1vF .7 1.6 4 35-60 10yr4/6 none gris lcsbk mfr 9W 7 1.6 5 60-105 10yr6/4 none grs Osg ml - .7 1.6 DE] Boring # ❑ Boring ?Q. Pit Ground surface elev. 97.70 fL Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure ConsiLBoundary Roots GPD/ft2 in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efl#1 •Etf#2 1 0-15 10yr3/3 none SI 2mgr m2vf .6 1.0 2 15-35 10yr4/6 none grsl 2msbk mivf 6 1.0 3 35-56 7.5yr4/6 none grcos OSg ml Cs .7 1.6 4 56-96 10yr6/4 none s Osg m! - 7 1.6 1 ' Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mglL and TSS <_30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt . , fZC~-LU v 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 5/4/2012 715-247-2941 ssn-9330 OL07ro0) Property owner Germain, Thomas & Suzanne Parcel ID # 03-1036-70-000 Page 2 of 4 F3]Boring # U Boring LA Pit Ground surface elev. 95.25 ft- Depth to limiting factor 98+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/1`12 in. Munsell Qu. Sz. Cont. Color Gr. Sz- Sh. *Eff#1 *Eft#2 1 0-17 10yr3/3 none sl 2mgr mvfr as 2m,2f .6 1.0 2 17-24 10yr4/4 none sl 2msbk mfr gw 2f .6 1.0 3 24-31 10yr4/6 none sd 2msbk mfr 9W if .4 .6 4 31-42 10yr4/4 none Is lcsbk mfr Cs .7 1.6 5 42-60 10yr5/4 none grs Osg Ml Cs .7 1.6 6 60-98 10yr6/4 none s Osg ml .7 1.6 7 n ,I ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Textt re Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz- Cont. Color Gr. Sz. Sh. *Eff#1 •Eff#2 ❑ Boring # U 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 GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Efr#1 .Eff#2 ' Effluent #1 = B0D5> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODS < 30 mg/L and TSS <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 608-2648777. SBD-8330 (R07/W) Sdu t Son Tes ft, Inc. Page 3 of 4 Conducted by: Conducted For. Schmitt Soil Testing, Inc. Name: - Thomas & Suzanne Germain Thomas J. Schmitt, CST 227429 Address: 703 220th Ave. 1595 72nd St. City, State, Zip: Somerset, W154025 New Richmond, WI 54017 Phone: 715- 60-1978 PID: 032-1036-70-M s T Lot No. NA ogee A?af 2 Legal Description: NW1/4 NWV4 S13 T31NR19W Backhoe Pit Township, County- Somerset, St. Croix County ® Bench Mark 1 El. 100.00' Top of 2" pvc pipe Bench Mark 2 B. 98.43' Top of trim at bottom of pole shed steel Slope= 7% V 40' a.2 u`f4 a~S r GOArr L'XtSTraF4 (3901 t fe a Q~ . a _ 51' 61 C . S5 f ~ ~ Bz pC cc 173 6Inl 1 'y coil r 1 ~t .w ~t h yT, . R.E I ~-t i~ ~ WT' gyp. ,ejt4. J ~F 4w f + LL~ ~ ~ yy ~A Ns .y v ~ ~ L